Sacramento City College Unit Plans Completed Spring 2005 Department Name: NURSING Department Chair: DIANE WELCH Division Dean: MARY TURNER Place an X in the boxes of included elements: x Accomplishments x Three-Year Plan x Action Plan x Budget Request x Budget Narrative x Key Performance Indicators Nursing # 1a 1b 1c 1d 1e 1f Department / Accomplishments 2004--05 Linkage to Other Year-End Status and Accomplishments Plans Goal 1: Curriculum Review; effectiveness, currency, and relevancy of curriculum The objectives for each course in each program are reviewed on an on-going basis. New objectives BVNPT, BRN, have been written and continuing objectives have Review the objectives for accuracy, clarity, relevancy Program Review, been refined to reflect more leadership, delegation, and leveling SP-A,B and management experiences. Evaluation of utilizing these objectives has confirmed their effectiveness. Courses are in the catalog that partially address this Develop, implement, and evaluate seminars in special BVNPT, BRN, objective. Faculty have not had time to teach these topics that relate to curriculum but provide depth of SP-A, B additional courses. This will remain an objective for subject matter the coming year. The Vocational Nursing Program continues to BVNPT, BRN, successfully use preceptorships for their students in Develop preceptorships with health care facilities. A.B.H the UCDMC clinics. The ADN faculty does not choose to use preceptorships at this time. This avenue has not been used as extensively as it might. More nursing Websites are being developed Use Internet hook-up in classrooms that complement throughout the country which can enhance learning; SP-A.E the curriculum. these will be introduced to students in both programs as they produce material that can be integrated into the curriculum. BVNPT, BRN, Implement disaster-planning objectives Objectives have been developed in both programs. SP,A,B At the end of their last semester, graduates of both nursing programs are capable of caring for the number of patients expected of an entry-level staff Prepare graduates to function in current RN/LVN BVNPT; BRN nurses. This objective will remain a continuing roles. objective. Action Plan Nursing # Department / Accomplishments 2004--05 Action Plan Linkage to Other Plans 1g Emphasize delegation/management and leadership; increase integration into all semesters BVNPT; BRN 1h Validate technical skills by refining competency skills testing at specific intervals BVNPT; BRN 1i Utilize critical thinking in an innovative way in the classroom and clinical areas. BVNPT; BRN 1j Achieve continuity of instruction in both the BVNPT; BRN classroom and clinical by maintaining full time faculty 1k 1l Evaluate revised curricula on an ongoing basis Program Review; SP-A Emphasize in the curriculum end of life issues and pain management. BVNPT; BRN Year-End Status and Accomplishments During clinical experiences, students in the second year of the ADN program enhance their delegation skills by providing direction to students in the first year. In the 3rd semester of the VN program, the leadership experience enhances students’ abilities to manage a team of CNAs in long-term care facilities. Both programs utilize clinical competencies in each semester which students must pass to graduate. In both programs faculty use clinical case studies in group discussions in the classroom. This theory in transferred into clinical practice on a weekly basis. The ADN program has twelve full time faculty for the main campus program. For the extended campus, in collaboration with Sutter Health, there are 15 adjunct faculty at present. There are two adjunct faculty provided by Kaiser Permanente for the part-time program. A new action item will be to explore avenues to enhance the integration of adjunct faculty. The VN program, at present, has four full time faculty. In each program, faculty meet a minimum of once a month specifically to address curriculum issues. Students are invited to these meetings, and they provide input for potential changes or additions to the curriculum. Objectives for these topics have been enhanced. Both Boards of nursing require this content for licensure. In the VN program, two faculty completed ELNEC training (End of Life Nursing Education Consortium). One VN faculty member has Pain Resource Nurse Training. Nursing Department / Accomplishments 2004--05 Linkage to Other Plans # Action Plan 1m Evaluate and revise N305 the drug calculation course as necessary to assist students in nursing courses SP-A N305 has been increased to one unit. The course has enhanced students’ success in the nursing programs. It is not a required course. Utilize an increased variety of teaching methods, such as multimedia, interactive, case studies, concept mapping, and group projects. SP-A All of these teaching methodologies have been integrated into the classroom in both programs. 1n Meet BRN/BVNPT accreditation standards Program review; BRN, BVNPT 1p Faculty will continue to develop critical thinking test questions SP-A 1q Parallel the curriculum with the changing role of the RN/LVN in health care. SP-A 1o Year-End Status and Accomplishments The ADN program met and exceeded all standards following an accreditation visit in April, 2001 by the Board of Registered Nursing. The next visit will be in Spring 2006. The Vocational Nursing Program has received continuing accreditation until 2008. A formal selfstudy was submitted to the BVNPT in Fall 2003. Due to the completeness of the self-study and the demonstration of meeting all of the regulations, there will not be an actual visit to the program. Three ADN faculty members attended a day long workshop in Spring 2004 that focused on developing critical thinking test questions. Exams are updated continually. The LRCCD Nursing Advisory Committee meets twice a year. As a result of suggestions from the committee, the curriculum is current. Nursing # 1r 1s Department / Accomplishments 2004—05 Action Plan Investigate creative ways to make an impact on the critical nursing shortage. Implement program with SCC and CSUS to provide ADN nursing students the opportunity to obtain a BSN by concurrently attending SCC and CSUS nursing programs. Linkage to Other Plans SP-A SP-C Year-End Status and Accomplishments A two-year grant from the California Community Chancellor’s Office provided money to increase the number of ADN nursing students. Ten Career Mobility (LVN-to-RN) students graduated in spring 2003; eight more students graduated Spring 2004. A partnership with Sutter Health which allowed the opportunity to add an extended campus to the ADN program has increased the number of entering students by 55 per semester. Another grant from the CA Community College Chancellor’s office, which began July 1, 2004, is providing funding to a part time program which began on June 7, 2004. Eight students were admitted in this track in the Spring 2002 semester. Five students graduated on May 2004. Another cohort of 10 students will begin in January 2006. Goal 2: Promote student success and reduce attrition Provide theory/clinical tutor to help students who need DSS; DTL concentrated focus on theory and/or clinical skills 2a In the ADN program, student tutors have been used with minimal success. It has been difficult to find peer tutors who have the time to tutor others. Faculty do tutoring for their specific subjects as the need arises. In the VN program, the faculty rotate tutoring sessions each week. This has been quite successful. Nursing # Department / Accomplishments 2004—05 Utilize computer programs with test questions similar to NCLEX for student practice Linkage to Other Plans DSS; BRN; BVNPT Continue to offer open-door access by faculty DSS Action Plan 2b 2c Encourage the use of peer mentors/tutors DSS Encourage ESL students to access the resources on campus to assist in reading and conversing in the English language DSS Encourage students to attend classes that complement the nursing program DSS 2f DSS 3a Review exams to assure that questions are written clearly and match the objectives DSS, DTL 3b Obtain and analyze NCLEX scores for use in evaluating effectiveness of teaching 2d 2e Year-End Status and Accomplishments Computer programs have been purchased for both programs and have been used by the students. It is too early to determine if these programs have enhanced success on the National Examinations. Faculty have open door policies during their office hours and many times beyond office hours. Peer tutoring has been discontinued; it has not proven to be consistent and successful. Faculty have continued to encourage ESL students to access resources offered on campus. Few have accessed the opportunities; primarily, the students say they do not have time. Faculty continue to encourage students to take the Pharmacology and Dosage Calculation classes. Goal 3: NCLEX Scores will be above 95% Faculty have reviewed exams and have refined the questions to assure continuity with the objectives. The subscription to NCLEX Reports has offered an opportunity to review strengths of the program as well as areas that can be strengthed. # 3c Action Item Purchase updated computer programs for practice for NCLEX Offer NCLEX review classes Linkage to other Plans DSS DSS;DTL 3d Year-End Status and Accomplishments The programs were purchased and have been helpful for the students. Rather than offer NCLEX review classes, computer programs were purchased for students and graduates to practice for the NCLEX. Goal 4: Increase the number of graduates to address the nursing shortage Enroll more career mobility LVN-to-RN students M1; DED Enroll another group of students in the collaborative program with CSUS Recruit more potential nursing students M1; DAG;DED 4a 4b 4c Other Accomplishments: DAG; M1 The summer LVN-to-RN summer course has increased to 20. Those who complete successfully will enter either the Sacramento City College ADNprogram or the American River ADN Program. Another group of Collaborative students will be enrolled in January 2006. There are over 260 applicants to the ADN program each semester. We can only admit 30 at the main campus. For the extended campus there have been between 260-290 applications. At this time there is no need to recruit more potential nursing students. Three-Year Plan Nursing Department # 1. 2. 3. 4. 5. 6. 7. 8. 9. 10. 11. 12. 13. 14. 15. 16. 17. 18. 19. 20. 21. Long Range Plan Develop the nursing courses Online for the ADN program as either hybrid or totally online. Purchase updated software for clinical simulations Decrease enrollment in the VN program to every Fall semester instead of each semester Offer the LVN IV Therapy and Blood Withdrawal course each spring semester. May also incorporate requirements for RNs which will increase the number of students. Continue the part-time RN track in collaboration with Kaiser Permanente. Plan to enter a new class every 3 or 4 semesters Continue the extended campus RN track in collaboration with Sutter Health Remodel Room 36 as a clinical lab for nursing students Create and implement computerized testing in the RN program. Explore avenues to better enhance the integration of all adjunct faculty with the main campus faculty. 2005-2006 2006-2007 2007-2008 X X X X X X X X X X X X X X X X X X X X X X X X Nursing Department / Action Plan 2005 – 2006 # Action Item Linkage to Other Plans Goal 3: 3a 3b 3c 3d 3e 3f Goal 4: 4a 4b 4c 4d 4e 4f Year-End Status and Accomplishments Nursing Line # 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 Totals Description Faculty Coordinator as Director of the Nursing Programs Supplies for clinical lab experiences Remodel of classroom to enhance clinical lab and to provide more classroom space Operating Budget Increase Instruction Supplies Department Budget Request 2005 - 2006 Computers Equipment Furniture New Program Start-up Marketing Materials Remodel Space Faculty Hires Variable $5000.00 Amount unknown Staff Hires Student Hires Temp Hires Budget Narrative 2005-2006 Nursing Line # Description Total Amount Priority Rank 1 Faculty coordinator/Director of Nursing Programs Variable 1 2 Purchase of clinical laboratory supplies for student clinical skills practice $5000.00 2 3 Remodel of M36 classroom to convert to a clinical lab. Unknown 3 4 5 6 7 8 9 10 11 12 13 14 15 Department Justification The Board of Registered Nursing and the Board of Vocational Nursing and Psychiatric Technicians each require a Director to be in charge of the programs. The current Director is retiring June 30, 2006. Nursing students must practice invasive clinical skills prior to applying those skills to patients in the hospital. The amount requested will be for both nursing programs. Remodeling M36 to convert to a clinical lab for nursing students will provide an opportunity for M33-M35 to be better utilized as a classroom with different configurations. Key Performance Indictors for Nursing 100% 90% 80% 70% 60% 50% 40% 30% 20% 10% 0% Department NCLEX Pass RateRN NCLEX Pass Rate VN 2002 2003 2004