Committee Meetings and Minutes

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Nursing Advisory Committee

Meeting Minutes

Current Status of Minutes: Final
Date	April 26, 2013
Time	8:00 AM - 10:00 AM
Location	Eastview Campus-Room 8358

Members Present
No member attendance has been recorded.
Guests Present
No guest attendance has been recorded.

Item # 1:	Approval of Agenda
Presenter	Yvonne VanDyke
Discussion	N. Walters moved for approval of the agenda, seconded by Toni Rowin. No opposition

Item # 2:	Approval of Minutes from March 2, 2013 meeting
Presenter	Yvonne VanDyke
Discussion	Patti Ellisor moved for approval of the minutes as printed, seconded by N. Walters. The minutes were approved as printed.

Item # 3:	Clinical Facilities Updates
Presenter	Committee Members
Discussion	Seton Network: Education: Toni Rowen reported that the Seton Network continues to work on "Relationship Based Care". Seton's RN Residence program is considering accreditation for the VERSANT Program. The education department will enlist the assistance of the academic partners in this activity. The network plans to hire approximately 100 graduates for the July Versant program. Due to the implementation of the Symphony Health Solutions, there will be no Versant cohort in October. February 2014 is planned. The construction of the Tower at Dell Children's Medical Center is complete and in the process of grand opening activities. Practice: K. Burkman reported that the Seton Network is promoting "Top of License" for all employees. One portion of the Relation Based Care focuses on Care of Self for associates and leaders. The Seton Network continues to implement technology with electronic medical records at Seton Main and Seton Northwest with the addition of bar coding for medications at Seton Williamson. BSN Initiative transition plan is in place. Phase I requires all managers to be BSN prepared and directors to be MSN prepared. This goal was achieved. Student Liaison: S. Foster reported that students will not be placed on the new Tower units at Dell Children's in Fall 2013. Evaluation of transition will determine availability for spring 2014. Renovation of original units are planned. Ms. Foster will schedule orientation for faculty in the fall semester including a session for smart pump training. Y. VanDyke stated that Seton's emphasis is on the patient outcomes and the patient experience. We really want the students and faculty to be aware of the importance of taking care of the patients and their family during their stay. We have installed new smart boards to aid in this process. Ms. VanDyke reported that Seton is putting a moratorium on new affiliation agreement with schools including physician assistant programs requesting clinical experience in Seton facilities. Currently there are many online schools and agencies asking for clinical placement. Emphasis will be placed on ensuring the best student experiences for their current agreements. Ms. VanDyke asked that as the school look at curriculum changes, healthcare is moving toward patients taking care of long-term health needs after discharge from acute care agencies. Patient education and preventative care is the key to the future. St. David's HealthCare:-Ms. Ellisor reported that the St. David's organization expects to hire a large number of graduates in the Fall, approximately 120. They also have a new graduate nurse program NGNIR (New Graduate Nurse Immersion Residency). Preceptors are being oriented continuously. St David's Healthcare also offers SNAP (Specialty Nurse Accelerated Program) which is an elite training program designed to rapidly advance the careers of graduate nurses, as well as those seeking to move into another specialty. The St David's Foundation supports the certification and recertification process for the nurses in the network. This has greatly enhanced the process. Approximately 35% of nurses have a specialty certification. St David's Round Rock has implemented a Blue Button program which has been very successful. Staff members are able to go to any computer and report a Safety concern. The report can be done anonymously or identified. The concern is filtered to the appropriate department for follow up. It has been very successful and is the process of including other agencies. All construction is complete at the present time. Additional beds added at St David's Central and South Austin Medical Center. NOVA system of blood glucose monitoring is to be implemented in May. Training is in process. St David's will also be implementing value based purchasing. The network continues to focus on Service Excellence, HCAPS and Employee satisfaction. Central Texas Medical Center: No representation present Scott and White Healthcare: No representation present Long Term Care: Buckner Villas- Louis Connelly reported number of beds have expanded. Twenty (20) beds are designated as Assisted Living. Those filled very quickly and twenty (20) additional beds are planned. Buckner added a position in the front office to assist with customer service issues and goals. This has allowed the Chief Nursing Officer to focus on nursing. Electronic Records has proven to be a challenge for the facility but we are working to master the technology. Westminster Manor: Jessica Ruiz reported that her agencies focus is for staff to work on certifications in patient care. Goal is for RN staff to achieve certification in Geriatrics or related area within the next year. Currently, Westminster has a CNA program for employees for the facility. Ms. Ruiz stated they hired several new nurses last year when Westminster moved to its new facility. Their new grad training program is 21 days long with multiple facets of training. Westminster has began using electronic record keeping and are working to develop a more streamlined process between the orders from the units to the pharmacy. Austin State Hospital: No representation present. Austin State Supported Living Center-Richard Sambrook reported that his agency works more with developmental challenged patients. The agency has hired many new graduates within the last year. ASSLC continues to expand competency based training for staff. Currently, the agency has a 14 day orientation for new employee's plus an additional 6 days for nurses directly with the DON. In addition, they are assigned to work with a preceptor for twi-weeks on the unit. Mr. Sambrook informed the committee that most of the clients living on property because they are wards of the state. The primary focus was for it be be an intermediate care facility, but it hasn't been that way since the 30's. Some resident have lived with us since they were 5 and now they are in their 70's. The waiting list to get admitted is currently closed, but could change. Shoal Creek: No representation present. Community: Lone Star Circle of Care-M. Fisher reported that they are a Non profit family practice, OB, GYN, our goal is to serve the uninsured and under insured and to assist people who otherwise would not have medical care. Currently we have four (4) family clinics in Williamson and Travis counties. M. Fisher stated that they are working to develop an Education Department for staff support and training. Travis County Jail: K. Gieger reported that currently they have 44 nursing staff, 17 LVN's and 27 RNs. Our agency does not have a lot of turnover. However we do have a lot of continuing education for our staff. We are working to decrease readmissions to our facility. This facility is the healthcare facility for most of the county's homeless and mentally ill. We are starting Community Villages that will work with Good Will, AIDs Services of Austin, Shivers Clinic etc. come to the jail so that the inmates will not lose their services while they are incarcerated. We have 600 beds for women, 600 beds for mentally ill with the Dell Valley Complex holding 2000 inmate's total.

Item # 4:	College Updates
Presenter	Eileen Klien-Executive Dean of HS
Discussion	Eileen Klein reported in early June ACC will open the Elgin campus. The only health science program that will be housed at Elgin will be the Vet Tech program. ACC is developing the HIGHLAND Mall space for additional classrooms etc. Continuing Education will have a large presence at the Highland location. There will be a MATH Emporium. Exploration of development of a Biology emporium at EVC to facilitate success in that content area to included stackable certificate program(s) option is in progress. It was asked if any Health Science programs would be housed at the Hays campus. E. Klein reported that it will depend on the academic master plan of the college and the plans they have for our future growth. Support courses for health sciences programs will be offered when it opens Spring 2014. Nancy Walters added that Eileen Klein was just selected as Administrator of the Year at Austin Community College and was also the recipient of the John and Susanne Roueche Excellence Award.

Item # 5:	Health Professions Institute/Continuing Education
Presenter	Barbara Handley
Discussion	Barbara Hadley reported. Report Attached: Appendix A E. Klein added a new collaboration for CE providers for Pharmacy Techs and Pharmacists. In addition, she mentioned that the Health Industry Steering Committee is looking at the needs of the agencies for different types of health care providers. Ms. Klein will be sending out a survey from this committee as they move forward in their investigation process.

Item # 6:	Vocational Nursing Program Updates
Presenter	Sandra McCrary-Marshall
Discussion	Sandra McCrary-Marshall reported. Report attached. Appendix B As employers, we value your input into the development of this curriculum Patti Ellisor asked how the program would justify reducing college revenue by decreasing the credit hours each student takes. E. Klein responded the college would not be so concerned with this loss of revenue of credit hours. A larger concern would be a bill currently in the legislature that would require an Associate Degree to be completed in 60 credit hours. It is uncertain if this would include work force programs. Currently the ADN program has 71 credit hours. The core curriculum established by the THECB mandates general education courses. Nursing credits would likely be reduced if the bill passes and is signed. Sandra asked the committee for a recommendation regarding possible certifications that might be beneficial for Vocational Nursing student to obtain before graduation. Wound Care, Phlebotomy etc.

Item # 7:	Associate Degree Nursing Program Updates
Presenter	Nancy Walters
Discussion	Report attached. Appendix C Ms. Walters informed the committee it was reported at Deans and Directors that for the first time in recent history the Texas pass rate on the RN NCLEX was higher than the national average. The program stresses to the students that their ADN degree is just the entry into practice and the goal is for them to continue their education. Patti Ellisor asked about the Fredericksburg facility and if there is an actually building there or are the student taught via distance learning. Nancy Walters responded that the Fredericksburg students are currently housed in a portable building behind the elementary school. Future plans for the Higher Education Center in Fredericksburg are for Phase II to house nursing lab and computer facilities. Due to the nature of the equipment a dedicated space is required. Yvonne reminded the committee partners to pay close attention to what is happening within the curriculum of the academic partners, it will affect the overall quality of the nurses hired within our facilities. Nancy Walters informed the committee that she would be sending out a survey thru "Survey Monkey" to collect data for the Academic Progression in Nursing Grant.

Item # 8:	New Business
Presenter	Yvonne VanDyke
Discussion	No new business added to the agenda.

Item # 9:	Announcements
Presenter	Yvonne VanDyke
Discussion	Ms. VanDyke reminded the committee about the need of ACC for the following items. * Nancy Walters Survey-please be watching your email for the survey link. * Vocational Nursing Curriculum revisions, please review packet and provide feedback for Ms. Marshall via email to: marshall@austincc.edu * Watch for Dean Klein's survey from the HISC regarding Trends/Needs for groups of Healthcare workers. * Ms. Marshall will be sending out a survey regarding the availability of evening and weekend clinical opportunities within the next few months. Ms. Walters asked the committee if this time of the day works best for this meeting. The overwhelming census was that first thing in the morning works best for everyone.

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