ANNUAL PROGRAM PLANNING WORKSHEET (APPW) I. Program …

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ANNUAL PROGRAM PLANNING WORKSHEET (APPW) Program: Licensed Vocational Nursing (LVN) Planning Year: Planning in 2013-2014 for 2014-2015 Last Year CPPR Completed: 2009-2010 Unit: Nursing & Allied Health Cluster: Nursing and Allied Health, Math, Science, Kinesiology Next Scheduled CPPR: 2014-2015 I. Program-Level Outcomes: List the outcomes established for your program. 1. Demonstrate effective verbal and written communication in the clinical setting. 2. Apply critical thinking when making patient care decisions utilizing the nursing process. 3. Implement safe and ethical patient care. 4. Apply age appropriate concepts when providing nursing care. 5. Apply cultural sensitivity while providing patient care. II. Program Contributions to Institutional Goals, Institutional Objectives, and/or Institutional Learning Outcomes: The following was fulfilled during the 2012-2013 academic year: Institutional Goal 1: San Luis Obispo County Community College District will enhance its programs and services to promote students’ successful completion of transfer requirements, degrees, certificates, and courses. Institutional Objective 1.2: Increase the percentage of degree‐ or certificate‐ directed students who complete degrees or certificates by 2% annually a. Continued the use of faculty and success specialist (case manager) to facilitate the successful, on-time completeion of the fast-track, 12 month program with aggressive intervention when individual student grades or clinical performance declined below 75%. b. Increased the use of the Kaplan integrated content review /online test practice during the 3 semesters of the program by placing the success specialist in charge of scheduling focused review tests and overseeing remediation of test results. c. Students performed realistic patient care scenarios on a human patient high- fidelity simulator (manikin), with faculty present, in a state-of-the-art simulation lab. This allowed all students to perform crucial patient care situations in the simulation setting, with faculty available as a resource and to assure best practice implemented, before the patient care situation was encountered in healthcare agencies. d. Students utilized faculty created patient care scenarios in the skills lab that required independent planning, gathering of equipment and supplies and follow through to assure best practice is learned.

Transcript of ANNUAL PROGRAM PLANNING WORKSHEET (APPW) I. Program …

Page 1: ANNUAL PROGRAM PLANNING WORKSHEET (APPW) I. Program …

ANNUAL PROGRAM PLANNING WORKSHEET (APPW)

Program: Licensed Vocational Nursing (LVN) Planning Year: Planning in 2013-2014 for 2014-2015 Last Year CPPR Completed: 2009-2010 Unit: Nursing & Allied Health Cluster: Nursing and Allied Health, Math, Science, Kinesiology Next Scheduled CPPR: 2014-2015

I. Program-Level Outcomes: List the outcomes established for your program. 1. Demonstrate effective verbal and written communication in the clinical setting. 2. Apply critical thinking when making patient care decisions utilizing the nursing process. 3. Implement safe and ethical patient care. 4. Apply age appropriate concepts when providing nursing care. 5. Apply cultural sensitivity while providing patient care.

II. Program Contributions to Institutional Goals, Institutional Objectives, and/or Institutional Learning Outcomes:

The following was fulfilled during the 2012-2013 academic year:

Institutional Goal 1: San Luis Obispo County Community College District will enhance its programs and services to promote students’ successful completion of transfer requirements, degrees, certificates, and courses.

Institutional Objective 1.2: Increase the percentage of degree‐ or certificate‐ directed students who complete degrees or certificates by 2% annually a. Continued the use of faculty and success specialist (case manager) to facilitate

the successful, on-time completeion of the fast-track, 12 month program with aggressive intervention when individual student grades or clinical performance declined below 75%.

b. Increased the use of the Kaplan integrated content review /online test practice during the 3 semesters of the program by placing the success specialist in charge of scheduling focused review tests and overseeing remediation of test results.

c. Students performed realistic patient care scenarios on a human patient high-fidelity simulator (manikin), with faculty present, in a state-of-the-art simulation lab. This allowed all students to perform crucial patient care situations in the simulation setting, with faculty available as a resource and to assure best practice implemented, before the patient care situation was encountered in healthcare agencies.

d. Students utilized faculty created patient care scenarios in the skills lab that required independent planning, gathering of equipment and supplies and follow through to assure best practice is learned.

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e. Equipment and supplies that students practiced with in the skills lab was representative of what healthcare agencies stock to facilitate accurate and efficient implementation when in the real clinical setting.

f. Continued to provide the Kaplan comprehensive two day Live Review on campus, free of charge, for students completing the LVN program to facilitate their successful passing of the licensure exam and ability to be hired promptly after completing the program.

g. Provided students with handheld electronic devices and nursing application resources to facilitate efficient patient research in the clinical and classroom setting. Applications include a drug book, medical dictionary and diagnostic test book. This handheld device also promoted student to faculty communication through email when on or off campus.

h. Faculty participated in a NC LEX question writing online course offered through the National Council of State Boards of Nursing (NCSBN). Test questions in all courses incorporate NCLEX format to prepare students to pass the licensure exam upon completion of program.

i. The nursing program director, success specialist, faculty and graduated students provide a four hour incoming student orientation to explain the time commitment, academic rigor, clinical agency travel requirements, and anticipated cost of the fast-track program to help students understand resources necessary to have in place during program to successfully complete the program.

j. The nursing program director, success specialist and nursing counselor provided information sessions in fall and spring for interested applicants to learn the expectations and requirements to submit an application to enter the LVN program.

k. Students needing accommodations were given information on how to contact DSPS prior to each nursing course and student needs were accommodated to facilitate successful completion of courses.

l. Financial aid information was provided to interested applicants at Information, and again to admitted students in the Incoming Student Orientation. Students were informed and encouraged to attend financial aid workshops offered by the college. Emergency loans from a nursing foundation account are offered to students in the program who encounter unanticipated hardship situations and would otherwise need to drop the program due to financial constraints.

m. Scholarship information was provided to applicants and admitted students. The Success Specialist met with students to increase awareness of opportunities and facilitate the application process. All students that applied received at least one nursing scholarship.

Institutional Goal 2: San Luis Obispo County Community College District will build a sustainable base of enrollment by effectively responding to the needs of its local service area.

Institutional Objective 2.1: Increase the capture rate of the local 24‐ 40 age cohort by 2% annually

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a. Informed the community of program application periods and criteria through public information sessions, flyers, press releases, courteous responses to phone inquiries, and website announcements.

b. In 2012-13 data, there is an increase of 7% in students age 30-34 since previous year and an increase of 3% in students age 35-39

Institutional Objective 2.2: Increase the local high school capture rate by 2% annually

a. Updated and maintained our division website to be modern and user friendly: program announcements and useful resources were posted that assist potential students who may be interested in health-care professions.

b. Faculty attended local middle school and high school career days to provide information on healthcare career opportunities, salary ranges and educational requirements.

c. Promoted the College Promise that provides a scholarship for every new SLO county high school graduate at community events and healthcare agency advisory meetings.

Institutional Goal 3: San Luis Obispo County Community College District will assess and improve the quality and effectiveness of its participatory governance and decision‐making structures and processes.

Institutional Objective 3.1: Develop and distribute an institutional decision‐making Handbook that clarifies and documents the purpose, membership, meeting schedule, and reporting structure of its participatory governance and decision‐making bodies

a. Full-time faculty and ncreasing numbers part-time faculty reviewed online resources to various district plans as well as accreditation updates found on the districts WEB site.

Institutional Objective 3.2: Assess participatory governance and decision‐making structures and processes and revise as needed to ensure that the processes are effective, transparent, and include broad participation.

a. With the addition of one full-time faculty in the LVN program, the seasoned full-timer faculty has been able to participate in more college committees and governance work, and to provide feedback to structural and process revision.

b. Due to the workload of part-time faculty in the LVN program, which is mostly off campus in clinical agencies, it continues difficult for part-time faculty to participate in the college governance process. Part-time faculty participation has increased significantly at faculty retreats, program review and twice-a-month faculty meetings.

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Institutional Goal 4: San Luis Obispo County Community College District will implement, assess, and improve its integrated planning processes.

Institutional Objective 4.1: Train the internal community about the integrated planning processes

a. Division Chair and director assisted faculty to apply the Integrated Planning Model as they completed the APPW process.

b. Hiring of a second full time LVN instructor has helped the division and LVN program to understand and participate in the District planning process.

Institutional Goal 5: San Luis Obispo County Community College District will strengthen its partnerships with local educational institutions, civic organizations, businesses, and industries.

Institutional Objective 5.1: Increase participation at district events for business and civic leaders

a. Hosted the LVN Community Advisory Meetings each semester with representatives from most clinical sites and potential employers. The agenda and overall purpose of these meetings was to acertain the program is educatimg nursing students who are prepared to transition into the workforce smoothly and efficiently. Agency representations was dramatically increased by hosting the meeting at a popular location with appetizers.

b. Communicate closely and often with the college foundation to maintain community partnerships which support salaries, equipment, operational expenses, technology, professional development, student success strategies, facility improvements, and in-kind support.

c. The director met individually with administration of clinical sites and potential employers to evaluate agency needs and identify areas to problem solve. A partnership continues that supplies a faculty member and pays for an orientation session to increase the success of LVN’s entering the 2nd semester of the RN program was renewed. A new partnership was formed to provide a faculty for the clinical portion of CNA that will increases the number of eleibile applicants into the LVN program, and ultimately the pool of LVN’s to hire.

d. Conducted online employer and alumni surveys to assess effectiveness of programs and services. Evaluated responses in program review the end of the fall semester.

e. Hosted LVN Completion Celebration at the end of the program to promote the accomplishments of the LVN students and program in a venue with family, friends, potential future students and community.

f. The Director addressed a local Rotary organization to explain the current nursing selection policies, highlight the LVN program’s impressive retention and licensure pass rates statistics, and share the overall positive effect of program graduates in our community.

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g. Hosted a Simulation Open House to show off the new simulation lab with healthcare agency partners and donors in attendance. The event aired on the local news and in reviewed in the local newspaper.

Institutional Objective 5.2: Increase participation at district events for K‐12 districts and Universities

a. LVN Faculty and Success Specialist attended high school career days and middle school outreach programs. The district maintains the attendance records.

III. Analysis of Measurements/Data: Enrollment: Consistently admit 30 students with many qualified student applications who

are not selected. The applicant pool is had 80 eligible applicants, up from 66 the previous year. That previous dip in applications coincided with adding a CNA program prerequisite to the application process. There are no plans to increase program enrollment due to market need, lack of clinical sites and lack of available qualified faculty.

Fill Rates: Fill rates for 2012-13 and 2011-12 have dropped. Reasons for this variance in fill

rate are related to a student dropping and inability to fill the spot because it is too late for student to make up mandated hours and content. Typically if we do have attrition, we will fill the spot with a student who requested a LOA and wants to return on a space available bases. Reduction of fill rates between semesters would mean that there are no students re-entering to fill the empty spots.

FTES: LVN program generates 81 FTES compared to 85 FTES previous year. The trend is

between 83-91 FTES for the last 3 yrs. This overall reduction is probably due to early student drops (reducing total enrollment/fill rates) and being too late to fill the slot with another eligible candidate or attrition between semesters where there are no incoming students to fill the slot mid year. To generate FTES for 2014, we re-activated LVN 104 and developed LVN 104L. These are an IV/Phlebotomy certification class for LVNs and LVN students. Due to the ratio of 15:1 that must be maintained during any skill, the CAP is limited. Supplies, equipment and faculty need are costly for this class. At this time, supplies and equipment are paid with outside funding. We hope this course augments our FTES to compensate for loss of FTES in the LVN program.

Success and Retention: Success rate for 2012-2013 is 98% slightly higher than 2011-2012 of

97%. Retention rate is 98% as compared to last year at 99%. Students leave the program for various reasons: academics and life issues. With the help of the LVN Success Specialist position, we retain as many or more students and increase the number of completers in the program.

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Certifications Awarded: Licensed Vocational Nurse C.A. (Certificate requiring 30 to fewer than 60 semester units)

There were 27 certificates awarded to LVN students in 2012-13; one fewer than in 2011-12. All the completers of the program receive this certificate.

Environmental SCAN June 2010 (South Central Regional Occupational Breakdown Program viability study):

There are approximately 545-607 new jobs in Licensed practical and licensed vocational nurses projected for 2010-2015.

Career Technology Education (CTE): CTE form NOT REQUIRED THIS YEAR Demographics of LVN student 2012-2013 Continuing Students 97% 20-24 cohort 33% 25-29 cohort 17% 40-49 cohort 17% Female 90% Ethnicity--White 53% Ethnicity--Hispanic 27% Ethnicity—Asian 13% Academic Disadvantaged 32% lower than previous yr NOT Academic Disadvantaged 68% higher than previous yr Obtain an associate degree and transfer to a 4- 17% consistent year institution Prepare for a new career 17% Obtain a 2 yr Associate degree 20% Obtain a vocational cert w/o transfer 10% Did not become transfer directed this year 100% Student major—A.S. RN 40% CA Licensed Vocational Nurse 47% Career Technical Education Programs Student Headcount

PROGRAM AY 2010-2011 AY 2011-2012 AY 2012-2013 Total Licensed Vocational Nursing (LVN)

32 31 30 93

Student Age Groups PROGRAM 19 or less 20-24 25-29 30-34 35-39 40-49 50-64 65+ Licensed Vocational Nursing (LVN)

1 31 15 20 6 14 5 1

Student Gender

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PROGRAM Female Male Licensed Vocational Nursing (LVN)

83 9

As a CTE program, areas we should concentrate our efforts based on Demographic data:

Demographic data presents areas where we should address as a CTE program. Currently, our

LVN program has a high number of students who want to enter into the RN program. This

may be one of the reasons for a high percent of continuing students age 20-24. This data

reflects that the LVN student is degree bound and not planning to stay at the certified LVN

level. Only approximately half of the LVN students even plan to take their LVN licensing

exam.

It will be important to monitor the Long Term Care LVN workforce and see if we are meeting

that community need of filling LVN spots on the Central Coast. Based on this data, we are

not sure if we have completers who are then becoming LVNs and entering in the workforce

as an LVN rather than quickly continuing their education to a higher level of licensure or

degrees.

We should continue to identify methods to attract males and various diversities into healthcare. We are making an effort to capture age 24-40 cohort by 2% (Inst goal #2 obj 2.1). In 2012-13 data, there is an increase of 7% in students age 30-34 since previous year and an increase of 3% in students age 35-39.

IV. Program Outcomes Assessment and Improvements:

Attach an assessment cycle calendar for your program.

Attach the most recent program-level Course or Program Assessment Summary (CPAS) or the Student Services Student Learning Outcomes Assessment Report (SSSLOAR)

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COURSE SLOs Licensed Vocational Nursing (LVN) Assessment and Evaluation Cycle Calendar

SEMESTER SUM 2012

FALL 2012 CTE Year

SPR 2013 SUM 2013

FALL 2013

SPR 2014

SUM 2014 FALL 2014 CPPR Yr

SPR 2015 SUM 2015 FALL 2015

SPR 2016

SUM 2016

ASSESSMENT OR RE-ASSESSMENT

LVN 101

101A/L 101B

refer to Assessment

Tools

LVN 102

102A/L 102B

refer to Assessment

Tools

LVN 103

103A/L 103B

refer to Assessment

Tools

change in curriculum--program starts in

FALL now --------------

LVN 104/L

LVN 101

101A/L 101B

refer to Assessment

Tools

LVN 102

102A/L 102B

refer to Assessment

Tools

LVN 103

103A/L 103B

refer to Assessment

Tools

ANALYZE RESULTS & PROGRAM

IMPROVEMENT

LVN 101

101A/L 101B LVN 103

103A/L 103B

LVN 102

102A/L 102B

LVN 104/L

LVN 101

101A/L 101B LVN 103

103A/L 103B

LVN 102

102A/L 102B

PLAN IMPLEMENTATION

LVN 101

101A/L 101B

LVN 102

102A/L 102B

LVN 103

103A/L 103B

LVN 104/L

LVN 101

101A/L 101B

LVN 102

102A/L 102B

LVN 103

103A/L 103B

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PROGRAM SLOs (PLOs) Licensed Vocational Nursing (LVN) Assessment and Evaluation Cycle Calendar

SEMESTER SUM 2012

FALL 2012 CTE Year

SPR 2013 SUM 2013

FALL 2013

SPR 2014

SUM 2014 FALL 2014 CPPR Yr

SPR 2015 SUM 2015 FALL 2015

SPR 2016

SUM 2016

FALL 2016 CTE year

ASSESSMENT OR RE-ASSESSMENT

1. Alumni Survey 2. Employee Survey 3. NCLEX-PN

1. NCSBN-NCLEX Program Report

1. Program Survey

1. Alumni Survey 2. Employee Survey 3. NCLEX-PN

1. NCSBN-NCLEX Program Report

1. Program Survey

1. Alumni Survey 2. Employee Survey 3. NCLEX-PN

1. NCSBN-NCLEX Program Report

December December December

ANALYZE RESULTS & PROGRAM

IMPROVEMENT

Analysis & Discussion **COHORT 1. Alumni Survey 2. Employee Survey 3. NCLEX-PN 4. NCSBN-NCLEX Program Report 5. Program Survey

Analysis & Discussion **COHORT 1. Alumni Survey 2. Employee Survey 3. NCLEX-PN 4. NCSBN-NCLEX Program Report 5. Program Survey

Analysis & Discussion **COHORT 1. Alumni Survey 2. Employee Survey 3. NCLEX-PN 4. NCSBN-NCLEX Program Report 5. Program Survey

PLAN IMPLEMENTATION

Implement changes Implement changes

CTE completed every 2 years

CPPR completed every 4 years

Process for PLOs (Assessment--Analysis--Implementation) occurs over a 1 year cycle SUMMER--FALL--SPRING PROGRAM

**COHORT EXAMPLE: For Class of 2012---look at Program Evals 2012; NCSBN from 2012; NCLEX 2012; Alumni Evals 2013; Employee Evals 2013

Notes for developing the calendar:

• Maintain realistic goals. The assessment cycle calendar should have reachable timelines, considering faculty workload, classroom time needed for assessment, and the inevitable adjustments and improvements in assessment tools and methodology.

• All courses, degrees and programs do need to be assessed at least once per program review cycle.

• Not all SLOs have to be assessed every semester.

• Assessment activities don’t need to occur every semester

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PROGRAM OUTCOMES & ASSESSMENT TRACKING FORM (kept in the department files and maintained by program faculty)

PROGRAM NAME C.A. Nursing, Licensed Vocational Nurse (LVN) CERTIFICATE X

REVIEW DATE: FALL 2013 (FOR CLASS OF 2012)

Goals of the LVN Program:

1. Students are able to obtain licensure/certification and pursue a career in nursing.

2. Student can safely facilitate optimal health for individuals, families and groups as a novice vocational nurse.

Upon completion of the Program, the student will be able to:

OUTCOME

MAPPING

Course # that

correlates to the

outcome

METHOD OF

ASSESSMENT

(Describe Below –

Instruments are in the

Division Files)

RESULTS OF

ASSESSMENT(S)

(Student Evaluations;

Revisions to the Program

based on results)

EVALUATE THE NEED

FOR CHANGE

1. Demonstrate

effective verbal and

written

communication in

the clinical setting.

All CLASS of 2012

a. Program Student Survey

reflects “adequate” and

“outstanding”

Benchmark @ 90%

b. Employer Survey reflects

“adequate” and

“outstanding”

Benchmark 75%

CLASS of 2012

a. Student program survey:

Therapeutic

30.77% Adequate

69.23% Outstanding

0% Poor

=100%

With Healthcare Team

23.08% Adequate

76.92% Outstanding

0% Poor

= 100%

Written

53.85% Adequate

46.15% Outstanding

= 100%

Poor 0%

b. Employer surveys

0% survey responses

Advisory mtg of spring 2012

notes input from compass

Health CNO about hires from

program being weak in Risk

CLASS of 2012

a. Benchmark met. Discussed

benchmark and agreed to reset at

80% as a minimum benchmark

fore ach PLO. Faculty agreed that

less than 80% more accurately

represents a critical level at which

change in lesson plan or

curriculum is warranted.

b. Discussed ways to increase survey

response at advisory meeting and

decided to continue electronic, but

call Marcy Woolpert (Compass

CEO) as a heads up that these

have been emailed.

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OUTCOME

MAPPING

Course # that

correlates to the

outcome

METHOD OF

ASSESSMENT

(Describe Below –

Instruments are in the

Division Files)

RESULTS OF

ASSESSMENT(S)

(Student Evaluations;

Revisions to the Program

based on results)

EVALUATE THE NEED

FOR CHANGE

c. Alumni Survey reflects

“adequate” and

“outstanding”

Benchmark 75%

oriented documentation.

c. 0% survey responses

Faculty made adjustments to both

lab exercises and clinical tasks to

improve written documentation.

c. Problem occurred with research

and data collection. Will increase

this response next year by

gathering student personal emails

at graduation and informing them

to be alert for survey, sending a

reminder survey, and verbally

reminding them when seen out in

community.

Faculty Discussion: add NCLEX

results as method of assessment for

next year. The NCSBN test plan does

have an “Integrated Process”

category for documentation and

communication that is reflected in

“Psychosocial Integrity” questions

but faculty feels this is too indirect a

measurement and declines using as

an assessment measure at this time.

2. Apply critical

thinking when

making patient care

decisions utilizing

the nursing process.

ALL a. NCLEX test results

Benchmark @ 80%

a. Class of 2012 1st testing

pass rate was 96%

when looking at “pure”

graduates who tested

- 28 graduates

- 26 tested

- 25 passed 1st testing

- 1 passed 2nd

testing

- (1 went directly into RN

program and 1 never

responded)

-BVNPT records us at

a. Benchmark met.

2012: Will implement Kaplan

integrated program and individualized

study plans to increase NCLEX

SUCCESS.

Faculty Discussion 2013: We have

further developed our use of Kaplan

testing for student practice and

analysis of data to help faculty

address/readdress topics and skills in

classroom.

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OUTCOME

MAPPING

Course # that

correlates to the

outcome

METHOD OF

ASSESSMENT

(Describe Below –

Instruments are in the

Division Files)

RESULTS OF

ASSESSMENT(S)

(Student Evaluations;

Revisions to the Program

based on results)

EVALUATE THE NEED

FOR CHANGE

b. NCSBN NCLEX Program

Report Nursing Process

Benchmark above 50th

percentile.

c. Program Student Survey

reflects “adequate” and

“outstanding”

Benchmark @ 90%

d. Employer Survey reflects

“adequate” and

“outstanding”

Benchmark 75%

e. Alumni Survey reflects

“adequate” and

“outstanding”

Benchmark 75%

86% based on number of

graduates and those that

tested in this timeframe

from Cuesta regardless of

graduation cohort.

- 5 of 28 scored <65% on

Kaplan predictor test; 1 no

NCLEX & other 4 passed

first time. One who failed =

73% on Kaplan.

b. Report breaks down nursing

process into areas of data

collection, planning,

implementation and

evaluation. Results were

above 60% in all areas, and

significantly higher than

prior class for jurisdiction.

c. Student program survey:

Adequate 42%

Outstanding 57.69%

Poor 0%

= 100%

d. 0% surveys returned

e. 0% alumni responses.

b. Benchmark met.

Faculty discussion – do we want to

leave this as method of assessment

because it is does not have a direct

correlation to one value in the report.

ANSWER = YES

c. Benchmark met

d. See PLO #1b

e. SEE PLO # 1c

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OUTCOME

MAPPING

Course # that

correlates to the

outcome

METHOD OF

ASSESSMENT

(Describe Below –

Instruments are in the

Division Files)

RESULTS OF

ASSESSMENT(S)

(Student Evaluations;

Revisions to the Program

based on results)

EVALUATE THE NEED

FOR CHANGE

3. Implement safe and

ethical patient care.

ALL a. NCSBN NCLEX Program

Report in area of Safety &

Infection Control

Benchmark @ 50% and

higher

b. Program Student survey

Benchmark of “Adequate”

or “Outstanding” @ 90%

c Employer Survey reflects

“adequate” and

“outstanding”

Benchmark 75%

d. Alumni Survey reflects

“adequate” and

“outstanding”

Benchmark 75%

New For 2013:

e. Practice Plan Tracking trends

a. Percentile ranks among

jurisdiction at 70% or

higher (California nursing

programs)

b. Student program survey:

Adequate 7.69%

Outstanding 92.31%

Poor 0%

= 100%

c. Employer survey:

0% returned

Advisory mtg S12 Compass

requested wound vac training

to enhance wound care skills if

possible for students &

inclusion of CPAP and B-PAP

training to enhance

oxygenation skills.

d. Alumni Survey

0% alumni responses

a. Benchmark met.

b. Benchmark met and proud of it

c. See response in PLO #1

2013: For Class of 2015 we will be

purchasing or seeking donated wound

vac and CPAP equipment

d. See response in PLO #1

2013 Faculty Discussion: data

from “Practice Plan Tracking

Tool” would fit nicely here as a

5th

method of assessment: For

Class of 2012, 14 students across

3 semesters recvd. plan for poor

research- a definite trend in weak

clinical preparedness that relates

directly to safety. It also relates to

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OUTCOME

MAPPING

Course # that

correlates to the

outcome

METHOD OF

ASSESSMENT

(Describe Below –

Instruments are in the

Division Files)

RESULTS OF

ASSESSMENT(S)

(Student Evaluations;

Revisions to the Program

based on results)

EVALUATE THE NEED

FOR CHANGE

ethics when the student chooses to

minimize preparation and thus

minimizes safety. Summer(2012),

we initiated 4 weeks of instructor

presence at preclinical research

to strengthen skill. Only 8 plans

were done in Class of 2013 for

poor research, and only 2 this

year after a 2nd

year of the

instructor guided learning. The 2

in 2013 had major skill

comprehension issues and both

failed(1 summer, 1 fall after many

plans leading to probation for

similar safety and preparedness

issues)

4. Apply age

appropriate

concepts when

providing nursing

care.

All a. NCSBN NCLEX program

report Stages of Maturity.

Benchmark at 50%

percentile among

jurisdiction or higher

b. Program Student survey

Benchmark of “Adequate”

or “Outstanding” @ 90%

c Employer Survey reflects

“adequate” and

“outstanding”

Benchmark 75%

d. Alumni Survey reflects

“adequate” and

“outstanding”

a. Results were 65% or higher

on related categories (specific

ages) for jurisdiction.

b. Student program survey:

Adequate 23.08%

Outstanding 76.92%

Poor = 0%

= 100%

c. Employer survey:

0% returned

d. Alumni Survey

0% alumni responses

a. Benchmark met

b. Benchmark met

c. See response in PLO #1

d. See response in PLO #1

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OUTCOME

MAPPING

Course # that

correlates to the

outcome

METHOD OF

ASSESSMENT

(Describe Below –

Instruments are in the

Division Files)

RESULTS OF

ASSESSMENT(S)

(Student Evaluations;

Revisions to the Program

based on results)

EVALUATE THE NEED

FOR CHANGE

Benchmark 75%

5. Apply cultural

sensitivity while

providing patient

care.

All a. NCSBN NCLEX program

report under Human

Functioning/Psychosocial-

Cultural Functions.

Benchmark at 50%

percentile among

jurisdiction or higher

b. Program Student survey

Benchmark of “Adequate”

or “Outstanding” @ 90%

c Employer Survey reflects

“adequate” & “outstanding”

Benchmark 75%

d. Alumni Survey reflects

“adequate” &“outstanding”

Benchmark 75%

a. Results were 71% or higher

on related categories for

jurisdiction.

b. Student program survey:

Adequate 19.23%

Outstanding 80.77%

Poor 0%

= 100%

c. Employer survey:

0% returned

d. Alumni Survey

0% alumni responses

a. Benchmark met

b. Benchmark met

c. See response in PLO #1

d. See response in PLO #1

6. Demonstrate basic

leadership in

nursing practice.

a. NCSBN NCLEX program

report under leadership.

Benchmark at 50%

percentile among

jurisdiction or higher

b. Program Student survey

Benchmark of “Adequate”

& “Outstanding” @ 90%

c Employer Survey reflects

“adequate” and

a. NCSBN NCLEX program

report has no breakdown for

the leadership category.

b. Student program survey:

Adequate 34.62%

Outstanding 65.38%

Poor 0%

= 100%

c. Employer survey:

0% returned

a. Unable to assess. Remove from

method of assessment.

b. Benchmark met

c. See response in PLO #1

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OUTCOME

MAPPING

Course # that

correlates to the

outcome

METHOD OF

ASSESSMENT

(Describe Below –

Instruments are in the

Division Files)

RESULTS OF

ASSESSMENT(S)

(Student Evaluations;

Revisions to the Program

based on results)

EVALUATE THE NEED

FOR CHANGE

“outstanding”

Benchmark 75%

d. Alumni Survey reflects

“adequate” & “outstanding”

Benchmark 75%

Adding an “e” category of

Work Status and education to

address leadership and

practice quality at 1 year

post grad.

d. Alumni Survey

0% alumni responses

d. See response in PLO #1

e. See attached chart.

DISCUSSION OF ASSESSMENT PROCEDURE & RESULTS & PLANS: Program SLO Faculty dialogue took place at the LVN Program Review on 12/10/2013. 3 faculty/Success Specialist/Program Assistant/1 director present. A review of the data was addressed during the 120 minute meeting. RECOMMENDATIONS FOR CHANGE: Dialogue took place on program needs based on PLO results. Benchmarks discussed and determined to leave as indicated or change. Will refine language in surveys to match outcome language and remove repetitive questions. Full discussion and all comments are addressed in “need for change” column. We will repeat the evaluation and discussion of Program SLOs yearly. Lack of Employee and Alumni survey results for this year will be addressed by: 1. Implementing a more assertive and results-oriented plan for next year to obtain survey returns; and 2. For THIS YEAR, we will rely on feedback obtained at Fall 2011 and Spring 2012 Advisory Meetings.

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Summarize in one to two paragraphs program improvements that have been implemented since the last APPW or CPPR.

a. A second full-time faculty was hired for the LVN program which has already proven beneficial in many ways including fewer part-timers needed for clinical assignments which promotes educational consistency for students in different healthcare agencies.

b. NCLEX-PN 1st time test results increased from 94% for class of 2011 to 96% for Class of 2013 with two remaining to test. Preprogram requirements of CNA certificate, increased math requirement, increased use of NCLEX integrated program and test review, and aggressive interaction with Success Specialist contributed to this increase. LVN Success Specialist continued to create individual student learning plans incorporating the Kaplan NCLEX integrated program to prepare students for the NCLEX-PN exam that increased our NCLEX pass rate in 2012 from 84%-94%.

c. NCSBN NCLEX-PN program report results were utilized to an analyze curriculum strenghths and weaknesses in program review again. This has been determined as very helpful by the faculty.

d. The Success Specialist has an office on the North County campus and is not shared between the two campuses. This has increased availalbity and consistency for student meetings, and has been received very positively by both students and faculty.

e. Provided funding and support for professional development opportunities for faculty, staff and management:

i. Trained faculty on NCLEX test-item development and analysis of student performance on Kaplan integrated NCLEX program proctored tests.

ii. Two full-time faculty attended the state Conference for Vocational Nursing Educators (CVNE).

iii. Full-time, part-time faculty, success specialist and director participated in a faculty retreat to review the integrated curriculum, clinical forms and student expectations for consistent delivery throughout the program. 100% of attendees rated this retreat extremely benefitical and a good use of their time.

f. Increased the number of simulation scenarios in the human patient simulation lab to promote critical thinking while learning nursing care to infant, adolescent, adult and older adult patients and targeted situations and sills that are least likely to be encountered in actual clinical settings in order to provide students the opportunities to think through typical situations and react with the nurinsg process.

g. Provided mentoring to assist new faculty in strengthening their teaching methodology and classroom management.

Identify and describe any budget requests that are related to student learning outcome assessment results or institutional/programmatic objectives.

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a. Professional development for faculty to remain current in program content and everchanging healthcare environment.

b. Purchase online NCLEX integrated program and test development software for LVN level that includes alternative style questions. This is an ongoing expense that is purchased per student and is currently this is donor funded.

c. Purchase an electronic healthcare record training system that parallels what is introduced into our local long term care agencies that would allow students to learn charting and record keeping in the classroom, and be able to utilize the agencies system when in clinical.

d. Purchase nursing application for hand held electronic devices that will increase efficiency and currency of patient research.

e. Update equipment to meet the needs of the work environment and replacement of equipment that is consistently worn and used during the year.

f. The division will continue to review skills kit content for currency, necessity and cost of supplies. It is important to have students purchase a kit (materials fee) that is usable and supports the course objectives. o The reimbursement generated by the materials fee does not always

cover the cost of the supplies that must be ordered. The nursing and allied health division augments the supply budget with foundation/grant funding. Materials fees are adjusted every 2 years (odd years). Increased cost of supplies from the vendors is unpredictable. The poor economic climate has a direct correlation to the increasing costs of our supplies.

CLASSROOM/FACILITY NEEDS:

The LVN program needs a larger classroom to accommodate 30 students that are in class for 7-8 hour theory and skills practice /demo station days. Adequate storage space is needed for big medical equipment. Tables and chair need to be adequate in size and comfort to provide adequate comfort for students to remain focused during these long lecture days. Tables and leg space needs to be adequate for large back packs/ boxes/bags that students use to transport their texts, binders and supplies between home and classroom. Faculty need a significant increase in table or cabinet surfaces, exam table, better space for 4 patient bays and lighting- all to provide demonstation and learning stations for 30 students.

STAFFING NEEDS:

a. The LVN program and related NCC Allied Health programs need the half time clerical position increased to a full-time position. o Support outreach to Advisory groups and community partners o Assist with multiple and complex regulatory reports and admission

processes o Support faculty preparation o Maintain faculty and student files with regulatory documentation o Laiason with other departments and services for faculty and Director

b. The LVN and related NCC Allied health programs need a full-time Success

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Specialist to work directly with students who are identified by faculty, and self-identified, as at risk of completing the program. The population of students entering the LVN program and CNA program have unique needs and access to a Success Specialist has proven highly beneficial when looking at student surveys, faculty feedback, licensure pass rates and completion statistics. This person could be a paraprofessional combining pre-program educational plans, in-program academic advisement and retention strategies.

c. A full-time designated North County Allied Health Counselor is much needed. d. A separate division chair for nursing and for allied health to be able to designate

more time to each cohart.

V. Program Development/Forecasting for the Next Academic Year: Anticipated changes in curriculum and scheduling

a. The LVN program will begin in August, rather than in May, and continue to be a 12 month, fast track program requiring extended summer hours and college support /resources during this time.

b. Consider schedule changes that are more conducive to Monday through Friday and able to meet the required program hours. However, this may difficult to achieve when complying with mandated holidays.

c. The LVN IV Certification course is being resurrected and will be taught again this summer.

Levels or delivery of support services

a. Maintain collaborative work relations with A&R to assure selection criteria and the application process is efficient, accurate and consistent for all applicants.

b. Work with Research to evaluate selection criteria and evaluate student success and retention in the program. Assure sufficient research infrastructure is available to gather and validate data for regulatory reporting.

c. Assessment department staff to implement scheduling and testing of applicants, and to provide proctors during testing sessions.

d. Counseling services need to be adequate to provide academic advisement to pre-RN applicants and students within the program.

e. The halftime NCC Secretary III position that has been funded through a nursing grant needs increase from half to full-time.

f. LVN success specialist hours need increase from 12 to 20 to support LVN and CNA students on the NCC adequately, and district funding to be sustainable.

Facilities changes a. Moved LVN back to N2407 after other room changes were made for

NAST/MAST. Outside funding paid for remodeling of NAST/MAST room and updates/maintenance of N2407.

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Staffing projections a. Outside funding continues to pay for a faculty person for skills and clinical each

semester. b. NCC LVN Human Simulation Coordinator is funded through a combination of

grant and donor funding c. NCC part-time clerical position is funded through outside funding and needs to

be increased to full-time. o Support outreach to Advisory groups and community partners o Assist with multiple and complex regulatory reports and admission

processes o Support faculty preparation o Maintain faculty and student files with regulatory documentation o Laiason with other departments and services for faculty and Director

d. LVN/CNA success specialist needs to be increased from 12 hours per week to a minimum of 20 hours per week. This position could be increased to full-time and benefit other Allied Health programs on the NCC as well.

e. Division Chair for nurinsg should be separate than one for allied health. f. Assistant director, regulatory requirement, needs release time.

Strategies for responding to the predicted budget and FTES target for the next academic year

a. Addition of LVN IV Certification class. b. Evaluate possibility of CPR classes that nursing students need prior to beginning

the program. c. Consider developing simulation course for LVN curriculum (pass/fail) d. Maintain enrollment of the LVN program at 30. Evaluate community need for

the number of LVN graduates annually. e. Find alternative funding to support the general fund and maintain state of the

art technology for nursing and allied health education. f. Purchase or rent up-to-date technology that reflects current healthcare trends. g. Preserve on-going financial support from community partners who currently

provide funding for faculty assistants, major equipment, and operational expenses.

h. Maintain contractual partnerships and positive relationships with clinical agencies to better support the number of students being served.

i. Continue to review skills kit content for currency, necessity and cost of supplies. It is important to have students purchase a kit (materials fee) that is usable and supports the course objectives. The reimbursement generated by the materials fee does not always pay for the supplies that must be ordered. The nursing and allied health division augments the supply budget with foundation/grant funding. Materials fees are adjusted every 2 years (odd years). Increased cost of supplies from the vendors is unpredictable. The poor economic climate has a direct correlation to the increasing costs of our supplies. State of the art

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equipment and skills supplies are required to maintain currency with industry practice.

j. Work closely with the foundation to maintain community partnerships which support salaries, equipment, operational expenses, technology, professional development, student success strategies, facility improvements, and in-kind support