Chaffey College Program Review Report

Program Title: Program Code: Review Type: Vocational Nursing 1203 - NURSING: VN Instructional Chaffey College Program Review Report 2008-2009 Program Mission: The Vocational Nursing Program improves the lives of students by providing quality, accessible, and student-centered education to the diverse population that it serves, thus providing the community with practitioners who are prepared to offer competent, safe, and patient-centered care within the health care environment. The VN Program has a pivotal position in the career ladder concept of nursing. Students with little educational preparation may begin the ladder by completing the Nurse Assistant (NA) program and progress into the Acute Care Technician (ACT) program. As more general education courses are completed at Chaffey College, these students advance to the VN program. Successful graduates of the VN program are eligible to take the National Council for Licensure Examination-VN (NCLEX-VN). Many graduates of the VN program will continue their education in the Associate Degree Nursing (ADN) program. Overview of Program: The VN program prepares safe, effective vocational nurses to the community who work in all healthcare areas including acute and skilled facilities as well as clinics and physician's offices. In order to meet the needs of the community, students must be prepared in clinical, classroom, and simulated clinical settings. As external clinical sites become more difficult to obtain, it has become increasingly more important to develop a realistic simulation lab where students can practice and learn in a simulated setting without placing any actual patients at risk. In the past year the VN faculty have been revising the curriculum in order to more effectively implement clinical simulations across the curriculum. In order to do this, however, a full-time nurse educator who specializes in educational technology, specifically simulated learning, must be added to our faculty. At this time we have only been successful in obtaining a one-time grant-funded amount which will run out this year. In 2007-2008, the VN faculty also prepared to move to a new site. In January of 2009, the VN program will relocate to the new Chino Campus. Program Goals and Planning Process: Program Goal #1: Ends Policy 8.2 - Students will successfully meet the requirements for progression in the program.

Outcome Measured Outcome Statement Means of Assessment Summary of Evidence Use of Results for Planning SLO Students will demonstrate the ability to provide safe and effective care by successfully completing all program requirements. Means of Assessment: *Course-level tests and *Clinical performance evaluation Population to be Assessed: All program students Point of Assessment: Ongoing throughout program Criteria for Assessment: Students must pass each course with a grade of 75% or better and must receive a CR in clinical in order to progress in the program In 2007-2008 the program had a 86% retention rate. Students are referred to tutors, Success Centers, and nursing faculty for assistance. The VN faculty are currently actively pursuing funding for a FT simulation coordinator who will be available to assist students who are having difficulty in clinical and didactic courses. Program Goal #2: Ends Policy 8.1 - Students will demonstrate the abilities and knowledge necessary to provide safe and effective nursing care. Outcome Measured SLO Outcome Statement At least 90% of program graduates will pass the NCLEX State Board Examination Means of Assessment Means of Assessment: NCLEX State Board Exam results Population to be assessed: VN program graduates Point of Assessment: Post-program completion Criteria for Assessment: Passing score on NCLEX exam Summary of Evidence Pass rate for the 2007-2008 graduating class was 92% Use of Results for Planning Faculty plan to provide NCLEX-VN review software for students' use in the simulation/skills lab. Program Goal #3: Ends Policy 8.1.6 - Program graudates will provide safe, competent nursing care within the community.

Outcome Measured SLO Outcome Statement Means of Assessment Summary of Evidence At least 90% of program graduates will be employed within 6 months of program completion and will provide safe, effective, and competent care in the community. Means of Assessment: Post-graduation questionnaire Population to be Assessed: All program graduates Point of Assessment: 6-9 months after program completion Criteria for Assessment: Graduate obtains employment as a Vocational Nurse within 6 months of program completion In collaboration with the Office of Institutional Research, a questionnaire will be developed and administered to all program graduates. Use of Results for Planning Budget Requests Faculty Program Goal Category Title FTE Priority New/Replacement Remarks Students will successfully meet the requirements for progression in the program. 51000 Simulation Lab Coordinator 1 2 New Effectively incorporating simulation into the curriculum requires extensive knowledge of nursing, as well as an ability (and the time) to: write and program complex scenarios, to develop a realistic environment for the scenarios, to train the faculty on the use and care of human patient simulators, and to implement the scenario using high-fidelity equipment.

This requires a full-time commitment to the task, as it is simply not possible for FT faculty, who can work 24 hours each week in the clinical site and 4-6 hours each week in lecture. This is in addition to their office hours and other extensive professional responsibilities. Students will successfully meet the requirements for progression in the program. The addition of this position, and therefore a comprehensive simulation program, will provide students with an effective and safe way to hone their clinical skills prior to experiencing them with real patients in the clinical area. 51000 FT Faculty 1 1 Replacement In the 2006-2007 academic year, a FT VN faculty member took a temporary reassignment as the Nursing Skills Lab instructor. She took the job on a permanent basis during the 2007-2008 academic year. Current and future program needs (we now start the program once each semester, rather than once each calendar year) require that this faculty member be replaced by a 1.0 FTE faculty member.

Hiring Criteria Request Criteria Remarks Students will successfully meet the requirements for progression in the program. Students will successfully meet the requirements for progression in the program. Students will successfully meet the requirements for progression in the program. Budget Requests Staff Hardship due to separation of FT faculty member(s) Courses that support transfer or vocational certificates Hardship due to separation of FT faculty member(s) Due to a technical glitch, the following criteria were omitted from the Hire Criteria list and were not able to be selected; however they apply to both the faculty requests: -Adjunct faculty are difficult to find -Adjunct to FT ratio extremely skewed -Extensive technical requirements for program -New and emerging curriculum necessary for student success This is a replacement request for a faculty member who left the program in 2006-2007 and was never replaced. Program Goal Category Title FTE Priority New/Replacement Remarks Students will demonstrate the abilities and knowledge necessary to provide safe and effective nursing care. 52000 Instructional Assistant 1 3 New Currently, the VN program has one AA II. The program has a number of needs which are not within the scope of responsibility of an AA II, such as: Organizing and maintaining an inventory of supplies within the

Budget Requests Supplies, Equipment, etc. skills lab Monitoring and ordering supplies Assisting with setup and clean up of skills lab before and after use Organizing, cleaning, and maintaining the lab environment and equipment, ensuring that all equipment remain functional and all pieces and components are accounted for. These duties would involve working with the AAII when preparing to order supplies. Program Goal Category Description Price Qty Installation Shipping Total Remarks Students will demonstrate the abilities and knowledge necessary to provide safe and effective nursing care. 54430 NCLEX Review Software, Institutional Version 2500 1 0 0 2500.00 This software prepares students for the NCLEX State Board Exam.

Program graudates will provide safe, competent nursing care within the community. Students will successfully meet the requirements for progression in the program. 54430 Nurse Squared Electronic Documentation System 56000 Noelle Birthing Simulator 2000 1 0 0 2000.00 This is an annual fee for use of the software. This software trains students on an electronic patient care documentation system, which helps to prepare students for the type of systems they will encounter in the clinical facilities where they will be employed. 3995 1 400.00 4395.00 Increasing demand for clinical spaces has resulted in difficulty providing certain clinical experiences to all students, particularly in pediatrics and obstetrics. The birthing simulator allows students to participate in a high-fidelity patient care simulation on campus.

Students will successfully meet the requirements for progression in the program. Students will successfully meet the requirements for progression in the program. 56000 SimMan Nursing Wound Module 56000 Nursing Wound Module Set 3730 1 8.00 3738.00 Realistic simulated learning opportunities allow students to practice complicated skills, such as dressing changes and wound care, prior to exposure to this experience in the clinical setting. In this way, students are better prepared to provide care to the patient that is both safe and competent. 1990 1 8.00 1998.00 Realistic simulated learning opportunities allow students to practice complicated skills, such as dressing changes and wound care, prior to exposure to this experience in the clinical setting. In this way, students are better prepared to provide care to the patient that is both safe and competent.

Students will successfully meet the requirements for progression in the program. 56000 Fundus Skills and Assessment Trainer It is necessary to have more than one simulator available to students at a time. This set is similar to the SimMan module, but is designed for the other, less advanced manikins in the simulation/skills lab. 902 1 12.00 914.00 Like the Noelle Birthing Simulator, this product supports our obstetrical nursing courses. Students learn to assess post-partum patients with the goal of preventing post-delivery complications. Previous Activities and Outcomes 1. Activity: Vocational Nursing Outcome: To what extent was this outcome achieved? Because of the nature of the Vocational Nursing program, SLOs do not change from one year to the next.

Externally Imposed Regulation: 1. Organization: Board of Vocational Nurse and Psychiatric Technician Examiners (BVNPT) Last Review: 05/12/2008 Recommendations: Continue to meet all requirements for VN programs as set forth in the Vocational Nursing Practice Act. Budgetary recommendations: The vocational nursing program is required by the Vocational Nurse Practice Act to have one qualified faculty member who acts as program director and one who acts as assistant program director. These individuals are required to have sufficient release time so as to meet the administrative requirements of the program. Addressed Satisfactorily: No Status of Recommendation: current release time for director (40%) is not sufficient to meet the administrative needs of the program; however, this is a contractual issue. Next Review: 05/01/2012 Budget: If any unexpended funds in last years budget, please briefly explain why these funds were not spent. No Were any additional funds requested (VTEA, other grants, etc.)? If so, please list source of additional funds and amount received. Yes The HOPE Grant is a 5 year grant designed to target all health science students. As a part of this grant, a learning community has been developed with health science educators available to assist students in all health science programs. The VN faculty refer students to the learning community when it is determined that they require additional assistance. Students may also self-refer for any help they may need with clinical and/or didactic courses. Responses to Prior Year Committee Comments Prior Year's Recommendations and Commendations: Commendations The committee commends the Vocational Nursing Director for obtaining $1.5 million grant and setting up Annual Health Science Expo in Chino. Also commend program for addressing the issue of lower retention rates by reviewing student reading levels and revising curriculum to extend program, reducing weekly instructional hours. Recommendations Due to budgetary and facility limitations, enrollment in CNA has declined. Since Certified Nursing Assistant is First Step in Career Ladder Program, recommend Director work closely with CNA, Maggie Van Riper, Articulation officer, and curriculum to insure VN enrollment is not impacted. Committee also recommends that the "Program Assistant" be approved, but as an Instructional Assistant for the lab, with request for lab supplies submitted to Administrative Assistant for processing to ensure budget control.

Program Changes State how program/service addressed these recommendations: VN Director participated in articulation meetings held with ROP and others, and has also participated in the Health Science Academy learning community at Don Lugo High School, a feeder school to our college. At this time, admission to the VN program continues to be impacted, typically receiving twice as many applications as can be admitted each application period. We were not approved to hire a permanent program assistant, although we were able to hire a short term worker who acted in that capacity. Any orders were processed through the AA II assigned to our program. Faculty strive to prepare students to be safe and effective vocational nurses. Grants and other external funding is used, when possible, to augment the program. Student Learning Outcomes PSR Table: G587 Students will successfully meet the requirements for progression in the program. Courses NURVN 404 NURVN 407 NURVN 403 NURVN 403L NURVN 415A NURVN 406B NURVN 404L NURVN 429B NURVN 434L Students will demonstrate the ability to provide safe and effective care by successfully completing all program requirements.

NURVN 436 NURVN 408L NURVN 405L NURVN 436L NURVN 406AL NURVN 417A NURVN 408 NURVN 401 NURVN 405 NURVN 434 NURVN 439 NURVN 406A NURVN 406BL G588 Students will demonstrate the abilities and knowledge necessary to provide safe and effective nursing care. Courses NURVN 404 NURVN 407 NURVN 403 NURVN 403L At least 90% of program graduates will pass the NCLEX State Board Examination

NURVN 415A NURVN 404L NURVN 406B NURVN 408L NURVN 434L NURVN 436 NURVN 429B NURVN 405L NURVN 436L NURVN 401 NURVN 406AL NURVN 408 NURVN 417A NURVN 405 NURVN 434 NURVN 439 NURVN 406A NURVN 406BL G589 Program graudates will provide safe, competent nursing care within the community. Courses NURVN 404 NURVN 407 At least 90% of program graduates will be employed within 6 months of program completion and will provide safe, effective, and competent care in the community.

NURVN 403 NURVN 403L NURVN 415A NURVN 404L NURVN 406B NURVN 408L NURVN 429B NURVN 434L NURVN 436 NURVN 405L NURVN 428 NURVN 436L NURVN 401 NURVN 406AL NURVN 408

NURVN 417A NURVN 405 NURVN 434 NURVN 439 NURVN 406BL NURVN 406A Awards Data Vocational Nursing Term Degrees Certificates 03/04 0 13 04/05 0 2 05/06 4 2 06/07 13 26 07/08 3 18 Comments: Vocational Nursing Term Degrees Certificates 03/04 0 13 04/05 0 2 05/06 4 2 06/07 13 26 07/08 3 18

Comments: Nursing V.N. FTES Arrangement 2003-04 2004-05 2005-06 2006-07 ADJ 5.68 15.67 8.341 7.26 3.95-3.31-45.596-1.73-30.458 C/R 37.96 58.07 51.787 69.839 47.04-22.799-32.645 9.08 23.92 FB 0 0 0 0 0 0 n/a 0 n/a OL 2.56 0 0 0.08 0.97 0.89 1112.5-1.59-62.109 TOTAL 46.2 73.74 60.128 77.18 51.96-25.22-32.677 5.76 12.468 SECTIONS Arrangement 2003-04 2004-05 2005-06 2006-07 ADJ 2 9 6 7 11 4 57.143 9 450 C/R 17 17 21 25 20-5 -20 3 17.647 FB 0 0 0 0 0 0 n/a 0 n/a OL 1 0 0 0 1 1 n/a 0 0 TOTAL 20 26 27 32 32 0 0 12 60 CENSUS ENROLLMENT Arrangement 2003-04 2004-05 2005-06 2006-07

ADJ 35 127 117 61 93 32 52.459 58 165.714 C/R 235 325 413 438 376-62 -14.155 141 60 FB 0 0 0 0 0 0 n/a 0 n/a OL 12 0 0 0 7 7 n/a -5-41.667 TOTAL 282 452 530 499 476-23 -4.609 194 68.794 UNDUPLICATED FACULTY HEADCOUNT Arrangement 2003-04 2004-05 2005-06 2006-07 ADJ 2 6 10 16 13-3 -18.75 11 550 C/R 6 4 7 8 6-2 -25 0 0 TOTAL 8 10 17 24 19-5 -20.833 11 137.5 INSTRUCTIONAL FTEF (LOAD) Arrangement 2003-04 2004-05 2005-06 2006-07 ADJ 56.67 155.95 152.23 207.07 212.64 5.57 2.69 155.97 275.225 C/R 274.18 238.64 269.13 273.17 246.9-26.27-9.617-27.28-9.95 FB 0 10 24.33 25 25 0 0 25 n/a OL 13.75 0 7.12 8.09 17.39 9.3 114.957 3.64 26.473 TOTAL 344.6 404.59 452.81 513.33 501.93-11.4-2.221 157.33 45.656 COMPARISONS FTES PER CONTRACT/REGULAR

Arrangement 2003-04 2004-05 2005-06 2006-07 C/R 7.7 18.44 8.59 9.65 8.66-0.99-10.259 0.96 12.468 COMPARISONS FTEF PER CONTRACT/REGULAR Arrangement 2003-04 2004-05 2005-06 2006-07 C/R 57.43 101.15 64.69 64.17 83.66 19.49 30.372 26.23 45.673 COMPARISONS FTES/FTEF Arrangement 2003-04 2004-05 2005-06 2006-07 ADJ 10.02% 10.05% 5.48% 3.51% 1.86% n/a n/a n/a n/a C/R n/a 580.70% 212.85% 279.36% 188.16% n/a n/a n/a n/a FB 0.00% n/a 0.00% 0.00% 0.00% n/a n/a n/a n/a OL 0.93% 0.00% 0.00% 0.03% 0.39% n/a n/a n/a n/a TOTAL 13.41% 18.23% 13.28% 15.04% 10.35% n/a n/a n/a n/a COMPARISONS FTES PER SECTION Arrangement 2003-04 2004-05 2005-06 2006-07

ADJ 2.84 1.74 1.39 1.04 0.36-0.68-65.385-2.48-87.324 C/R 2.23 3.42 2.47 2.79 2.35-0.44-15.771 0.12 5.381 FB n/a n/a n/a n/a n/a n/a n/a n/a n/a OL 2.56 n/a n/a n/a 0.97 n/a n/a -1.59-62.109 TOTAL 2.31 2.84 2.23 2.41 1.62-0.79-32.78-0.69-29.87 COMPARISONS CENSUS ENROLLMENT PER SECTION Arrangement 2003-04 2004-05 2005-06 2006-07 ADJ 17.5 14.11 19.5 8.71 8.45-0.26-2.985-9.05-51.714 C/R 13.82 19.12 19.67 17.52 18.8 1.28 7.306 4.98 36.035 FB n/a n/a n/a n/a n/a n/a n/a n/a n/a OL 12 n/a n/a n/a 7 n/a n/a -5-41.667 TOTAL 14.1 17.38 19.63 15.59 14.88-0.71-4.554 0.78 5.532 DISTRICT-WIDE INSTRUCTIONAL RANKINGS Variables 2003-04 2004-05 2005-06 2006-07 % PT FTES 62 64 66 70 70 % C/R FTES 51 44 51 48 51 Total FTES 53 42 47 40 51 % PT FTEF 66 60 56 48 53 Total FTEF 31 28 30 25 27 FTEF/ C/R 45 26 47 40 39 FTES/ C/R 12 11 7 4 5

% PT Sections 69 62 65 69 66 Census/Section 70 63 61 65 68 Nursing: Acute Care Technician FTES Arrangement 2003-04 2004-05 2005-06 2006-07 ADJ 0 0 0 31.275 20.053-11.222-35.882 20.053 n/a C/R 0 0 0 8.77 1.585-7.185-81.932 1.585 n/a FB 0 0 0 0 0 0 n/a 0 n/a OL 0 0 0 0 0 0 n/a 0 n/a TOTAL 0 0 0 40.045 21.637-18.408-45.967 21.637 n/a SECTIONS Arrangement 2003-04 2004-05 2005-06 2006-07 ADJ 0 0 0 14 13-1 -7.143 13 n/a C/R 0 0 0 5 3-2 -40 3 n/a FB 0 0 0 0 0 0 n/a 0 n/a OL 0 0 0 0 0 0 n/a 0 n/a TOTAL 0 0 0 19 16-3 -15.789 16 n/a CENSUS ENROLLMENT

Arrangement 2003-04 2004-05 2005-06 2006-07 ADJ 0 0 0 286 159-127 -44.406 159 n/a C/R 0 0 0 64 46-18 -28.125 46 n/a FB 0 0 0 0 0 0 n/a 0 n/a OL 0 0 0 0 0 0 n/a 0 n/a TOTAL 0 0 0 350 205-145 -41.429 205 n/a UNDUPLICATED FACULTY HEADCOUNT Arrangement 2003-04 2004-05 2005-06 2006-07 ADJ 0 0 0 0 0 0 n/a 0 n/a C/R 0 0 0 0 0 0 n/a 0 n/a TOTAL 0 0 0 0 0 0 n/a 0 n/a INSTRUCTIONAL FTEF (LOAD) Arrangement 2003-04 2004-05 2005-06 2006-07 ADJ 170.82 176.65 5.83 3.413 n/a n/a C/R 58.19 9.99-48.2-82.832 n/a n/a FB 1.39 0-1.39-100 n/a n/a OL 1.25 0-1.25-100 n/a n/a TOTAL 0 0 0 231.65 186.64-45.01-19.43 186.64 n/a COMPARISONS FTES PER CONTRACT/REGULAR

Arrangement 2003-04 2004-05 2005-06 2006-07 C/R n/a n/a n/a n/a n/a n/a n/a n/a n/a COMPARISONS FTEF PER CONTRACT/REGULAR Arrangement 2003-04 2004-05 2005-06 2006-07 C/R n/a n/a n/a n/a n/a n/a n/a n/a n/a COMPARISONS FTES/FTEF Arrangement 2003-04 2004-05 2005-06 2006-07 ADJ n/a n/a n/a 18.31% 11.35% n/a n/a n/a n/a C/R n/a n/a n/a 630.94% n/a n/a n/a n/a n/a FB n/a n/a n/a 0.00% n/a n/a n/a n/a n/a OL n/a n/a n/a 0.00% 0.00% n/a n/a n/a n/a TOTAL n/a n/a n/a 17.29% 11.59% n/a n/a n/a n/a COMPARISONS FTES PER SECTION Arrangement 2003-04 2004-05 2005-06 2006-07

ADJ n/a n/a n/a 2.23 1.54-0.69-30.942 n/a n/a C/R n/a n/a n/a 1.75 0.53-1.22-69.714 n/a n/a FB n/a n/a n/a n/a n/a n/a n/a n/a n/a OL n/a n/a n/a n/a n/a n/a n/a n/a n/a TOTAL n/a n/a n/a 2.11 1.35-0.76-36.019 n/a n/a COMPARISONS CENSUS ENROLLMENT PER SECTION Arrangement 2003-04 2004-05 2005-06 2006-07 ADJ n/a n/a n/a 20.43 12.23-8.2-40.137 n/a n/a C/R n/a n/a n/a 12.8 15.33 2.53 19.766 n/a n/a FB n/a n/a n/a n/a n/a n/a n/a n/a n/a OL n/a n/a n/a n/a n/a n/a n/a n/a n/a TOTAL n/a n/a n/a 18.42 12.81-5.61-30.456 n/a n/a DISTRICT-WIDE INSTRUCTIONAL RANKINGS Variables 2003-04 2004-05 2005-06 2006-07 % PT FTES 70 71 71 11 8 % C/R FTES 55 57 53 54 54 Total FTES 75 76 74 56 67 % PT FTEF 70 74 73 16 8 Total FTEF 73 75 73 44 53 FTEF/ C/R 54 57 53 54 54 FTES/ C/R 69 68 68 65 69

% PT Sections 71 72 72 14 8 Census/Section 75 76 74 62 72