North Carolina

Year of Regulation: 2016

Percentage of Clinical Replacement Hours:  

• Not > 25% in focused-client care experience
• Not >50% time in any other clinical experience course
• If non-nationally accredited, must limit simulation experiences to no more than 25% in any course, including focused client care experience.
• If accredited nationally (nursing): Must limit simulation experiences to no more than 25% in focused client care experience; no more than 50% of clinical experience time in any other course

Ratio of Simulation to Clinical Hours: Not defined

Definition of Simulation:  Simulation is a pedagogy that may be integrated across the pre-licensure curriculum.  “Simulation is a technique, not a technology, to replace or amplify real experiences with guided experiences that evoke or replicate substantial aspects of the real world in a fully interactive manner (Gaba, 2004).

Simulation Educator Requirements: 

• Formal faculty education required for simulation experiences substituted for clinical experience time; must maintain competencies in simulation and debriefing.
• Must provide a simulation environment with adequate faculty, space, equipment, and supplies that simulate realistic clinical experiences to meet the curriculum and course objectives.

Resources:

NCNA Position Statement

North Carolina Board of Nursing