Chapter N 1

N 1.08(5)(a) (a) Patient experiences shall occur in a variety of clinical or simulated settings of nursing practice expected at the level of licensure and shall include all of the following:

N 1.08(5)(a)1. 1. Integrating evidence-based research with patient goals and values to produce optimal care.

N 1.08(5)(a)3. 3. Providing patient-centered culturally competent care by doing all of the following:

N 1.08(5)(a)3.b. b. Recognizing that the patient or designee is the source of control and full partner in providing coordinated care.

N 1.08(5)(a)3.c. c. Coordinating and managing patient care across settings.

N 1.08(5)(a)3.d. d. Providing education at a level understandable by the patient.

N 1.08(5)(a)4. 4. Collaborating with interprofessional teams to foster open communication, mutual respect, and shared decision-making in order to achieve safe and effective patient care.

N 1.08(5)(a)5. 5. Experiencing quality improvement processes to monitor patient care outcomes, identify possibility of hazards and errors and collaborate in the development and testing of changes that improve the quality and safety of health care systems.

N 1.08(5)(a)6. 6. Using information technology to communicate, mitigate errors, and support decision-making.

N 1.08(5)(b) (b) All entities selected for clinical experiences shall adhere to standards which demonstrate concern for the patient and evidence of the skillful application of all measures of safe nursing practices.

N 1.08(5)(c) (c) All faculty teaching clinical or practicum courses shall be experienced in the clinical area of the course and maintain clinical expertise.

N 1.08(5)(d) (d) Faculty-supervised clinical practice shall include all of the following:

N 1.08(5)(d)1. 1. Development of skills in the provision of direct patient care.

N 1.08(5)(d)4. 4. Delegation to and supervision of other health care providers.

N 1.08(5)(d)5. 5. Effective application of the nursing process.

N 1.08(5)(e) (e) Clinical experiences shall be supervised by qualified faculty.

N 1.08(5)(f) (f) All student clinical experiences, including those with preceptors, shall be directed by nursing faculty.

N 1.08(5m) (5m) simulation.

N 1.08(5m)(a) (a) Simulation used to meet clinical requirements shall adhere to all of the following:

N 1.08(5m)(a)1. 1. Nursing faculty with documented education and training in the use of simulation shall develop, implement, and evaluate the simulation experience.

N 1.08(5m)(a)2. 2. Prebriefing and debriefing are conducted by nursing faculty with subject matter expertise and training in simulation using evidence-based techniques.

N 1.08(5m)(b) (b) Simulation may not be utilized for more than 50% of the time designated for meeting clinical learning requirements.

N 1.08(6) (6) Preceptors.

N 1.08(6)(a) (a) Preceptors shall be approved by the faculty of the school of nursing.

N 1.08(6)(b) (b) The school of nursing shall provide each preceptor with an orientation concerning the roles and responsibilities of the students, faculty and preceptors. The preceptor shall have clearly documented roles and responsibilities.

N 1.08(6)(c) (c) Clinical preceptors shall have an unencumbered license or privilege to practice in Wisconsin as a nurse at or above the licensure level for which the student is being prepared.

N 1.08(6)(d) (d) Preceptors shall demonstrate competencies related to the area of assigned clinical teaching responsibilities.

N 1.08(7) (7) Evaluation. The school of nursing shall implement a comprehensive, systematic plan for ongoing evaluation. Evidence of implementation shall reflect progress toward or achievement of program outcomes.

N 1.08 History History: CR 14-004: cr. Register July 2014 No. 703, eff. 8-1-14; corrections in (3) made under s. 13.92 (4) (b) 1., Stats., in (3) (a) made under s. 13.92 (4) (b) 2., Stats., and in (4) (intro.), (c) (intro.), (5) (a) (intro.), (d) (intro.) made under s. 35.17, Stats., Register July 2014 No. 703; CR 17-095: am. (4) (intro.), (c) 3., (5) (a) (intro.), 1., r. (5) (a) 2., am. (5) (a) 3. (intro.), r. (5) (a) 3. a., r. and recr. (5) (a) 3. b., d., am. (5) (a) 4., 5., (b), (d) 1., r. (5) (d) 2., 3., cr. (5) (d) 5., (5m) Register August 2018 No. 752, eff. 9-1-18; CR 17-096: am. (1) (d), (2) (a) 2., r. and recr. (2) (a) 3., (b), cr. (2) (c), (d), r. and recr. (3) (b) 2., cr. (3) (b) 3., r. and recr. (3) (d) (intro.), 2., 3. (intro.), r. (3) (d) 3. d. Register August 2018 No. 752, eff. 9-1-18; correction in (3) (d) 2., 3. (intro.), (5) (a) 1., 5. made under s. 35.17, Stats., Register August 2018 No. 752, eff. 9-1-18; CR 21-009: r. (5m) (a) 3. Register December 2021 No. 792, eff. 1-1-22.

N 1.09 N 1.09 Annual pass rates.

N 1.09(1) (1) Generally. The school of nursing NCLEX pass rate includes all prelicensure students taking the NCLEX in the school of nursing. The board shall consider both the registered nurse NCLEX and practical nurse NCLEX pass rates when evaluating a school of professional nursing that grants a certificate of completion for practical nursing. A school of nursing which contains graduate programs shall include all advanced practice certification examinations related to programs offered in the school of nursing.

N 1.09(2) (2) Annual pass rate standard. The annual pass rate of graduates taking the NCLEX or advanced practice certification examinations for all test takers is a minimum of 80%.

N 1.09(3) (3) Annual pass rate standard not met. If the annual pass rate standard is not met, the school of nursing shall receive a warning letter. The school shall identify factors that are potentially affecting the low pass rate and submit an assessment of contributing factors and institutional plan for improvement of examination results including outcomes and timeframes. The assessment and institutional plan shall be submitted to the board within 45 days of the board notifying the school of nursing of its failure to meet the annual pass rate standard and the institutional plan shall be acted on by the board no later than July 15. Failure to have a board approved plan by July 15 results in a review of the school of nursing under s. N 1.10 (4).

N 1.09 History History: CR 14-004: cr. Register July 2014 No. 703, eff. 8-1-14; correction in (1) (title) made under s. 13.92 (4) (b) 2., Stats., Register July 2014 No. 703; CR 17-096: r. and recr. Register August 2018 No. 752, eff. 9-1-18.

N 1.10 N 1.10 Continuation of board approval.

N 1.10(1) (1) Schools of nursing shall file with the board all of the following:

N 1.10(1)(a) (a) Annual self-evaluation reports by February 1.

N 1.10(1)(b) (b) All documents submitted to or received from nursing accreditation agencies relating to compliance with accreditation standards.

N 1.10(1)(c) (c) Notification of any actions, withdrawal or change in school nursing accreditation status within 30 days.

N 1.10(2) (2) Failure to maintain nursing accreditation shall result in withdrawal of board approval and the procedures in s. N 1.11 (2) will commence.

N 1.10(3) (3) The board may review the school of nursing to determine whether s. N 1.08 standards are being met in the following situations:

N 1.10(3)(a) (a) Change in school nursing accreditation status.

N 1.10(3)(b) (b) Nursing accreditation reports indicate standards are not being met.

N 1.10(3)(c) (c) Complaints regarding the conduct of the school are received and it is necessary to evaluate the complaints.

N 1.10(3)(d) (d) Failure to meet annual pass rate standard in s. N 1.09.

N 1.10(3)(e) (e) Violation of any of the rules under this chapter.

N 1.10(4) (4) The review of the school may include any of the following:

N 1.10(4)(a) (a) A site survey.

N 1.10(4)(b) (b) A self-assessment.

N 1.10(4)(c) (c) A plan for improvement and any progress reports.

N 1.10(5) (5) If the board makes a determination that s. N 1.08 standards are not being met, all of the following procedures shall be followed:

N 1.10(5)(a) (a) The school of nursing shall submit an institutional plan, including timelines, to correct identified deficiencies in the school of nursing.

N 1.10(5)(b) (b) The board shall review the proposed plan and may make modifications to the plan.

N 1.10(5)(c) (c) The school of nursing shall make progress reports to the board as requested.

N 1.10(5)(d) (d) The board may withdraw board approval if the school of nursing continues to not meet standards.

N 1.10 History History: CR 14-004: cr. Register July 2014 No. 703, eff. 8-1-14; correction in (5) (intro.) made under s. 35.17, Stats., Register July 2014 No. 703; CR 17-096: am. (1) (a) to (c), (3) (c), (d), (4) (b), (c) Register August 2018 No. 752, eff. 9-1-18.

N 1.11 N 1.11 Closure of a school of nursing.

N 1.11(1) (1) Voluntary. When a school of nursing intends to close, the institution shall do all of the following:

N 1.11(1)(a) (a) Submit a plan of intent to close a school of nursing to the board, including all of the following:

N 1.11(1)(a)1. 1. The date of intended closure.

N 1.11(1)(a)2. 2. Reason for the closure.

N 1.11(1)(a)3. 3. Place for students who have not completed their nursing education.

N 1.11(1)(b) (b) Ensure that the school of nursing is maintained, including retention of adequate number of faculty and approved curriculum, until the last student is transferred or graduates from the school of nursing.

N 1.11(1)(c) (c) Notify the board of the name and address of the educational institution or other organization that will be responsible for secure storage and access to academic records and transcripts for 50 years.

N 1.11(2) (2) Withdrawal of nursing approval.

N 1.11(2)(a) (a) If the board withdrawals approval of the school of nursing, the notice of withdrawal of approval shall contain a short statement in plain language of the basis for withdrawal of approval. The school of nursing may request a hearing within 30 calendar days after the mailing date of the notice.

N 1.11(2)(b) (b) The institution shall do all of the following if approval of the school is withdrawn:

N 1.11(2)(b)1. 1. Implement the time frame established by the board for transfer of enrolled students to an approved school and report to the board the date of transfer for each student by name.

N 1.11(2)(b)2. 2. Arrange for the secure storage and access to academic records and transcripts for the next 50 years. Provide the board with the name and address of the educational institution or other organization that will be responsible for secure storage and access to academic records and transcripts for 50 years.

N 1.11(2)(b)3. 3. Close the school when the last student has transferred.

N 1.11(2)(b)4. 4. Submit progress reports during the closure process upon request of the board.

N 1.11(2)(c) (c) The school of nursing may be granted a stay of the closure of the school during the appeal process.

N 1.11 History History: CR 14-004: cr. Register July 2014 No. 703, eff. 8-1-14; corrections in (1) (intro.), (2) (b) (intro.) made under s. 35.17, Stats., Register July 2014 No. 703.

N 1.12 N 1.12 Nursing refresher course approval.

N 1.12(1) (1) Intent of nurse refresher course. A nurse refresher course is designed for nurses who have not been practicing for five years or more.

N 1.12(2) (2) Faculty.

N 1.12(2)(a) (a) The instructor shall have all of the following qualifications:

N 1.12(2)(a)1. 1. Masters degree in nursing.

N 1.12(2)(a)2. 2. Recent clinical experience or clinical teaching experience.

N 1.12(2)(b) (b) If preceptors are used, the preceptor is selected by the instructor using criteria developed for the course and the instructor provides supervision of preceptors.

N 1.12(3) (3) Professional nurse content. The nurse refresher course designed for professional nurse shall have all of the following content:

N 1.12(3)(a) (a) Theory portion including all of the following:

N 1.12(3)(a)1. 1. Nursing process review.

N 1.12(3)(a)2. 2. Infection control.

N 1.12(3)(a)3. 3. Medication and pharmacology update.

N 1.12(3)(a)4. 4. Recent trends in nursing techniques and responsibilities.

N 1.12(3)(a)5. 5. Communication.

N 1.12(3)(a)6. 6. Documentation and reporting.

N 1.12(3)(a)7. 7. Supervision and delegation.