Committee Meetings and Minutes

Administrative Login

Nursing Advisory Committee

Meeting Minutes

Current Status of Minutes: Final
Date	April 7, 2017
Time	8:30 AM - 10:30 AM
Location	Eastview Campus

Members Present
No member attendance has been recorded.
Guests Present
Dr. Carol Gaskamp

Item # 1:	Approval of Agenda
Presenter	Toni Rowin
Discussion	Toni Rowin called the meeting to order and asked for introductions of all members present. T. Rowin began the meeting with a reflection called the Optimist Creed by Christian D. Larson N. Walters motion to approve the agenda. Second by S. Foster, approved by general consent.

Item # 2:	Approval of meeting minutes from April 2016
Presenter	Toni Rowin
Discussion	Minutes from the April 2016 meeting where sent out via email to the committee members for review. They were approved by S. McCrary-Marshall with correction, second by L. Dickson

Item # 3:	Clinical Facility Updates
Presenter	Committee Members
Discussion	Acute Care: Seton: S. Foster reported that Seton would be moving patients from Brackenridge to the new facility starting May 21st. May 13th there will be an Open to the Public Preview of the new facility (Dell Seton Medical Center). S. Foster will contact faculty/instructors to invite them to work a shift or two at the new facility to familiarize themselves with the building and equipment, before the opening and bringing students. The new hospital, has 13 OR suites, several with video capabilities and 211 patient suites. Sally Foster reported Seton would be building a new facility in Bastrop. T. Rowin reported construction is set to begin July 2017 on the new Dell Children’s Medical Center Child and Adolescent Mental Health unit, which is scheduled to open February 2018. Child & Adolescent Mental Health care will be moved from Seton Shoal Creek to Dell Children’s Medical Center when opened. Dell Children’s Pediatric Emergency Services is expanding. Pediatric emergency care is now available at Seton Medical Center-Hays in Kyle, and Seton Northwest. Very soon, it will be available at Providence in Waco, Seton Southwest. Patient will receive the same great care, using the same protocols. Jesus Garza current CCO will be retiring August 1st, Interviews will begin soon. ---------------- St. David’s: No representation present. --------------- Central Texas Medical Center: P. Foster reported on April 18th CTMC will be hosting its Health Check for San Marcos, it is a city wide health fair. Parker Pridgen is the new CFO at CTMC in San Marcos. CTMC is in the process of updating the MRI Suite. A Senior Care Mental Health unit will open on the fourth floor, later this month. CTMC’s New Home Health Director will be starting soon; the person taking the position will be named in the coming days. ----------------- Scott and White: No Representation present. ----------------- Long Term Care Agencies: Kevin Blue - Westminster – Updating policies CMS developed the final rule starting in 2016. It started with a change of definition regarding LBGT community, different types of abuse, definitions all changed. It has been an educational process for our nurses to incorporate that in notes/documentation. You have representative now as oppose to PLAs or something like that. So their changing the definitions, changing the way we document, changing the way we interact. Antibiotic stewardship emphasizing reducing the use of antibiotics is a goal. The agency has reduced antibiotic use by about 43%. A lot of it was physician interaction, interaction with the hospitals, as far as letting them know that and asking can we get the patients on something PO rather than IV, can we reduce the amount of time we give them the antibiotics. New rules that we are working on right now which are going to go into effect November 2017, incorporating true IVT in every aspect of care. We are even including EVS, dietary. CNAs are even a part of the IDT (interdisciplinary) teams. With the new CMS rules, CNAs are a part of that. Therefore, they really made that an all-inclusive care plan. -------------- Cheryl Johnson – Buckner Villa (BV) – One of the things BV has done recently is institute a UTI protocol, and in doing that, we are watching for signs and symptoms, doing vital signs. We have reduces and had no UTI in December, and January. Buckner Villa’s will be adding 60 independent living apartments that will be ready next fall. We have also reduced dementia beds from 40 to 20. Administration did a sample testing’s and were not seeing an influx of dementia patients. Therefore, the decision was made to add 20 assisted living beds, which is a huge need for at this time. We are going to make these 20 assisted living beds economical for the patients because there has been such a need in the community. I am in the process of transitioning to the Corporate Office I am not sure who will replace me. ----------------- Rehabilitation Hospitals: No representation present. ----------------- Austin State Hospital: No representation present. ---------------- Community: Austin Diagnostic Clinic: Ani Aroian Clinical Supervisor- No report at this time. ------------------- UT Austin: L. Carpenter introducing Carol Gaskamp as her replacement. UT Nursing is housed on a beautiful street now that construction has finished. Recruiting for the ADN to BSN program is currently underway. We need to strengthen that pool. UT-Nursing will have our last group of baccalaureate students’ former/old curriculum graduating next fall. In addition, the first group of students graduating from the four-year plan in May 2018. The students have done extremely well. Attrition has not been significant. UT Austin has established a DNP program; you will start to see those students in the community very soon. Recently, went through our Accreditation for DNP program. The final report is expected to be received in l October. The site visitors were extraordinarily complimentary, commenting the program appears exemplary. The expectation is the program will be fully accredited, and the students will graduate from an accredited program.

Item # 4:	College Update
Presenter	Pat Recek
Discussion	P. Recek introduced the new Associate Vice President for Workforce at ACC, Dr. Gretchen Reihl. P. Recek presented a certificate to Linda Carpenter for her years of service to the Advisory Committee. Introduction of Spanish Conversation course flyer for the committee to share with others that may be interested. Seton is a partner in an innovative grant with AISD through the TEA for Early College high schools; this grant allows students to graduate from HS with an associate degree. In the past, those degrees have been General Studies in Arts. Last year as we move to the Area of Studies we created an Associate of Science, General Studies of Science, Pre Health Science degree plan, which is transferable. However, the degree plan creates the opportunity for any of those students to take all pre-requites and co-requites for any of our Health Sciences program. Another innovative grant that AISD has created for Early College Pre Health Sciences Associate Degree will allow LBJ students to graduate with an AD in addition to their high school diploma. Seton is collaborating with high school students to have some shadowing and mentoring while they are in school that relates to Health Sciences. We are hoping to get quality graduates. Three years ago, we began a program called the Health Science Academy with Del Valle and Atkins High Schools. During the fall of their senior year, the students will take Medical Terminology, Student Success course and in the spring they will take Phlebotomy, finish their practicum in the summer, and they finish with certification in Phlebotomy. When they graduate, they can get a job or transfer those skills to another program. We are planning to expand this program next year to all Austin high schools but most students that are applying are probably those that transportation wise can get their students to Eastview in a reasonable time frame in the afternoon baring Austin traffic. However, it is open to all Austin ISD students and Del Valle. We just received the list of students, currently there are about 150 applicants for this program, who will be going to Phlebotomy, EMT, and Pharmacy Technician. ACC has acquired a building at the corner of MLK and Springdale Rd. It will be leased for a small fee for the next 50 years. It will be renovated , and we will have a separate bldg. for the classroom components of those three programs. The labs for Phlebotomy and EMT basic will be held at the academy site. The Pharmacy Tech program is two years. Due to the extensive equipment, required Pharmacy Tech labs will be held at EVC.

Item # 5:	Associate Degree Nursing Report
Presenter	Laurie Dickson
Discussion	Discussion: I. Program Data A. Enrollment Spring 2017= 532 Current Enrollment Level I Level II Level III Level IV Mobility Total 152 124 115 108 25 524 Enrollment increase- B. Graduates Fall 2016 = 103 Spring 2017 (Anticipated) = 108 Summer 2017 (Anticipated)= 25 C. NCLEX Pass Rate Results RN Year: October 1-September 30 2016= 95.00% (228/240) 2015 =95.37% (247/259) 2014 =94.37% (201/213) 2013 =90.80% (237/261) II. Curriculum Updates: • The ADN program will be adding a management course to Mobility to be in line with traditional program. We have realigned the traditional degree plan to meet the 60 credit requirement for an associate degree. RNSG 2130 was removed from the degree plan which was a graduation requirement and the management course went from 2 credits(RNSG 2221) hours to 1 credit hour course RNSG 2121. RNSG 2130 will remained in Mobility until the end of this cohort in Summer 2017 and their management is currently integrated into the second semester Med. Surg. Course. Leadership as a separate really is aligning it with the traditional track and clarifying the content. • Simulation hours have increased across levels The ADN Program received another simulation grant in addition to the one we were previously given. This grant required us to increase our simulation hours. We are planning a simulation day for pediatrics; the students will have a full day of lab and simulation each semester. The ADN Program currently counts simulation hours 1 to 1 (simulation to clinical) as simulation is very structured and compact. It is a condensed clinical day. Many schools count simulation 2 hours clinical for each hour of simulation since minimal non-productive time exists. There data to support the formula. Moving to two (2) to one (1) will be discussed by faculty and administration in future meetings. III. Faculty Updates • Positions Currently Posted for Fall- Level 1, mobility, department chair, likely mental health IV. Other Credit for hero grant- N. Walters reported that the program would have two (2) students ready to enter in August. The ADN Program received the grant in March 2016 but was May before the meeting with the Texas Workforce Commission was held. I anticipated we might not have students ready to enter until fall of 2018. We understand that two does sound like many students, but in speaking to other programs, they started out very slowly in the beginning and then the numbers increased. The Educational Transition Officer came from Fort Hood and visited with all of our Health Sciences Programs. I was also able to make contact with Camp Mabry because they have a medical group there and they were talking with the soldiers and letting them know as well. Army Combat Medics, Air force Medics, and Navy Coremen trained and/or served in the previous ten years are eligible to apply for the mobility program Simulation grant- We had a grant previously that help us create more simulation space. This grant will allow the increase of Level 1-simulation hours, 12 addition hours. Level 1 students will have a full day in simulation and count as a full day of clinical, and four (4) hours will be added to another day. ACC Health Sciences including the Nursing Department will be having a multi-disciplinary simulation with level four (4) students. The EMSP students will bring patients into the simulation from a car accident with a grandmother and child. They will be assessed, go to radiology, surgery, and additional disciplines are expected to be involved in their care. The ADN program has a simulation team now. They are getting training and hands on instructions from our simulation coordinators. In August, they will go to Drexel University in Philadelphia for one week of intensive simulation. One person from each level, on each campus will attend. This is possible due to the award of a $200,000.00 Nursing Innovation Grant from THECB. Diversity grant- ACC-ADN Program applied for a 2 million dollar grant over four years. The good thing about this grant is that it does provided stipends for students, more tutoring for students’ at the early levels. We will hear about that in July. This has the potential to be a huge asset to our students and the program. RN to BSN- Waiting to hear. ACEN Accreditation- Site visitors came at the end September, the visit went well. We are currently waiting for the formal report.

Item # 6:	Vocational Nursing Report
Presenter	Sandra McCrary-Marshall
Discussion	Discussion: Current Enrollment: COHORT Level 1 Level 2 Level 3 Total By Campus EVC 42 32 0 74 Graduates: Fall 2015-24 (24 of the 24 graduates passed the NCLEX-PN on their first attempt) Spring 2016-20 (19 of the 20 graduates passed the NCLEX-PN on their first attempt) Summer 2016-24 (23 of the 24 graduates passed the NCLEX-PN on their first attempt) Fall 2016-28 (23 of the 28 graduates have passed the NCLEX-PN on their first attempt) Summer 2017-32 (Anticipated) PN NLCEX Pass Rates: Year End Report 2013 (January 1, 2013-December 31, 2013) = 94.55% Year End Report 2014 (January 1, 2014-December 31, 2014) =98.28% Year End Report 2015 (January 1, 2015-December 31, 2015) =100.00% Year End Report 2016 (January 1, 2016-December 31, 2016) = 95.59% Curriculum: • The program continues to implement simulation within the curriculum. Areas of content include Medical-Surgical nursing, Pediatrics and Obstetrics. Feedback from students reflects knowledge of positive learning experience. New Curriculum -3-Semesters Hours of Simulation/# of Clinical Hours % of Simulation I 16/256 6% II 32/288 11% III 40/304 13% Total 88/848 10% Total Program • Feedback on the student evaluations of the clinical sites continues to be positive. • The program continues to expand into non-acute care sites: Clinics, doctor’s offices, schools, correctional facilities, and rehabilitation units. The VNG program implemented new 3-semester curriculum began Fall 2015. Main objectives accomplished with new curriculum:  program length is shorter  course offerings maintains alignment with national standards while still allowing attainment of SLOs and program outcomes,  Compliance with both the BON and the ACEN. (Accrediting Commission for Education in Nursing, Inc.) New Curriculum o 43 Semester Credits o Program length – 3 semesters o TX BON=Contact Hours: compliance with the Board of Nursing requirements for the minimum contact hours for theory and clinical in a VN program. (Theory 558, minimum clinical 840 hrs.) o Comply with the Accrediting Commission for Education in Nursing, INC (ACEN) standards that state program length must be consistent with the policies of the governing organization, state and national standards, and best practice. See attached current degree plan. (Green Sheet) NEW-3 Semester Degree Plan Changes implemented in the new revised curriculum included: • Addition Human Anatomy and pharmacology in the first two semesters with nursing courses; these courses could be taken ahead of time and included as part of the “ranking” formula • Adding a differentiated test (ATI-TEAS 5) as part of “ranking” for admission. • Additional Nursing Courses: Gerontology, Nutrition, and Growth and Development. 3-semesters- Considerations/Concerns 1. Faculty main concern - student retention. (Program will be very rigorous) - 2. Shorter program does allow for student to more rapidly progress to ADN or BSN program. 3. Students are out into the workforce earlier. Future Vision: • Military Articulation • Evening and weekend program • High School to LVN

Item # 7:	Health Professions Institute/Continuing Education
Presenter	Barbara Hadley
Discussion	The Nurse Re-Entry Program is designed to meet the needs of nurses who are required by the Texas Board of Nursing to complete a Refresher Course. For a variety of reasons, some nurses take only one or two of the courses in the program. During the calendar year of 2016, there were 73 professional nurses who completed the 128 hour didactic on line course for Registered Nurses. Sixteen of these RNs were taking the course through the Virtual College of Texas (VCT). There were 32 LVNs completing the on line course for vocational nurses. Twelve of these nurses were students through the VCT. Our 16 hour Skills Review, which is held at the discretion of the faculty at the ACC Eastview clinical campus, was attended by 45 nurses. Only eight nurses completed our 80-hour preceptorship course. Most nurses who needed preceptorships were provided with assistance in completing the paperwork for individually contracted preceptorships.

Item # 8:	New Business
Presenter	Toni Rowin
Discussion	No new business reported.

Item # 9:	Next Meeting
Presenter	Toni Rowin
Discussion	April 6, 2018

Austin Community College
5930 Middle Fiskville Rd.
Austin, Texas 78752-4390
512.223.4ACC (4222)