Welcome to the PLU RN Refresher Program 2019 - Registration Opens February 2019

The purpose of the course is to prepare the inactive Registered Nurse for current employment with adult clients.  The Refresher program meets 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.

Due to possible schedule changes dates are tentative at this time.

This hybrid program combines:

  • Self-directed independent online study modules
    (approximately 50 hours, tentative date: Spring 2020)
  • 40+ hours – On-campus classroom content and lab skills
    (classes usually run 8 a.m. – 4:45 p.m. tentative date: Spring/Summer 2020)
  • 160 hours – Supervised clinical practice experience
    (tentative date: long term care Spring/Summer 2020)

Online section begins in the Spring with 6 weeks to complete
Classroom content with lab skills
Clinicals run in the summer. Coordinate with assigned preceptor to complete 160 hours

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:
You must have a Limited Education Authorization (if you have an expired lic. see https://www.doh.wa.gov/Portals/1/Documents/Pubs/669213.pdf) or active RN license from the Washington State. For questions see  https://www.doh.wa.gov/LicensesPermitsandCertificates/NursingCommission/NurseLicensing/FrequentlyAskedQuestions/InactiveandRetiredActiveStatus

The following requirements must be completed at least 3 weeks before the start date of clinicals. Note, you will enter most of the information in our online Castlebranch System (you will receive access within 2 weeks when you register).

  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 must have a computer, access to Wi-Fi, and the ability to download documents and send emails.

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
Tentative Dates:

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



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
 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
a. CV:  CHF, HTN, Stroke   b. Resp:  COPD, Asthma   c. Hepatic/Biliary: Hepatitis, Gallbladder   d. ENDO:  Diabetes   e. Neuro: MS, Parkinson’s. MG, ALS, Neuro Infections   f.  GI: Diverticulitis, Inflammatory Bowel Disease, Polyps   g. GU:  Infections-CAUTI, Renal Calculi, BPH, Erectile Dysfunction  h. ENT:  Cataracts, Glaucoma   i. Immune:  Arthritis, Cancer   j. M/S:  Fractures  k. Integumentary:  Impetigo, Herpes Zoster   l. Reproductive



Specialty topics: Surgical, Hysterectomy,  Pediatrics, Obstetrics, Domestic Violence, Psychiatric/Mental Health, Geriatrics, Community



Assessment Lab


ARNP:  Adult Health Assessment Class:   Health History, Basic Physical Assessment Skills, VS, Documentation.

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.

Main Lab
Handwashing, Infection Control/Isolation/PPE, Oral meds, Pyxis, Bed bath & body mechanics, Transfers, Lifts, IV insertion


IM meds, IV maintenance, IV meds, IV tubing & change, CVAD, PICC lines/Infections, Chest Tubes


Main Lab

Blood Admin, Trach Care & Suctioning, Urinary Catheterization, Wound Care/Dressing Change, NG insertion, Parental/Enteral/PEG tube feeding


1300-1500 Complete Lab Check Offs
1500-1700 Clinical Orientation, Questions and Wrap up


Location: Varies
Tentative Dates: Spring/Summer 2020

Work directly with your assigned preceptor 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 must be available to work any shift and clincal locations within a 50 mile radius of the PLU campus.  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.