Chapter Review Date (a) If a center has an agreement with an accredited school of nursing to use the center for a portion of a student nurse's clinical experience, the student nurse may provide care under the following conditions:(1) the agreement ensures that criminal history checks are conducted for a student nurse in accordance with §550.418 of this division (relating to Criminal History Checks, Nurse Aide Registry, Medication Aide Registry, and Employee Misconduct Registry Requirements) before a student nurse provides direct care;(2) a student nurse is not counted in the staffing ratio required in this chapter; and(3) one of the following:(A) an instructor from the school is onsite, provides class supervision, and assumes responsibility for all student nursing activities at the center; or(B) the center:(i) assumes responsibility for supervision of all student nurses and for all student nursing activities at the center; and(ii) meets the requirements described in subsection (b) of this section.(b) The center must adopt and enforce written policy and procedures describing whether the center will assume responsibility for supervision of all student nurses and for all student nursing activities at the center. If a center assumes responsibility for student nurse activity, the center must:(1) determine the appropriate level of student nurse interaction with a minor, based on the qualifications and experience of the student nurse;(2) assign an RN to supervise a student nurse;(3) limit RN supervision to no more than three student nurses at one time; and(4) based on the outcomes of paragraph (1) of this subsection, determine if it is appropriate to exclude from the staffing ratio the RN assigned to supervise the student nurse activities to ensure the health and safety of minors.