TABLE OF CONTENT. C. Accomplishments V. Recommendation 4

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1 TABLE OF CONTENT I. Introductory Statement II. Recommendation 1 A. Statement of Recommendation B. Action Plan C. Accomplishments D. Attachments Nursing Faculty Workload Agreement Form Workload Requirements for Current Semester Nursing Faculty Workload Agreements Suzanne Brandt Richard Pendleton Renee Zacher Adjunct Workload Requirements for Current Semester Employee Time Sheet Adjunct Faculty and Nursing Faculty III. Recommendation 2 A. Statement of Recommendation B. Action Plan C. Accomplishments D. Attachments Nursing Program Director Classification Description Practical Nursing Instructor Classification Description Adjunct Instructor Classification Description IV. Recommendation 3 A. Statement of Recommendation B. Action Plan C. Accomplishments V. Recommendation 4 A. Statement of Recommendation B. Action Plan C. Accomplishments D. Attachments Purpose Statement Philosophy Statement Program Learning Outcomes WDT Core Abilities and Program Learning Outcomes New Program Description and Course Requirements Cohort Plan Course Descriptions

2 VI. Recommendation 5 A. Statement of Recommendation B. Action Plan C. Accomplishments D. Attachment Student Achievement Evaluation Form VII. Recommendation 6 A. Statement of Recommendation B. Action Plan C. Accomplishments D. Attachments Ms. Brandt s Weekly Schedule Mr. Pendleton s Weekly Schedule Ms. Zacher s Weekly Schedule VIII. Recommendation 7 A. Statement of Recommendation B. Action Plan C. Accomplishments D. Attachment Curriculum Committee Charter IX. Recommendation 8 A. Statement of Recommendation B. Action Plan C. Accomplishments D. Attachment Practical Nursing Secretary Position Description X. Recommendation 9 A. Statement of Recommendation B. Action Plan C. Accomplishments D. Attachments Organizations using WDT Affiliation Agreement form Organizations using their own Affiliation Agreement form WDT Affiliation Agreement form XI. Closing Statement

3 INTRODUCTORY STATEMENT This document contains information addressing the nine (9) recommendations cited by the South Dakota Board of Nursing against the Western Dakota Tech Practical Nursing Program. The recommendations resulted in the Practical Nursing Program being placed on probationary status as of November The information is presented so that each recommendation is addressed separately noting the recommendation, action plan, accomplishments, and attachments if applicable. At the conclusion of this document is a closing statement identifying those items that need to be completed as a result of implementing a new curriculum that will begin fall semester The information in this document was developed through a collaborative process utilizing personnel and information from Western Dakota Tech Administration and the Practical Nursing Department. The primary goal of Western Dakota Tech Administration and the faculty and staff of the Practical Nursing Program is to have the South Dakota Board of Nursing remove the probationary status based on both groups working diligently to ensure that each recommendation was addressed and positive changes implemented. Western Dakota Tech Administration and the faculty and staff from the Practical Nursing Program are under new leadership and have expressed to the Board of Nursing a desire and willingness to have a relationship built on trust and reliability as we work together in the future. Western Dakota Tech Administration and the faculty and staff of the Practical Nursing Program would like to thank the members of the South Dakota Board of Nursing for giving us the opportunity to demonstrate we are a quality program. We do want to succeed and be a school of choice for students looking to pursue a career as a Licensed Practical Nurse.

4 RECOMMENDATION #1: Assure that the number of qualified Nursing Faculty is sufficient to fulfill outcomes and purposes of the Practical Nursing Program. ACTION PLAN: 1. Review the workload requirements for each semester based on the total credits and the number of hours required for lecture, lab, clinical, and practicum. 2. Determine the workload requirements for each full time equivalent (FTE) Nursing Faculty per semester. 3. Determine the workload requirements for each FTE Nursing Faculty per fiscal year. The workload requirements for the fiscal year include fall and spring semesters. The workload requirements for the summer semester are determined separately from the fall and spring workload requirements. 4. Determine the workload requirements for each FTE Nursing Faculty for the summer semester. 5. Based on the total credits and total hours required for lecture, lab, clinical, and practicum per semester and the workload requirements for one FTE Nursing Faculty, a determination will be made on how many FTE Nursing Faculty and Adjunct Faculty are going to be required to sufficiently fulfill the outcomes and purposes of the Practical Nursing Program. ACCOMPLISHMENTS: 1. Workload formulas have been developed to determine the workload requirements for each FTE Nursing Faculty. 2. Each FTE Nursing Faculty has a workload agreement based on approximately 15 workload credits per semester and 30 workload credits for the year (fall and spring semesters). 3. During the summer semester, Nursing Faculty will be paid under the current Adjunct Faculty pay policy.

5 ATTACHMENTS: I. Formulas for determining Nursing Faculty workload credits II. IIIA. IIIB. IIIC. IV. Workload requirements for the current semester Suzanne Brandt s Workload Agreement Richard Pendleton s Workload Agreement Renee Zacher s Workload Agreement Adjunct workload requirements for current semester V. Timesheet for use by Adjunct Faculty and/or extra hours for FTE Nursing Faculty

6 ATTACHMENT I NURSING FACULTY WORKLOAD FORMULA AGREEMENT NURSING FACULTY: SEMESTER/YEAR: COURSES: CREDITS: *X s : X s # SECTIONS = WORKLOAD CREDITS Lecture Courses: (Each lecture course credit is equal to 1 workload credit) (3 lecture course credits = 3 workload credits) 1 = 1 = 1 = Lab Courses: (Each lab course credit is equal to 1 workload credit) (2 lab course Credits = 2 workload credits) 1 = 1 = 1 = Clinical (Each clinical course credit is based on 40 hours of clinical. Each 40 Courses: hours is equal to 1.5 workload credits) (1 clinical course credit = 40 hours = 1.5 workload credit. 2 clinical course credits = 80 hours = 3 workload credits. Etc.) _1.5 = 1.5 = 1.5 = Practicum (Each practicum course credit(s) between (1 3) is equal to 1 workload credit. Courses: Each practicum course credits between (4 6) is equal to 2 workload credits) ( ) 1 = _( ) 1 = _( ) 2 = Totals: Note: *This number is the workload value assigned to lecture, lab, clinical, and practicum. Nursing Faculty should have approximately 15 workload credits per semester.

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8 ATTACHMENT II TOTAL WORKLOAD PER SEMESTER SEMESTER: SPRING YEAR: 2014 COURSES: CREDITS: *X s : X s # SECTIONS = WORKLOAD CREDITS Lecture (Each lecture course credit is equal to 1 workload credit) (3 lecture Courses: course credits = 3 workload credits) = = = = = = 4 Totals = _24 Lab Courses: (Each lab course credit is equal to 1 workload credit) (2 lab course Credits = 2 workload credits) = = 3 Totals = 5 Clinical (Each clinical course credit is based on 40 hours of clinical. Each 40 Courses: hours is equal to 1.5 workload credits) (1 clinical course credit = 40 hours = 1.5 workload credit. 2 clinical course credits = 80 hours = 3 workload credits. Etc.) = = _22.5 Totals = _25.5_ Practicum (Each practicum course credit(s) between (1 3) is equal to 1 workload credit. Courses: Each practicum course credits between (4 6) is equal to 2 workload credits) 139 ( 4 ) 2 1 = (1) 1 1 = 1 Totals ( 5 ) = 3 Totals: = _57.5_ Note: *This number is the workload value assigned to lecture, lab, clinical, and practicum. Nursing Faculty should have 15 workload credits per semester. Workload credits remaining after full time Nursing Faculty have their assignments will be offered to Adjunct Faculty.

9 ATTACHMENT IIIA NURSING FACULTY WORKLOAD FORMULA AGREEMENT NURSING FACULTY: Suzanne Brandt SEMESTER/YEAR: Spring/2014 COURSES: CREDITS: *X s : X s # SECTIONS = WORKLOAD CREDITS Lecture Courses: (Each lecture course credit is equal to 1 workload credit) (3 lecture course credits = 3 workload credits) = = 4 1 = Lab Courses: (Each lab course credit is equal to 1 workload credit) (2 lab course Credits = 2 workload credits) = 3 1 = Clinical (Each clinical course credit is based on 40 hours of clinical. Each 40 Courses: hours is equal to 1.5 workload credits) (1 clinical course credit = 40 hours = 1.5 workload credit. 2 clinical course credits = 80 hours = 3 workload credits. Etc.) = _ = Practicum (Each practicum course credit(s) between 1 3 is equal to 1 workload credit. Courses: Each practicum course credits between 4 6 is equal to 2 workload credits) 139 (3) 1 = _1.5 2 = Totals: Note: *This number is the workload value assigned to lecture, lab, clinical, and practicum. FACULTY: NURSING PROGRAM DIRECTOR: DATE: DATE:

10 ATTACHMENT IIIB NURSING FACULTY WORKLOAD FORMULA AGREEMENT NURSING FACULTY: Richard Pendleton SEMESTER/YEAR: Spring/2014 COURSES: CREDITS: *X s : X s # SECTIONS = WORKLOAD CREDITS Lecture Courses: (Each lecture course credit is equal to 1 workload credit) (3 lecture course credits = 3 workload credits) = = 2 1 = Lab Courses: (Each lab course credit is equal to 1 workload credit) (2 lab course Credits = 2 workload credits) 1 = 1 = Clinical (Each clinical course credit is based on 40 hours of clinical. Each 40 Courses: hours is equal to 1.5 workload credits) (1 clinical course credit = 40 hours = 1.5 workload credit. 2 clinical course credits = 80 hours = 3 workload credits. Etc.) = = Practicum (Each practicum course credit(s) between (1 3) is equal to 1 workload credit. Courses: Each practicum course credits between (4 6) is equal to 2 workload credits) 139 (1) 1 =.5 2 = Totals: _ Note: *This number is the workload value assigned to lecture, lab, clinical, and practicum. FACULTY: NURSING PROGRAM DIRECTOR: DATE: DATE:

11 ATTACHMENT IIIC NURSING FACULTY WORKLOAD FORMULA AGREEMENT NURSING FACULTY: Renee Zacher SEMESTER/YEAR: Spring/2014 COURSES: CREDITS: *X s : X s # SECTIONS = WORKLOAD CREDITS Lecture Courses: (Each lecture course credit is equal to 1 workload credit) (3 lecture course credits = 3 workload credits) = = 6 1 = Lab Courses: (Each lab course credit is equal to 1 workload credit) (2 lab course Credits = 2 workload credits) = 2 1 = Clinical (Each clinical course credit is based on 40 hours of clinical. Each 40 Courses: hours is equal to 1.5 workload credits) (1 clinical course credit = 40 hours = 1.5 workload credit. 2 clinical course credits = 80 hours = 3 workload credits. Etc.) = _ = Practicum (Each practicum course credit(s) between (1 3) is equal to 1 workload credit. Courses: Each practicum course credits between (4 6) is equal to 2 workload credits) = 1 2 = Totals: _ _ Note: *This number is the workload value assigned to lecture, lab, clinical, and practicum. FACULTY: DATE: NURSING PROGRAM DIRECTOR: DATE:

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13 ATTACHMENT IV NURSING FACULTY WORKLOAD FORMULA AGREEMENT NURSING FACULTY: Adjunct SEMESTER/YEAR: Spring/2014 COURSES: CREDITS: *X s : X s # SECTIONS = WORKLOAD CREDITS Lecture Courses: (Each lecture course credit is equal to 1 workload credit) (3 lecture course credits = 3 workload credits) 1 = 1 = Lab Courses: (Each lab course credit is equal to 1 workload credit) (2 lab course Credits = 2 workload credits) 1 = 1 = Clinical (Each clinical course credit is based on 40 hours of clinical. Each 40 Courses: hours is equal to 1.5 workload credits) (1 clinical course credit = 40 hours = 1.5 workload credit. 2 clinical course credits = 80 hours = 3 workload credits. Etc.) = _ = = _ = _1.5 Total **_ = _13.5_ **Note: 1 = 5 days of clinical/week.2 = 2 days of clinical/week.1 = 1 day of clinical/week Each day is = an 8 hour shift. Practicum (Each practicum course credit(s) between (1 3) is equal to 1 workload credit. Courses: Each practicum course credits between (4 6) is equal to 2 workload credits) (1 3) 1 = _(4 6) 2 = Totals: _ Note: *This number is the workload value assigned to lecture, lab, clinical, and practicum.

14 NAME ADDRESS CITY, STATE, ZIP ASSIGNMENT WESTERN DAKOTA TECHNICAL INSTITUTE EMPLOYEE TIME SHEET School Year PLEASE PRINT Clinical Instructor (Practical Nursing Program) FROM TO MONTH/ DAY TIME BEGIN TIME END TOTAL COURSE # MEMO/JUSTIFICATION TOTAL HOURS RATE PER HOUR $25.00 STATE OF SD COUNTY OF PENNINGTON AMOUNT TO BE PAID I,, declare and affirm under the penalties of perjury that this claim has been examined by me, and to the best of my knowledge and believe, is in all things true and correct.*this employee timesheet is for a temporary part-time position subject to non-renewal at any time* DATE SIGNATURE OF EMPLOYEE ACCOUNT# DATE SUPERVISOR DATE ADMINISTRATOR INITIAL BUSINESS OFFICE USE ONLY DATE

15 REQUIREMENT 2: Classification Description for the Nursing Program Director (with emphasis on 100% administrative duties) and Classification Descriptions for the Nursing Faculty must be updated and appropriate to meet the standards. A Classification Description is needed for Adjunct Faculty. ACTION PLAN: 1. The Nursing Program Director will have a classification description that indicates his/her duties are 100% administrative and meet the standards found in Article 20:48 under Qualifications of Administrator of Nursing Education Program 20:48:07:22 and Responsibilities of Administrator 20:48:07:23. The classification description is reviewed and updated annually or as needed. 2. The Nursing Faculty will have a current classification description that meets the standards found in Article 20:48 under Faculty Qualifications and Organization 20:48:07:24, Qualifications of Faculty in Practical Nurse Programs 20:48:07:25, and Responsibilities of Nursing Faculty 20:48:07:27. The classification description is reviewed and updated annually or as needed. 3. Adjunct Faculty will have a classification description following the standards as those used to meet the requirements of the FTE Nursing Faculty and reviewed and updated annually or as needed. ACCOMPLISHMENTS: 1. The Nursing Program Director s classification description has been reviewed and updated to indicate the position is 100% administrative duties and the classification description has been reviewed and updated as of January 31, A space to sign and date that the classification description was reviewed and updated annually has been added to the last page. 2. The Nursing Faculty have a current classification description that includes the standards found in Article 20:48 and the classification description has been reviewed and updated as of August 28, A space to sign and date that the classification description was reviewed and updated annually has been added to the last page. 3. Adjunct Faculty have a classification description and the classification description has been reviewed and updated as of September 3, A space to sign and date that the classification description was reviewed and updated annually has been added to the last page.

16 ATTACHMENTS: I. Nursing Program Director Classification Description II. Practical Nursing Instructor Classification Description III. Adjunct Instructor Classification Description

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30 RECOMMENDATION 3: Assure that Nursing Faculty hold a Baccalaureate Degree in Nursing. Nursing Faculty with an Associate Degree in Nursing as the highest degree held must have a plan of study submitted with a completion date within 5 years. ACTION PLAN: 1. Nursing Faculty hired after January 1, 2014, will have a minimum of a Baccalaureate Degree in Nursing. 2. Current Nursing Faculty having an Associate Degree in Nursing will be required to submit a plan on how they will complete their Baccalaureate Degree in Nursing within the next 5 years. This plan will be submitted to the Nursing Program Director no later than June 30, This is the end of the current fiscal year. ACCOMPLISHMENTS: 1. The Western Dakota Tech Practical Nursing Program currently employs the following Nursing Faculty positions: 1 Full time Nursing Program Director MSN 3 Full time Nursing Faculty BSN 5 Adjunct Nursing Faculty BSN 2 Adjunct Nursing Faculty AD 2. The Western Dakota Tech Practical Nursing Program has decided that only Baccalaureate prepared Nursing Faculty will be hired after January 1, There are two Adjunct Nursing Faculty who have an Associate Degree in Nursing. The Adjunct Nursing Faculty who have an Associate Degree in Nursing have until June 30, 2014, to submit their plan for completing their Baccalaureate Degree in Nursing within the next 5 years. If they have not submitted their plan by June, , they will be removed from Adjunct status effective July 1, 2014.

31 RECOMMENDATION 4: Create a process to guide curriculum in developing, implementing, evaluating, and updating the Purpose, Philosophy, Objectives, and Organizational Framework of the Practical Nursing Program. ACTION PLAN: 1. Review and revise the current Purpose and Philosophy Statements and the Program Objectives for the Practical Nursing Program. 2. Develop an Organizational Framework to support our Practical Nursing Program. 3. Create a process to guide curriculum in developing, implementing, evaluating, and updating the Purpose, Philosophy, Objectives, and Organizational Framework for the Practical Nursing Program. 4. Nursing Faculty will meet quarterly to discuss issues related to the Practical Nursing Program curriculum to ensure the information is accurate and in line with the Purpose, Philosophy, Objectives, and Organizational Framework developed for the Practical Nursing Program. 5. Each member of the Nursing Faculty will participate in at least one in service, workshop, or conference annually related to curriculum development, implementation, evaluation, and/or updating. 6. Western Dakota Tech will hire a consultant to help provide direction and guidance in developing a curriculum that will support the Practical Nursing Program mission and vision. ACCOMPLISHMENTS: 1. The Purpose and Philosophy Statements submitted by the consultant replaced our current Purpose and Philosophy Statements. 2. The Program Learning Outcomes (Objectives) identified by the consultant replaced our current Program Learning Outcomes and were incorporated into our curriculum. 3. The Curriculum Committee has been established and the first meeting is scheduled for March 14, Meetings will be scheduled in June, September, December, and March. 4. A Charter has been develop to provide direction and guidance to the Curriculum Committee.

32 5. Five students representing the three current cohorts have been selected to be members of the Curriculum Committee. 6. Three alumni currently working in the local area have been selected to be members of the Curriculum Committee. 7. The Nursing Program Director has submitted a request to have the Nursing Faculty attend an international conference from July 17 21, 2014, called Boot Camp for Nurse Educators. This conference includes information on curriculum, simulation, and evidence based nursing. 8. The Practical Nursing Program hired a consultant to provide guidance and direction in developing a curriculum to meet the South Dakota Board of Nursing requirements set forth in the Procedure Manual for the Approval of New and Existing Licensed Practical Nurse Education Programs. ATTACHMENTS: I. Purpose Statement that will replace our current Purpose Statement with the start of the new curriculum II. III. IV. Philosophy Statement that will replace our current Philosophy Statement with the start of the new curriculum Program Learning Outcomes that will replace our current Program Learning Outcomes with the start of the new curriculum WDT Core Abilities and how they align with the Program Learning Outcomes V. New Program Description and Course Requirements VI. VII. Three cohorts that will be implemented with the start of the new curriculum Course Descriptions

33 Attachment I PURPOSE STATEMENT The Practical Nursing Program endorses the mission of Western Dakota Tech which states, "Western Dakota Tech is a public institution of higher learning that embraces quality programs, expert faculty and staff, and a commitment to academic excellence to teach the knowledge, skills, and behaviors student need to be successful." The Nursing Program's purpose flows from the institution's mission. The purpose of the Practical Nursing Program is to teach students the knowledge, skills, and behaviors needed of a Practical Nurse entering the workforce as delineated in the South Dakota State s definition of the practice of Practical Nursing, Section of the Nurse Practice Act, which states: Scope of licensed practical nursing practice. As used in this chapter, the practice of licensed practical nursing means: (1) The performance of any acts in the care, treatment, or observation of the ill, injured or infirm; (2) Maintenance of health of others and promotion of health care; (3) Assisting with health counseling and teaching; and (4) Applying procedures to safeguard life and health, including the administration of medications and treatments consistent with the practical nurse's education and preparation under the direction of a physician licensed or exempt from licensing pursuant to chapter 36 4, dentist or registered nurse. The Practical Nursing curriculum also integrates Chapter 20:48:04:02 of the South Dakota Nurse Practice act which further delineates the basic role of the Practical Nurse including guidelines regarding healthcare settings, which are: The Licensed Practical Nurse may practice as follows in two general settings: 1. With at least minimal supervision when providing nursing care in a stable nursing situation. 2. With direct supervision when providing nursing care in a complex nursing situation.

34 Attachment II PHILOSOPY STATEMENT The Practical Nursing Program s philosophy supports the purpose of the program. To enable faculty to teach students the knowledge, skills, and behaviors needed of a Practical Nurse, the faculty endorses the current initiative in nursing education which supports an evidence based curriculum. The faculty believe that to provide safe, quality nursing care in the current healthcare environment, the curriculum needs to be built on current nursing practice as documented in the nursing education and practice literature. A current nursing curriculum is essential for safe practice. Based on this philosophy, the mission of the Western Dakota Tech Practical Nursing program is to educate graduates to provide safe, quality, evidence based, patient centered care as an entry level Practical Nurse in the current healthcare environment.

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36 Attachment III PROGRAM LEARNING OUTCOMES The outcomes of the Practical Nursing Program are twofold. The nursing program has established program learning outcomes (PLOs) that support current Practical Nursing practice and serve as a base for lifelong learning. The PLOs align with WDT s core abilities which are essential workplace skills all students graduating from the school must possess to be prepared for the work force and for lifelong learning. Another major outcome for each cohort of the program is passing of the NCLEX PN. The nursing program prepares graduates to be eligible for application for writing the NCLEX PN for licensure as a Practical Nurse. WDT faculty and administration understand the importance of incorporating current standards, guidelines, and competencies as the basis for the nursing curriculum. As stated in the philosophy, the program prepares students for current nursing practice. To this end, a rigorous and thorough examination of the current literature on practical nursing practice and nursing education was conducted. Additionally, faculty examined the current healthcare environment in the school s service area. These findings guided the development of the PLO s. These program PLO s, along with their related competencies, reflect the expected behaviors of the graduates of the Practical Nursing program. These program PLO s were then used to organize the curriculum and the program courses, and guide all activities related to the teaching/learning process, including delivery of instruction and evaluation of student progress. The six PLO s are: 1. Provide safe, quality, evidence based, patient centered nursing care to diverse patient populations across the lifespan in a variety of healthcare settings. 2. Engage in clinical judgment to make patient centered care decisions within the scope of practice of the Practical Nurse. 3. Integrate quality improvement activities to improve patient care.

37 4. Participate in collaboration and teamwork with the inter professional team, the patient, and the patient s support persons to provide and improve patient care. 5. Use information technology to support and communicate the provision of patient care. 6. Incorporate professional, management, legal, and ethical guidelines within the scope of practice of a Practical Nurse.

38 Program Learning Outcomes Practical Nursing Diploma WDT Core Ability Program Learning Outcomes Life Skills Analytic Techniques Communication Skills Technology Skills Teamwork Techniques Social Values Employability Students will be able to: Incorporate professional, management, legal, and ethical guidelines within the scope of practice of a Practical Nurse. Students will be able to: Engage in clinical judgment to make patient-centered care decisions within the scope of practice of the Practical Nurse. Integrate quality improvement activities to improve patient care. Students will be able to: Participate in collaboration and teamwork with the interprofessional team, the patient, and the patient s support persons to provide and improve patient care. Students will be able to: Use information technology to support and communicate the provision of patient care. Students will be able to: Participate in collaboration and teamwork with the interprofessional team, the patient, and the patient s support persons to provide and improve patient care. Students will be able to: Provide safe, quality, evidence-based, patient-centered nursing care to diverse patient populations across the lifespan in a variety of healthcare settings. Students will be able to: Incorporate professional, management, legal, and ethical guidelines within the scope of practice of a Practical Nurse. Western Dakota Tech is a public institution of higher learning that embraces quality programs, expert faculty and staff, and a commitment to academic excellence to teach the knowledge, skills, and behaviors students need to be successful. Reviewed: February 2014

39 PRACTICAL NURSING Diploma, 45 Credit Hours, 14-Month Program The mission of the Practical Nursing program is to provide graduates with the knowledge, skills, attitude, and integrity to provide safe, prudent, and patient-centered care necessary to prepare them to successfully complete the National Council Licensure Examination for Practical Nursing (NCLEX-PN) and become employed as a Licensed Practical Nurse. Licensed Practical Nurses (LPN s) are an important member of the healthcare team, and, in many settings, their role has expanded to include IV therapy and supervision. The Practical Nursing program stresses the importance of incorporating a variety of experiences including lecture, lab, and clinical hours to ensure graduates have the knowledge, skills, and experiences needed to be successful after graduation. Students considering the Practical Nursing Program are required to fulfill the general education requirements, have a satisfactory TEAS score, and hold a current CNA certification before enrolling in nursing courses. Course No. Course Title Credits General Education Requirements CIS 105 MICROCOMPUTER SOFTWARE APPLICATIONS I 3 ENGL 101 COMPOSITION* or 3 ENGL 201 TECHNICAL WRITING I MATH 101 INTERMEDIATE ALGEBRA** or higher 3 PSYC 101 GENERAL PSYCHOLOGY or 3 PSYC 103 HUMAN RELATIONS IN THE WORKPLACE HC 114 ANATOMY & PHYSIOLOGY FOR THE HEALTH 3 PROFESSIONS Total 15 Technical Requirements NRS 100 FUNDAMENTAL SKILLS LAB 1 NRS 105 FUNDAMENTAL NURSING PRACTICE I 3 NRS 110 FUNDAMENTAL NURSING PRACTICE II 2 NRS 115 FUNDAMENTAL NURSING PRACTICE III 2 NRS 120 FUNDAMENTAL NURSING CLINICAL I 2 NRS 125 FUNDAMENTAL NURSING CLINICAL II 2 NRS 130 FUNDAMENTAL NURSING CLINICAL III 1 NRS 135 TRANSITIONAL NURSING PRACTICE 2 NRS 200 ADVANCED SKILLS LAB 1 NRS 205 ADVANCED NURSING PRACTICE I 3 NRS 210 ADVANCED NURSING PRACTICE II 2 NRS 215 ADVANCED NURSING PRACTICE III 2 NRS 220 ADVANCED NURSING CLINICAL I 2 NRS 225 ADVANCED NURSING CLINICAL II 2 NRS 230 ADVANCED NURSING CLINICAL III 1 NRS 235 ADVANCED NURSING CLINICAL IV 2 Total 30 All remedial coursework must be completed in the first semester. * Prerequisite: Acceptable ACCUPLACER score or Basic Writing. ** Prerequisite: Acceptable ACCUPLACER score or Basic Math/Elem Algebra. If you are or have been convicted, pleaded guilty or no contest to, or received a suspended imposition of sentence for a felony or certain misdemeanors, you are advised that you may not be able to complete all course requirements for your chosen program, you may be prevented from taking required certification/licensure examinations in your chosen program field, and you may be prevented from gaining employment in your program field. Clinicals, practicums, and internships may include, but are not limited to, differential shifts (evenings, nights, weekends, and holidays) to meet industry expectations. Semester breakdown on next page

40 Semester Breakdown for Option 1 CIS 105 ENGL 101 ENGL 201 MATH 101 PSYC 101 PSYC 103 HC 114 General Education Requirements must be completed before enrolling in NRS Technical Courses. Required General Education courses are offered in the Fall, Spring, and Summer Semesters. Students must also hold a current CNA certification before entering NRS Technical Courses. Microcomputer Software Applications I Composition or Technical Writing I Intermediate Algebra or higher General Psychology or Human Relations in the Workplace Anatomy & Physiology for the Health Professions Total Credit Hours CR NRS 100 NRS 105 NRS 110 NRS 115 NRS 120 NRS 125 NRS 130 NRS 135 Fall Semester CR Spring Semester CR Fundamental Skills Lab 1 NRS 200 Advanced Skills Lab 1 Fundamental Nursing Practice I 3 NRS 205 Advanced Nursing Practice I 3 Fundamental Nursing Practice II 2 NRS 210 Advanced Nursing Practice II 2 Fundamental Nursing Practice III 2 NRS 215 Advanced Nursing Practice III 2 Fundamental Nursing Clinical I 2 NRS 220 Advanced Nursing Clinical I 2 Fundamental Nursing Clinical II 2 NRS 225 Advanced Nursing Clinical II 2 Fundamental Nursing Clinical III 1 NRS 230 Advanced Nursing Clinical III 1 Transitional Nursing Practice 2 NRS 235 Advanced Nursing Clinical IV 2 Total Credit Hours 15 Total Credit Hours 15 Semester Breakdown for Option 2 CIS 105 ENGL 101 ENGL 201 MATH 101 PSYC 101 PSYC 103 HC 114 General Education Requirements must be completed before enrolling in NRS Technical Courses. Required General Education courses are offered in the Fall, Spring, and Summer Semesters. Students must also hold a current CNA certification before entering NRS Technical Courses. Microcomputer Software Applications I Composition or Technical Writing I Intermediate Algebra or higher General Psychology or Human Relations in the Workplace Anatomy & Physiology for the Health Professions Total Credit Hours CR NRS 100 NRS 105 NRS 110 NRS 115 NRS 135 Fall Semester CR Spring Semester CR Fundamental Skills Lab Fundamental Nursing Practice I Fundamental Nursing Practice II Fundamental Nursing Practice III Transitional Nursing Practice NRS 120 NRS 125 NRS 130 NRS 200 NRS 205 NRS 210 NRS 215 Fundamental Nursing Clinical I Fundamental Nursing Clinical II Fundamental Nursing Clinical III Advanced Skills Lab Advanced Nursing Practice I Advanced Nursing Practice II Advanced Nursing Practice III Total Credit Hours 10 Total Credit Hours 13 NRS 220 NRS 225 NRS 230 NRS 235 Summer Semester Advanced Nursing Clinical I Advanced Nursing Clinical II Advanced Nursing Clinical III Advanced Nursing Clinical IV Total Credit Hours CR Semester breakdown on next page

41 Semester Breakdown for Option 3 CIS 105 ENGL 101 ENGL 201 MATH 101 PSYC 101 PSYC 103 HC 114 General Education Requirements must be completed before enrolling in NRS Technical Courses. Required General Education courses are offered in the Fall, Spring, and Summer Semesters. Students must also hold a current CNA certification before entering NRS Technical Courses. Microcomputer Software Applications I Composition or Technical Writing I Intermediate Algebra or higher General Psychology or Human Relations in the Workplace Anatomy & Physiology for the Health Professions Total Credit Hours CR NRS 100 NRS 105 NRS 110 NRS 115 Spring Semester Fundamental Skills Lab Fundamental Nursing Practice I Fundamental Nursing Practice II Fundamental Nursing Practice III CR NRS 120 NRS 125 NRS 130 NRS 135 Summer Semester Fundamental Nursing Clinical I Fundamental Nursing Clinical II Fundamental Nursing Clinical III Transitional Nursing Practice CR Total Credit Hours 8 Total Credit Hours 7 NRS 200 NRS 205 NRS 210 NRS 215 NRS 220 NRS 225 NRS 230 NRS 235 Fall Semester Advanced Skills Lab Advanced Nursing Practice I Advanced Nursing Practice II Advanced Nursing Practice III Advanced Nursing Clinical I Advanced Nursing Clinical II Advanced Nursing Clinical III Advanced Nursing Clinical IV CR ;2 Total Credit Hours 15

42 COURSE DESCRIPTIONS NRS 100 FUNDAMENTAL SKILLS LAB CREDITS: 1 This lab course offers an introduction to the fundamental skills required to safely and effectively care for patients in today s healthcare environment. The focus of this course is the development of fundamental skills that incorporates information on anatomy and physiology, microbiology, geriatric nursing, and basic concepts of clinical judgment related to the nursing process. This course introduces psychomotor nursing skills needed to assist individuals in meeting basic human needs and the skills necessary for maintaining microbial, physical, and psychological safety along with skills needed in therapeutic interventions. PREREQUISITES: CURRENT CNA CERTIFICATION and COMPLETION OF ALL GENERAL EDUCATION COURSES. NRS 105 FUNDAMENTAL NURSING PRACTICE I CREDITS: 3 This course provides opportunities to develop competencies necessary to meet the needs of individuals in a safe, legal, and ethical manner using the nursing process. This course establishes the foundation for nursing practice by providing the fundamental concepts and skills needed to meet basic human physiological needs. An introduction to the nursing process and critical thinking is presented along with anatomy and physiology, microbiology, nutrition, geriatric nursing, and basic concepts of clinical judgment related to the nursing process. Students will learn concepts and theories basic to the art and science of nursing. PREREQUISITES: CURRENT CNA CERTIFICATION, and COMPLETION OF ALL GENERAL EDUCATION COURSES. NRS 110 FUNDAMENTAL NURSING PRACTICE II CREDITS: 2 This course provides opportunities to develop competencies necessary to meet the needs of individuals in a safe, legal, and ethical manner using the nursing process. This course will emphasize the areas of pharmacology, medical terminology, and nutrition needs of individuals and integrates these components into the overall fundamental concepts and skills needed to meet basic human physiological needs. PREREQUISITES: CURRENT CNA CERTIFICATION and COMPLETION OF ALL GENERAL EDUCATION COURSES. NRS 115 FUNDAMENTAL NURSING PRACTICE III CREDITS: 2 This course presents basic concepts of mental health issues and care for individuals with mental health illnesses. Categories of mental health illness are discussed along with common therapies to treat them. The course addresses issues nurses will incorporate into their work environment to assist them in caring for individuals with special mental and emotional needs. The course will identify behavioral science concepts that relate to interpersonal relationships, communication, and cultural diversity. PREREQUISITES: CURRENT CNA CERTIFICATION and COMPLETION OF ALL GENERAL EDUCATION COURSES. NRS 120 FUNDAMENTAL NURSING CLINICAL I CREDITS: 2 This course will emphasize laboratory and clinical experiences to enhance the learning process around basic human physiological needs. This course involves direct care for adults with a focus on performing clinical skills and conducting assessments. PREREQUISITES: CURRENT CNA CERTIFICATION and COMPLETION OF ALL GENERAL EDUCATION COURSES. NRS 125 FUNDAMENTAL NURSING CLINICAL II CREDITS: 2 This course will focus on clinical experiences that include pharmacology, medical terminology, and nutrition. This course will involve passing medications, identifying signs and symptoms of different diseases, and learning the importance of nutrition and diet therapy in adults. PREREQUISITES: CURRENT CNA CERTIFICATION and COMPLETION OF ALL GENERAL EDUCATION COURSES. NRS 130 FUNDAMENTAL NURSING CLINICAL III CREDITS: 1 This course will apply the nursing process and mental health nursing theory in the care of adults with mental illnesses. This course will stress the importance of milieu in the treatment of mental illnesses and the various contributions of the mental health treatment team. The course will focus on interpersonal relations, communication, and cultural diversity. PREREQUISITES: CURRENT CNA CERTIFICATION and COMPLETION OF ALL GENERAL EDUCATION COURSES. NRS 135 TRANSITIONAL NURSING CREDITS: 2 This course will provide students with opportunities to gain knowledge and skills necessary to transition from student to practicing nurse. This course will focus on the scope of practice for LPN s, legal and ethical basis of nursing practice, nursing history, and trends in nursing and healthcare delivery. PREREQUISITES: CURRENT CNA CERTIFICATION AND COMPLETION OF ALL GENERAL EDUCATION COURSES.

43 NRS 200 ADVANCED SKILLS LAB CREDITS: 1 This lab course focuses on nursing skills that emphasize care of patients with disease/disorders that include the following systems: nervous, respiratory, sensory, circulatory, urinary, gastrointestinal, endocrine, musculoskeletal, integumentary, and hematological. The lab will incorporate additional skills related to pharmacology and nutrition. PREREQUISITES: CURRENT CNA CERTIFICATION, COMPLETION OF ALL GENERAL EDUCATION COURSES, and NRS 100 FUNDAMENTAL SKILLS LAB. NRS 205 ADVANCED NURSING PRACTICE I CREDITS: 3 This course will provide opportunities to develop competencies necessary to meet the needs of individuals in a safe, legal, and ethical manner using the nursing process. This course includes nursing theory with an emphasis on care of patients with disease/disorders of the following systems: nervous, sensory, respiratory, circulatory, urinary, gastrointestinal, endocrine, musculoskeletal, integumentary, and hematological. The nursing process is integrated into the study of each disease process. Specific information about applying for licensure and taking the NCLEX-PN is included. PREREQUISITES: CURRENT CNA CERTIFICATION, COMPLETION OF ALL GENERAL EDUCATION COURSES, and ALL FUNDAMENTAL NURSING PRACTICE COURSES. NRS 210 ADVANCED NURSING PRACTICE II CREDITS: 2 This course includes nursing theory and the care of patients with a variety of disease/disorders with an emphasis on how pharmacology impacts the treatment outcomes, how medical terminology assists with disease identification, and the importance of nutrition on the recovery process. PREREQUISITES: CURRENT CNA CERTIFICATION, COMPLETION OF ALL GENERAL EDUCATION COURSES, and ALL FUNDAMENTAL NURSING PRACTICE COURSES. NRS 215 ADVANCED NURSING PRACTICE III CREDITS: 2 This course focuses on the role of the student in meeting the physiological, psychosocial, cultural, and developmental needs of the maternal and child individuals. This course will introduce the student to comprehensive family-centered care, wellness, health promotion, and illness prevention. The course focuses on growth and development of the child from conception to adolescence and incorporates family dynamics. PREREQUISITES: CURRENT CNA CERTIFICATION, COMPLETION OF ALL GENERAL EDUCATION COURSES, and ALL FUNDAMENTAL NURSING PRACTICE COURSES. NRS 220 ADVANCED NURSING CLINICAL I CREDITS: 2 This course is the clinical component of adult health nursing in which the students provide direct care to patients in a variety of acute, inpatient settings and in physician offices and outpatient care centers. The students utilize various components of the nursing process to design appropriate care for patients. PREREQUISITES: CURRENT CNA CERTIFICATION, COMPLETION OF ALL GENERAL EDUCATION, and ALL FUNDAMENTAL NURSING CLINICAL COURSES. NRS 225 ADVANCED NURSING CLINICAL II CREDITS: 2 This course is the clinical component of adult health nursing in which the students provide direct care to patient in a variety of acute inpatient settings. The student is expected to demonstrate ability to apply the concepts of critical thinking, communication, and promotion of safety with patients in the clinical setting. This course will focus on basic phlebotomy and IV infusion skills. PREREQUISITES: CURRENT CNA CERTIFICATION, COMPLETION OF ALL GENERAL EDUCATION COURSES, and ALL FUNDAMENTAL NURSING CLINICAL COURSES. NRS 230 ADVANCED NURSING CLINICAL III CREDITS: 1 This course includes the clinical experiences related to maternal and child health care. The clinical settings will vary but may include hospitals, clinics, and physician offices. Students will learn about growth and development, medications related to obstetrics and pediatrics, terminology, and nutritional aspects associated with children and pregnancy. PREREQUISITES: CURRENT CNA CERTIFICATION, COMPLETION OF ALL GENERAL EDUCATION COURSES, and ALL FUNDAMENTAL NURSING CLINICAL COURSES. NRS 235 ADVANCED NURSING CLINICAL IV CREDITS: 2 This course builds on previous course concepts of leadership and management. The student is expected to demonstrate ability to apply the concepts of critical thinking, communication, and promotion of safety with patients in the clinical setting. This course provides the opportunity for students to apply concepts of leadership and management while under the supervision of an RN instructor or RN/LPN preceptor. PREREQUISITES: CURRENT CNA CERTIFICATION, COMPLETION OF ALL GENERAL EDUCATION COURSES, and ALL FUNDAMENTAL NURSING CLINICAL COURSES.

44 RECOMMENDATION 5: Develop a process to evaluate student achievement of stated Practical Nursing Program objectives. ACTION PLAN: 1. Develop a tool to evaluate student achievement for the Program Learning Outcomes for the Practical Nursing Program. 2. Nursing Faculty (Full time and Adjuncts) will use the Student Achievement Evaluation Tool to determine the level of achievement for each student each semester based on the criteria for each Program Learning Outcome in the Practical Nursing Program. 3. At the beginning of each semester, at mid term, and at the end of each semester Nursing Faculty will meet with each student in each of their courses and utilize the Student Achievement Evaluation Tool to determine the level of achievement for each Program Learning Outcome. They will share this information with the students so students who are below satisfactory at mid term can have an opportunity to improve their evaluation before the end of the semester. ACCOMPLISHMENTS: 1. A Student Achievement Evaluation Tool has been developed and implemented to determine the level of achievement students receive for each Program Learning Outcome for the Practical Nursing Program. 2. Nursing Faculty have given each students a copy of the Student Achievement Evaluation Tool with an explanation of how the tool will be used during the semester. ATTACHMENT: I. Student Achievement Evaluation Tool

45 STUDENT ACHIEVEMENT EVALUATION OF PROGRAM OBJECTIVES COHORT: NAME: Program Objective: Outstanding = 4 Points Excellent = 3 Points 1.Student will be able to summarize the level of patient wellness based on Maslow s Hierarchy of Needs. 2. Student will be able to: a. Analyze patient data. b. Apply the nursing process in implementing and evaluating patient care. 3. Student will be able to utilize effective communication techniques with patients, family, and healthcare team members. 4. Student will be able to demonstrate effective use of technology relevant to various healthcare settings. 6. Student will be able to discriminate between effective and ineffective teamwork techniques in the healthcare setting. 7. Student will be able to compare how cultural values, behaviors, attitudes, and psychosocial factors affect the implementation of the nursing process. 8. Student will be able to practice professional nursing behaviors through appearance, conduct, attitude, ethical, and legal standards. The student will summarize the level of patient wellness based on 5 of the 5 levels of Maslow s Hierarchy of Needs. The student will analyze 95% of patient data and apply the 5 components of the nursing process in implementing and evaluating patient care. The student will have no incident of utilizing ineffective communication techniques with patients, family, and/or healthcare team members. The student will have no incident of demonstrating ineffective use of technology relevant to healthcare settings. The student will discriminate between effective and ineffective teamwork techniques in the healthcare setting by stating at least 5 effective and 5 ineffective teamwork techniques. The student will compare how (1) cultural values, (2) behaviors, (3) attitudes, and (4) psychosocial factors affect the implementation of the nursing process. The student will demonstrate professional nursing behaviors through (1) appearance, (2) conduct, (3) attitude, (4) ethical, and (5) legal standards with no incident noted. Based on 4 of 5 needs. Will analyze 90% of data and 4 components. Satisfactory = 2 Points Based on 3 of 5 needs. Analyze 80% of data and 4 components. 1 incident. No more than 3 incidents. No more than 2 incidents. Stating at least 4 of each. Compares 4 of 4 areas using less detail than for outstanding 5 of 5 standards with 2 or less incidents. No more than 3 incidents. Stating 3 of each. Compare 3 of the 4 areas. 4 of 5 standards with 3 or less incidents. Needs Improvement = 1 Points Based on 1 2 of 5 needs. Analyze 70% of data and < 4 components. Failed = 0 Points Based on 0 of 5 needs. Analyze < 70% of data and < 3 components > 3 incidents. 5 or greater incidents. No more than 4 incidents. Stating < 3 of each. Compares < 3 of 4 areas close to being satisfactory. 3 of 5 standards with 3 or less incidents. No more than 5 incidents. Stating 1 or less of each. Compares < 3 of 4 areas. < 3 standards noted.

46 BEGINNING OF SEMESTER: This form was reviewed with the student and the student understands the purpose and requirements of this evaluation. STUDENT: DATE: NURSING FACULTY: DATE: MID TERM: The student is satisfactory or better in all of the Program Objectives: The student is < satisfactory in one or more Program Objectives: The student will provide the Nursing Faculty with an action plan on what they are going to do to ensure each Program Objective that is below satisfactory is at least satisfactory by the end of the semester. STUDENT: DATE: NURSING FACULTY: DATE: FINAL: The student must have at least 16 total point or greater on these Program Objectives. A score of < 16 could affect the overall grade for the student. STUDENT: DATE: NURSING FACULTY: DATE: INSTRUCTIONS FOR COMPLETING STUDENT ACHIEVEMENT EVALUATION FORM PRACTICAL NURSING PROGRAM OBJECTIVES 1. The Student Achievement Evaluation Form is reviewed with the students within the first 2 weeks of the semester. Students need to achieve at least a satisfactory for all Program Objectives. 2. At the midpoint of the course the Nursing Faculty meets with each student and informs them if they are less than satisfactory for 1 or more of the Program Objectives. If the student is less than satisfactory in 1 or more Program Objectives the student must put in writing what they will do to increase his/her level to at least a satisfactory. 3. At the end of the semester the Nursing Faculty meets with each student and complete a final evaluation of the Program Objectives.

47 RECOMMENDATION 6: Assure a reasonable workload for Nursing Faculty be developed that includes sufficient time to review and revise the overall curriculum. ACTION PLAN: 1. Develop a workload agreement for each semester that stays between workload credits. This includes lecture, lab, and clinical credits. 2. Nursing Faculty will be required to participate in the quarterly Curriculum Committee. The committee will be scheduled in advance and Nursing Faculty will be given time and opportunity to attend the Curriculum Committee. ACCOMPLISHMENTS: 1. Each Nursing Faculty has a signed workload agreement that indicates a workload of no less than 14 workload credits and no more than 16 workload credits per semester. 2. Nursing Faculty will not be scheduled for lecture, lab, and/or clinical whenever the Curriculum Committee is scheduled. 3. Nursing Faculty will have time to work on their course curriculum throughout the semester during office hour time, after the Curriculum Committee, and whenever they have time to spend reviewing and updating their course requirements throughout the semester. ATTACHMENTS: I. Ms. Brandt s weekly schedule for spring semester II. III. Mr. Pendleton s weekly schedule for spring semester Ms. Zacher s weekly schedule for spring semester