Sample Wording for Disclosure Elements in Nursing Continuing Education

Sample Disclosure Wording

The following slides provide sample wording to address each of the disclosure elements. Nurse Planners should determine which disclosures are applicable and ensure that each one is delivered to learners prior to the start of the activity, or initiation of educational content. It is strongly recommended that Activity Providers include all disclosures in one place, even if some appear again elsewhere such as on marketing materials.

Nurse Planners must decide the most effective method to ensure that participants both receive and read the disclosure information BEFORE the start of the program. This can be accomplished by a variety of mechanisms, for example, the use of a slide, a slide loop , a handout, a Disclosures tab in a virtual platform, as part of the marketing materials for all delivery formats, etc.

Required Disclosures Required Disclosures Final Approval Statement Successful Completion Requirements Presence or Absence of Relevant Financial Relationships

Final Approval Statement

FINAL APPROVAL STATEMENT DISCLOSURE This nursing continuing professional development activity was approved by the Midwest Multistate Division, an accredited approver by the American Nurses Credentialing Center's Commission on Accreditation. The final approval statement above cannot be added to, altered or changed in any way and must read verbatim.

Successful Completion Requirements

SUCCESSFUL COMPLETION REQUIREMENTS DISCLOSURE WORDING Successful completion requirement disclosures are determined through the planning process and identified on the Individual Education Activity Application. All successful completion requirements must be disclosed prior to the activity. Sample Wording: Live, in-person In order to obtain nursing contact hours, you must attend the entire activity, participate in case study analysis, and complete the evaluation. Live, virtual In order to obtain nursing contact hours, you must participate in the entire program, participate in audience polling and/or Q&A and complete the evaluation. Web-Based/On-Demand In order to obtain nursing contact hours, you must view the entire program, pass the program posttest with a score of 90% or better and complete the evaluation. You may take the posttest up to three times to achieve the passing score if necessary.

Relevant Financial Relationship Disclosure

RELEVANT FINANCIAL RELATIONSHIP DISCLOSURE WORDING If the Nurse Planner determined that the individuals in a position to control content do have a relevant financial relationship with an ineligible company/organization (relevant financial relationship is present), the activity providers must inform learners of the nature of the relationship and a statement of mitigation. Dr. Smith serves as a consultant for Pills, Inc. Pharmaceuticals. Dr. Allen is on the speakers bureau for RN Device Company. All relevant financial relationships for these individuals have been mitigated. No other relevant financial relationships were identified for any member of the planning committee or presenter/author. If the Nurse Planner determined that the individuals in a position to control content do not have a relevant financial relationship with an ineligible company/ organization, the activity provider must inform learners that no relevant financial relationships exist. No relevant financial relationships were identified for any member of the planning committee or any presenter/author of the program content.

Disclosures Required Only if Disclosures Required Only if Applicable Applicable Commercial support Commercial support Joint Provider(s) Joint Provider(s) Expiration date for awarding contact hours Expiration date for awarding contact hours (enduring materials) (enduring materials)

Commercial Support

COMMERCIAL SUPPORT DISCLOSURE The name and nature of commercial support is required to be disclosed to learners prior to the activity, when received. If the activity did not include commercial support, nothing is required to be disclosed. Do not include corporate logos, trade names, or product group messages Sample Wording: Ortho Plus DME has generously donated funds to support this program. Ortho Plus had no input into or influence over the content or choice of presenters. General Mills Library has generously allowed us to use their conference room space for this program.

Joint Providers

JOINT PROVIDER DISCLOSURE Joint Providers are required to be disclosed to learners prior to the activity. If the activity was not jointly provided, nothing is required to be disclosed. Sample Wording: This seminar is jointly provided by Jones Bones Clinic and the Midwest Ortho Nurses Association.

Expiration Date for Awarding Contact Hours for Enduring Materials

DISCLOSURE OF THE EXPIRATION DATE FOR AWARDING CONTACT HOURS FOR ENDURING PROGRAMS The expiration date for the awarding of contact hours for enduring programs must be disclosed to learners prior to the activity. If the activity was not an enduring activity, no expiration date is required to be disclosed. Sample Wording: Contact hours for this program will not be awarded after June 30, 2023

Questions? Email any MSD PD Team member: Judi Dunn ProgramDirector@midwestnurses.org Carol Walker NP@midwestnurses.org Sara Fry sara@midwestnurses.org