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TITLE 22EXAMINING BOARDS
PART 11TEXAS BOARD OF NURSING
CHAPTER 215PROFESSIONAL NURSING EDUCATION
RULE §215.4Approval

listed under subsection (b) of this section.

    (A) A warning may be issued to a program when:

      (i) the pass rate of first-time NCLEX-RN® candidates, as described in paragraph (2)(A) of this subsection, is less than 80% for two (2) consecutive examination years; or

      (ii) the program has been in violation of Board requirements.

    (B) A program may be placed on conditional approval status if:

      (i) the pass rate of first-time candidates, as described in paragraph (2)(A) of this subsection, is less than 80% for three (3) consecutive examination years;

      (ii) the faculty fails to implement appropriate corrective measures identified in the Self-Study Report or survey visit;

      (iii) the program has continued to engage in activities or situations that demonstrate to the Board that the program is not meeting Board requirements and standards or lacks institutional control necessary for successful student outcomes; or

      (iv) the program persists despite the existence of multiple deficiencies mentioned in subsection (b) of this section.

    (C) Approval may be withdrawn if:

      (i) the performance of first-time NCLEX-RN® candidates fails to be at least 80% during the examination year following the date the program is placed on conditional approval;

      (ii) the program is consistently unable to meet requirements of the Board; or

      (iii) the program continues to engage in activities or situations that demonstrate to the Board that the program is not meeting Board requirements and standards or lacks institutional control necessary for successful student outcomes.

    (D) The Board may consider a change in approval status at a regularly scheduled Board meeting for a program on initial, full approval, full approval with warning, or conditional approval if:

      (i) the program's pass rate for first-time NCLEX-RN® candidates during the examination year is at least 80%; and

      (ii) the program has met all Board requirements.

    (E) The Board may, in its discretion, change the approval status of a program on full approval with warning or impose a monitoring plan. The Board may restrict enrollment.

    (F) The Board may, in its discretion, change the approval status of a program on conditional approval or impose a monitoring plan. The Board may restrict enrollment.

  (4) Survey Visit. Each professional nursing education program shall be visited at least once every six (6) years after full approval has been granted, unless accredited by a Board-recognized national nursing accrediting agency.

    (A) Board Staff may conduct a survey visit at any time based upon Board Education Guideline 3.2.2 available at https://www.bon.texas.gov.

    (B) After a program is fully approved by the Board, a report from a Board-recognized national nursing accrediting agency regarding a program's accreditation status may be accepted in lieu of a Board survey visit.

    (C) A written report of the survey visit, information from the program's NEPIS and CANEP, and NCLEX-RN® examination pass rates shall be reviewed by the Board at a regularly scheduled meeting.

  (5) The Board will select one (1) or more national nursing accrediting agencies, recognized by the United States Department of Education, and determined by the Board to have standards equivalent to the Board's ongoing approval standards according to Board Education Guideline 3.2.3 available at https://www.bon.texas.gov. Identified areas that are not equivalent to the Board's ongoing approval standards will be monitored by the Board on an ongoing basis.

  (6) The Board will periodically review the standards of the national nursing accrediting agencies following revisions of accreditation standards or revisions in Board requirements for validation of continuing equivalency.

  (7) Accredited Programs. The Board may review and/or change the approval status of an accredited professional nursing education program that fails to:

    (A) meet the prescribed program of study or other Board requirement;

    (B) maintain voluntary accreditation with the national nursing accrediting agency selected by the Board; or

    (C) maintain the approval of the state board of nursing of another state that the Board has determined has standards that are substantially equivalent to the Board's standards under which it was approved.

  (8) A professional nursing education program is considered approved by the Board and exempt from Board rules that require ongoing approval as described in Board Education Guideline 3.2.3 available at https://www.bon.texas.gov if the program:

    (A) is accredited and maintains voluntary accreditation through an approved national nursing accrediting agency that has been determined by the Board to have standards equivalent to the Board's ongoing approval standards;

    (B) complies with Board rules from which it is not exempt; and

    (C) maintains an acceptable NCLEX-RN® pass rate, as determined by the Board, on the NCLEX-RN® examination.

  (9) A professional nursing education program that fails to meet or maintain an acceptable NCLEX-RN® pass rate, as determined by the Board, on NCLEX-RN® examinations is subject to review by the Board.

  (10) A professional nursing education program that qualified for exemption pursuant to paragraph (8) of this subsection, but does not maintain voluntary accreditation through an approved national nursing accrediting agency that has been determined by the Board to have standards equivalent to the Board's ongoing approval standards, is subject to review by the Board.

  (11) A program that voluntarily closes or from which approval has been withdrawn by the Board may submit a new proposal. A new proposal may not be submitted to the Board until at least twelve (12) calendar months have elapsed from the date the program's voluntary closure is accepted by the Executive Director or from the date of the program's withdrawal of approval by the Board.

  (12) A professional nursing education program accredited by a national nursing accrediting agency recognized by the Board shall:

    (A) provide the Board with copies of any reports submitted to or received from the national nursing accrediting agency selected by the Board within three (3) months of receipt of any official reports;

    (B) demonstrate accountability of compliance with national nursing accreditation standards and processes and provide copies of approvals for substantive changes from the national nursing accreditation organizations after the program has followed the approval process;

    (C) notify the Board of any change in accreditation status within two (2) weeks following receipt of an official notification letter; and

    (D) provide other information required by the Board as necessary to evaluate and establish nursing education and workforce policy in this state.

(d) Notice of a change in a program's approval status shall be sent to the dean or director and others as determined by the Board. The chief administrative officer of the governing entity shall be notified when there is a change of approval status of the program.


Source Note: The provisions of this §215.4 adopted to be effective January 9, 2005, 29 TexReg 12190; amended to be effective February 19, 2008, 33 TexReg 1328; amended to be effective October 19, 2008, 33 TexReg 8509; amended to be effective December 27, 2010, 35 TexReg 11668; amended to be effective October 23, 2012, 37 TexReg 8304; amended to be effective August 9, 2018, 43 TexReg 5074; amended to be effective November 23, 2021, 46 TexReg 7880; amended to be effective November 30, 2023, 48 TexReg 6907

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