PURPOSE: This rule defines approval for and required clinical learning experiences in clinical facilities used by the educational unit.

1. (1) Clinical sites shall be selected which will provide learning experiences to meet the objectives of the course.
2. (2) Clinical sites used for direct care and participatory observation shall be approved by the board prior to utilization for student learning experiences.
3. (3) Clinical sites used for observation do not require board approval prior to utilization.
4. (4) Observational and participatory observation experiences should provide learning experiences to meet the program outcomes and should not exceed forty percent (40%) of the total clinical program hours. Orientation to the facility does not contribute to the forty percent (40%).

5. (5) Clinical sites for each course or clinical experience shall be listed in the annual report and include the following:

   1. (A) Course number;
   2. (B) Name and address of the clinical site;
   3. (C) Purpose (area used);
   4. (D) Type of experience, i.e., direct-care, observation, participatory observation;
   5. (E) Number of students in clinical group;
   6. (F) Number of preceptors;
   7. (G) Total clinical clock hours;
   8. (H) Confirmation that agreements have been made with other programs who use the clinical site; and
   9. (I) Confirmation that the nursing program has a contract with the clinical agency.
6. (6) Programs shall make their own arrangements with the clinical sites. Non-health care related sites utilized for community-based learning experiences for students must have an identifiable sponsoring agency with a clearly defined purpose(s). A contract or letter of agreement shall be completed before experiences.
7. (7) Programs sharing the same clinical sites shall maintain evidence of cooperative planning with each other for the scheduling of clinical experiences. Confirmation should exist that agreements have been made with other programs who use the clinical sites.
8. (8) Each program shall have a written agreement with each clinical site. These written agreements shall be reviewed annually.
9. (9) Clinical agreements shall provide a termination clause.
10. (10) There shall be a written orientation plan for students for each clinical site.

AUTHORITY: section 335.036, RSMo Supp. 1997.* This rule originally filed as 4 CSR 200-3.080. Original rule filed Jan. 29, 1974, effective Feb. 8, 1974. Amended: Filed Dec. 12, 1975, effective Dec. 22, 1975. Rescinded and readopted: Filed Oct. 14, 1981, effective Jan. 14, 1982. Rescinded and readopted: Filed March 25, 1993, effective Dec. 9, 1993. Amended: Filed Aug. 6, 1998, effective Feb. 28, 1999. Moved to 20 CSR 2200-3.080, effective Aug. 28, 2006.

*Original authority: 335.036, RSMo 1975, amended 1981, 1985, 1993, 1995.