Ana Todd, Debra Brigance, Jennifer Rigsby, John Nation, Karen Cooper, Karen Hamlett, Kristin Milliorn, Laurie Dillon, Lizbeth Mahoney, Nina Almasy, Sandra McCrary-Marshall, Stephanie Creech, Suzy Sprott, Terrie Hairston, Toni Swinton, Victoria Bailey
Item # 1:
Call to order/Approval of agenda
Presenter
Terrie Hairston
Discussion
Ms. Hairston motioned for approval of the agenda, seconded by Sandra McCrary-Marshall, approved by general consent of all members present.
Item # 2:
Approval of minutes
Presenter
Terrie Hairston
Discussion
Ms. Hairston motioned for approval of the minutes from the November 2020 meeting. J. Nation seconded. Approved as written by general consent of all members present.
Item # 3:
Introductions/Overview
Presenter
Terrie Hairston
Discussion
Ms. Hairston requested in order to save time that all members present place their name and agency in the chat box.
Item # 4:
Clinical Facilities Update
Presenter
All Members
Discussion
Acute Care:
Ascension/Seton – Ms. Hairston reported that Ascension is still hiring LVN’s and will be looking to hire more. She reported that several of the students they hired in their last residency program did not pass the NCLEX. Ascension had offered them a NCLEX Review course and they are waiting to see if it made a difference in their results.
The Leadership is looking at ways to increase the learning opportunities for students, we have created a nursing student intern program to allow them more hands on experiences. In addition, Ascension will be offering our RN residence program for new hires staring this May.
Ascension is currently expanding its footprint in several places, we are opening a new tower at Dell Children’s along with our new north Austin location.
St. David’s Healthcare – Suzy Sprott reported that St. David’s is working to increase the number of students they can host in all of its units and locations. Trying to meet the needs of the community.
St. David’s NEW COVID 19 verification process will be rolling out soon. We are working very hard to make this a much easier process for our academic partners.
In addition, St. David’s is starting a pilot program to allow LVN student back into our care model.
Christus Santa Rosa Hospital -No Representation
Baylor Scott and While – Debra Brigance reported that BSW is currently accepting students in all of its facilities. The biggest issue they are experiencing at the moment is not having enough preceptors to fill the demand of the one on one model. We are working to develop a full semester rotation within OR for students. BSW is currently hiring LVN’s into our Acute Care practice, we would like to invite additional student rotations.
Long Term Care Agencies- No representation
Rehabilitation Hospitals- No Representation
Ambulatory Care/Clinic- Victoria Bailey from Austin Public Health reported that their clinics have continued to work with the RN-to-BSN program to offer clinical experiences. The students helped to create an immunization tool for COVID. Professor Kelle Howard and her students did a great presentation for training of students in the Austin Public School Health Science programs.
T. Hairston asked if the opportunity was opened for Austin Public Health to take offer more clinical experiences to students through their facilities. Ms. Bailey replied that at this time the opportunities are somewhat limited.
Behavioral/Mental Health Facilities – RSVPed that they were not able to attend
Community Clinic – No representation
Item # 5:
College Updates
Presenter
Nina Almasy
Discussion
Dr. Almasy thanked the committee for their commitment and time. She introduced the new Asst Dean, Jennifer Rigsby who is over partnership and Distance Learning. She also introduced the new Department Chair for the Professional Nursing program Dr. Laurie Dillon.
It was announced that ACC is opening the second phase of the new Highland Campus that includes a simulation center. There will be an open house, this Saturday April 16, she will email the link to register.
We continue to work with our local school districts to expand the Health Science pathways for Phlebotomy to high school students.
We have created two new pharmacy tech program and a CNA to LVN pathway along with an LMT and Mammography certification though our Radiology program with grant money. We are in the process of exploring several apprenticeship models with many of our currently Health Science programs.
The college is currently looking into holistic admissions for many of our programs. Review the student’s metrics that we are currently using with an equity lens. Examples: extra points for Military or Healthcare experience.
Another piece of exciting news is that the College is exploring the possibility of establishing a ACC Healthcare Clinic for our students, faculty and staff.
Item # 6:
Vocational Nursing Program
Presenter
Sandra McCrary-Marshall
Discussion
Current Enrollment:
COHORT Level 1 Level 2 Level 3 EW Level 2 Total by Campus
EVC 34 32 0 20 86
Past Graduates:
Fall 2020 Graduates = 17 Traditional Daytime
Spring 2021Graduates = 6 Evening/Weekend
Summer 2021 Graduates = 34 Traditional Daytime
Fall 2021 Graduates = 23 Traditional Daytime
8 Evening/Weekend Alternate
Curriculum:
• The program continues to increase simulation within the curriculum. Areas of content include Medical-Surgical nursing, Pediatrics and Obstetrics. We are incorporating Mental Health simulations. Goal is to continue to increase simulation within the program. Feedback from students, continue to reflect knowledge of positive learning experience.
Three Semester Program Hours of Simulation/# of Clinical % of Simulation
I 36/256 14%
II 32/256 12%
III 48/256 19%
Total 116/768 14.75%
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, rehabilitation hospitals, and dialysis facilities.
COVID-19 IMPACT:
• The college campus was closed from March 30, 2020 through July 3, 2020. The campus reopened at limited capacity (to essential labs and clinical) on July 6th.
• Face to Face- Didactics were moved to synchronous online delivery.
• Clinicals from mid-2020-current, no Long-Term Care facilities were open due to COVID-19.
• Limited Rehabilitation Hospitals reopened to students in Fall 2020.
• Acute Care Hospital remained opened to clinical rotation during COVID-19 after July 6, 2020.
• Spring 2020 Cohort- TEAS scores for applicant admission was waived due to limitation of testing to meet deadline for June 1st application deadline.
UPDATE:
The VNG program implemented the new 3-semester curriculum beginning fall 2015.
Nine cohort classes have completed the 3-semester curriculum
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. Our current ATI TEAS score for admission to the program is 58.7%.
The VNG program implemented the new 5-semester Evening/Weekend program option in 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 for Vocational Nursing education.
Evening/Weekend Curriculum
o 43 Semester Credits o Program length – 5 semesters
o TX BON=Contact Hours: compliance with the Board of Nursing requirements for program of study for both didactics and clinical learning experience in a VN program.
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.
o Admission is every other Fall semester (Fall 2019, Fall 2021, Fall 2023)
See attached 5 semester Evening/Weekend degree plan. (White Sheet)
Evening/Weekend VN Program Highlights
• Accessibility into the Vocational Nursing program for students who cannot attend a day program
• Course offerings aligned with end-of-program Student Learning Outcomes
(SLOs); program outcomes; and compliance with the Texas Board of Nursing requirements for the minimum contact hours for theory and clinical in a VN program; and compliance with the Accrediting Commission for Education in Nursing, Inc. (ACEN) standards
• College/Department experience and support in development, implementation, and evaluation of programs
• Potential applicant pool to support an Evening/Weekend VN program option
• Experienced nurse faculty credentialed and prepared
• Extensive student support services
• Support of community
Moving Forward
The VN Program may implement admission to the evening/weekend track every fall semester versus every other fall semester.
The nursing program’s licensure examination pass rates for the previous three (3) years
The Licensure NCLEX-PN® pass rates for the Vocational Nursing program graduates are above state and national means (Table 3).
TABLE 3: NCLEX-PN® PASS RATES (FIRST TIME)
Year Timeframe ACC Pass Rate State Mean National Mean (First Time, US Educated)
2019 January - December 94.83% 89.05% 85.63%
2020 January - December 86.27% 88.53% 83.09%
2021 January - December 93.22% 86.24% 79.60%
Baseline: The nursing program’s completion rates for the previous three (3) years, as well as the expected level of achievement
The VN program recognizes that the designated expected level of achievement (ELA) of 75% for the rate of completion has not been met (Table 4). In fall 2019, the faculty reevaluated the ELA and it was changed to 55%. In spring 2021, the faculty reevaluated the ELA and it was changed to 35% to better align with our governing organization completion rate. However, the faculty continues to evaluate and implement measures to improve the ELA as evidenced by the Systematic Plan for Program Evaluation (SPE). The faculty recognize that low completion rates are not solely due to the academic rigor/requirements of the program. Other factors such as financial, medical, family/personal, change in career path, and/or day course scheduling contribute to the completion rates; hence, the genesis of the Evening/Weekend VN program as a result of ongoing continuous program improvement.
TABLE 4: TRADITIONAL-DAY VN PROGRAM’S COMPLETION RATES FOR THE PREVIOUS THREE (3) YEARS
Cohort Admitted Completed Rate of
Completion (%)
(ELA – 55%)
SP 19 – FA 19 34 11 32%
FA19 – SU20 35 14 40%
SP 20 – FA 20 35 9 26%
FA 20 – SU 21 44 25 57%
SP 21 – FA 21 26 17 65%
The nursing program’s job placement data for the previous three
(3) years, as well as the expected level of achievement
The VN program’s designated ELA is 90% of those graduates seeking employment in nursing will be employed within six (6) months of graduation. Of those responding to the survey, the ELA continues to be met as evidenced in Table 5.
TABLE 5: EMPLOYMENT OF VN PROGRAM GRADUATES
Graduate Class Employment in Nursing ELA-90%
Su2019/F2019 9/59 who returned survey reported employment
9 out of 9 reported employment 100%
Su2020/F2020 11/44 who returned survey reported employment
11 out 11 reported employment 100%
Sp2021/Su2021 12/40 who returned survey reported employment
12 out of 12 reported employment 100%
PROGRAM OUTCOMES
1. The Licensure NCLEX-PN pass rates for the Vocational Nursing Program graduates are at 90% or above for first time test takers.
2. 90% of all graduates seeking employment as an LVN are able to obtain job placement within six months of graduation.
3. 55% of students admitted to the Daytime Program Vocational Nursing Program at ACC will complete the program within four semesters.
4. 55% of students admitted to the Evening and Weekend Vocational Nursing Program at ACC will complete the program within five semesters.
5. 90% of graduates through quantitative and qualitative measures, will agree that the Vocational Nursing Program prepared them in the following three areas: i. Clinical reasoning ii. Responsibility and accountability iii. Practicing safely within the LVN scope of practice
6. 90% of employers through quantitative and qualitative measures, will agree that the Vocational Nursing Program prepared them in the following three areas: i. Clinical reasoning ii. Responsibility and accountability iii. Practicing safely within the LVN scope of practice
Vocational Nursing End of Program Student Learning Outcomes (EPSLO)
Upon completion of the Certificate in Vocational Nursing program, the student will be able to:
Legal & Scope of Practice
1. Provide patient care within the legal scope of practice in accordance with the policies and procedures of the health care facility, as well as all regulatory and governing bodies.
Professional Practice
2. Assume responsibility and accountability for the quality of nursing care provided while demonstrating competency, self-directed learning, and promoting the development and practice of vocational nursing.
Patient Safety
3. Ensure patient safety in a safe environment by implementing nursing best practices, safety protocols, and National Patient Safety Goals.
Clinical Reasoning & Evidence-Based Practice
4. Use clinical reasoning and evidence-based practice to interpret health-related data and determine the health status and needs of culturally diverse patients within a directed and supervised scope of practice.
Discussion: CC discussed how COVID impacted our program. Cmte discussed how to formulate a document that captures the factors the VNG faculty implemented to continue the student education. We need to separate didactics from clinicals and simulations. The outcomes will be seen from student progression, attrition, and NCLEX pass rates. This will be reflected in our self-study.
Spring 2020 (L1, L2, E/W)
• Governors executive orders
• All F2F courses modified to online courses.- specify new technology &/or formats
BB collaborative, WebEx, zoom, Think Like a Nurse, Swift River in VNSG 1423 (SP20), Quizlet, lectures recorded for students to review (1429);
• All clinicals modified to virtual clinicals. .- specify new technology &/or formats
BB collaborative, WebEx, zoom, IHI open school courses, Shadow Health, Think Like a Nurse, &
Swift River in VNSG 1460 (SP20); Urosepsis Virtual Simulation Games courtesy of CAN-Sim (1461); 1461 F2F simulations converted to virtual simulations with incorporating videos and images to represent patient specific care equipment.
Stacy Dudley and Brian Stupik created 10 scenarios using Keith RN format for variety of diseases such as heart failure, renal failure, HTN, ect.. to mirror the 1429 didactic content. Scenarios included prep work for students prior to meeting in collaborate for patient discussion. Videos and images incorporated into each scenario.
• The entire VNG program (traditional & evening/weekend) was modified online.
• Faculty awarded incompletes to students during spring and summer semesters of 2020.
• Faculty collaborated to develop virtual patients. – specify by course VNSG 1460 (SP20) all level one faculty and adjuncts, and simulation coordinator B. Johnson.
1461: Stacy Dudley and Brian Stupik created 10 scenarios using Keith RN format for variety of diseases such as heart failure, renal failure, HTN, ect.. to mirror the 1429 didactic content. Scenarios included prep work for students prior to meeting in collaborate for patient discussion. Videos and images incorporated into each scenario
• VNG program did not lower grading scale. Students given option to receive an “I/incomplete” in courses as opposed to failure of course (SP 20).
• VNG program purchased equipment (white boards) for students to use for exams (pharmacology exams only?). Do not remember using for module exams
• Exams given using BB Respondus – and other formats used? Webcam?
• Faculty developed polices and instructions for virtual courses, testing (mock exam to ensure students familiarity with Respondus monitor software), and activities.- include policies; 1429 syllabus revised to include instruction on use of Bb Collaborate and Respondus Monitor Testing • Faculty became versed on a variety of virtual platforms (Bb collaborate ultra, WebEx, Zoom, Google Meet, VidGrid, Big Grid, PowerPoint recordings, etc) to integrate into courses.- specify by course VNSG 1126, 1116, 1460, 1423 in the spring of 2020. Also used for 1429 in spring 2020
• VNG faculty served as online mentors to assist VNG faculty, Health Science faculty, and other ACC department’s faculty to help with online instruction. – include faculty names and courses/people mentored. M. De Los Santos mentored S. Edwards in VNG program & J. Loughran who teaches Fire and Arson Investigation at college. Stacy Dudley mentored Shirley Belk
• Faculty adopted and integrated virtual software (Shadow Health, Think Like a Nurse) to help provide clinical practice and clinical reasoning and also took advantage of 30-day trials (Swift River, Nurse Tim, etc).
• Interactive visual activities for learning were launched due to the inability to attend clinical. – include descriptions VNG 1460 (SP20) developed and implemented PowerPoint presentations of Rehab Essentials with pictures of common equipment found in Rehab facilities and physical assessment findings for documentation activities and practice.
• Stacy Dudley and Brian Stupik created 10 scenarios using Keith RN format for variety of diseases such as heart failure, renal failure, HTN, ect.. to mirror the 1429 didactic content. Scenarios included prep work for students prior to meeting in collaborate for patient discussion. Videos and images incorporated into each scenario.
Summer 2020 (L2, L2, E/W, L3)
• All F2F courses modified to online courses.- specify new technology &/or formats
BB collaborative, WebEx, zoom, IHI open school courses, Sherpath simulations and activities,
Shadow Health, Think Like a Nurse, Swift River in VNSG 1429 (SU20), Quizlet
• All clinicals modified to virtual clinicals. .- specify new technology &/or formats
BB collaborative, WebEx, zoom, IHI open school courses, Sherpath simulations and activities, Shadow Health, Think Like a Nurse, & Swift River in VNSG 1461 (SU20); 2463 pedi converted F2F simulations to virtual sims using cases from Think Like a Nurse
• The entire VNG program (traditional & evening/weekend) was modified online.
• Faculty awarded incompletes to students during spring and summer semesters of 2020.
• Faculty collaborated to develop virtual patients. – specify by course VNSG VNSG 1461 (SPU20) all faculty and adjuncts, and simulation coordinator B. Johnson; Post-op Appendectomy Virtual Healthcare Experience courtesy of Centennial College, Ryerson University, and George Brown College adapted in pedi 2463
• VNG program did not lower grading scale.
• VNG program purchased equipment (white boards) for students to use for exams.
• Exams given using BB Respondus – and other formats used?
• Faculty developed polices and instructions for virtual courses, testing, and activities.- include policies; 2463 and 1234 syllabus developed specifically with Distance Learning policies to include use of Bb Collaborate and Respondus Monitor testing
• Faculty became versed on a variety of virtual platforms (Bb collaborate ultra, Webex, Zoom, Google Meet, VidGrid, Big Grid, etc) to integrate into courses.- specify by course VNSG 1126, 1116, 1429, 1461 in summer 2020. 1332 Lab incorporated IV skills videos, IV recorded-mini lectures with non-graded quizzes recorded via VidGrid and students access via Bb.
• VNG faculty served as online mentors to assist VNG faculty, Health Science faculty, and other ACC department’s faculty to help with online instruction. – include faculty names and courses/people mentored. M. De Los Santos mentored S. Edwards in VNG program & J. Loughran who teaches Fire and Arson Investigation at college.
• Faculty adopted and integrated virtual software (Shadow Health, Think Like a Nurse) to help provide clinical practice and clinical reasoning and also took advantage of 30-day trials (Swift River, Nurse Tim, etc).
• Interactive visual activities for learning were launched due to the inability to attend clinical. – include descriptions VNG 1461 (SU20) used PowerPoint presentations of Rehab Essentials with pictures of common equipment found in Rehab facilities and physical assessment findings for documentation activities and practice; pedi 2463 virtual sims included video recordings and images to represent common pediatric care equipment; 2463 pedi and OB assigned virtual student teaching projects on select health topics
• Level 3 added in-person skills blitz in simulation lab to prepare students for patient care following 12-19 weeks of virtual clinical.
• Changed the high stakes competency check-off to a pass/fail baseline competency assessment to determine level of student clinical competency before providing direct patient care.
Fall 2020 (L1, L3, E/W)
• All F2F courses modified to online courses.- specify new technology &/or formats
BB collaborative, WebEx, and zoom, in VNSG 1423 (F20), Quizlet, use of skills recordings to for students to point out errors in performance.
• All clinicals modified to virtual clinicals. .- specify new technology &/or formats
BB collaborative, WebEx, zoom in VNSG 1460 LTC rotation (F20); 2463 pedi converted F2F simulations to virtual sims using cases from Think Like a Nurse
• The entire VNG program (traditional & evening/weekend) was modified online.
• Faculty collaborated to develop virtual patients. – specify by course VNSG 1460 LTC patient (F20) all level one faculty and adjuncts, and simulation coordinator B. Johnson; Post-op Appendectomy Virtual Healthcare Experience courtesy of Centennial College, Ryerson University, and George Brown College adapted in pedi 2463
• VNG program did not lower grading scale.
• VNG program purchased equipment (white boards) for students to use for exams.
• Exams given using BB Respondus – and other formats used?
• Faculty developed polices and instructions for virtual courses, testing, and activities.- include policies Instructional video developed on how to use Respondus Monitor (Gabrielle); 2463 and
1234 syllabus developed specifically with Distance Learning policies to include use of Bb Collaborate and Respondus Monitor testing
• Faculty became versed on a variety of virtual platforms (Bb collaborate ultra, Webex, Zoom, Google Meet, VidGrid, Big Grid, etc) to integrate into courses.- specify by course VNSG 1126, 1116, 1460, 1423 in the fall 2020.
• VNG faculty served as online mentors to assist VNG faculty, Health Science faculty, and other ACC department’s faculty to help with online instruction. – include faculty names and courses/people mentored. M. De Los Santos mentored S. Edwards in VNG program & J. Loughran who teaches Fire and Arson Investigation at college.
• Faculty adopted and integrated virtual software (Shadow Health, Think Like a Nurse) to help provide clinical practice and clinical reasoning and also took advantage of 30-day trials (Swift River, Nurse Tim, etc).
• Interactive visual activities for learning were launched due to the inability to attend clinical. – include descriptions VNG 1460 (SP20) used PowerPoint presentation of physical assessment findings for documentation activities and practice; pedi 2463 virtual sims included video recordings and images to represent common pediatric care equipment; 2463 pedi and OB assigned virtual student teaching projects on select health topics,1332 Lab incorporated IV skills videos, IV recorded-mini lectures with non-graded quizzes,
• Level 3 added in-person skills blitz in simulation lab to prepare students for patient care following 12-19 weeks of virtual clinical.
• Changed the high stakes competency check-off to a pass/fail baseline competency assessment to determine level of student clinical competency before providing direct patient care.
Item # 7:
Professional Nursing Program
Presenter
Laurie Dillon
Discussion
1. Program Data, Associate Degree Nursing (ADN)
A. Enrollment
• Spring 2022 Enrollment Total = 647
Current Enrollment Breakdown:
Level I Level II Level III Level IV Mobility Track
166 154 119 161 47
B. Graduates
• Fall 2020=139
• Spring 2021= 141
• Summer 2021=41
• Fall 2021= 125
• Spring 2022 (Anticipated) = 161
C. Curriculum Updates
1. End-of-Program Student Learning Outcomes
**Program Completion Rate 2020 = 86.1 % (Includes Traditional and Mobility)
**Job Placement Rate 2022 = 100% of the student that replied to the survey were employed as a nurse
2. Holistic Admissions – ACTION ITEM: Needs Vote
a. Proposal: To give additional points on admission for any student who has honorably served in the Military and LVN’s with a with an unencumbered nursing license. We also, are also proposing that students who take a medical terminology course, receive addition points as a pilot project with capital idea to obtain data to see if the addition of this course creates improvements in attrition. We would like to add these new options for Spring of 2023.
E. Michael and Susan Dell Foundation Grant-Accelerated Nursing Track
2. RN-to-BSN Program
A. Enrollment
• Spring 2022 Enrollment Total = 106
Current Enrollment Breakdown:
Spring 22
PT Fall 21
FT Fall 21
PT Spring 21
PT Fall 20
PT
26 31 15 24 10
B. Curriculum Updated
1. End-of-Program Student Learning Outcome
Program Completion Rate: FT 2020 = 93 / PT 2020 = 73%
2. Program Outcomes
3. RN to BSN Program-Adding Online Option – Action Item: Needs Vote
a. Proposal: To add an online option for RN to BSN. Community Health would remain hybrid as the clinical component will need to remain in person. However, all other courses will be fully online. We would like to add this new option by Fall of 2022.
Item # 8:
New Business
Presenter
Terrie Hairston
Discussion
a. Vote #1: Karen Hamlet motioned to give additional points on admission for any student who has honorably served in the Military and LVN’s with an unencumbered nursing license. We also, are also proposing that students who take a medical terminology course, receive addition points as a pilot project with capital idea to obtain data to see if the addition of this course creates improvements in attrition. We would like to add these new options for Spring of 2023. Seconded by Lizabeth Mahoney.
b. Vote #2: Sandra McCrary-Marshall motioned to add an online option for RN to BSN. Community Health would remain hybrid as the clinical component will need to remain in person. However, all other courses will be fully online. We would like to add this new option by Fall of 2022. Seconded by Karen Hamlet.
Item # 9:
Announcements
Presenter
All Members
Discussion
Sandra McCrary-Marshall added that there could be some curriculum updated that might need a vote that we will emailed out to the committee within the next few months. She explained how the evening/weekend program worked and some changes that could be coming.
Terrie Hairston discuss changes to the NCLEX exam and asked how the college plan to adjust to the change in order to prepare the students. Dr. Dillon replied that the programs are moving to a new testing format that is based on the Next Gen question model. Ms. Hairston motioned to approve the purchase of the new testing software to help the students move to the Next Generation preparation for NCLEX testing. Motion by Ana Todd, seconded by Stephanie Creech. Approved by general consent of all members present.
Dr. Almasy reminded the committee of the Open House for the new Highland campus simulation center and added the link to the chat box.
The ADN program is having their Career Fair April 18th virtually, the link has been sent out. We will move forward to an in-person job fair in the Fall.
Item # 10:
Next Meeting Date and Time
Presenter
Terrie Hairston
Discussion
To Be Determined
Item # 11:
Adjournment
Presenter
Terrie Hairston
Discussion
Meeting ended at 10:45 a.m.
Austin Community College
5930 Middle Fiskville Rd.
Austin, Texas
78752-4390
512.223.4ACC (4222)