A nursing assistant or medication aide education program may be the recipient of a site survey for any one of the following reasons:
(1) Nursing Assistant or Medication Aide Education Program Survey Request: The education program may request a survey or site visit at any time. Such request must be in writing and must include the purpose(s) for the visit.
(2) Periodic Evaluations related to possible non-compliance with federal or state standards.
(3) Survey Visits to Determine Continued Approval:
(a) All nursing assistant and medication aide education programs are required to demonstrate continuing compliance with the Standards for Approval at least every two years for continued approval;
(b) The survey visit must be made by representative(s) of the Board on dates mutually acceptable to the Board representative and the program;
(c) A program must submit a narrative self-evaluation report that provides evidence of compliance with the Standards of Approval between on-site visits.
(d) The program may be asked to participate in scheduling survey visit activities;
(e) During an announced or unannounced survey site visit, the Board representative must have access to, review and analyze various sources of information regarding program performance; including, but not limited to:
(A) All education program and student records;
(B) Students, staff, and faculty;
(C) Previous Board of Nursing survey reports, as necessary;
(D) Results of ongoing program evaluation; and
(E) Other sources of evidence regarding achievement of program outcomes including, but not limited to:
(i) Student retention, attrition, and on-time program completion rates;
(ii) Sufficient and adequate type and number of faculty, faculty competence and faculty retention and turnover;
(iii) Adequate laboratory and clinical learning experiences;
(iv) Pass rates on Board-approved competency examination;
(v) Trend data and action planning related to pass rate on Board-approved competency examination;
(vi) Trend data and action planning related to employer and graduate satisfaction;
(vii) Performance improvement initiatives related to program outcomes; and
(viii) Program complaints and grievance review and resolution.

1. (f) The education program will be evaluated by use of a rubric to guide the timing of the next survey site visit:
   (A) Each standard will be evaluated as “met”, “partially met” or “not met”;
   (B) The Board representative’s comments will be included for most standards and in every case when a standard is partially met or not met;
   (C) Standards partially met will be deemed sufficiently met to merit the recommendation for continued approval;
   (D) Recommendations in the summary of the report are intended as advisory to the education program. Recommendations, or alternative approach to meet the standard, are intended to be implemented before the next survey visit;
   (E) Any failure to address previously-identified survey recommendations may result in a deficiency;
   (F) If a deficiency exists, notice will be given in writing to the education program director specifying the deficiency(ies) and prescribing the timeframe within which the deficiency(ies) must be corrected;
   (G) Any violation of standards or failure to address previously-identified survey deficiencies, in the time prescribed by the Board, may result in withdrawal of program approval as established in OAR 851-061-0050;
   (g) Continuing approval will be granted upon the Board’s ratification:
   (A) Board representative retains authority to recommend the length of approval granted regardless of rubric score; and
   (B) The final decision is made by the Board.

Statutory/Other Authority

ORS 678.440 & ORS 678.444

Statutes/Other Implemented

ORS 678.444

History

BN 8-2020, adopt filed 12/14/2020, effective 01/01/2021