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PROPOSAL #1 ASSOCIATE DEGREE IN SCIENCE LVN - TO - RN REEDLEY COLLEGE - MADERA COMMUNITY COLLEGE CENTER TOP CODE 1230.10 Criteria A) Appropriateness
to MISSION 1)
Statement of Program Goals and Objectives a.
STANDARDS OF COMPETENT PERFORMANCE BRN
1443.5. A
registered nurse shall be considered to be competent when
he/she consistently demonstrates the ability to transfer
scientific knowledge from social, biological and physical
sciences in applying the nursing process, as follows: §
Formulates a nursing diagnosis through observation of the
client's physical condition and behavior, and through
interpretation of information obtained from the client
and others, including the health team. §
Formulates a care plan, in collaboration with the client,
which ensures that direct and indirect nursing care
services provide for the client's safety, comfort,
hygiene, and protection, and for disease prevention and
restorative measures. §
Performs skills essential to the kind of nursing action
to be taken, explains the health treatment to the client
and family and teaches the client and family how to care
for the client's health needs. §
Delegates tasks to subordinates based on the legal scopes
of practice of the subordinates and on the preparation
and capability needed in the tasks to be delegated, and
effectively supervises nursing care being given by
subordinates. §
Evaluates the effectiveness of the care plan through
observation of the client's physical condition and
behavior, signs and symptoms of illness, and reactions to
treatment and through communication with the client and
the health team members, and modifies the plan as needed. §
Acts as the client's advocate, as circumstances require
by initiating action to improve health care or to change
decisions or activities which are against the interests
or wishes of the client, and by giving the client the
opportunity to make informed decisions about health care
before it is provided. Authority
Cited: Business and Professions Code, Section 2715.
Reference: Business and Professions Code, Section
2725 and 2761 (effective 7/17/85) 2)
Catalog Description The
proposed Madera Community College Center Associate Degree
Nursing LVN-RN Program is to provide a career
ladder program to prepare entry-level registered nurses
as providers of care across the lifespan and as members
within the profession. The program respects the
individuality of students and recognizes that each
student has different educational, experiential,
cultural, spiritual, economic and social backgrounds, and
a unique support system. The aim of the program is
to provide a positive, innovative learning model that
fosters the development of critical thinking and problem
solving skills so that the graduate nurse is equipped to
deliver care to a culturally diverse population in a
variety of healthcare settings. 3)
Program Requirements a.
Major Courses (list by prefix, number, course title
and units) Ø
RN 75
Nursing in Health & Illness I-Intermediate
medical/surgical
5 units Ø
RN 76
Pharmacology
1 unit Ø
RN 77
Nursing in Health & Illness I-Pediatric
5 units Ø
RN 33
Professional Nursing Relationships & Culture
1 unit Ø
RN 79
Nursing Concepts in Simulation
1 unit Ø
RN 85
Nursing in Health & Illness II-Advanced
medical/surgical
6 units Ø
RN 86
Advanced Nursing Concepts across the Lifespan
2 units Ø
RN 87
Nursing in Health & Illness II-Mental Health
4 units Ø
RN 88
Professional Nursing Relationships & Leadership
1 unit b.
Recommended Courses (list by prefix, number, course
title and units)
i.
Prerequisites to associate degree LVN-RN
Program Ø
Chemistry 3A
4 units Ø
Psychology 2
3 units Ø
Microbiology (bio 31)
4 units Ø
Anatomy (bio 20)
4 units Ø
Physiology (bio 22)
5 units Ø
English 1A
3 units Ø
Math 103
3 units Ø
Sociology 1A or Anthropology 2
3 units Ø
LVN-RN Transition (RGN 200)
2 units Ø
Graduation from a State Accredited LVN program c.
Non-nursing HIGHLY RECOMMENDED: Ø
Nutrition 35 or 40
3 units Ø
Phil 1C (Ethics)
3 units Ø
Lifespan Development (CHDEV 38 or PSY 38)
3 units Ø
Critical Thinking Course
o
English 3 or Philosophy 2 or 4 or 6
3 units Ø
Speech 1 or 2 or 8
3 units 4)
Background and Rationale The
rational for the creation of a new Associate of Science
Degree LVN-RN program in the Central Valley is
three-fold; a) critical shortage of registered nurses in
the current workforce and current levels of production of
new nurses do not come near the projected state-wide or
regional need, b) the development of a career ladder to
higher education in an area that has significant academic
achievement gaps, and c) the development of a new
high-demand, high wage education and training program
will have a lasting effect on the local area businesses
and health care facilities. Projected
local market data for the years 2001-2008 for Registered
Nurses provided by the California Department of
Employment confirms the projected shortage. The
state wide shortage is even more acute in the Central
Valley – the area serviced by Madera Community
College Center. For instance, in California, there
are 730 registered nurses for every 100,000 persons,
whereas in the Valley there are only 619, or 15.2% fewer
as illustrated below. Job
Outlook ?
Estimated number of RNs in 2004:
230,300 ?
Estimated number of RNs in 2014:
291,200 ?
Estimated annual job openings:
10,910 Source:
Occupational Projections, EDD/LMID. Critical
RN shortages are expected over the next 10 years;
hospitals and clinics have ongoing, active recruitment
programs, some offering unique benefits to attract
applicants. A new Associate of Science Degree LVN-RN
program is vital to improve both the nursing workforce
needs and serve as an economic catalyst for regional
empowerment of its residents who have been historically
underserved and underrepresented in higher education.
The proposed Associate of Science Degree LVN-RN program
is essential in developing a nursing career ladder to
meet the needs of Madera’s underserved population.
The Health Care Industry offers significant job creation
and opportunity for a family’s economic prosperity. The
greatest challenge for the nursing profession in the San
Joaquin Valley over the next two decades may well be
caring for the aging baby boomer generation. While the
number of residents over age 65 will grow by 57% in the
20 years between 2000 and 2020 (State of California
Department of Finance, 2006), it is projected that the
number of nurses in the region will increase by only
13.5% by 2020 (Spetz, 2006). Those residents over age 65
have a much higher per capita use of healthcare services
than the rest of the population. As scientific and
medical innovations continue to increase longevity, it is
predicted that healthcare utilization will continue to
increase among the older and very old segments of the
population. According
to the US Census Bureau (2000), 13 of the nation’s
101 poorest communities are located in the
California’s Central Valley. As the Central
Valley population is expected to continue growing,
surpassing the state growth average (18% by year 2010 and
33.4% by year 2020) it still struggles economically. High
paying jobs with upwardly mobile career potential are
going unfilled, while local unemployment rates hover at
double digits. Unless the Central Valley can
prepare more of its own population, these jobs will have
to rely on imported talent, thereby not impacting our own
regional unemployment statistics. The
median income for a household in the county is $36,286,
and the median income for a family is $39,226. Males have
a median income of $33,658 versus $24,415 for females.
The per capita income for the county is $14,682. 21.40%
of the population and 15.90% of families are below the
poverty line. Out of the total population, 28.60% of
those under the age of 18 and 9.00% of those 65 and older
are living below the poverty line. The
Congressional Report also found that the percentage of
households in the Valley receiving public assistance is
higher than California and for the United States. The
report also found that the percentage of households
reporting public assistance income is higher in the
Valley than it is in the Appalachia Region. Although
the Central Valley has become one of California's fastest
growing areas in the last decade, joblessness and
under-employment remain as the area's most pervasive
problems. While agriculture is a mainstay of the
region’s economy, 10,000 agriculture-related jobs
have been lost over the last eight years (Great Valley,
2005).
Criteria B. NEED 5)
Enrollment and Completer Projections The
proposed Associate Degree in Science LVN-RN program is a
two semester program. Students must have graduated
from a state Accredited Vocational Nursing Program and be
eligible to take the NCLEX-PN or currently posses a
California LVN license, as well as completed the
prerequisites and meet the admission criteria to be
eligible to enter the proposed Associate Degree in
Science LVN-RN program. Madera
Community College Center projects an enrollment of 12
Associate of Science Degree LVN-RN program students once
a year. This estimate is based on hospital support
in terms of clinical site usage, documented need for
additional nurses, and to continue the career ladder for
current and future Madera Community College LVN program
graduates. 6)
Place of Program in Curriculum/Similar Programs The
proposed Associate Degree in Science LVN-RN program is
new to the Madera Community College Center and no other
programs like it are currently taught at Reedley College
or the North Centers. With the nursing shortage,
this program fills a need for the community as well as
the college. The program will attract more students
to the Madera Community College Center without competing
with students from existing programs at the college.
The prerequisites are courses already in place at Madera
Community College Center. The proposed Associate
Degree in Science LVN-RN program is the career pathway
for licensed vocational nurses to become associate degree
registered nurses in a two semester sequenced program.
Upon successful completion of the LVN-RN program and
passing NCLEX-RN the student can continue along the
career pathway and complete their BSN.
Related
programs in the State Center Community College District
includes Fresno City College registered nursing program.
Differences in the programs are: 1-Madera Community
College Center’s proposed Associate Degree in
Science LVN-RN program the student must be a licensed
vocational nurse to enter; 2-Fresno City College’s
registered nursing program is a generic program (meaning
the student does not need to be a licensed vocational
nurse to enter). 7)
Similar Programs at Other Colleges in Service Area The
Central Valley institutions that offer pre-licensure
Registered Nursing programs include: CSU, Bakersfield;
Bakersfield College; College of the Sequoias; Fresno City
College; CSU, Fresno, and Merced City College.
Institutions in the Central Valley offering LVN-RN
programs include Fresno City College and Merced City
College. These local nursing schools are forced to turn
away many more qualified students each year due to
limited institutional capacity. 8)
Labor Market Information (“LMI” Data) Labor
market data projections for the years 2001-2008 for
Registered Nurses provided by the California Employment
Development Department confirms a severe shortage of
individuals in that profession. Fresno County is
projected to have 407 annual openings per year and Madera
County is estimated to have 131 annual openings. The
Fresno County Workforce Investment Board conducted a
local labor market research project, which supports state
findings that RNs are among the highest demand jobs in
the Central Valley. The 2006 Fresno County Employment
Study’s research determined that there were over
400 RN vacancies at Fresno County hospitals. However,
the overall regional need is projected to be much higher
when other employers are taken into consideration. The
California Labor Market Information Division of the
Employment Development Department, projects that the
number of registered nurses needed in Fresno County area
will increase to 6,770 by 2014, a 21.7% increase from
2004. Specifically
for Madera County, it is very difficult for employers to
retain registered nurses. The hospitals must rely
on staffing agencies to fill the vacant positions. It
is beneficial for Madera County to “grow there
own” nurses, since these are the people who already
live in the area and plan on staying here. Attachment
A is the Labor/Job Market Data. a)
Job Market Analysis Projected
local market data for the years 2001-2008 for Registered
Nurses provided by the California Department of
Employment confirms the projected shortage. The
state wide shortage is even more acute in the Central
Valley – the area serviced by Madera Community
College Center. For instance, in California, there
are 730 registered nurses for every 100,000 persons,
whereas in the Valley there are only 619, or 15.2% fewer
as illustrated below.
9)
Employer Survey For
numerous years, the Madera Community College Center has
participated in activities involved in the regional
nursing and health care issues. The nursing
coordinator is on the board for the Nursing Leadership
Council which is comprised of nurse leaders through out
the valley as well as serving on a subcommittee of this
organization, academic/service partnership. The
academic/service committee monthly meeting discusses
issues related to nursing with nurse leaders from health
care facilities and local colleges and university. Issues
discussed are clinical placements, need for more
registered nurses, nursing faculty, and facilitating
nurses to continue on with their education (LVN-ADN,
ADN-BSN, BSN-MSN, or MSN-PhD). Nursing
Leadership Council also is in involved with the
California Institute for Nursing and Health Care (CINHC)
which has developed a nursing white paper outlining a
master plan for nursing education in California. The
White Paper was developed through the collaborative
efforts of a group of Thought Leaders representing
nursing education, service (employers of nurses in
clinical care delivery settings), professional
organizations, policy agencies, and the state RN
licensing board. Hospital
Council has obtained a grant which involves health care
facilities and academia to work together to achieve four
objectives, 1-Enhance the level of student support,
2-Create a faculty resource center, 3-Implement a
computerized clinical placement center, and 4-enhance the
use of distance learning. The Madera Community
College Center nursing coordinator is co-chair of
objective 4. Through
these different nursing venues the Madera Community
College Center has participated in all of the planning
for nursing activities in the Madera-Fresno area. The
area hospitals are in agreement that LVN’s need to
continue up the career pathway. LVN’s that
currently work for the health care employer are perfect
employees to send back to school. The LVN has
knowledge of the hospital culture and health care itself,
decreasing the time and money to orient them to the
hospital culture as new registered nurse. Therefore
an employer survey was not done. 10)
Explanation of Employer Relationship The
area hospitals, long term care facilities, clinics and
health department in the Madera area, all collaborate
with the nursing program to provide clinical sites needed
to successfully educate nursing students. The advanced
skills LVN students need to become a registered nurse are
learned first in the lab and then practice in the health
care facilities. These
health care employers are also on the advisory committee
and have jobs available for the registered nurse upon
successful completion of the program and passing state
board exam. The local children’s
hospital has voiced a concern about the pediatric
component that is missing in the LVN programs and wants
it to be addressed in the LVN-RN program. 11)
List of Members of Advisory Committee Advisory
committee members include representatives from various
healthcare organizations in the Madera-Fresno area.
o
Dr. Terry Kershaw, Vice-chancellor, Madera Community
College Center o
Deborah Ikeda, Vice-president, Madera Community College
Center o
Dr. Jim Chin, Dean of Instruction, Madera Community
College Center o
Dee Anna Chamberlain, Coordinator LVN Program, Madera
Community College Center o
Mary Farrell, Vice-president Patient Care Services,
Madera Community Hospital o
Becky Avery, Madera Community College Center o
Stephanie Robinson, Director of Nursing, Fresno City
College o
Ralph Munoz, Counselor, Madera Community College Center o
Kathy Dietz, Education & Training Coordinator, Kaiser
Permanente o
Narda Ligotti, Education & Training Coordinator,
VACCHCS o
Pilar DeLaCruz-Reyes, Hospital Counsel o
Gloria Fitzgerald, Education, Community Medical Centers o
Norlina DeLaVega, Director of Nursing, Community
Sub-Acute o
Susan Hernandez, Director of Nursing, Sequoia Community
Health Centers o
Leslie Catron, Education Consultant, Children’s
Hospital Central California o
Mike Russler, Nursing Department Chair, CSUF o
DeAnn Walters, Administrator, Country View
Alzheimer’s Center o
Edith Tantoco, Director of Nursing, Madera Rehabilitation
Center o
Anastasia O’Neill, Nursing Careers, Madera High ROP o
Mary Pietrowski, Instructor, Madera Adult School o
Joyce Eden, Director Critical Care & Respiratory, St.
Agnes Medical Center o
Cheryl Edgar, Director of Nursing, Madera County Health
Department 12)
Recommendations of Advisory Committee Attachment B
are the minutes.
Criteria
C. CURRICULUM STANDARDS 13)
Display of Proposed Sequence The
sequence of the proposed ADN program is regulated by the
Board of Registered Nursing.
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