Or. Admin. R. 851-051-0060 - Clinical Practicum in Oregon for APRN Students Enrolled in a Non-Oregon Based Graduate Program

(1) A student enrolled in a non-Oregon based APRN graduate program must have Oregon State Board of Nursing (OSBN) authorization prior to participating in a clinical practicum in Oregon.

(2) Student eligibility for clinical placement approval must be based on the following:

(a) Student has a current, unencumbered registered nurse license in Oregon; and

(b) Enrollment in a program authorized by the OSBN to provide student participation in clinical placements in Oregon.

(3) To receive OSBN authorization, a program must meet the following requirements:

(a) Submit and receive OSBN approval of a completed Petition for Non-Oregon Based APRN Programs Offering Clinical Experience in Oregon;

(b) Be accredited by a national nursing program accrediting body approved by the United States Department of Education (USDE)

(c) Obtain authorization from National Council for State Authorization Reciprocity Agreements (SARA) or the Oregon Office of Degree Authorization (ODA);

(d) Secure student clinical placements with an Oregon licensed preceptor who meets the requirements of OAR 851-051-0020(5)(f). A student must not be required to obtain their own preceptor, but may have input into the process;

(e) Identify the APRN faculty with overall accountability for the student's academic progression;

(f) If the faculty of record will not be the clinical practicum evaluator, identify the Oregon-licensed member of the program faculty who will be functioning in this role and who will provide on-site evaluation of both the student and the preceptor;

(g) Submit a written preceptor agreement on a Board approved form for each student clinical placement signed by the preceptor, the APRN faculty or clinical evaluator accountable for the student's clinical progression, and a program representative. The agreement is to include identification of the:

(A) Student, Oregon RN license and specialty track;

(B) Preceptor, Oregon license type, specialty area and population foci;

(C) APRN faculty or clinical evaluator accountable for the student's clinical progression, the APRN license number, specialty area and population foci.

(h) Provide a process for the student to evaluate the individual preceptor's effectiveness;

(i) Require preceptor to submit student evaluations; and

(j) Provide guidance for clinical preceptors, including:

(A) Orientation to course applicable to student clinical placement;

(B) Clinical expectations;

(C) Evaluation plan for student; and

(D) Processes for communication between student, preceptor and APRN faculty or clinical supervisor who is accountable for student's clinical progression.

(4) An APRN student must practice under the direct supervision of a Board approved

Oregon preceptor. Interprofessional preceptors may be utilized, however, the majority (51% or greater) of the student's clinical practicums in Oregon must be completed under a Board approved preceptor licensed in Oregon in the same APRN role or in a practice with the same congruent patient population as the students focus population. The preceptor must:

(a) Hold current, unencumbered license in Oregon;

(b) Be licensed in the population foci congruent with the student's specialty track or provides population experiences congruent to the student's specialty track;

(c) Have a minimum of 2080 hours of licensed practice;

(d) Complete the program's preceptor guidelines via manuals, electronic media, workshops, online learning, or their equivalent;

(e) Validate, each term, that the student has received OSBN authorization prior to participating in the clinical placement in Oregon; and

(f) Immediately disclose to the educational program if the preceptor is the subject of a current Board investigation.

(5) Course Progression: Program faculty or contracted clinical evaluator must assess a student's individual course progression by a visit to the Oregon clinical site and must hold an unencumbered Oregon APRN license relative to the student's specialty track or within the population experiences congruent to the student's specialty track.

(6) In addition to routine site visits, if the program receives reports from the preceptor or student regarding the student's inability to obtain course objectives, the program faculty or clinical evaluator must include the following activities:

(a) Perform additional site visits in Oregon either face-to-face or through videoconferencing; and

(b) Observe a student's interaction with an Oregon patient; and

(c) Review evidence of student documentation of patient care to determine if the student is meeting the course outcomes; or

(d) Observe student progress in high fidelity simulation at the program home campus.

(7) Academic Progression: Program faculty assessing a student's academic progression in the course of study once per term, must, at minimum, hold an unencumbered APRN license in state where the program is physically located and licensure is relative to the student's specialty track. The program faculty is not required to hold an Oregon APRN license if:

(a) Remote face-to face technology is used, and

(b) Student's interaction with an Oregon patient is not part of the academic progression evaluation, and

(c) Evidence of student documentation of an Oregon patient's care is not reviewed as part of the overall determination of academic progression.

(8) All non-Oregon based program documentation related to a student clinical placement request in Oregon is subject to OSBN audit.

Notes

Or. Admin. R. 851-051-0060

BN 11-2021, adopt filed 06/24/2021, effective 7/1/2021

Statutory/Other Authority: ORS 678.150, ORS 678.285, ORS 678.372 & ORS 678.380

Statutes/Other Implemented: ORS 678.150, ORS 678.285, ORS 678.372 & ORS 678.380