Excelsior College v. Board of Registered Nursing

39 Cal. Rptr. 3d 618, 136 Cal. App. 4th 1218, 2006 Cal. Daily Op. Serv. 1554, 2006 Daily Journal DAR 2143, 2006 Cal. App. LEXIS 224
CourtCalifornia Court of Appeal
DecidedFebruary 23, 2006
DocketC047824
StatusPublished
Cited by15 cases

This text of 39 Cal. Rptr. 3d 618 (Excelsior College v. Board of Registered Nursing) is published on Counsel Stack Legal Research, covering California Court of Appeal primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Excelsior College v. Board of Registered Nursing, 39 Cal. Rptr. 3d 618, 136 Cal. App. 4th 1218, 2006 Cal. Daily Op. Serv. 1554, 2006 Daily Journal DAR 2143, 2006 Cal. App. LEXIS 224 (Cal. Ct. App. 2006).

Opinion

Opinion

NICHOLSON, J.

Plaintiff Excelsior College, a New York-based distance learning nursing program, sought writs of mandate, as well as declaratory and injunctive relief, in response to decisions of the California Board of Registered Nursing (Board) altering the Board’s interpretation and application of Business and Professions Code section 2736. 1 Previously, the Board recognized Excelsior’s program as equivalent to the minimum requirements of accredited programs in California, thus enabling Excelsior graduates to apply for licensure in California. The Board, however, recently concluded it has no authority to evaluate out-of-state programs prospectively—that is, before a nursing program graduate applies for licensure. Excelsior seeks to invalidate the Board’s interpretation of section 2736 and compel the Board to continue accepting the Excelsior program as equivalent to California’s minimum requirements. The trial court sustained the Board’s demurrer to Excelsior’s petition for writs of mandate and causes of action for declaratory and injunctive relief.

*1225 On appeal, Excelsior alleges multiple errors in the trial court’s ruling, but the arguments revolve around whether section 2736 requires the Board to continue evaluating out-of-state nursing programs, such as Excelsior’s, prospectively, and whether the Board’s actions violated any administrative duties it owed to Excelsior. We conclude the trial court did not err in dismissing Excelsior’s complaint because section 2736 does not require the Board to make prospective evaluations of out-of-state programs such as Excelsior’s and Excelsior has no right to an administrative hearing on the Board’s interpretation and application of section 2736.

STATUTORY AND REGULATORY FRAMEWORK

The Nursing Practice Act, section 2700 et seq., governs the licensing requirements and the practice of nursing in California. It also created the Board of Registered Nursing to oversee licensure of registered nurses in California. (§ 2701.) The primary purpose of the Board is to protect the public. “Protection of the public shall be the highest priority for the Board of Registered Nursing in exercising its licensing, regulatory, and disciplinary functions. Whenever the protection of the public is inconsistent with other interests sought to be promoted, the protection of the public shall be paramount.” (§ 2708.1.)

The Board is responsible for ensuring the quality of nursing in California. Specifically, the Board is responsible for licensing and disciplining nurses within this state. (§§ 2725-2742, 2750-2765.) The Board also has authority to accredit nursing schools located in California. (§§ 2785-2788.) Students who graduate from an accredited in-state program are eligible to apply for licensure. (§ 2785.)

Section 2736, subdivision (a)(2) provides that a nursing applicant seeking licensure in California must have either successfully completed required courses of instruction in an accredited in-state program or “successfully completed courses of instruction in a school of nursing outside of this state which, in the opinion of the board at the time the application is filed with the Board of Registered Nursing, are equivalent to the minimum requirements of the board for licensure established for an accredited program in this state.”

Section 2786, subdivision (b) provides: “The board shall determine by regulation the required subjects of instruction to be completed in an approved school of nursing for licensure as a registered nurse and shall include the minimum units of theory and clinical experience necessary to achieve essential clinical competency at the entry level of the registered nurse. The board’s standards shall be designed to encourage all schools to provide clinical instructions in all phases of the educational process.”

*1226 California Code of Regulations, title 16, section 1426, identifies the coursework requirements for in-state programs. These requirements include an equal number of units in both theory and clinical practice. Graduates of California nursing programs are required to complete 18 semester or 27 quarter units of supervised clinical practice, concurrent with classes in theory, in five areas of nursing, including medical-surgical, matemal/child, mental health, psychiatric nursing and geriatrics. In clinical practice, students learn the vital hands-on skills that are at the heart of nursing practice. Nursing students receive supervised clinical practice with rotations to various settings (hospitals, clinics, etc.) with a variety of patients (adults, pediatrics, obstetrics, psychiatric, geriatric, etc.). Some of the skills that require supervised clinical practice are administering medications, including injections; assessing patient pain levels; and performing mental status exams, including assessing psychiatric and geriatric patients. Nursing students learn how to manage multiple patients at the same time, and they learn to distinguish various symptoms by working with numerous patients who have a wide range of health conditions. To fulfill the clinical practice unit requirements, California nursing students must complete a minimum of 810 hours of supervised clinical practice.

BACKGROUND

Documents filed by Excelsior provide the following background information: Excelsior College (formerly known as Regents College) is a distance learning program, based in New York. Excelsior’s programs, including its nursing programs, are designed to enable individuals to earn college degrees by using college courses, proficiency examinations, and special assessment. The programs are free of customary time constraints and permit students to satisfy requirements at their own pace.

In 1979, the Board began officially accepting Excelsior’s nursing program as “equivalent to the minimum requirements of the Board for licensure established for an accredited program in this state,” pursuant to section 2736, subdivision (a)(2). This acceptance continued for more than 20 years.

In August 2001, the Board received correspondence from the statewide organization of Public Health Nursing Directors expressing concern about the skill level of new graduates from some nursing schools. The Board’s subsequent inquiry revealed that the nursing education provided by Excelsior College did not meet minimum education requirements for California registered nursing licensure because it lacked sufficient supervised clinical practice.

*1227 Excelsior’s supervised clinical practice consisted of students taking and passing its “Clinical Performance Nursing Examination” (CPNE). The CPNE is a weekend course, administered over two and one-half days, with a limited number of patients involving only two areas of nursing. As opposed to California’s 810 hours of supervised clinical practice in a variety of settings with various patients, Excelsior’s students simply take the weekend CPNE. (Excelsior reports that 35 percent of students fail the CPNE.) This differed substantially from the minimum 810 hours of supervised clinical practice required under California Code of Regulations, title 16, section 1426. The CPNE, in the Board’s opinion, is not equivalent to the minimum education requirements for clinical practice under California licensure law.

Free access — add to your briefcase to read the full text and ask questions with AI

Related

Cal. Healthcare & Rehabilitation Center v. Baass
California Court of Appeal, 2025
C.T. v. Kern County Board of Education CA5
California Court of Appeal, 2025
Carrillo v. County of Santa Clara
California Court of Appeal, 2023
Ochoa v. Anaheim City School District
11 Cal. App. 5th 209 (California Court of Appeal, 2017)
In the MATTER OF the Application for Licensure of Nadeen GRIEPENTROG
888 N.W.2d 478 (Court of Appeals of Minnesota, 2016)
Galzinski v. Somers
2 Cal. App. 5th 1164 (California Court of Appeal, 2016)
Castaneda v. City of Whittier CA2/7
California Court of Appeal, 2016
Basgall v. Federal Nat. Mortgage Assn. CA2/7
California Court of Appeal, 2015
Clinica De Salud Del Valle etc. v. Douglas CA3
California Court of Appeal, 2014
American Nurses Assn. v. Torlakson CA3
California Court of Appeal, 2014
Johnson v. Co. of San Diego CA4/1
California Court of Appeal, 2014
Chino MHC v. City of Chino
210 Cal. App. 4th 1049 (California Court of Appeal, 2012)
Aids Healthcare Foundation v. Los Angeles County Department of Public Health
197 Cal. App. 4th 693 (California Court of Appeal, 2011)
Entezampour v. North Orange County Community College District
190 Cal. App. 4th 832 (California Court of Appeal, 2010)

Cite This Page — Counsel Stack

Bluebook (online)
39 Cal. Rptr. 3d 618, 136 Cal. App. 4th 1218, 2006 Cal. Daily Op. Serv. 1554, 2006 Daily Journal DAR 2143, 2006 Cal. App. LEXIS 224, Counsel Stack Legal Research, https://law.counselstack.com/opinion/excelsior-college-v-board-of-registered-nursing-calctapp-2006.