Welcome to the PLU RN Re-Entry Program

The purpose of the course is to prepare the inactive Registered Nurse for current employment with adult clients. Refresher program to meet the Washington State Professional Nursing requirements for the current practice set forth in the RCW and WAC. These requirements are monitored by the Nursing Care Quality Assurance Commission.

This hybrid program combines:

  • Self-directed independent online study modules
  • 40+ hours – On-campus classroom content and lab skills
  • 160 hours – Supervised clinical practice experience

Online section begins early May, with 6 weeks to complete
Classroom content with lab skills is July 9 – 13, 2018
Clinicals run July 16 – August 17, 2018

Click here for the RN Refresher Program Student Handbook

Click here for Recommended Reading and Books

Clinical Practice Requirements

Prior to entering the clinical setting, the RN Refresher student will meet the following health requirements. Note, you will enter most of the information in our online Castlebranch System (you will receive access when you register, on line access available on May 1)

  1. Hold a current license to practice registered nursing in Washington State with no encumbrances or a temporary license from WA Nursing Commission.
  2. Show evidence of liability (malpractice) insurance coverage for a minimum of 1,000,000/3,000,000.
  3. Show evidence of a major medical, accident or sickness insurance coverage.
  4. Completion of CPR for Health Providers that remains valid throughout the clinical experience. CPR must include 1 and 2 person, child, infant choking and AED.
  5. Complete the Application
  6. Complete the Washington State Patrol Disclosure Affidavit
  7. Complete and sign the Release and Hold Harmless Agreement
  8. Completion of the Personal Health History form and all screening and immunization: TB Screening, MMR, Hepatitis B, Chicken Pox, Tetanus
  9. Non-native English speakers will be required to demonstrate English proficiency using the TOEFL
  10. Successful completion of all RN Refresher Lab Skills sessions as evaluated by the instructors
  11. Be ready and available for clinical experiences on day and evening shifts on any day of the week, including holidays. To facilitate your successful completion of the clinical experience other employment during this same 5 weeks as your clinical is highly discouraged. (There have been instances where participants were unable to successfully complete the program due to over commitments and fatigue).
  12. Be able to meet the list of Physical and Psychological Expectations of Nurses Returning to Professional Practice
  13. You do not need to purchase new scrubs, however if you do purchase scrubs we suggest ordering grey scrubs to help identify you as a PLU student

This course is a Washington State approved refresher course. Successful completion of the course is required for return to active status of a Registered Nurse license that has been inactive or lapsed three or more years.

Online Modules

Approximately 50 hours
Self-directed independent online study modules

You will receive a login registration to view the modules and track your modules and completion through our Sakai website.


Didactic and Lab Skills Refresher – In Class
Pacific Lutheran University Campus
July 9 – July 14, 2018

Before class: Read content/view video modules on topics
Attire: You do not need to wear scrubs, scrub top to protect your clothes is optional

DAY 1: 0800-1700; 1 hr lunch,

Session 1: 0800-1000
a. Nursing Process: ADPIE, RN Scope of Practice Decision Tree,
WA Nurse Practice Act, Scope of Practice for LPN, Scope of Practice for NA
b. Leadership, delegation, documentation, Continuing Competence
c. Interdisciplinary team coordination and Care management
d. HIPAA, Evidenced-based practice, critical thinking

Session 2: 1000-1200
a. Major drug classifications: action, s/e, adverse reaction, related labs;
preventing, mitigating and reporting med errors
b. 8 Med Admin Rights-2 Patient Identifiers, Calculations, Routes of med administration
c. Look Alike/Sound Alike Meds/High Alert Meds
d. Do Not Use Abbreviations
e. Documentation
Afternoon – Specialty Areas 4 hours
a. Healthy People 2020 Goals
b. American Red Cross Emergency Preparedness
c. Pierce County Emergency Mgmt.
d. Geriatric and older adult assessment

DAY 2: LAB 0800-1700; 1 hr lunch,
Session – All Day: Specialty Areas
Pediatric, Ob, Acute Care, Extended Care, Intensive Care,
and Community health, lab and discussion

DAY 3: LAB 0800-1700; 1 hr lunch,
Session – All Day: Lunch Break – TBD.
Adult Health Assessment Class taught by ARNP
Health History
Basic Physical Assessment Skills
NOTE: Students will practice key physical assessment skills on each other this day.
Students will listen to heart, lung and abdominal sounds. Students will be asked to expose their legs up to the knee. Please wear tank top and loose clothing this day.

DAY 4 & 5: LAB 0800-3:45; 1 hr lunch,
a. Basic care: handwashing, VS, bed making, body mechanics, transfer of client, LIFTS
b. Infection Control & Isolation Techniques/PPE
c. Non-parental Medication Administration, Injections,
d. IV Therapy-Insertion, Maintenance, IV Medications
e. Central Venous Access Device, PICC lines, Central line infections
f. Blood Administration
g. Oxygenation, Trach care & suctioning, Chest tubes
h. Urinary Catheterization-Insertion & Maintenance, CAUTI
i. Wound Care, Ostomy care
j. Nasogastric care, Enteral feeding, Percutaneous Endoscopic Feeding

30 minutes at end of last day
a. Clinical Orientation, Testing, Final Wrap-up


Location: Varies
Dates: July 17 -August 17, 2018

5 weeks to complete 160 hours of clinical practice.  Practice consists of 80 acute care and 80 hours long term care.  PLU will provide locations and preceptors to complete your clinicals. You will be reviewed for skill and nursing competency as you refresh your nursing knowledge. At the end of successful  completion of clinicals you will receive a certificate of RN Re-Entry completion with PLU continuing education credit.