Fall 2005 Needs Assessment: Registered Nurses and Vocational Nurses

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Fall 2005 Needs Assessment:

Registered Nurses and Vocational Nurses

Prepared by: Sunnary T. Adeva FA05: Needs Assessment-RNs and LVNs

Institutional Research Chaffey College Reviewed by: Jim Fillpot

20051209 Revised: 20060105

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I.

Nursing (Registered Nurses and Licensed Vocational Nurses):

Background Information:

A.) Registered Nurses:

Like the rest of the nation, California is experiencing a Registered Nurses (RNs)

shortage that is expected to widen in the next two decades. The supply of RNs

is not keeping up with the demand. The current capacity of California’s

education and training institutions to graduate RNs and LVNs does not meet

California’s needs. Over 50 percent of RNs licensed in 2001-02 came from other

states or countries. Registered Nurses (RN) constitute the largest group among

all health occupations. Most RNs work in acute care hospitals as hospitals

nurses. They care for patients at the hospital bedside, in private clinics, and in

the patient’s home. Nurses may also work to help prevent disease, educate the

public about health issues, enhance public health, and to support ill patients

both physically and mentally. They assess patient health problems and needs,

develop and implement nursing care plans, and maintain medical records.

B.)

Vocational Nurses:

Licensed Vocational Nurses (LVN) are an important member of a health team.

Under the supervision of doctors and registered nurses, LVNs must report

changes in patient’s condition. Licensed Vocational Nurses perform tasks such

as administering specified medication, orally or by subcutaneous or

intramuscular injection, and noting time and amount on patients’ charts,

performing basic patient assessment and report unfavorable reactions to

medication or treatment to nurse or doctor, and assembling and using such

equipments as:

-catheters

-tracheotomy tubes

-oxygen suppliers

Nationwide, about 13 percent of all wage and salary jobs created between 2000

and 2010 will be in the health service industry.

II.

Employment Outlook:

A.) Registered Nurses:

The Labor Market Information Division (LMID) and the Employment

Development Department (EDD) estimates that the number of Registered

Nurses in California by the year 2010 will be 250,400 more nurses. The State

Board of Registered Nurses reports that there were about 250,000 licensed RNs

in California in 2001. Despite the large number, shortages still exist and

shortages are expected to occur over the next 10 years. This is due to workers

leaving and re-entering several times during their career. However, hospitals

and clinics continue to have ongoing, active recruitment programs, some

offering unique benefits to attract applicants.

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B.)

Vocational Nurses:

According to the California Occupational Guide LVN occupations will grow faster

than average compared with all occupations in California. The Labor Market

Information Division and the Employment Development Department estimates

that the number of Licensed Vocational Nurses will grow by 27,100 by the year

2012. Expected growth in employment of LVNs is in response to the long-term

care needs of a rapidly growing elderly population and the general growth of

healthcare. Nursing homes will offer the most new jobs for LVNs as the number

of aged and disabled people in need of long-term care increases.

Earning Potential:

A.) Registered Nurses:

Table 1.1 below shows the median hourly wages for Registered Nurses in three

counties taken from the Occupational Employment Statistics (OES) survey.

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Table 1.2 also indicates the current number of Registered Nurses employed in

San Bernardino County.

Table 1.1:

Occupation: Registered Nurses

Entry Level No Experience Experienced New to Firm Experienced 3 Years with Firm

Low Median High Low Median High Low Median High County Year

Riverside 2002 $16.78 $18.41 $25.00 $18.22 $23.62 $28.00 $20.62 $27.43 $35.00

San Bernardino 2002 $18.00 $18.50 $20.00 $18.00 $20.00 $25.00 $20.00 $24.00 $28.00

Ventura 2002 $18.00 $21.29 $24.00 $15.00 $21.50 $25.00 $16.00 $23.01 $31.00

Table 1.2: Current Employment for Registered Nurses in San Bernardino County in 2005 SOC Code

Number Occupational Title Employment Current Hourly Average Average Annual Annual Job Openings

29-1111 Registered Nurses 18,530 $31.44 $68,500 9,900

B.)

Vocational Nurses:

Table 2.1 below shows the current number of Licensed Vocational Nurses (LVNs)

employed in San Bernardino County.

Table 2.1: SOC Code

Number Occupational Title Employment Current Hourly Average Average Annual Annual Job Openings

29-2061 Licensed Practical and Licensed

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A.) Registered Nurses:

As depicted in table 2.1 and table 2.2, registered nurses are listed among the top

10 occupations with the greatest absolute job growth and the greatest number of

job openings.

Table 2.1:

Table 2.2:

Top 10 Occupations with the Greatest

Number of Job

Openings

California 2000-2010

Occupational Title Occupational Guide No. Estimated Openings Education/Experience

Retail Salespersons 536 284,700 30-Day OJT

Cashiers 31 254,400 30-Day OJT

Waiters/Waitresses 42 185,300 30-Day OJT

Clerks, General Office 295 146,100 30-Day OJT

Teacher Assistants 502 98,600 30-Day OJT

Registered Nurses 29 97,500 AA-Degree

Top 10 Occupations with the Greatest

Absolute Job

Growth

California 2000-2010

Occupational Title 2000 2010 Absolute Change Percent Change Education/Experience

Retail Salespersons 436,800 536,400 99,600 22.8% 30-Day OJT

Cashiers 357,700 432,800 75,100 21.0% 30-Day OJT

Clerks, General Office 363,400 433,000 69,600 19.2% 30-Day OJT

Customer Service Representative 199,500 267,300 67,800 34.0% 1-12 Mo OJT

Teacher Assistants 163,800 222,100 58,300 35.6% 30-Day OJT

Waiters/Waitress 208,500 261,600 53,100 25.5% 30-Day OJT

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II.

Education and Training:

A.)

Registered Nurses:

Registered Nurses must be licensed to practice in California by the State Board

of Registered Nursing. The license requirements are (1) the completion of a

board-approved nursing program and (2) a passing grade on the State Board

examination. In California there are two types of Registered Nurses training

programs available: (1) a two-year community college associate degree

programs and (2) a four-year bachelor’s degree program. Both programs

include clinical experience in one or more hospitals and clinics in addition to

classroom instructions. Table 3 shows the projected number of registered

nurses currently employed in San Bernardino County within the Chaffey College

service area.

The skills, knowledge, and abilities required for Registered Nursing provide a

solid foundation for further growth in health career occupations. However,

additional education or training is often required. Figure 1 shows other possible

career paths for registered nurses.

Table 3: Job Outlook for Chaffey College area by Occupational Education Programs

Figure 1: Career Paths for Registered Nurses

Nursing Administrator

Nursing Administrator

Nursing, Clinical, Specialty, eg, Pubic HealthNursing, Clinical,

Specialty, eg, Pubic HealthCertified Physician Certified Physician AssistantAssistant Certified Registered Nurse Anesthetist Certified Registered Nurse Anesthetist Nurse PractitionerNurse Practitioner Registered Nurse Registered Nurse San Bernardino

County TOP Code TOP Category Estimated 1999 Projected 2006 Separations Growth Separations and

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B.) Vocational Nurses:

Licensed Vocational Nurses must be licensed to practice in California by the

State Board of Vocational Nursing. The license requirements are (1)

completion of state-approved vocational nursing program (2) receiving a

passing grade on the State Board of Vocational Nursing examination to qualify

for a State license.

The skills, knowledge, and abilities required for licensed vocational nursing

provide a solid foundation for further growth in health career occupations.

However, additional education or training is often required. Figure 2 show

other possible career paths for registered nurses.

Figure 2: Psychiatric Nurse Psychiatric Nurse Supervision; Nursing Administration; Nursing Clinical Specialty Supervision; Nursing Administration; Nursing Clinical Specialty Occupational Therapist Assistant Occupational Therapist Assistant Registered Nurse Registered Nurse Licensed Vocational Nurse Licensed Vocational Nurse

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A.)

Registered Nurses:

Table 4 shows the number of California Board of Registered Nursing approved

training providers in Southern California for Registered Nurses.

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Of the 34

Registered Nursing Program only 3 programs are private institutions (8

percent).

Table 4: California Board of Registered Nursing approved RN Programs in Southern California

Institution Program Degree Public or Private Accreditation

Antelope Valley College Associate Degree in Nursing Program AS Public Yes

Cerritos College Associate Degree in Nursing Program AS Public Yes

College of the Canyons Associate Degree in Nursing Program AS Public Yes

College of the Desert Associate Degree in Nursing Program AS Public Yes

Cooper Mountain College Associate Degree in Nursing Program AS Public Yes

Cypress College Associate Degree in Nursing Program AS Public Yes

East Los Angeles College Associate Degree in Nursing Program AS Public Yes

El Camino College Associate Degree in Nursing Program AS Public Yes

Glendale Community Associate Degree in Nursing Program AS Public Yes

Golden West College Associate Degree in Nursing Program AS Public Yes

Grossmont College Associate Degree in Nursing Program AS Public Yes

Long Beach City College Associate Degree in Nursing Program AS Public Yes Los Angeles City College Associate Degree in Nursing Program AS Public Yes Los Angeles County College of

Nursing and Allied Health Associate Degree in Nursing Program AS Public Yes Los Angeles Harbor College Associate Degree in Nursing Program AS Public Yes Los Angeles Pierce College Associate Degree in Nursing Program AS Public Yes Los Angeles Southwest College Associate Degree in Nursing Program AS Public Yes Los Angeles Trade-Technical

College Associate Degree in Nursing Program AS Public Yes

Los Angeles Valley College Associate Degree in Nursing Program AS Public Yes

Maric College Associate Degree in Nursing Program AS Private Yes

Moorpark College Associate Degree in Nursing Program AS Public Yes

Mt. Saint Mary’s College Associate Degree in Nursing Program AS Private Yes Mt. San Antonio College Associate Degree in Nursing Program AS Public Yes Mt. San Jacinto College Associate Degree in Nursing Program AS Public Yes

Pasadena City College Associate Degree in Nursing Program AS Public Yes

Rio Hondo College Associate Degree in Nursing Program AS Public Yes

Riverside Community College Associate Degree in Nursing Program AS Public Yes

Saddleback College Associate Degree in Nursing Program AS Public Yes

San Bernardino Valley College Associate Degree in Nursing Program AS Public Yes

Santa Ana College Associate Degree in Nursing Program AS Public Yes

Santa Monica College Associate Degree in Nursing Program AS Public Yes

Ventura College Associate Degree in Nursing Program AS Public Yes

Victor Valley College Associate Degree in Nursing Program AS Public Yes

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B.) Vocational Nurses:

Table 5 shows the number of California Board of Vocational Nursing and

Psychiatric Technicians approved training providers in Southern California for

Vocational Nurses.

2

Of the 122 accredited Vocational Nursing Programs only

36 programs are private institutions (29 percent).

Table 5: California Board of Vocational Nursing and Psychiatric Technicians

Institution Program Degree Public or Private Accreditation

Allan Hancock College Associate Degree in Nursing Program AS Private Yes

Allied Medical & Health Services, Inc. Associate Degree in Nursing Program AS Private Yes

American Career College Associate Degree in Nursing Program AS Private Yes

Antelope Valley Career Academy Associate Degree in Nursing Program AS Private Yes

Antelope Valley College Associate Degree in Nursing Program AS Public Yes

Antelope Valley Medical College Associate Degree in Nursing Program AS Private Yes Around the Clock Educational Center Associate Degree in Nursing Program AS Private Yes

B & R Nursing School Associate Degree in Nursing Program AS Private Yes

Bakersfield Adult School Associate Degree in Nursing Program AS Public Yes

Bakersfield College Associate Degree in Nursing Program AS Public Yes

Baldy View ROP Associate Degree in Nursing Program AS Public Yes

Beaumont Adult School Associate Degree in Nursing Program AS Public Yes

Boston Reed/Martinez Adult Education Center Associate Degree in Nursing Program AS Public Yes

Bryman College Associate Degree in Nursing Program AS Private Yes

Butte College Associate Degree in Nursing Program AS Public Yes

California Career College Associate Degree in Nursing Program AS Private Yes

Career Care Institute Associate Degree in Nursing Program AS Private Yes

Career Colleges of America (4) Associate Degree in Nursing Program AS Private Yes

Career Networks Institute Associate Degree in Nursing Program AS Private Yes

Casa Loma College (2) Associate Degree in Nursing Program AS Public Yes

Central County Associate Degree in Nursing Program AS Public Yes

Cerro Coso Community College Associate Degree in Nursing Program AS Public Yes

Chaffey College Associate Degree in Nursing Program AS Public Yes

Citrus Community College Associate Degree in Nursing Program AS Public Yes

City College of San Francisco Associate Degree in Nursing Program AS Public Yes Clovis Adult & Voc. Education Associate Degree in Nursing Program AS Private Yes College of Nursing and Technology Associate Degree in Nursing Program AS Private Yes

College of the Desert Associate Degree in Nursing Program AS Public Yes

College of the Redwoods (2) Associate Degree in Nursing Program AS Public Yes

College of the Siskiyous Associate Degree in Nursing Program AS Public Yes

Concorde Career College (6) Associate Degree in Nursing Program AS Private Yes

Copper Mountain Associate Degree in Nursing Program AS Private Yes

Dinuba Adult School Associate Degree in Nursing Program AS Public Yes

Emanuel MJC Associate Degree in Nursing Program AS Private Yes

Feather River Community College Associate Degree in Nursing Program AS Public Yes

Four-D College Associate Degree in Nursing Program AS Private Yes

Fresno Adult School Associate Degree in Nursing Program AS Public Yes

Gavilan College Associate Degree in Nursing Program AS Private Yes

Glendale Career College Associate Degree in Nursing Program AS Private Yes

Grant Adult & Community Education Associate Degree in Nursing Program AS Public Yes

Grossmont Health Occupations Associate Degree in Nursing Program AS Private Yes

Hacienda La Puente Adult Education Associate Degree in Nursing Program AS Public Yes

Hanford Adult School Associate Degree in Nursing Program AS Public Yes

Hartnell College Associate Degree in Nursing Program AS Private Yes

Healthcare Education Advancement Center Associate Degree in Nursing Program AS Private Yes

Imperial Valley College Associate Degree in Nursing Program AS Private Yes

Lake College Associate Degree in Nursing Program AS Public Yes

Lassen Community College Associate Degree in Nursing Program AS Public Yes

Long Beach City College Associate Degree in Nursing Program AS Public Yes

Los Angeles Trade Tech College Associate Degree in Nursing Program AS Public Yes

Los Angeles Unified School District (8) Associate Degree in Nursing Program AS Public Yes

Los Medanos College Associate Degree in Nursing Program AS Public Yes

Lynwood Community Adult School Associate Degree in Nursing Program AS Public Yes

Marian College Associate Degree in Nursing Program AS Public Yes

Maric College (2) Associate Degree in Nursing Program AS Public Yes

Medical Institute –VS-Albor School Associate Degree in Nursing Program AS Private Yes

Merced Community College Associate Degree in Nursing Program AS Public Yes

Merritt College Associate Degree in Nursing Program AS Private Yes

Mira Costa College Associate Degree in Nursing Program AS Public Yes

Mission College Associate Degree in Nursing Program AS Public Yes

Mt. San Jacinto College Associate Degree in Nursing Program AS Public Yes

Napa Valley College Associate Degree in Nursing Program AS Public Yes

Nightingale School of Nursing Associate Degree in Nursing Program AS Private Yes

North Orange County-ROP Associate Degree in Nursing Program AS Public Yes

North West College Associate Degree in Nursing Program AS Public Yes

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Table 5: (continued)

Institution Program Degree Public or Private Accreditation

Pacific College Associate Degree in Nursing Program AS Public Yes

Palo Verde Community College Associate Degree in Nursing Program AS Public Yes

Pasadena City College Associate Degree in Nursing Program AS Public Yes

Porterville College Associate Degree in Nursing Program AS Public Yes

Preferred College of Nursing (3) Associate Degree in Nursing Program AS Private Yes

Premiere Career College Associate Degree in Nursing Program AS Private Yes

Prime Career College Associate Degree in Nursing Program AS Private Yes

Redlands Adult School Associate Degree in Nursing Program AS Public Yes

Rio Hondo Junior College Associate Degree in Nursing Program AS Public Yes

Riverside Community College Associate Degree in Nursing Program AS Public Yes

Sacramento City College Associate Degree in Nursing Program AS Public Yes

San Bernardino Adult School Associate Degree in Nursing Program AS Public Yes San Joaquin Delta College (2) Associate Degree in Nursing Program AS Private Yes

San Leandro Adult School Associate Degree in Nursing Program AS Public Yes

Santa Barbara City College Associate Degree in Nursing Program AS Public Yes

Santa Rosa Junior College Associate Degree in Nursing Program AS Public Yes

Shasta Community College Associate Degree in Nursing Program AS Public Yes

Sierra Community College Associate Degree in Nursing Program AS Public Yes

Simi Valley Adult School Associate Degree in Nursing Program AS Public Yes

Southwestern College Associate Degree in Nursing Program AS Public Yes

State Center Community College District Associate Degree in Nursing Program AS Public Yes St. Francis Career College (2) Associate Degree in Nursing Program AS Private Yes

Summit Career College (2) Associate Degree in Nursing Program AS Private Yes

Tri-County ROP Associate Degree in Nursing Program AS Public Yes

Ukiah Adult School Associate Degree in Nursing Program AS Public Yes

Unitek College (2) Associate Degree in Nursing Program AS Public Yes

Visalia Adult School Associate Degree in Nursing Program AS Private Yes

Western Career College (2) Associate Degree in Nursing Program AS Private Yes

WestMed College Associate Degree in Nursing Program AS Private Yes

Yuba Community College Associate Degree in Nursing Program AS Public Yes

Figure

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