DEPARTMENT OF LICENSING AND REGULATORY AFFAIRS  
DIRECTOR’S OFFICE  
BOARD OF NURSING - GENERAL RULES  
(By authority conferred on the director of the department of licensing and regulatory  
affairs by section 16141, 16145, 16148, 16174, 16175, 16178, 16181, 16182, 16184,  
16186, 16186a, 16201, 16204, 16205, 16206, 16215, 16287, 17210, 17213, and 17241 of  
the public health code, 1978 PA 368, MCL 333.16141, 333.16145, 333.16148,  
333.16174, 333.16175, 333.16178, 333.16181, 333.16182, 333.16184, 333.16186,  
333.16186a, 333.16201, 333.16204, 333.16205, 333.16206, 333.16215, 333.16287,  
333.17210, 333.17213, and 333.17241, and Executive Reorganization Order Nos. 1991-  
9, 1996-2, 2003-1, and 2011-4, MCL 338.3501, 445.2001, 445.2011, and 445.2030)  
PART 1. GENERAL PROVISIONS  
R 338.10101 Definitions.  
Rule 101. (1) As used in these rules:  
(a) “Board” means the Michigan board of nursing.  
(b) “Code” means the public health code, 1978 PA 368, MCL 333.1101 to 333.25211.  
(c) “Department” means the department of licensing and regulatory affairs.  
(2) Terms defined in the code have the same meanings when used in these rules.  
History: 1989 AACS; 2003 AACS; 2017 AACS; 2022 MR 10, Eff. May 24, 2022.  
R 338.10102 Rescinded.  
History: 1989 AACS; 2001 AACS; 2003 AACS; 2017 AACS.  
R 338.10103 Rescinded.  
History: 1989 AACS; 2017 AACS.  
R 338.10104 Delegation.  
Rule 104. (1) Only a registered nurse may delegate nursing acts, functions, or tasks. A  
registered nurse who delegates nursing acts, functions, or tasks shall do all of the  
following:  
(a) Determine whether the act, function, or task delegated is within the registered  
nurse's scope of practice.  
(b) Determine the qualifications of the delegatee before the delegation.  
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(c) Determine whether the delegatee has the necessary knowledge and skills for the  
acts, functions, or tasks to be carried out safely and competently.  
(d) Supervise and evaluate the performance of the delegatee.  
(e) Provide or recommend remediation of the performance when indicated.  
(2) The registered nurse shall bear ultimate responsibility for the performance of  
nursing acts, functions, or tasks performed by the delegatee within the scope of the  
delegation.  
History: 1989 AACS; 2003 AACS; 2022 MR 10, Eff. May 24, 2022.  
R 338.10105 Training standards for identifying victims of human trafficking;  
requirements.  
Rule 105. (1) Pursuant to section 16148 of the code, MCL 333.16148, an individual  
licensed or seeking licensure shall complete training in identifying victims of human  
trafficking that meets the following standards:  
(a) Training content must cover all of the following:  
(i) Understanding the types and venues of human trafficking in this state or the United  
States.  
(ii) Identifying victims of human trafficking in health care settings.  
(iii) Identifying the warning signs of human trafficking in health care settings for  
adults and minors.  
(iv) Identifying resources for reporting the suspected victims of human trafficking.  
(b) Acceptable providers or methods of training include any of the following:  
(i) Training offered by a nationally recognized or state-recognized health-related  
organization.  
(ii) Training offered by, or in conjunction with, a state or federal agency.  
(iii) Training obtained in an educational program that has been approved by the board  
for initial licensure, or by a college or university.  
(iv) Reading an article related to the identification of victims of human trafficking  
that meets the requirements of subdivision (a) of this subrule and is published in a peer  
review journal, health care journal, or professional or scientific journal.  
(c) Acceptable modalities of training include any of the following:  
(i) Teleconference or webinar.  
(ii) Online presentation.  
(iii) Live presentation.  
(iv) Printed or electronic media.  
(2) The department may select and audit a sample of individuals and request  
documentation of proof of completion of training. If audited by the department, an  
individual shall provide an acceptable proof of completion of training, including either of  
the following:  
(a) Proof of completion certificate issued by the training provider that includes the  
date, provider name, name of training, and individual’s name.  
(b) A self-certification statement by an individual. The certification statement must  
include the individual’s name and either of the following:  
(i) For training completed pursuant to subrule (1)(b)(i) to (iii) of this rule, the date,  
training provider name, and name of training.  
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(ii) For training completed pursuant to subrule (1)(b)(iv) of this rule, the title of  
article, author, publication name of peer review journal, health care journal, or  
professional or scientific journal, and date, volume, and issue of publication, as  
applicable.  
(3) Pursuant to section 16148 of the code, MCL 333.16148, the requirements specified  
in subrule (1) of this rule apply for license renewals beginning March 31, 2018 and for  
initial licenses issued after January 6, 2022.  
History: 2017 AACS; 2020 MR 7, Eff. April 6, 2020.  
R 338.10199 Rescission.  
Rule 199. R 338.1201 of the Michigan Administrative Code, appearing on page 2479 of  
the 1979 Michigan Administrative Code, is rescinded.  
History: 1989 AACS.  
PART 2. LICENSURE  
R 338.10201 Rescinded.  
History: 1990 AACS; 1994 AACS; 2003 AACS; 2017 AACS.  
R 338.10202 Examination; adoption; passing scores.  
Rule 202. The board approves and adopts the examinations developed by the National  
Council of State Boards of Nursing, Inc., identified as the "NCLEX-RN" for the  
registered nurse and the "NCLEX-PN" for the practical nurse. Examinees shall achieve a  
score of pass on the NCLEX computerized adaptive test. The passing score is determined  
by the National Council of State Boards of Nursing (NCSBN).  
History: 1990 AACS; 1994 AACS; 2003 AACS; 2020 AACS; 2022 MR 10, Eff. May 24, 2022.  
R 338.10203  
requirements.  
Licensure by examination; registered professional nurse;  
Rule 203. (1) An applicant for licensure by examination shall submit a completed  
application on a form provided by the department, together with the requisite fee. In  
addition to meeting the other requirements of the code, an applicant shall satisfy the  
requirements of this rule.  
(2) An applicant for a registered nurse license shall establish that he or she meets the  
eligibility requirements to sit for the NCLEX-RN examination set forth in R 338.10204  
and shall pass the NCLEX-RN examination.  
(3) An applicant for licensure shall comply with section 16174(3) of the code, MCL  
333.16174(3), and submit his or her fingerprints to the department of state police to have  
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a criminal background check conducted by the state police and the federal bureau of  
investigation.  
History: 1990 AACS; 2017 AACS.  
R 338.10204 Examinations; registered professional nurse; eligibility;  
reexaminations.  
Rule 204. (1) To determine eligibility for the NCLEX-RN examination, an applicant  
shall submit a completed application on forms provided by the department, together with  
the requisite fee.  
(2) To be eligible to take the NCLEX-RN examination, an applicant must establish that  
he or she has successfully completed a registered nurse education program that satisfies 1  
of the following:  
(a) The applicant has successfully completed a registered professional nurse education  
program that is located in this state and is approved by the board.  
(b) The applicant has successfully completed a registered professional nurse education  
program that is located in another state of the United States, and that program complies  
with either of the following:  
(i) The program is accredited by a nursing education accrediting agency listed in R  
338.10303d(2).  
(ii) If the program is not accredited by a nursing education accrediting agency listed  
in R 338.10303d(2), the applicant shall provide both of the following:  
(A) The applicant’s official transcripts from the academic institution where the  
nursing education program was completed.  
(B) A letter to the department from the program, on official program letterhead,  
signed by the director of nursing, attesting that the program curriculum complies with  
both of the following:  
(1) The registered nurse education program is at least 60 weeks in duration and  
includes courses providing theory and clinical practice that comply with R 338.10303d  
and R 338.10306 to R 338.10308.  
(2) The registered nurse education program curriculum contains the core  
curriculum as defined in R 338.10301(h).  
(c) The applicant is a graduate of a registered professional nurse education program or  
an equivalent education program that is outside the United States and, the applicant  
submits 1 of the following to the department that shows he or she graduated from a  
program with substantially equivalent education credentials as a program approved by the  
board:  
(i) A Credentials Evaluation Service (CES) professional report from the Commission  
on Graduates of Foreign Nursing Schools (CGFNS) or its successor agency.  
(ii) A certification from the CGFNS Certification Program (CP) or its successor  
agency.  
(iii) An Evaluation of Foreign Educational Credentials for Boards of Nursing from  
Josef Silny & Associations, Inc. International Education Consultants (JS&A).  
(3) The department shall evaluate the proof of substantially equivalent education  
credentials in this subrule before the applicant receives authorization from the department  
to take the NCLEX-RN examination. Information about the CES professional report and  
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CGFNS CP can be obtained from the CGFNS website at www.cgfns.org. Information  
about the Evaluation of Foreign Educational Credentials for Boards of Nursing from  
JS&A can be obtained from the JS&A website at https://www.jsilny.org/.  
(4) An applicant who did not pass the NCLEX-RN examination within 3 years after 1 of  
the following events is not eligible to repeat the NCLEX-RN examination until he or she  
receives a written certification of skills competency covering the subjects in subrule (5)  
of this rule, from a nurse education program approved pursuant to R 338.10303a:  
(a) Graduation from a board-approved registered nurse education program under  
subrule (2)(a) of this rule.  
(b) Satisfying the requirements of subrule 2(b) of this rule.  
(c) Obtaining 1 of the required evaluations or the certification in subrule (2)(c) of this  
rule.  
(5) A certification of skill competency must cover the following skills:  
(a) Head-to-toe physical assessment, including vital signs.  
(b) Medication administration.  
(c) Documentation.  
(d) Surgical asepsis and infection control.  
(e) Safety, including fall prevention, body mechanics, and transfers.  
(6) Upon written application and documentation to support the request to the board, an  
applicant may request an extension to the time requirement in subrule (4) of this rule to  
sit for the NCLEX-RN examination if the board finds the failure of the licensee to sit for  
the NCLEX-RN examination was due to the applicant’s disability, military service,  
absence from the continental United States, or a circumstance beyond the applicant’s  
control that the board considers good and sufficient.  
History: 1990 AACS; 1994 AACS; 1996 AACS; 2003 AACS; 2017 AACS; 2018 AACS; 2020 AACS;  
2022 MR 10, Eff. May 24, 2022.  
R 338.10206 Licensure by endorsement from another state or reciprocity from Canada;  
registered professional nurse; requirements.  
Rule 206. (1) An applicant who currently holds an active registered professional nurse  
license in good standing in another state and who has never been licensed as a registered  
professional nurse in this state may apply for a license by endorsement and is presumed  
to meet the requirements of section 16186 of the code, MCL 333.16186, if he or she  
meets the requirements of section 16174 of the code, MCL 333.16174; submits a  
completed application, on a form provided by the department, together with the requisite  
fee; and complies with all of the following requirements:  
(a) Completes a registered nurse education program that meets either of the following  
requirements:  
(i) The program is located in this state and is approved by the board.  
(ii) The program is located in another state of the United States and complies with  
either of the following:  
(A) The program is accredited by a nursing education accrediting agency listed in R  
338.10303d(2).  
(B) If the program is not accredited by a nursing education accrediting agency listed  
in R 338.10303d(2), the applicant shall provide all the following:  
Page 5  
(1) The applicant’s official transcripts.  
(2) A letter to the department from the program, on official program letterhead,  
signed by the director of nursing, attesting that the program curriculum complies with  
both of the following:  
(a) The registered nurse education program is not less than 60 weeks or more in  
duration and that includes courses providing theory and clinical practice that comply with  
R 338.10303d and R 338.10306 to R 338.10308.  
(b) The registered nurse education program curriculum contains the core  
curriculum as defined in R 338.10301(h).  
(b) Is currently licensed in good standing in another state and was initially licensed by  
taking the NCLEX-RN examination in another state.  
(c) Discloses each license, registration, or certification in a health profession or  
specialty issued by any other state, the United States military, the federal government, or  
another country on the application form.  
(d) Satisfies the requirements of section 16174(2) of the code, MCL 333.16174, which  
includes verification from the issuing entity showing that disciplinary proceedings are not  
pending against the applicant and sanctions are not in force at the time of application.  
(2) An applicant who currently holds an active professional nurse license in Canada who  
has never been licensed as a registered professional nurse in this state may apply for a  
license by reciprocity and is presumed to meet the requirements of section 16186 of the  
code, MCL 333.16186, if he or she meets the requirements of section 16174 of the code,  
MCL 333.16174, submits a completed application, on a form provided by the department,  
together with the requisite fee, and complies with all of the following:  
(a) Meets the requirements of section 16174 of the code, MCL 333.16174, and submit  
his or her fingerprints to the department of state police to have a criminal background  
check conducted by the department of state police and the Federal Bureau of  
Investigation (FBI).  
(b) Is currently licensed in good standing in Canada and was initially licensed by  
passing the NCLEX-RN or the Canadian Registered Nurse Examination before 2015.  
(c) Completes a nursing education program accredited by a nursing education  
accrediting agency listed in R 338.10303d(2) or by the Canadian Association of Schools  
of Nursing (CASN).  
(d) Discloses each license, registration, or certification in a health profession or  
specialty issued by any other state, the United States military, the federal government, or  
another country on the application form.  
(e) Satisfies the requirements of section 16174(2) of the code, MCL 333.16174, which  
includes verification from the issuing entity showing that disciplinary proceedings are not  
pending against the applicant and sanctions are not in force at the time of application.  
History: 1990 AACS; 1994 AACS; 1996 AACS; 2003 AACS; 2017 AACS; 2020 AACS; 2022 MR 10,  
Eff. May 24, 2022.  
R 338.10207 Lapsed registered professional nurse license; relicensure  
requirements.  
Rule 207. (1) An applicant for relicensure whose registered professional nurse license  
has lapsed in this state, under section 16201(3) or (4) of the code, MCL 333.16201, as  
Page 6  
applicable, may be relicensed by complying with the following requirements as noted by  
(√):  
(a) For a registered professional nurse who has let his Lapsed  
Lapsed  
Lapsed  
or her license lapse in this state and who is not  
currently licensed in another state or a Canadian  
province:  
0-3  
Years  
more than 3 7 or  
years, but  
less than 7  
years  
more  
years  
(i) Application and fee: Submit a completed  
application on a form provided by the department,  
together with the requisite fee.  
(ii) Establish that he or she is of good moral  
character as defined in, and determined under, 1974  
PA 381, MCL 338.41 to 338.47.  
(iii) Submit fingerprints as required under section  
16174(3) of the code, MCL 333.16174.  
(iv) Continuing education: Submit proof of having  
completed 25 hours of continuing education in  
courses and programs approved by the board,  
including not less than 2 hours in pain and symptom  
management, all of which were earned within the 2-  
year period immediately before the date of the  
application for relicensure. However, if the  
continuing education hours submitted with the  
application are deficient, the applicant has 2 years  
from the date of the application to complete the  
deficient hours. The application must be held and the  
license must not be issued until the continuing  
education requirements have been met.  
(v) Continuing education: Submit proof of having  
completed 25 hours of continuing education in  
courses and programs approved by the board,  
including not less than 2 hours in pain and symptom  
management, with a minimum of 3 hours in each of  
the following areas, all of which were earned within  
the 2-year period immediately before the date of the  
application for relicensure:  
(A) Safe documentation for nurses.  
(B) Critical thinking skills for nurses.  
(C) Pharmacology.  
(D) Preventing medication errors.  
(E) Professional and legal accountability for nurses.  
(F) Delegation.  
However, if the continuing education hours  
submitted with the application are deficient, the  
applicant has 2 years from the date of the application  
Page 7  
to complete the deficient hours. The application must  
be held and the license must not be issued until the  
continuing education requirements have been met.  
(vi) Certification of skill competency: Within 3  
years immediately before the application for  
relicensure, receive written certification of skill  
competency from a nurse education program  
approved pursuant to R 338.10303a. Certification of  
competency must cover the following skills utilizing  
nursing process:  
(A) Head-to-toe physical assessment, including  
vital signs.  
(B) Medication administration.  
(C) Documentation.  
(D) Surgical asepsis and infection control.  
(E) Safety, including fall prevention, body  
mechanics, and transfers.  
(vii) NCLEX-RN Examination: Within 2 years  
immediately after approval of the application for  
relicensure, retake and pass the NCLEX-RN  
examination.  
(viii) An applicant who is or has ever been licensed,  
registered, or certified in a health profession or  
specialty by any other state, the United States  
military, the federal government, or another country,  
shall do both of the following:  
(A) Disclose each license, registration, or  
certification on the application form.  
(B) Satisfy the requirements of section 16174(2)  
of the code, MCL 333.16174, which include  
verification from the issuing entity showing that  
disciplinary proceedings are not pending against the  
applicant and sanctions are not in force at the time of  
application.  
(b) For a registered professional nurse who has let  
his or her license lapse in this state, but who holds a  
current and valid registered professional nurse  
license in good standing in another state or a  
Canadian province:  
Lapsed  
0-3  
Years  
Lapsed  
more than 3 7 or  
years, but  
less than 7  
years  
Lapsed  
more  
years  
(i) Application and fee: Submit a completed  
application on a form provided by the department,  
together with the requisite fee.  
(ii) Establish that he or she is of good moral  
character as defined in, and determined under, 1974  
Page 8  
PA 381, MCL 338.41 to 338.47.  
(iii) Submit fingerprints as required under section  
16174(3) of the code, MCL 333.16174.  
(iv) Continuing education: Submit proof of  
completion of 25 hours of continuing education,  
including not less than 2 hours in pain and symptom  
management, earned within the 2-year period  
immediately before the date of the application for  
relicensure. However, if the continuing education  
hours submitted with the application are deficient,  
the applicant has 2 years from the date of the  
application to complete the deficient hours. The  
application must be held and the license must not be  
issued until the continuing education requirements  
have been met.  
(v) An applicant who is or has ever been licensed,  
registered, or certified in a health profession or  
specialty by any other state, the United States  
military, the federal government, or another country,  
shall do both of the following:  
(A) Disclose each license, registration, or  
certification on the application form.  
(B) Satisfy the requirements of section 16174(2) of  
the code, MCL 333.16174, which includes  
verification from the issuing entity showing that  
disciplinary proceedings are not pending against the  
applicant and sanctions are not in force at the time of  
application.  
(2) If relicensure is granted and it is determined that a sanction has been imposed by  
another state, the United States military, the federal government, or another country, the  
disciplinary subcommittee may impose appropriate sanctions under section 16174(5) of  
the code, MCL 333.16174.  
History: 2017 AACS; 2018 AACS; 2020 MR 7, Eff. April 6, 2020; 2022 MR 10, Eff. May 24, 2022.  
R 338.10208 Graduate from registered professional nurse education program  
outside of the United States or Canada; licensure requirements.  
Rule 208. (1) An applicant for a registered nurse license who graduated from a  
registered professional nurse education program from a country outside of the United  
States or Canada, shall submit a completed application on a form provided by the  
department, together with the requisite fee, and comply with the following requirements:  
(a) Meets section 16174 of the code, MCL 333.16174, and submit his or her  
fingerprints to the department of state police to have a criminal background check  
conducted by the department of state police and the FBI.  
Page 9  
(b) If the applicant has not passed the NCLEX-RN examination, the applicant shall  
establish that he or she meets the eligibility requirements to sit for the NCLEX-RN  
examination set forth in R 338.10204 and must pass the NCLEX-RN examination.  
(c) Except as provided in subrule (2) of this rule, if the applicant is a graduate of a  
registered professional nurse education program that is located outside of the United  
States or Canada, has passed the NCLEX-RN examination, and is not licensed in another  
state or is licensed in another state for less than 5 years, he or she shall submit 1 of the  
following to the department that shows he or she graduated from a program with  
substantially equivalent education credentials as a program approved by the board:  
(i) A CES professional report from the CGFNS or its successor agency.  
(ii) A certification from the CGFNS CP or its successor agency.  
(iii) An Evaluation of Foreign Educational Credentials for Boards of Nursing from  
JS&A.  
(d) Discloses each license, registration, or certification in a health profession or  
specialty issued by any other state, the United States military, the federal government, or  
another country on the application form.  
(e) Satisfies the requirements of section 16174(2) of the code, MCL 333.16174, which  
include verification from the issuing entity showing that disciplinary proceedings are not  
pending against the applicant and sanctions are not in force at the time of application.  
(2) Pursuant to section 17213(2) of the code, MCL 333.177213, if the applicant is a  
graduate of a registered professional nurse education program, that is located outside of  
the United States or Canada, he or she is exempt from obtaining an evaluation or  
certification of his or her educational credentials as required in subrule (1)(c) of this rule  
if he or she meets both of the following requirements:  
(a) The applicant has passed the NCLEX-RN examination.  
(b) The applicant has maintained an active license in good standing with no  
disciplinary sanctions in the United States for 5 years or more immediately before the  
application for a license in this state.  
History: 2017 AACS; 2018 AACS; 2022 MR 10, Eff. May 24, 2022.  
R 338.10208a Graduate from registered professional nurse education program in  
Canada; licensure requirements.  
Rule 208a. An applicant for a registered nurse license in this state, who graduated from  
a registered professional nurse education program in Canada, and is not licensed in  
Canada, shall submit a completed application on a form provided by the department,  
together with the requisite fee, and comply with the following requirements:  
(a) Meet section 16174 of the code, MCL 333.16174, and submit his or her  
fingerprints to the department of state police to have a criminal background check  
conducted by the department of state police and the FBI.  
(b) If the applicant has not passed the NCLEX-RN examination, the applicant shall  
establish that he or she meets the eligibility requirements to sit for the NCLEX-RN  
examination set forth in R 338.10204 and shall pass the NCLEX-RN examination.  
(c) If the applicant has passed the NCLEX-RN examination, the applicant shall submit  
1 of the following to the department that shows he or she graduated from a program with  
substantially equivalent education credentials as a program approved by the board:  
Page 10  
(i) Proof of program accreditation by the Canadian Association of Schools of  
Nursing.  
(ii) A CES professional report from the Commission on CGFNS or its successor  
agency.  
(iii) A certification from the CGFNS CP or its successor agency.  
(iv) An Evaluation of Foreign Educational Credentials for Boards of Nursing from  
JS&A.  
(d) Disclose each license, registration, or certification in a health profession or  
specialty issued by any other state, the United States military, the federal government, or  
another country on the application form.  
(e) Satisfy the requirements of section 16174(2) of the code, MCL 333.16174, which  
includes verification from the issuing entity showing that disciplinary proceedings are not  
pending against the applicant and sanctions are not in force at the time of application.  
History: 2022 MR 10, Eff. May 24, 2022.  
R 338.10209 Licensure by examination; licensed practical nurse; requirements.  
Rule 209. (1) An applicant for licensure by examination shall submit a completed  
application on a form provided by the department, together with the requisite fee. In  
addition to meeting the other requirements of the code and the administrative rules  
promulgated pursuant to the code, an applicant shall satisfy the requirements of this rule.  
(2) An applicant for a licensed practical nurse license shall establish that he or she  
meets the eligibility requirements to sit for the NCLEX-PN examination set forth in R  
338.10210 and shall pass the NCLEX-PN examination.  
(3) An applicant for licensure shall comply with section 16174(3) of the code, MCL  
333.16174(3), and submit his or her fingerprints to the department of state police to have  
a criminal history check conducted by the state police and the federal bureau of  
investigation.  
History: 2017 AACS; 2018 AACS.  
R 338.10210 Examinations; licensed practical nurse; eligibility; reexaminations.  
Rule 210. (1) To determine eligibility for the NCLEX-PN examination, an applicant  
shall submit a completed application on forms provided by the department, together with  
the requisite fee.  
(2) To be eligible to take the NCLEX-PN examination, an applicant shall establish that  
he or she has successfully completed a licensed practical nurse education program that  
satisfies 1 of the following:  
(a) The applicant has successfully completed a practical nurse education program that  
is located in this state and is approved by the board.  
(b) The applicant has successfully completed a practical nurse education program that  
is located in another state of the United States and that program complies with either of  
the following:  
(i) The program is accredited by a nursing education accrediting agency listed in R  
338.10303d(2).  
Page 11  
(ii) If the program is not accredited by a nursing education accrediting agency listed  
in R 338.10303(d)(2), the applicant must provide all the following:  
(A) The applicant’s official transcripts from the academic institution where the  
nursing education program was completed.  
(B) A letter to the department from the program, on official program letterhead,  
signed by the director of nursing, attesting that the program curriculum complies with  
both of the following:  
(1) The practical nursing education program is not less than 40 weeks in duration  
and includes courses in both theory and clinical practice that comply with R 338.10303d,  
R 338.10306, R 338.10307, and R 338.10309.  
(2) The practical nursing education program curriculum contains the core  
curriculum as defined in R 338.10301(g).  
(c) The applicant is a graduate of a practical nurse education program or an equivalent  
education program that is outside the United States and the applicant submits 1 of the  
following to the department that shows he or she graduated from a program with  
substantially equivalent education credentials as a program approved by the board:  
(i) A CES professional report from the CGFNS, or its successor agency.  
(ii) An Evaluation of Foreign Educational Credentials for Boards of Nursing from  
JS&A.  
(iii) A certification from the National Association of Credential Evaluation Services  
(NACES), or its successor agency.  
(d) The applicant has completed a registered nurse education program and requests to  
sit for the NCLEX-PN examination. The applicant shall comply with both of the  
following:  
(i) The applicant has completed a registered nurse education program that meets the  
requirements of R 338.10204(2).  
(ii) The applicant is certified to take the NCLEX-PN examination by a practical nurse  
program from the same institution as the registered nurse education program that has  
been approved by the board pursuant to subdivision (a) of this subrule.  
(3) The department shall evaluate the proof of substantially equivalent education  
credentials in subrule (2)(c) of this rule before the applicant receives authorization from  
the department to take the NCLEX-PN examination. Information about the CES  
professional report can be obtained from the CGFNS website at www.cgfns.org.  
Information about the Evaluation of Foreign Educational Credentials for Boards of  
Nursing from JS&A can be obtained from the JS&A website at https://www.jsilny.org/.  
A list of NACES approved credentialing agencies can be found on its website at  
(4) An applicant who did not pass the NCLEX-PN examination within 3 years after 1 of  
the following events is not eligible to repeat the NCLEX-PN examination until he or she  
receives a written certification of skills competency covering the subjects in subrule (5)  
of this rule, from a nurse education program approved pursuant to R 338.10303a:  
(a) Graduation from a board-approved practical nurse education program under subrule  
(2)(a) of this subrule or meet the requirements of subrule (2)(b) of this rule.  
(b) Graduation from a board approved registered nurse education program under  
subrule (2)(d) of this rule.  
Page 12  
(c) Obtaining 1 of the required evaluations or certifications in subrule (2)(c) of this  
rule.  
(5) Certification of skills competency must cover the following skills:  
(a) Head-to-toe physical assessment, including vital signs.  
(b) Medication administration.  
(c) Documentation.  
(d) Surgical asepsis and infection control.  
(e) Safety, including fall prevention, body mechanics, and transfers.  
(6) Upon written application and documentation to support the request to the board, an  
applicant may request an extension to the time requirements in subrule (4) of this rule to  
sit for the NCLEX-PN examination if the board finds the failure of the licensee to sit for  
the NCLEX-PN examination was due to the applicant’s disability, military service,  
absence from the continental United States, or a circumstance beyond his or her control  
which the board considers good and sufficient.  
History: 2017 AACS; 2018 AACS; 2020 AACS; 2022 MR 10, Eff. May 24, 2022.  
R 338.10211 Licensure by endorsement from another state; licensure by reciprocity  
from Canada; licensed practical nurse; requirements.  
Rule 211. (1) An applicant who currently holds an active practical nurse license in good  
standing from another state and who has never been licensed as a practical nurse in this  
state may apply for a license by endorsement and is presumed to meet the requirements  
of section 16186 of the code, MCL 333.16186, if he or she meets the requirements of  
section 16174 of the code, MCL 333.16174; submits a completed application, on a form  
provided by the department, together with the requisite fee; and complies with all of the  
following:  
(a) Completes a practical nurse education program that meets either of the following  
requirements:  
(i) The program is located in this state and is approved by the board.  
(ii) The program is located in another state of the United States and the program  
complies with either of the following:  
(A) The program is accredited by a nursing education accrediting agency listed in R  
338.10303d(2).  
(B) If the program is not accredited by a nursing education accrediting agency listed  
in R 338.10303(d)(2), the applicant shall provide all of the following:  
(1) The applicant’s official transcripts.  
(2) A letter to the department on official program letterhead, signed by the  
director of nursing, attesting that the program curriculum complies with both of the  
following:  
(a) The practical nursing education program is not less than 40 weeks in duration  
and includes courses in both theory and clinical practice that comply with R 338.10303d,  
R 338.103036, R 338.10307, and R 338.10309.  
(b) The practical nursing education program curriculum contains the core  
curriculum as defined in R 338.10301(g).  
Page 13  
(b) Is licensed in good standing in another state and was initially licensed by taking the  
NCLEX-PN examination in another state.  
(c) Discloses each license, registration, or certification in a health profession or  
specialty issued by any other state, the United States military, the federal government, or  
another country on the application form.  
(d) Satisfies the requirements of section 16174(2) of the code, MCL 333.16174, which  
include verification from the issuing entity showing that disciplinary proceedings are not  
pending against the applicant and sanctions are not in force at the time of application.  
(2) An applicant who currently holds an active practical nurse license in Canada who  
has never been licensed as a practical nurse in this state may apply for a license by  
reciprocity and is presumed to meet the requirements of section 16186 of the code, MCL  
333.16186, if he or she meets the requirements of section 16174 of the code, MCL  
333.16174, submits a completed application, on a form provided by the department,  
together with the requisite fee, and complies with all of the following:  
(a) Meets section 16174 of the code, MCL 333.16174, and submits his or her  
fingerprints to the department of state police to have a criminal background check  
conducted by the department of state police and the FBI.  
(b) Is currently licensed in good standing in Canada and was initially licensed by  
passing the NCLEX-PN or the Practical Nurse Registration Examination.  
(c) Completes a nursing education program accredited by a nursing education  
accrediting agency listed in R 338.10303d(2) or by the CASN.  
(d) Disclose each license, registration, or certification in a health profession or  
specialty issued by any other state, the United States military, the federal government, or  
another country on the application form.  
(e) Satisfy the requirements of section 16174(2) of the code, MCL 333.16174, which  
includes verification from the issuing entity showing that disciplinary proceedings are not  
pending against the applicant and sanctions are not in force at the time of application.  
History: 2017 AACS; 2020 AACS; 2022 MR 10, Eff. May 24, 2022.  
R 338.10212 Graduate of nurse education program outside of the United States and  
Canada; licensure requirements.  
Rule 212. (1) An applicant for a practical nurse license who graduated from a nurse  
education program from a country outside of the United States or Canada, shall submit a  
completed application on a form provided by the department, together with the requisite  
fee, and comply with the following requirements:  
(a) Meet section 16174 of the code, MCL 333.16174, and submit his or her  
fingerprints to the department of state police to have a criminal background check  
conducted by the department of state police and the FBI.  
(b) If the applicant has not passed the NCLEX-PN examination, the applicant shall  
establish that he or she meets the eligibility requirements to sit for the NCLEX-PN  
examination set forth in R 338.10210 and shall pass the NCLEX-PN examination.  
(c) Except as provided in subrule (2) of this rule, if the applicant is a graduate of a  
licensed practical nurse education program that is located outside of the United States, or  
Canada, has passed the NCLEX-PN examination, and is not licensed in another state or is  
licensed in another state for less than 5 years, the applicant shall submit 1 of the  
Page 14  
following to the department that shows he or she graduated from a program with  
substantially equivalent education credentials as a program approved by the board:  
(i) A CES professional report from the CGFNS, or its successor agency.  
(ii) An Evaluation of Foreign Educational Credentials for Boards of Nursing from  
JS&A.  
(iii) A certification from the NACES or its successor agency.  
(d) Disclose each license, registration, or certification in a health profession or specialty  
issued by any other state, the United States military, the federal government, or another  
country on the application form.  
(e) Satisfy the requirements of section 16174(2) of the code, MCL 333.16174, which  
include verification from the issuing entity showing that disciplinary proceedings are not  
pending against the applicant and sanctions are not in force at the time of application.  
(2) If the applicant is a graduate of a licensed practical nurse education program that is  
located outside of the United States or Canada, the applicant is exempt from obtaining an  
evaluation or certification as required in subrule (1)(c) of this rule if he or she meets both  
of the following requirements:  
(a) The applicant has passed the NCLEX-PN examination.  
(b) The applicant has maintained an active license in good standing with no  
disciplinary sanctions in this country for 5 years or more immediately before the  
application for a license in this state.  
History: 2017 AACS; 2018 AACS; 2022 MR 10, Eff. May 24, 2022.  
R 338.10212a Graduate from practical nurse education program in Canada;  
licensure requirements.  
Rule 212a. An applicant for a practical nurse license who graduated from a practical  
nurse education program in Canada, and is not licensed in Canada, shall submit a  
completed application on a form provided by the department, together with the requisite  
fee, and comply with the following requirements:  
(a) Meet section 16174 of the code, MCL 333.16174, and submit his or her  
fingerprints to the department of state police to have a criminal background check  
conducted by the department of state police and the FBI.  
(b) If the applicant has not passed the NCLEX-PN examination approved by the  
board, the applicant shall establish that he or she meets the eligibility requirements to sit  
for the NCLEX-PN examination set forth in R 338.10210 and shall pass the NCLEX-PN  
examination.  
(c) If the applicant has passed the NCLEX-PN examination, the applicant shall submit  
1 of the following to the department that shows he or she graduated from a program with  
substantially equivalent education credentials as a program approved by the board:  
(i) Proof of program accreditation by the College of Nurses of Ontario.  
(ii) A CES professional report from the CGFNS, or its successor agency.  
(iii) An Evaluation of Foreign Educational Credentials for Boards of Nursing from  
JS&A.  
(iv) A certification from the NACES or its successor agency.  
Page 15  
(d) Disclose each license, registration, or certification in a health profession or  
specialty issued by any other state, the United States military, the federal government, or  
another country on the application form.  
(e) Satisfy the requirements of section 16174(2) of the code, MCL 333.16174, which  
includes verification from the issuing entity showing that disciplinary proceedings are not  
pending against the applicant and sanctions are not in force at the time of application.  
History: 2022 MR 10, Eff. May 24, 2022.  
R 338.10213 Lapsed licensed practical nurse license; relicensure requirements.  
Rule 213. (1) An applicant for relicensure whose licensed practical nurse license in  
this state has lapsed under section 16201(3) or (4) of the code, MCL 333.16201, may be  
relicensed by complying with the following requirements as noted by (√):  
(a) For a licensed practical nurse who has let his or  
Lapsed  
Lapsed  
Lapsed  
her licensed practical nurse license in this state lapse 0-3  
and who is not currently licensed in another state or Years  
a Canadian province:  
more than 3 7 or  
years, but  
less than 7  
years  
more  
years  
(i) Application and fee: Submit a completed  
application on a form provided by the department,  
together with the requisite fee.  
(ii) Establish that he or she is of good moral  
character as defined in, and determined under, 1974  
PA 381, MCL 338.41 to 338.47.  
(iii) Submit fingerprints as set forth in section  
16174(3) of the code, MCL 333.16174.  
(iv) Continuing education: Submit proof of having  
completed 25 hours of continuing education in  
courses and programs approved by the board,  
including not less than 2 hours in pain and  
symptom management, all of which were earned  
within the 2-year period immediately before the  
application for relicensure.  
(v) Continuing education: Submit proof of having  
completed 25 hours of continuing education in  
courses and programs approved by the board,  
including not less than 2 hours in pain and  
symptom management, with a minimum of 3 hours  
in each of the following areas, all of which were  
earned within the 2-year period immediately before  
the application for relicensure:  
(A) Safe documentation for nurses.  
(B) Critical thinking skills for nurses.  
(C) Pharmacology.  
Page 16  
(D) Preventing medication errors.  
(E) Professional and legal accountability for  
nurses.  
(vi) Certification of skill competency: Within 3  
years immediately before the application for  
relicensure, receive written certification of skill  
competency from a nurse education program  
approved pursuant to R 338.10303a. Certification of  
competency must cover the following skills:  
(A) Head-to-toe physical assessment, including  
vital signs.  
(B) Medication administration.  
(C) Documentation.  
(D) Surgical asepsis and infection control.  
(E) Safety, including fall prevention, body  
mechanics, and transfers.  
(vii) NCLEX-PN Examination: Within 2 years  
immediately after approval of the application for  
relicensure, retake and pass the NCLEX-PN  
examination.  
(viii) An applicant who is or has ever been licensed,  
registered, or certified in a health profession or  
specialty by any other state, the United States  
military, the federal government, or another country,  
shall do both of the following:  
(A) Disclose each license, registration, or  
certification on the application form.  
(B) Satisfy the requirements of section 16174(2)  
of the code, MCL 333.16174, which includes  
verification from the issuing entity showing that  
disciplinary proceedings are not pending against the  
applicant and sanctions are not in force at the time of  
application.  
(b) For a licensed practical nurse who has let his or  
Lapsed  
Lapsed  
Lapsed  
her license in this state lapse, but who holds a current 0-3  
more than 3 7 or  
and valid licensed practical nurse license in good  
standing in another state or a Canadian province:  
Years  
years, but  
less than 7  
years  
more  
years  
(i) Application and fee: Submit a completed  
application on a form provided by the department,  
together with the requisite fee.  
(ii) Establish that he or she is of good moral  
character as defined in, and determined under, 1974  
PA 381, MCL 338.41 to 338.47.  
(iii) Submit fingerprints as set forth in section  
Page 17  
16174(3) of the code, MCL 333.16174.  
(iv) Continuing education: Submit proof of  
completion of 25 hours of continuing education,  
including not less than 2 hours in pain and symptom  
management, all of which was earned within the 2-  
year period immediately before the application for  
relicensure.  
(v) An applicant who is or has ever been licensed,  
registered, or certified in a health profession or  
specialty by any other state, the United States  
military, the federal government, or another country,  
shall do both of the following:  
(A) Disclose each license, registration, or  
certification on the application form.  
(B) Satisfy the requirements of section 16174(2)  
of the code, MCL 333.16174, which includes  
verification from the issuing entity showing that  
disciplinary proceedings are not pending against the  
applicant and sanctions are not in force at the time of  
application.  
(2) If relicensure is granted and it is determined that a sanction has been imposed by  
another state, the United States military, the federal government, or another country, the  
disciplinary subcommittee may impose appropriate sanctions under section 16174(5) of  
the code, MCL 333.16174.  
History: 2017 AACS; 2018 AACS; 2022 MR 10, Eff. May 24, 2022.  
R 338.10299 Rescission.  
Rule 299. R 338.1201 to R 338.1235 of the Michigan Administrative Code, appearing  
on pages 2479 to 2482 of the 1979 Michigan Administrative Code, are rescinded.  
History: 1990 AACS.  
PART 3. NURSING EDUCATION PROGRAMS  
R 338.10301 Definitions.  
Rule 301. As used in this part:  
(a) “Capstone course” means a clinical experience completed in the final year of the  
nursing education program that synthesizes the cognitive, affective, and psychomotor  
skills acquired throughout the program to prepare the student for professional nursing  
practice.  
(b) "Clinical experience" means direct nursing care experiences with patients or clients  
that offer students the opportunity to integrate, apply, and refine specific skills and  
Page 18  
abilities that are based on theoretical concepts and scientific principles. Clinical  
experience may include simulated nursing experiences.  
(c) "Clinical laboratory hours" means those hours of the curriculum that are assigned to  
laboratory practice, basic skills training, and observational experiences that offer the  
student the opportunity to meet educational outcomes.  
(d) “Cohort” means a group of students admitted in the same academic semester or term  
with the intention of completing the nursing program at the same graduation date. Cohort  
includes students who transfer into the program at the same academic level.  
(e) “Conceptual framework” means the distinct, systematic organization of concepts and  
planned student outcomes of the program that are consistent with relevant professional  
nursing standards and the mission, goals, philosophy, and purposes of the sponsoring  
institution, and which gives direction to the curriculum.  
(f) “Cooperating agency” means an individual, organization, or institution that, by  
written agreement or letter of intent, accepts students and faculty for nursing educational  
experiences.  
(g) “Core curriculum for licensed practical nurse applicants” means courses in didactic  
instruction and planned clinical experience, which encompass the LPN scope of practice,  
in each of the following areas of nursing:  
(i) Adult health nursing, which must consist of the study of nursing care throughout the  
adult lifespan; providing care for the acute and chronic phases of a medical illness; health  
promotion; and disease prevention.  
(ii) Maternal and reproductive nursing, which must consist of the study of nursing care  
for women and their families in the gynecological, antepartum, labor and delivery, and  
postpartum phases of pregnancy, and includes the care of the newborn infant.  
(iii) Children’s nursing, which must consist of the study of nursing care for children  
whose ages range from birth through adolescence and who are receiving nursing care for  
both medical and surgical reasons.  
(iv) Surgical nursing, which must consist of the study of nursing care throughout the  
adult lifespan, providing care before, during, and after a surgical procedure, health  
promotion, and disease prevention.  
(h) “Core curriculum for registered professional nurse applicants” means didactic  
instruction and planned clinical experience, which encompass the RN scope of practice,  
in each of the following areas of nursing:  
(i) Adult health nursing, which must consist of the study of nursing care throughout the  
adult lifespan; providing care for the acute or chronic phases of a medical illness; health  
promotion; and disease prevention.  
(ii) Maternal and reproductive nursing, which must consist of the study of nursing care  
for women and their families in the gynecological, antepartum, labor and delivery, and  
postpartum phases of pregnancy, and includes the care of the newborn infant.  
(iii) Children’s nursing, which must consist of the study of nursing care for children  
whose ages range from birth through adolescence and who are receiving nursing care for  
both medical and surgical reasons.  
(iv) Psychiatric/mental health nursing, which must consist of the study of nursing care  
of individuals with an acute or chronic mental health or psychiatric disorder.  
Page 19  
(v) Surgical nursing, which must consist of the study of nursing care throughout an adult  
lifespan, providing care before, during, and after a surgical procedure, health promotion,  
and disease prevention.  
(i) “Course student learning outcomes” means statements of educational expectations  
written in measurable terms for the knowledge, skills, or behaviors students shall  
demonstrate by the end of the course. The statements must reflect contemporary  
evidence-based nursing practice and enhance achievement of end of program student  
learning outcomes.  
(j) “Curriculum” means implementation of appropriate learning experiences that  
accomplish measurable course and program outcomes, which incorporate the nursing  
program’s purpose, philosophy, and conceptual framework of the nursing program  
through the systematic arrangement of courses. This includes outcomes stated in  
measurable terms and accomplished through appropriate learning experiences planned for  
a clearly defined group of students and extending over a defined period of time  
depending on the type of nursing education program. Systematic and ongoing evaluation  
within the context of measurable outcomes is inherent in the curriculum.  
(k) “End of program student learning outcomes” means statements of educational  
expectations written in measurable terms for the knowledge, skills, or behaviors students  
shall demonstrate by the end of the program. The statements must reflect professional  
standards, guidelines, contemporary nursing practice, guide the curriculum, and increase  
in complexity as students progress through the curriculum.  
(l) “Final program approval report” means a self-study done after the graduation of the  
second cohort and before the graduation of the fourth cohort that is submitted to the  
board when the program is seeking full program approval.  
(m) “Full program approval” means approval of a program granted after satisfactory  
demonstration to the board of compliance with these rules.  
(n) “Initial approval” means approval that is granted by the board to inaugurate a  
program of nursing education.  
(o) “Instruction” means educational methodology for achieving curriculum outcomes.  
(p) “Learning experiences” means planned learning situations, which may include  
clinical experiences, clinical laboratory hours, or classroom instruction.  
(q) “National accreditation” means a self-regulatory process that meets or exceeds  
educational quality standards and criteria set forth by a national nursing accreditation  
organization.  
(r) “Nurse education consultant” means a nurse with expertise in curriculum  
development and nursing program administration or education that independently  
examines a nursing program under disciplinary review.  
(s) “Nursing education program report” means a report completed and submitted  
between the self-study submissions. It provides the board with information as to the  
program’s admissions, attrition, courses, clinical experience, faculty program evaluation,  
and outcomes and is submitted as follows:  
(i) For programs that have received initial approval pursuant to R 338.10303, the report  
must be submitted each year during the program approval phase.  
(ii) For programs that have received full approval pursuant to R 338.10303a, the report  
must be completed and submitted at the halfway point between the self-study  
submissions.  
Page 20  
(t) “Nurse site reviewer” means a nurse with expertise in curriculum development and  
nursing program administration or education that independently examines a nursing  
program applying for program approval.  
(u) “Nursing process” means the ongoing assessment, analysis, nursing diagnosis,  
planning, implementation, and evaluation of nursing care.  
(v) “Observational experience” means a planned learning situation that is not direct  
patient care, does not require intervention by the student, meets preplanned stated  
outcomes, and provides for student evaluation.  
(w) “Philosophy” means the stated beliefs of faculty about nursing education and  
practice that determine the design of the curriculum and the evaluation of the program  
and that are consistent with the educational philosophy of the sponsoring agency.  
(x) “Practical nurse program” means a nursing program to prepare students for practical  
nurse licensure.  
(y) “Preceptor” means an experienced nurse, paired in a 1-to-1 relationship with a  
nursing student, who actively participates in the education, mentoring, and evaluation of  
the nursing student in a clinical setting.  
(z) “Probationary status” means the period when a program is under disciplinary action  
by the board.  
(aa) “Program director” means a nurse who is delegated the authority and accountability  
for the nursing program by the sponsoring agency.  
(bb) “Program of nursing education” means a plan or design indicating the relationship  
of the components necessary to achieve the goal of preparing persons for licensure as  
registered or practical nurses under the code.  
(cc) “Program outcomes” means documented and measurable indicators that reflect the  
program’s overall effectiveness.  
(dd) “Registered professional nurse program” means a nursing program to prepare  
students for initial registered nurse licensure.  
(ee) “Self-study report” means an in-depth written review of all aspects of a nursing  
education program that contains evidence of the program’s compliance with all the  
requirements of these rules.  
(ff) “Simulation laboratory” means activities that replicate patient care scenarios and are  
designed to foster clinical decision-making and critical thinking. Scenarios may include  
the use of medium or high-fidelity mannequins, standardized patients, role playing, skills  
stations, and computer-based critical thinking simulations.  
(gg) “Site visit” means a physical inspection of an institution and all the components of  
its program of nursing education for the purpose of determining compliance with the  
requirements of this part.  
(hh) “Sponsoring agency” means the organization or institution of which the nursing  
program is a component.  
History: 1989 AACS; 2003 AACS; 2017 AACS; 2018 AACS; 2020 AACS; 2022 MR 10, Eff. May 24,  
2022.  
R 338.10302 Rescinded.  
History: 1989 AACS; 2017 AACS.  
Page 21  
R 338.10303 Initial program approval; procedure.  
Rule 303. The following requirements are established for initial approval of a program  
of nursing education:  
(a) The sponsoring agency shall submit all of the following to the board:  
(i) A letter of intent to initiate a program of nursing education.  
(ii) A feasibility study that clearly demonstrates all of the following, with supporting  
documentation relative to the proposed program location:  
(A) Need for the program.  
(B) Need for graduates of the proposed program.  
(C) Availability of students.  
(D) Impact on all existing nursing education programs in a 50-mile radius of the  
proposed program.  
(E) Ability of proposed clinical education sites to provide students with clinical  
experiences that meet course outcomes, provide students the opportunity to practice skills  
with individuals or groups across the life span and meet the requirements of R  
338.10307(5), (6), (7), and (8). Evidence must also include documentation of the effect  
on other schools utilizing the proposed clinical facilities and letters of intent from the  
proposed clinical education sites, signed by the chief nursing officer, or an equivalent  
position, outlining the plan to accommodate all of the sponsoring agency’s students.  
(iii) Evidence that the mission of the sponsoring agency is consistent with the  
philosophy and purpose of a program to prepare students for the practice of nursing as  
defined in section 17201(1)(c) of the code, MCL 333.17201.  
(iv) Evidence that the sponsoring agency will provide funding and other support for the  
nursing education program that meets all of the following requirements:  
(A) A 5-year budget in which the first 2 years of the budget do not include tuition and  
the remaining 3 years of the budget includes tuition.  
(B) A financial statement prepared by an independent certified public accountant or  
auditor, a bank line of credit, or a surety bond that equals the total tuition for all students  
who have been enrolled for 2 years.  
(C) Submission of evidence that the sponsoring agency will provide appropriate  
physical facilities and other support services for the nursing education program, in  
conjunction with other departments in the sponsoring agency, including faculty,  
administration, and student participation in governance of the sponsoring agency, a  
grievance or complaint process, counseling, academic advising, career placement,  
financial aid, and learning resource centers or library.  
(v) Evidence of approval to provide financial aid for students, under Title IV of the  
Higher Education Act of 1965, 20 USC 1070 to 1099d.  
(vi) A sponsoring agency that is an institution requiring approval from the  
department’s proprietary schools unit, or its successor agency, to conduct a nursing  
education program or to confer a particular degree or certificate upon the graduates of the  
program shall submit to the board a copy of the approval. A proprietary school shall  
possess a state-issued license, be in operation for 2 years, offer health-related courses,  
and demonstrate student success by certifying that NCLEX exam results meet or exceed  
state or national averages.  
Page 22  
(vii) Proposed number of students to be enrolled in the program annually, the number  
of times that enrollment periods will be held per year, and the dates when enrollment  
periods will be held annually.  
(viii) Proposed first date of admission of students to the nursing sequence of the  
program.  
(ix) Plans to recruit and employ a program director and other faculty members  
sufficiently in advance of admitting students to the nursing sequence to ensure  
consistency in the planning and implementation of the curriculum. If already appointed,  
the names and qualifications of the director of the program and other faculty members  
must be provided.  
(x) The sponsoring agency shall provide evidence of a tuition policy in which students  
pay as they proceed through the program either by semesters, terms, units, or other time  
frame as specified by the sponsoring agency. The sponsoring agency shall also provide  
evidence of a refund policy that adheres to the refund policies of applicable state, federal,  
and accrediting agencies.  
(xi) Evidence that students possess the necessary prerequisite education before  
admissions to the program. The program shall not be the provider of the prerequisite  
education, unless it is a state-approved higher educational institution or has the approval  
of the state to offer prerequisite courses.  
(xii) A student contract or enrollment application that outlines the nursing education  
program’s admission requirements, a tuition refund policy that complies with paragraph  
(x) of this subdivision, a withdrawal and failure policy, and academic progression and  
program completion requirements.  
(xiii) History of sponsoring agency.  
(b) Following initial approval from the board and before admitting the first cohort, the  
program director shall submit a self-study report to be approved by the board. The report  
must set forth evidence of plans for and compliance with the following:  
(i) History of sponsoring agency.  
(ii) Philosophy.  
(iii) Conceptual framework.  
(iv) Curriculum to include end of program student learning outcomes and course  
student learning outcomes.  
(v) Course descriptions and outlines.  
(vi) Signed clinical contracts or letters of commitment for clinical placements.  
(vii) Evaluation methods and tools.  
(viii) Program outcomes.  
(ix) Director and faculty credentials.  
(x) Student policies and support services.  
(c) The board shall require a site visit to the program by a board-approved nurse site  
reviewer. The report of the site visit must be prepared by the nurse site reviewer and  
provided to the board and the sponsoring agency.  
(d) After the first cohort has been admitted and during the initial approval period, the  
program director shall submit an annual nursing education program report to the board.  
The nursing education program report must include information about each of the  
following:  
(i) Admission, progression, and retention of students.  
Page 23  
(ii) Student achievement on the required licensure NCLEX examination.  
(iii) Systematic program evaluation results, including, but not limited to, student  
evaluations, faculty reviews, NCLEX evaluation results, and attrition rates.  
(iv) Program changes.  
(v) Faculty qualifications, assignments, and any faculty exceptions.  
History: 1989 AACS; 2003 AACS; 2017 AACS 2017; 2018 AACS; 2020 AACS; 2022 MR 10, Eff. May  
24, 2022.  
R 338.10303a Full program approval; procedure.  
Rule 303a. (1) The sponsoring agency may apply to the board for full approval of the  
program after graduation of the second cohort, but shall apply no later than graduation of  
the fourth cohort. The sponsoring agency shall comply with the following requirements  
for full approval of a nursing education program:  
(a) The sponsoring agency may apply to the board in the form of a letter.  
(b) The sponsoring agency shall submit a final program approval report to the board.  
The report must provide an update of the self-study that was submitted for initial  
approval pursuant to R 338.10303(b), review the program’s progress since initial  
approval was granted, and include a review and evaluation of program implementation.  
(c) The board may require a subsequent site visit to the program by a board-approved  
nurse site reviewer before considering full approval. If conducted, a report of the site  
visit must be prepared by the nurse site reviewer and provided to the board and the  
sponsoring agency.  
(2) NCLEX scores for the program up to the point of application of full approval must  
equate to the passage rates as required in R 338.10310.  
(3) If by the end of the fourth cohort, a program does not satisfy the criteria for full  
approval set forth in this rule or has failed to apply for full approval as required under this  
rule, the board may begin the evaluation process of the program pursuant to section  
17242 of the code, MCL 333.17242 and R 338.10310.  
(4) When granted full approval for the program of nursing education, the sponsoring  
agency shall continue to meet all of the requirements of this part.  
History: 2017 AACS; 2018 AACS; 2020 AACS.  
R 338.10303b Continued program approval; requirements.  
Rule 303b. (1) After full approval has been granted under R 338.10303a, a sponsoring  
agency shall submit a comprehensive self-study report every 8 years for a non-accredited  
program or at the designated reporting times directed by the national accrediting  
organization for accredited programs. The report must include all the following  
information for all of the years since the last self-study report was approved by the board.  
(a) History of sponsoring agency.  
(b) Philosophy.  
(c) Conceptual framework.  
(d) Curriculum to include end of program student learning outcomes and course  
student learning outcomes.  
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(e) Course descriptions and outlines.  
(f) Signed clinical contracts or letters of commitment for clinical placements.  
(g) Evaluation methods and tools.  
(h) Program outcomes.  
(i) Director and faculty credentials.  
(j) Student policies and support services.  
(2) An accredited program may submit a letter of accreditation or reaccreditation, from a  
nationally recognized accrediting organization of nursing education programs as defined  
in R 338.10303d, instead of submitting a self-study report prepared for the board if the  
accrediting body found no deficiencies that require a submission of a supplemental report  
to the accrediting body. If deficiencies were found that require a follow-up visit, the  
program shall submit the entire self-study prepared for the accrediting body along with  
any follow-up reports mandated by the accrediting body. The schedule for submission of  
a self-study report for accredited programs must follow the schedule of the nationally  
recognized accrediting organization. The accreditation letter must include documentation  
of decisions, deficiencies, and recommendations from the accrediting organization and be  
submitted to the board within 1 month following receipt of the nationally recognized  
accrediting organization’s final decision on accreditation of the nursing education  
program. The board may request further documentation regarding accreditation from the  
sponsoring agency. Programs that have accreditation date changes shall notify the board  
of nursing to determine a submission date.  
(3) After a program has been granted full approval under R 338.10303a, the sponsoring  
agency shall submit a nurse education program report to the board every 4 years for a  
non-accredited program or at the midpoint of the accreditation cycle for nationally  
accredited programs. The nursing education program report must include all of the  
following information for all of the years since the last self-study report was approved by  
the board:  
(a) Admission, progression, and retention of students.  
(b) Student achievement on the required licensure NCLEX examination.  
(c) Systematic program evaluation results and action plan, including but not limited to,  
student evaluations, faculty reviews, NCLEX evaluation results, and attrition rates.  
(d) Program changes.  
(e) Faculty qualifications, assignments, and any faculty exceptions.  
(4) The board shall notify the program director of the date by which a nursing education  
program report must be submitted.  
History: 2017 AACS; 2018 AACS; 2020 AACS; 2022 MR 10, Eff. May 24, 2022.  
R 338.10303c Program changes; requirements.  
Rule 303c. (1) A major program change means any of the following:  
(a) Revision of the program’s philosophy, conceptual framework, curriculum, program  
outcomes, student learning outcomes, or changes that increase the use of simulation more  
than 10% of the current total clinical hours in a program.  
(b) Change in primary instruction delivery methods for more than 50% of the program.  
(c) Elimination of separate course content for an integrated approach.  
(d) A permanent expansion in the number of students served.  
Page 25  
(e) Increase or decrease in overall program credits.  
(f) Providing the theory portion of the curriculum at an additional location that is  
separate from the primary campus using the same curriculum as the primary campus.  
Initial approval under R 338.10303 must be obtained if anything other than theory is  
taught at the additional location.  
(2) A nursing education program shall submit major program changes to the board in  
writing and the major program changes must be approved by the board before  
implementation. All of the following information must be submitted when requesting  
approval of a major program change:  
(a) A comparative description of the current and proposed program or portion of the  
program which is proposed for change.  
(b) Rationale for the change.  
(c) Plans to evaluate the effect of the change.  
(d) Documents evidencing support for the requested change.  
(3) A minor program change means a temporary expansion of students. After 1 year, if  
the program desires to make the temporary increase in seats permanent, a major program  
change must be submitted pursuant to subrule (1) of this rule.  
(4) A nursing education program shall submit minor program changes to the board in  
writing before implementation.  
(5) A nursing education program shall submit all of the following information if  
requesting approval of a minor program change:  
(a) A comparative description of the current and proposed program or portion of the  
program that is proposed for change.  
(b) Rationale for the change.  
(c) Plans to evaluate the effect of the change.  
(6) If a program closure occurs, the department or board may grant a temporary seat  
increase to another program to assist displaced students if the following criteria are met:  
(a) Additional seats that are needed are identified.  
(b) Documentation that there is sufficient faculty on staff to handle the increase in  
students is provided.  
(c) Documentation that there is sufficient classroom and laboratory space to handle the  
increase in students is provided.  
(d) Documentation from clinical sites that they can handle the increase of students in  
the program is provided.  
(7) The type of program approval, initial or full, under which a program is conducted,  
shall not be altered when program changes are approved.  
History: 2017 AACS; 2018 AACS; 2020 AACS; 2022 MR 10, Eff. May 24, 2022.  
R 338.10303d Accreditation.  
Rule 303d. (1) A nursing education program approved by the board shall be accredited  
pursuant to 1 of the following:  
(a) A nursing education program that has received full board approval pursuant to R  
338.10303a, before the promulgation of this rule, shall receive nursing accreditation by a  
board-recognized nursing accreditation organization no later than January 1, 2025.  
Page 26  
(b) A nursing education program that has initial approval of the board shall receive  
nursing accreditation by a board-recognized nursing accreditation organization within 6  
years of receiving full program approval pursuant to R 338.10303a.  
(c) A nursing education program that fails to achieve nursing accreditation by a board-  
recognized nursing accreditation organization as set forth by this rule shall be removed  
from the list of approved programs pursuant to section 17242 of the code, MCL  
333.17242.  
(2) The board recognizes the following nursing education accrediting agencies or their  
successor organizations:  
(a) Accreditation Commission for Education in Nursing (ACEN).  
(b) Commission for Nursing Education Accreditation (CNEA).  
(c) Commission on Collegiate Nursing Education (CCNE).  
(3) Failure to maintain accreditation from an approved national nursing accrediting  
organization shall result in withdrawal of school approval pursuant to section 17242 of  
the code, MCL 333.17242, and R 338.10311.  
History: 2018 AACS; 2020 AACS.  
R 338.10304 Program approval; decision.  
Rule 304. (1) Within 90 days after all materials requested by the board have been  
received, the board shall do either of the following:  
(a) Grant initial or full approval of the program or approve the program change when  
the board finds that the requirements of this part are substantially met.  
(b) Deny initial or full approval or approval of the program change when the board  
finds that the requirements of this part are not substantially met.  
(2) The board shall issue its decision in writing.  
(3) If approval is denied, the sponsoring agency may request a hearing which shall be  
conducted pursuant to the provisions of the administrative procedures act of 1969, 1969  
PA 306, MCL 24.201 to 24.328.  
History: 1989 AACS; 2003 AACS; 2020 AACS.  
R 338.10305 Registered professional nurse and licensed practical nurse programs;  
program requirements.  
Rule 305. Programs of registered professional nursing education and licensed practical  
nursing education shall meet all of the following requirements:  
(a) Comply with the curriculum requirements established by the board and with other  
requirements set forth in this part.  
(b) Contribute to the safe practice of nursing by including the standards of practice,  
nursing behaviors, and other skills and knowledge in the curriculum to prepare students  
for the practice of nursing as defined in section 17201(1)(c) of the code, MCL 333.17201.  
(c) Prepare students to meet the requirements for eligibility to take the required  
licensure NCLEX examination.  
(d) Establish requirements for admission, progression, and graduation which must be  
made known and available in written form to prospective and current students.  
Page 27  
(e) Establish a system for the permanent maintenance of course descriptions and student  
and graduate transcripts.  
History: 1989 AACS; 1996 AACS; 2017 AACS; 2018 AACS; 2020 AACS.  
R 338.10305a Registered professional nursing education program; program  
requirements; faculty requirements.  
Rule 305a. (1) Subject to subrule (2) of this rule, the program director and all nurse  
faculty members shall hold a current unrestricted license to practice as a registered  
professional nurse in this state.  
(2) If clinical experiences are offered by the nursing education program at sites that are  
not located in this state, then any nurse faculty members at those sites shall hold a current  
unrestricted license to practice as a registered nurse in the state or Canadian province  
where the clinical experience is located.  
(3) The program director shall hold a minimum of a graduate degree with a major in  
nursing. Written notification of a change in director must be provided to the board within  
30 days and include a copy of the new director’s curriculum vitae and school contact  
information.  
(4) A member of the nursing faculty who provides didactic/theory instruction shall hold  
a minimum of a graduate degree, and the program shall ensure that the majority of the  
didactic/theory faculty hold a graduate degree with a major in nursing, unless an  
exception is granted under subrule (7) of this rule. If the graduate degree is not in nursing,  
the faculty member shall hold a minimum of a baccalaureate degree in nursing or an  
equivalent standing in a nationally nursing accredited Associate’s Degree in Nursing to  
Master’s of Science in Nursing (ADN to MSN) nursing education program with  
attestation of baccalaureate level competency from that educational program. Courses  
that are non-nursing in content but are health-related are exempt from the requirements of  
this subrule and may be taught by non-nurse faculty.  
(5) A member of the nursing faculty who provides instruction in either the clinical or  
simulation laboratory shall hold a minimum of a baccalaureate degree in nursing or an  
equivalent standing in a nationally nursing accredited ADN to MSN nursing education  
program with attestation of baccalaureate level competency from that educational  
program.  
(6) Notwithstanding section 16148(6) of the code, MCL 333.16148, all nursing faculty  
shall meet the requirements of subrules (4) and (5) of this rule by January 6, 2022.  
(7) An exception may be made to the requirements of subrule (4) of this rule for full-  
time or part-time nursing faculty and shall be based on the faculty member’s progress  
toward meeting the requirements of these rules during each year for which the exception  
is requested. Board approval for faculty exception requests must be received before the  
faculty member begins course instruction. A maximum of 5 yearly exceptions shall be  
granted to any full-time or part-time faculty member.  
(8) Nursing faculty shall be sufficient in number to prepare students to achieve the  
outcomes of the program. The maximum ratio of students to faculty in clinical areas  
involving direct care of patients must be not more than 8 students to 1 faculty member.  
The maximum ratio of students to faculty in clinical areas involving non-direct and  
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