Outcome 1: Recognize evidence-based principles underlying advanced nursing procedures and skills.

Transcription

1 Curse Assessment Reprt Washtenaw Cmmunity Cllege Discipline Curse Number Title Nursing 124 NUR /08/2016- Medical-Surgical Nursing I - Clinical Practice Divisin Department Faculty Preparer Health Sciences Nursing & Health Science Glria Velarde Date f Last Filed Assessment Reprt I. Assessment Results per Student Learning Outcme Outcme 1: Recgnize evidence-based principles underlying advanced nursing prcedures and skills. Assessment Plan Assessment Tl: Multiple chice r fill in the blank quizzes Assessment Date: Spring/Summer 2017 Curse sectin(s)/ther ppulatin: All students in all sectins Number students t be assessed: ~ 48/semester r 96 students per academic year Hw the assessment will be scred: Answer Key Standard f success t be used fr this assessment: 75% f all students shuld achieve a scre at r abve 78% fr the NUR 124 quizzes n their first attempt. Wh will scre and analyze the data: The NUR 124 Curse Crdinatr will analyze the data. 1. Indicate the Semester(s) and year(s) assessment data were cllected fr this reprt. Winter (indicate years Fall (indicate years belw) belw) 2015, , 2015 SP/SU (indicate years belw) 2. Prvide assessment sample size data in the table belw. # f students enrlled # f students assessed

2 3. If the number f students assessed differs frm the number f students enrlled, please explain why all enrlled students were nt assessed, e.g. absence, withdrawal, r did nt cmplete activity. One student did nt drp the curse and withdrew frm the nursing prgram (F14- H2C); anther student was apprved fr a refund exceptin. 4. Describe hw students frm all ppulatins (day students n campus, DL, MM, evening, extensin center sites, etc.) were included in the assessment based n yur selectin criteria. All students frm all sectins. 5. Describe the prcess used t assess this utcme. Include a brief descriptin f this tl and hw it was scred. A 15-item departmentally-develped quiz n Chest Tube Drainage Systems was given fllwing cmpletin f Atrium nline training mdules and 'in lab' discussin. All items were multiple-chice r multiple-answer in frmat. The quiz was administered and scred thrugh the curse Blackbard site. 6. Briefly describe assessment results based n data cllected fr this utcme and tl during the curse assessment. Discuss the extent t which students achieved this learning utcme and indicate whether the standard f success was met fr this utcme and tl. Met Standard f Success: N Semester % students passing CT quiz 1 st attempt F14-A1C- (9) 37.5% A4C F14-H1C- (22) 84.6% H4C W15-A1C- (16) 69.6% A3C W15-H1C- (11) 68.8% H3C F15-A1C- (17) 80.9% A3C F15-H11C- (11) 52.4% H3C W16-A1C- (12) 63.2% A3C

3 W16-H1C- (8) 42.1% H3C TOTAL (106) / % Summary: There were tw (2) sectins that met the benchmark, hwever, verall fr 8 grups; the percentage fell belw the desired 75%. 7. Based n yur interpretatin f the assessment results, describe the areas f strength in student achievement f this learning utcme. The additin f the Chest Tube Drainage System quiz served t evaluate students' learning frm the Atrium nline training mdules and in-lab discussin. Prir t Fall 2014, students simply cmpleted nline chest tube drainage system training mdules and submitted a certificate f cmpletin as prf f skill cmpetency. 8. Based n yur analysis f student perfrmance, discuss the areas in which student achievement f this learning utcme culd be imprved. If student met standard f success, yu may wish t identify yur plans fr cntinuus imprvement. The single quiz given fr NUR 124 primarily fcused n the theretical cncepts assciated with chest tube drainage systems. Only tw (2) grups ut f the 8 assessed met the benchmark f passing the quiz n the first attempt. Chest tube drainage systems was determined t be a higher-level nursing skill that mst likely was prematurely given during Med-Surg I. It was determined during a jint Medical-Surgical Nursing faculty meeting in Winter 2016 that this skills wuld be mved t Med-Surg III t crrespnd with the thery discussin f heart & lung surgeries. Outcme 2: Perfrm advanced nursing skills in the lab setting. Assessment Plan Assessment Tl: Labratry skills check lists Assessment Date: Spring/Summer 2017 Curse sectin(s)/ther ppulatin: All students in all sectins Number students t be assessed: ~ 48/semester r 96 students per academic year Hw the assessment will be scred: Review f NUR 124 skills check-ut tracking sheets fr number f attempts befre students achieve prficiency

4 Standard f success t be used fr this assessment: 75% f all students will pass each advanced nursing skill during check-ut n the first attempt. Wh will scre and analyze the data: The NUR 124 Curse Crdinatr will analyze the data. 1. Indicate the Semester(s) and year(s) assessment data were cllected fr this reprt. Winter (indicate years Fall (indicate years belw) belw) 2015, , 2015 SP/SU (indicate years belw) 2. Prvide assessment sample size data in the table belw. # f students enrlled # f students assessed If the number f students assessed differs frm the number f students enrlled, please explain why all enrlled students were nt assessed, e.g. absence, withdrawal, r did nt cmplete activity. One student did nt drp the curse and withdrew frm the nursing prgram (F14- H2C); anther student was apprved fr a refund exceptin. 4. Describe hw students frm all ppulatins (day students n campus, DL, MM, evening, extensin center sites, etc.) were included in the assessment based n yur selectin criteria. All students in all sectins. 5. Describe the prcess used t assess this utcme. Include a brief descriptin f this tl and hw it was scred. Using a skills check-uts list, students were evaluated n crrecting cmpleting the fllwing skills: In-lab: SASH (IVP meds thrugh a peripheral site) By-appt: Central venus catheter sterile dressing change Setting an infusin pump Trachestmy suctin Trachestmy care

5 Designated lab faculty evaluated students during time slts selected by students. 6. Briefly describe assessment results based n data cllected fr this utcme and tl during the curse assessment. Discuss the extent t which students achieved this learning utcme and indicate whether the standard f success was met fr this utcme and tl. Met Standard f Success: Yes Semester n % f students passing SASH 1st attempt % f students passing CVC drsg 1st attempt % f students passing IV pump 1st attempt % f students passing trach sx 1st attempt % f students passing trach care 1st attempt F14 A1C- A4C % F14 H1C- H4C % W15 A1C-A3C % W15 H1C-H3C % F15 A1C- A3C % F15 H1C- H3C % W16 A1C-A3C % W16 H1C-H3C % TOTAL % 97.1% 95.3% 98.2% 96.5% 7. Based n yur interpretatin f the assessment results, describe the areas f strength in student achievement f this learning utcme. The lab skills check-list prvide an bjective way t evaluate key pints fr these NUR 124 skills: SASH (IVP medicatins), IV infusin pump setting, CVC dressing change, trachestmy suctining and care. Additinally, lab faculty evaluated 4 f the 5 skills (exceptin: SASH). These faculty members are nt the same faculty wh prvide the instructin - this remved instructr bias. Since 4 f the 5 advanced nursing lab skills are evaluated n a "by-appintment" basis, students are able t determine their level f practice time, utilizing

6 supervised lab practice as needed prir t their self-selected appintment time. This fllws the scheduled lab time during the curse. 8. Based n yur analysis f student perfrmance, discuss the areas in which student achievement f this learning utcme culd be imprved. If student met standard f success, yu may wish t identify yur plans fr cntinuus imprvement. Althugh, the benchmark was met with all advanced nursing lab skills, there will be cntent shifts amng the three (3) medical-surgical nursing thery curses fr the Fall 2016 semester. It was determined that it made mre sense t align lab skills t the thery curse t imprve students' understanding f the theretical cncepts and principles behind the skills. The fllwing advanced nursing skills will be mved t Med-Surg II and III: Chest tube drainage systems Trachestmy suctining and care Central venus catheter dressing changes/care Based n changes in the preceding clinical curse (i.e. NUR 106 Fundamentals f Nursing - Lab/Clinical Practice), the fllwing skills will be added in the next MSF revisin as these were remved frm NUR 106: IV therapy - all skills assciated with set-up f primary and secndary; will retain mnitring/truble-shting, IV infusin pumps. Sterile dressing changes - Fundamentals will evaluate clean dressing changes, as this is what students will see in their clinical sites. Fcused assessments - t build n head-t-te assessments taught in NUR 106 and fcusing n the specific needs f the acutely ill adult. Outcme 3: Prvide safe nursing care f ne (1) mderately cmplex patient in the acute care setting, using the nursing prcess in each f the cre cmpetencies. Assessment Plan Assessment Tl: Final Clinical Evaluatin Assessment Date: Spring/Summer 2017 Curse sectin(s)/ther ppulatin: All students in all sectins Number students t be assessed: ~ 48/semester r 96 students per academic year

7 Hw the assessment will be scred: Review f final clinical evaluatins fr number f students passing (P) and number f students nt passing (NP). Standard f success t be used fr this assessment: 90% f students will achieve a grade f "Pass" (P) in clinical based n final clinical evaluatins. Wh will scre and analyze the data: The NUR 124 Curse Crdinatr will analyze the data. 1. Indicate the Semester(s) and year(s) assessment data were cllected fr this reprt. Winter (indicate years Fall (indicate years belw) belw) 2015, , 2015 SP/SU (indicate years belw) 2. Prvide assessment sample size data in the table belw. # f students enrlled # f students assessed If the number f students assessed differs frm the number f students enrlled, please explain why all enrlled students were nt assessed, e.g. absence, withdrawal, r did nt cmplete activity. One student did nt drp the curse and withdrew frm the nursing prgram (F14- H2C); anther student was apprved fr a refund exceptin. 4. Describe hw students frm all ppulatins (day students n campus, DL, MM, evening, extensin center sites, etc.) were included in the assessment based n yur selectin criteria. All students frm all sectins. 5. Describe the prcess used t assess this utcme. Include a brief descriptin f this tl and hw it was scred. The Final Clinical Evaluatin evaluates eight (8) cre cmpnents. Using the weekly anecdtal recrds, students achieve a 'Pass' in each cmpnent if they received a rating f '2' 60 percent f the time (r ~ 3 f 5 weeks) and demnstrating imprvement thrughut the curse. 6. Briefly describe assessment results based n data cllected fr this utcme and tl during the curse assessment. Discuss the extent t which students achieved this learning utcme and indicate whether the standard f success was met fr this utcme and tl. Met Standard f Success: Yes

8 Semester n % students with P fr clinical grade F14-A1C-A4C 26 (26) 100% F14-H1C-H4C 26 (26) 100% W15-A1C- 23 (23) 100% A3C W15-H1C- H3C 16 (16) 100% F15-A1C-A3C 21 (20) 95.2% F15-H1C-H3C 21 (21) 100% W16-A1C- 19 (19) 100% A3C W16-H1C- H3C 19 (19) 100% TOTAL 170 (169) / % 7. Based n yur interpretatin f the assessment results, describe the areas f strength in student achievement f this learning utcme. There is a high percentage f passing the clinical cmpnent f Med-Surg I. Increased time has been spent educating part-time nursing faculty in hw t evaluate students using the anecdtal recrd. Students are cnsistently evaluated n eight (8) cre cmpetencies thrughut the prgram. The current rating scale attempts t evaluate students bjectively using the frequency f cueing with the delivery f nursing care 8. Based n yur analysis f student perfrmance, discuss the areas in which student achievement f this learning utcme culd be imprved. If student met standard f success, yu may wish t identify yur plans fr cntinuus imprvement. It was pinted ut in ur department's meeting with an external curriculum cnsultant, that clinical paperwrk shuld nt be s extensive that excessive time is spent with its cmpletin. NUR 124 faculty will be reevaluating weekly written assignments fr clinical. Cntinued effrt will be spent t ensure that all students in NUR 124 have cmparable expsure t mderately cmplex patients and cnsistent medicatin administratin (IVs and injectins). II. Curse Summary and Actin Plans Based n Assessment Results

9 1. Describe yur verall impressin f hw this curse is meeting the needs f students. Did the assessment prcess bring t light anything abut student achievement f learning utcmes that surprised yu? While students cmpleted advanced nursing skills effectively, their underlying knwledge f cncepts related t the skills may be lacking due t their level f cmplexity. Students shw a great deal f learning and integratin f prir knwledge during the curse f this nursing sequence; hwever, it is still a huge leap frm the previus curse sequence, NUR 102/106 Fundamentals f Nursing. Since the last CAR with the additin f IV infusin pump lab, students cmfrt and prficiency has imprved in the clinical setting. 2. Describe when and hw this infrmatin, including the actin plan, was r will be shared with Departmental Faculty. During ur regular department meetings, als, a written reprt with the curse assessment highlights will be prvided t Full-time nursing faculty. 3. Intended Change(s) Intended Change Objectives Descriptin f the change Update lab bjectives t: remve: trachestmy suctining and care, chest tube drainage systems, and CVC care/dressing changes add: sterile dressing changes, IV set-up (primary and secndary), fcus assessments Ratinale Based n recmmendatins f external curriculum cnsultant --- Cntent frm the crrespnding thery curse (NUR 123) was shifted t ther medical-surgical 2016 nursing curses (NUR 223 and 283), t imprve prgressin frm simple t cmplex cnditins. Therefre, it was decided that lab skills amng the medsurg lab/clinical curses wuld als be Implementatin Date

10 1st Day Handut Curse Assignments Updates t curse bjectives. Additinal reading and vide assignments fr skills n: sterile dressing changes, IV set-up, and fcus assessments. shifted t align with thery changes. Mre cmplex nursing skills were mved t higher level curses. T reflect changes in 2016 lab skills. T cver new skills added t lab cmpnent f curse 2016 based n external curriculum cnsultant recmmendatins. 4. Is there anything that yu wuld like t mentin that was nt already captured? Due t recmmendatins by ur external curriculum cnsultant, the CAR was cmpleted early due t changes in all medical-surgical curses that were determined t be needed fr Fall A majr curriculum revisin will fllw fr Fall III. Attached Files NUR LAB: IVP Capping/Flushing NUR LAB: Infusin Pump NUR LAB: CVAD Dressing Change NUR LAB: Trach sx NUR LAB: Trach care NUR LAB: Chest Tube Quiz #1 NUR LAB: Chest Tube Quiz #2 NUR CLIN: Anecdtal recrds NUR CLIN: Final Clinical Evaluatin frm Faculty/Preparer: Glria Velarde Date: 07/09/2016 Department Chair: Mary Burns-Cral Date: 07/15/2016 Dean: Valerie Greaves Date: 07/19/2016 Assessment Cmmittee Chair: Michelle Garey Date: 10/03/2016

11 Curse Assessment Reprt Washtenaw Cmmunity Cllege Piscipline Curse Number Title NUR /21/2014- Nursing 124 Medical-Surgical Nursing I - Clinical Practice Divisin Department Faculty Preparer Math, Science and Health Nursing & Health Science Glria Velarde Date f Last Filed ASsessment Reprt I. Assessment Results per Student Learning Outcme Outcme 1: Recgnize evidence-based principles underlying advanced nursing prcedures and skills. Assessment Plan Assessment Tl: Multiple chice r fill in the blank quizzes. Assessment Date: Spring/Summer 2012 Curse sectin(s)/ther ppulatin: All students in all sectins. Number students t be assessed: - 48/semester r 96 students per academic year. Hw the assessment will be scred: Answer Key Standard f success t be used fr this assessment: 75% f all students shuld achieve a scre at r abve 78% fr the NUR 124 quizzes n their first attempt. Wh will scre and analyze the data: The NUR 124 Curse Crdinatr will analyze the data. 1. Indicate the Semester(s) and year(s) assessment data were cllected fr this reprt Whiter (indicate years Fall (tndtcate years belw) ~/ :>i. ')..::._," uew , Prvide assessment sample size data in the table belw.

12 3. If the number f students assessed differs frm the number f students enrlled, please explain why all enrlled students were nt assessed, e.g. absence, withdrawal, r did nt cmplete activity. lall students assessed 4. Describe hw students frm all ppulatins (day students n campus, DL, MM, evening, extensin center sites, etc.) were included in the assessment based n yur selectin criteria.!too% f students enrlled in NUR 124 sectins fr W13, Fl3, W14 5. Describe the prcess used t assess this utcme. Include a brief descriptin f this tl and hw it was scred. Befre I tk ver as Curse Crdinatr fr Medical-Surgical Nursing I in Fall 2012, the quizzes fr CVC care/cvp readings and Chest Tube care were discntinued. The Chest Tube care cmpetency was replaced by an nline training mdule, which prvided students with a certificate f cmpletin. 6. Briefly describe assessment results based n data cllected fr this utcme and tl during the curse assessment. Discuss the extent t which students achieved this learning utcme and indicate whether the standard f success was met fr this utcme and tl. Met Standard f Success: Yes : 100% f all students cmpleted the nline chest tube drainage system training mdule and submitted a certificate f cmpletin by the deadline date. 7. Based n yur interpretatin f the assessment results, describe the areas f strength in student achievement f this learning utcme. Students reprted nline training was helpful in understanding chest tube drainage systems. 8. Based n yur analysis f student perfrmance, discuss the areas in which student achievement f this learning utcme culd be imprved. If student met standard f success, yu may wish t identify yur plans fr cntinuus imprvement. The certificate f cmpletin merely shwed that students read the infrmatin; it did nt assess their verall understanding f the cntent. The previus quizzes may serve t be a better measure f this utcme. Outcme 2: Perfrm advanced nursing skills in the lab setting.

13 Assessment Plan Assessment Tl: Labratry skills check lists. Assessment Date: Spring/Summer 2012 Curse sectin(s)/ther ppulatin: All students in all sectins. Number students t be assessed:- 48/semester r 96 students per academic year. Hw the assessment will be scred: Review fnur 124 skills check-ut tracking sheets fr number f attempts befre students achieve prficiency. Standard f success t be used fr this assessment: 75% f all students will pass each advanced nursing skill during check-ut n the first attempt. Wh will scre and analyze the data: The NUR 124 Curse Crdinatr will analyze the data. 1. Indicate the Semester( s) and year( s) assessment data were cllected fr this reprt. Winter (indicate years SP/SU (indicate years Fall (indicate years belw) ~elw). belw) , Prvide assessment sample size data in the table belw. # f students enrlled # f students assessed If the number f students assessed differs frm the number f students enrlled, please explain why all enrlled students were nt assessed, e.g. absence, withdrawal, r did nt cmplete activity. One student in W14 (first half) did nt cmplete lab check-uts since she was appealing a withdrawal frm nt passing the calculatin cmpetency. 4. Describe hw students frm all ppulatins (day students n campus, DL, MM, evening, extensin center sites, etc.) were included in the assessment based n yur selectin criteria. jioo% f students enrlled in all sectins fnur Describe the prcess used t assess this utcme. Include a brief descriptin f this tl and hw it was scred. Using a skills-check ut list, students were evaluated n crrectly cmpleting key pints fr: central venus site dressing change, trachestmy suctining, and

14 trachestmy care. Designated lab faculty evaluated each student. 6. Briefly describe assessment results based n data cllected fr this utcme and tl during the curse assessment. Discuss the extent t which students achieved this learning utcme and indicate whether the standard f success was met fr this utcme and tl. Met Standard.f Success: Yes CLASS CVC DRSG TRACHSX TRACHCARE IW13-A GROUPS /15 14/15 W13-H GROUPS /16 F13-A GROUPS 16/ /16 IF13-H GROUPS / IW14-A GROUPS / W14-H GROUPS 17/ /18 OVERALL-SKILL 91/93 90/93 85/93 % 97.8% 96.8% 91.4% 7. Based n yur interpretatin f the assessment results, describe the areas f strength in student achievement f this learning utcme. The lab skills check-list prvide an bjective way t evaluate key pints fr these NUR 124 skills: CVC dressing change, trachestmy suctining and care. Additinally, lab faculty wh evaluate these skills are nt the same faculty wh prvide the instructin - this remved instructr bias. 8. Based n yur analysis f student perfrmance, discuss the areas in which student achievement f this learning utcme culd be imprved. If student met standard f success, yu may wish t identify yur plans fr cntinuus imprvement. Althugh, the benchmark was met fr each skill, since students did nt d as well in trachestmy care, additinal supervised practice will be prvided. Outcme 3: Prvide safe nursing care f ne ( 1) mderately cmplex patient in the acute care setting, using the nursing prcess in each f the cre cmpetencies. Assessment Plan Assessment Tl: Final Clinical Evaluatin. Assessment Date: Spring/Summer 2012

15 Curse sectin(s)/ther ppulatin: All students in all sectins. Number students t be assessed: ~ 48/semester r 96 students per academic year. Hw the assessment will be scred: Review f anecdtal recrd summaries and final clinical evaluatins fr number f students passing (P) and number f students nt passing (NP). Standard f success t be used fr this assessment: 90% f students will achieve a grade f "Pass" (P) in clinical based n final clinical evaluatins. Wh will scre and analyze the data: The NUR 124 Curse Crdinatr will analyze the data. 1. Indicate the Semester(s) and year(s) assessment data were cllected fr this reprt. Winter (indicate years Fall (indicate years belw) belw) , 2013 SP/SU (indicate years ~elw) 2. Prvide assessment sample size data in the table belw. # f students enrlled # f students assessed If the number f students assessed differs frm the number f students enrlled, please explain why all enrlled students were nt assessed, e.g. absence, withdrawal, r did nt cmplete activity.!all students assessed 4. Describe hw students frm all ppulatins (day students n campus, DL, MM, evening, extensin center sites, etc.) were included in the assessment based n yur selectin criteria.!100% f all students enrlled in NUR 124 sectins 5. Describe the prcess used t assess this utcme. Include a brief descriptin f this tl and hw it was scred. The Final Clinical Evaluatin evaluates eight (8) cre cmpnents. Using the weekly anecdtal recrds, students achieve a 'Pass' in each cmpnent if they received a rating f '2' 60 percent f the time (r~ 3 f 5 weeks) and demnstrating imprvement thrughut the curse. 6. Briefly describe assessment results based n data cllected fr this utcme and tl during the curse assessment. Discuss the extent t which students achieved this

16 learning utcme and indicate whether the standard f success was met fr this utcme and tl. Met Standald. fsucess:. Xm '.. SEM/GROUP FINAL EV AL = P Wl3-A GROUPS 15/15 W13-H GROUPS 16/16 Fl3-A GROUPS F13-H GROUPS 12/12 W14-A GROUPS 16/17 W14-H GROUPS OVERALL/% 91/93 r 97.8% 7. Based n yur interpretatin f the assessment results, describe the areas f strength in student achievement f this learning utcme. Students are cnsistently evaluated n eight (8) cre cmpetencies thrughut the prgram. The current rating scale attempts t evaluate students bjectively using the frequency f cueing with the delivery f nursing care. 8. Based n yur analysis f student perfrmance, discuss the areas in which student achievement f this learning utcme culd be imprved. If student met standard f success, yu may wish t identify yur plans fr cntinuus imprvement. Depending n the clinical site (agency/unit), sme experiences may nt be available (i.e. pprtunities t practice previus and new nursing skills). It wuld be beneficial if all students in NUR 124 culd have cmparable expsure t mderately cmplex patients and cnsistent medicatin administratin (IVs and injectins). II. Curse Summary and Actin Plans Based n Assessment Results 1. Describe yur verall impressin f hw this curse is meeting the needs f students. Did the assessment prcess bring t light anything abut student achievement flearning utcmes that surprised yu? Overall, this curse is a huge transitin frm fundamentals, but students appear t perfrm well -bth with first-time skills check-uts and clinical practice. Re: the NUR 124 lab skills, the nline learning mdule fr chest tube drainage systems des nt guarantee student learning. IV therapy remains a challenging nursing skills, especially when using an infusin

17 lpump. 2. Describe when and hw this infrmatin, including the actin plan, was r will be shared with Departmental Faculty. During ur regular department meetings - als, a written reprt with the curse assessment highlights will be prvided t full-time nursing faculty. 3. Intended Change( s) Intended Change Assessment Tl Objectives Descriptin f the hnplementatin Ratinale ~hange Date Will administer departmentallydevelped quizzes fr each new advanced nursing skill. This was nt Online training dne since the last mdule des nt curse assessment evaluate student (i.e. changed learning but nly 2014 assessment fr chest whether they read tube drainage the infrmatin n systems frm quiz the training mdule. t cmpletin f nline training mdule). Wuld like t g back t the riginal assessment plan. Add #1: Demnstrate #1: Students had hw t administer difficulty setting primary IV fluids infusin pumps and secndary IV efficiency in the medicatins by clinical setting. crrectly using an infusin pump #2: As a department, we are Add #2: Simulatin trying t integrate lab fr last week as a transitin t Med- simulatin thrughut the Surg II- managing curriculum. the needs f a 2- patient assignment.

18 4. Is there anything that yu wuld like t mentin that was nt already captured? III. Attached Files NUR 124 Anecdtal recrds: weekly NUR 124 Check-ut sheet: CVC care NUR 124 Final Clinical Evaluatin frm NUR 124 Check-ut sheet: Trach sx NUR 124 Check-ut sheet: Trach care NUR 124 Check-ut Tracking sheet data Faculty/Preparer: Glria Velarde Date: 05/31/2014 Department Chair: Rene Stark Date: 07/24/2014 Dean: Kristin Brandemueh1 Date: 07/29/2014 Assessment Cmmittee Chair: Michelle Garey Date: 09/24/2014

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