PURPOSE: This rule defines selection and use of clinical experiences by the Veteran’s 20 CSR 2200-8

Bridge Program of Practical Nursing.

1. (1) Clinical sites shall be selected which will provide direct care and observational learning experiences to meet the objectives of the course.

   1. (A) Select interprofessional educational experiences may be utilized to provide learning experiences to meet course and program objectives and outcomes. Clinical personnel with professional licensure or certification in a health-related field may be utilized to augment student learning in their respective areas. Observational/inter-professional experiences may not exceed twenty percent (20%) of the total clinical program hours. Orientation to the facility does not contribute to the twenty percent (20%).
   2. (B) Clinical simulation and clinical skills lab time is at the discretion of the nursing program. Records of allocation of clinical hours to simulation shall be maintained.
   3. (C) Direct patient care experiences shall be sufficient to achieve identified competencies as well as course and program outcomes.
   4. (D) The ratio of faculty to students in the clinical area shall be designed to promote patient safety and to facilitate student learning with the proper supervision.
   5. (E) There shall be evidence of clinical orientation for each nursing course with a clinical component.
2. (2) Each program shall have written evidence of an agreement with each clinical site which includes time frames for a notification of termination and periodic review.

AUTHORITY: section 324.007, RSMo 2016, and section 335.036, RSMo Supp. 2021.* Original rule filed April 14, 2017, effective Oct. 30, 2017. Amended: Filed Feb. 2, 2018, effective Aug. 30, 2018. Amended: Filed Feb. 14, 2022, effective Aug. 30, 2022.

*Original authority: 324.007, RSMo 2013, and 335.036, RSMo 1975, amended 1981, 1985, 1993, 1995, 1999, 2007, 2008, 2011, 2018.