| (a) The progressive designation of approval status
is not implied by the order of the following listing. Approval status
is based upon each program's performance and demonstrated compliance
to the Board's requirements and responses to the Board's recommendations.
Change from one status to another is based on survey visits or other
factors listed under this subsection. Types of approval include:
(1) Initial Approval.
(A) Initial approval is written authorization by the
Board for a new program to enroll students, is granted if the program
meets the requirements and addresses the recommendations issued by
the Board, and begins with the date of the first student enrollment.
(B) The number of students to be enrolled while the
program is on initial approval is determined by the Board, and the
requirements are included in the Board Order.
(2) Approval With Warning.
(A) Issuance of warning. When the Board determines
that a program is not meeting the Board's legal and/or education requirements,
the program is issued a warning, is provided a list of the deficiencies,
and is given a specified time in which to correct the deficiencies.
(B) Failure to correct deficiencies. If the program
fails to correct the deficiencies within the prescribed period, the
Board may:
(i) Restrict admissions or other program activities
until the deficiencies are corrected,
(ii) Place the program on conditional approval, or
(iii) Deny approval.
(3) Conditional Approval. Conditional approval is granted
for a time specified by the Board in order to provide additional time
to correct the deficiencies.
(A) The program shall not admit students while on conditional
approval.
(B) The Board may establish specific criteria to be
met in order for the program's conditional approval status to be removed.
(C) Depending upon the degree to which the Board's
legal and/or educational requirements are met, the Board may change
the approval status to approved, approval with warning, or deny approval.
(4) Denial of Approval. The Board may deny initial
or ongoing approval of a program that fails to meet legal and/or educational
requirements within the specified time. The program shall be removed
from the list of Board-approved advanced practice registered nursing
education programs.
(b) Factors Jeopardizing Program Approval Status. Approval
may be changed or denied for any of the following reasons:
(1) When a program demonstrates non-compliance with
Board requirements, approval may be changed to full with warning or
conditional status, may be withdrawn, or the Board, in its discretion,
may impose restrictions or conditions it deems appropriate and necessary.
In addition to imposing restrictions or conditions, the Board may
also require additional monitoring of the program. Board monitoring
may include the review and analysis of program reports; extended communication
with program directors; and additional survey visits. A monitoring
plan may require the submission of quarterly reports of students'
performance in courses and clinical learning experiences; remediation
strategies and attrition rates; and reports from an assigned mentor
to the program director. Additional survey visits by a Board representative
may be conducted at appropriate intervals to evaluate the status of
the program. The Board may alter a monitoring plan as necessary to
address the specific needs of a particular program. When the Board
requires monitoring activities to evaluate and assist the program,
monitoring fees will apply.
(2) A change in approval status, requirements for restrictions
or conditions, or a monitoring plan may be issued by the Board for
any of the following reasons:
(A) deficiencies in compliance with the rule;
(B) noncompliance with the school's stated philosophy/mission,
program design, objectives/outcomes, and/or policies;
(C) failure to submit records and reports to the Board
office within designated time frames;
(D) failure to provide sufficient variety and number
of clinical learning opportunities for students to achieve stated
objectives/outcomes;
(E) failure to comply with Board requirements or to
respond to recommendations within the specified time;
(F) student enrollments without resources to support
the program, including sufficient qualified faculty, adequate educational
facilities, and appropriate clinical affiliating agencies;
(G) failure to recruit qualified faculty and preceptors
with appropriate role preparation for program type;
(H) failure to obtain nursing accreditation or approval
within five (5) years from the date the first class completes the
program; or
(I) other activities or situations that demonstrate
to the Board that a program is not meeting Board requirements.
(c) Determination of Approval Status.
(1) Survey visit. Each advanced practice registered
nursing education program will be visited as necessary once approval
has been granted. A written report of the survey visit will be reviewed
by the Board at a regularly scheduled meeting.
(2) Ongoing approval may be continued on the basis
of pertinent data as determined by the Board when a program is not
visited by staff.
(3) Notice of a program's approval status will be sent
to the director, chief administrative officer of the governing institution,
and others as determined by the Board.
(d) Withdrawal from the Approval Process.
(1) Board approval of an advanced practice registered
nursing education program shall automatically be withdrawn with the
first occurrence of any of the following:
(A) The program obtains accreditation by a national
advanced practice registered nursing education accrediting agency
recognized by the Board;
(B) Five years elapse from the date the first class
completes the program; or
(C) The program is denied national accreditation.
(2) An advanced practice registered nursing education
program approved by the Board may elect to withdraw from the Board
approval process by notifying the Board of its intention to withdraw
in writing.
(3) After withdrawal from the Board approval process,
the advanced practice registered nursing education program shall be
removed from the list of Board approved nursing education programs.
(4) Withdrawal of approval status will become effective
on a date agreed upon by the Board and the program unless otherwise
indicated in this subsection.
(5) Programs may reapply for initial approval at any
time. Programs that have had Board approval withdrawn for failure
to obtain accreditation by a national advanced practice registered
nursing education accrediting agency recognized by the Board must
reapply for initial approval by submitting a new proposal as described
in this chapter and in Board guidelines.
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| Source Note: The provisions of this §219.4 adopted to be effective September 13, 2001, 26 TexReg 6889; amended to be effective January 8, 2008, 33 TexReg 184; amended to be effective December 9, 2018, 43 TexReg 7894 |
