Committee Meetings and Minutes

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Nursing Advisory Committee

Meeting Minutes

Current Status of Minutes: Final
Date	April 7, 2018
Time	8:30 AM - 10:30 AM
Location	Eastview Campus

Members Present
Nina Almasy, Ramon Austria, Pamela Foster, Sally Foster, Dr. Carol Gaskamp, Sandra McCrary-Marshall, Patricia Recek, Antoinette Rowin, Nancy Walters, Lilian Yamoah, Alice Yuan
Guests Present
No guest attendance has been recorded.

Item # 1:	Meeting Called to Order
Presenter	Toni Rowin
Discussion	Committee Chair, Toni Roman called the meeting to order with a reflection by Ralph Marston “Let Your Effort Flow”. T. Roman asked for introductions of all members present. Approval of Agenda Sandra McCrary-Marshall / Nancy Walters

Item # 2:	Approval of Minutes from the April 2017 meeting
Presenter	Toni Rowin
Discussion	Minutes approved by Nancy Walters, seconded by Pamela Foster with one correction.

Item # 3:	Clinical Facilities Updates
Presenter	All Members
Discussion	Acute Care: Seton: T. Roman encourage members to visit the new facility. Looking to add new services always. Yvonne Van Dyke has announce that she will be retiring at the end of April. Seton Family of Health is now Ascension Health. Ascension is developing an integrated clinic professional development team that will work across the entire Ascension ministry. The Adolescent Hall is closet to opening. Neonatal facility are going to go up on new electric health records system. They are in the mist of writing their self-study report for RN residents. Anticipate to hire a 120ish new graduates and our fellowships which is the program for nurses transitioning from one specialty to another. Or it is also helpful for those that are returning into nursing. We expect to hire 40 to 45 for that program. St. David’s: A. Yung continues to expand. South Austin is continuing to expand the residents department. New Leander facility open last Fall. They are now just an emergency department. With plans to expand in to a full hospital. St. David’s just acquired ADC, and will be working on expanding access to primary care, multi-specialty care. They are working on that transition now. Plan to hire 140 RN residents for the June-July cohort. In the last phases of their EBCD upgrade. Central Texas Medical Center: P. Foster reports that CTMC receive a HIMS (Healthcare Information and Management Systems Society) award. CTMC is a part of the Adventist Health System. They are looking at doing more standardization across the US. They are introducing a new patient care model, which is going to radically change the culture in the different establishments. It is a holistic patient care experience. They are looking at whole care that is affordable, coordinated and viable. We still don’t know what all of the parts look like, but we are really trying to make it a connected experience, so we are partnering with our patient once they have stepped in the door, until their last breath. Scott and White: N/A Long Term Care Agencies: Speaking: Julie Cervantes with Buckner Villas Facility (Administrator: Michael Foley and Assistant Director of nursing: Laura Barkley). She reports that they have recently opened a new independent living facility. Their economical assisted living is full; they have one room left, she believes. Memory Care unit is also thriving; nearly full. They shut down one of the wings of their long term care facility but they have been progressively growing their patients again and are hoping to get that opened again. Kevin opens with reminding everyone of the changes with the CMS rules that were discussed in the last meeting. Part 2 of that was implemented in October of 2017. It changed the survey process for long term care. Our latest survey concentrates a lot on the antibiotics stewardship programs. It used to be that they come in and interview you now they come in and interview the people that are living there. They spend 2 days doing nothing but that, turn around and then interview you and talk with you after they have interviewed residents. So kind of a different system; really concentrating on a lot of changes that CMS has implemented. We have one more change coming up in 2019. We are currently looking at expanding. We’re working with the city. We are going to be partnered up with The Grove; they want to charge us about the same cost that it would be build a new buy. So we are just looking at working with the city to expand with opening up another 30 beds for memory care, another 60 beds for AL and of course another 3 independent living on top of that. Rehabilitation Hospitals: Lauren Brandt with Southern Texas Rehab – internally we work on our orientation process and onboarding. I think that has really improved our process; we are actively hiring. We also work with Kindred as our parent company; kind of looking more towards standardization of different standards of care; being able to pull resources a little bit. Before the facilities were a little stand-alone-ish but now we are kind of combining more regionally so we get best practices across the board. That has been very beneficial. We partner with Seton; through the expansion of programs we are looking at brining on burn patients who need the rehab process, as well. It’s kind of a tricky population so we are doing a lot of education for that. And then this year is kind of the year of certification. We did our “inaudible” certification at the end of last year, we’re doing our spinal cord injury in July and going for our “inaudible”, which is specific to rehab facilities, in October. So we are on constant survey readiness mode. Vibra Roman - Speaker says he’s been there for a little over a year now – still learning the rehab process. We are also on our certifications. We got our Stroke certification this year from Joint Commission. “Inaudible” is coming we also have our “inaudible” survey last October, so that’s done now. From a nursing standpoint, being an outside set of eyes; there are a lot of thing we are working on. We have a lot of nurses who are new – a lot of nurses who are from a nursing home, from a skilled nursing facility, a lot of nurses who are from home health, so the skill mix we are really trying to improve. Lots of education, we are pushing CRRNs. We’ve hired a specific educator for nursing to improve the orientation and those kinds of things. We are also working on a dialysis program, we’re ready to take “inaudible”, we are not quite ready to take chemo yet because our machines aren’t ready, but we are getting there. ER night shift program is very strong. If you have ER patients that are Rehab potential then you can send them to us. We have an on call liaison all time so we can do that. We changed our staffing matrix. We’re going from numbers, to . Working beautifully. The nurses are a lot happier. They are not over worked. Its working beautifully plus the students are there so that helps. Austin State Hospital:N/A Community: Austin Diagnostic Clinic: Travis county sheriff county UT Austin

Item # 4:	College Update
Presenter	Pat Recek
Discussion

Item # 5:	Vocational Nursing Program
Presenter	Sandra McCrary Marshall
Discussion	Current Enrollment: COHORT Level 1 Level 2 Level 3 Total By Campus EVC 47 23 0 70 PN NLCEX Pass Rates: Year End Report 2015 (January 1, 2015-December 31, 2015) =100.00% Year End Report 2016 (January 1, 2016-December 31, 2016) = 95.59% Year End Report 2017 (January 1, 2017-December 31, 2017) = 92.31% Curriculum: • The program continues to increase simulation within the curriculum. Areas of content include Medical-Surgical nursing, Pediatrics and Obstetrics. We are beginning to incorporate Mental Health simulations. Feedback from students, continue to reflect knowledge of positive learning experience. New Curriculum -3-Semesters Hours of Simulation/# of Clinical, and Lab 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 a new 3-semester curriculum beginning Fall 2015. Four cohort classes have completed the 3 semester curriculum Completion of program first attempt Admissions Graduated Admitted/Completed NCLEX 1st Attempt F -215 32 216U 21 FA15 – SU16 32 / 21 SU16 – 21 / 21 S- 216 45 216F 24 SP16 – FA16 45 / 24 FA16 – 24 / 23 F- 216 37 217U 21 FA16 – SU17 37 / 21 SU17 – 21 / 20 S- 217 40 217F 24 SP17 – FA17 40 / 24 FA17 – 24 / pending Statistical analysis reveals successful program completion is correlated with ATI TEAS scores of > 50. Most students that are unsuccessful completing the program scored less than 50 on the ATI-TEAS. The VNG program proposed new 5-semester Evening/Weekend curriculum Target implementation - Fall 2019. Main objectives to accomplish with new 5-semester curriculum:  Allowing accessibility into the Vocational Nursing Program for students who cannot attend a day program.  Course offerings maintains o Aligned with program SLOs and outcomes, o Compliance with both the BON and the ACEN. (Accrediting Commission for Education in Nursing, Inc.) o Aligned with National Standards Evening/Weekend Curriculum o 43 Semester Credits o Program length – 5 semesters (not including pre-requisites 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.) This number will change with the new Board rules for contact hours requirement for vocational nursing programs. 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 for part-time programs. See attached 5 semester Evening/Weekend degree plan. (White Sheet) Survey Results: Overall there is strong interest, a desire to have the program as a mix of evening & weekend A slight preference to have lecture online verses face-to-face, Anticipated hours to consider based on survey: About 10 hours per week for attending lecture, lab & clinical, About 12 hours per weekend for lecture, lab & clinical, and About 8 hours per week to study. See attached survey results (Pink Sheet) NEW-5 Semester Evening/Weekend/ Degree Plan Changes implemented in the 5 semester Evening/Weekend curriculum included: • Addition: Human Anatomy & Physiology and Pharmacology must be taken prior to admission into the program. Scores on these courses will be taken ahead of time and will be included as part of the “ranking” formula • Required score on the differentiated test (ATI-TEAS for Nursing) as part of “ranking” for admission. 5-semesters- Evening/Weekend Considerations/Concerns 1. Faculty main concern - student retention. (Program will be very rigorous for students who are working full time jobs). 2. Faculty will review a different admission criteria for selection of good qualified potential students. ACEN – update from Site Visit- Oct. 18-20, 2016. Site Visitor’s Report – All 6 Standards was met. Areas needing development -1. Retention 2. Graduates and Employee survey return rate Evaluation Review Panel – January 2017- Recommended the approval of all 6 Standards being met. Areas needing development -1. Retention 2. Graduates and Employee survey return rate Commission Accreditation decision – March 10, 2017- Board of Commissioners granted continuing accreditation the practical nursing program and scheduled the next evaluation visit for Fall 20124. Areas Needing Development Standard 3 Students, Criterion 3.6 Ensure institutional strategies are implemented to address the default rate. Standard 6 Outcomes, Criterion 6.4.2 Develop and implement strategies to improve the program completion rate.

Item # 6:	Associate Degree Nursing Program
Presenter	Nina Almasy
Discussion	I. New Professional Nursing Department Chair Introduction/Asst. Department Chairs Nina Almasy, DNP, RN, CNE ADN Department Chair nalmasy@austincc.edu Sarai Czap, MSN, RN Asst. DC-RR sarai.czap@austincc.edu John Nation, MSN, RN Asst. DC-CEC jnation@austincc.edu Amy Simons, MSN, RN Asst. DC-EVC amy.simons@austincc.edu II. Program Data A. Enrollment Spring 2018 Enrollment Total = 584 Current Enrollment Breakdown: Level I Level II Level III Level IV Mobility Total 156 126 150 122 30 584 B. Graduates Fall 2017 = 99 Spring 2018 (Anticipated) = 122 Summer 2018 (Anticipated) = 31 C. NCLEX Pass Rate Results RN Year: October 1-September 30 2017= 89.87% (204/227)* 2016= 95.00% (228/240) 2015 =95.37% (247/259) 2014 =94.37% (201/213) 2013 = 90.80% (237/261) *Action plan: A program self-analysis was conducted in Fall 2017. Faculty workshops identified curricular and program factors and possible strategies to improve NCLEX pass rates. D. Curriculum Updates: • RN to BSN Proposed Program o ACC RN to BSN task force o RN to BSN advisory committee o ACC Curriculum and Programs Committee approval of curriculum and degree plan on Nov. 17, 2017 o The ACC Board of Trustees approval on Dec. 4. o RN to BSN proposal submitted our proposal to the Texas Higher Education Coordinating Board on Dec. 21. o RN to BSN proposal submitted to the Texas Board of Nursing on 2/2/18 , approved on 2/20 o The College submitted its application for a level change to the college accreditor, SACSCOC on 3/9/18 by March 15 to be eligible for a June review. o Submitted and received eligibility for Candidacy to ACEN (our nursing accreditor) on 3/28 • ADN program update: o No major curricular change o Student survey results of clinical sites • Department name change E. Faculty Updates • Positions Currently Posted • New Clinical Coordinator-Leona Gamarl, MSN, RN-ADN Faculty F. Other

Item # 7:	New Business
Presenter	Toni Rowin
Discussion	No New Business

Item # 8:	Announcements
Presenter	Toni Rowin
Discussion	No Announcements

Item # 9:	Next Meeting
Presenter	Toni Rowin
Discussion	Next meeting is schedule for May 3, 2019

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