PURPOSE: This rule defines terms used in 20 CSR 2200 and throughout this chapter.

1. (1) When used in 20 CSR 2200-2, the following terms mean:

   1. (A) Accredited—The official authorization or status granted by an agency for a program or sponsoring institution through a voluntary process;
   2. (B) Administrator—Registered professional nurse with primary authority and responsibility for administration of program, regardless of job title;
   3. (C) Approved—Recognized by the board as meeting or maintaining minimum standards for educational programs preparing professional nurses;
   4. (D) Annual report—Report submitted annually by the administrator of the program that updates information on file with the board and validates continuing compliance with minimum standards;
   5. (E) Appeal policy and procedure—An established procedure for processing complaints; may also be known as a complaint procedure, due process, appeals procedure, or problem resolution;
   6. (F) Associate degree program—Program leading to associate degree in nursing conducted by an accredited degree granting institution;
   7. (G) Baccalaureate degree program—Program leading to baccalaureate degree in nursing conducted by an accredited degree granting institution;
   8. (H) Board—Missouri State Board of Nursing;
   9. (I) Campus—A specific geographic program location with a distinct student body and coordinator at which all appropriate services and facilities are provided;
   10. (J) Certificate of approval—Document issued by the board to programs of nursing which have met minimum standards;
   11. (K) Class—A discrete cohort of students admitted to a nursing program, designed to begin a course of study together on a specific date and to graduate together on a specific date;
   12. (L) Clinical experience—Faculty planned and guided learning activities designed to meet course objectives or outcomes and to provide a nursing student with the opportunity to practice cognitive, psychomotor, and affective skills in the delivery of nursing care to an individual, group, or community;
   13. (M) Clinical simulation—Any activity that models direct patient care in a controlled environment, led by a qualified facilitator with oversight by nursing faculty. Activities include assessment, competencies, terminology, evaluation, and debriefing, based on standards of best nursing practice. The purpose of simulation as a teaching pedagogy is to mimic and practice competencies not able to be acquired in a clinical setting or to augment direct patient care experiences;
   14. (N) Clinical skills laboratory—Designated area where skills and procedures can be demonstrated and practiced;
   15. (O) Conditional approval—Status of a program that has failed to meet or maintain the regulations or requirements, or both, set by the board. This status is subject to the program conforming to the requirements and recommendations within a time period set by the board;
   16. (P) Cooperating agency—A corporation, hospital, or other organization which has a written agreement with the program to provide clinical education opportunities;
   17. (Q) Coordinator—Registered professional nurse with authority and responsibility for a campus nursing program as delegated by the administrator of the nursing program;
   18. (R) Course objectives—Measurable statements that guide experiences and activities that help learners meet established requirements for a specific course;
   19. (S) Curriculum—Planned studies and learning activities designed to lead students to graduation and eligibility for application for licensure;
   20. (T) Debriefing—An activity that follows a simulation experience that encourages participant’s reflective thinking and provides feedback regarding the participant’s performance;
   21. (U) Diploma program—Program leading to diploma in nursing sponsored by a health care institution;
   22. (V) Direct care—A clinical experience in which patient care is given by the student under the direction of the faculty member or preceptor;
   23. (W) Distance learning—Curriculum provided from a main campus location to another geographic location, primarily through electronic or other technological methods;
   24. (X) Endorsement—Process of acquiring licensure as a nurse based on original licensure by examination in another state, territory, or country;
   25. (Y) Faculty—Individuals designated by 20 CSR 2200-2

sponsoring institution with responsibilities for development, implementation, and evaluation of philosophy and/or mission, objectives, and curriculum of nursing program;

1. (Z) Full-time—Those individuals deemed by sponsoring institution to meet definition for full-time employment;
2. (AA) Governing body—Body authorized to establish and monitor policies and assume responsibility for the educational programs;
3. (BB) Graduate competency—Individual graduate behaviors;
4. (CC) Information technology—The study designed for development, implementation, support, or management of computer-based information systems, particularly software applications and computer hardware;
5. (DD) Initial approval—Status granted a program of professional nursing until full approval status is granted or denied;
6. (EE) Minimum standards—Criteria which nursing programs shall meet in order to be approved by the board;
7. (FF) Mission—Overall statement of purpose that faculty accept as valid and is directly related to curriculum practices;
8. (GG) Multiple campuses—Distinct and separate geographic location offering the same program, providing the same services, and operated by the same sponsoring institution;
9. (HH) National Nursing Accreditation— Accreditation by a national agency specific to nursing education that is recognized by the board;
10. (II) NCLEX-RN® examination—National Council Licensure Examination for Registered Nurses;
11. (JJ) Objectives—Measurable statements describing anticipated outcomes of learning;
12. (KK) Observational experiences—Planned learning experiences designed to assist students to meet course objectives through observation;
13. (LL) Part-time—Individuals deemed by the sponsoring institution to meet the definition for part-time employment;
14. (MM) Philosophy—A composite of the beliefs that the faculty accepts as valid and is directly related to curriculum practices;
15. (NN) Pilot program/project—Educational activity which has board approval for a limited time and which otherwise would be out of compliance with minimum standards;
16. (OO) Preceptor—Registered professional nurse assigned to assist nursing students in an educational experience which is designed and directed by a faculty member;
17. (PP) Pre-licensure—Initial educational program in nursing leading to entry-level licensure;
18. (QQ) Program—Course of study leading to a degree or diploma; FINANCIAL INSTITUTIONS AND PROFESSIONAL REGISTRATION
19. (RR) Program outcomes—Measurable statements defining aggregate student achievements;
20. (SS) Proper supervision—The general overseeing and the authorizing to direct in any given situation including, but not limited to: orientation, initial and ongoing direction, procedural guidance, periodic inspection, and evaluations;
21. (TT) Requirement—A mandatory condition that a school or program meets in order to comply with minimum standards;
22. (UU) Satellite location—A site geographically separate from but administered and served by, a primary program campus;
23. (VV) Sponsoring institution—The institution that is financially and legally responsible for the nursing program;
24. (WW) Statement of need and feasibility— Current evidence of need for professional and practical nurses, additional nursing program(s), and community support;
25. (XX) Sustainability plan—A plan for the purchase, replacement, and maintenance of skills lab supplies, furnishings, and equipment to meet program outcomes;
26. (YY) Systematic evaluation plan—Written plan developed by faculty for comprehensive evaluation of all aspects of the program; and
27. (ZZ) Written agreement—Formal memorandum of understanding or contract between a nursing education program and a cooperating agency, which designates each party’s responsibilities for the education of nursing students.

AUTHORITY: sections 335.036 and 335.071, RSMo 2016. This rule originally filed as 4 CSR 200-2.001.* Original rule filed Sept. 25, 1991, effective March 9, 1992. Amended: Filed Aug. 6, 1998, effective Feb. 28, 1999. Amended: Filed Dec. 1, 2000, effective May 30, 2001. Moved to 20 CSR 2200-2.001, effective Aug. 28, 2006. Rescinded and readopted: Filed April 17, 2007, effective Dec. 30, 2007. Amended: Filed Jan. 11, 2013, effective July 30, 2013. Amended: Filed Feb. 5, 2018, effective Aug. 30, 2018.

*Original authority: 335.036, RSMo 1975, amended 1981, 1985, 1993, 1995, 1999, 2007, 2008, 2011 and 335.071, RSMo 1975, amended 1981, 1999.