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) “CASN” means the Canadian Association of Schools of Nursing.  
(c) “CES” means the Credential Evaluation Service.  
(d) “CGFNS” means the Commission on Graduates of Foreign Nursing Schools.  
(e) “Code” means the public health code, 1978 PA 368, MCL 333.1101 to 333.25211.  
(f) “CP” means the CGFNS Certification Program.  
(g) “Department” means the department of licensing and regulatory affairs.  
(h) “FBI” means the Federal Bureau of Investigation.  
(i) “JS&A” means the Josef Silny & Associates, Inc. International Education  
Consultants.  
(j) “NACES” means the National Association of Credential Evaluation Services.  
(k) “NCSBN” means the National Council of State Boards of Nursing.  
(2) Unless otherwise defined in these rules, the terms defined in the code have the same  
meaning as used in these rules.  
History: 1989 AACS; 2003 AACS; 2017 AACS; 2022 AACS; 2024 MR 9, Eff. May 8, 2024.  
R 338.10102 Rescinded.  
History: 1989 AACS; 2001 AACS; 2003 AACS; 2017 AACS.  
R 338.10103 Rescinded.  
History: 1989 AACS; 2017 AACS.  
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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.  
(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 AACS.  
R 338.10105 Training standards for identifying victims of human trafficking;  
requirements.  
Rule 105. (1) Under section 16148 of the code, MCL 333.16148, the individual who is  
licensed or seeking licensure shall have completed 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 healthcare settings.  
(iii) Identifying the warning signs of human trafficking in healthcare 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, healthcare 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.  
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(2) The department may select and audit an individual and request documentation of  
proof of completion of training. If audited by the department, the individual shall  
provide 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 the individual. The certification statement must  
include the individual’s name and either of the following:  
(i) For training completed under subrule (1)(b)(i) to (iii) of this rule, the date, training  
provider name, and name of training.  
(ii) For training completed under subrule (1)(b)(iv) of this rule, the title of article,  
author, publication name of peer-review journal, healthcare journal, or professional or  
scientific journal, and the date, volume, and issue of publication, as applicable.  
History: 2017 AACS; 2020 AACS.; 2024 MR 9, Eff. May 8, 2024.  
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 NCSBN,  
identified as the "NCLEX-RN" for the registered nurse and the "NCLEX-PN" for the  
practical nurse. Examinees shall achieve a passing score on the NCLEX computerized  
adaptive test. The passing score is determined by the NCSBN.  
History: 1990 AACS; 1994 AACS; 2003 AACS; 2020 AACS; 2022 AACS; 2024 MR 9, Eff. May 8,  
2024.  
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.  
(2) In addition to meeting the requirements of R 338.7001 to R 338.7005, and any rules  
promulgated under the code, an applicant shall satisfy the requirements of this rule.  
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(3) An applicant shall establish that the applicant meets the eligibility requirements to sit  
for the NCLEX-RN examination set forth in R 338.10204 and pass the NCLEX-RN  
examination.  
(4) An applicant shall comply with section 16174(3) of the code, MCL 333.16174, by  
providing their fingerprints to the department of state police to have a criminal  
background check conducted by the state police and the FBI.  
(5) An applicant shall satisfy the requirements of section 16174(2) of the code, MCL  
333.16174, including 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; 2017 AACS; 2024 MR 9, Eff. May 8, 2024.  
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  
the applicant has successfully completed a registered nurse education program that  
satisfies 1 of the following:  
(a) The program is in this state and approved by the board.  
(b) The program is accredited by CASN.  
(c) The program is located in another state, and 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) Either of the following:  
(1) 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 includes courses providing theory and  
clinical practice that comply with R 338.10306 to R 338.10308.  
(b) The registered nurse education program curriculum contains the core curriculum  
for registered professional nurse students, as that term is defined in R 338.10301(l).  
(2) If the program is closed, a letter from the state board of nursing where the program  
was located attesting that the nursing program was in good standing when the applicant  
completed the program.  
(d) The program is a registered professional nurse education program or an equivalent  
education program outside the United States and, the applicant submits 1 of the following  
to the department that shows the applicant 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.  
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(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.  
(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  
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 the  
applicant receives a written certification of skills competency covering the subjects in  
subrule (5) of this rule, from a nurse education program approved under R 338.10303a:  
(a) Graduation from a board-approved registered nurse education program under  
subrule (2)(a) of this rule or from a registered nurse education program accredited by  
CASN under subrule (2)(b) of this rule.  
(b) Satisfying the requirements of subrule 2(c) of this rule.  
(c) Obtaining 1 of the required evaluations or the certification in subrule (2)(d) of this  
rule.  
(5) A 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) Except as otherwise provided under subrule (7) of this rule, the applicant has 1 year  
after the date of a certification of skills competency to pass the NCLEX-RN examination.  
(7) As an alternative to subrule (6) of this rule, on written application and  
documentation to support the request to the board, the board may grant up to a 6-month  
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 AACS; 2024 MR 9, Eff. May 8, 2024.  
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.  
(2) The applicant is presumed to meet the requirements of section 16186 of the code,  
MCL 333.16186, if the applicant meets the requirements of R 338.7001 to R 338.7005;  
any rules promulgated under the code; submits a completed application, on a form  
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provided by the department, together with the requisite fee; and complies with all of the  
following requirements:  
(a) Meets either of the following requirements:  
(i) Has been licensed or registered for not less than 5 years as a registered professional  
nurse in another state, was initially licensed by taking the NCLEX-RN examination,  
holds a license in good standing, and provides transcripts showing graduation from a  
nursing education program in another state.  
(ii) Is currently licensed in good standing in another state for less than 5 years, was  
initially licensed by taking the NCLEX-RN examination, and meets all of the following  
requirements:  
(A) Completes a registered nurse education program that meets either of the following  
requirements:  
(1) The program is located in this state and is approved by the board.  
(2) The program is located in another state and complies with 1 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:  
(i) The applicant’s official transcripts.  
(ii) Provides either of the following:  
(A) 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 includes courses providing theory and  
clinical practice that comply with R 338.10306 to R 338.10308.  
(2) The registered nurse education program curriculum contains the core curriculum  
for registered professional nurse students as that term is defined in R 338.10301(l).  
(B) If the program is closed, a letter from the state board of nursing where the  
program was located attesting that the nursing program was in good standing when the  
applicant completed the program.  
(b) Discloses each license, registration, or certification in a health profession or  
specialty issued by another state, the United States military, the federal government, or  
another country on the application form.  
(c) Satisfies the requirements of section 16174(3) of the code, MCL 333.16174, by  
providing the applicant’s fingerprints to the department of state police to have a criminal  
background check conducted by the department of state police and the FBI.  
(d) Satisfies the requirements of section 16174(2) of the code, MCL 333.16174,  
including 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.  
(3) 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 the applicant 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:  
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(a) Meets the requirements of section 16174(3) of the code, MCL 333.16174, and  
submits the applicant’s fingerprints to the department of state police to have a criminal  
background check conducted by the department of state police and the FBI.  
(b) Meets either of the following:  
(i) Has been licensed or registered for not less than 5 years as a registered professional  
nurse in Canada, was initially licensed by passing the NCLEX-RN or the Canadian  
Registered Nurse Examination before 2015, holds a license in good standing, and  
provides transcripts showing the applicant graduated from a nursing education program  
in another state or Canada.  
(ii) Meets both of the following:  
(A) Is currently licensed in good standing in Canada for less than 5 years, and was  
initially licensed by passing the NCLEX-RN or the Canadian Registered Nurse  
Examination before 2015.  
(B) Completes a nursing education program accredited by a nursing education  
accrediting agency listed in R 338.10303d(2) or by the CASN.  
(c) Discloses each license, registration, or certification in a health profession or  
specialty issued by another 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,  
including 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 AACS;  
2024 MR 9, Eff. May 8, 2024.  
R 338.10207  
requirements.  
Lapsed registered professional nurse license; relicensure  
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  
applicable, may be relicensed by complying with the following requirements as noted by  
(√):  
(a) For a registered professional nurse License  
who has let their license lapse in this lapsed  
state and is not currently licensed in 0-3 Years.  
another state or a Canadian province:  
(i) Submit a completed application on  
a form provided by the department, √  
together with the requisite fee.  
(ii) Establish that the applicant is of  
good moral character, as that term is √  
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.  
License lapsed License lapsed  
more than 3 7 or more  
years, but less years.  
than 7 years.  
√
√
√
√
√
√
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(iv) 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.  
However,  
if  
the  
continuing education hours submitted  
with the application are deficient, the  
applicant has 2 years after the date of  
the application to complete the  
deficient hours. The application must  
be held and the license may not be  
issued until the continuing education  
requirements are met.  
(v) 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  
after the date of the application to  
complete the deficient hours. The  
application must be held and the  
license may be issued until the  
continuing education requirements are  
met.  
(vi) Meet the implicit bias training √  
required under R 338.7004.  
√
√
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(vii) Within 3 years immediately  
before the application for relicensure,  
receive written certification of skills  
competency from a nurse education  
√
√
program  
approved  
under  
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.  
(viii): Within 2 years immediately  
after approval of the application for  
relicensure, retake and pass the  
NCLEX-RN examination.  
(ix) An applicant who is or has ever  
been licensed, registered, or certified  
in a health profession or specialty by √  
another 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 License  
who has let their license lapse in this lapsed  
state, but who holds a current and 0-3 Years.  
valid registered professional nurse  
license in good standing in another  
state or a Canadian province:  
License lapsed License lapsed  
more than 3 7 or more  
years, but less years.  
than 7 years.  
(i) Submit a completed application on  
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a form provided by the department, √  
together with the requisite fee.  
√
√
√
√
√
√
(ii) Establish that the applicant is of  
good moral character, as that term is √  
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) 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 application for relicensure.  
However, if the continuing education  
hours submitted with the application  
are deficient, the applicant has 2 years  
after the date of the application to  
complete the deficient hours. The  
application must be held and the  
license may not be issued until the  
continuing education requirements are  
met.  
√
√
(v) Meet the implicit bias training √  
required under R 338.7004.  
√
√
√
√
(vi) An applicant who is or has ever  
been licensed, registered, or certified  
in a health profession or specialty by √  
another 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, including 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  
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disciplinary subcommittee may impose appropriate sanctions under section 16174(5) of  
the code, MCL 333.16174.  
History: 2017 AACS; 2018 AACS; 2020 AACS.; 2022 AACS; 2024 MR 9, Eff. May 8, 2024.  
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) Meet the requirements of section 16174(3) of the code, MCL 333.16174, by  
providing the applicant’s 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 the applicant meets the eligibility requirements to sit for the NCLEX-RN  
examination set forth in R 338.10204 and 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, the applicant shall submit 1 of  
the following to the department that shows the applicant 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) Disclose each license, registration, or certification in a health profession or specialty  
issued by another 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,  
including 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.  
(f) Meet R 338.7001 to R 338.7005 and any rules promulgated under the code.  
(2) Under 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, the applicant is exempt from obtaining an evaluation or certification of  
their educational credentials as required in subrule (1)(c) of this rule if the applicant  
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 another state for 5 years or more immediately before the application for a  
license in this state.  
History: 2017 AACS; 2018 AACS; 2022 AACS; 2024 MR 9, Eff. May 8, 2024.  
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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 the requirements of section 16174(3) of the code, MCL 333.16174, by  
providing the applicant’s 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 the applicant meets the eligibility requirements to sit for the NCLEX-RN  
examination set forth in R 338.10204 and 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 the applicant graduated from a program  
with substantially equivalent education credentials as a program approved by the board:  
(i) Proof of program accreditation by the CASN.  
(ii) A CES professional report from the 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 another 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, including  
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.  
(f) Meet R 338.7001 to R 338.7005 and any rules promulgated under the code.  
History: 2022 AACS; 2024 MR 9, Eff. May 8, 2024.  
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.  
(2) In addition to meeting the requirements of R 338.7001 to R 338.7005, and any rules  
promulgated under the code, an applicant shall satisfy the requirements of this rule.  
(3) An applicant shall establish that the applicant meets the eligibility requirements to  
sit for the NCLEX-PN examination set forth in R 338.10210 and pass the NCLEX-PN  
examination.  
(4) An applicant shall comply with section 16174(3) of the code, MCL 333.16174, by  
providing their fingerprints to the department of state police to have a criminal history  
check conducted by the state police and the FBI.  
(5) An applicant shall satisfy the requirements of section 16174(2) of the code, MCL  
333.16174, including 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.  
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History: 2017 AACS; 2018 AACS; 2024 MR 9, Eff. May 8, 2024.  
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  
the applicant 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  
accredited by CASN.  
(c) The applicant has successfully completed a practical nurse education program that is  
located in another state and that program complies with either of the following:  
(i) 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 338.10303(d)(2), the applicant shall provide all the following:  
(A) The applicant’s official transcripts from the academic institution where the  
nursing education program was completed.  
(B) Provide either of the following:  
(1) 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 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 338.10306, R  
338.10307, and R 338.10309.  
(b) The practical nursing education program curriculum contains the core curriculum  
for licensed practical nurse students, as that term is defined in R 338.10301(k).  
(2) If the program is closed, a letter from the state board of nursing where the program  
was located attesting that the nursing program was in good standing when the applicant  
completed the program.  
(d) 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 the applicant 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.  
(e) 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).  
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(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 under 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  
www.naces.org.  
(4) Except as otherwise provided in subrule (7) of this rule, 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 the applicant receives a written  
certification of skills competency covering the subjects in subrule (5) of this rule, from a  
nurse education program approved under R 338.10303a:  
(a) Graduation from a board-approved practical nurse education program under subrule  
(2)(a) of this rule or from a practical nurse education program accredited by CASN under  
subrule (2)(b) of this rule. (b) Satisfying the requirements of subrule (2)(c) of this rule.  
(c) Obtaining 1 of the required evaluations or certifications in subrule (2)(d) of this rule.  
(d) Graduation from a board approved registered nurse education program under  
subrule (2)(e) of this rule.  
(5) A 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) The applicant has 1 year after the date of a certification of skills competency to pass  
the NCLEX-PN examination.  
(7) On written application and documentation to support the request to the board, the  
board may grant up to a 6-month extension to the time requirement 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 their control which  
the board considers good and sufficient.  
History: 2017 AACS; 2018 AACS; 2020 AACS; 2022 AACS; 2024 MR 9, Eff. May 8, 2024.  
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.  
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(2) The applicant is presumed to meet the requirements of section 16186 of the code,  
MCL 333.16186, if the applicant meets the requirements of R 338.7001 to R 338.7005;  
any rules promulgated under the code; 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) Meets 1 of the following requirements:  
(i) Has been licensed or registered for not less than 5 years as a practical nurse in  
another state, was initially licensed by taking the NCLEX-PN examination, holds a  
license in good standing, and provides transcripts showing graduation from a nursing  
education program in another state.  
(ii) Is currently licensed in good standing in another state for less than 5 years, was  
initially licensed by taking the NCLEX-PN examination, and meets all of the following  
requirements:  
(A) Completes a practical nurse education program that meets either of the following  
requirements:  
(1) The program is located in this state and is approved by the board.  
(2) The program is located in another state 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:  
(i) The applicant’s official transcripts.  
(ii) Provides either of the following:  
(A) 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:  
(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  
338.10306, R 338.10307, and R 338.10309.  
(2) The practical nursing education program curriculum contains the core  
curriculum for licensed practical nurse students as that term is defined in R 338.10301(k).  
(B) If the program is closed, a letter from the state board of nursing where the  
program was located attesting that the nursing program was in good standing when the  
applicant completed the program.  
(b) Discloses each license, registration, or certification in a health profession or  
specialty issued by another state, the United States military, the federal government, or  
another country on the application form.  
(c) Satisfies the requirements of section 16174(2) of the code, MCL 333.16174,  
including 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.  
(d) Satisfies the requirements of section 16174(3) of the code, MCL 333.16174, by  
providing the applicant’s fingerprints to the department of state police to have a criminal  
background check conducted by the department of state police and the FBI.  
(3) 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  
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reciprocity and is presumed to meet the requirements of section 16186 of the code, MCL  
333.16186, if the applicant submits a completed application, on a form provided by the  
department, together with the requisite fee, and complies with all the following:  
(a) Meets the requirements of section 16174(3) of the code, MCL 333.16174, by  
providing the applicant’s fingerprints to the department of state police to have a criminal  
background check conducted by the department of state police and the FBI.  
(b) Meets either of the following:  
(i) Has been licensed or registered for not less than 5 years as a practical nurse in  
Canada, was initially licensed by passing the NCLEX-PN examination or the Practical  
Nurse Registration Examination, holds a license in good standing, and provides  
transcripts showing the applicant graduated from a nursing education program in another  
state or Canada.  
(ii) Meets both of the following:  
(A) Is currently licensed in good standing for less than 5 years in Canada and was  
initially licensed by passing the NCLEX-PN or the Practical Nurse Registration  
Examination.  
(B) Completes a nursing education program accredited by a nursing education  
accrediting agency listed in R 338.10303d(2) or by the CASN.  
(c) Discloses each license, registration, or certification in a health profession or  
specialty issued by another 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,  
including 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 AACS; 2024 MR 9, Eff. May 8, 2024.  
R 338.10212 Graduate of a practical 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 the requirements of section 16174(3) of the code, MCL 333.16174, by  
providing the applicant’s 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 the applicant meets the eligibility requirements to sit for the NCLEX-PN  
examination set forth in R 338.10210 and 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  
following to the department that shows the applicant 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.  
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(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 another 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,  
including 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.  
(f) Meet R 338.7001 to R 338.7005 and any rules promulgated under the code.  
(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 the applicant 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 another state for 5 years or more immediately before the application for a  
license in this state.  
History: 2017 AACS; 2018 AACS; 2022 AACS; 2024 MR 9, Eff. May 8, 2024.  
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 the requirements of section 16174(3) of the code, MCL 333.16174, by  
providing the applicant’s 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 the applicant meets the eligibility requirements to sit for  
the NCLEX-PN examination set forth in R 338.10210 and 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 the applicant 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.  
(d) Disclose each license, registration, or certification in a health profession or specialty  
issued by another state, the United States military, the federal government, or another  
country on the application form.  
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(e) Satisfy the requirements of section 16174(2) of the code, MCL 333.16174, including  
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.  
(f) Meet R 338.7001 to R 338.7005 and any rules promulgated under the code.  
History: 2022 AACS; 2024 MR 9, Eff. May 8, 2024.  
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 their License  
licensed practical nurse license in this state lapse and lapsed  
is not currently licensed in another state or a 0-3  
License  
lapsed more lapsed  
than 3 7 or  
years, but more  
License  
Canadian province:  
Years.  
less than 7 years.  
years.  
(i) Submit a completed application on a form  
provided by the department, together with the √  
requisite fee.  
(ii) Establish that the applicant is of good moral √  
character, as that term is 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) 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.  
However, if the continuing education hours  
submitted with the application are deficient, the  
applicant has 2 years after the date of the application  
to complete the deficient hours. The application must  
be held and the license may not be issued until the  
continuing education requirements are met.  
(v) 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:  
√
√
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(A) Safe documentation for nurses.  
(B) Critical thinking skills for nurses.  
(C) Pharmacology.  
(D) Preventing medication errors.  
(E) Professional and legal accountability for  
nurses.  
However, if the continuing education hours  
submitted with the application are deficient, the  
applicant has 2 years after the date of the application  
to complete the deficient hours. The application must  
be held and the license may not be issued until the  
continuing education requirements are met.  
(vi) Meet the implicit bias training required under R √  
338.7004.  
(vii) Within 3 years immediately before the  
application for relicensure, receive written  
certification of skill competency from a nurse  
education program approved under 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.  
(viii) Within 2 years immediately after approval of  
the application for relicensure, retake and pass the  
NCLEX-PN examination.  
(ix) An applicant who is or has ever been licensed,  
registered, or certified in a health profession or  
specialty by another 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, including 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 their License  
license in this state lapse, but who holds a current lapsed  
License  
lapsed more lapsed  
License  
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and valid licensed practical nurse license in good 0-3  
than 3 years, 7  
or  
standing in another state or a Canadian province:  
Years.  
but less than more  
7 years.  
years.  
(i) Submit a completed application on a form  
provided by the department, together with the √  
requisite fee.  
(ii) Establish that the applicant is of good moral √  
character, as that term is 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) 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. However, if the  
continuing education hours submitted with the  
application are deficient, the applicant has 2 years  
after the date of the application to complete the  
deficient hours. The application must be held and the  
license may not be issued until the continuing  
education requirements are met.  
√
√
√
√
√
√
√
√
(v) Meet the implicit bias training required under R √  
338.7004.  
√
√
√
√
(vi) An applicant who is or has ever been licensed,  
registered, or certified in a health profession or  
specialty by another 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, including 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 AACS; 2024 MR 9, Eff. May 8, 2024.  
R 338.10299 Rescission.  
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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. (1) As used in this part:  
(a) “Accreditation” means a self-regulatory process that meets or exceeds educational  
quality standards and criteria set forth by a national nursing education accrediting  
organization.  
(b) “Accrediting organization” means a board approved accrediting organization of  
nursing education programs listed in R 338.10303d.  
(c) “Accredited program” means a program that has obtained accreditation from a  
board approved accrediting organization of nursing education programs, as that term is  
defined in R 338.10303d.  
(d) “ADN” means an associate’s degree in nursing.  
(e) “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.  
(f) "Clinical experience" means direct nursing care experiences with actual patients or  
clients that offer students the opportunity to integrate, apply, and refine specific skills and  
abilities that are based on theoretical concepts and scientific principles. Clinical  
experience may include simulated nursing experiences subject to R 338.10306 and R  
338.10309.  
(g) "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.  
(h) “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.  
(i) “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 gives direction to the curriculum.  
(j) “Cooperating agency” means an individual, organization, or institution that, by  
written agreement or letter of intent, accepts students and faculty for nursing educational  
experiences.  
(k) “Core curriculum for licensed practical nurse students” means courses in didactic  
instruction and planned clinical experience, which encompass the LPN scope of practice,  
in each of the following areas of nursing:  
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(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 a 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.  
(l) “Core curriculum for registered professional nurse students” 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 a 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.  
(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.  
(m) “Course student learning outcomes” means statements of educational expectations  
written in measurable terms for the knowledge, skills, or behaviors students must  
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.  
(n) “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.  
(o) “End of program student learning outcomes” means statements of educational  
expectations written in measurable terms for the knowledge, skills, or behaviors students  
must demonstrate by the end of the program. The statements must reflect professional  
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standards, guidelines, contemporary nursing practice, guide the curriculum, and increase  
in complexity as students progress through the curriculum.  
(p) “Final program approval report” means an updated 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.  
(q) “Full program approval” means approval of a program granted after satisfactory  
demonstration to the board of compliance with these rules.  
(r) “Initial approval” means approval that is granted by the board to inaugurate a  
program of nursing education.  
(s) “Instruction” means educational methodology for achieving curriculum outcomes.  
(t) “Learning experiences” means planned learning situations, which may include  
clinical experiences, clinical laboratory hours, or classroom instruction.  
(u) “MSN” means a master’s of science in nursing.  
(v) “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.  
(w) “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 under R 338.10303, the report must  
be submitted each year during the program approval phase.  
(ii) For programs that have received full approval under R 338.10303a, the report must  
be completed and submitted at the halfway point between the self-study submissions.  
(x) “Nursing faculty” means a member of the faculty qualified to teach nursing courses  
and evaluate learning.  
(y) “Nursing process” means the ongoing assessment, analysis, nursing diagnosis,  
planning, implementation, and evaluation of nursing care.  
(z) “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.  
(aa) “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.  
(bb) “Practical nurse program” means a nursing program to prepare students for  
practical nurse licensure.  
(cc) “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.  
(dd) “Probationary status” means the period when a program is under disciplinary  
action by the board.  
(ee) “Program director” means a nurse who is delegated the authority and  
accountability for the nursing program by the sponsoring agency.  
(ff) “Program of nursing education” means a plan or design indicating the relationship  
of the components necessary to achieve the goal of preparing individuals for licensure as  
registered or practical nurses under the code.  
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(gg) “Program outcomes” means documented and measurable indicators that reflect the  
program’s overall effectiveness.  
(hh) “Registered professional nurse program” means a nursing program to prepare  
students for initial registered nurse licensure.  
(ii) “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.  
(jj) “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.  
(kk) “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.  
(ll) “Sponsoring agency” means the organization or institution of which the nursing  
program is a component.  
(mm) “Unaccredited program” means a program that has not obtained accreditation  
from a board approved accrediting organization of nursing education programs, as that  
term is defined in R 338.10303d.  
(2) Unless otherwise defined in the rules, the terms defined in the code have the same  
meaning as used in these rules.  
History: 1989 AACS; 2003 AACS; 2017 AACS; 2018 AACS; 2020 AACS; 2022 AACS; 2024 MR 9,  
Eff. May 8, 2024.  
R 338.10302 Rescinded.  
History: 1989 AACS; 2017 AACS.  
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 the following to the board:  
(i) A letter of intent to initiate a program of nursing education.  
(ii) A feasibility study that demonstrates all 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. The applying institution is responsible for surveying schools within  
the radius to determine the perceived impact the proposed program will have on the  
availability of the existing program’s clinical placements, faculty, and student  
recruitment.  
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(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 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.  
(iv) Evidence that the sponsoring agency shall provide funding and other support for  
the nursing education program that meets all 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 shall 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 a 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. If the sponsoring agency is  
unable to submit evidence that it is approved to provide financial aid under Title IV of the  
Higher Education Act of 1965, 20 USC 1070 to 1099d, until after the board approves the  
program, the program, with board approval, may submit the evidence to the department  
before enrolling students to the program.  
(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 on 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 programs, and demonstrate  
student success with results that meet or exceed state or national averages.  
(vii) Proposed number of students to be enrolled in the program annually, the number  
of times that enrollment periods are held per year, and the dates when enrollment periods  
are 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 nursing faculty members  
sufficiently in advance of admitting students to the nursing sequence to ensure  
consistency in the planning and implementation of the curriculum. The plan should  
include a timeline for recruitment and disclose recruitment resources. If already  
appointed, the names and qualifications of the director of the program and other nursing  
faculty members must be provided.  
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(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  
admission 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 this 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 board approval of the required documentation in subdivision (a) of this  
rule 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) Detailed plan of study that includes all of the following:  
(A) Program plan of study including all required courses.  
(B) Course sequence.  
(C) Credits per course including theory, laboratory, clinical and simulation hours.  
(vii) Signed clinical contracts for clinical placements.  
(viii) Evaluation methods and tools.  
(ix) Program outcomes.  
(x) Director and nursing faculty credentials.  
(xi) 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. The program may admit students after  
the board determines that all deficiencies noted in the report are sufficiently resolved.  
(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.  
(ii) Student achievement on the required licensure NCLEX examination.  
(iii) Systematic program evaluation results, including analysis of end of program  
student learning outcomes and program outcomes, including but not limited to, NCLEX  
pass rates for first time takers, program completion rates and employment rates.  
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(iv) Program changes.  
(v) Nursing faculty qualifications, assignments, and any nursing faculty exceptions.  
History: 1989