Please consider incorporating language similar to a previous VBON Guidance Document into general regulations: (Schools need flexibility with community placements and opportunities for student in order to provide the most beneficial learning experiences in preparation for community and population health care).

The exceptions to direct, on-site supervision, are in the following areas:

The clinical experience is a community health experience meeting the following criteria:

• 1. The nursing students have successfully completed foundational nursing concepts, as identified above, and basic medical-surgical nursing concepts prior to being assigned to a community based clinical experience.
  2. There are established clinical objectives and an appropriate orientation to the setting.
  3. The nursing care provided by the nursing student is limited to basic screening and data collection, health teaching, and assisting with low-risk, non-invasive nursing care (height/weight; vital signs, assessments, basic activities of daily living (ADLs).
  4. The nursing faculty member verifies the student???s competency in the care and/or other skills required for the clinical setting prior to the rotation.
  5. The supervising nursing faculty member meets with the nursing students regularly to evaluate their progress toward meeting the objectives.
  6. The supervising nursing faculty member is readily available by telephone to provide direct assistance, supervision, and evaluation as needed during the rotation.

Examples of community health experiences may include, but not limited to: Boys and Girls Club, Home Health, Health Department, Community Services Board, Child Care Centers, and Adult Day Care Centers.These experiences can be counted toward the required supervised direct care clinical hours as defined in 18VAC90-27-100.A.