SECTION 219.10. Management of Clinical Learning Experiences and Resources

(a) Faculty shall be responsible and accountable for managing clinical learning experiences of students.

(b) Faculty shall develop criteria for the selection of affiliating agencies/clinical facilities or clinical practice settings that address safety and the need for students to achieve the program outcomes (goals) through advanced practice registered nursing.

(c) Faculty shall select and evaluate affiliating agencies/clinical facilities or clinical practice settings that provide students with opportunities to achieve the goals of the program.

(d) Written agreements between the program and the affiliating agencies shall specify the responsibilities of the program to the agency and the responsibilities of the agency to the program. Such agreements shall be developed jointly with the affiliating agency, reviewed periodically according to the policies of the program and the affiliating agency, and include provisions for adequate notice of termination.

(e) When clinical preceptorships are used in an advanced practice registered nursing education program, the following conditions shall be met:

(1) Written agreements between the program, clinical preceptor and the affiliating agency/clinical facility, when applicable, shall delineate the functions and responsibilities of the parties involved.

(2) Criteria for selecting clinical preceptors shall be developed in writing. Competent clinicians can be considered qualified to be preceptors if they are:

(A) Licensed to practice as advanced practice registered nurses, or

(B) Currently licensed health care professionals who can provide supervision and teaching in clinical settings appropriate for advanced practice registered nursing.

(3) Written clinical objectives shall be specified and shared with the clinical preceptor prior to the experience.

(4) The designated faculty member shall be responsible for the student's learning experiences and shall communicate regularly with the clinical preceptor and student for the purpose of monitoring and evaluating learning experiences. If site visits are not feasible, communication and evaluation are managed by alternatives such as telephone, written communications, or clinical simulations.

(f) The maximum number of students that one (1) advanced practice registered nursing education program faculty member supervises in a clinical course should not exceed six (6) students.

(1) If faculty are providing on-site clinical supervision of students, the ratio should not exceed two (2) students to one (1) faculty member during the clinical day.

(2) If faculty are providing on-site clinical supervision of students while managing their own caseload of patients, the ratio should not exceed one (1) student per faculty during the clinical day.

Source Note: The provisions of this §219.10 adopted to be effective September 13, 2001, 26 TexReg 6889; amended to be effective January 8, 2008, 33 TexReg 184; amended to be effective December 9, 2018, 43 TexReg 7894