South Carolina Code § 91-31. — Fees.
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(Unannotated)
Current through State Register Volume 29, Issue 10, effective October 28, 2005.
This regulation database is current through State Register Volume 29, Issue 10, effective October 28, 2005. Changes to the regulations enacted by the 2006 General Assembly, which will convene in January 2006, will be incorporated as soon as possible. Some regulations approved by the 2006 General Assembly may take immediate effect. The State of South Carolina and the South Carolina Legislative Council make no warranty as to the accuracy of the data, or changes which may have been enacted since the 2005 Regular Session or which took effect after this database was prepared and users rely on the data entirely at their own risk.
(Statutory Authority: 1976 Code Sections 40-33-10(g), 40-33-220(11), 40-33-270)
a. "Additional Acts" means those activities performed by the nurse which extend the limits of practice. The nurse must successfully complete a course of special education and training acceptable to the Board to perform additional acts.
b. "Agreed to Jointly" means the agreement by the Board of Nursing and Board of Medical Examiners on delegated medical acts which nurses perform in the extended role.
c. "Delegated Medical Acts" means those additional acts delegated by the physician that include formulating a medical diagnosis and initiating, continuing, and modifying therapies, including prescribing drug therapy, under approved written protocols.
d. "Special Education and Training" means an organized advanced course of study, acceptable to the Board, that is completed after graduation from the basic nursing education program and prepares the nurse to perform additional acts.
e. "Competence" means the ability of the licensed nurse to perform skillfully and proficiently the functions within the role of the licensee. The role encompasses the possession and interrelation of essential knowledge, judgment, attitudes, values, skills and abilities, which are varied and range in complexity. Competence is a dynamic concept, changing as the licensed nurse achieves a higher stage of development within the role.
f. "Orientation" means the introductory instruction into a new practice environment and/or employment situation where being a nurse is a requirement of employment and/or the individual utilizes the title registered nurse (RN) and/or licensed practical nurse (LPN).
(Statutory Authority: 1976 Code Sections 40-33-10 et seq.)
1.A(1). The registered nurse or selected licensed practical nurse (charge nurse) is responsible for the supervision and delegation of nursing practice to unlicensed nursing personnel.
1.A(2). Unlicensed nursing personnel are individuals not currently licensed by the Board as registered nurses or licensed practical nurses who perform routine nursing tasks which do not require a specialized knowledge base or the judgment and skill as defined as the "practice of professional nursing" and the "practice of practical nursing" (40-33-10-f, g).
1.A(3). Nursing tasks performed by unlicensed nursing personnel must be performed under the supervision of a registered nurse or selected licensed practical nurse (40-33-10-f, g).
1.A(4). The nursing tasks which may be assigned to unlicensed nursing personnel shall be stated in the employers' policies. The training of the individuals and their competencies to perform the tasks shall be verified by the employer.
1.A(5). Tasks which may be delegated and performed under supervision may include among others:
a. tasks of meeting patients' needs for personal hygiene
b. tasks of meeting patients' needs relating to nutrition
c. tasks of meeting patients' needs relating to ambulation
d. tasks relating to taking vital signs
e. tasks relating to maintenance of asepsis
f. tasks of meeting patients' needs relating to elimination
g. tasks of observing, recording, and reporting any of the above tasks
1.A(6). The administration of medications is defined as: the acts of preparing and giving drugs in accordance with the orders of a licensed physician or dentist as to drug, dosage, route and frequency; observing, recording, and reporting desired effects, untoward reactions, and side effects of drug therapy; intervening when emergency care is required as a result of drug therapy; appropriately instructing the patient regarding his medication; recognizing accepted prescribing limits and reporting deviations to the prescribing physician or dentist.
1.A(7). Subject to the rights of licensed physicians and dentists under their respective medical and dental practice acts, the administration of medications is recognized as the responsibility of a registered nurse or licensed practical nurse as prescribed by the licensed physician or dentist. After June 30, 1985 unlicensed nursing personnel shall not administer medications.
a. "Extended Role" means a collaborative process whereby a nurse with advanced education and training is recognized by the Board to assume additional acts. The extended role of the Registered Nurse includes performing delegated medical acts under the general supervision of a licensed physician who is readily available for consultation. This does not authorize violation of the Medical Practice Laws of South Carolina (Section 40-47-10 1976 Code of Laws, as amended), or the Pharmacy Practice Laws of South Carolina (Section 40-43-140, 1976 Code of Laws, as amended).
b. "Certification" of a Registered Nurse means approval by an established body which assumes or has delegated authority to recognize the unique, minimal requirements of specialized areas of the extended and/or expanded area of nursing practice and is not a function of the Board. Certification as granted upon completion of a recognized formal program of study and specialty Board examination, if such specialty Board exists, and certification of competence in nursing practice as awarded by the American Nurses' Association, is recognized by this Board as certification.
c. "Clinical Nurse Specialist" means a registered nurse who is a clinician with a high degree of knowledge, skill and competence in a practice discipline of nursing. This nurse shall hold a master's degree in nursing, with an emphasis in clinical nursing. These nurses are directly available to the public through the provisions of nursing care to clients and indirectly available through guidance and planning of care with other nursing personnel. The Clinical Nurse Specialist, when functioning in the extended role, is required to have physician support and to operate within "approved written protocols".
d. "Nurse Practitioner" means a registered nurse who has completed a post-basic or advanced formal education program acceptable to the Board, and who demonstrates advanced knowledge and skill in assessment and management of physical and psychosocial health-illness status of individuals, and/or families, and/or groups. Nurse practitioners who manage delegated medical aspects of care must have a supervising physician and operate within the "approved written protocols". A Certified Nurse Midwife is accepted by the Board as meeting requirements as "Nurse Practitioner".
e. "Physician" means a physician duly licensed by the Board of Medical Examiners, who has agreed to practice in collaboration with a nurse practitioner and who is authorized to delegate those medical acts agreed to in the approved written protocols.
f. "Readily Available" means the physician must be in near proximity and able to be contacted either in person or by telecommunications or other electronic means to provide consultation and advice to the nurse practitioner. When application is made for more than three nurse practitioners to practice in the extended role under one physician, or when the nurse practitioner is performing delegated medical acts in a practice site greater than 45 miles from the physician, the Board of Nursing and Board of Medical Examiners will each review the application to determine adequate supervision exists.
g. "Approved Written Protocols" means specific statements developed collaboratively by the physician or the medical staff and the nurse that establish physician delegation for medical aspects of care, including the prescription of medications. These protocols shall be signed by the nurse and the physician and reviewed at least annually.
h. "Certified Registered Nurse Anesthetist" means a registered nurse who has successfully completed an advanced, organized formal education program in nurse anesthesia accredited by the national certifying organization of such specialty area which is recognized by the Board, and is certified by a Board-approved national certifying organization, and who demonstrates advanced knowledge and skill in the delivery of anesthesia services. The Certified Registered Nurse Anesthetist must practice in accordance with approved written guidelines developed under supervision of a licensed physician or dentist or approved by the medical staff within the facility where practice privileges have been granted.
The "Expanded Role" of the registered nurse means a process of diffusion and implies multi-directional change. Expansion, as a process of role change, is undertaken not only to fill perceived needs in the health care system, but also to project new components or systems of health care. The authority base for practice from which the expanded role emanates is the body of knowledge that constitutes the nurse's preparation for practice. The "Expanded Role" requires specialized knowledge, judgment, and skill, but does not require nor permit medical diagnosis or medical prescription of therapeutic or corrective measures.
4.a. "Private Nursing Practice" may be dependent or independent. It may be practiced in the traditional role or the extended and/or expanded role.
4.b. The "Private Duty Nurse" is the nurse who provides nursing care in the traditional role.
4.c. [Deleted]
a. The "Extended Role of the Licensed Practical Nurse" means a collaborative process whereby a licensed practical nurse with special education and training may perform delegated professional nursing activities as authorized by the Board under the direction and supervision of a registered nurse.
b. The Licensed Practical Nurse may perform "additional acts" in the "Extended Role" upon completion of special education and training in a specific technique or procedure as determined by the Board. In health care settings, written policies and/or protocols shall be developed stating the acts that may be performed. The employer shall determine which Licensed Practical Nurses may perform an additional act and then provide the necessary special education and training. The policies and/or protocols for implementing the special education and training for each additional act will be developed and approved by the nursing service, administration, and medical staff of the health care facility. These policies, protocols for implementing the special education and training, and verification that the selected Licensed Practical Nurse meets the requirements shall be available for review upon request by the Board.
a. These rules and regulations are promulgated to set forth the requirements and procedure for official recognition of Nurse Practitioners, Clinical Nurse Specialists functioning in the extended role, and Certified Registered Nurse Anesthetists.
b. Upon demonstration of compliance with Board requirements, the Board will recognize those individuals who meet the qualifications of a Nurse Practitioner, Clinical Nurse Specialist functioning in the extended role, or Certified Registered Nurse Anesthetist and will include on its official listing the name of the individual so recognized. The Board will maintain a current official list of qualified Nurse Practitioners, Clinical Nurse Specialists functioning in the extended role, and Certified Registered Nurse Anesthetists.
c. Requirements for Official Recognition as a Nurse Practitioner, Clinical Nurse Specialist Functioning in the Extended Role, or Certified Registered Nurse Anesthetist. A registered nurse applicant for Official Recognition shall:
1. Submit an application and fee for Official Recognition; and,
2. Provide evidence of a current license as a Registered Nurse in the State; and,
3. After January 1, 1995, provide evidence of certification by an appropriate national credentialing organization acceptable to the Board. New graduates must provide evidence of certification within one year of program completion.
4. After January 1, 1995, provide evidence of a master's degree in nursing from an accredited college or university, except for those applicants who provide documentation as requested by the Board that the applicant was:
a. Certified by a Board-approved national credentialing organization prior to December 31, 1994; or,
b. Recognized by another State Board of Nursing as a Nurse Practitioner prior to December 31, 1994; or,
c. Graduated from an advanced, organized formal education program appropriate to the practice and acceptable to the Board prior to December 31, 1994; or,
d. Graduated from an advanced, organized formal education program for nurse anesthetists accredited by the national certifying organization of such specialty.
5. If practicing as a registered nurse anesthetist or registered nurse midwife, must submit documentation of certification by the appropriate national credentialing organization. In addition, a Certified Registered Nurse Anesthetist must document recertification. New graduates must achieve certification within one year of program completion.
6. Evidence of approved written protocols for Nurse Practitioners and Clinical Nurse Specialists functioning in the extended role, or approved written guidelines for Certified Registered Nurse Anesthetists.
d. Requirements for Biennial Renewal of Official Recognition as a Nurse Practitioner, Clinical Nurse Specialist Functioning in the Extended Role, or Certified Registered Nurse Anesthetist. Official Recognition shall be renewed every 2 years by January 31st. The applicant shall:
1. Provide evidence of current South Carolina licensure; and,
2. Complete a renewal application provided by the Board and submit with the designated fee; and,
3. Provide documentation of recertification for certified registered nurse anesthetists, and continued certification for certified nurse midwives, and other registered nurses practicing in the extended role who have achieved certification.
e. Nationally Recognized Credentialing Organization Accepted by the Board.
1. For the purposes of this Article, a national organization which offers a certification examination in a specialty area of nursing practice, establishes scope and standards of practice statements, and provides a mechanism for evaluating continued competency in a specialized area of nursing practice, may be accepted by the Board as a nationally recognized credentialing organization.
2. A current list of nationally recognized credentialing organizations accepted by the Board shall be maintained and made available to the public upon request.
f. Scope and Standards of Nursing Practice.
1. The Nurse Practitioner, Clinical Nurse Specialist functioning in the extended role, or Certified Registered Nurse Anesthetist is subject, at all times, to the scope and standards or practice established by the nationally recognized credentialing organization representing the specialty area of practice, and must function within the scope of practice of the South Carolina Nurse Practice Act and shall not be in violation of the South Carolina Medical Practice Act.
2. The scope and standards of practice for each specialty area of nursing practice shall be on file in the Board office and available upon request.
g. Specialty Title: A specialty area of nursing practice shall be declared, and the specialty title to be used shall be the title which is granted by the nationally recognized credentialing organization or the title of the specialty area of nursing practice in which the nurse has received advanced educational preparation.
h. Standards for Approved Written Protocols.
1. A Nurse Practitioner or Clinical Nurse Specialist practicing in an extended role shall perform delegated medical acts pursuant to an approved written protocol between the nurse and the physician.
2. The approved written protocol shall include the following information at a minimum:
a. General Data:
1. Name, address, and South Carolina license number of the registered nurse.
2. Name, address, and South Carolina license number of the physician.
3. Nature of practice and practice location(s) of the nurse and physician.
4. Date developed and dates reviewed and amended.
5. Description of how consultation with the physician is provided and provision for backup consultation in the physician's absence.
b. Delegated Medical Acts:
1. The medical conditions for which therapies may be initiated, continued or modified.
2. The treatments that may be initiated, continued or modified.
3. The drug therapies that may be prescribed.
4. Situations that require direct evaluation by or referral to the physician.
3. The original protocol and any amendments to the protocol, dated and signed by the nurse and physician, shall be available to the Board for review within 72 hours of request.
(a) A random audit of approved written protocols will be conducted by the Board on an annual basis.
(b) Failure to produce protocols upon request of the Board shall be considered misconduct and subject the licensee to disciplinary action.
4. Individuals who change practice settings or physician, shall notify the Board of such change within 15 days and provide verification of approved written protocols. Individuals who discontinue their practice shall notify the Board within 15 days.
i. Standards for Approved Written Guidelines for Certified Registered Nurse Anesthetists.
1. The Certified Registered Nurse Anesthetist shall practice pursuant to approved written guidelines developed with the supervising licensed physician or dentist or by the medical staff within the facility where practice privileges have been granted.
2. The approved written guidelines shall include the following information at a minimum:
a. General Data:
1. Name, address, and South Carolina license number of the registered nurse.
2. Name, address, and South Carolina license number of the supervising physician, dentist, or the physician Director of Anesthesia Services.
3. Dates that guidelines were developed, and dates reviewed and amended.
4. Location (address) of the primary practice and any additional practice sites.
b. Description of How Anesthesia Services are Provided:
1. Documentation of clinical privileges in the institution(s) where anesthesia services are provided, if applicable.
2. Copy of job description.
3. Policies and procedures that outline the pre-anesthesia evaluation, induction, intra-operative maintenance and emergence from anesthesia.
4. Evidence of outcome evaluation for anesthesia services.
3. The original and any amendments to the approved written guidelines, dated and signed by the Certified Registered Nurse Anesthetist and physician or dentist shall be available to the Board for review within 72 hours of request.
(a) A random audit of approved written guidelines shall be conducted by the Board on an annual basis.
(b) Failure to produce the guidelines shall be considered misconduct and subject the licensee to disciplinary action.
4. Individuals who change primary practice settings or physician or dentist, shall notify the Board of such change within 15 days and provide verification of approved written guidelines. Individuals who discontinue their practice shall notify the Board within 15 days.
5. The physician responsible for the supervision of the Certified Registered Nurse Anesthetist must be identified on the anesthesia record prior to administration of anesthesia.
j. Application for Prescriptive Authority.
1. A registered nurse who applies for prescriptive authority shall comply with the following requirements:
a. Be Officially Recognized by the Board as a Nurse Practitioner or Clinical Nurse Specialist practicing in the extended role: and,
b. Be certified by a nationally recognized credentialing organization accepted by the Board; and,
c. Provide evidence of completion of 45 contact hours of education in pharmacotherapeutics, acceptable to the Board, within 2 years of the application or evidence of prescriptive authority privileges in another state within 2 years of the application; and,
d. Submit a completed, notarized application on a form provided by the Board; and,
e. Submit the required fee.
2. The Board will issue an identification number to the nurse authorized to prescribe.
3. Authorization for prescriptive authority shall be valid for a period of two years unless terminated by the Board for cause.
a. Initial authorization shall expire concurrent with the expiration of Official Recognition Status.
b. Authorization shall be renewed after the applicant meets requirements for renewal of Official Recognition, and provides the following:
1. Submits a completed and notarized renewal application with appropriate fee;
2. Provides documentation of 15 hours of continuing education contact hours every 2 years in pharmacotherapeutics.
k. Standards for Authorized Prescriptions by the Nurse Practitioner with Prescriptive Authority.
1. Prescriptions for authorized drugs and devices shall comply with all applicable state and federal laws.
2. Prescriptions shall be limited to drugs and devices utilized to treat common well-defined medical problems within the specialty field of the nurse practitioner as authorized by the physician and listed in the approved written protocols. A listing of classifications of drugs as authorized by physicians and listed in approved written protocols will be established jointly by the Board of Nursing, Board of Medical Examiners and Board of Pharmacy.
3. Controlled substances in Schedules II through IV cannot be prescribed. Controlled substances in Schedule V may be prescribed if listed in the approved written protocols, and as authorized by 44-53-300 of the South Carolina Code of Laws, 1976, as amended.
4. Prescriptions shall be signed by the nurse practitioner with the prescribers identification number assigned by the Board. The prescription form shall include the nurse practitioner's and physician's name, address, and phone number pre-printed on the form and shall comply with the provisions of 39-24-40, South Carolina Code of Laws, 1976, as amended. Prescriptions shall designate a specific number of refills. There shall be no nonspecific refill indications.
5. Any drugs or devices prescribed by the nurse practitioner shall be documented in the patient record of the practice and a copy shall be available for review and audit purposes.
6. The nurse practitioner or clinical nurse specialist who holds prescriptive authority may request, receive, and sign for professional samples, except for controlled substances in Schedules II through IV, and may distribute professional samples to patients as listed in the approved written protocols, subject to federal and state regulations.
l. Termination of Nurse Practitioner Prescriptive Authority.
1. Prescriptive authorization may be terminated by the Board when the nurse practitioner with prescriptive authority has:
a. not maintained Official Recognition status; or,
b. not maintained certification in their specialty field; or,
c. failed to meet the education requirements for pharmacotherapeutics; or,
d. prescribed outside the scope of the approved written protocols; or,
e. violated any provisions of the South Carolina Code of Laws, 1976 as amended, which are grounds for misconduct as defined in Section 40-33-935 and Regulation 91-19; or,
f. violated any state or federal law or regulations applicable to prescriptions.
m. Certified Registered Nurse Anesthetist Exemption: Nothing in Reg. 91-6.j. through 91-6.1. shall be construed as requiring a Certified Registered Nurse Anesthetist to obtain prescriptive authority to deliver anesthesia care.
7.a. Per diem allowance for a Board member engaged in the duties of his office and a travel allowance shall be as provided by law for members of boards, committees and commissions.
7.b. The executive director and other professional employees shall be allowed necessary expenses incurred in the performance of their duties and mileage when traveling as is provided by law for State employees.
8.a. The Executive Director is authorized to sign vouchers which are to be processed by the Comptroller General's Office. In the event of absence of the executive director, the secretary of the Board may sign the vouchers.
8.b. The funds received by the Board shall be deposited with the State Treasurer of South Carolina to the credit of the general fund account.
An individual is issued a license in his legal name as verified. Should the name be changed after the license has been issued, a notification of the change must be accompanied by a copy of the document which shows authorization for the change. No name can be changed on a record in the Office of the Board without written authorization for the change, and accompanied by adequate identification of the applicant.
A licensed nurse must clearly identify himself or herself as officially licensed or recognized by the Board of Nursing. A licensed nurse shall wear a clearly legible identification badge or other adornment at least one inch by three inches in size bearing the nurse's name and title as officially licensed or recognized.
A statement verifying current license status may be secured from the Board by a licensee upon submission of a written request explaining the reason for such request, provided such reason is deemed satisfactory to the Board and is accompanied by adequate identification of the applicant.
The Board issues two types of licenses which certify proof of demonstrated ability to practice nursing. A license as registered nurse is issued to a graduate of an approved nursing education program for registered nurses; a license as licensed practical nurse is issued to a graduate of an approved nursing education program for practical nursing, or the equivalent thereof as determined by the Board. In addition, the Board issues a certificate to perform as a private independent nurse.
An applicant for license as a registered nurse, or as a licensed practical nurse whose preliminary credentials have been approved and whose fee has been paid, may request a permit to practice nursing temporarily as prescribed.
12.a. A candidate for licensure by examination as a registered nurse or licensed practical nurse who applies to take the examination within thirty days of graduation may obtain a temporary permit to practice nursing, provided the credentials are judged as satisfactory. The permit is valid until such time as the score report for the examination is received.
12.b. An applicant who has failed the licensing examination is not eligible for a temporary permit to practice nursing.
12.c. An applicant for a license as a registered nurse or as a licensed practical nurse without examination (refer to 91-14) who has filed application, paid the fee, and has produced statement of authorization to practice in another jurisdiction, may be issued a temporary permit to practice nursing in South Carolina pending completion and approval of application. A temporary permit so issued shall authorize practice in the state for a period not to exceed eight weeks.
12.d. Applicants for a license as a registered nurse by examination who received their nursing education outside of the United States, and who has never taken the National Council Licensure Examination-RN may obtain a temporary permit to practice nursing provided the applicant has obtained the certificate issued by the Commission on graduates of Foreign Nursing Schools (CGFNS) or documents successful completion of the English version of the Canadian Nurses' Association Testing Service (CNATS) examination for registered nurse licensure.
12.e. Applicants for a license as a licensed practical nurse by examination who received their education outside the United States and who do not hold a current license in any state shall not be eligible for a temporary permit except if the applicant documents successful completion of the English version of the Canadian Nurses' Association Testing Service (CNATS) examination for practical nurse licensure.
12.f. An applicant for reinstatement of lapsed or inactive license or an applicant for licensure by endorsement who must submit evidence of nursing competence prior to returning to nursing practice may request a temporary permit in order to participate in an approved refresher course. A permit so issued shall authorize practice only while the individual is participating in the refresher course.
All licensees must notify the Board in writing within fifteen (15) days of any change in address.
(Statutory Authority: 1976 Code Sections 40-33-10 et seq.)
13.a. An applicant for licensure by examination shall comply with the application procedures for the Board as well as those established by the National Council of State Boards of Nursing. A passing score must be attained to qualify for a license.
13.b. Examinations leading to the license as a registered nurse are based upon information and judgment needed in nursing situations, and candidates are examined also on the social, physical, and biological sciences as they apply to nursing practice.
13.c. Requirements for admission to the examination leading to a license as registered nurse include:
1. An application on a form provided by the Board;
2. One passport photograph (2 × 2) signed and dated;
3. The application fee;
4. Age - at least eighteen years. (Filing of birth certificate required.)
5. Have committed no acts which are grounds for disciplinary action set forth in 40-33-935 and 91-19.c
6. Completion of all requirements for graduation from an approved school of nursing.
13.d. An applicant who does not pass the first licensure examination may repeat the examination but not more frequently than once in any forty-five day period. If the applicant does not pass the examination within one year of graduation, the applicant must provide evidence of further study satisfactory to the Board prior to reexamination. The applicant shall comply with application procedures established by the National Council Licensure Examination and the Board. Applications for licensure are valid for one (1) year. Failure to attain licensure during this period will require the submission of another application with the prescribed fee.
13.e. The examination must be passed within three years of graduation. If the applicant does not become licensed within the three(3) year period, the applicant must requalify to take the National Council Licensure Examination-RN by enrolling in an approved nursing education program and demonstrating knowledge, skills and abilities of a graduate registered nurse.
13.f. A Licensed Practical Nurse who has completed an approved education course for Registered Nurses and who passes the National Council Licensure Examination-RN, is required to place either their license to practice as a practical nurse or as a registered nurse on Inactive Status.
13.g. A foreign educated nurse who is an applicant for a license as a registered nurse who holds a license for practice in a jurisdiction outside the United States must meet all the requirements of 13.a-13.d as well as the following:
1. General Education and education for nursing at a level required of graduates of nursing education programs in South Carolina who are candidates for licensure as verified by a Board approved credentials evaluation service. This includes facility in reading, writing and speaking the English language; and skills and knowledge in current concepts and practices of nursing.
2. An applicant whose preparation for nursing was secured outside of this country whose qualifications have been judged as satisfactory, with the exception of those related to education for nursing, may qualify for a license by completing a supplemental course as prescribed by the Board to be covered in an approved nursing education program, nursing, and upon completion of the course, writing and passing the licensing examination.
3. All nurses licensed in jurisdictions outside the United States must take and pass the National Council Licensure Examination-RN or an examination determined to be equivalent to or to exceed criteria established by the Board to qualify for a license in this state.
4. Verification of authorization to practice as a registered nurse or comparable title from the country of original licensure.
5. The examination must be passed within a three year period. The foreign educated nurse who does not become licensed within three years of first taking the examination, must requalify to take the National Council Licensure Examination-RN by enrolling in an approved school of nursing and demonstrating knowledge, skills and abilities of a graduate registered nurse.
(Statutory Authority: 1976 Code Sections 40-33-10 et seq.)
An applicant for a license as a registered nurse without examination, who holds a license for practice in another jurisdiction in this country must show that requirements of this Board are met. Requirements for such license include:
14.a. An application on a form provided by the Board;
14.b. One passport photograph, 2"' × 2"', signed and dated;
14.c. Age, at least eighteen years. (Filing of birth certificate required.)
14.d. An application fee for registered nurse;
14.e. Have committed no acts which are grounds for disciplinary action as set forth in 40-33-935 and 91-19c.
14.f. Graduate of a nursing education program approved by the accrediting authority of state in which located. General education and education for nursing is at a level required of graduates of nursing education programs who are candidates for licensure. Records submitted with the application are evaluated on a basis of requirements of the Board in effect at the time of the applicant's licensure in the other jurisdiction and on a basis of experiences of the applicant since that time as related to present day requirements.
14.g. Verification of authorization to practice as a registered nurse in another jurisdiction and that a license has been issued on the basis of a recognized licensure examination. A licensee authorized as such after December 31, 1957 and before July 12, 1982 must have attained a standard score of not less than 350 on each test included on the licensure examination. A licensee authorized as such after July 12, 1982 must have attained a standard score of not less than 1600 on the licensure examination. A licensee authorized as such after July 12, 1989 must have attained a passing score on the licensure examination. If the score falls below the required minimum score, the examination must be retaken and passed in order for the applicant to qualify for a license.
14.h. As of January 31, 1993, evidence of having engaged in active nursing practice for a minimum of 960 hours within the past five years, or compliance with Regulation 91-22 in order to show evidence of nursing competence.
(Statutory Authority: 1976 Code Sections 40-33-10 et seq.)
15.a. An applicant for licensure by examination shall comply with the application procedures for the Board as well as those established by the National Council of State Boards of Nursing. A passing score must be attained to qualify for a license.
15.b. Examinations leading to a license as licensed practical nurse are based upon information and judgment expected of the practical nurse in nursing situations, and candidates are examined on any or all phases of the instructional and supervised practice program completed in an approved nursing education program for practical nursing.
15.c. Requirements for admission to the examination leading to a license as a licensed practical nurse include:
1. An application on a form provided by the Board;
2. One passport photograph, 2 × 2 signed and dated.
3. An application fee;
4. Age - at least eighteen years. (Filing of birth certificate required.)
5. Have committed no acts which are grounds for disciplinary action as set forth in 40-33-935 and 91-19c.
6. Graduation from an approved nursing education program for practical nursing, or the equivalent as determined by the Board.
7. To meet equivalence requirements to take the National Council Licensure Examination-PN, the Board will accept applicants who have successfully completed an approved nursing education program for professional nursing within the past 5 years of the date of the application.
8. No credit can be given for a course taken by mail or for experience gained through employment.
15.d. An applicant who does not pass the first licensure examination may repeat the examination but not more frequently than once every forty-five days. If the applicant does not pass the examination within one year of graduation, the applicant must provide evidence of further study satisfactory to the Board prior to reexamination. The applicant shall comply with application procedures established by the National Council Licensure Examination and the Board. Applications for licensure are valid for one (1) year. Failure to attain licensure during this period will require the submission of another application with the prescribed fee.
15.e. The examination must be passed within three(3) years of graduation. If the applicant does not become licensed within the three(3) year period, the applicant must requalify to take the National Council Licensure Examination-PN by enrolling in an approved nursing education program and demonstrating knowledge, skills and abilities of a graduate practical nurse.
15.f. An applicant for licensure as a licensed practical nurse who holds a license for practice in a jurisdiction outside of the United States must meet the above requirements as well as the following:
1. General Education and education for nursing at a level required of graduates of nursing education programs in South Carolina who are candidates for licensure as verified by a Board approved credentials evaluation service. This includes facility in reading, writing and speaking the English language; and skills and knowledge in current concepts and practices of nursing.
2. An applicant whose preparation for nursing was secured outside of this country, and whose qualifications have been judged as satisfactory with the exception of those related to the nursing component, may qualify for a license by completing a supplemental course as prescribed by the Board to be covered in an approved nursing education program of practical nursing, and upon completion of the program, taking and passing the licensure examination.
3. All nurses licensed in jurisdictions outside the United States must take and pass the National Council Licensure Examination-PN or an examination determined to be equivalent to or to exceed criteria established by the Board to qualify for a license in this state.
4. Verification of authorization to practice as a licensed practical nurse or comparable title from the country of original licensure.
5. The examination must be passed within a three year period. The foreign educated nurse who does not become licensed within three years of first taking the examination, must requalify to take the National Council Licensure Examination-PN by enrolling in an approved school of practical nursing and demonstrating knowledge, skills and abilities of a graduate practical nurse.
(Statutory Authority: 1976 Code Sections 40-33-10 et seq.)
An applicant for a license as a licensed practical nurse without examination, who holds a license for practice in another jurisdiction in this country must show that requirements of the Board are met. Requirements for such license include:
16.a. An application on a form provided by the Board;
16.b. One passport photograph, (2 × 2), signed and dated;
16.c. An application fee for licensed practical nurse;
16.d. Age, at least eighteen years. (Filing of birth certificate required.)
16.e. Have committed no acts which are grounds for disciplinary action as set forth in 40-33-935 and 91-19c.
16.f. Graduate of a nursing education program for practical nursing approved by the accrediting authority of state in which located. General education and education for nursing is judged to be at a level required of graduates of nursing education programs for practical nursing who are candidates for licenses. Records submitted with the application are evaluated on a basis of requirements of the Board in effect at the time of the applicant's licensure in the other jurisdiction, and on a basis of experiences of the applicant since that time as related to present day requirements.
16.g. Verification of authorization to practice as a licensed practical nurse in another jurisdiction provided the license was issued based upon passing a recognized licensure examination. A licensee authorized as such later than December 31, 1957, must have attained a standard score of not less than 350. A licensee authorized as such after October 25, 1989 must have attained a passing score on the licensure examination. If the score is below the required minimum score, the examination must be retaken and passed in order for the applicant to qualify for a license.
16.h. As of January 31, 1993, evidence of having engaged in active nursing practice for a minimum of 960 hours within the past five years, or compliance with Regulation 91-22 in order to show evidence of nursing competence.
17.a. The term Suspension of a license occurs when a nurse whose license to practice practical or professional nursing in this State is held by the Board for either a definite or an indefinite period. The nurse is entitled to its return at the end of the suspension period, upon payment of the reinstatement fee, and upon demonstrating compliance with any conditions which may have been imposed in good faith by the Board at the time of the suspension.
17.b. The term Revocation of a license occurs when a nurse's license to practice practical or professional nursing in this state is withdrawn. This nurse shall never again be admitted to the practice of nursing in this state.
1. The nurse, in all professional relationships, practices with compassion and respect for the inherent dignity, worth and uniqueness of every individual, unrestricted by considerations of social or economic status, personal attributes, or the nature of health problems.
2. The nurse's primary commitment is to the patient, whether an individual, family, group, or community.
3. The nurse promotes, advocates for, and strives to protect the health, safety, and rights of the patient.
4. The nurse is responsible and accountable for individual nursing practice and determines the appropriate delegation of tasks consistent with the nurse's obligation to provide optimum patient care.
5. The nurse owes the same duties to self as to others, including the responsibility to preserve integrity and safety, to maintain competence, and to continue personal and professional growth.
6. The nurse participates in establishing, maintaining, and improving healthcare environments and conditions of employment conducive to the provision of quality health care and consistent with the values of the profession through individual and collective action.
7. The nurse participates in the advancement of the profession through contributions to practice, education, administration, and knowledge development.
8. The nurse collaborates with other health professionals and the public in promoting community, national, and international efforts to meet health needs.
9. The profession of nursing, as represented by associations and their members is responsible for articulating nursing values, for maintaining the integrity of the profession and its practice, and for shaping social policy.
(Statutory Authority: 1976 Code Sections 40-33-10 et seq.)
19.a. Responsibilities of the State Board of Nursing for South Carolina. The State Board of Nursing is empowered by Section 40-33-270, Code of Laws of South Carolina, 1976, as amended, to make rules and regulations for the practice of nursing in South Carolina. Section 40-33-930 further empowers the Board to suspend or revoke the license of any registered nurse or any licensed practical nurse, qualified under the provisions of Chapter 33, after notice, a hearing and presentation of evidence satisfactory to the Board that the holder of the license has violated one of the provisions of Section 40-33-930. Accordingly, the Board has adopted these rules for the conduct of investigations into and hearings concerning allegations of violations of Section 40-33-930.
19.b. Regulation Exclusive. All proceedings for the investigation of complaints concerning alleged misconduct and all proceedings for the discipline of nurses licensed to practice in South Carolina shall be brought, conducted and disposed of in accordance with the provisions of this Regulation.
19.c. Misconduct, as the term is used herein, means:
(1) Violation of any of the provisions of 40-33-935, Code of Laws of South Carolina, 1987, as amended; or,
(2) Incompetence which is defined as: The failure of a nurse to demonstrate and apply the knowledge, skill and care that is ordinarily possessed and exercised by other nurses of the same licensure status and required by the generally accepted standards of the profession. Charges of incompetence may be based upon a single act of incompetence or upon a course of conduct or series of acts or omissions which extend over a period of time and which, taken as a whole, demonstrate incompetence. It shall not be necessary to show that actual harm resulted from the act or omission or series of acts or omissions so long as the conduct is such that harm could have resulted to the patient or to the public from the act or omission or series of acts or omissions; or,
(3) Unprofessional conduct which includes, but is not limited to the following:
a. disseminating patient's health or personal information acquired during the course of practice to individuals not entitled by law or hospital or agency policy to disclosure of such information;
b. falsifying or altering for the purpose of reflecting incorrect or incomplete information, any organization's records, including personnel records or patient records;
c. misappropriating money, property or drugs from any employer or patient;
d. obtaining or attempting to obtain any fee for patient service for one's self or for another through fraud, misrepresentation or deceit;
e. willfully aiding, abetting, assisting or hiring an individual to violate the Nurse Practice Act or duly promulgated rule or regulation of the Board;
f. obtaining, possessing, administering or furnishing prescription drugs to any person, including but not limited to one's self, except as directed by a person authorized by law to prescribe drugs;
g. engaging in the practice of nursing when judgment or physical ability is impaired by alcohol, drugs or controlled substances and has declined or been unsuccessful in accomplishing rehabilitation;
h. omitting, in a grossly negligent fashion, to record information concerning a patient which would be relevant to that patient's condition;
i. indicating the witnessing of wastage of narcotics or controlled substances on record when the wastage was not witnessed, or the failure to obtain a witness to the wastage of narcotics or controlled substances;
j. failing to make or keep accurate, intelligible entries in records as required by law, policy and standards for the practice of nursing;
k. obtaining, or attempting to obtain a license to practice nursing for one's self or for another through fraud, deceit, misrepresentation or any other dishonesty in any phase of the licensing process, including but not limited to the examination;
l. practicing nursing without a valid, current South Carolina license; aiding, abetting or assisting another to practice nursing without a valid, current South Carolina license;
m. practicing outside the scope of the license by assuming duties and responsibilities without adequate education as determined by the Board;
n. failing to report incompetent or unprofessional practice of a licensed nurse to the appropriate authorities including the Board;
o. assigning unqualified persons to perform nursing care functions, tasks or responsibilities and/or failing to effectively supervise persons to whom nursing functions are delegated or assigned.
p. patient abandonment--leaving a patient requiring nursing care without properly notifying appropriate personnel.
q. Failing to comply with Center for Disease Control recommendations to minimize transmission of HIV/HBV and/or failing to comply with recommendations of an Expert Review Panel.
19.d. Manner of Discipline. Every nurse found guilty of misconduct shall be disciplined, in accordance with the seriousness of the misconduct, by:
1. revocation of his license to practice nursing in this State; or
2. suspension of his license to practice nursing in this State; or
3. a period of probation; or
4. a private or public reprimand or other reasonable action such as requiring additional education and training.
19.e. Initial Complaint. Any person who has sufficient information that a licensee has committed an offense for which a license may be revoked or may be suspended may file a complaint with the Executive Director of the Board. The Executive Director shall prepare and maintain a supply of simple, standard forms for receiving and processing such complaints. All allegations of misconduct made by any person against a nurse licensed to practice in South Carolina shall be in writing and shall plainly and substantially set forth the offense charged, including the approximate time and place the offense occurred or was observed and the name or names of witnesses, if any. Copies of all such complaints shall be kept on file in the Board offices.
19.f. Investigations. Upon the filing of an initial complaint with the Executive Director of the Board pursuant to Rule 19.e or 19.q, the Director shall cause an initial investigation to be made into the charges for the purpose of recommending a course of action to the Board. Upon presentation of the Executive Director's report, the Board shall make the determination as to whether or not hold a formal hearing.
19.g. Notice and Formal Complaint. If the Board finds that the complaint does not state facts sufficient to charge misconduct or that the complaint is otherwise without merit, the said complaint shall be dismissed and the Executive Director shall so notify the complainant. If the Board determines that the complaint merits a formal hearing, the Executive Director shall forthwith refer the matter to the Attorney General's Office for preparation of a formal complaint pursuant to a complete investigation. The formal complaint shall state the facts in a manner sufficient to notify the accused (respondent) of the charge or charges against him. Following preparation of the formal complaint, the Executive Director shall sign it and mail it to the respondent by registered or certified mail or cause it to be personally served upon the respondent. Attached to the complaint shall be a hearing notice signed by the Executive Director, to include date, time, and place of hearing, requiring the respondent within thirty (30) after the receipt of such complaint to file with the Board his answer to the complaint. The answer shall be signed by the respondent or by his counsel or by both, and may, but need not be verified.
19.h. Hearing by Panel or Designated Examiner. The hearing shall be conducted either by three (3) or fewer members of the Board, one of whom shall be designated chairman; or by a designated examiner appointed by the Board President upon approval of the Board by majority vote. The Attorney General's Office shall handle the prosecution of a claim before the hearing panel or examiner.
19.i. Rules of Evidence.
1. Irrelevant, immaterial, or unduly repetitious evidence shall be excluded. Evidence shall be accepted in accordance with the rules normally following in civil cases in the Court of Common Pleas. The Board shall give effect to the rules of privilege recognized by law. Objections to evidentiary offers may be made and shall be noted in the record. Subject to these requirements, when a hearing will be expedited and the interests of the parties will not be prejudiced substantially, any part of the evidence may be received in written form;
2. Documentary evidence may be received in the form of copies or excerpts, if the original is not readily available. Upon request, parties shall be given an opportunity to compare the copy with the original;
3. A party may conduct cross-examinations required for a full and true disclosure of the facts;
4. Notice may be taken of judicially cognizable facts. In addition, notice may be taken of generally recognized technical or scientific facts within the Board's specialized knowledge. The Board's experience, technical competence, and specialized knowledge may be utilized in the evaluation of the evidence.
19.j. Duty of the Panel or Examiner. The panel or examiner shall hear testimony and receive evidence and shall then make a report of the proceeding before it, including its findings of fact, conclusions and recommendations and shall file the same with the Executive Director within sixty (60) days of the hearing. When a panel conducts the hearing at least two (2) affirmative votes shall be required to recommend revocation or suspension.
19.k. Review by the Board. When the panel or examiner has filed a report the Board through its Executive Director and/or the Board's attorney shall before acting upon such a report, notify the respondent or his counsel, if any, of the time and place which the Board will consider the report for the purpose of determining its action thereon, such notice to be sent by registered or certified mail or personal service, to be given not less than fifteen (15) days prior to such meeting. The respondent and his counsel shall have the right and shall be so informed in said notice to appear before the Board at said meeting and to submit briefs and be heard in oral argument in opposition to or in support of the recommendation of the panel or examiner. The Attorney General's Office shall be given similar notice and opportunity. Upon consideration of the report of the panel or examiner and of the showing made to the Board, the Board may:
1. refer the matter back to the panel or examiner for further hearing; or
2. order a further hearing before the said Board or examiner; or
3. proceed upon the record of the prior proceeding before the panel or examiner.
Upon its final review, the Board may either dismiss the complaint or find that the respondent is guilty of misconduct. A majority vote of those present and voting shall be required to find a violation 40-33930 (for the purpose of such action a quorum shall be four (4) Board members). If the complaint is dismissed, the Executive Director of the Board shall notify the respondent and all counsel of record.
19.l. Duty of the Board after review. If the Board shall determine that the respondent is guilty of misconduct meriting suspension or revocation, it shall make a final certified report of the proceedings before it, including its findings of fact and decision of sanction, and shall file the same together with the transcript of the testimony taken and such exhibits as may have been in evidence before it with the Executive Director of the Board and the Executive Director shall forthwith notify the respondent or his counsel of such action by registered or certified mail or personal service, enclosing with such notice a copy of the Board's findings of fact and decision of sanction. The notice shall contain a declaration of the accused right to appeal the decision of the Board.
19.m. Appeal of Decision. Any action of the Board relating to the suspension or revocation of a license shall be subject to review by the Court of Common Pleas, upon the petition of the licensee within thirty (30) days from the date of delivery of the Board's decision to the licensee. Service of notice shall be conclusively presumed thirty (30) days after mailing by registered or certified mail to such licensee of such notice at such person's last known address.
19.n. Proceedings Private Until Filed. Unless and until otherwise ordered by the Board, all proceedings and documents relating to the complaint and hearing before the panel and the Board shall be private, unless the Respondent shall in writing request that they be public. Testimony given at such proceedings shall be privileged.
19.o. Service of Notices, etc. Wherever in this Regulation provision is made for the service of any notice, order, report, or other paper or copy thereof upon any complainant, respondent, or petitioner in connection with any proceeding involving a complaint, service may be made upon counsel of record for such complainant, respondent or petitioner, either personally or by registered or certified mail.
19.p. President of the Board is Agent for Service of Notices on Non-resident Nurses. Service of any notice provided for in this Regulation upon any non-resident respondent who has been admitted to the practice of nursing, or upon any resident respondent who, having been so admitted, subsequently becomes a non-resident or cannot be found at his usual abode or place of business in the State, may be made by leaving with the President of the Board a true and attested copy of such notice and any accompanying documents and by sending to the respondent, by registered or certified mail, a like, true and attested copy, with an endorsement thereon of the service upon the said President, addressed to such respondent at his last known address. The postmaster's receipt of the payment of such registered or certified mail postage shall be attached to and made a part of the return of service of such notice. The panel or Board before which there is pending any proceeding in which notice has been given as provided in this section may order such continuance as may be necessary to afford the respondent reasonable opportunity to appear and defend. The President of the Board shall keep a record of the day and hour of the service upon him of such notice and any accompanying documents.
19.q. Whenever any Board member learns from sources deemed by him to be reliable that a nurse licensed to practice nursing in this State is engaging in practices in violation of his duty as a nurse and the Board member concludes that an investigation shall be made, he shall designate the Executive Director to have an investigation to be made. The Executive Director shall investigate these reported violations of duty and for this purpose he may call to his assistance such investigations as he thinks proper. After making the investigation, the Executive Director shall prepare and sign an initial complaint for presentation to the Board pursuant to Rule 19.e. Upon presentation, the Board shall determine whether or not to hold a formal hearing.
19.r. The Board shall have discretionary power to reinstate licenses previously disciplined in accordance with Section 40-33-935 and these Regulations, provided that the established reinstatement fee is paid in full to the Board and other conditions imposed by the Board are met.
A nurse who applies to the Board for a certificate of registration or licensure or for a certificate of renewal of license to practice, who has been or is a patient in a state mental hospital or other institution or clinic for treatment of mental illness, must furnish the Board proof of mental competence and competence to assume the responsibilities of the practice of nursing before said application will be considered by the Board.
Active status means the status with the Board of a licensee who has renewed his license for the current year. On or before October first of each year, the Board shall mail an application form for renewal of a license to every person whose license was renewed during the current year. The licensee shall complete the renewal form and return it to the Board before January thirty-first with the renewal fee. Upon receipt of the application and the fee, the Board shall verify the accuracy of the application and issue to the licensee a license of renewal for the current year beginning February first and expiring January thirty-first. Such license of renewal shall render the licensee a legal practitioner for the period stated on the license renewal. Failure to renew the license subjects the individual to forfeiture of the right to practice. Payment of the reinstatement fee plus the renewal fee for the current period is required for the licensee to bring the license to active status with the Board. As of January 31, 1993, any licensee who has not practiced 960 hours in the preceding five years will not be eligible to renew their license without evidence of nursing competence satisfactory to the Board.
Any licensee who allows his license to lapse, by failing to renew the license as provided above, may be reinstated by the Board on payment of a reinstatement fee and the current renewal fee and evidence of nursing competence satisfactory to the Board. The Board may deny reinstatement based on evidence of unlawful acts, incompetence, unprofessional conduct or other misconduct.
Any person practicing as a registered nurse or licensed practical nurse during the time his license has lapsed is considered an illegal practitioner and is subject to the penalties provided for violation of this chapter. (1962 Code 56-1005; 1952 Code 56-1005; 1947 (45) 579; 1959 (51) 307; 1968 (55) 2545.)
Official inactive status may be requested by a licensee who holds a current license and who does not plan to practice nursing in the State, or does not meet the minimum practice requirements of 960 hours in the preceding 5 years. A licensee requesting official inactive status must complete a form provided by the Board and submit a fee as prescribed in 91-31. While retaining official inactive status the nurse is not subject to payment of renewal fees and shall not practice nursing in South Carolina. Should the nurse desire to return to the practice of nursing in the state, the notice of official inactive status must be returned, request must be made for a renewal application, and the renewal fee for the current period must be submitted with evidence of nursing competence satisfactory to the Board. The Board may deny reinstatement based on evidence of unlawful acts, incompetence, unprofessional conduct or other misconduct.
As of January 31, 1993, nurses who have not practiced nursing for a minimum of 960 hours in the preceding five years who are applying for renewal, endorsement, or reinstatement, must submit evidence of nursing competence satisfactory to the Board. Nursing competency requirements shall be fulfilled by submitting documentation in one of the following areas:
1. Satisfactory completion of an approved re-entry program of 160 hours to include both didactic and practice components, or the equivalent as approved by the Board. Programs may be offered in settings approved by the Board that include but are not limited to hospitals, nursing homes, Area Health Education Centers (AHECs), formal nursing education programs, and continuing education departments; or
2. Taking and passing the National Council Licensure Examination.
A. Initial approval: means the official status granted to a newly established nursing education program that shows evidence of meeting the Board's legal and educational requirements, and continues in effect until the results of the NCLEX for the first graduating class are published and a survey has been completed.
B. Full approval: means the official status granted to a nursing education program that demonstrates continued compliance with the Board's legal and educational requirements.
C. Conditional approval: means an official status granted to a nursing education program that fails to meet and/or maintain the Board's legal and educational requirements.
D. Deficiency: means written notification that an approved nursing education program has failed to meet one or more of the Board's Nursing Education Standards.
E. Survey: means the process of evaluation of a nursing education program that includes a written self evaluation report submitted by the nursing education program to the Board and a site visit by the Board representative(s) to the nursing education program.
F. Parent Institution: means the sponsoring institution authorized by the State of South Carolina to confer educational credentials in nursing.
G. Survey Report: means the documentation of findings from the self evaluation study and site visit by the Board representative(s).
H. Progress Report: means documentation requested by the Board showing action taken toward addressing a deficiency or recommendation, following a survey or annual report.
I. Annual Report: means documentation of continued compliance with the Nursing Education Standards as set forth in R.91-29 or R.91-30 and statistical information in a format as prescribed by the Board.
J. Teaching Assistant: means a registered nurse employed by the nursing education program who meets the requirements as set forth in R.91-29.C(4), and who functions only as a clinical instructor.
K. Preceptor: means a registered nurse employed by the clinical agency who meets the requirements as set forth in R.91-29.C(5), and who is selected to serve as a professional role model and clinical resource person.
L. Deficient NCLEX pass rate: means an annual pass rate of first-time takers on the National Council Licensure Examination that is more than 5 percent below the annual national pass rate.
A. An institution seeking to establish a nursing education program shall:
(1) submit a letter of intent to establish a nursing education program to the Board eighteen months in advance of the expected opening date.
(2) request consultation from the Board regarding the Nursing Education Standards set forth in R.91-29 or R.91-30 required to establish and maintain a nursing education program.
(3) submit a written proposal to the Board at least six months in advance of the opening date, that includes:
(a) documented evidence of feasibility of program implementation;
(b) mission statement;
(c) purpose and type of program;
(d) organizational chart describing the lines of authority and administrative structure of the program within the institution;
(e) a projected five year budget which gives evidence of sufficient financial resources to permit the planning, implementation and continuation of the program, including faculty positions;
(f) curriculum vitae for all the nurse educators and consultants responsible for program development;
(g) evidence of a qualified faculty pool, recruitment plan, projected dates of appointment and a timeline for increases in faculty commensurate with student enrollment;
(h) written evidence of support from accredited clinical facilities with sufficient professional nursing staff to meet the program purpose;
(i) evidence of availability of academic facilities to meet the purpose of the program;
(j) evidence of a qualified applicant pool;
(k) proposed timeline for program implementation;
(l) a self evaluation report documenting evidence of compliance with the Nursing Education Standards set forth in R.91-29 or R.91-30 at least six months in advance of the expected opening date.
(4) Provide supplemental information as requested by the Board.
B. A survey team shall be appointed to conduct a site visit of the proposed nursing education program and prepare a written report with recommendations to the appropriate educational agencies and the Board.
C. Following Board review of the proposal, self evaluation, site team report and supplemental information, the Board may grant initial approval, deny initial approval or defer action for a maximum of six months.
D. When Board action is deferred, the institution will be notified of the reason(s) for deferral. The institution must submit to the Board documented evidence of compliance with the standards cited.
E. When initial approval is denied, the institution will be notified of the reason(s) for denial. The institution may request a hearing before the Board and the provisions of the Administrative Procedures Act shall apply.
F. Following initial approval, annual reports shall be submitted to the Board. Progress reports shall be submitted as requested.
G. A nursing education program must make application for full approval within six months following the taking of the National Council Licensure Examination by the first graduating class. A survey shall be conducted and a written report prepared for the Board to determine the approval status of the program.
A. All nursing education programs shall be surveyed for continuing approval at least every five years.
B. A survey may be scheduled in conjunction with the administrators of the nursing education program within thirty days if the Board determines that a nursing education program fails to document that it continues to meet the Nursing Education Standards set forth in R.91-29 or R.91-30.
C. Notification of the regularly scheduled survey will be provided to the program at least six months in advance of the date of the site visit.
D. Two months prior to the site visit, the program will submit a self evaluation report which provides evidence of compliance with the Nursing Education Standards set forth in R.91-29 or R.91-30.
E. The date and agenda for the site visit will be mutually agreed upon by the representative(s) of the Board and the Chief Executive Officer or his/her designee of the parent institution.
F. A draft of the written survey report will be submitted to the program for review and correction of factual data at least thirty days prior to the meeting during which the Board will take action on the report.
G. Written notification of Board action, including any recommendations, will be sent to the administrator of the parent institution and the administrator of the nursing education program.
H. Following a review of the survey report, the Board may grant full approval, conditional approval, deny approval or defer action for a period not to exceed six months.
I. When Board action is deferred, the institution will be notified of the reason(s) for deferral. The nursing education program must submit documented evidence of compliance with the standards cited.
J. Full approval may be granted for a period not to exceed five years.
K. A written annual report must be submitted to the Board as requested.
L. Progress reports must be submitted to the Board as requested.
M. When conditional approval is granted, the administrator of the parent institution and the administrator of the nursing education program will be notified of the reason(s). The nursing education program must submit documented evidence of compliance with the standards cited.
N. Conditional approval may be granted for a period not to exceed two years.
O. Interim visits may be made to the nursing education program/ institution at times other than during the survey process.
P. The Board may deny approval when it determines that a nursing education program fails to meet the Nursing Education Standards set forth in R.91-29 or R.91-30.
Q. When full approval is denied, the institution will be notified of the reason(s) for denial. The institution may request a hearing before the Board and the provisions of the Administrative Procedures Act shall apply.
R. The Board may cite a nursing education program for a deficiency based on review of a survey report, annual report, progress report, or a deficient National Council Licensure Examination pass rate.
A. Voluntary Closing
When a decision is made by the parent institution to close a nursing education program, a report that fully describes the plan for closing is to be submitted to the Board. The report shall include:
(a) the rationale for closing;
(b) plans for an orderly phase out including a timetable and official closing date;
(c) provisions for meeting the educational standards until the last student has graduated or been transferred;
(d) provisions for safe storage, location and methods of access of permanent student records.
B. Involuntary Closing
When a program is denied approval by the Board the following procedures shall be followed:
(a) no additional students shall be admitted;
(b) the program shall assist in the transfer of students, if applicable, to other approved nursing education programs within the time frame established by the Board;
(c) a list of the names of all students who transferred to approved nursing education programs and the date the last student transferred shall be submitted to the Board;
(d) the date the last student was transferred shall become the official closing date;
(e) the Board shall be notified in writing as to the custody of records to include provisions for safe storage, location and method of access of all permanent records and disposition of all other records.
A. Change of parent institution
When the administrative control of a nursing education program is to be transferred to another institution, the receiving institution shall comply with the Procedure for Survey and Initial Approval of Nursing Education Programs as set forth in R.91-25 and the following:
(a) a justification study supporting the need for the change;
(b) anticipated effects on students, faculty and resources;
(c) plans for the orderly transition of the program;
(d) the institution relinquishing the program shall submit to the Board the information required of programs undergoing voluntary closure as set forth in Regulation 91-26A.
B. Change in curriculum
A nursing education program desiring to make a substantive change in the length, design or pattern of the curriculum or methods for meeting Curriculum Standards set forth in R.91-29F or R.91-30F must submit a written proposal to the Board. Board approval is required prior to implementation of the change(s).
C. Experimental Projects
A nursing education program desiring to conduct an experimental project directed toward enhancing student learning must meet the following requirements:
(a) request consultation from the Board;
(b) submit a written proposal that includes the following:
(1) objectives, rationale and anticipated outcomes of the proposed project;
(2) name and qualifications of the person responsible for direction and evaluation of the experimental project;
(3) anticipated costs and source of funds;
(4) description of the project methods including provisions for record keeping and periodic reports;
(5) description of the evaluation methods to be used;
(6) projected time for completion of the project;
(c) obtain Board approval prior to implementation of the experimental project;
(d) provide periodic progress reports as requested by the Board;
(e) provide a final written report of the experimental project methods, findings, conclusions and recommendations to the Board;
(f) Board approval must be obtained for program changes based on project outcomes prior to implementation.
Written notification must be submitted to the Board when significant changes occur in the organizational structure that affect the nursing education program or its administration.
A. Organization
(1) The nursing education program is either affiliated with or a part of an institution of higher learning approved by the appropriate state authority.
(a) An organizational chart reflects the reporting mechanism of the administrator of the nursing education program to the administrator of the parent institution.
(b) The relationship of the nursing education program to other programs within the parent institution is delineated in the institution's bylaws and policies.
(c) Institutional policies pertaining to salary, rank, promotion, tenure, leave, benefits, professional development and service are applicable to the faculty of the nursing education program.
(d) Written statements of philosophy or mission, purpose and objectives of the nursing education program are consistent with those of the parent institution and are periodically reviewed.
(e) Criteria for budget allocation to the nursing education programs are consistent with the criteria utilized for other programs.
(f) Nursing education program faculty serve on the institution's central councils and committees.
(2) The nursing education program is organized with clearly defined authority, responsibility, and channels of communication.
(a) An organizational chart is available.
(b) By-laws, committee structure and corresponding minutes reflect how the business of the program is conducted.
(3) The nursing education program is administered by a qualified registered nurse licensed in the State.
(a) The administrator meets parent institution requirements for administrative appointment.
(b) The administrator meets parent institution requirements for nurse faculty appointment delineated under the Faculty Criteria (R.91-29C.(2)).
(c) A curriculum vitae indicates appropriate preparation and experience for administration.
(4) The position responsibilities of the nursing education program administrator are congruent in scope, authority and accountability with other administrative positions of the same level and are consistent with general institutional policies.
There is a written position description that reflects the authority and responsibility for:
(1) Leadership within the faculty for the development and implementation of the curriculum;
(2) Creation and maintenance of an environment conducive to teaching and learning;
(3) Liaison with the central administration and other units of the parent institution;
(4) Preparation and administration of the budget;
(5) Facilitation of faculty development and performance review;
(6) Recommendation of faculty for appointment, promotion, tenure, and retention;
(7) Maintenance of relationships with central administration, other program administrators, clinical agencies, and appropriate state, regional, and national agencies.
B. Students
(1) Student admission, readmission, progression and graduation are governed by the established policies and procedures of the parent institution and the nursing education program.
(a) The catalog and/or student handbook of the institution includes the admission, readmission, progression and graduation criteria.
(b) Student admission, readmission, progression and graduation criteria policies are implemented and periodically reviewed.
(c) The nursing education program has written rationale for policies for admission, readmission, progression and graduation that differ from the parent institution.
(2) The nursing education program admission criteria are consistent with eligibility requirements for licensure as specified in the Laws Governing Nursing in South Carolina.
Institutional documents state the admission criteria.
C. Faculty
(1) The number of qualified faculty is sufficient to meet the goals and objectives of the nursing education program.
(a) The maximum ratio of faculty to students in an acute inpatient setting where students are providing direct patient care is one faculty member to eight students (1:8). If the parent institution and the clinical affiliate determine that the safety of patients, nursing faculty and students can be insured, the maximum acceptable ratio in acute inpatient settings is no greater than one faculty to ten students (1:10).
(b) The maximum ratio of faculty to students in non-acute clinical settings where students are providing direct patient care is one faculty member to ten students (1:10).
(c) The maximum ratio of faculty to students in preceptored clinical learning experiences is one faculty to fifteen students (1:15).
(d) The majority of the faculty fulfill the full-time faculty role as defined by the parent institution and nursing education program.
(2) The academic and experience qualifications of the faculty are appropriate to support the goals and objectives of the nursing education program. Faculty appointed prior to June 30, 1992 are recognized as meeting the academic and experience requirements of this section.
(a) All full and part-time faculty in the nursing education program meet the parent institution's requirements for faculty appointment.
(b) Faculty teaching nursing courses must meet all the following requirements:
(1) hold a current license as a registered nurse in the State;
(2) have a minimum of a Master (or higher) degree in nursing; and
(3) have a minimum of two years of clinical experience related to the primary area of responsibility.
(c) All non-nursing faculty teaching courses under the nursing designation have a masters degree in the discipline or have earned a minimum of 18 graduate credit hours in the area of teaching responsibility.
(3) Faculty personnel policies for the nursing education program are consistent with those of the parent institution and are implemented.
(a) Faculty personnel policies are communicated to faculty in writing.
(b) Faculty personnel policies for the nursing education program include criteria for the following:
(1) faculty qualifications;
(2) faculty rights and responsibilities;
(3) faculty appointment, reappointment, promotion and tenure requirements;
(4) faculty workload;
(5) continuing faculty professional development.
(c) There is a written rationale for faculty personnel policies or practices that differ from those of the parent institution.
(4) The full time equivalent (FTE) of qualified teaching assistants employed will not exceed 30 percent of the full time equivalent faculty (FTE) filled positions for the nursing education program.
(a) The teaching assistant must meet all the following:
(1) hold a current license as a registered nurse in the State;
(2) hold a minimum of a Bachelor of Science degree in nursing;
(3) have a minimum of two years of clinical experience related to the area of assigned clinical teaching responsibilities;
(b) The teaching assistant functions under the supervision of a nursing faculty member who has overall course responsibility.
(c) The teaching assistant responsibilities and guidelines for supervision are in writing.
(5) The qualifications of clinical preceptors are appropriate to support the goals and objectives of the nursing program.
(a) The preceptor will be employed by the clinical agency in which the preceptored experience occurs.
(b) The preceptor will be currently licensed as a registered nurse according to the laws of the state in which employed.
(c) The preceptor will have a minimum of two years of clinical experience and demonstrated competencies related to the area of assigned clinical teaching responsibilities.
(d) Preceptors meet the nursing education program's requirements for preceptor appointment.
(e) Appointments are determined collaboratively between administration of the nursing education program and nursing administration of the clinical agency.
(f) The preceptor shall complete an orientation to the preceptor role and course objectives.
(6) The policies governing the role and responsibilities of the clinical preceptor are written and consistent with those of the nursing education program and the clinical agency.
(a) The preceptor will be assigned no more than two students for any preceptor experience.
(b) Preceptors will function according to guidelines/criteria developed by nurse faculty. Faculty must be available in person or by telecommunication for consultation.
(c) The preceptor will have a written description of preceptor responsibilities.
(d) The preceptor will be physically present in the agency and available to the student at all times during the clinical assignment.
D. Support Services
(1) Support services and facilities are appropriate to support the goals and objectives of the nursing education program.
(a) Learning resources include print and media materials which support the program of learning and are readily available to students and faculty.
(b) The physical environment is conducive to the use of the resources.
(c) The library has provisions to obtain in a timely manner those resources not available in the library.
(d) Policies and procedures allow for faculty participation in selection and deletion of library holdings and other learning resources.
(e) Documentation reflects periodic reviews of library holdings by faculty.
(2) Student services provided by the parent institution are available to nursing students.
Institutional documents reflect college-wide policies/ procedures regarding student services.
(3) The institution provides for a system to maintain student records in a manner that is designed to prevent unauthorized access, use, loss, and/or destruction.
Institutional policies/procedures provide for security of records.
(4) A system of permanent and cumulative records is maintained for each nursing student and graduate commensurate with the policies of the parent institution.
(a) Policies and procedures governing compilation and use of student records are written and current.
(b) Permanent and cumulative records are complete.
(c) Permanent and cumulative records are accessible.
E. Facilities
(1) The facilities are adequate to meet the goals and objectives of the nursing education program.
The following facilities are provided:
(1) offices for administration, faculty and staff;
(2) classrooms, laboratories and conference rooms for nursing and nursing related courses;
(3) storage space for supplies, equipment and instructional materials;
(4) physical facilities for a practice laboratory for students.
(2) The nursing education program has written agreements with all major affiliating agencies used to achieve program objectives.
(a) Agreements are jointly developed with the affiliating agency and reviewed annually.
(b) Affiliating agencies are licensed by the appropriate legal, designated state authorities.
(3) Agreements reflect that faculty retain responsibility for selection of appropriate learning experiences.
Agreements specify faculty retain responsibility for student learning.
F. Curriculum
(1) The nursing education curriculum is logically organized and internally consistent.
(a) Curriculum requirements are published.
(b) The curriculum reflects the philosophy, goals, and objectives of the nursing education program.
(c) There is a rationale for the organization and sequencing of learning experiences for the progressive development of knowledge and skills.
(d) Preceptored learning experiences, when offered, will be placed within senior level nursing courses.
(e) There is a rationale for the allocation of credit for clinical and non-clinical courses and for the ratio of nursing to non-nursing courses in the curriculum.
(f) There is rationale for the selection, organization and sequencing of the general education courses.
(2) The curriculum is developed, implemented and evaluated by faculty with opportunity for input from students in a manner consistent with the policies of the parent institution.
(a) The process for curriculum decision making is clearly defined for the parent institution and the nursing education program.
(b) There is documentation of student input into faculty decision-making in curriculum matters.
(3) The curriculum reflects and is consistent with the knowledge, skills, and abilities that are required for the practice of nursing.
(a) The curriculum includes learning experiences in the provision of care for ill clients, across the life span.
(b) The curriculum includes learning experiences in the promotion and maintenance of health for clients across the life span.
(c) The curriculum provides learning experiences in the application of the nursing process which includes the assessment and nursing diagnosis of human responses to actual or potential health problems and the planning, intervention and evaluation of care as utilized in nursing practice.
(d) The curriculum includes biophysical and social science principles basic to nursing practice.
G. Program Evaluation
(1) A plan for the periodic evaluation of all components of the nursing education program is developed and implemented.
(a) Written evaluations for the nursing education administrator(s), faculty and students are on file.
(b) Written evaluations from program graduates and their employers are on file.
(c) Records, reports and/or meeting minutes reflect evaluation of the curriculum and instruction.
(d) There is evidence that faculty and students participate in the evaluation of all major program components to include: clinical and campus facilities; library holdings and services; and instructional materials and equipment.
(2) Findings from the evaluation of all components of the nursing education program serve as the basis for program changes.
There is evidence that evaluation findings, including information generated by standardized tests, are used by faculty in program development, maintenance and/or curriculum revision.
(3) The nursing education program prepares graduates that demonstrate competent practice at entry into nursing practice.
(a) The program's pass rate for first time takers of the National Council Licensure Examination for Registered Nurses (NCLEX-RN), will be maintained annually at no greater than 5 percent below the national pass rate.
A. Organization
(1) The nursing education program is part of a college, university or public school system approved by the appropriate state authority or hospital accredited by the Joint Commission on Accreditation of Healthcare Organizations (JCAHO).
(a) The executive officer or administrator representing the parent institution is:
(1) a superintendent of a public school and/or district; or
(2) an administrator of a hospital; or
(3) a president of a college or university; or
(4) a vocational director.
(b) An organizational chart is available delineating lines of authority, responsibility, communication and relationships within the institution and to the community. Relationships may be direct, coordinating or cooperating.
(c) Financial resources are sufficient to give assurance of stability of the program, educational resources and qualified administrative and instructional personnel. Budgetary policies and procedures are in accord with other programs within the parent institution.
(d) Written statements of philosophy or mission, purpose and objectives of the nursing education program are consistent with those of the parent institution and are periodically reviewed.
(e) Personnel policies for the faculty are the same as those in effect for other members of the parent institution with regard to salary and benefits; selection, appointment, evaluation and promotion; recognition of professional competencies, and rights and responsibilities.
(f) Nursing program faculty serve on the parent institution's central councils and committees.
(2) The nursing education program is organized with clearly defined authority, responsibility and channels of communication.
(a) An organizational chart is available.
(b) Organizational policies, committee structure and corresponding minutes reflect the faculty organization and committee activity.
(3) The nursing education program is administered by a qualified registered nurse licensed in the State.
(a) The nurse administrator meets parent institution requirements for administrative and faculty appointment.
(b) The nurse administrator has a minimum of a Bachelor of Science degree in Nursing, with a Master of Nursing degree preferred. Faculty appointed prior to 10/77 are recognized as meeting educational requirements of the Board.
(c) The nurse administrator has appropriate preparation and experience for assuming administrative responsibilities to include a minimum of three of the past five years experience in nursing service or nursing education as a registered nurse.
(d) The nurse administrator is employed full time with time designated for administrative responsibilities.
(e) A written job description reflects responsibility for the administration of the nursing program to include:
(1) Directing activities of the faculty to insure educational continuity;
(2) Leadership within the faculty for the development and implementation of the curriculum;
(3) Creation and maintenance of an environment conducive to teaching and learning;
(4) Liaison with the central administration and other units of the parent institution;
(5) Participating in the preparation and administration of the budget;
(6) Facilitating faculty development and performance review;
(7) Recommendation of faculty for appointment, promotion and retention;
(8) Notification to the Board of any major changes in the program or its administration;
(9) Maintaining relationships with central administration, clinical agencies, and appropriate state, regional and national agencies.
B. Students
(1) Student admission, readmission, progression and graduation are governed by the established policies and procedures of the parent institution and the nursing education program.
(a) Policies and procedures for admission, readmission, progression and graduation criteria are written, periodically reviewed, and provided to students.
(b) Student records reflect that admission, readmission, progression and graduation criteria and policies were implemented.
(c) The nursing education program has written rationale for policies for admission, readmission, progression and graduation that differ from the parent institution.
(2) The nursing education program admission criteria are consistent with eligibility requirements for licensure as specified in the Laws Governing Nursing in South Carolina.
Institutional documents state the admission criteria.
C. Faculty
(1) The number of qualified faculty is sufficient to meet the goals and objectives of the nursing education program.
(a) The maximum ratio of faculty to students in an acute inpatient setting where students are providing direct patient care is one faculty member to eight students (1:8). If the parent institution and the clinical affiliate determine that the safety of patients, nursing faculty and students can be insured, the maximum acceptable ratio in acute inpatient settings is no greater than one faculty to ten students (1:10).
(b) The maximum ratio of faculty to students in non-acute clinical settings where students are providing direct patient care is one faculty member to ten students (1:10).
(c) Faculty are available to students for guidance/ referral.
(d) The majority of the faculty fulfill the fulltime faculty role as defined by the parent institution and the nursing education program.
(e) There are provisions for a substitute instructor(s).
(2) The academic and experience qualifications of the faculty are appropriate to support the goals and objectives of the nursing education program and meet the criteria of the parent institution.
(a) Nurse faculty must meet all of the following requirements:
(1) hold a current license as a registered nurse in the State;
(2) have a minimum of a Bachelor of Science degree in Nursing. (Faculty appointed prior to 10/77 shall be recognized as meeting the requirements of the Board);
(3) have a minimum of three of the past five years experience as a registered nurse in direct patient care or nursing education.
(b) Faculty members have preparation for teaching in areas in which they function.
(c) The general education faculty meet or exceed the parent institution's requirements for appointment.
(3) Faculty personnel policies for the nursing educational program in nursing are consistent with those of the parent institution and are implemented.
(a) Each instructor has a written confirmation of appointment.
(b) There are written job descriptions that define the responsibilities for instructional personnel.
(c) There are written policies related to salary, vacation, sick leave, leave of absence, continued competency, insurance and retirement.
(d) All faculty will be responsible to the nurse administrator of the nursing education program.
(e) Faculty shall not have additional employment responsibilities during the hours in which they are charged with the education and supervision of students.
(f) Participation in regularly planned faculty meetings is documented in minutes.
(g) Participation in the activities of the parent institution in ways that benefit the institution, the nursing education program and the faculty is evidenced by committee membership and minutes.
(h) Policies allow for continued faculty development and pursuit of academic study.
(4) Faculty participate in activities which promote continuing professional development.
Faculty professional development activity is documented in personnel files.
D. Support Services
(1) Learning resource centers are equipped and managed to provide instructional and support services to students and faculty.
(a) Library holdings/learning resources are adequate in number, appropriate to the program and accessible to students and faculty.
(b) There is a regular schedule for evaluation and deletion of outdated books and audiovisual materials.
(2) Student services provided (i.e. health services, counseling, financial aid) are available to nursing students based on established criteria of the parent institution.
Institutional documents reflect policies/procedures regarding student services.
(3) The parent institution provides a system to maintain permanent and cumulative student records in a manner that is designed to prevent unauthorized access, use, loss, and/or destruction.
(a) Policies governing release of information from records is documented.
(b) Permanent records include the student's application to the nursing education program and official transcript.
(c) Records include verification of name change if the name changes before the student completes the program.
(d) Records are protected against loss or destruction.
(4) Secretarial/support services are sufficient to meet the needs of the nursing education program.
Clerical or secretarial personnel are assigned in sufficient number to support the faculty.
E. Facilities
(1) The parent institution provides adequate facilities to conduct the nursing education program.
(a) Offices for the nursing administration, faculty and staff are provided.
(b) Classrooms and conference rooms are sufficient to meet the needs of the program.
(c) Library/learning resource centers (audio/visual/ computer technologies) are readily available to students and faculty.
(d) Storage space for equipment and instructional materials is provided.
(e) The skills laboratory is sufficient in size and equipment to meet the needs of students.
(2) The nursing education program has written agreements with all hospitals and agencies used to fulfill the program objectives.
(a) Contracts which delineate the responsibilities of the clinical agency and the nursing education program and are jointly developed and reviewed annually.
(b) Contracts are developed with clinical facilities to provide diverse clinical experiences (i.e. hospital, nursing home, day care center, mental health facilities).
(c) Contracts insure a sufficient number and variety of patients to meet educational objectives in designated clinical areas.
(d) Contracts insure faculty freedom to plan, implement and evaluate student learning.
(e) Contracts specify that library/learning resources within clinical agencies are available to faculty and students for designated learning experiences.
(f) Clinical agencies are licensed by the appropriate legal designated state authorities.
F. Curriculum
(1) The nursing education curriculum is logically organized and internally consistent.
(a) The philosophy of the program expresses faculty beliefs about: the individual; society; nursing; levels of nursing, the teaching learning process; nursing education; and education as a life long process and reflects the philosophy of the parent institution.
(b) The curriculum reflects the philosophy, purpose, goals and objectives of the nursing education program and the expected terminal competencies of the graduate.
(c) The objectives of each course, module or segment reflect the philosophy and purpose of the program.
(d) There is rationale for the organization and sequencing of learning experiences for the progressive development of knowledge and skills.
(e) There is rationale for the allocation of credit for nursing, nursing related and general education courses in the curriculum.
(f) There are written behavioral objectives for each course.
(g) There is an evaluation system that reflects the students' ability in relationship to theoretical and clinical objectives.
(h) Appropriate clinical experiences are arranged for each student to develop the necessary skills and competencies to deliver safe, effective nursing care.
(i) The program of learning is reviewed annually and revised as needed.
(2) The curriculum is developed, implemented and evaluated by faculty with opportunity for input from students.
(a) Policies for curriculum decision making are clearly defined for the parent institution and the nursing education program.
(b) There is documentation of student input into faculty decisions regarding curriculum matters.
(3) The curriculum reflects and is consistent with the knowledge, skills and abilities required for the practice of practical nursing.
(a) The curriculum includes learning experiences in the provision of care of ill clients across the life span.
(b) The curriculum includes selected learning experiences in the promotion and maintenance of health of clients across the life span.
(c) The curriculum includes learning experiences consistent with the practical nurses' role in assisting with assessment, planning, intervention and evaluation.
G. General Education
(1) The nursing education curriculum includes general education content.
(a) The general education content is relevant to the practice of practical nursing.
(b) The general education content requirements are published.
(c) There is written documentation of periodic review of general education content.
(2) The general education component meets or exceeds the criteria for the institution.
The parent institution is accredited or has documentation indicating it is seeking accreditation.
H. Program Evaluation
(1) A plan for the periodic evaluation of all components of the nursing education program is developed and implemented.
(a) There is a written systematic evaluation plan for the nursing education program.
(b) Minutes, records or reports document implementation of the evaluation plan.
(c) Documentation of the evaluation plan should include:
(1) written performance evaluations of students and faculty;
(2) written evaluations from employers of program graduates;
(3) written student/graduate evaluations of courses, faculty, clinical agencies and campus facilities.
(2) Findings from the evaluation of all components of the nursing education program are used for program development, maintenance, and/or revision.
Records indicate that evaluation results are used by faculty in selection of clinical agencies, revision of the curriculum, selection of library resources, equipment, and instructional materials.
(3) The nursing education program prepares graduates that demonstrate competent practice at entry into practical nursing.
(a) The program's pass rate for first time takers of the National Council Licensure Examination for Practical Nurses (NCLEX-PN), will be maintained annually at no greater than 5 percent below the national pass rate.
Fees to be paid by applicants for a license as registered nurse or as licensed practical nurse under provisions 40-33-530, 40-33-550, 40-33-750, 40-33-760, 40-33-920 and 40-33-940, and other fees under 40-33-270 shall be amounts as shown on the following schedule:
a. R.N. Examination ......................................... 65.00
R.N. Endorsement ............................................ 75.00
R.N. Re-examination ......................................... 65.00
L.P.N. Examination .......................................... 45.00
L.P.N. Endorsement .......................................... 75.00
L.P.N. Re-examination ....................................... 45.00
R.N. and L.P.N. Renewals .................................... 25.00
R.N. and L.P.N. Reinstatements ($20.00 + $25.00) ............ 45.00
R.N. and L.P.N. Reinstatement of Disciplined License ....... 125.00
Name change only on records .................................. 3.00
Name change on records and new license ...................... 28.00
Scores ....................................................... 3.00
Lost license (Statement) ..................................... 3.00
Lost license (Issue new license) ............................ 25.00
Duplication of records ....................................... 3.00
Certification to another state (R.N. and L.P.N.) ............ 20.00
Temporary permit ............................................ 10.00
Official Inactive Status .................................... 15.00
Official Recognition for Nurse Practitioner Initial Fee ..... 30.00
Renewal Fee (Biennial) ...................................... 20.00
Application for Prescriptive Authority ...................... 20.00
Returned check charge ....................................... 20.00
Laws Governing Nursing in South Carolina ..................... 4.00
b. Names, addresses and authorized statistical data of licensed nurses may be released upon written request of agencies, individuals, and organizations. This service will be provided at cost through the computer system utilized by the Board, at the following rate:
List--8 cents per name and address with $15.00 minimum,
Label--10 cents per name and address with $25.00 minimum,
Statistical Studies--cost proportionate to data requested with $25.00 minimum.
For a complete listing of Registered Nurses and Licensed Practical Nurses, add an administrative fee of One Hundred Dollars ($100.00).
c. Refund of fees will be made at the discretion of the Board.