Oregon Administrative Rules › Chapter 851 - BOARD OF NURSING › Division 61 - STANDARDS FOR EDUCATION PROGRAMS FOR NURSING ASSISTANTS AND MEDICATION AIDES › Section 851-061-0035 - Periodic Evaluation of Nursing Assistant or Medication Aide Education Programs

Current through Register Vol. 63, No. 7, July 1, 2024
A nursing assistant or medication aide education program may be
				the recipient of a site survey for any one of the following reasons:
(1) Nursing Assistant or Medication Aide
			 Education Program Survey Request: The education program may request a survey or
			 site visit at any time. Such request must be in writing and must include the
			 purpose(s) for the visit.
(2)
			 Periodic Evaluations related to possible non-compliance with federal or state
			 standards.
(3) Survey Visits to
			 Determine Continued Approval:
(a) All nursing
			 assistant and medication aide education programs are required to demonstrate
			 continuing compliance with the Standards for Approval at least every two years
			 for continued approval;
(b) The
			 survey visit must be made by representative(s) of the Board on dates mutually
			 acceptable to the Board representative and the program;
(c) A program must submit a narrative
			 self-evaluation report that provides evidence of compliance with the Standards
			 of Approval between on-site visits.
(d) The program may be asked to participate
			 in scheduling survey visit activities;
(e) During an announced or unannounced survey
			 site visit, the Board representative must have access to, review and analyze
			 various sources of information regarding program performance; including, but
			 not limited to:
(A) All education program and
			 student records;
(B) Students,
			 staff, and faculty;
(C) Previous
			 Board of Nursing survey reports, as necessary;
(D) Results of ongoing program evaluation;
			 and
(E) Other sources of evidence
			 regarding achievement of program outcomes including, but not limited to:
(i) Student retention, attrition, and on-time
			 program completion rates;
(ii)
			 Sufficient and adequate type and number of faculty, faculty competence and
			 faculty retention and turnover;
(iii) Adequate laboratory and clinical
			 learning experiences;
(iv) Pass
			 rates on Board-approved competency examination;
(v) Trend data and action planning related to
			 pass rate on Board-approved competency examination;
(vi) Trend data and action planning related
			 to employer and graduate satisfaction;
(vii) Performance improvement initiatives
			 related to program outcomes; and
(viii) Program complaints and grievance
			 review and resolution.
(f) The education program will be evaluated
			 by use of a rubric to guide the timing of the next survey site visit:
(A) Each standard will be evaluated as "met",
			 "partially met" or "not met";
(B)
			 The Board representative's comments will be included for most standards and in
			 every case when a standard is partially met or not met;
(C) Standards partially met will be deemed
			 sufficiently met to merit the recommendation for continued approval;
(D) Recommendations in the summary of the
			 report are intended as advisory to the education program. Recommendations, or
			 alternative approach to meet the standard, are intended to be implemented
			 before the next survey visit;
(E)
			 Any failure to address previously-identified survey recommendations may result
			 in a deficiency;
(F) If a
			 deficiency exists, notice will be given in writing to the education program
			 director specifying the deficiency(ies) and prescribing the timeframe within
			 which the deficiency(ies) must be corrected;
(G) Any violation of standards or failure to
			 address previously-identified survey deficiencies, in the time prescribed by
			 the Board, may result in withdrawal of program approval as established in OAR
			 851-061-0050;
(g) Continuing approval will be granted upon
			 the Board's ratification:
(A) Board
			 representative retains authority to recommend the length of approval granted
			 regardless of rubric score; and
(B)
			 The final decision is made by the Board.