INSTRUCTIONS FOR REFRESHER PROGRAM APPROVAL
The administrator should submit 1 hard copy and one electronic copy of a written proposal to offer a
Refresher nursing program according to the time-frames in the policy: Submission of Materials to
Education Committee policy In order to help you prepare the proposal a copy of the nurse practice act
is available our website.
Should you have any questions don’t hesitate to contact us.
APPLICABLE RULES: R4-19-216. Approval of a Refresher Program
REFRESHER PROGRAM GUIDELINES
Include the worksheet document with the application that provides a narrative and evidence of meeting
the following rule requirements:
A. An applicant for approval of a refresher program for nurses whose licenses have been inactive or
expired for five or more years, nurses under Board order to enroll in a refresher program, or nurses
who have not met the requirements of R4-19-312 shall submit one electronic and one paper copy of
a completed application that provides all of the following information and documentation:
1. Applicant’s name, address, e-mail address, telephone number, and fax number;
2. Proposed starting date for the program;
3. Name and curriculum vitae of all instructors;
4. Statement describing the facilities, staff, and resources that the applicant will use to conduct the
refresher program;
5. A program and participant evaluation plan that includes student evaluation of the course,
instructor, and clinical experience; and
6. Evidence of a curriculum that meets the requirements of below.
B. A refresher program shall provide:
1. A minimum of 40 hours of didactic instruction and 112 hours of supervised clinical practice for
a licensed practical nurse program;
2. A minimum of 80 hours of didactic instruction and 160 hours of supervised clinical practice for
a professional nurse program;
3. A planned and supervised clinical experience that is consistent with course goals, and provides
an opportunity for the student to demonstrate safe and competent application of program content.
The student may spend up to 32 of the required clinical hours in a supervised lab setting
including simulation;
4. Curriculum materials including:
a. An overall program description including goals; and
b. Objectives, content, and hours allotted for each area of instruction;
c. Implemented course policies that include admission requirements, passing criteria, cause for
dismissal, clinical requirements, grievance process and student responsibilities; and
d. Program costs and length of the program.
5. Didactic instruction in current nursing care concepts and skills including:
a. Nursing process and patient-centered care;
b. Pharmacology, medication calculation, and medication administration;
c. Communication;
d. Critical thinking, clinical decision making and evidence-based practice;
e. Delegation, management, and leadership;
f. Working with interdisciplinary teams;