reglab/statecodes huggingface dataset:
Missouri Code of State Regulations › Title 20 - DEPARTMENT OF COMMERCE AND INSURANCE › Division 2200 - State Board of Nursing › Chapter 2 - Minimum Standards for Approved Programs of Professional Nursing › Section 20 CSR 2200-2.130 - Program Evaluation

Current through Register Vol. 49, No. 14, July 15, 2024
PURPOSE: This amendment clarifies nursing program
				  evaluation processes.
(1)
				There shall be a written plan for systematic evaluation of all aspects of the
				program. The systematic evaluation of the program will document the following:
(A) Frequency of evaluation;
(B) Methods of evaluation;
(C) Person(s) responsible for the
				evaluation;
(D) Program-specific
				benchmarks;
(E) Actual outcomes
				with trended data; and
(F) Program
				planning and improvement based on analysis of the benchmarks and actual
				outcomes.
Missouri Code of State Regulations › Title 20 - DEPARTMENT OF COMMERCE AND INSURANCE › Division 2200 - State Board of Nursing › Chapter 3 - Minimum Standards for Approved Programs of Practical Nursing › Section 20 CSR 2200-3.010 - Approval

Current through Register Vol. 49, No. 14, July 15, 2024
PURPOSE: This amendment changes the submission
				  deadlines.
(1) Programs of
				practical nursing shall obtain approval from the board.
(2) Purposes of Approval-
(A) To promote the safe practice of practical
				nursing by setting minimum standards for programs preparing entry-level
				practical nurses;
(B) To assure
				that educational requirements for admission to the licensure examination have
				been met and to facilitate endorsement in other states, territories, countries,
				or any combination of these;
(C) To
				encourage continuing program improvement through assessment, evaluation, and
				consultation; and
(D) To assist
				programs of practical nursing in developing and maintaining academic standards
				(theory and clinical) that are congruent with current educational and nursing
				practice standards.
Missouri Code of State Regulations › Title 20 - DEPARTMENT OF COMMERCE AND INSURANCE › Division 2200 - State Board of Nursing › Chapter 3 - Minimum Standards for Approved Programs of Practical Nursing › Section 20 CSR 2200-3.020 - Discontinuing and Reopening Programs

Current through Register Vol. 49, No. 14, July 15, 2024
PURPOSE: This amendment establishes a waiting period
				  after closure to initiate the approval process for a new nursing
				  program.
(1) Program
				Discontinuation.
(A) A plan for closure shall
				be submitted to the board, at least six (6) months and, preferably, one (1)
				year prior to closing the program and shall include:
1. Closing date; and
2. Plans for completion of program for
				currently enrolled students.
Missouri Code of State Regulations › Title 20 - DEPARTMENT OF COMMERCE AND INSURANCE › Division 2200 - State Board of Nursing › Chapter 3 - Minimum Standards for Approved Programs of Practical Nursing › Section 20 CSR 2200-3.030 - Change in Sponsorship

Current through Register Vol. 49, No. 14, July 15, 2024
PURPOSE: This amendment aligns rule numbers to
				  reflect changes made under section
				  20 CSR
				  2200-3.010.
(1) The institution assuming the sponsorship
				of an approved program shall notify the board in writing within ten (10)
				working days after the change of sponsorship.
(2) A change in sponsorship form shall be
				completed and returned to the board within thirty (30) days of the change in
				sponsorship. Written notification shall include proposed changes to the
				program.
(3) Proposed changes that
				affect the criteria included in
				20 CSR
				2200-3.010(4)(A) 1.-8. shall be
				approved by the board prior to implementation.
(4) Program documents shall be changed to
				indicate the appropriate sponsor.
*Original authority: 335.036, RSMo 1975, amended 1981,
					 1985, 1993, 1995, 1999, 2007, 2008, 2011 and 335.071, RSMo 1975, amended 1981,
					 1999.
Missouri Code of State Regulations › Title 20 - DEPARTMENT OF COMMERCE AND INSURANCE › Division 2200 - State Board of Nursing › Chapter 3 - Minimum Standards for Approved Programs of Practical Nursing › Section 20 CSR 2200-3.035 - Multiple Campuses

Current through Register Vol. 49, No. 14, July 15, 2024
PURPOSE: This amendment clarifies procedures for
				  multiple campuses, nursing programs under the same sponsoring institution, and
				  programs with satellite locations.
(1) Each nursing program under sponsorship of
				the same institution will be treated independently for purposes of compliance
				with the minimum standards set forth by the board.
(2) Each nursing program under the
				sponsorship of the same institution is required to submit a separate annual
				report, annual registration, and annual registration fee.
(3) The sponsoring institution shall submit a
				proposal as indicated in
				20 CSR
				2200-3.010(4)(A) and receive approval
				from the board before opening an additional nursing program at a different
				campus or expand an approved nursing program to additional satellite
				location(s). Each additional campus and satellite location will be
				surveyed.
(4) Each nursing program
				location at any campus and satellite location shall have a full-time faculty
				person designated as the coordinator who reports to the program administrator
				and meets the faculty requirements for appointment.
(5) Discipline of one (1) nursing program
				will not automatically result in discipline of other nursing program(s) under
				the same institutional sponsorship. Discipline of a nursing program will apply
				to satellite expansion site(s) of the program.
(6) Each nursing program will be evaluated
				individually concerning licensure examination results. Licensure examination
				results for satellite expansion sites will be part of the approved nursing
				program.
*Original authority: 335.036, RSMo 1975, amended 1981,
					 1985, 1993, 1995, 1999, 2007, 2008, 2011 and 335.071, RSMo 1975, amended 1981,
					 1999.
Missouri Code of State Regulations › Title 20 - DEPARTMENT OF COMMERCE AND INSURANCE › Division 2200 - State Board of Nursing › Chapter 3 - Minimum Standards for Approved Programs of Practical Nursing › Section 20 CSR 2200-3.040 - Program Changes Requiring Board Approval, Notification, or Both

Current through Register Vol. 49, No. 14, July 15, 2024
PURPOSE: This amendment defines major program
				  expansion and provides existing nursing programs with notification of such
				  major expansions.
(1) Board
				approval is required for changes of the following:
(A) Substantial revision of
				curriculum;
(B) Length of
				program;
(C) Increase in number of
				students by enrollment, transfer, or readmission by more than one (1) beyond
				the number approved by the board-
1. Any
				program expansion that would increase annual student admissions by twenty (20)
				or more students and/or establish a new satellite location shall be considered
				a major program expansion; and
2.
				The board will electronically notify nursing programs of requests for major
				program expansion;
(D)
				Pilot program/project;
(E)
				Relocation of the program or any of its components; and
(F) Substantial change in program delivery
				modalities.
Missouri Code of State Regulations › Title 20 - DEPARTMENT OF COMMERCE AND INSURANCE › Division 2200 - State Board of Nursing › Chapter 3 - Minimum Standards for Approved Programs of Practical Nursing › Section 20 CSR 2200-3.050 - Organization and Administration of an Approved Program of Practical Nursing

Current through Register Vol. 49, No. 14, July 15, 2024
PURPOSE: This amendment clarifies requirements for
				  approval of pre-licensure programs of professional nursing.
(1) Philosophy and/or mission of the program
				shall be in writing and be consistent with the philosophy and/or mission
				statement of the sponsoring institution.
(2) Graduate competencies shall be derived
				from the program's philosophy and/or mission.
(3) The philosophy and/or mission and the
				graduate competencies shall be the basis on which the curriculum is
				developed.
(4) There will be a
				faculty governance structure with responsibility for the nursing curriculum and
				the admission, readmission, progression and graduation of students.
(A) Meetings shall be scheduled at stated
				intervals.
(B) Written minutes of
				all meetings shall be maintained.
(C) Meeting minutes shall reflect faculty
				decision making within the program. Documentation shall include evidence that
				program evaluation data are utilized to make program decisions.
Missouri Code of State Regulations › Title 20 - DEPARTMENT OF COMMERCE AND INSURANCE › Division 2200 - State Board of Nursing › Chapter 3 - Minimum Standards for Approved Programs of Practical Nursing › Section 20 CSR 2200-3.060 - Administrator/Faculty

Current through Register Vol. 49, No. 14, July 15, 2024
PURPOSE: This amendment updates the approval process
				  for nursing program faculty and clinical faculty.
(1) Program Administrator.
(A) The administrator shall have primary
				responsibility and the authority for the administration of the nursing program
				and be employed full-time.
(B)
				Criteria for Appointment-
1. Current, active
				RN license or privilege to practice. No current disciplinary action in the
				state of Missouri on licensee's RN license. No past disciplinary action in the
				state of Missouri or any other U.S. state or territory unless the disciplinary
				action has no nexus to patient safety. For example, failure to pay taxes or
				file tax returns, practice on an expired license, failure to pay child support,
				or default on a student loan;
2.
				Baccalaureate or graduate degree in nursing that includes a clinical component.
				Any program administrator appointed to the position prior to December 9, 1993,
				is exempt from the requirement of having a Bachelor of Science in
				Nursing;
3. Academically and
				experientially qualified and maintains expertise in area of responsibility;
				and
4. Approved by the board prior
				to appointment. Academic transcript(s) that reflects eligibility for the
				position shall be submitted to the board for approval prior to
				appointment.
(C) Program
				administrators with responsibility for two (2) or more educational programs
				and/or additional campus and satellite location(s) shall designate full-time
				faculty as program coordinators at each site. The coordinator's workload shall
				allow time for day-to-day management of one (1) nursing program at the home
				campus, an additional campus or satellite location under the direction of the
				program administrator. Each program coordinator shall meet faculty requirements
				for appointment.
Missouri Code of State Regulations › Title 20 - DEPARTMENT OF COMMERCE AND INSURANCE › Division 2200 - State Board of Nursing › Chapter 3 - Minimum Standards for Approved Programs of Practical Nursing › Section 20 CSR 2200-3.070 - Physical Facilities and Instructional Resources

Current through Register Vol. 49, No. 14, July 15, 2024
PURPOSE: This amendment adds student orientation
				  requirements related to library and technology resources.
(1) Office Space and Equipment.
(A) The institution shall provide space and
				equipment to fulfill the purpose of the program.
(B) The administrator of the program shall
				have a private office.
(C) The
				coordinator(s) and faculty shall have office space sufficient to carry out
				responsibilities of their respective positions.
(D) Private areas shall be provided for
				faculty/student conferences.
Missouri Code of State Regulations › Title 20 - DEPARTMENT OF COMMERCE AND INSURANCE › Division 2200 - State Board of Nursing › Chapter 3 - Minimum Standards for Approved Programs of Practical Nursing › Section 20 CSR 2200-3.080 - Clinical Experiences

Current through Register Vol. 49, No. 14, July 15, 2024
PURPOSE: This amendment defines the amount of
				  clinical time allocated to clinical simulation.
(1) Clinical sites shall be selected which
				will provide direct care and observational learning experiences to meet the
				objectives of the course.
(A) Select
				interprofessional educational experiences may be utilized to provide learning
				experiences to meet course and program objectives and outcomes. Clinical
				personnel with professional licensure or certification in a health-related
				field may be utilized to augment student learning in their respective areas.
				Observational/interprofessional experiences may not exceed twenty percent (20%)
				of the total clinical program hours. Orientation to the facility does not
				contribute to the twenty percent (20%).
(B) Clinical simulation and clinical skills
				lab time is at the discretion of the nursing program. Records of allocation of
				clinical hours to simulation shall be maintained.
(C) Direct patient care experiences shall be
				sufficient to achieve identified competencies as well as course and program
				outcomes.
(D) The ratio of faculty
				to students in the clinical area shall be designed to promote patient safety
				and to facilitate student learning with the proper supervision.
(E) There shall be evidence of clinical
				orientation for each nursing course with a clinical component.
Missouri Code of State Regulations › Title 20 - DEPARTMENT OF COMMERCE AND INSURANCE › Division 2200 - State Board of Nursing › Chapter 3 - Minimum Standards for Approved Programs of Practical Nursing › Section 20 CSR 2200-3.085 - Preceptors

Current through Register Vol. 49, No. 14, July 15, 2024
PURPOSE: This amendment clarifies utilization of
				  clinical preceptors.
(1)
				Preceptors may be used as role models, mentors, and supervisors of students in
				practical nursing programs.
(A) Preceptors do
				not replace faculty in the education of the student but serve to assist faculty
				and the student in achieving designated objectives of a nursing
				course.
(B) Preceptors shall not be
				utilized in fundamentals of nursing or introductory nursing courses.
(C) Preceptors shall supervise no more than
				two (2) students during any given shift. Supervision by a preceptor means that
				the preceptor is present and available to the student(s) in the clinical
				setting.
Missouri Code of State Regulations › Title 20 - DEPARTMENT OF COMMERCE AND INSURANCE › Division 2200 - State Board of Nursing › Chapter 3 - Minimum Standards for Approved Programs of Practical Nursing › Section 20 CSR 2200-3.090 - Students

Current through Register Vol. 49, No. 14, July 15, 2024
PURPOSE: This amendment changes admission and
				  readmission assessment and tracking and maintaining student
				  data.
(1) Admission,
				Readmission, and Transfer.
(A) The
				educational program shall comply with the state and federal laws regarding
				discrimination in the admission of students.
(B) Policies for admission, readmission,
				transfer, and advanced placement shall be written, implemented, and evaluated
				by the faculty.
(C) Admission and
				readmission criteria shall reflect consideration of:
1. Potential to complete the program;
2. Ability to meet the standards
				to apply for licensure (see sections 335.046.2, RSMo, and 335.066,
				RSMo);
3. Policies for admission
				and readmission shall be stated in writing and accessible to applicants,
				students, and faculty. Time limits for acceptance of credits earned during
				prior enrollment(s) should be stated. Potential to complete the program shall
				be reassessed prior to readmission to the program. Documented evidence shall be
				maintained; and
4. Program
				admission, readmission, retention, and graduation data shall be tracked.
				Documented evidence of such data is to be maintained.
(D) Students who are readmitted or
				transferred shall complete the same requirements for graduation as other
				members of the class to which they are admitted.
(E) The board shall approve the maximum
				number of students enrolled in each program. The criteria for approval of the
				maximum number will be based on:
1.
				Availability of qualified faculty;
2. Available clinical experiences;
				and
3. Educational facility's
				ability to accommodate students.
(F) Late Admissions. No student shall be
				admitted later than five (5) school days after the established entrance date of
				the program.
(G) Students for whom
				English is a second language shall meet the same general admission requirements
				as other students.
Missouri Code of State Regulations › Title 20 - DEPARTMENT OF COMMERCE AND INSURANCE › Division 2200 - State Board of Nursing › Chapter 3 - Minimum Standards for Approved Programs of Practical Nursing › Section 20 CSR 2200-3.100 - Educational Program

Current through Register Vol. 49, No. 14, July 15, 2024
PURPOSE: This amendment aligns clinical simulation
				  and distance education with the nursing curriculum.
(1) General Purpose.
(A) The program shall have a philosophy
				and/or mission which guides the curriculum practices.
(B) The curriculum incorporates established
				professional standards, guidelines, and competencies with clearly stated
				objectives, graduate competencies, and program outcomes.
(C) The educational program shall provide
				planned learning experiences essential to the achievement of the stated
				philosophy and/or mission and graduate competencies of the program and
				demonstrate logical progression.
(D) The educational program shall provide
				clinical education to facilitate transition to practice as a practical nurse,
				which includes clinical decision making, leadership, and management under the
				supervision of a registered nurse or a physician.
(E) A nursing program that uses clinical
				simulation shall adhere to model standards of best practice. Mapping of
				clinical simulation experiences to course and clinical objectives as well as
				graduate competencies should be documented.
Missouri Code of State Regulations › Title 20 - DEPARTMENT OF COMMERCE AND INSURANCE › Division 2200 - State Board of Nursing › Chapter 3 - Minimum Standards for Approved Programs of Practical Nursing › Section 20 CSR 2200-3.110 - Records

Current through Register Vol. 49, No. 14, July 15, 2024
PURPOSE: This amendment changes "graduate record" to
				  read "official record."
(1)
				Transcripts.
(A) Transcripts of all courses
				attempted or completed by each student attending the program shall be
				maintained permanently.
(B) The
				official transcript shall identify the following:
1. Date of admission, date of separation from
				the program, hours/credits/units earned, and the diploma/degree awarded;
				and
2. Transferred credits,
				including course titles and credits earned. Name and location of the
				credit-granting institution shall be maintained as part of official
				records.
(C) Transcripts,
				including microfiche and computer files, shall be stored in a secured
				area.
Missouri Code of State Regulations › Title 20 - DEPARTMENT OF COMMERCE AND INSURANCE › Division 2200 - State Board of Nursing › Chapter 3 - Minimum Standards for Approved Programs of Practical Nursing › Section 20 CSR 2200-3.120 - Publications

Current through Register Vol. 49, No. 14, July 15, 2024
PURPOSE: This amendment clarifies publications that
				  nursing programs must provide to applicants and students.
(1) Publications shall be current, dated, and
				internally consistent.
(2) A
				nondiscrimination policy shall appear in publications specific to the nursing
				program.
(3) The following
				information shall be available to applicants and students by electronic or
				print publications:
(A) Approval status as
				granted by the board (initial, full, or conditional approval status);
(B) National nursing accreditation status, if
				applicable;
(C) Admission
				criteria;
(D) Section
				335.066,
				RSMo, of the current Missouri Nursing Practice Act with an explanation that
				completion of the program does not guarantee eligibility to take the licensure
				examination;
(E) Advanced
				placement policies;
(F) Student
				services;
(G) Curriculum
				plan;
(H) Program costs;
(I) Refund policy;
(J) Financial assistance;
(K) Distance learning measures and
				opportunities;
(L) Philosophy
				and/or mission of the sponsoring institution and the nursing program;
(M) Graduate competencies;
(N) Grading, promotion, and graduation
				policies;
(O) Faculty roster with
				credentials;
(P) School
				calendar;
(Q) Student
				policies;
(R) Student's rights and
				responsibilities; and
(S) Appeal
				policies and procedures.
Missouri Code of State Regulations › Title 20 - DEPARTMENT OF COMMERCE AND INSURANCE › Division 2200 - State Board of Nursing › Chapter 3 - Minimum Standards for Approved Programs of Practical Nursing › Section 20 CSR 2200-3.130 - Program Evaluation

Current through Register Vol. 49, No. 14, July 15, 2024
PURPOSE: This amendment clarifies nursing program
				  evaluation processes.
(1)
				There shall be a written plan for systematic evaluation of all aspects of the
				program. The systematic evaluation of the program will document the following:
(A) Frequency of evaluation;
(B) Methods of evaluation;
(C) Person(s) responsible for the
				evaluation;
(D) Program-specific
				benchmarks;
(E) Actual outcomes
				with trended data; and
(F) Program
				planning and improvement based on analysis of the benchmarks and actual
				outcomes.
Missouri Code of State Regulations › Title 20 - DEPARTMENT OF COMMERCE AND INSURANCE › Division 2200 - State Board of Nursing › Chapter 4 - General Rules › Section 20 CSR 2200-4.010 - Fees

Current through Register Vol. 49, No. 14, July 15, 2024
PURPOSE: The board is amending the fees to include an
				  Advanced Practice Registered Nurse (APRN) application and renewal fee, correct
				  outdated information, and renumber as necessary, pursuant to statutory and
				  other regulatory changes that have occurred.
(1) The following fees are established by the
				State Board of Nursing:
(A) Reexamination - Registered Professional Nurse
							 (RN)
$ 40
(B) Reexamination - Licensed Practical Nurse
							 (LPN)
$ 40
(C) Application for License by Endorsement
							 -RN
$105
(D) Application for License by Endorsement
							 -LPN
$101
(E) Lapsed License
(in addition to renewal for each year of
							 lapse)
$ 50
(F) School Annual Registration
$100
(G) Verification
$ 30
(H) Biennial Renewal -
1. RN or Missouri (MO) RN with a MO Advanced Practice
							 Registered Nurse (APRN) License-
A. Effective January 1, 2013
$ 60
B. Effective July 1, 2021
$ 85
2. APRN without a Missouri RN and with an RN
							 privilege to practice from another compact state
$ 85
3. LPN-
A. Effective January 1, 2013
$ 52
B. Effective July 1, 2021
$ 77
4. License
				renewal for a professional nurse and an APRN shall be biennial, occurring on
				odd-numbered years and the license shall expire on April 30 of each
				odd-numbered year. License renewal for a practical nurse shall be biennial,
				occurring on even-numbered years and the license shall expire on May 31 of each
				even-numbered year. Renewal shall be for a twenty-four- (24-) month period
				except in instances when renewal for a greater or lesser number of months is
				caused by acts or policies of the Missouri State Board of Nursing;
5. Renewal fees for each biennial renewal
				period shall be accepted by the Missouri State Board of Nursing only if
				accompanied by an appropriately completed renewal application; and
6. All fees established for licensure or
				licensure renewal of nurses incorporate an educational surcharge in the amount
				of one dollar ($1) per year for practical nurses and five dollars ($5) per year
				for professional nurses;
(I) Uncollectible (Charged for any uncollectible
							 financial instrument.)
$ 25
(J) Late Education Agenda Items
$ 30
(K) Application for Proposals to Establish New
							 Programs of Nursing
$3,000
(L) Application for Advanced Practice Registered
							 Nurse (APRN) License
$150
(M) Biennial Retired Nurse Renewal (This fee shall
							 not be subject to the education surcharge)
$ 15
Missouri Code of State Regulations › Title 20 - DEPARTMENT OF COMMERCE AND INSURANCE › Division 2200 - State Board of Nursing › Chapter 4 - General Rules › Section 20 CSR 2200-4.025

Current through Register Vol. 49, No. 14, July 15, 2024
*Original authority: 335.036, RSMo 1975, amended 1981,
					 1985, 1993, 1995, 1999, 2007 and 335.067, RSMo
					 2007.
Missouri Code of State Regulations › Title 20 - DEPARTMENT OF COMMERCE AND INSURANCE › Division 2200 - State Board of Nursing › Chapter 4 - General Rules › Section 20 CSR 2200-4.026

Current through Register Vol. 49, No. 14, July 15, 2024
*Original authority: 335.036, RSMo 1975, amended 1981,
					 1985, 1993, 1995, 1999, 2007 and 335.067, RSMo
					 2007.
Missouri Code of State Regulations › Title 20 - DEPARTMENT OF COMMERCE AND INSURANCE › Division 2200 - State Board of Nursing › Chapter 4 - General Rules › Section 20 CSR 2200-4.027

Current through Register Vol. 49, No. 14, July 15, 2024
*Original authority: 335.036, RSMo 1975, amended 1981,
					 1985, 1993, 1995, 1999, 2007 and 335.067, RSMo
					 2007.
Missouri Code of State Regulations › Title 20 - DEPARTMENT OF COMMERCE AND INSURANCE › Division 2200 - State Board of Nursing › Chapter 4 - General Rules › Section 20 CSR 2200-4.028

Current through Register Vol. 49, No. 14, July 15, 2024
*Original authority: 335.036, RSMo 1975, amended 1981,
					 1985, 1993, 1995, 1999, 2007 and 335.067, RSMo
					 2007.
Missouri Code of State Regulations › Title 20 - DEPARTMENT OF COMMERCE AND INSURANCE › Division 2200 - State Board of Nursing › Chapter 4 - General Rules › Section 20 CSR 2200-4.029

Current through Register Vol. 49, No. 14, July 15, 2024
*Original authority: 335.036, RSMo 1975, amended 1981,
					 1985, 1993, 1995, 1999, 2007 and 335.067, RSMo
					 2007.
Missouri Code of State Regulations › Title 20 - DEPARTMENT OF COMMERCE AND INSURANCE › Division 2200 - State Board of Nursing › Chapter 4 - General Rules › Section 20 CSR 2200-4.050 - Nursing Student Loan Program

Current through Register Vol. 49, No. 14, July 15, 2024
PURPOSE: This rule defines the criteria that a
				  nursing program must meet for approval by the Missouri State Board of Nursing
				  as a participating program in the professional and practical nursing student
				  loan program.
(1) The board
				shall designate as approved for participation in the professional and practical
				nursing student loan program those Missouri nursing programs which meet the
				following criteria:
(A) The nursing program
				leads to initial licensure as a professional or practical nurse and is
				accredited as a program of professional or practical nursing by the Missouri
				State Board of Nursing; or
(B) The
				nursing program does not lead to initial licensure, but offers a formal course
				of instruction leading to a bachelor of science degree in nursing or a master
				of science degree in nursing and the nursing program annually submits to the
				Missouri State Board of Nursing an application for approval as a participating
				school, which provides evidence of-
1. The
				existence of a separate and distinct nursing department within the
				degree-granting institution; and
2.
				A curriculum plan incorporating both nursing theory and clinical nursing
				experience as integral components of the course of instruction.
Missouri Code of State Regulations › Title 20 - DEPARTMENT OF COMMERCE AND INSURANCE › Division 2200 - State Board of Nursing › Chapter 4 - General Rules › Section 20 CSR 2200-4.200 - Collaborative Practice

Current through Register Vol. 49, No. 14, July 15, 2024
PURPOSE: This amendment is necessary to implement the
				  provision of Senate Bill 718 (2018) passed by the 99th General Assembly. The
				  proposed amendment change permits an advanced practice registered nurse (APRN)
				  to prescribe buprenorphine, a Schedule III drug, for thirty (30) days without
				  refill for patients receiving medication-assisted treatment for substance use
				  disorders under the direction of the collaborating physician. It also prohibits
				  the collaborating physician or supervising physician from entering into a
				  collaborative practice arrangement or supervision agreement with more than six
				  (6) full-time equivalent advanced practice registered nurses, full-time
				  equivalent licensed physician assistants, or full-time equivalent assistant
				  physicians, or any combination thereof.
PURPOSE: In accordance with section
				  334.104,
				  RSMo, this rule defines collaborative practice arrangement terms and delimits
				  geographic areas; methods of treatment; review of services; and drug/device
				  dispensing or distribution pursuant to prescription and implements the
				  Utilization of Telehealth by Nurses as required by section
				  335.175,
				  RSMo and APRN involvement in the "Improved Access to Treatment for Opioid
				  Addictions Act" (IATOA) pursuant to sections
				  334.104
				  and 630.875, RSMo.
(1) For the purpose of these rules, the
				following definitions shall apply:
(A)
				Advanced practice nurse-A registered professional nurse (RN) who is also an
				advanced practice registered nurse (APRN) as defined in section
				335.016(2),
				RSMo;
(B) Controlled substance
				prescriptive authority-the eligibility and certificate granted by the Missouri
				State Board of Nursing (MSBN) to an APRN who has been delegated the authority
				to prescribe controlled substances from Schedules III, IV, and/or V in a
				written collaborative practice arrangement by the collaborating physician as
				defined in section
				335.019,
				RSMo;
(C) Collaborative practice
				arrangements- Refers to written agreements, jointly agreed upon protocols, or
				standing orders, all of which shall be in writing, for the delivery of health
				care services;
(D) Population-based
				public health services-Health services provided to well patients or to those
				with narrowly circumscribed conditions in public health clinics or community
				health settings that are limited to immunizations, well child care, human
				immunodeficiency virus (HIV) and sexually transmitted disease care, family
				planning, tuberculosis control, cancer and other chronic disease, wellness
				screenings, services related to epidemiologic investigations, and prenatal
				care; and
(E) Registered
				professional nurse-An RN as defined in section
				335.016(16),
				RSMo, who is not an APRN.
Missouri Code of State Regulations › Title 20 - DEPARTMENT OF COMMERCE AND INSURANCE › Division 2200 - State Board of Nursing › Chapter 4 - General Rules › Section 20 CSR 2200-4.200 - Collaborative Practice

Current through Register Vol. 49, No. 14, July 15, 2024
PURPOSE: This amendment reflects changes made to
				  sections 334.104 and
				  335.175, RSMo, eliminating
				  geographic areas.
PURPOSE: In accordance with sections
				  334.104 and
				  335.175, RSMo, this rule defines
				  collaborative practice arrangement terms and delimits methods of treatment;
				  review of services; and drug/device dispensing or distribution pursuant to
				  prescription.
(1) For the
				purpose of these rules, the following definitions shall apply:
(A) Advanced practice nurse-A registered
				professional nurse (RN) who is also an advanced practice registered nurse
				(APRN) as defined in section
				335.016(2),
				RSMo;
(B) Controlled substance
				prescriptive authority-the eligibility and certificate granted by the Missouri
				State Board of Nursing (MSBN) to an APRN who has been delegated the authority
				to prescribe controlled substances from Schedules III, IV, and/or V in a
				written collaborative practice arrangement by the collaborating physician as
				defined in section
				335.019,
				RSMo;
(C) Collaborative practice
				arrangements- Refers to written agreements, jointly agreed upon protocols, or
				standing orders, all of which shall be in writing, for the delivery of health
				care services;
(D) Population-based
				public health services-Health services provided to well patients or to those
				with narrowly circumscribed conditions in public health clinics or community
				health settings that are limited to immunizations, well child care, human
				immunodeficiency virus (HIV) and sexually transmitted disease care, family
				planning, tuberculosis control, cancer and other chronic disease, wellness
				screenings, services related to epidemiologic investigations, and prenatal
				care; and
(E) Registered
				professional nurse-An RN as defined in section
				335.016(16),
				RSMo, who is not an APRN.
Missouri Code of State Regulations › Title 20 - DEPARTMENT OF COMMERCE AND INSURANCE › Division 2200 - State Board of Nursing › Chapter 6 - Intravenous Infusion Treatment Administration › Section 20 CSR 2200-6.030 - Intravenous Infusion Treatment Administration by Qualified Practical Nurses; Supervision by a Registered Professional Nurse

Current through Register Vol. 49, No. 14, July 15, 2024
PURPOSE: This amendment will lift the IV push or
				  bolus medication administration restriction on qualified practical nurses and
				  list two (2) additional types of IV medication that qualified practical nurses
				  will not administer. The need for these changes was determined after the Board
				  of Nursing reviewed a petition for rule review sent by a practicing licensed
				  practical nurse. It has been determined that restricting qualified practical
				  nurses from utilizing the IV push or bolus route of medication administration
				  places an undue interruption and delay in patient care.
(1) Qualified practical nurses shall only
				perform venous access and intravenous (IV) infusion treatment modalities
				according to the specific provisions of section
				335.016, RSMo,
				20 CSR 2200-5.010,
				and this chapter. A qualified practical nurse shall only perform such
				activities under the direction and supervision of a registered professional
				nurse or a person licensed by a state regulatory board to prescribe medications
				and intravenous infusion treatments (hereinafter the "licensed
				prescriber").
(2) Qualified
				practical nurses who perform venous access and intravenous infusion treatment
				modalities shall:
(A) Maintain accountability
				to the registered professional nurse or licensed prescriber who is directing
				and supervising the individual's practical nursing care acts involving venous
				access and intravenous infusion treatment modalities;
(B) Maintain ongoing, documented, specialized
				knowledge, education, skills, training, judgment, and experience related to
				practical nursing care acts involving venous access and intravenous infusion
				treatment modalities;
(C) Ensure
				that appropriate, authorized prescriber orders for patient care involving
				venous access and intravenous infusion treatment modalities are in place before
				patient care is begun;
(D) Only
				engage in practical nursing care acts involving venous access and intravenous
				infusion treatment modalities that are within the individual's authorized scope
				of practice as specified in section
				335.016, RSMo,
				20 CSR 2200-5.010,
				and this chapter; and
(E) Only
				engage in practice consistent with lawful written policies and procedures of
				the individual's employer as well as any state or federal laws applicable to
				the individual's employer.
Missouri Code of State Regulations › Title 20 - DEPARTMENT OF COMMERCE AND INSURANCE › Division 2200 - State Board of Nursing › Chapter 6 - Intravenous Infusion Treatment Administration › Section 20 CSR 2200-6.040 - Venous Access and Intravenous Infusion Treatment Modalities Course Requirements

Current through Register Vol. 49, No. 14, July 15, 2024
PURPOSE: This amendment clarifies intravenous (IV)
				  treatment modalities course requirements.
(1) A venous access and intravenous (IV)
				infusion treatment modalities course shall prepare the non IV-Certified
				qualified practical nurse to safely perform the functions and procedures
				inherent in selected intravenous infusion treatment modalities as set forth in
				this rule.
(2) Course providers
				shall only design and conduct a venous access and intravenous infusion
				treatment modalities course as specified in this rule. The course shall provide
				sufficient instruction for the following qualified practical nurse participants
				to become IV-Certified in Missouri:
(A) A
				practical nurse currently licensed to practice in Missouri;
(B) A practical nurse with a temporary permit
				to practice in Missouri;
(C) A
				graduate practical nurse of a non-Missouri practical nursing education program
				seeking licensure in Missouri; or
(D) A federal employee who possesses a
				current license as a practical nurse in another state who is enrolling in a
				course provided by a federal facility located in Missouri.
Missouri Code of State Regulations › Title 20 - DEPARTMENT OF COMMERCE AND INSURANCE › Division 2200 - State Board of Nursing › Chapter 6 - Intravenous Infusion Treatment Administration › Section 20 CSR 2200-6.050 - Approval Process for a Venous Access and Intravenous Infusion Treatment Modalities Course

Current through Register Vol. 49, No. 14, July 15, 2024
PURPOSE: This rule sets forth the approval process
				  for a course provider to establish, maintain, and discontinue a course of
				  instruction for qualified practical nurse participants to become IV-Certified
				  in the state of Missouri.
(1)
				To obtain initial approval of a venous access and intravenous infusion
				treatment modalities course, the course provider shall submit a written
				proposal to the board.
(A) The proposal shall
				be written by and bear the original signature of a registered professional
				nurse who holds a current undisciplined license or temporary permit to practice
				as a registered professional nurse in Missouri.
(B) The proposal shall contain the following:
1. Name of course provider;
2. Course objectives;
3. Curriculum to be utilized including the
				method(s) of delivery and the number of classroom and clinical hours;
4. Faculty qualifications;
5. Name of designated course
				coordinator;
6. Description and
				location of classroom and clinical facilities to be utilized;
7. Copies of the agreement with the clinical
				facilities to be utilized;
8.
				Maximum faculty to student ratio in the clinical component;
9. Methods of participant evaluation used
				including final examination;
10.
				Qualifications/requirements of course participants;
11. Policy delineating successful completion
				of the course; and
12. Policy
				regarding records to be maintained.
(C) The board shall review the proposal and
				issue a letter to the course provider stating whether the program has been
				approved or denied. If the program is denied approval, the board shall state
				the specific reasons for its denial.
Missouri Code of State Regulations › Title 20 - DEPARTMENT OF COMMERCE AND INSURANCE › Division 2200 - State Board of Nursing › Chapter 6 - Intravenous Infusion Treatment Administration › Section 20 CSR 2200-6.060 - Requirements for Intravenous Therapy Administration Certification

Current through Register Vol. 49, No. 14, July 15, 2024
PURPOSE: This amendment clarifies requirements for
				  intravenous (IV) therapy.
(1)
				A practical nurse who is currently licensed to practice in Missouri and who is
				not Intravenous (IV)-Certified in Missouri can obtain IV-Certification upon the
				successful completion of a board-approved venous access and intravenous
				infusion treatment modalities course.
(A) Upon
				receipt of confirmation of successful completion of an approved course, the
				board shall designate IV Certification on the license record through the
				coordinated licensure information system.
(B) Upon confirmation of IV-Certification
				through the coordinated licensure information system, the licensed practical
				nurse may engage in practical nursing care acts involving venous access and
				intravenous infusion treatment modalities as specified in the provisions of
				section 335.016, RSMo,
				20 CSR
				2200-5.010, and this chapter.
(C) The practical nurse's license record
				shall indicate LPN IV-Certified.
Missouri Code of State Regulations › Title 20 - DEPARTMENT OF COMMERCE AND INSURANCE › Division 2200 - State Board of Nursing › Chapter 7 - Nursing Education Incentive Program › Section 20 CSR 2200-7.001 - Definitions

Current through Register Vol. 49, No. 14, July 15, 2024
PURPOSE: This rule defines terms used throughout this
				  chapter.
(1) When used in 20
				CSR 2200-7, the following terms mean:
(A)
				Accredited-The official authorization or status granted by an agency for a
				program or sponsoring institution through a voluntary process;
(B) Approved-Recognized by the board as
				meeting or maintaining minimum standards for educational programs preparing
				professional nurses;
(C)
				Board-Missouri State Board of Nursing;
(D) Campus-A specific geographic program
				location with a distinct student body and coordinator at which all appropriate
				services and facilities are provided;
(E) Certification exam-certification by a
				nationally recognized certifying body. A non-governmental agency recognized by
				the Missouri State Board of Nursing that validates by examination, based on
				pre-determined standards, an individual nurse's qualifications and knowledge
				for practice in a defined functional or clinical area of nursing;
(F) Faculty-Individuals designated by
				sponsoring institutions with responsibilities for development, implementation,
				and evaluation of philosophy and/or mission, objectives, and curriculum of the
				nursing program(s);
(G) National
				Nursing Accreditation-Accreditation by a national agency specific to nursing
				education that is recognized by the board;
(H) NCLEX-RN® examination-National
				Council Licensure Examination for Registered Nurses;
(I) Objectives-Measurable statements
				describing anticipated outcomes of proposed funding;
(J) Post-licensure-Educational program
				leading to degree completion of an undergraduate, graduate, or terminal degree
				in nursing once licensure as a registered nurse has been attained;
(K) Pre-licensure-Initial educational program
				in nursing leading to entry-level licensure;
(L) Program-Course of study leading to a
				degree or diploma; and
(M)
				Sponsoring institution-The institution that is financially and legally
				responsible for the nursing program.
Missouri Code of State Regulations › Title 20 - DEPARTMENT OF COMMERCE AND INSURANCE › Division 2200 - State Board of Nursing › Chapter 7 - Nursing Education Incentive Program › Section 20 CSR 2200-7.010 - Nursing Education Incentive Program

Current through Register Vol. 49, No. 14, July 15, 2024
PURPOSE: This rule sets forth the criteria to be used
				  by the State Board of Nursing regarding the awarding of grants to eligible
				  institutions of higher education under the Nursing Education Incentive
				  Program.
(1) Program
				Description. The "Nursing Education Incentive Program" is intended to address
				two (2) growing problems in nursing education.
(A) Missouri institutions have been unable to
				admit many qualified applicants to their nursing programs because of a lack of
				physical or educational capacity. Because of these capacity constraints,
				students interested in entering nursing programs are unable to access the
				program of their choice, creating supply problems for the health care
				industry.
(B) Many areas of
				Missouri have been determined to be medically underserved. This determination
				is based upon the income of the population and the ratio of physicians,
				dentists, and behavioral health clinicians to the total population.
Missouri Code of State Regulations › Title 20 - DEPARTMENT OF COMMERCE AND INSURANCE › Division 2200 - State Board of Nursing › Chapter 8 - Minimum Standards for Approved Veteran's Bridge Programs of Practical Nursing › Section 20 CSR 2200-8.010 - Approval

Current through Register Vol. 49, No. 14, July 15, 2024
PURPOSE: This amendment changes the submission
				  deadlines.
(1) Veteran's
				Bridge Programs of Practical Nursing shall obtain approval from the board. An
				established program of practical nursing on full approval by the board may
				propose the Veteran's Bridge Program of Practical Nursing as a program
				expansion, pilot program, or LPN refresher course.
(2) Purposes of Approval-
(A) To promote the safe practice of practical
				nursing by setting minimum standards for programs preparing entry-level
				practical nurses;
(B) To assure
				that educational requirements for admission to the licensure examination have
				been met and to facilitate endorsement in other states, territories, countries,
				or any combination of these;
(C) To
				provide a facilitated pathway for qualifying military service members to gain
				academic credentialing necessary to apply for Missouri licensure as an
				intravenous therapy (IV) certified practical nurse;
(D) To provide a course of study that can be
				utilized as an LPN refresher course;
(E) To encourage continuing program
				improvement through assessment, evaluation, and consultation; and
(F) To assist Veteran's Bridge Programs of
				Practical Nursing in developing and maintaining academic standards (theory and
				clinical) that are congruent with current educational and nursing practice
				standards.
Missouri Code of State Regulations › Title 20 - DEPARTMENT OF COMMERCE AND INSURANCE › Division 2200 - State Board of Nursing › Chapter 8 - Minimum Standards for Approved Veteran's Bridge Programs of Practical Nursing › Section 20 CSR 2200-8.020 - Discontinuing and Reopening Programs

Current through Register Vol. 49, No. 14, July 15, 2024
PURPOSE: This rule is being amended to reduce
				  unnecessary regulatory restrictions.
(1) Program Discontinuation.
(A) A plan for closure shall be submitted to
				the board, at least six (6) months and, preferably, one (1) year prior to
				closing the program and shall include:
1.
				Closing date; and
2. Plans for
				completion of program for currently enrolled students.
Missouri Code of State Regulations › Title 20 - DEPARTMENT OF COMMERCE AND INSURANCE › Division 2200 - State Board of Nursing › Chapter 8 - Minimum Standards for Approved Veteran's Bridge Programs of Practical Nursing › Section 20 CSR 2200-8.030 - Change in Sponsorship

Current through Register Vol. 49, No. 14, July 15, 2024
PURPOSE: This amendment aligns rule numbers to
				  reflect changes made under section
				  20 CSR
				  2200-8.010.
(1) The institution assuming the sponsorship
				of an approved program shall notify the board in writing within ten (10)
				working days after the change in sponsorship.
(2) A change in sponsorship form shall be
				completed and returned to the board within thirty (30) days of the change in
				sponsorship. Written notification shall include proposed changes to the
				program.
(3) Proposed changes that
				affect the criteria included in
				20 CSR
				2200-8.010(4)(A) 1.-6. shall be
				approved by the board prior to implementation.
(4) Program documents shall be changed to
				indicate the appropriate sponsor.