PORTERVILLE COLLEGE PROGRAM REVIEW REPORT: … Careers...education that promotes intellectual...

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PORTERVILLE COLLEGE PROGRAM REVIEW REPORT: INSTRUCTIONAL DIVISIONS Name of Division: Health Careers Contact Person: Lupe Guillen Submission Date: February 27, 2017 Rev. 11/08 Page 1 Porterville College Mission Statement: With students as our focus, Porterville College provides our local and diverse communities quality education that promotes intellectual curiosity, personal growth, and lifelong learning, while preparing students for vocational and academic success. In support of our values and philosophy, Porterville College will: 1. Provide quality academic programs to all students who are capable of benefiting from community college instruction. 2. Provide comprehensive support services to help students achieve their personal, vocational and academic potential. 3. Prepare students for transfer and success at four-year institutions. 4. Provide courses and training to prepare students for employment or to enhance skills within their current careers. 5. Provide developmental education to students who need to enhance their knowledge and understanding of basic skills. 6. Recognize student achievement through awarding degrees, certificates, grants, and scholarships. Program Mission Statement: Porterville College’s Health Careers Division serves to support the overall mission of the college. With students as our focus, Health Careers faculty and staff strive to provide world-class health care education through a variety of discipline-specific programs, which include registered nursing, psychiatric technology, and emergency medical technology. Each of our programs is designed and taught utilizing strategies and methodologies which encompass the learning needs of a very diverse student population. All healthcare programs strive to prepare culturally competent, ethical, and caring healthcare professionals for service within our community. Faculty seek to create an educational atmosphere of mutual respect, support, and collaboration, which fosters and promotes student learning and achievement and eliminates personal barriers to success. Student Learning Outcomes: Please summarize assessments that have been conducted at both the course and program level for your division including changes to the courses or programs made based on those assessments. Course level: The division currently offers 32 active courses. All active courses in our division have approved Student Learning Outcomes, established assessment timelines and ongoing assessment.

Transcript of PORTERVILLE COLLEGE PROGRAM REVIEW REPORT: … Careers...education that promotes intellectual...

Page 1: PORTERVILLE COLLEGE PROGRAM REVIEW REPORT: … Careers...education that promotes intellectual curiosity, personal growth, and lifelong learning, while preparing students for vocational

PORTERVILLE COLLEGE PROGRAM REVIEW REPORT: INSTRUCTIONAL DIVISIONS

Name of Division: Health Careers Contact Person: Lupe Guillen Submission Date: February 27, 2017

Rev. 11/08 Page 1

Porterville College Mission Statement: With students as our focus, Porterville College provides our local and diverse communities quality education that promotes intellectual curiosity, personal growth, and lifelong learning, while preparing students for vocational and academic success. In support of our values and philosophy, Porterville College will:

1. Provide quality academic programs to all students who are capable of benefiting from community college instruction.

2. Provide comprehensive support services to help students achieve their personal, vocational and academic potential.

3. Prepare students for transfer and success at four-year institutions. 4. Provide courses and training to prepare students for employment or to enhance skills within

their current careers. 5. Provide developmental education to students who need to enhance their knowledge and

understanding of basic skills. 6. Recognize student achievement through awarding degrees, certificates, grants, and

scholarships. Program Mission Statement: Porterville College’s Health Careers Division serves to support the overall mission of the college. With students as our focus, Health Careers faculty and staff strive to provide world-class health care education through a variety of discipline-specific programs, which include registered nursing, psychiatric technology, and emergency medical technology. Each of our programs is designed and taught utilizing strategies and methodologies which encompass the learning needs of a very diverse student population. All healthcare programs strive to prepare culturally competent, ethical, and caring healthcare professionals for service within our community. Faculty seek to create an educational atmosphere of mutual respect, support, and collaboration, which fosters and promotes student learning and achievement and eliminates personal barriers to success.

Student Learning Outcomes: Please summarize assessments that have been conducted at both the course and program level for your division including changes to the courses or programs made based on those assessments. Course level: The division currently offers 32 active courses. All active courses in our division have approved Student Learning Outcomes, established assessment timelines and ongoing assessment.

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PORTERVILLE COLLEGE PROGRAM REVIEW REPORT: INSTRUCTIONAL DIVISIONS

Name of Division: Health Careers Contact Person: Lupe Guillen Submission Date: February 27, 2017

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Program level: The division currently offers 5 program options.

Emergency Medical Technician – Basic Job Skills Certificate Psychiatric Technician – Certificate of Achievement Associate Science Nursing Associate Science LVN-RN LVN-RN 30 Unit Certificate of Achievement

All Health Careers programs have Program Learning Outcomes and all courses have Student Learning Outcomes. Outcome assessments are an ongoing process with faculty discussion each semester. Program and course SLOs have been revised to reflect current practice and industry outcome expectations. Program and course changes have been implemented based on outcome assessment results. Timelines are current. Each semester faculty present assessment results in division meetings resulting in revisions to instructional approaches with the goal of increasing student success. Based on outcome assessment, students in all programs are struggling with application and analysis. The faculty are exploring strategies to improve student critical thinking both in the classroom and in clinical practice. Assessment of student success has highlighted the need for faculty development. Many faculty are teaching outside their area of expertise. Faculty have received training in new instructional approaches and attended conferences on up-to-date teaching strategies to increase student success and decrease attrition. Nursing Program The Nursing Program Learning Outcomes were most recently assessed fall 2016. During the assessment of the course SLOs, the faculty discovered the clinical evaluation tool was in need of revision. There was incongruence between the theory grade and clinical performance. A new tool and rubric was developed with the goal of providing more consistency in grading between faculty and a more objective result for the student. This minor change resulted in improved data for course SLO assessments. During the PLO assessment, the faculty determined the newly revised clinical assessment tool provided more consistent objective assessment and feedback for students. Student performing well in the classroom generally perform well at the bedside and vice versa. The new improved clinical assessment tool has been additionally used to provide timelier documented

Program # Courses EMT Basic 1 PT Prerequisite Courses 1 PTVN (Semester 1) 3 PT (Semester 2-3) 12 Nursing 13 Totals 32

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Name of Division: Health Careers Contact Person: Lupe Guillen Submission Date: February 27, 2017

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feedback for students throughout the clinical rotation rather than just at midterm and end of term. However, new faculty still struggle with understanding how to correctly apply the rubric. The experienced faculty are now spending more time training new faculty on the proper grading of clinical performance. In addition to traditional written exams, skills lab performance, and clinical performance, the nursing program uses an online comprehensive assessment and remediation resource. This product provides targeted assessments throughout the program with a final comprehensive predictor of success on the National Council of Licensure Examination (NCLEX-RN). The online assessments results provide both individual and group performance data. The faculty has implemented early evaluation and remediation for scores below national mean standards. Upon analysis of the data, the faculty identified weaknesses in thinking skills and priority setting. To address these weaknesses, faculty are implementing changes in content delivery with required pre-class work, more case studies, hands-on demonstration, group activities and increase use of targeted Simulation experiences. At end of program, all students now meet with the Program Director for assistance in interpreting predictor assessment date and development of an individual strategies for NCLEX-RN success. The goal of the faculty is to decrease attrition, increase success on NCLEX-RN, and produce an improved critically thinking graduate. Major Nursing Program changes in response to outcome assessment results include:

1. Implementation of Multi-Criteria Screening & Selection for admission to the program. 2. Major curriculum revision from the current disease or medical model to a concept based

curriculum. 3. Adoption of the Quality Safety Education in Nursing approach for evaluation of clinical

performance. 4. Continued faculty development. 5. Faculty and staff resources.

Psych Tech Program: During the previous Psych Tech Program SLO assessment, the faculty determined the Program SLOs were difficult to measure related to poor linkage to course SLOs. The Program SLOs were written as program goals, rather than learning outcomes. The program at this time revised the PLOs. The Psych Tech PLO assessment is currently in progress with the target date of April 2017 for division discussion. All SLOs are also on target for completion by the end of April. Results of assessments to date have indicated a need for an updated curriculum to better align the curriculum with current practice and licensing exam blueprint. In addition to new teaching strategies and curriculum, English and pre-algebra will be future program pre-requisites. The faculty plan to start this major curriculum revision fall 2017. Emergency Medical Technician Program (EMT):

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Name of Division: Health Careers Contact Person: Lupe Guillen Submission Date: February 27, 2017

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Course SLO assessments are up-to-date. Program Learning Outcome assessment is in progress. Assessment data indicate slight improvement in all areas of performance in regards to exam performance, psychomotor skill performance, and eligibility for National Registry-EMT (NREMT). Attached are the program student level outcomes, the student learning outcomes [Three separate courses also within the Health Careers division], the curriculum maps, and the assessment timelines. Analysis of Performance: When reviewing the below data, please note all programs have mandated student to faculty ratios and are regulated by outside governing boards: Board of Registered Nursing, Board of Vocational Nursing and Psychiatric Technician, and the Central California EMS Agency.

FTES/FTEF Comparison FTES/FTEF

Ratio 2013-14 2014-15 2015-16

EMT 12.0 12.9 11.7 ADN/RN 5.9 6.1 6.3

PTVN (1st semester)

8.6 10.2 12.5

PT 6.4 7.4 7.6 College wide 15.7 14.9 14.8

EMT (Emergency Medical Technician): Decreasing FTES/FTEF related to limiting student

enrollment to 24 per section in effort to increase student success. ADN (Associate Degree Nurse): Slight increase in FTES/FTEF related to admission of

international nurses needing additional coursework to be eligible for NCLEX-RN. Additional sections of nursing remedial courses added based on student needs.

PTVN (Psych Tech/Vocational Nurse): Increase in FTES/FTEF related to instructors adding additional seats to pre-requisite courses from 30 to 45 per section.

PT (Psychiatric Technician): Low enrollment 2013 related to insufficient number of applicants (24 students admitted rather than 30). Issue resolved with additional sections of pre-requisite courses.

Retention/Success Summary % Retention/

%Success 2013-14 2014-15 2015-16

EMT 82% / 48% 82% / 49% 88% / 57% ADN 91% / 82% 91% / 77% 92% / 86% PTVN

(Prereq course/ 1st semester PT) 90% / 70% 84% / 68% 86% / 72%

PT 98% / 98% 100% / 100% 100% / 100% College wide 87% / 70% 88% / 70% 89% / 71%

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EMT: Overall retention and success rates slowly increasing with limiting number of enrolled students into course.

ADN: Success and retention rates are higher than college wide. This data does not measure on-time completions compared to overall completion rates.

PTVN: The PTVN courses represent PT program pre-requisites and the first semester of the PT program. Attrition rates for the pre-requisites and first semester of the program are similar to College wide retention/success rates.

PT: PT courses represent 2nd and 3rd students. Students who successfully complete 1st semester consistently have high retention/success rates.

Retention/Success Rates: Gender, Age and Ethnicity*

EMT College wide Gender Retention/Success Retention/Success Female 86% / 53% 87% / 71% Male 83% / 53% 87% / 67% Age 19 & younger 91% / 50% 90% / 69% 20-29 82% / 54% 86% / 69% 30-39 75% / 54% 84% / 70% 40 & Older 86% / 50% 84% / 71% Ethnicity African American 100% / 0 % 81% / 51% American Indian 80% / 47% 84% / 61% Asian/Filipino/Pacific Isl. 96% / 68% 89% / 75% Hispanic/Latino 84% / 51% 87% / 69% White 84% / 60% 86% / 70% Two or More Races 62% / 38% 88% / 71% Unknown ADN/RN College wide Gender Retention/Success Retention/Success Female 92% / 84% 87% / 71% Male 93% / 85% 87% / 67% Age 19 & younger 90% / 70% 90% / 69% 20-29 93% / 85% 86% / 69% 30-39 92% / 87% 84% / 70% 40 & Older 92% / 86% 84% / 71% Ethnicity African American 0% / 0 % 81% / 51% American Indian 100% / 0% 84% / 61% Asian/Filipino/Pacific Isl. 92% / 79% 89% / 75%

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Hispanic/Latino 93% / 83% 87% / 69% White 93% / 88% 86% / 70% Two or More Races 100% / 96% 88% / 71% Unknown PTVN (Pre-req/1st semester) College wide Gender Retention/Success Retention/Success Female 87% / 73% 87% / 71% Male 89% / 71% 87% / 67% Age 19 & younger 81% / 52% 90% / 69% 20-29 87% / 74% 86% / 69% 30-39 92% / 79% 84% / 70% 40 & Older 90% / 76% 84% / 71% Ethnicity African American 84% / 68% 81% / 51% American Indian 80% / 60% 84% / 61% Asian/Filipino/Pacific Isl. 93% / 80% 89% / 75% Hispanic/Latino 87% / 72% 87% / 69% White 85% / 70% 86% / 70% Two or More Races 93% / 83% 88% / 71% Unknown

PT College wide Gender Retention/Success Retention/Success Female 99% / 99% 87% / 71% Male 98% / 98% 87% / 67% Age 19 & younger 100% / 100% 90% / 69% 20-29 100% / 100% 86% / 69% 30-39 99% / 99% 84% / 70% 40 & Older 97% / 95% 84% / 71% Ethnicity African American 100% / 100% 81% / 51% American Indian 100% / 100% 84% / 61% Asian/Filipino/Pacific Isl. 100% / 100% 89% / 75% Hispanic/Latino 100% / 99% 87% / 69% White 98% / 97% 86% / 70% Two or More Races 98% / 98% 88% / 71% EMT: Gender is disproportionally represented compared to college wide: 72% of EMT

students are male and 18% are female, campus wide 39% are male and 61% are female. Age of EMT students is proportionate to college wide. Compared to college wide there are 10% fewer Hispanics and 5% greater number of white students represented in the EMT program.

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Name of Division: Health Careers Contact Person: Lupe Guillen Submission Date: February 27, 2017

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The remaining ethnicities are similar to college wide representing 11%. Success of Hispanic students in the EMT program is 51% and success of white students is 60%.

RN: Gender is disproportionally represented compared to college wide: 83% of RN students are female and 17% are male, campus wide 61% are female and 39% are male. The percent of 19 & younger nursing student has risen from 12% for years 2011-2014 to 32% for the past 2 years. The success and retention rates for all ethnic groups is higher than College wide success rates. Success rates for nursing students is 88% for White, 83% for Hispanic, and 79% for Asian.

PTVN: The gender of PT pre-requisite and 1st semester students is primarily female at 76% which is higher than the campus average of 61%. The majority of students are 20-29 at 55% which is close to college wide of 51%. The 19 & younger group is 12% and the 30-39 is 25%, this is inverse to college side of 30% and 12% respectively.

PT: The PT students in 2nd and 3rd is growing in the 20-29 age range from 46% to 81% over the past 3 years and the 30-39 age range is decreasing from 31% to 19%. Representation of gender is similar to that of pre-requisite and 1st semester students.

Program Completion/Certificates Awarded Number of

Degree/Certificates 2013-14 2014 - 15 2015-16 Total #

Awarded EMT job skills 2 21 23 *EMT NREMT 53 46 58 157

**ADN/RN 15 11 14 40 LVN to ADN 3 4 7

PT 17 19 21 57 *EMT Course Completion Record awarded each year by the division **A.S. degrees awarded

California State Boards/Psychiatric Technician & Vocational Nurses

2013 2014 2015 2016 (1st quarter)

Psychiatric Technician

72% (25 tested)

72% (32 tested)

55% (9 tested)

70% (20 tested)

During the 1st quarter of 2016 the state average for PT licensing examination pass rate was 63%, Porterville was ranked 4/8 with pass rate of 70%.

Board of Registered Nursing NCLEX-RN Pass Rates 2013/2014 2014/2015 2015/2016

Registered Nursing 81.25% # taken 16

66.67% # taken 9

94.4% # taken 18

*1st time pass rates reported by academic year (July-June). Average California BRN pass rate has dropped from 89% to 84%. Significant improvement in PC nursing pass rates from 2015 to 2016 with improved retention rate from 55% to 70% for on time completers.

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National Registry for Emergency Medical Technician 2013 2014 2015

EMT-Basic 47% 52% 52% Central California Emergency Services Agency (CCEMSA) regional average for NREMT pass rate is 64% for the previous 3 years. PC EMT falls below this regional average. The PC success rates on NREMT has improved from 47% to 52%. Program Strengths Quality Programs The Health Careers Division consistently provides quality programs evidenced by program survey data. Graduate surveys consistently demonstrate high satisfaction with quality of program resources and instruction. 6-month graduate surveys consistently demonstrate high satisfaction with preparedness for entry level practice. Employer surveys consistently demonstrate high satisfaction with quality of graduates. The program went through great hardship from 2010-2013. There was a tremendous decrease in faculty workforce and large turnover of faculty. This was due to faculty retirements, loss of outside funding, and denial of faculty replacement requests. Since 2013 the faculty has remained relatively stable and the division is once again starting to see the needed cohesiveness to move forward with goals and a new vision. Maintaining quality programs requires the faculty to continuously stay up-to-date on current evidence based practice, learn new teaching strategies and approaches, and maintain a current curriculum. Over the past three years, through grant funding, the faculty have been provided many opportunities for faculty development. The ability to learn new ways of teaching and networking with colleagues has been invaluable. The Associate Dean/Program Director keeps the program and faculty updated on current trends in nursing education and board regulations through regular attendance of local, regional, and statewide meetings. The classified support staff have provided the needed support for students and faculty to stay on track in this very busy and dynamic environment. The faculty are energized and excited to revise and implement new curriculum and to continue to learn and implement new teaching strategies and approaches to enhance student learning. The faculty and staff are highly motivated and ready to improve student outcomes. Meeting the Needs of the Community The Health Careers program faculty and staff have maintained strong relationships with our community partners. The Division holds regular advisory board meetings. The Associate Dean and faculty meet regularly with individual clinical agencies to promote positive learning experiences for students. Decisions regarding preparing graduates for entry level practice is largely based on input and feedback from advisory board meetings and clinical agencies. In order to provide rich clinical

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experiences and meet clinical course objectives, the division maintains 30 clinical education partnerships throughout Tulare, Kings, and Kern Counties. Industry partners have consistently ranked RN and PT programs as their priority to meet health care needs of the community. Based on industry ranking, the division has focused on the development and improvement of these two programs. High Demand/High Wage Careers Psychiatric Technicians continue to be in high demand locally at the developmental center, community group homes, mental health facilities, and prisons. The median annual wage for Psychiatric Technicians is $56,865 (State of California Occupational Statistic Survey, 2016). Graduates have a 100% employment rate and are meeting the Intellectual Disability and Mental Health needs of our community. Registered Nurses consistently remain a high demand/high wage occupation. Graduates have a 100% employment rate. Registered Nursing is one of the top fastest growing occupations in the Visalia-Porterville area with an expected growth rate of 44.1% by 2022. The annual mean salary for an RN is $76,071 (EDD, Labor Market Information, 2016). EMT Basic continues to be in high demand with our local ambulance and fire fighter partners. This entry level position is a pathway for students interested in careers as paramedics and fire fighters. Retention and Success Rates Retention and success rates for RN and PT programs are higher than college wide averages. The EMT program is making steady progress towards higher retention and success. The nursing program applied for and received a CCCCO assessment, remediation, and retention grant in 2016. This grant has provided faculty development and student resources to help improve on-time completion rates and reduce attrition rates. Program Funding The Health Careers Division recognizes the programs are expensive. The division actively seeks alternate sources of funding to support the programs. Funding from grants and industry partners total $581,000 for the 2013-2016 program review period. Below outlines Health Careers categorical funding:

Program Grant Awarded

2011-2015 EMT & PT C6 grant 1.5 million 2010-2018 ADN SVMC MOU $560,000 2016 ADN CTE grant $60,000 2016-2017 RN CCCCO grant $114,000 2016-2017 PT PDC MOU $242,398 2017 RN & PT Strong Workforce $70,000

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Name of Division: Health Careers Contact Person: Lupe Guillen Submission Date: February 27, 2017

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2017-2018 RN CCCCO grant $114,000 2017-2018 PT PDC MOU $226,465

During the current program review period, the Division will seek the grant funding from the CCCCO and local industry partners for increasing nursing enrollment and to maintain Psych Tech enrollment. Areas for Improvement Meeting the current and future needs of the community At the most recent Health Careers Advisory meeting, our industry partners ranked the following as priority to meet current demand and future needs. Hospitals #1 RN – Recommendation to increase enrollment for the nursing program to once a semester. #2 LVN – Recommendation to re-instate the LVN program #3 Medical Office Assistant – Recommendation for addition of MOA program Developmental Center and State Hospitals #1 PT – Recommendation to increase frequency of enrollment #2 RN – Recommendation to increase frequency of enrollment #3 Occupational Therapy Assistant – Recommendation for addition of OTA program. #4 LVN – Recommendation to reinstate LVN program Even though the division does have adequate space, facility, and clinical resources for growth, the division does not have sufficient personnel resources to support growth. The addition of one nursing instructor and one psych tech instructor would allow the program to increase the frequency of admissions and double enrollment. The addition of a program technician or educational advisor would provide the necessary support services needed for student success. Retention and Success all Programs PT and RN retention and success are consistently higher than college wide. What is not reflected in this data is on-time completion rates. On-time completion rates and licensure exam pass rates have declined and/or been unstable for RN and PT programs. For both RN and PT programs on-time completion rates have varied from 50%-75%. PT licensing exam pass rates are averaging 70% per year. RN licensing exam (NCLEX) pass rates have been fluctuating between 66.7% and 94.4%. All ethnicities in the nursing program have higher success rates than their corollary. Although, there is a notable decrease in success with the Hispanic and Filipino nursing students compared to white nursing students. The program has begun tracking data regarding ESL and language spoken in the home. Low Number of Job Skills Certificates awarded for EMT There is a low job skills certificate request rate for EMT students. In order for students to take the National Registry for EMT (NREMT), the student must not only pass the course and final exam

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with a B or higher, complete all field observations with 10 or more patient contacts, but the student must successfully pass the psychomotor exam which is not to be completed until after completion of the course. Once all of these requirements are met, the Program Director issues a Course Completion Record enabling the student to sit for NREMT and Central California EMS Agency (CCEMSA) certification once they are nationally licensed. The program has re-evaluated the process for requesting job skills certificates with implementation of new process spring 2016. The program will bring the job skills requests to students and submit to Admissions and Records after successful course completion.

Teaching content outside area of expertise Decreasing frequency of enrollment and maintaining minimum enrollment in the nursing and psych tech programs has required faculty to teach content outside their area of expertise. For example a Psych Tech faculty with 20 years working with the acute mentally ill are now required to teach medical surgical nursing content and the nurse with 20 years’ experience working with Medical Surgical patients is required to teach Intellectual Disability content and Behavioral Management of these clients. Another example, in the nursing program is a nurse with 20+ years working in Maternity Nursing is required to remediate and teach Psychiatric Nursing content. This is true with both theory content and clinical settings. One major area of concern is the Licensed Psych Tech (LPT) can teach Nursing Science per BVNPT, but the LPT is not allowed to work in the hospitals and skilled nursing facilities per state and federal regulations. Adding to the complexity of the situation is the developmental center closure of the General Treatment Area by 2021 which is where the skilled nursing and subacute clients are located. The LPT faculty are struggling to find community sites where they can take 15 students to provide nursing science clinical experiences with an LPT as their instructor. If this issue is not resolved before 2021, the LPT teaching in the Psych Tech program will not be able to teach first semester clinical and is at risk of lay off. Additionally, the closure of the General Treatment Area impacts the programs ability to meet clinical course objectives related to care of the client with Intellectual Disabilities. The program is in jeopardy of closure if these issues are not resolved. Infrequency of teaching content Not only are faculty required to teach content outside their area of expertise, they teach the content every other semester (RN program) or every 3rd semester (PT) program. This adds to the challenge of becoming a content expert in these new content areas. Both teaching content outside area of expertise and teaching the content infrequently has produced a negative result in both programs retention and success rates. When the PT program had content experts teaching in their areas of expertise the PT program licensing pass rates were 86-88%. Following the reduction in faculty and decrease in frequency of admission, the PT licensing pass rate has declined to 70%. The program is at risk of sustainability and losing BVNPT Continuing Approval.

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The nursing program’s fluctuating NCLEX-RN pass rates dipped down to 66.7% in 2015 with a 25% attrition rate for on time completers. This low pass rate triggered the BRN to require the program to submit and implement a plan to raise the pass rates. If the pass rates did not rise to above 75%, the program would have been placed on Provisional Approval with one year to bring pass rates into compliance or risk closure of the program. In 2016 the pass rates bounced to 94.44% with a 50% attrition rate for on time completers. The faculty are struggling to find balance between attrition and pass rates. Out-dated curriculum, instructional resources, and teaching strategies PT faculty review of current curriculum and discussion with BVNPT NEC (nursing education consultant) resulted in agreement that there is a strong need for a major curriculum revision. New PT curriculum to be updated with current practice and aligned with state licensing exam. RN faculty review of current curriculum, review of best teaching practices for nursing, and BRN 2014 recommendation regarding CCR Section (d) Curriculum “evaluate and revise the curriculum to include all aspects of CCR 1426(d) and for the inclusion of simulation learning experiences” indicated a strong need for a major curriculum revision. Instructional resources will continue to be updated with grant funding. New teaching strategies are being explored and piloted with all programs. Inexperienced faculty 57% of full time instructors have less than 4 years’ experience. 90% of part time instructors have less than 3 years’ experience. Content experts, current curriculum, new teaching strategies, updated instructional resources, and adequate student support services should produce the expected results of improved on-time completion and licensure exam pass rates.

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Goals (This section is for you to report on progress on previously established goals If your program is addressing more than 2 goals, please duplicate this page) Goals from previous Program Review

Goal(s) Timetable for

Completion

Needed resources

Person(s) Responsible

Obstacles to completion (if any)

1. Hire a FT faculty replacement of the PT faculty resignation.

Fall 2014 Funding and prioritization by Academic Senate and College President

PT Program Director PT Faculty

State and budget concerns.

Which of numbered items under the Mission Statement (see page 1 of this document) will be furthered if this goal is completed? (select all that apply) Item 1 X Item 2___ Item 3___ Item 4___ Item 5___ Item 6 X . Progress on Goal: Faculty replacement request was denied. ____Completed (Date ) X Revised (Date 02/14/17) Comments: Goal revised as needed resource for improving student success. See Goal #11, 12

Goal(s) Timetable for Completion

Needed resources

Person(s) Responsible

Obstacles to completion (if any)

2. Dedicated Human Simulation Instructional Assistant

Fall 2014 Current categorical funded. GU001 funding needed once categorical funding ends

RN Program Director Faculty

Budget

Which of numbered items under the Mission Statement (see page 1 of this document) will be furthered if this goal is completed? (select all that apply) Item 1__X_ Item 2__X_ Item 3_X__ Item 4_X__ Item 5_ __ Item 6__X_

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Progress on Goal: This goal was revised in program update to be a faculty position due to BRN area of noncompliance regarding insufficient instruction RN resources in simulation/skills lab. The position is currently filled with a full time contingent on funding Simulation Coordinator/Nurse Instructor position. This goal has been revised as a continued needed resource for sustainability. See Goals #11, 13, 16, 15. X Completed (Date 02/14/17) Revised (Date ) Comments:

Goal(s) Timetable for

Completion

Needed resources

Person(s) Responsible

Obstacles to completion (if any)

3. Enhance Communication within the division.

Spring 2014 Revised Spring 2017

Media resources -Inside PC

Division chair Training on use of Canvas and Share drive.

Which of numbered items under the Mission Statement (see page 1 of this document) will be furthered if this goal is completed? (select all that apply) Item 1_ X__ Item 2___ Item 3___ Item 4 __ Item 5_ __ Item 6___ Progress on Goal: Goal completed __X Completed (Date Spring 2017) Revised (Date: ) Comments: PC Health Careers Division has created an Inside PC group for division faculty and staff. All faculty and staff have access to Inside PC & SharePoint. This venue provides a forum for communication and easy access to program policies, program handbooks, and division meeting minutes. Overall, improved communication related to new CANVAS & SharePoint which will allow faculty and staff to maintain and adapt communication. Monthly division meetings are well attended.

Goal(s) Timetable for

Completion

Needed resources Person(s) Responsible

Obstacles to completion (if any)

4. Develop formal orientation and mentoring guide for new faculty.

Spring 2015 Time allotted to the Director and Division Chair or faculty for the project.

Director of Program Division Chair

Faculty and the time needed to accomplish the goal

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Which of numbered items under the Mission Statement (see page 1 of this document) will be furthered if this goal is completed? (select all that apply) Item 1_X__ Item 2___ Item 3___ Item 4_X__ Item 5__ _ Item 6__X _ Progress on Goal: In progress. Health Careers has established faculty orientation checklists, faculty handbook, and a faculty checklist. A general orientation manual remains to be developed to include program specific orientation materials. This is to be implemented and utilized for new hires. ____Completed (Date ) X Revised (Date: 02/14/17) Comments:

Goal(s) Timetable for Completion

Needed resources

Person(s) Responsible

Obstacles to completion (if any)

5. Establish a Paramedic Program

Spring 2015 Faculty

Director of Program Division Chair Program faculty

Faculty Cost of implementing need of program.

Which of numbered items under the Mission Statement (see page 1 of this document) will be furthered if this goal is completed? (select all that apply) Item 1_X__ Item 2___ Item 3___ Item 4__X_ Item 5__X_ Item 6_X__ Progress on Goal: Discontinued at this time. ____Completed (Date: ) X Revised/Discontinued (Date: 02/14/17) Comments: Insufficient resources for this project at this time. The program will re-evaluate in 3 years.

Goal(s) Timetable for

Completion

Needed resources Person(s) Responsible

Obstacles to completion (if any)

6. Panel of faculty, division chair to review student

Fall 2014 Review student policy manual & process of

Director of Programs Division Chair

Faculty support Need of program

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related problematic situations, academic or clinical performance.

addendum to policy.

Program related Faculty

Which of numbered items under the Mission Statement (see page 1 of this document) will be furthered if this goal is completed? (select all that apply) Item 1__X_ Item 2__X_ Item 3___ Item 4___ Item 5___ Item 6___ Progress on Goal: Review of existing policies and procedures regarding student professional conduct and program progression. Faculty determined existing policies and procedures adequate for each program. Programs continue to follow program and campus policy regarding student issues. No changes are necessary at this time. X Completed (Date: Spring 2016) ____ Revised (Date ) Comments: Continue to re-evaluate effectiveness of policies and procedures.

Goal(s) Timetable for Completion

Needed resources Person(s) Responsible

Obstacles to completion (if any)

7. Meet the Student Success Initiative by providing Support Services for all HC programs.

Fall 2019 Part time Program Technician and/or Educational Advisor and/or student case manager

Associate Dean Division Chair

Sustained funding

Which of numbered items under the Mission Statement (see page 1 of this document) will be furthered if this goal is completed? (select all that apply) Item 1_ __ Item 2__X_ Item 3__X _ Item 4_ __ Item 5__ _ Item 6__ _ Progress on Goal: Part time Program Technician position implemented with categorical funding. CCCCO assessment, remediation, and retention grant awarded fall 2016 has provided a part-time case manager for nursing students. Funding for Educational Advisor will be requested with grant renewal.

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____ Completed (Date ) X Revised (Date 02/14/17) Comments: Additional student support services needed for student remediation and retention. See position justifications for Program Technician and Educational Advisor.

Goal(s) Timetable for Completion

Needed resources

Person(s) Responsible

Obstacles to completion (if any)

8. Provide the opportunity for faculty to attend professional conferences to enhance knowledge.

Spring 2017 Funding for conference attendance.

Director of Programs

Financial support and faculty coverage.

Which of numbered items under the Mission Statement (see page 1 of this document) will be furthered if this goal is completed? (select all that apply) Item 1_X__ Item 2___ Item 3___ Item 4__X_ Item 5___ Item 6___ Progress on Goal: RN faculty have consistently attended nursing conferences through categorical funding. CCCCO nursing grant provided funding for on campus faculty workshop regarding Concept Based Teaching and Curriculum Revision. Limited funding available for Psych Tech faculty. Health Careers hosted CAPTE conference at Porterville College Fall 2016. All PT faculty were able to attend. All faculty have access to Nurse Tim faculty development online resources funded through the Healthcare Workforce Initiative. X Completed (Date: Spring 2017) ____Revised (Date ) Comments:

Goal(s) Timetable for Completion

Needed resources Person(s) Responsible

Obstacles to completion (if

any) 9. Develop plan for

Educational Medical Equipment Maintenance and replacement.

Spring 2017 Budget as instructional supply.

Director of Programs Division Chair

Budget

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Which of numbered items under the Mission Statement (see page 1 of this document) will be furthered if this goal is completed? (select all that apply) Item 1__X_ Item 2__X_ Item 3_X__ Item 4_X__ Item 5___ Item 6_X__ Progress on Goal: Goal complete. Five-year replacement plan for major equipment completed. Replacement plan to be updated annually. X Completed (Date: Spring 2015) Revised (Date: ) Comments:

Goal(s) Timetable for Completion

Needed resources Person(s) Responsible

Obstacles to completion (if

any) 10. Develop a

continuing education program for the health care community.

Fall 2016 Faculty and/or faculty with instructor certificates in the dedicated course.

Program Director Division Chair

Faculty

Which of numbered items under the Mission Statement (see page 1 of this document) will be furthered if this goal is completed? (select all that apply) Item 1__X_ Item 2___ Item 3___ Item 4__X_ Item 5___ Item 6___ Progress on Goal: PT Educator (CAPTE) with continuing education held on campus October 2016. No other progress related to high faculty turnover. Goal to be discontinued and revisited in three years. X Completed (Date Fall 2016) Revised (Date ) Comments: New Division Goals

Goal(s) Timetable for Completion

Needed resources Person(s) Responsible

Obstacles to completion (if

any)

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11. Improve Psych Tech program student retention and success evidenced by (a) On-time

completion rates 85% or higher.

(b) Calif PT Licensing Exam Pass Rates 85% or greater.

Fall 2020 4 full time Content Expert Psych Tech Instructors Faculty Development Curriculum Revision Updated instructional resources Increase frequency of admission Student support services

PT Program Director PT Faculty

Insufficient content expert faculty. Insufficient grant funding.

Which of numbered items under the Mission Statement (see page 1 of this document) will be furthered if this goal is completed? (select all that apply) Item 1 X Item 2 X Item 3 Item 4 X Item 5___ Item 6 X . Progress on Goal: ____Completed (Date ) ____Revised (Date ) Comments: Content experts, current curriculum, new teaching strategies, updated instructional resources, and student support services should result in improved on time completion rates and PT licensing exam rates See areas of needed improvement, goals # 7, 12, 16, 17, 19, and position request #3.

Goal(s) Timetable for Completion

Needed resources Person(s) Responsible

Obstacles to completion (if

any) 12. PT major

curriculum revision.

Fall 2020 Content Expert Psych Tech Faculty

PT Program Director

Insufficient content expert faculty.

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Faculty Development

PT Faculty

Which of numbered items under the Mission Statement (see page 1 of this document) will be furthered if this goal is completed? (select all that apply) Item 1 X Item 2 Item 3___ Item 4 X Item 5 Item 6 X . Progress on Goal: ____Completed (Date ) ____Revised (Date ) Comments: New curriculum to be updated with current practice and aligned with state licensing exam. See areas of needed improvement, goals # 11, and position request 3.

Goal(s) Timetable for Completion

Needed resources Person(s) Responsible

Obstacles to completion (if

any) 13. Improve RN

program student retention and success evidence by (a) On-time

completion rates 85% or higher.

(b) NCLEX-RN Pass Rates 90% or greater.

Fall 2019 4 full time Content Expert Nurse Instructors Curriculum Revision Updated instructional resources Increase frequency of admission Student Support Services

RN Program Director Faculty

Insufficient content expert faculty. Insufficient grant funding.

Which of numbered items under the Mission Statement (see page 1 of this document) will be furthered if this goal is completed? (select all that apply) Item 1 X Item 2 Item 3___ Item 4 X Item 5___ Item 6 X . Progress on Goal:

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____Completed (Date ) ____Revised (Date ) Comments: Content experts, current curriculum, new teaching strategies, updated instructional resources, and adequate student support services should produce the expected results of improved on-time completion and licensure exam pass rates. See areas of needed improvement, goals #7, 14, 16, 17, 18, and position requests 5 & 6.

Goal(s) Timetable for Completion

Needed resources Person(s) Responsible

Obstacles to completion (if

any) 14. Nursing Concept

Based Curriculum Development

Fall 2018 Content Expert Nursing Instructors Consultant Faculty Development Grant funding

RN Program Director Faculty

Insufficient faculty, skills lab instructors, and student support services.

Which of numbered items under the Mission Statement (see page 1 of this document) will be furthered if this goal is completed? (select all that apply) Item 1 X Item 2 Item 3___ Item 4 X Item 5___ Item 6 X . Progress on Goal: ____Completed (Date ) ____Revised (Date ) Comments: New curriculum to be updated with current practice and aligned with national licensing exam. See areas of needed improvement, goals # 13, and position requests 5 & 6.

Goal(s) Timetable for

Completion

Needed resources Person(s) Responsible

Obstacles to completion (if

any) 15. Improve EMT

program student retention and

Fall 2020 Adequate skills lab instructors

PT Program Director

Insufficient faculty, skills lab instructors, and

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success evidence by

(a) On-time completion rates 60% or higher.

(b) Skills Job Certificates issued 60% or higher.

(c) Course Completion Records issued 60% or higher.

(d) NREMT-B Licensing Exam Pass Rates 55% or greater.

Faculty Development Student support services

PT Faculty student support services.

Which of numbered items under the Mission Statement (see page 1 of this document) will be furthered if this goal is completed? (select all that apply) Item 1 X Item 2 Item 3 Item 4 X Item 5___ Item 6 X . Progress on Goal: ____Completed (Date ) ____Revised (Date ) Comments: See areas for improvement, goal s # 7, 16, and 17.

Goal(s) Timetable for Completion

Needed resources Person(s) Responsible

Obstacles to completion (if any)

16. Provide ongoing instructional resources for the Simulation Lab

ongoing Continued categorical funding or GU001 funding if discontinued

Associate Dean Categorical funding discontinued

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Which of numbered items under the Mission Statement (see page 1 of this document) will be furthered if this goal is completed? (select all that apply) Item 1 X Item 2 X Item 3 X Item 4 X Item 5___ Item 6 X . Progress on Goal: ____Completed (Date ) ____Revised (Date ) Comments: Position must be maintained to remain in compliance with BRN regulation, CCR Section 1424 (d) sufficient resources, 2014 area of non-compliance “the availability of skills/simulation lab RN staff resources is insufficient to meet student learning needs”. Current categorical funding discontinues spring 2018. Program will reapply for outside funding with goal of this position to be permanent GU001 funded faculty position. See goal #2 and position 5 request.

Goal(s) Timetable for Completion

Needed resources Person(s) Responsible

Obstacles to completion (if

any) 17. Faculty

Development

ongoing Funding Part time faculty to cover schedule for any off campus faculty development. Online, on campus, and off campus faculty development opportunities.

Associate Dean Division Chair Faculty

Funding Schedule conflicts

Which of numbered items under the Mission Statement (see page 1 of this document) will be furthered if this goal is completed? (select all that apply) Item 1 X Item 2___ Item 3___ Item 4 X Item 5___ Item 6 X . Progress on Goal: ____Completed (Date ) ____Revised (Date )

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Comments: see areas for improvement, goals #11, 12, 13,

Goal(s) Timetable for

Completion

Needed resources

Person(s) Responsible

Obstacles to completion (if

any) 18. Increase nursing

program enrollment to start a new cohort every semester.

Fall 2019 1 additional content expert full time nurse instructor BRN approval

Program Director Faculty

Academic Senate and College President ranking of requested position.

Which of numbered items under the Mission Statement (see page 1 of this document) will be furthered if this goal is completed? (select all that apply) Item 1 X Item 2 Item 3 X Item 4 X Item 5___ Item 6 X . Progress on Goal: ____Completed (Date ) ____Revised (Date ) Comments: See areas for improvement, goal #13, and position request 6.

Goal(s) Timetable for Completion

Needed resources Person(s) Responsible

Obstacles to completion (if

any) 19. Increase PT

program enrollment from once every 18 months to twice every 18 months.

Fall 2019 1 additional content expert full time PT instructor BVNPT approval

Program Director Faculty

Academic Senate and College President ranking of requested position. External threat of availability of clinical sites.

Which of numbered items under the Mission Statement (see page 1 of this document) will be furthered if this goal is completed? (select all that apply)

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Item 1 X Item 2___ Item 3 X Item 4 X Item 5___ Item 6_X . Progress on Goal: ____Completed (Date ) ____Revised (Date ) Comments: See areas for improvement, goal #11, and position request 3.

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STAFFING REQUEST Staff Resources:

Current Staffing Levels Full-time Staff (FTE)

Part-time Staff (FTE)

Faculty 6 (3 RN/3 PT) Faculty - adjunct 4.76 Temporary Temporary Faculty COF 2 (1 RN/1PT) Faculty - overload 2.6 Classified 1 Classified (COF) 0.6 Professional Experts 0.6 Management 1 Management Request for New/Replacement Staff Use one line for each position requested. Justify each position in the space below.

Title of Position Classification (Faculty, Classified, or Management)

Full or Part Time

New or Replacement

Position 1 PT Instructor Faculty Full-time Replacement Position 2 PT Instructor Faculty Full-time Replacement Position 3 PT Instructor Faculty Full-time New Position 4 Nurse Instructor Faculty Full-time Replacement Position 5 Sim Coordinator/Nurse Instructor Faculty Full-time New Position 6 Nursing Instructor Faculty Full-time New Position 7 Program Technician Classified Part-time/Full-

time New

Position 8 Educational Advisor Classified Part-time/Full-time

New

Justification:

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Position 1 PT Instructor Replacement for full time PT faculty retirement in next 2-3 years. See goals #11, 12, 19. Position 2 PT Instructor Replacement for full time PT faculty retirement in next 2-3 years. See goals #11, 12, 19. Position 3 PT Instructor Increasing the number of full-time PT faculty from 3 to 4 would improve student success and maintain sustainability through consistent instruction by content area experts, prevent decreasing enrollment from 60 students (60 FTES) to 30 (30 FTES) PT students each semester, and maintain graduation rates of 60 students rather than decrease to 30 every 18 months, prevent increase in average length of time for entry into the PT program from 2.5 years to 5 years, provide high demand/high wage LPT’s for the community. See goals # 11, 12, 19. Position 4 Nurse Instructor Replacement for full time nursing faculty retirement in next 2-3 years. See goals 13, 14, 18. Position 5 Simulation Coordinator/Nurse Instructor Simulation Coordinator/Nurse Instructor position is currently Contingent on Funding. The current MOU expires in 2018. This is a BRN mandated position to meet student simulation learning needs. The program will continue to search for outside funding. In the event no outside funding is available, the program would be at risk for unsustainability. See goals #13, 18, 16. Position 6 Nurse Instructor Increasing the number of full-time RN faculty from 4 to 5 would improve student success through consistent instruction by content experts, increase program from 40 nursing students (32 FTES) to 80 nursing students (64 FTES), increase graduation rates from 20 to 40 per year, provide needed RN’s for the community, and decrease average length of time for entry into the RN program from 8 years to 4 years, provide needed high demand/high wage nurses for the community. The division plans on applying for CCCCO Enrollment Growth for Nursing grant in the next 2-3 years. See goals #13, 14,18. Position 7 Program Technician Current part-time Program Technician is categorical funded through local healthcare facility. The facility has agreed to continue funding through spring 2019. Position needed if program to maintain enrollment growth. The Division receives on average 165 nursing and 100 Psych Tech applications per year. Each application requires a file to be created and the application to be screened for eligibility. The division manages 160 active student files once students are admitted into the programs. Each student has a multitude of clinical requirements that must be tracked for compliance.

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Name of Division: Health Careers Contact Person: Lupe Guillen Submission Date: February 27, 2017

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A part-time program technician assists with first screening of applications, tracking clinical requirements, meets with students regarding general program information, acts as resource for student campus referrals, tracking of data required for the 5 annual mandated reports, assists with program continuing approval data, reports and site visits, participates in program outreach. As the Division grows the workload of the positon would grow for the need to be full-time or replacement with an Educational Advisor. See goals #11, 13, 15. Position 8 Educational Advisor The #1 goal of the division is to increase student success and sustainability. The 5 year average for number of students who have declared nursing as their major is 614 which is 15% of the PC student population. 44 of the 85 units needed for the nursing degree are completed outside the nursing program. All of these students require pre-nursing advising. Additionally, many students are completing pre-requisites for other health careers such as Physician’s Assistant, Dental Hygienist, Physical Therapy Assistant and these students frequently contact the Division for advising. The need for a full time Educational Advisor or the Program Technician positon would be requested only with growth of nursing and psych tech program or addition of new programs. The Educational Advisor could assume most of the Program Technician duties and provide advising and outreach for CTE Division. See goals #11, 13, 15.

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TECHNOLOGY REQUEST Use this section to list any technology needs for your program. It is not necessary to put a price on these items; that will be done by the IT department. If you have more than two technology needs, add rows below. Technology Need

Justification

Item 1 Second Monitor for Administrative Secretary

Executive Secretary has one computer monitor. She has to work between multiple spreadsheets and documents simultaneously.

Item 2 1 computer & 1 laptop on mobile cart for Sim Lab

Computer/Laptop would allow faculty and professional experts the ability to access emails, enter web-time hours, order sim lab supplies, view & print sim lab checklists etc. With the laptop on a mobile cart we can move to the bedside to assist with reviewing on-line skills, or electronic testing of the skills.

Item 3 Copier/Printer for Sim lab

Printer and copy capabilities in sim lab will allow faculty and professional experts the ability to print and copy items needed for simulations (i.e. medication labels), access emails, enter web-time hours.

Item 4 Improved wifi sim lab

Current wifi capability not able to handle the multiple wifi operating sim equipment in sim lab.

Item 5 6 Computers for mini lab

Current computers were purchased with C6 grant funding in 2012 and need upgrading.

Item 6 Classroom projectors X 4

Smart board projectors. Current ceiling mounted projector projections are poor quality (blurry and faint). Students often have to stand up to look over the heads of the other students in order to see what is towards the bottom 1/3 of the screen.

Item 7 Computers for faculty

2 new computers needed for COF faculty and future full time tenured faculty.

FACILITIES REQUEST

Use this section to list any facilities needs for your program. It is not necessary to put a price on these items; that will be done by the Maintenance & Operations department. If you have more than two facilities needs, add rows below. Facilities Need Justification

Item 1 Health Careers Building with Sim/skills lab

Division located in temporary classrooms since 2003. Additional sim lab, located in the CTE building, was added in 2010. There remains insufficient space for all the required simulation and skills equipment. Equipment and supplies are stored in both existing sim and skills lab and classrooms and various closets throughout the Health Careers buildings. One centralized space for all equipment and supplies is needed to improve the quality and effectiveness of human patient simulation. Measure J bond has passed with goal of new building in the next 3-5 years.

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PORTERVILLE COLLEGE ANNUAL PROGRAM REVIEW UPDATE & BUDGET WORKSHEET

Name of Division/Program: Health Careers Contact Person: Lupe Guillen

Student Learning Outcomes/Service Area Outcomes: Are there any changes to your SLOs or SAOs since your last Program Review? No. X Yes. Attach Explanation.

Goals : Are there any changes to your department’s Goals since your last Program Review? X No since last program update Yes. Attach Explanation.

Staffing: Are there any Staffing changes or new requests since your last Program Review? _____ No. X Yes. Attach Explanation.

Technology: Are there any Technology changes or new requests since your last Program Review? ____ No. X Yes. Attach Explanation.

Budget: Are there any changes to your Budget requests since your last Program Review? No. X Yes. Attach Explanation. Sustainability: Are there sustainability issues in your area that needs to be addressed since your last Program Review? No. X Yes. Attach Explanation. Budget Worksheets – see attached STAFFING Explanation Re: Staffing changes to Psychiatric Technician - 512HC3-123900

Late spring 2016 - Local industry partner requested an increase in Psychiatric Technician (PT) enrollment. Additional 30 students admitted fall 2016. Funding for faculty provided by industry partner.

o One temporary Psych Tech instructor contingent on funding COF hired for fall semester. o Two full-time Psychiatric Technician instructor COF positions currently posted.

Explanation Re: Staffing changes to Registered Nursing - 512HC5-123010

Request for New/Replacement Faculty Position: Simulation Coordinator/Nurse Instructor Tenure Track position requested fall 2016.

o Position will meet the sustainability to maintain the Associate Degree of Nursing Program. A one-year temp COF hired January 2016. The COF position currently posted fall 2016 with start date of January 2017. The position is currently funded 50% GU001 and 50% RP126 COF. COF funding for this position is available through spring 2018. Meets 2013-2014 Program

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review goal #2 and program update 2016-2017. BRN cited area of non-compliance spring 2014. [California Code of Regulations Section 1424(d)]

RP119 Grant: Assessment, Remediation, and Retention for Associate Degree (RN) nursing program awarded $114,000 for 2016-2017. Program will submit grant application for 2017-2018. Grant money providing the following funding for staffing.

o Nursing Faculty Advisor for the pre-nursing students 4-8 hours per week. o Part-time Case Manager to identification and referral for early at risk students by students.

Explanation Re: Staffing changes to Health Careers General - 512HC1-120100

Part time Program Technician – categorical funded

o To provide division support related to increase in PT enrollment and RN grant activities.

BUDGET

Explanation Re: Budget changes to Health Careers General - 512HC1-120100 Students from all programs use the mini computer lab. The computer chairs are broken and/or worn out.

Eight replacement (8) chairs needed.

Explanation Re: Budget changes to Registered Nursing - 512HC5-123900123010

RP119 Grant: Assessment, Remediation and Retention for Associate Degree (RN) nursing programs. o In addition to staffing, the $114,000 is being used for faculty development, consultant for major

curriculum revision, simulation software and simulation equipment. Maintenance and replacement of simulation equipment as described in 2013-2014 Program Review Goal

#9. o The $5000.00 is a regular cycle of replacing or repairing simulation equipment (IV pumps,

simulator replacement parts, etc).

TECHNOLOGY

Explanation Re: Technology budget changes to Health Careers General - 512HC1-120100 The electronic medical record is an industry standard. Industry partners continue to request increase

student competency in Electronic Medical Record documentation. o Laptops in the simulation lab would provide opportunity for students to master and demonstrate

competency in electronic medical record documentation during simulation activities. Program review 2013-2014 goal #9 includes development of a plan for medical educational equipment. Development of plan will be in progress to include laptops for Electronic Medical Record documentation spring 2016. No funds available at that time to initiate.

SUSTAINABILITY

See Staffing changes to Registered Nursing - 512HC5-123010

STUDENT LEARNING OUTCOMES

Explanation Re: Budget changes to Registered Nursing - 512HC5-123900123010

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Name of Division: Health Careers Contact Person: Lupe Guillen Submission Date: February 27, 2017

Rev. 11/08 Page 32

Major curriculum revision in progress. All nursing SLOs are under revision will be submitted for approval 2017 with implementation date August 2018.

Supervisor/Dean: Kim Behrens Vice President: Bill Henry

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Name of Division: Health Careers Contact Person: Lupe Guillen Submission Date: February 27, 2017

Rev. 11/08 Page 33

BUDGET REQUEST

Budget Worksheet: Health Careers- General Fund

1000's-3000's Accts

Temporary Labor w/Benefits (student workers, lab aides, etc.) excludes adjunct faculty

Prio

rity

2014/15 Actuals

2015/16 Actuals

2016/17 Actuals

TOTAL 2017/18 Request

Link to California

Core Mission

Statement

Link to PC

Mission Statement

Link to Strategic

Plan Initiative/

Goal #

Justification for Expenditures

1310 Adjunct

1320 Intersession

1330 Overload

Subtotal of Temporary

labor/Benefits -

4000's Accts Supplies, Food, Materials

4310 Inst Supplies & Materials 2

General office supplies for all programs, removed request from all programs. (Files kept for each applicant & for all programs.)

4313 Non-Inst Supplies & Materials 1 1469 3159 1090 5000 2 1,5 1,2,3

Subtotal of Supplies 1,469 3,159 1,190 5,000 5000's Accts

Services, travel, guest speakers, memberships/dues

5220 Employee Travel: Sept/Fall COADN Meeting, Dec/Winter COADN Director Meeting, Fall BRN/COADN Conference, Spring COADN Director Conf, Spring COADN Director & Faculty conference. EMCC meetings; BVNPT director forums; CAPTE confererenc; CCPS meetings

3,297 2,239 6750 6,750 2 1, 2, 3, 4,6 1, 2, 4, 5 Director Mandated meetings. COADN, PT, & EMT.

5230  Food/Meetings  

100 100 2 2 1,5 Health Career Advisory Committee Meetings.

5300 Institutional Dues/Memberships

100 551 700 700 2 1,2,4,5 1,2,3,5

SJV Nurse Educator Consortium Computerized scheduling for clinical placement required by hospitals

5501 Laundry Service

156 393 1000 1000 2 1,4,5 1,2,3,4,5, Laundry services for skills lab & simulation training.

5560 Hazardous Waste Disposal

540 520 810 540 2 1,2,4,5 1,2,3,5 Sharps biohazard waste disposal, necessary for biohazard disposal.

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5820 Postage/Express Overnight Services

418 654 1000 1000 2 1,2 1,5

Postage necessary for notification of acceptance/declination, governing boards, clinical agencies & surveys.

5861 Printing/Duplicating Service 146

Subtotal of Services/Travel 4,512 4,356 10,360 10,090

6000's Accts

Equipment (new or replacement)

6412 Computer/Technology Equip

6414 Furniture 1200 1200 2 2 2

Eight chairs for computer lab, current chairs broken.

Subtotal of Equipment 1,200 1,200

TOTAL OF BUDGET REQUEST 5,981 7,515 12,750 16,290

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Name of Division: Health Careers Contact Person: Lupe Guillen Submission Date: February 27, 2017

Rev. 11/08 Page 35

BUDGET REQUEST

Budget Worksheet: Health Careers-Emergency Medical Technician

1000's-3000's Accts

Temporary Labor w/Benefits (student workers, lab aides, etc.) excludes adjunct faculty

Prio

rity

2014/15 Actuals

2015/16 Actuals

2016/17 Actuals

TOTAL 2017/18 Request

Link to California

Core Mission

Statement

Link to PC

Mission Statement

Link to Strategic

Plan Initiative/

Goal #

Justification for Expenditures

2412 Direct Inst Prof Expt 2779 2412 Direct Inst Prof Expt 1080

2412 Direct Inst Prof Expt 1

780 6533 500 4000 2 1,2,4,5,6 1,2,3,4,5 Skills lab instruction mandated 1:8 instructor to student ratio.

Subtotal of Temporary

labor/Benefits 780 10,391 500 4,000 4000's Accts Supplies, Food, Materials

4310 Inst Supplies & Materials

1

375 116 2000 2 1,2,4,5,6 1,2,3,4,5

Human Patient Simulation supplies used for providing skills & career training.

4313 Non-Instructional Supplies

853 543 943 Non-instructional supplies moved to HC General Fund

Subtotal of Supplies 853 918 1,058 2,000

5000's Accts

Services, travel, guest speakers, memberships/dues

5230 Food/Meetings - - 57 - Subtotal of Services/Travel - - 57 -

6000's Accts

Equipment (new or replacement)

6414 Educational, Medical Equipment Maintenance & replacement

1200 1200 2 1,2,4,5,6 1,2,3,4,5

Maintenance & replacement of simulation equipment used to provide skill & career training.

Subtotal of Equipment 1,200 1,200

TOTAL OF BUDGET REQUEST 1,633 11,309 2,815 7,200

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Name of Division: Health Careers Contact Person: Lupe Guillen Submission Date: February 27, 2017

Rev. 11/08 Page 36

BUDGET REQUEST

Budget Worksheet: Health Careers – Psychiatric Technician

1000's-3000's Accts

Temporary Labor w/Benefits (student workers, lab aides, etc.) excludes adjunct faculty

Prio

rity

2014/15 Actuals

2015/16 Actuals

2016/17 Actuals

TOTAL 2017/18 Request

Link to California

Core Mission

Statement

Link to PC

Mission Statement

Link to Strategic

Plan Initiative/

Goal #

Justification for Expenditures

1311

Academic Emp – Temp Cont – portal to portal

1

128 500 2 1,2,4,5,6 1,2,3,4,5

Portal to Portal travel time to Bakersfield, Visalia, Lindsay, CCA contract.

Subtotal of Temporary

labor/Benefits 128 500

4000's Accts Supplies, Food, Materials

4310 Inst Supplies & Materials

- 2,335 2,000 2,000 2 1,2,4,5,6 1,2,3,4,5 Human Patient Simulation supplies used to provide skills & training.

4313 Non-Inst Supplies & Materials

9 356 451 -

Subtotal of Supplies 9 2,691 2,451 2,000 5000's Accts

Services, travel, guest speakers, memberships/dues

5220 Employee Travel (mileage)

1342 846 3700 2700 2 1,2,4,5,6 1,2,3,4,5 CCA contract, mileage to & out of town clinical sites.

5581 Telephone Services 500 2 1,2,4 1,2 Instructors pagers used in clinical.

5810 Fingerprinting Services

49 2

Subtotal of Services/Travel 1,342 846 3,749 3,200

6000's Accts

Equipment (new or replacement)

6412 Computer/Technology Equip 3639 1000 2 2,5,6 1,2,3,4,5 PT instructor COF

Simulation Equipment, maintenance, & replacement.

1200 2 1,2,4,5,6 1,2,3,4,5

Maintenance & replacement of simulation equipment provided for skills & training.

Subtotal of Equipment 3639 2,200

TOTAL OF BUDGET REQUEST 1,479 7,176 6,200 7,400

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Name of Division: Health Careers Contact Person: Lupe Guillen Submission Date: February 27, 2017

Rev. 11/08 Page 37

BUDGET REQUEST

Budget Worksheet: Health Careers – Registered Nursing

1000's-3000's Accts

Temporary Labor w/Benefits (student workers, lab aides, etc.) excludes adjunct faculty

Prio

rity

2014/15 Actuals

2015/16 Actuals

2016/17 Actuals

TOTAL 2017/18 Request

Link to California

Core Mission

Statement

Link to PC

Mission Statement

Link to Strategic

Plan Initiative/

Goal #

Justification for Expenditures

1311 Acad Emp – Temp Cont – portal to portal

232 144 1000 560 1,2 1,2,3,4,6 1,2,3,4,5

Portal to portal travel time to Visalia, Tule Reservation, Delano & Lindsay. CCA contract

1340 Acad Emp – Inst Non -Cont Stipend/Other

- - 6000 1,2 1,2,3,4,6 1,2,3,4,5

2412 Direct Inst Prof Expt 18,075 11,100 24000 1,2 1,2,3,4,6 1,2,3,4,5

Subtotal of Temporary

labor/Benefits

18,307 11,244 31,000 560

4000's Accts Supplies, Food, Materials

4310 Inst Supplies & Materials – Skills Lab

4000 1,2 1,2,3,4,5,6 1,2,3,4,5

Human Patient Simulation supplies used to provide skills & career training, support quality academic programs, prepare students for transfer to four-year institutions.

4310 Inst Supplies & Materials - textbooks

1636 2500 1000 1,2 1,2,3,4,6 1,2,3,4,5

Reserve textbooks required by BRN for library & skills lab to support quality academic programs.

4313 Non-Inst Supplies & Material

300 1176 1000

Subtotal of Supplies 300 2,812 3,500 5,000

5000's Accts

Services, travel, guest speakers, memberships/dues

5220 Employee Travel - mileage

5178 808 4000 2200 1,2 1,2,3,4,6 1,2,3,4,5 CCA contract; travel to Visalia, Tule Reservation, Delano & Lindsay.

5220

Employee Travel – COADN Spring conference. Simulation 3-day, Simulation Immersion course for new Simulation Coordinator Training.

6000 1,2 1,2,3,4,6 1,2,3,4,5

Training for 3-day Simulation intensive course, $1,500.00 for new SimLab coordinator. CTE faculty development to support quality academic programs and prepare students for transfer and success at a 4 year institution. BRN mandates continuous faculty development and

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to maintain competence in nursing practice and meet quality academic programs. Possible funding RP119 grant.

5230 Food/Meetings

5650

Institutional Dues/Membership: BRN Major Curriculum change, COADN membership, and NCLEX-RN report.

200 2200 1,2 1,2,3,4,6 1,2,3,4,5

$500.00 subscription NCLEX-RN report and $200.00 institutional dues membership COADN. Major curriculum changes to BRN require $1,500.00 fee to be submitted Fall 2017.

5300 Institutional Dues/Membership: CA Simulation Alliance Subscription

- 920 600 350 1,2 1,2,3,4,6 1,2,3,4,5

Simulation Alliance Subscription $350.00 to maintain access to simulation scenarios and pricing discounts to various courses and events. To provide quality academic program in community college instruction.

Subtotal of Services/Travel 5,378 1,728 4,600 10,750

6000's Accts

Equipment (new or replacement)

Educational, Medical Equipment Maintenance and replacement.

4584 5000 1,2 1,2,3,4,6 1,2,3,4,5

Simulation Equipment Replacement. The $5,000.00 is to continue replacement and repair of equipment (IV pumps, simulator replacement parts, etc.) High Fidelity manikins no longer have access to maintenance capabilities. Replacement and upgrade of simulation equipment.

Subtotal of Equipment 4,584 5,000

TOTAL OF BUDGET REQUEST 23,985 20,368 39,100 21,310

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Name of Division: Health Careers Contact Person: Lupe Guillen Submission Date: February 27, 2017

Rev. 11/08 Page 39

SIGNATURE PAGE Below, each person who is involved in the program being reviewed should sign. Your signature indicates that you had the opportunity for input into the program review. At the bottom, the administrator overseeing each program should sign. Name (program participants) ____________________________ ____________________________ ____________________________ ____________________________ ____________________________ ____________________________ ____________________________

____________________________ ____________________________ ____________________________ ____________________________ ____________________________ ____________________________ ____________________________

Area Administrator Signature _________________________________

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PROGRAM STUDENT LEARNING OUTCOMES FOR EMT-C PROGRAM Program Student Learning Outcomes for EMT-C program:

1. Describe and demonstrate the proper patient assessment procedure for medical emergencies, trauma emergencies, airway management, breathing, and circulation interventions

2. Describe and explain the basic anatomy, patho-physiology of common diseases in the pre-hospital setting 3. Describe the role and identify the responsibilities of the EMT-Basic.

Program SLO# Required Course EMT-C #1 I, D, M #2 I, D, M #3 I, D, M

I – Introduce D – Develop M – Master Assessment Cycle: 1st Year 2014 to 2015

2nd Year 2015 to 2016

3rd Year 2016-2017

4th Year 2017-2018

#1 #2 #3 *

1. Program student level outcomes will be assessed each year in a 4 year cycle 2. Each Fall, the previous year’s assessment will be discussed with plans to reassess changes in the next cycle. 3. Criteria for assessment: each instructor will determine assessment tools in each of their courses that will directly assess the

Student Learning Outcomes for that cycle. 4. The instructor will submit to the Director: Percentages of passing the course (70% grade), percentages of receiving the skills

job certificate (80% grade and passing the psychomotor exam), percentages of passing national EMT certification (NREMT), and mastery (90%) of the Student Learning Outcomes.

5. *The fourth and final year in the cycle will be to make any necessary changes to course, program or developmental PLOs; or course outlines for the next cycle.

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PORTERVILLE COLLEGE

“REGISTERED NURSING PROGRAM” MATRIX Program Student Learning Outcomes The Porterville College Associate Degree Nursing Program is designed to prepare graduates to competently transition from student to entry-level Registered Nurse as defined by these roles: Provider of Care, Manager of Care, and Member of the Profession. Upon completion of the program, the graduate shall be able to function as a:

1. Provider of Care – The graduate will provide safe nursing care through therapeutic nursing interventions to clients with critical and complex disease states. The care is characterized by consistent critical thinking and problem-solving skills, clinical competence, accountability, effective communication skills, respect for diverse cultures, with an emphasis on health education and a commitment to the value of caring.

2. Manager of Care – The graduate will provide safe nursing care consistently utilizing critical thinking skills for clients who have critical and complex disease states. The care is characterized by the ability to assess and establish priority of care for a group of clients and delegation of appropriate aspects of nursing care to licensed and unlicensed personnel and directs their activities. The manager of care collaborates with other members of the health care team, including organizational and community resources, using effective oral and written communication skills. The manager of care recognizes roles and responsibilities within the levels of the career ladder and is competent in using technology to provide evidence-based nursing care.

3. Member of Profession – The graduate will consistently demonstrate accountability, advocacy, legal/ethical and caring behavior, and responsibility for one’s own professional growth, behavior, and formal/informal education. The student nurse routinely participates in self-evaluation and makes changes to improve the practice of nursing, with the ultimate goal of making positive contributions to the nursing profession.

Program and Developmental-Level Learning Objectives: First Semester: PROGRAM SLO # ADN Program Semester I - Required Course Course Course Course NURS P120 NURS P121 NURS P122 # 1 I I I # 2 I I I # 3 I I I

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I – Introduce D – Develop M – Master Second Semester: PROGRAM SLO # ADN Program Semester II -Required Course Course Course Course

NURS P123 NURS P124 NURS P127 NURS P170 for LVN to ADN

Students Only # 1 D D D I,D # 2 D D D I,D # 3 D D D I,D

I – Introduce D – Develop M – Master Third Semester: PROGRAM SLO # ADN Program Semester III - Required Course Course Course Course NURS P125 NURS P126 # 1 D D # 2 D D # 3 D D

I – Introduce D – Develop M – Master

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Fourth Semester: PROGRAM SLO # ADN Program Semester IV - Required Course Course Course Course NURS P0128 NURS P129 # 1 M M # 2 M M # 3 M M

I – Introduce D – Develop M – Master PLO Assessment cycle: 1st Year 2018 to 2019

2nd Year 2019 to 2020

3rd Year 2020-2021

4th Year 2021-2022

#1 #2 #3 * 1. Program student level outcomes will be assessed each year in a 4 year cycle 2. Each fall, the previous year’s assessment will be discussed with plans to reassess changes in the next cycle. 3. Criteria for assessment: each instructor will determine assessment tools in each of their courses that will directly assess the

Student Learning Outcomes for that cycle. 4. *The fourth and final year in the cycle will be to make any necessary changes to course, program or developmental PLOs; or

course outlines for the next cycle.

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Porterville College “Psychiatric Technician Program” Matrix

PROGRAM STUDENT LEARNING OUTCOMES The Porterville College Psychiatric Technician Program is designed to prepare graduates to competently transition from student to entry-level Psychiatric Technicians as defined by these roles: Provider of Client Care, Member of Healthcare Team, and Member of Profession. 1. Provider of Client Care: The Psychiatric Technician graduate will be able to provide safe client care by determining and delivering appropriate nursing interventions to clients with intellectual and/or developmental disabilities or psychiatric disorders. The care provided is characterized by the application of consistent critical thinking and problem solving skills, clinical competence within the scope of practice, accountability, therapeutic communication skills, respect for diverse cultures, a commitment to caring, and client education. 2. Member of Healthcare Team The Psychiatric Technician graduate will provide safe and effective client care consistently within the healthcare team. This care is characterized by the ability to establish priorities for clients. The Psychiatric Technician graduate collaborates with other members of the healthcare team including organizational and community resources using effective oral and written communications skills. As a member of the healthcare team, the Psychiatric Technician graduate recognizes roles and responsibilities within the levels of the career ladder and is competent in using technology to provide evidence-based care. 3. Member of Profession The Psychiatric Technician graduate will consistently demonstrate professional accountability, advocacy, an understanding of legal/ethical issues, and responsibility for one’s own professional growth, behavior, and education. The member of profession routinely participates in self-assessment and makes changes to improve their practice with the ultimate goal of making positive contributions to the profession. Program and Developmental-Level Learning Objectives: PROGRAM SLO # Semester I PT Program - Required Course Course Course Course Course Course Course Course PTVN P010A PTVN P010B PTVN P010C PTVN P010D # 1 I I I I # 2 I # 3 I I I

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I – Introduce D – Develop M - Master PROGRAM SLO #

Semester II PT Program - Required

Course Course Course Course Course Course Course Course PSYT

P020A PSYT P020B

PSYT P020C

PSYT P020D

PSYT P020E

PSYT P020F

# 1 I,D D I,D D D,M D,M # 2 I,D D I,D D D,M D,M # 3 I,D D I,D D D,M D,M

I – Introduce D – Develop M – Master PROGRAM SLO #

Semester III PT Program - Required

Course Course Course Course Course Course Course Course PSYT

P030A PSYT P030B

PSYT P030C

PSYT P030D

PSYT P030E

PSYT P030F

# 1 I,D I,D D,M D,M D,M D,M # 2 I,D I,D D,M D,M D,M D,M # 3 I,D I,D D,M D,M D,M D,M

I – Introduce D – Develop M – Master

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PLO Assessment cycle: 1st Year 2017 to 2018

2nd Year 2018 to 2019

3rd Year 2019-2020

4th Year 2020-2021

#1 #2 #3 * 1. Program student level outcomes will be assessed each year in a 4 year cycle 2. Each fall, the previous year’s assessment will be discussed with plans to reassess changes in the next cycle. 3. Criteria for assessment: each instructor will determine assessment tools in each of their courses that will directly assess the

Student Learning Outcomes for that cycle. 4. *The fourth and final year in the cycle will be to make any necessary changes to course, program or developmental PLOs; or

course outlines for the next cycle.

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Student Learning Outcomes Assessment Timeline – Health Careers Division

SLOs for the Health Careers Division will be assessed in a 4-year cycle: 2018-2019 2019-2020 2020-2021 2021-2022 Course EMT-C - P050 SLO # 1 SLO #2 SLO #3 * NURS P100 * SLO #1 SLO #2 SLO #3 NURS P120 * SLO #1, #2, #3 * * NURS P121 * SLO #1, #2, #3 * * NURS P 122 SLO # 1 SLO #2 SLO #3 SLO #4, #5 NURS P123 * SLO #1, #2, #3 * * NURS P124 SLO # 1 SLO #2 SLO #3 * NURS P125 SLO # 1 SLO #2 SLO #3 * NURS P126 SLO # 1 SLO #2 SLO #3 * NURS P127 SLO # 1 SLO #2 SLO #3 * NURS P128 SLO # 1 SLO #2 SLO #3 * NURS P129 * SLO #1, #2, #3 * * NURS P170 * SLO #1 SLO #2 SLO #3 NURS P110 SLO # 2 SLO #3 SLO#4 SLO #1 2018-2019 2019-2020 2020-2021 2021-2022 Course PTVN P009 SLO #2 SLO #3 SLO #1 * PTVN P010A SLO #1 SLO #2 SLO #3 SLO #4 PTVN P010B * SLO #3 SLO #2 SLO #1 PTVN P010C * SLO #1 SLO #2 SLO #3 PTVN P010D SLO #4, #5 SLO# 1 SLO #2 SLO #3

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2018-2019 2019-2020 2020-2021 2021-2022 Course PSYT P020A SLO #1, #6 SLO #2, #5 SLO #3 SLO #4 PSYT P020B * SLO #1, #2, #3, #4, #5 * * PSYT P020C SLO #3 * SLO #1, #2, #4 * PSYT P020D * SLO #1 SLO #2 SLO #3 PSYT P020E * SLO #3 SLO #2 SLO #1 PSYT P020F SLO #4 SLO #5 SLO# 1 SLO #2, #3 PSYT P030A SLO # 1, #2 * * SLO #3, #4 PSYT P030B * * * SLO #1, #2, #3, #4 PSYT P030C SLO #1, #2, #3 * * * PSYT P030D * SLO #1, #2, #3 * * PSYT P030E SLO # 1 * SLO #2,# 3 * PSYT P030F * * SLO #1, #2, #3, #4 *

PTVN 009– NURSING FUNDAMENTALS CONCEPTS

Student Learning Outcomes for PTVN 009 – Nursing Fundamentals Concepts: 1. Use and dissect correct medical terminology related to each body system. 2. Perform basic mathematical operations and dimensional analysis necessary for medication dosage calculations. 3. Identify and describe important concepts related to the nursing process.

SLO # PTVN 009 - Required Course

# 1 I, D, M # 2 I, D, M # 3 I, D, M

I – Introduce D – Develop M - Master

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NURSING P100 – STRATEGIES FOR SUCCESS Student Learning Outcomes for Nursing P100 – Strategies for Success

1. Describe the skills necessary to meet the performance standard associated with the Nursing Program. 2. Discuss various nursing career pathways. 3. Develop an education plan that leads to a nursing career or educational goal.

SLO # Nursing P100 - Required Course

# 1 I, D, M # 2 I, D, M # 3 I, D, M

I – Introduce D – Develop M - Master

NURSING P110 – PATHOPHYSIOLOGY Student Learning Outcomes for Nursing P110 – Pathophysiology

1. Identify and describe common pathophysiological processes and functions of major body systems and organ involvement. 2. Identify and describe the etiology, pathogenesis, diagnosis, and treatment of high incident pathological conditions. 3. Identify current treatments for selected diseases and explain the mechanisms by which these treatments work. 4. Correlate clinically significant phenomena and diagnostic studies/findings with underlying pathophysiology.

SLO # Nursing P110 - Required Course

# 1 I, D, M # 2 I, D, M # 3 I, D, M #4 I, D, M

I – Introduce D – Develop M - Master