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Accreditation

����Ӱ�� College of Nursing Healthcare Simulation Center has full accreditation by the Society for Simulation in Healthcare in the areas of teaching/education. This status will be granted from Oct. 25, 2022, through Dec. 31, 2027.

Table of Contents

• Section I: Code of Conduct
• Section II: Tours
• Section III: Attendance
• Section IV: Simulation Equipment
• Section V: Simulation Scenarios
• Section VI: Resources and Social Media
• Section VII: Distance Simulation
• Section VIII: Simulation Research
• Section IX: Ethics and Safety
• Section X: Teaching Family
• Section XI: Leadership

Code of Conduct

Purpose: Provide participant guidelines for conducting themselves in a professional respectful manner to maintain a safe and productive environment.

1. Participants must sign a Multi-Waiver Release Form that includes agreement to engage with the manikins/ partial task trainers/ human patients and simulated environment as if they were real, conduct themselves in a professional manner during simulation, provide feedback to peers with respect and professionalism, and maintain strict confidentiality about the details of simulated experiences, the simulation scenarios, and the performance of any participant(s) either at the start of their educational program or the beginning of the simulation experience (housed in ).
2. Disrespect toward students, faculty, staff, the space or resources will not be tolerated.
3. Nursing student participants will adhere to policies and procedures in the College of Nursing Student Handbook related to clinical attendance, punctuality and confidentiality.
4. All participants are expected to come prepared having completed assigned preparatory work with a professional attitude and a desire to actively participate in the learning experience.
5. The Healthcare Simulation Center is a shared space. As such, users are expected to clean up after themselves.
   1. Simulation space, control rooms and debriefing rooms should be cleared of all supplies, papers and equipment that are not part of the standard room set up by the end of each day.
   2. Return all equipment to its appropriate location.
   3. All consumable supplies that can be reused should be left neatly where they were set up.
   4. Garbage should be disposed of properly.
6. Any damage to equipment or operating problems must be reported to the HCSC staff immediately by emailing or calling the simulation site coordinator at the appropriate site.
7. Do not use ink pens, felt-tipped markers, iodine or betadine near the manikins or task trainers. These items will permanently stain the equipment.
8. Do not use the equipment and HCSC space for any purpose other than specified. This includes simulation rooms for intended simulation-based learning activities and debriefing rooms for pre/debriefing needs along with experiential learning activities guided by trained simulationists.
9. Food is not allowed in the simulated patient care areas and drinks must have a closable spill proof lid on them in the Healthcare Simulation Center.
10. Participants in educational and performance assessment activities will adhere to the same clinical dress code as they would for their respective discipline.
11. A visible identification badge is always required of all participants (excluding simulation actors or standardized patients).
12. Closed toe shoes are required for all simulations and SSL that involves chemicals and sharps.
13. A stethoscope should be brought to all standardized patient and high-fidelity simulation sessions.
14. The HCSC simulation site coordinator and HCSC director/assistant director must be notified of cancellations within 24 hours of the scheduled session.

A copy of this Code of Conduct is displayed on a wall in each facility. Violations of the Code of Conduct and/or HCSC policy handbook are subject to disciplinary actions following xx university policy.

Complaint Resolution

Purpose: The policy addresses how faculty and/or student issues will be addressed per SDSU University guidelines.

Process:

1. Course faculty, simulationists and/or students must notify the ����Ӱ�� College of Nursing HCSC director of any site simulation issues or personnel/faculty issues.
2. Individuals that would like to submit a complaint or feedback anonymously, reach out to HCSC director to submit the form. This is viewed by the HCSC director only.

Tours

Purpose: Interested third parties, donors, and prospective students and/or community agencies request to view simulation space or be present during simulation activities to understand the complexity of the learning environment and the use of the equipment and supplies.

Process:

1. Tours are scheduled with the simulation site coordinator at each site. Tours may be scheduled Monday through Friday between 0800-1630 unless other arrangements have been made through the Healthcare Simulation Center director.
2. Tours of simulation space only will be restricted to unused space, to ensure no disruption to current students' simulation-based learning activities.
3. Tour of active simulation space require at least a 24-hours' notice and completed waiver form below:
4. Observers must follow the guidelines of confidentiality and respect (HIPAA and FERPA) in the participant guest waiver release form. Waiver forms must be completed when students or recording is active in the space. Send completed forms to the site simulation coordinator.
5. No recording or photos on personal devices unless approved by the HCSC Director prior to the tour for a university promotional event.

Attendance

Purpose: This policy lists which nursing events are considered excused absences and how simulation makeup is arranged.

SDSU’s general class attendance policy, as stated in the Undergraduate Catalog and University Policy and Procedure Manual, will be followed for both graduate and undergraduate students. The College of Nursing Student Handbook provides additional excused/unexcused absences related to clinical/simulation/lab makeups. Please see Section 5: College of Nursing Professional Standards; 5-4 Attendance Guideline and 5-6: Guidelines for Clinical Absences: Billing Procedure for Unexcused Off or On Campus Clinical.

Simulation attendance refers to preparation time/work and the required modality of the simulation-based learning activity. Incomplete prep will lead to failure to complete the scheduled simulation experience and will be required to follow the College of Nursing Unexcused Absences Policy.

College of Nursing Excused Absences will follow the circumstances discussed in the above Policy and Procedure Manual and College of Nursing Student Handbook. Any absence from clinical/simulation will require that the student make up the missed clinical hours and assignments.

College of Nursing Unexcused Absences

An unexcused absence will initiate a Performance Improvement Plan as identified in the College of Nursing Accountability Performance Standards statement within syllabus. Any absence from clinical/simulation will require that the student make up the missed clinical hours and assignments. For an unexcused absence, the student will be billed by the College of Nursing for payment for the makeup clinical/simulation hours as outlined in the College of Nursing Student Handbook: 5-6: Guidelines for Clinical Absences: Billing Procedure for Unexcused Off or On Campus Clinical It is the responsibility of the student to initiate this the process of scheduling clinical/simulation makeup via jacks’ e-mail within twenty-four hours (M-F) after the absence. Undergraduate students should contact the clinical coordinator and the simulation site coordinator. Graduate students should contact the simulationist assigned to that experience. The unexcused absence will be noted on the clinical evaluation tool.

Event Cancellation of Simulation

Purpose: This policy will provide safe and uniform cancellation of simulation. Refer to the .

Process:

1. In case of severe weather or other unanticipated events, the SDSU CON Healthcare Simulation Center will follow SDSU University policy regarding delays or cancellations.
2. For nonweather or University emergency concerns, the simulationist assigned to the simulation will notify the simulation site coordinator. The Simulation Site Coordinator will notify the HCSC Director and/or assistant academic dean for cooperative programs of the issue. The simulation site coordinator or Director will contact all faculty and participants assigned for simulation to cancel the scheduled simulation.
3. The simulation site coordinator will work with faculty to reschedule the event.

Simulation Equipment

Storage and Maintenance of Equipment and Supplies

Purpose: Proper maintenance of supplies and equipment is required for safe use and handling. Appropriate maintenance of equipment, timely repair and service must be ensured for the longevity of equipment within the HCSC. Equipment that is out of service interferes with scheduled training and disrupts curricula.

Process:

1. All and supplies will be secured within locked areas of the HCSC.
2. If equipment or software is not functioning properly, a simulation technician will troubleshoot and, when possible, resolve the issue(s). This may required contacting the equipment vendor to determine appropriate actions. If the problem is not resolved, the HCSC director is to be notified. Maintenance/replacement records will be documented.
3. Maintenance of equipment will be performed according to manufacturer recommendations. Laerdal and other software should be completed biannually or as they become available.
4. Consumable supplies, equipment and simulator components will be managed and replaced by the simulation technician as necessary following the HCSC . Any request for new equipment will be sent to the HCSC director, using the .
5. Annual equipment needs assessment is completed on each site for necessary replacement upgrades related to program growth. The simulation and experiential learning committee reviews and prioritizes requests based on program needs. The HCSC director communicates these needs through the appropriate channels to ensure adequate operations of the HCSC.
6. Task trainers and other simulation equipment should be cleaned after each use and prior to storage, following manufacturer guidelines and current public health concerns.

Simulation Scenarios

Validation of Healthcare Simulation Center Scenarios

Purpose: This policy will provide steps to ensure simulation scenario validation for use in the SDSU College of Nursing Healthcare Simulation Center. To provide simulation participants with current evidence-based practice, scenarios will be developed and reviewed according to this policy.

Process:

Resources and Social Media

Prioritization of Simulation Resources

Purpose: This policy will outline the scheduling and use of simulation resources.

Process:

1. The use of simulation manikins, equipment and supplies conducted by the SDSU College of Nursing Healthcare Simulation Center (HCSC) will take precedence over outside community agencies for contracted use.
2. Any equipment taken out of the HCSC space must be requested and signed out using the FS00772 Nursing equipment request form found on insidestate to allow the site simulation tech to allow proper prep and planning. Capital equipment can only be removed from the SDSU College of Nursing HCSC upon prior approval from the HCSC director in accordance with SD law and University policies. This includes but is not limited to classroom simulation activities, camps/recruitment events and BLS classes.
3. Scheduling of simulations will be completed by contacting the simulation site coordinator.
4. When courses overlap within the College of Nursing, the simulation site coordinator, site clinical coordinator, assistant academic dean for cooperative programs, and HCSC director will review the course calendar, number of students involved, room availability, facilitator availability and equipment needs to determine the best solution for each simulation activity overlap.

Facility Usage Request

Purpose: This policy is to establish clear guidelines and procedures for anyone outside the College of Nursing for internal SDSU and external facility use of equipment and resources.

1. All interest inquiries should first complete the Healthcare Simulation Center Facility Usage Request online. The HCSC director will respond to facility requests with additional information, questions and confirm dates after reviewing the requested sites’ available space and staffing.
2. Once approved by HCSC director and site simulation coordinator, the HCSC facility usage agreement for external and internal users will be sent via Docusign for agreement signatures.
3. All activities involving manikins or high-fidelity equipment must be supervised by trained faculty or HCSC staff.
4. Anyone in the HCSC space must always follow the College of Nursing HCSC Policy Handbook and HCSC facility use agreements.
5. All external faculty must complete a mandatory HCSC orientation and prebriefing/facilitation/debriefing standards of best practice training. Followed by a mentorship model to ensure best practices for these simulation-based learning activities.
6. Noncompliance of HCSC facility use agreement and HCSC Policy Handbook may result in immediate termination of the simulation session, temporary or permanent loss of HCSC access privileges and/or financial charges for damaged equipment or facility resources.

Video Recording and Data Retention in Simulation

Purpose: This policy will provide steps to ensure safe use and storage of data and video within the SDSU CON Healthcare Simulation Center.

1. All data, student evaluations and audio-visual recordings are kept on SimCapture Cloud storage that can only be accessed through a secure password. Only SDSU Simulationists have access to the SimCapture record database.
2. No recording or photos on personal devices unless approved by the HCSC Director and signed/documented on the HCSC Media, Photo, & Video Release Waiver. Approved but not limited to devices are through the SimCapture for skills secure Laerdal cloud system.
3. Participant consent for video recording for educational and research use must be acknowledged. Students within the CON will sign the Undergraduate Multi-Waiver Release Form or the Graduate Multi-Waiver Release Form at the start of the program. All other participants will consent using the before the simulation activity.
4. Consent for media or other non-education needs, participants will sign the HCSC Media, Photo and Video Release Waiver.
5. All data is electronic and stored on a secure cloud system.
6. All data is backed-up on the secure cloud system.
7. If there are technology issues with the system and paper data and evaluations are collected, they will be kept in a locked file in the Simulation Site Coordinators office and destroyed once the student graduates from the CON program.
8. All student and educational partners simulation records, and video recordings will be kept until the student graduates from the CON program and destroyed/deleted by the HCSC Director within 7 years of program completion. Research data with IRB and signed consent will be destroyed/deleted from the system within 7 years or according to the IRB documents if stated differently.

Social Media and Electronic Communication in Simulation

Purpose: To describe the appropriate use of social media and define inappropriate use and associated reporting requirements. Consequences for misuse of social media are provided.

1. Appropriate Use of Social Media
   1. Participants have ethical and legal obligations to maintain privacy and confidentiality at all times. Participants must not post any identifiable participant, facilitator or standardized human patient information. Removing the individual’s name does not necessarily protect the person or patient’s identity, and sharing information, even with names removed, may be enough to constitute a violation of the Family Educational Rights and Privacy Act (FERPA) and/or the Health Insurance Portability and Accountability Act (HIPAA) and may have academic, employment and legal consequences (American Nurses Association, 2011).
   2. When using social media, participants should only post content that reflects positively on them and the institution or discipline from which they are representing. If participants post content regarding the institution or discipline, it should be clear that it does not represent the institution or discipline and that the content posted represents only the views of the participant. Participants must promptly report any identified breach of confidentiality or privacy.
   3. Future employers and educational institutions conduct web searches on prospective employees including online information and postings and may use that information to make hiring decisions. Remember that inappropriate online postings may impact future career options within the respective profession.
   4. When using social media and electronic communication, participants should follow the and adhere to SDSU's social networking guidelines.
2. Inappropriate Use of Social Media
   1. Participants must not post any personal or health-related information associated with standardized human patients or others such as name, diagnoses, age, photographs or other images, injuries or treatments of patients or other information in regard to: procedures, surgeries, births, deaths or any incidents on any social media.
   2. Participants must not transmit, by way of any electronic media, any standardized human patient-related information or image that is reasonably anticipated to violate patient rights to confidentiality or privacy or to otherwise degrade or embarrass the standardized human patient.
   3. Participants must not refer to standardized human patients, instructors or peers in a disparaging manner, even if they are not identified.
   4. Participants must not take photos or videos of standardized human patients or peers during simulation on personal devices, including mobile devices.
   5. Participants must not make disparaging remarks about peers or instructors.
3. Reporting of Inappropriate Use of Social media
   1. Report any breach of confidentiality or privacy in social media committed by participants to a facilitator, adviser or supervisor.
   2. Participants who view content that violates ethical or legal standards should first bring the content in question to the attention of the individual who posted it so that this individual can take appropriate action.
4. Consequences
   1. Any student failing to adhere to the standards set forth in this policy is subject to administrative action, including any and all of the following: written reprimand, course failure, administrative withdrawal from the nursing major and administrative withdrawal from the university.
   2. Any post that could be harmful or reflect negatively on other students, the College of Nursing, SDSU or any other persons may result in liability for the individual sending the message. Posting photographs without permission from the individuals in the photographs may also result in legal consequences.

References

• American Nurses Association (2011). ANA’s principles for social networking and the nurse.
• National Council of State Boards of Nursing (2011).

Distance Simulation

Expectations for Distance Simulation Modalities

Purpose: This policy will outline the expectations of participants when participating in distance simulation which includes but is not limited to: Virtual Reality, Augmented Reality, Screen-based simulation, telehealth, zoom debriefing, and SimCapture for skills. This policy applies specifically to distance simulation activities, including those facilitated in real time (synchronous) or accessed independently by learners (asynchronous). It applies to all faculty, staff, learners and external partners who plan, participate in, or support remote simulation sessions through HCSC.

Definitions

Distance Simulation: Simulation activities in which one or more participants, facilitators or systems are not co-located.

Synchronous Simulation: Real-time, interactive sessions conducted via video conferencing or remote simulation platforms.

Asynchronous Simulation: Pre-recorded scenarios, screen-based simulations, Virtual Reality (VR), Augmented Reality (AR), or assignments that learners complete independently at their own pace.

Hybrid Simulation: A combination of both synchronous and asynchronous formats.

Process:

1. Synchronous Simulation Guidelines: Synchronous simulations are facilitated in real time and may involve: live patient scenarios with facilitator oversight; virtual team-based decision-making exercises, real time feedback and debriefing.
   1. All synchronous sessions must be scheduled in advance through the HCSC. Facilitators are responsible for ensuring that learners receive clear instructions and have access to required materials and technology.
   2. Learners are expected to:
      1. Familiarize themselves with how to use the video conferencing system prior to session
      2. Join sessions on time. Attending from a private, distraction-free environment where other individuals cannot observe or hear the activity or conversation.
      3. Driving or riding in cars is prohibited
      4. Maintain confidentiality of the simulation client and participants: screenshots, recordings, or distribution of simulation session content is prohibited
      5. Professional behavior and attire are required
      6. Keep their cameras and microphones on as requested
      7. Actively engage in all discussions, decisions and debriefings
   3. Recording of sessions is permitted only by HCSC staff/faculty. AV recordings are stored securely and used only for debriefing or quality improvement.
2. Asynchronous Simulation Guidelines: Asynchronous simulations allow learners to complete simulation activities independently. These may include interactive video case reviews, pre-recorded simulation scenarios, virtual patient cases with imbedded clinical reasoning prompts, self-directed debriefing or reflection assignments, and/or peer-to-peer simulation skills feedback videos
   1. All asynchronous materials must be clearly structured and accessible through an LMS or secure platform
   2. Learners are expected to:
      1. Complete required modules by assigned deadlines
      2. Meet all measures of completion (required time or number of attempts, etc.)
      3. Follow all submission and reflection instructions
   3. Facilitators will provide guidance and feedback based on learner engagement and performance. Asynchronous content must be protected from unauthorized access. Learners may not download, record, or redistribute any content without permission.
3. Training and Technical Support: All facilitators and learners must complete appropriate training before participating in distance simulation through the HCSC. This includes orientation to platform(s) used, expectations for participation and conduct, privacy and data protection responsibilities, and basic troubleshooting
   1. HCSC technologists will provide access to training resources, assist with setup, and offer live support during synchronous sessions.

Simulation Research

Process of Simulation Center Research

Purpose: This policy will outline the process and approval steps for simulation research activities, ensuring University, College, and simulation experts are involved in the design of simulation research activities.

If your research proposal/project includes simulation-based learning modalities of any kind, below are the steps In Order to follow:

1. Consult with HCSC Director and the Associate Dean for Research to ensure proposed research project meets SSH accreditation standards and is supported by current staffing/equipment requirements.
   1. If the researcher is a student, they must contact their faculty mentor and review Policy #C1980: Student Conducting Research, prior to proceeding.
2. The Principal Investigator (PI) must notify the appropriate faculty and leadership based on the research setting:
   1. Classroom-based research: If the research takes place in a classroom setting, the PI must obtain approval from the faculty member(s) of record for the course at each participating site.
   2. Clinical or simulation course research: If the research involves a clinical or simulation course, the PI must notify the HCSC Director. The Director will bring the proposal forward to the Simulation and Experiential Learning Committee (SELC) for discussion and awareness.
   3. Program-wide or curricular changes: If the research involves program-level or curriculum changes, the PI must consult with the Associate Dean of Academic Programs for guidance and approval.
3. Follow steps in policy #C1970: students as research participants to complete the process.
   1. Obtain IRB approval OR SDSU CPETE Umbrella IRB for SoTL (exception undergraduate student researchers) research Additional questions on SoTL umbrella contact Executive Director-CPETECenter for Professional Enrichment and Teaching Excellence | ����Ӱ�� or full IRB approval as indicated by university guidelines on Human Subjects.
   2. Once Research and Scholarship Subcommittee and IRB approval are obtained: the PI will communicate a summary of the proposal using the IRB documents (research question, aims and approaches, research methods, data collection methods, procedures to collect data and data analysis strategies) to the HCSC director and Associate Dean for Research. The HCSC Director will advise on faculty/staff within the HCSC to meet for implementation planning.
   3. Upon completion of study, the PI will provide a summary of results and any dissemination plans (presentations/manuscripts) to the HCSC director and Associate Dean for Research within 6-months, and update of dissemination annually.

Ethics and Safety

Code of Ethics

The College of Nursing has adopted the Society for Simulation in Healthcare Simulationist Code of Ethics, which includes descriptions of the following topics. for details.

• Integrity
• Transparency
• Mutual respect
• Professionalism
• Accountability
• Results orientation

Physical and Psychological Safety

Purpose: To define the College of Nursing’s requirements and expectations for creating a psychologically and physically safe learning environment and response to any unforeseen event within the HCSC.

1. Psychological safety impacts the participant’s ability to engage in simulation events and critical reflection. The nature of simulation can sometimes pose physical and/or psychological risks to the participant.
   1. To minimize these risks, simulation facilitators are responsible for prebriefing which enables the participant to suspend disbelief so that they can immerse themselves safely in the simulation. Simulation facilitators are expected to provide a prebrief that reminds participants of the objectives of the simulation and discusses the need for confidentiality, respectful communication and mutual support.
2. In the event that a participant is experiencing undo stress, anxiety or emotional distress, a simulation facilitator will intervene to assist the participant.
   1. The simulation facilitator will be responsible for determining the appropriate course of action including continuing or stopping the simulation.
   2. The participant’s emotional reaction to the simulation should be discussed in a private setting with appropriate support services.
3. Facilitator should provide additional support resources as needed.
   1. Mental health resources: SDSU Counseling Center: 605-688-5117
   2. Crisis Lifeline text: 988
   3. Crisis Care Center (Rapid City): 605-391-4863
      1. The HCSC director and site assistant dean should be notified within a reasonable time frame.
4. In the event that a participant’s physical safety is compromised, the simulation facilitator will stop the simulation, assess the participant, activate the emergency medical response system (if warranted) and then notify the appropriate HCSC director and site assistant dean.

Mechanisms to Appropriately Separate Simulation and Actual Patient Care Materials

Purpose: This policy will ensure the appropriate separation and safe use of simulation and actual patient care equipment, supplies and medications found within the HCSC.

Process:

1. Simulated medications may be purchased by a vendor or created by HCSC facilitators.
2. All medications that are used in the HCSC must be labeled “Not for Patient Use.” Individual demo medications used in simulation (i.e., pills, tablets, capsules) may be placed in small containers and labeled by HCSC simulationist.
3. All donated expired IV medications (bags or bottles, etc.) must be labeled “Not for Patient Use.” Empty containers may be filled with sterile or distilled water to simulate real medication. Addition of nontoxic materials may be added to the container to attain a more realistic appearance.
4. Expired medical supplies that have not been opened are often donated for use in the HCSC. After use of the expired supplies in simulation, they are discarded appropriately by the HCSC to ensure that they are not used for actual patient care.
5. All equipment in simulation is for SDSU College of Nursing HCSC use only and must be labeled "for simulation use only" and/or "for educational purposes only." SDSU does not loan any equipment to other facilities that provide actual patient care. Modifications are made to the equipment to ensure safe use by HCSC simulationists and participants.
6. Equipment used during standardized patient simulations follow manufacturer’s recommendations.
7. Any capital equipment can only be removed the HCSC upon prior approval from the HCSC director.
8. All equipment, supplies, sharps and medications are secured within locked areas of the HCSC.
9. On-campus clinical equipment: The skills packs are purchased for use in the College of Nursing HCSC only. Supplies must remain on campus for clinical experiences. Upon graduation or termination of the program, remaining supplies become property of SDSU. If a student transfers between SDSU College of Nursing sites, then faculty/staff will facilitate the equipment being moved. No equipment or supplies from the skills packs will be released directly to students.
10. Skills pack for online BSN and DNP students will have specific equipment and check-out processes outlined in the Equipment check-out contracts for these specific cohorts. It is the responsibility of the student to ensure equipment is checked out and returned and available for personal practice during on-campus lab experiences. Should the student not have the necessary equipment available for personal practice during on-campus lab experiences, no additional supplies will be provided from the College of Nursing.
11. Equipment needed for classroom simulations or activities must be requested through the Nursing Equipment Request Form. The site simulation technician will be in contact related to equipment requests.
12. Off Campus Clinical Equipment: Simulation equipment is intended for on-campus clinical experiences and are not calibrated for use and accuracy of off-campus experiences. Most equipment in the HCSC are intended for education purposes on simulated patients.
13. Any facility requesting assessment services must provide all equipment and supplies for the activity. Faculty will be responsible for ensuring the agency has an affiliation agreement with SDSU CON and the appropriate equipment is rented for the experience.
14. Unauthorized removal of equipment from the HCSC without approval will result in a verbal warning for the first occurrence. For each sub sequential unauthorized removal of supplies there will be a 5-point deduction from the total course grade.
15. SDSU Laboratory Safety Policy will be followed. In the event that there would be a clean needle stick, the Exposure Procedure Policy needs to be followed.

Healthcare Simulation Center Leadership

• Director: Alyssa Zweifel, Ph.D., RN, CHSE
• Brookings simulation site coordinator: Annette Ray, MSN, RN, CNE, CHSE
• Rapid City simulation site coordinator: Megan Watson, M.S., RN
• Sioux Falls simulation site coordinator: Takara Schomberg, MSN, RN, CNE, CHSE

The simulation and informatics committee created the SDSU College of Nursing "Healthcare Simulation Center Policy Handbook" in 2018, reviewed with minor edits in 2020. The simulation and experiential learning committee reviewed and made updates to the policy handbook in January 2022. This is located on InsideState and the College of Nursing page. It's free to review and download.

Updated December 2023/October 2025 SELC Committee