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(1)

BOARD OF REGISTERED NURSING

Education/Licensing Committee

Agenda Item Summary

AGENDA ITEM: 7.1

DATE: February 5, 2015

ACTION REQUESTED:

Vote On Whether To Ratify Minor Curriculum Revisions and

Acknowledge Receipt of Program Progress Report

REQUESTED BY:

Michael Jackson, MSN, RN

Chairperson, Education/Licensing Committee

BACKGROUND:

According to Board policy, Nursing Education Consultants may approve minor curriculum changes that do

not significantly alter philosophy, objectives, or content. Approvals must be reported to the

Education/Licensing Committee and the Board.

Minor Curriculum revisions include the following categories:

x Curriculum changes

x Work Study programs

x Preceptor programs

x Public Health Nurse (PHN) certificate programs

x Progress reports that are not related to continuing approval

x Approved Nurse Practitioner program adding a category of specialization

The following programs have submitted minor curriculum revisions that have been approved by the NECs:

¾ United States University Entry Level Master’s Degree Nursing Program

¾ University of California, Irvine Baccalaureate Degree Nursing Program

¾ De Anza College Associate Degree Nursing Program

¾ Imperial Valley College Associate Degree Nursing Program

¾ Merced College Associate Degree Nursing Program

¾ Pasadena City College Associate Degree Nursing Program

¾ Sacramento City College Associate Degree Nursing Program

¾ Saddleback College Associate Degree Nursing Program

¾ San Joaquin Valley College Associate Degree Nursing Program

¾ Santa Barbara City College Associate Degree Nursing Program

¾ Stanbridge College Associate Degree Nursing Program

¾ Loma Linda University Nurse Practitioner Program

¾ University of Phoenix Nurse Practitioner Program, Sacramento Valley Campus and Costa Mesa

Campus (Ontario, Pasadena, Diamond Bar Learning Centers)

Acknowledge Receipt of Program Progress Report:

¾ California Baptist University Baccalaureate Degree and Entry Level Master’s Degree

Nursing Programs

¾ Charles Drew University Entry Level Master’s Degree Nursing Program

¾ CNI College Associate Degree Nursing Program

¾ College of the Desert Associate Degree Nursing Program

¾ East Los Angeles College Associate Degree Nursing Program

¾ Kaplan College Associate Degree Nursing Program

¾ Santa Ana College Associate Degree Nursing Program

NEXT STEP:

Notify the programs of Board action.

PERSON TO CONTACT:

Leslie A. Moody, RN, MSN, MAEd

(2)

MINOR

CU

RRI

CULUM RE

VISIONS

Educati

o

n/L

icensi

ng Com

m

it

tee

DATE:

Febru

ary

5,

20

1

5

SCHOOL NAM

E

A

PPROVED

BY

NEC

DATE

APPROVED

SUMMARY OF C

H

ANGES

Uni

te

d S

tat

es Uni

v

ersi

ty

Entry

L

e

ve

l

Ma

ster

’s

De

g

re

e Nursin

g

P

ro

g

ra

m

L

. Mood

y

12/09/2014

NUR 340/340

L

Nu

rsing

C

are of th

e Criticall

y

I

ll

Adult and Older Adult an

d

clinic

al

will be

r

e-se

que

n

ce

d

to be

the

n

ex

t to the

l

ast pr

ogr

am

c

o

u

rse

. NU

R

460 Nursing

L

e

ad

ership

and NUR 460

L

clin

ical

will be the terminal pro

g

ra

m

cour

se

. This will pr

ovide

r

eme

dia

tion time

pr

ior

t

o

pr

ogr

am

e

nd

fo

r a

n

y

students who have diffic

u

lt

y

with

the content

o

f

NUR340/340

L

.

Th

ere is

no

chan

g

e in units or conten

t for either cou

rse.

A one

-time

r

evision in prog

ra

m de

live

ry

will be

a

llowe

d f

o

r c

oho

rt

9 whic

h

is

the

onl

y

stude

nt c

oho

rt

cur

re

ntl

y

in pr

o

g

re

ss. Th

e te

rmina

l pr

o

g

ra

m c

o

u

rse will

be dela

y

ed 8

weeks du

ring

which stud

ents will have a break 4/27-6/28/2014

fr

o

m c

our

sewor

k

a

nd th

e pr

ogr

am

will pr

ovide

N

C

L

E

X pre

p

ac

tivitie

s. This

will a

llow stude

nts to be

in the

f

ina

l c

our

se

a

nd still e

n

ro

lle

d

whe

n

CCNE

conducts the pro

g

ra

m ac

creditation visit

in September.

All cohort student

s

have requ

ested and

a

g

re

e

d

to this revi

sion that results in dela

y

of pro

g

ram

completion as the

y

wish to have the be

n

efit of

g

ra

duating

f

rom an a

ccr

edited

program.

C

ohort 10 students will co

mplete the pr

og

ra

m on 9/4/2015.

Universit

y

o

f California,

Ir

vi

ne

B

ac

cal

au

reat

e De

gree

Nursing

P

ro

g

ra

m

C. Velas

12/05/2014

The pro

g

ram

reported

a d

ecre

ase in units/hours for

two courses. NS175

L

-Clinical Preceptorship cu

rrentl

y

8 units w

ill decre

ase to 6 units with a redu

ction

in clinical hours from 24

0 to 180.

NS140-Human B

ehavio

r and Mental H

e

alth,

currentl

y

8 units will dec

rease to 7 units

with a r

e

duction in clinical hours from

120 to 90. Prog

ram

cited

difficult

y

in

clinical pla

c

ements with current

re

quir

eme

nt. This c

h

an

g

e

will de

cr

ea

se

tota

l c

linica

l units f

ro

m 30 to 27 qua

rt

er

units. CRL

/TCP forms u

pdated to refl

ect the ch

an

g

e.

De

Anz

a C

o

lleg

e

Assoc

iate

Deg

ree Nursing

P

rog

ram

S

. E

n

g

le

11/24

/20

1

4

T

he prog

ram received wr

itte

n not

ificat

ion of

no

n-co

mpl

iance

wi

th CC

R

1

431

annual pa

ss rate

<75%.

Pr

og

ram pass rate f

o

r (

Ju

ly

1, 201

3-June

30,

201

4) w

as

69.23% f

o

r 52

firs

t t

ime

te

st taker

s. T

h

e

prog

ram h

as sub

m

itted a

comprehe

n

sive

assess

ment an

d act

ion

pla

n

to

im

prove

the ann

u

al p

ass rate.

Im

per

ia

l Va

lle

y

Colleg

e

Associ

at

e De

gree

Nursi

n

g

Prog

ra

m

L

. Chouinard

10/07/2014

Starting

with the class

ad

mitte

d F

all 2015,

IV

C will delete

one (1) unit Nu

rs

ing

Trends cours

e. Content is cover

ed in

other Medic

a

l-Surg

ic

al courses,

specificall

y

Nu

rsing

227

in the fourth seme

ster. T

h

is chan

g

e will dec

reas

e

the

Pag e 1 o f 4

(3)

MINOR

CU

RRI

CULUM RE

VISIONS

Educati

o

n/L

icensi

ng Com

m

it

tee

DATE:

Febru

ary

5,

20

1

5

SCHOOL NAM

E

A

PPROVED

BY

NEC

DATE

APPROVED

SUMMARY OF C

H

ANGES

number of total nursin

g

u

n

its required

from 38.5 t

o

37.5 and is closer to th

e 36

units currentl

y

re

comme

nded in the newl

y

propos

ed state communit

y

colle

g

e

Tr

an

sf

er

Mode

l Cur

ri

cu

lu

m. CRL

/TCP f

o

rms up

dated to refl

ect the ch

an

ge.

Merced C

o

ll

eg

e Assoc

iate

Deg

ree Nursing

P

rog

ram

K

.

D

au

g

h

er

ty

1

0

/2

8

/1

4

D

ec

re

as

e th

e tota

l number

of

units in the

CR

L

sc

ienc

e ar

ea

f

ro

m 30 to 27 u

n

its.

Prog

ra

m students no long

e

r hav

e to take

cou

rsew

o

rk in B

1

and

B

2

to

g

rad

uate.

The

c

o

lleg

e no

w ha

s onl

y

a

B

a

rea

thus the

pr

o

g

ra

m wa

s a

b

le

to

elimina

te

the

need for t

h

e previ

ous

B1

P

h

y

si

cal

S

ci

en

ce r

equire

ment (3 units Chem). Total

nursing

theo

ry

and clinic

al units unchan

g

ed at 41

units. This change redu

ce

s the

CR

L

and

g

raduation requ

irements from 78 to 75 u

n

its.

Pasadena

Ci

ty

Colleg

e

Associ

at

e Deg

ree Nursi

n

g

Pr

og

ra

m

B

. Carawa

y

10/29

/20

1

4

T

he prog

ram

reporte

d pro

posed chang

e in

adm

iss

io

n pol

ic

y

. The Pasadena

Ci

ty

Col

le

g

e (

P

C

C

)

R

N

pr

og

ra

m ha

s

pr

ev

io

usly

a

d

mitte

d 60 be

g

in

n

ing

s

tude

n

ts

(NUR

S

5

0) to the prog

ram each Fal

l and

S

p

ri

ng

semest

er for

to

ta

l 28

0 R

N

studen

ts.

S

tuden

t enro

ll

m

ent wi

ll

be reduced

fro

m

t

o

tal

of 280

to

260

, for

spri

ng

2015 an

d 25

0 for F

al

l 20

1

5

.

Prog

ram wi

ll ad

mi

t 40

be

g

inning

stu

d

ent

s (NUR

S

50) S

p

ring

215

, and

50

beg

inning

st

udent

s (NUR

S 50)

F

all 2

015.

De

cr

ea

sing

e

n

ro

ll

me

nt w

ill a

llow

the

pr

og

ra

m to r

esolve

se

ve

ra

l

iss

u

es

c

u

rr

entl

y

faci

ng

, such as c

lini

cal

pl

ac

em

ent

, decrea

se

num

ber

of faculty

due to il

lness

, a

nd

lim

ite

d

c

la

ss r

o

o

m

s a

n

d s

k

il

ls

la

b s

p

ac

e a

v

ailab

il

ity

due t

o

nur

sing

prog

ram

move

to t

h

e C

ont

inu

ing

Educat

ion Cen

ter i

n

20

12.

The P

CC

RN pr

og

ram also

adm

its

20

L

VN career ladder studen

ts

into

NUR

S

52

each sem

ester. Th

is a

d

mi

ss

ion

pol

ic

y

will

no

t chang

e. There are

no chang

es i

n

un

it

s, and

courses of

the

propo

sed

curri

cul

u

m

.

S

acram

ent

o

Ci

ty

C

o

ll

eg

e

Associ

at

e Deg

ree Nursi

n

g

Pr

og

ra

m

K

.D

au

g

h

er

ty

1

1

/2

4

/1

4

E

ffective

Spring

2015

o

n

ly

, clin

ical pl

acements

for all four

semesters

fo

r the

main and ex

tended campus options wi

ll be

adj

u

st

ed

/c

han

g

ed pl

aci

n

g

st

uden

ts

at

alternate fa

cilities to accommodate the

impleme

ntation of the EMR

at

Sutter

Ge

ne

ra

l a

nd Sutte

r Me

m

o

ri

al

Hospita

ls.

S

addl

eback C

o

ll

e

g

e

Associ

at

e De

gree

Nursi

n

g

B

. Cara

wa

y

09/17/2014

P

rog

ra

m is chan

g

in

g

the

teachin

g

modalit

y

o

f N1

61:

L

ife

c

y

cle 11: G

rowt

h

and

De

ve

lopme

n

t c

our

se

to inc

lude

online

inte

rn

et

capa

bilit

y

. This c

h

an

ge

will

Pag e 2 o f 4

(4)

MINOR

CU

RRI

CULUM RE

VISIONS

Educati

o

n/L

icensi

ng Com

m

it

tee

DATE:

Febru

ary

5,

20

1

5

SCHOOL NAM

E

A

PPROVED

BY

NEC

DATE

APPROVED

SUMMARY OF C

H

ANGES

P

rog

ra

m

assi

st

t

h

e st

udent

i

n

acces

si

ng

a r

equi

red nu

rsi

n

g

c

ourse on l

in

e and al

lo

ws

th

e

program to off

er both the

on campus classe

s

as we

ll as internet versions of t

h

e

cl

as

s. The

c

o

u

rse

c

onte

n

t a

nd obje

ctive

s will r

emain unc

ha

n

g

ed

.

The revised

curricul

ar ch

anges have no

impa

ct

on

the

tota

l pr

ogr

am

units. This

chan

g

e will be implemen

ted be

g

inning

F

all 2014.

San

Joaqui

n Val

le

y

Colle

g

e

Associ

at

e Deg

ree Nursi

n

g

Pr

og

ra

m

S

.

E

n

g

le

1

1

/2

1

/2

0

1

4

C

hang

e in

course numbe

rs to RN 24, 24

L

B

e

g

inni

ng

M/S, 23, 23

L

Maternal/Ne

w

born, 37, 3

7

L

Pediatri

cs, 46, 46

L

A

dv. M/S, 44 L

ead

ership f

o

r

the

L

V

N-RN option and

44

L

e

ade

rship for G

eneri

c RN pro

g

ram. No

chan

ges

we

re

ma

d

e to c

our

se

c

ont

en

t, se

que

nc

in

g

or

p

ro

g

ra

m units. The

se

r

evisions will

be noted in curri

culum a

nd college materi

als.

S

ant

a Barbara Ci

ty

C

o

ll

eg

e

Associ

at

e Deg

ree Nursi

n

g

Pr

og

ra

m

C

.

V

el

as

1

0

/2

9

/2

0

1

4

T

he pro

g

ram r

eported t

h

e ch

an

g

e to B

M

S127-Medical Microbiolog

y

c

ourse

from 5units to 4unit

s

and added B

M

S157-G

e

neral Microbiolo

g

y

-4uni

ts

so

students have the optio

n to

take one of the tw

o Mi

crobiolog

y

courses

as a

pr

er

equisite

to the

nu

rs

ing

pr

o

g

ra

m.

This c

h

an

g

e

will de

cr

ea

se

the Scie

nc

e

Units from 19units to 1

8units. CRL

/TCP forms

updated to r

efle

ct the

ch

ange.

This chan

g

e will becom

e

effective J

anuar

y

, 2015.

Stanbr

idg

e Co

lleg

e Assoc

iate

Deg

ree Nursing

P

rog

ram

B

. Carawa

y

10/24

/20

1

4

T

he prog

ram

reporte

d cha

n

g

es to adm

is

sio

n requ

irements

. G

P

A i

s bei

n

g

lowe

red

from

2.

7 to 2.

5 and

the

y

a

re accept

in

g

courses

be

y

o

nd t

h

ei

r cu

t off of

fi

ve y

ea

rs

for sciences f

o

r t

hose

ind

ividua

ls wh

o

have a

baccal

aureate and i

nvo

lved

in

biol

ogy

field. T

h

ere are n

o

chang

es in

uni

ts,

and co

urses of

the pr

opose

d

curri

cul

u

m

.

L

o

ma L

inda

Univers

it

y

Nurse P

racti

ti

oner

P

rog

ram

C

.

M

ac

k

ay

1

0

/2

2

/2

0

1

4

M

ultiple curricula ch

an

ges

re

ported involvin

g

cou

rse

numbers, titles, and u

n

its.

The

n

ew cou

rses a

re: NR

SG 515 Health Polic

y

3

units; NSRG 547 Nursin

g

L

e

ade

rship: Principles and Practice 3

units; RE

L

E

524 B

ioethics and Societ

y

3

units; PHSL

588 Pathoph

y

siolo

g

y

4 units; NRSG 652 F

amil

y

Nurse

Practitioner-1

4 units 2 didac

tic, 2 clinical; a

nd, N

R

SG 535 Pediatrics-1 4 units,

didactic.

N

RSG 684 Research M

ethods is

now off

ered ove

r one qu

arter inst

ead

of two. AGNP

track

repl

aced NRS

G

624 with NR

S

G

564 P

rimar

y

Car

e Ad

ult-Gerontolo

g

y

:

F

ra

g

ile Elders 4 units: 3

dida

ctic

, 1 c

linic

al

. F

N

P tra

ck added

NRSG

650 F

amil

y

Nu

rse

Practitioner;

Child

and Adolescent 5 units: 3 didactic,

Pag

e

3

o

(5)

MINOR

CU

RRI

CULUM RE

VISIONS

Educati

o

n/L

icensi

ng Com

m

it

tee

DATE:

Febru

ary

5,

20

1

5

SCHOOL NAM

E

A

PPROVED

BY

NEC

DATE

APPROVED

SUMMARY OF C

H

ANGES

2 clinical.

A

new population track, Ps

y

chi

atric Nu

rse Practitioner,

w

as add

ed to

the

NPP.

The

ne

w tr

ac

k

re

fl

ec

ts na

tiona

l Ps

y

chi

atric NP standards and m

ee

ts

B

R

N r

equire

me

nts. The

c

our

se

wo

rk

is org

anize

d

simila

r to

the

othe

r NP

tracks. The

graduat

e MSN core

cour

ses

and the 3

Ps (Pharmacolo

g

y

in

Advanced Pr

actice 1

&

2

, Pathoph

y

siolog

y

,

and A

dvanced Ph

y

sical

Assessm

ent

) ar

e succ

essf

ul

ly

com

p

le

te

d

prio

r to a

dvancin

g

to the concu

rre

nt

theor

y

and clinical popul

ation focus cour

se

s. The

MSN Ps

y

chiatric NP tra

c

k

requires 70 a

cad

emic qua

rter units; 19 un

its of clinical practic

e (570 hours

).

Univers

it

y

of Phoen

ix

N

u

rse

Pr

ac

ti

tio

n

er

Pr

og

ra

m,

S

acram

ent

o

Val

le

y

C

am

pus

and Co

sta

Mesa Ca

mpu

s

(Ontario,

Pa

sadena, D

iam

ond

B

ar L

earning

Centers)

J.

Wa

ck

er

ly

1

2

/8

/2

0

1

4

U

niversit

y

o

f Phoenix

has o

ffer

ed the Maste

r of Sc

ie

nc

e in Nu

rs

ing-Fa

mil

y

Nur

se

Pr

ac

titione

r(

F

NP)

Pr

og

ra

m, a

lon

g

with post Ma

ste

r’

s

F

N

P c

er

tif

ic

at

e

since 1998 as the listed locations.

In

summar

y

the

chan

g

es a

re 1) th

e addition of

2 credits takin

g

the pro

g

ra

m from 47 to

49 credits,

and 2) updates to the

co

ntent

to be

c

o

n

g

ru

en

t with the

la

te

st AACN Ma

ste

rs’

Es

se

ntia

ls. Clinic

al

c

our

se

s

ar

e

split into didactic and clinical com

ponents to improve the proc

esses of

ev

al

ua

tion of

stude

nt pe

rf

or

ma

nce

in the

c

linic

al

s

etting

. The

Division of

Nursing

h

as ele

cted to ad

d simulati

on ex

periences above and b

e

y

ond the

required 500 f

acult

y

dire

cted, direct

p

atient car

e h

ours. The additional

simulation hours, therefo

re, incr

eased

fro

m a total

clinical hours in the pro

g

ram

from 720 to 765.

Pag e 4 o f 4

(6)

MINOR

CU

RRI

CULUM RE

VISIONS

Educati

o

n/L

icensi

ng Com

m

it

tee

DATE:

Febru

ary

5,

20

1

5

SCHOOL NAM

E

A

PPROVED

BY

NEC

DATE

APPROVED

PROGRESS R

E

PORT

Ca

lif

or

nia

B

apt

is

t Un

ive

rs

it

y

Baccal

aureat

e Deg

ree

and

Entry

L

eve

l Ma

ste

r’

s De

g

re

e

Nursi

n

g

P

rog

ram

s.

L

.S

h

ai

n

ia

n

1

0

/1

3

/2

0

1

4

T

he nursin

g

de

pa

rtment at California Baptist Un

iversit

y

, Riverside, h

as ad

ded 20,000

square f

eet of n

ew simulation/flex

clas

sroom/laborator

y

and f

acult

y

offi

ce

space that

opened Fall 2014. The

newl

y

re

novat

ed 2-stor

y

building

is located adja

ce

nt to the

current nursin

g

buildin

g

.

There

are n

ewl

y

desi

g

n

e

d

classrooms, lounge/stud

y

a

reas,

stude

nt simula

tion a

re

as

/c

ontr

o

l r

oom/de

b

ri

ef

in

g

room, skills la

b, pr

oc

edure

/a

sse

ssme

n

lab, suppl

y

&

stora

g

e

roo

m

s, facult

y

o

ffic

es, fa

culty

wo

rk room, mail room, facult

y

confer

enc

e room, a simulation “studio”/deb

ri

efi

n

g

confer

enc

e

room/actors (

instructio

n

pa

tie

nt)

the

atr

ica

l de

par

tme

nt, and a full

y

equippe

d prima

ry

ca

re out

-p

at

ie

n

t area

(patient waiting

ar

ea/ex

am rooms) that is

also wired for simulation. This innovative

la

y

out and d

esig

n,

coupled with advanced

t

echnol

og

ical cap

abilities, supports the

application of eviden

ce b

ased tea

ching

m

et

hodolog

ies that improve student

learnin

g

a

n

position the prog

ram to

move forwa

rd in

to the fu

ture of nursin

g

edu

cation

.

C

h

arles Drew

Uni

v

ersi

ty

Ent

ry

L

evel

Mast

er’s Deg

ree

Nursi

n

g

P

rog

ram

L

.

S

h

ai

n

ia

n

1

2

/0

3

/2

0

1

4

A

s re

quire

d p

er

B

R

N CCR 1431 NC

L

E

X Pa

ss Ra

te

policy

. Th

e pro

g

ra

m has re

ce

iv

ed

writte

n notific

ation of no

n-c

o

mplia

nc

e w

ith CCR 1431 a

n

a

nnua

l pa

ss

ra

te

<

75%.

Prog

ra

m pass rat

e for J

u

ly

1, 2013-J

une

30, 2014

was 47.62%

(63 tak

en; 3

0

passed).

The

pr

o

g

ra

m h

as submitte

d a

c

o

mpre

he

nsive

a

ssessme

n

t a

nd a

ction pla

n

to

impr

ove

the annual pass r

ate. Th

e most rece

nt pro

g

ram pa

ss rate for J

u

ly

1, 2014 –

September

30, 2014 was

59.09%

(22 taken; 13 pas

sed).

C

N

I C

o

ll

eg

e Associ

at

e

Deg

ree Nursi

n

g

P

rog

ram

M

.

M

in

at

o

1

0

/2

2

/2

0

1

4

Initial pro

g

ra

m approv

al

follow-up visit with the graduatin

g

g

roup of Cohor

t 1 was

conducted. Pro

g

ra

m ad

mitted

21 students on

Ja

nuar

y

2013 and 17

are

gra

duating

on

October 29, 2014 (th

ree

are behind

class, one

f

ailed). The students r

eporte

d the

y

recei

v

ed i

n

st

ruct

ion and

cl

in

ical

ex

peri

ences

and f

eel

t

h

at

t

h

e

y

ar

e re

ad

y

t

o

assum

e t

h

e

RN roles on graduation.

Stude

nts ex

pressed conce

rns re

lated to sch

eduling

and

organiz

ations, which wer

e disc

ussed with administration.

Prog

ra

m plans to review th

e

curriculum and

consider

sugg

estions made b

y

the

students.

C

o

ll

eg

e of t

h

e Deser

t

Associ

at

e Deg

ree Nursi

n

g

Pr

og

ra

m

L

.

M

o

o

d

y

1

2

/0

1

/2

0

1

4

N

C

L

EX p

ass rate

for the

2013-14 y

e

ar was

below the

required

p

erfo

rmanc

e

thre

shold (CCR 1431) a

t 74.51% (51 ta

ke

n; 38 pa

ss

ed

). The

pro

g

ra

m w

as notifie

d

of this noncompliance an

d responded with

an

acc

e

p

table compreh

ensive ass

essment

and action plan.

F

irst quarter r

esults

for 2014-15

NC

L

E

X out

comes is 92% pass (25

taken; 22 passed),

an

improvement re

flec

tive

of

c

o

rr

ec

tive

a

ctions imple

mente

d.

(7)

MINOR

CU

RRI

CULUM RE

VISIONS

Educati

o

n/L

icensi

ng Com

m

it

tee

DATE:

Febru

ary

5,

20

1

5

SCHOOL NAM

E

A

PPROVED

BY

NEC

DATE

APPROVED

PROGRESS R

E

PORT

East

L

o

s An

geles Colle

ge

Associ

at

e De

gree

Nursi

n

g

Prog

ra

m

S

.

Wa

rd

1

2

/0

8

/2

0

1

4

T

he pro

g

ram submitted a

progre

ss r

eport (#1) on 1

2

-2-2014.

It

provides upd

ates on

imple

me

nta

tion of

the

pla

n

of

c

o

rr

ec

tion pre

v

iousl

y

submitte

d to the

B

o

ar

d

f

o

r a

re

as

of non-complianc

e.

Kapl

an Coll

eg

e Associ

at

e

Deg

ree Nursing

P

rog

ram

L

.

M

o

o

d

y

1

2

/0

1

/2

0

1

4

N

C

L

EX p

ass rate

for the

2013-14

y

e

ar

was below

the required p

erfo

rmanc

e

thre

shold (CCR 1431) a

t 63.91% (169 ta

ke

n; 108

pa

sse

d). The

p

ro

g

ra

m h

a

s

submitted an updated pro

g

re

ss repo

rt de

scribin

g

o

n

g

o

in

g

implementation of

corre

ctive a

ctions including

me

asures to

improve course

cont

en

t, assessme

nt of

student knowledge, stude

nt re

mediation and suppo

rt for

both cur

rent and

g

raduated

students, and facult

y

dev

elopment.

Curriculum is being

r

eview

ed under th

e

g

u

idan

ce of

an ex

pert co

nsultant.

F

irst quarter

re

sults for 2014-15 NC

L

E

X

outcomes is 66.67% (24

taken; 16 passed

).

S

ant

a A

n

a C

o

ll

eg

e

Ass

o

ciat

e

Deg

ree Nursing

P

rog

ram

L

.

S

h

ai

n

ia

n

1

0

/2

4

/2

0

1

4

A

s re

quire

d p

er

B

R

N CCR 1431 NC

L

E

X Pa

ss Ra

te

policy

. Th

e pro

g

ra

m has re

ce

iv

ed

writte

n notific

ation of no

n-c

o

mplia

nc

e w

ith CCR 1431 a

n

a

nnua

l pa

ss

ra

te

<

75%.

Prog

ra

m pass rat

e for J

u

ly

1, 2013-J

une

30, 2014

was 72.45% (98

tak

en; 7

1

passed).

The

pr

o

g

ra

m h

as submitte

d a

c

o

mpre

he

nsive

a

ssessme

nt a

nd a

ction pla

n

to

impr

ove

t

h

annual pass rat

e. The m

o

st recent pro

g

ra

m pass r

ate for J

u

ly

1, 2014 –

S

e

p

tember 30

,

2014 was 85.71% (35

tak

en; 30 passed).

(8)

BOARD OF REGISTERED NURSING

Education/Licensing Committee

Agenda Item Summary

AGENDA ITEM: 7.2

DATE: February 5, 2015

ACTION REQUESTED:

Vote On Whether To Approve Education/Licensing Committee

Recommendations

REQUESTED BY:

Michael Jackson, MSN, RN

Chairperson, Education/Licensing Committee

BACKGROUND:

The Education/Licensing Committee met on January 8, 2015 and

makes the following recommendations:

A.

Continue Approval of Prelicensure Nursing Program

¾

Loma Linda University Baccalaureate Degree Nursing Program

¾

Western Governors University Baccalaureate Degree Nursing Program

¾

Bakersfield College Associate Degree Nursing Program

¾

Los Angeles Valley College Associate Degree Nursing Program

¾

Merritt College Associate Degree Nursing Program

¾

Riverside City College Associate Degree Nursing Program

B.

Defer Action to Continue Approval of Prelicensure Nursing Program

¾

Fresno City College Associate Degree Nursing Program

C.

Continue Approval of Advanced Practice Nursing Program

¾

Loma Linda University Nurse Practitioner Program

D.

Approve Major Curriculum Revision

¾

California State University, Los Angeles Baccalaureate Degree Nursing Program

and Entry Level Master’s Degree Nursing Program

A summary of the above requests and actions is attached.

NEXT STEPS:

Notify the programs of Board action.

PERSON TO CONTACT:

Leslie A. Moody, RN, MSN, MAEd

(9)

ELC Committee Recommendations From 01/08/2015 meeting

Education/Licensing Committee Recommendations

From meeting of January 8, 2015

The Education/Licensing Committee met on January 8, 2015 and makes the following

recommendations:

A. CONTINUE APPROVAL OF PRELICENSURE NURSING PROGRAM

x Loma Linda University Baccalaureate Degree Nursing Program.

Marilynn M .Herrmann, PhD, RN, Dean/Program Director, and Elizabeth Bossert, PhD, Associate

Dean SON and Chair of the Graduate Nursing Program.

The university is regionally accredited by the Western Association of Schools and Colleges and school of is

accredited by the Commission on Collegiate Nursing Education (CCNE). At the time of the site visit a total

of 485 students were enrolled in undergraduate nursing program. Total yearly admissions are 168 students. A

total of 125 faculty (excluding the director and assistant director) are teaching in the BSN program, 44 full

time and 85 part time faculty members. All faculty are competent in their assigned teaching and clinical

areas. Over 33% of FT faculty members hold Doctorates and 25% are engaged in a doctorate study, and the

majority of remaining faculty hold Master degrees. Program strengths include stable long term leadership

provided by the director and assistant director of the program (both appointed in 2006). The program director

has been very influential and successful in securing a variety of grants and donations, and in building

partnerships with clinical agencies to improve and expand program resources in many significant ways. This

has resulted in increased physical space, equipment and capacity for offering nursing program options and

meeting specific instructional needs of students. In a well-attended meeting, the faculty described a high level

of involvement by both full and part-time faculty with program monitoring and improvement as well as

instructional delivery. Meetings were held with students of all levels, they all conveyed satisfaction with

their many opportunities for involvement with the program review and change recommendation. Some

students of all levels reported inconsistency among faculty in the review and grading of care plans. Students

also felt challenged by the Medical- Surgical courses and expressed concerns with volume and density of

materials presented. These concerns were shared with the faculty and administration team. Students Survey is

conducted and the reviews of the Medical-Surgical courses are underway to determine what revision may be

necessary to ensure students success. A meeting was held with Dr. Richard Hart, President and Dr.

Herrmann, Dean School of Nursing where both reported that there was no current plan to change the

enrollment or delivery pattern of the nursing program. Dr. Elizabeth Bossert will become the program

director to replace Dr. Herrmann who is retiring. The future plan includes the expansion of the University

programs to meet the current trends in health care services. NCLEX outcomes have exceeded BRN

requirements in a sustained manner over the last six years, ranging from 85.71% to 82.64%. At this time, the

LLU BSN program is being delivered in compliance with the BRN rules and regulations and is

recommended for continuing approval.

ACTION: Continue Approval of Loma Linda University Baccalaureate Degree Nursing Program.

x Western Governors University Baccalaureate Degree Nursing Program.

Alice Martanegara, MSN/Ed, RN, State Director of Nursing, and Dr. Jan Jones-Schenk, National

Director College of Health Professions.

Western Governors University (WGU) is a nonprofit online university founded and supported by 19 U.S.

governors. WGU is regionally accredited by the Northwest Commission on Colleges and Universities. The

nursing program is accredited by the Commission on Collegiate Nursing Education. A continuing approval

visit was conducted at the WGU on July 25, 26 and 28, 2014, by Shelley Ward, NEC and Carol Mackay,

NEC. This is the first continuing approval visit for the program since its inception in 2009. The program was

found to be in non-compliance with CCR Sections 1424 (b) – Policies/Procedures Admission Requirement,

(10)

ELC Committee Recommendations From 01/08/2015 meeting

1424 (h) – Faculty Geriatrics Approval, 1426 (g) (2) – Required Curriculum Instructional Hours & %

Simulation, and 1427 (c) - Clinical Facilities Contract Execution. Three recommendations were rendered.

The program submitted a progress report which addressed the areas of non-compliance and recommendation.

At the time of the visit (103) students were enrolled, (72) had graduated, and the overall attrition rate was

23% since 2009. Students are enrolled and progress together in cohorts of (10) students every seven to nine

months based on the clinical facility partner agreements. Student cohorts remain at the same clinical partner

sites for most clinical courses. The course of instruction is composed of (5) six-month terms to be completed

in 2.5 years. Progression sequence is designed so that the student completes the didactic course assessments

and skills/ simulation lab assessments before progressing to the clinical facility rotations (intensives) within

the same term. All theory courses are delivered via an online distance education format. The BRN approved

curriculum is based on a 15-week semester system. WGU uses the term “competency” units which are

calculated in the same manner as semester units. Content Required For Licensure is approved for a total of 93

semester units and Total Units For Graduation are 120 semester units. Significant changes since 2009

include: the on-ground physical resources were significantly enhanced by moving the program location in

2012 into a newly renovated 4,000 square-foot facility. The program now employs the use of

non-partnership clinical facilities at (3) additional locations. Changes in non-partnership agreements, changes in

clinical services offered at partner facilities (i.e. mental health/psych), census variability in obstetrics /

pediatrics and availability of coaches are some of the factors that influenced the use of additional clinical

facilities. NCLEX annual pass rates for first-time test takers have been consistently above the 75%

regulatory threshold since the initial reporting period.

ACTION: Continue Approval of Western Governors University Baccalaureate Degree Nursing

Program.

x Bakersfield College Associate Degree Nursing Program.

Cindy Collier, RN, MSN, Dean, Nursing/Allied Health.

A continuing approval visit was conducted at the Bakersfield College Associate Degree Nursing Program on

September 10th and 11th, 2014, by Shelley Ward, NEC, Badrieh Caraway, NEC and Carol Velas, NEC. The

program was found to be in non-compliance with CCR Section 1425 (f) – Content Expert. Three

recommendations were rendered. The program submitted a progress report addressing the areas of

non-compliance and the recommendations. The Bakersfield College Associate Degree in Nursing Program is

located in the Kern County Community College District. The college currently implements the ADN

program at the main campus in Bakersfield and at space provided through Cerro Coso Community College,

which serves as an alternate program location. The ADN program established this alternate program site in

fall 2005 to provide the opportunity for students to complete the LVN to RN curriculum option in their local

community at Cerro Coso Community College where there is an LVN progrm, and to meet a District wide

initiative to provide nursing education growth opportunities in the Kern Community College District, which

covers over 24, 000 square miles. Approximately (10) LVN-RN students are admitted annually in the fall at

this location through a partnership with the college and Ridgecrest Regional Hospital. An equipped skills lab

has resources comparable to the main campus. Dedicated faculty are assigned teaching and coordinating

responsibilities at this location. Instruction for theory nursing courses is provided through a distance

education platform via a live interactive closed television broadcast system, as well as in person at designated

times in the semester. The program tracks evaluation data specifically for students at this site as well as for

the program at large. The program has been faced with responding to resource challenges since the last

continuing approval visit. Classroom space availability is limited for class sizes above (40) students, and

space needed for skills lab and simulation created the need to use additional off-campus space a short

distance away at the Weill Center. Students have access to state of the art technology such as adult/ pediatric/

OB simulation, medication dispensing system, bedside pc’s and a variety of equipment/software upgrades.

(11)

ELC Committee Recommendations From 01/08/2015 meeting

The Bakersfield ADN program experienced significant turnover of faculty and support staff in the last five

years and with the support of the college replaced (15) positions. Additionally, the college has approved a

new Associate Dean of Nursing position and allocated 20% administrative release time for the two program

assistant directors, given the program director’s administrative responsibilities for several other allied health

programs. Grant funding and community partnerships totaling in excess of 7.2 million dollars, is credited

with funding key support positions including clinical teaching assistants, the Educational Advisor, Simulation

Coordinator, and Success Coach. External funds have also a provided for equipment and technology

upgrades and faculty development. The advisement and remediation services provided by this funding

resulted in the implementation of Early Identification of At Risk Students initiative which has positively

influenced attrition and NCLEX – RN examination testing outcomes. College administration voiced their

commitment to continue to provide the program with needed resources should granting funding sources

discontinue. NCLEX Pass Rates First Time Candidates: 2013-2014 – 91.40%; 2012-2013 - 97.98%;

2011-2012 – 93.10%; 2010-2011 – 88.10%; 2009-2010 – 93.16%.

ACTION: Continue Approval of Bakersfield College Associate Degree Nursing Program.

x Los Angeles Valley College Associate Degree Nursing Program.

Mary Cox, MSN, PHN, RN, Program Director.

A regularly scheduled continuing approval visit was conducted on September 29-30, 2014, by Nursing

Education Consultants Laura Shainian, Leslie Moody, and Lori Chouinard. There was one finding of

non-compliance for Inadequate Resources: CCR 1424(d) Sufficiency of Resources, and related section CCR

1424(h) Program Administration and Faculty Qualifications; and one recommendation: CCR 1424(e)

Program Director/Assistant Director. The program has submitted a progress report for the non-compliance

and recommendation. The nursing program began in 1960, and is accredited by ACEN through Fall 2016.

The program had been admitting fifty students each Fall and Spring semester since 2006, however, beginning

Fall 2014, admission was decreased to forty students twice a year due to decreased budget and fulltime

equivalent faculty (FTEF). Current enrollment is 177 students. Since the 2012 interim visit, the program has

experienced difficulty filling fulltime faculty vacancies. Changes in the college presidency and administration

resulted in a lack of continuity and support for the nursing program, and a low ranking for college hiring.

Recently there has been the retirement of a fulltime faculty which now totals three fulltime faculty vacancies

in addition to a skills lab coordinator position. In response to this need, college administration has approved

the hire of three fulltime nursing faculty now in order to ensure adequate faculty resources for the

implementation of the program. In addition, there will be provision for a skills lab staff assignment until the

college is able to institutionalize the position as a fulltime skills lab coordinator. NEC will follow-up with the

program to ensure all plans have been implemented. Grant funding has paid for equipment, supplies and

technology, however, there has been no program funding to maintain warranties for all of the lab equipment.

Therefore, the college has agreed to allocate funds to pay for equipment warranties and computer software

updates, and to review ongoing equipment/supply needs submitted annually by the program director.

Programs events include a collaborative with Valley Presbyterian Hospital/COPE Solutions which provided

for the enrollment of an additional 20 students in 2008-2010. This coming Spring 2015, collaboration with

California State University Northridge (CSUN) will begin with students selected to participate in a three year

ADN-BSN program. The collaboration is the result of a ten-year long process. ADN students will be

concurrently enrolled in both programs. NCLEX scores are : 2009-2010: 88.07%; 2010-2011: 91.86%;

2011-2012: 95.89%; 2012-2013: 90.54%; 2013-2014: 92.06%

ACTION: Continue Approval of Los Angeles Valley College Associate Degree Nursing Program.

(12)

ELC Committee Recommendations From 01/08/2015 meeting

x Merritt College Associate Degree Nursing Program.

Dawn Williams, M.S.N., RN, Program Director and Dr. Elmer Bugg, V-P Instruction.

The Peralta Community College District (PCCD) in Alameda County is comprised of four colleges. Merritt

College is located in Oakland, and is the only college in the district that offers the associate degree in a

nursing program. The program admits students once a year, and currently enrolls 79 students in its nursing

program. A regularly scheduled continuing approval visit was conducted from November 19-21, 2012, with

findings of four areas of non-compliance (CCR Sections 1424(a) Philosophy; 1424(c) Administration;

1424(d) Resources; and 1427(c) Clinical Facilities) and the issuance of one recommendation, (CCR

1424(b)(1) Total Program Evaluation. The Board granted Deferred Action at its April 10, 2013, meeting.

The Program submitted progress reports that were presented to the Education/Licensing Committee and the

Board in November 2013, and February, April and May 2014. The remaining areas of non-compliance were

determined to be CCR 1424(c) Administration and 1424(d) Resources. Board action at the May 7, 2014,

meeting was to continue deferred action with a Progress Report to be submitted in November 2014. Ms.

Williams submitted a progress report in November and a verbal update was given at this meeting:

improvements that have occurred in the channels of communication between the Program and the

Administration bring the Program into compliance with CCR 1424(c); issues related to the safety and

environment of the modular units have been resolved and mannequins for use in the labs are fully functioning

regarding CCR 1424(d) Resources; faculty vacancies were not filled and the program has reduced

admissions to 40 students per year as a result; the hiring process to fill the senior clerical assistant position is

almost complete with interviews currently underway; the budget for 2014-2015 reflects a 32% increase from

that of the previous year. These actions bring the program into compliance with Board rules and regulations.

The College indicates it will focus more on retention, and the Program reported that for this fall semester,

retention is 93% for the first semester students. NCLEX pass rates for the academic years of 2009-2010 to

2013-2014 range from 92% to 100%, with an average of 98%. The rate for the first quarter of the 2014-2015

academic year is 100%.

ACTION: Continue Approval of Merritt College Associate Degree Nursing Program with enrollment

pattern of forty students per year.

x Riverside City College Associate Degree Nursing Program.

Sandra Baker, DNP, RN, CNE, Dean-School of Nursing, and Ms. Tammy Vant Hul, Assistant

Department Chair.

A regularly scheduled continuing approval visit was conducted October 14-15, 2014 by Nursing Education

Consultants Loretta Chouinard and Leslie A. Moody. The program was found to be operating in full

compliance with BRN regulations. There were no findings of noncompliance and no recommendations.

The RCC school of nursing admitted their first students in 1957. The college is WASC-ACCJC accredited,

and the program is ACEN accredited with 8-year reaccreditation awarded in Fall 2013. Across the past five

years the program has admitted between 170-220 students annually, with approximately half entering in each

Fall and Spring semester. Admissions vary based on level of resources available, particularly grant funds.

In 2012 the school of nursing occupied the newly constructed building which is Leadership in Energy and

Environmental Design (LEED) certified and tripled the square footage dedicated to nursing education. In

Fall 2013 the program received a national award from the American Assembly for Men in Nursing

identifying the RCC SON as one of the 2013 Best Schools of Nursing for Men. The program has applied

grant funds to present such programs as the CNA-RN-BSN (collaborative with CSU Fullerton), FLEX

(VN-RN) programs using technology to video stream instruction, and the Transition to Practice program for

selected graduates initiated in 2011. The program partners with local high schools to provide a High School

Fast-Track program which guarantees program admission to those high school graduates meeting criteria,

with CSU Fullerton for a concurrent enrollment option to facilitate ADN graduates’ completion of BSN

(13)

ELC Committee Recommendations From 01/08/2015 meeting

within one year of ADN completion, and is exploring with California Baptist University and University of

Phoenix to develop ADN to BSN and MSN pathways. This is a mature prelicensure program with

experienced program and college leadership, expert faculty, and contemporary instructional and student

support resources. Although some of the current student and curriculum support services and faculty are

financed with grant funds, college administration recognizes the need to continue to provide program

resources at current levels from the general fund if grant funds become unavailable. Students express a high

degree of satisfaction with all program elements and actively participate in program governance. NCLEX

outcomes are consistently well above the minimum required performance threshold and employment of

program graduates within the first year following program completion is >95%.

ACTION: Continue Approval of Riverside City College Associate Degree Nursing Program.

B. DEFER ACTION TO CONTINUE APPROVAL OF PRELICENSURE NURSING PROGRAM

x Fresno City College Associate Degree Nursing Program.

Stephanie Robinson, M.H.A., RN, Program Director, and Lorraine Smith, Interim Dean of

Instruction.

Fresno City College (FCC) is a college of the State Center Community College District (SCCCD) and,

established as Fresno Junior College in 1910, was California’s first community college. The nursing

program enrolls between 80-100 students in each of the fall and spring semesters and about 60 in the

summer. The program indicates that, since 2008, its retention rate is 96-98%; the program completion rate

ranges from 91-94%. A regularly scheduled continuing approval visit was conducted from September 24-26,

2014, with an additional meeting scheduled with the director on October 3. The program was found to be in

noncompliance with CCR Sections 1424(h), 1425, and 1425.1(d) Faculty Qualifications; 1425.1(b) Faculty

Responsibilities; 1427(c) Clinical Facilities; 1429(b) LVN 30-unit Option; and 1431 Licensing Examination

Pass Rate Standard. Recommendations were made related to CCR 1424(b)(1) Total Program Evaluation;

1424(d) Resources; 1424 Administration and Organization of the Nursing Program; 1425.1 Faculty

Responsibilities; 1426(a) Curriculum; 1427(a) Clinical Facilities; and 1428 Student Participation.

The program submitted a progress report in November that addressed the findings and areas of

noncompliance, including a plan developed by faculty to address the low NCLEX scores which continues an

area of noncompliance. NCLEX pass rate for first-time test takers 2009-10 77.92%; 2010-11 81.11%;

2011-12 82.61%; 2012-13 78.01%; 2013-14 66%; 1

st

quarter 2014-2015 is 73%.

ACTION: Defer Action To Continue Approval of Fresno City College Associate Degree Nursing

Program. Progress report to be presented at the October 2015 Education/Licensing Committee

meeting.

C. CONTINUE APPROVAL OF ADVANCED PRACTICE NURSING PROGRAM

x Loma Linda University Nurse Practitioner Program.

Elizabeth Bossert, PhD,Associate Dean SON and Chair of the Graduate Nursing Program, and

Marilynn M .Herrmann, PhD, RN, Dean/Program Director.

The LLU MSN NP degree program offers five primary care NP tracks: Adult-Gerontology, Family,

Pediatric, Neonatal, and Psychiatric NP tracks. Three of these NP tracks were being offered at the time of

the visit: Adult-Gerontology, Family, and Pediatric NP tracks. The Neonatal NP track was last offered in

2006. The Psychiatric NP track graduated its first two students in September 2014. LLU also offers a

Post Master’s NP Certification Program in all population tracks and a DNP Program (post MSN NP).

At the time of the site visit a total of 18 students were enrolled in the LLU NPP: AGNP – 2 students; FNP

– 8 students; and PNP – 8 students. The LLU MSN NPP unit requirements vary by population track. The

AGNP and PNP tracks require a total of 70 academic quarter units. The FNP track requires 69 academic

References

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