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Knox Technical Center LPN to RN Program

Knox Technical Center 308 Martinsburg Road Program Administrator: Mount Vernon, OH 43050 Amy Main MSN RN School Phone: 740.393.2933 740.393.2933, ext. 1154 School Fax: 740.397.1659 amain@knoxcc.org Web Site: www.KnoxTechnicalCenter.com Office Hours: 8am-4pm School Office Hours: Mon-Thurs 7:30am – 7:00pm Preferred Method of Contact: email Fri 7:30am – 4:00pm I. GENERAL INFORMATION

A. Mission Statement: Our Mission is to provide cutting edge programs that prepare adults

with career and life-long learning skills. B. Adult Education Director: Program Administrator: Instructor:

Jane Marlow Amy Main MSN RN Angela Chadwick MSN RN 740.393.2933, ext. 1106 740.393.2933, ext. 1154 740.393.2933, ext. 1155 jmarlow@knoxcc.org amain@knoxcc.org achadwick@knoxcc.org

C. Disability Accommodations. Any learner needing special accommodation on the basis of any

disability must advise the instructor at the beginning of class. All necessary accommodations will be made upon presentation of relevant certification, presented in a timely manner. Learners are also responsible for making contact with the Program Coordinator prior to the start of class. For detailed KCCC Bylaws & Policies pertaining to Reasonable Accommodation, see Section 2260.01-Section 504 – ADA Prohibition Against Discrimination Based on Disability located on the website at www.knoxcc.org.

D. Equal Opportunity. It is the policy of the Knox County Career Center School District that

employment, educational programs, and activities are provided without regard to race, color, national origin, sex or disability. Any learner with a disability should contact the program coordinator. The Board designates the Director as the Title VI, Title IX and Section 504 Coordinator.

E. Title IV Eligibility. This program has been approved for Title IV funding. Adult learners

requesting information about financial assistance should contact Financial Aid Coordinator Sheryl Mickley.

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II. RATIONALE FOR PROGRAM

According to the United States Department of Labor’s Occupation Outlook Handbook obtained from (http://www.bls.gov/ooh/healthcare/registered-nurses.htm) the outlook for Registered Nurses is as follows: o Employment of RNs is projected to grow must faster than average, with an

estimated growth in employment of approximately 526,800 positions across the nation will be appreciated by the year 2022; much faster than average for all occupations, in response to the health care needs of an increasing elderly population and the need for health promotion/disease prevention in our nation.

o Demand for RNs is driven by the increase in the share of the older population and the health care needs associated with the aging population.

o The average age of RNs in the current workforce is 44.6 years of age thus the potential exodus from employment for those choosing retirement will contribute to the RN workforce need (obtained from http://www.nursingworld.org/nursingshortage on 10/22/2014)

o Predicted growth in employment in physician’s offices, outpatient care centers and in home health will occur as care delivery shifts from the acute care setting to the community setting in the care of chronic illnesses.

o Recent reform in healthcare will give access to millions of individuals thus increased the demand for delivery of care

As of 10/22/2014, 5,223 jobs relating to Registered Nursing within 100 miles of KCCC were posted on Indeed.com and 173, 818 posted on the Ohio Means Jobs website (www.ohiomeansjobs.com).

Tracking of Completion, Licensure and Placement rates is an ongoing process that provides evidence of program effectiveness in implementation of competent graduates. Data for the LPN to RN program will be reported after graduation of its first cohort.

Completion rates Licensure rates Placement rates

Programs associated with Knox Technical Center Adult Education are known for their for their ability to prepare graduates, through a hands-on approach, with the knowledge and skills required for the graduate to be successful in obtaining required licensure and/or certification and to be successful in the employment field. Given the ongoing level of inquiry from prior PN graduates regarding KTC’s intent to develop a program and knowing the current market trends, it is clear that the program would support both community and employer needs. See Addendum A for Advisory Committee members.

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III. PROGRAM DESCRIPTION The LPN to RN program builds on the knowledge base of the Practical Nurse to provide graduates with the knowledge, skills, and attitudes of a Registered Nurse based on current standards, guidelines, and competencies documented in nursing and nursing education literature. The program is career development program implemented, over 48 weeks, and provides 900 hours of instruction. The 48 weeks is divided into three (3) Terms. The curriculum combines classroom and laboratory instruction, as well as clinical experience. Classes are scheduled 2 to 3 days per week, 8:00 am to 4:00 pm. Clinical experience is scheduled one to two days per week throughout the program.

The program content matches requirements as established by Ohio Board of Nursing.

IV. PROGRAM PHILOSOPHY AND MISSION Knox Technical Center’s philosophy is based on the principles of vocational education, which emphasize knowledge, skills, and attitudes that provide necessary qualities for the adult learner to be able to obtain specific skills in nursing to meet educational goals. The mission of the LPN to ADN program aligns with the PN program's mission of providing an educational environment that enables progressive career pathways in the changing healthcare environment. To that end, the PN to ADN program builds on the knowledge base of the Practical Nurse to provide graduates with the knowledge, skills, and attitudes of a Registered Nurse based on current standards, guidelines, and competencies documented in the nursing and nursing education literature. Knox Technical Center LPN to ADN program applies the definition of nursing presented by the American Nurses Association (2010) as well as the definition of the practice of nursing as a registered nurse as presented in the Ohio Board Rules, Section 4723-01 as: "Providing to individuals and groups nursing care requiring specialized knowledge, judgment, and skill derived from the principles of biological, physical, behavioral, social, and nursing sciences. Such nursing care includes: 1. Identifying patterns of human responses to actual or potential health problems amenable to a

nursing regimen 2. Executing a nursing regimen through the selection, performance, management, and

evaluation of nursing actions 3. Assessing health status for the purpose of providing nursing care 4. Providing health counseling and health teaching 5. Administering medications, treatments, and executing regimens authorized by an individual

who is authorized to practice in this state and is acting within the course of the individual's professional practice

6. Teaching, administer, supervising, delegating, and evaluating nursing practice."

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V. PROGRAM GOALS 1. Provide safe, quality, evidence-based, patient-centered nursing care in a variety of healthcare

settings to diverse patient populations across the lifespan. 2. Engage in clinical reasoning to make increasingly complex patient-centered care decisions. 3. Participate in quality improvement processes to improve patient outcomes. 4. Participate in collaboration and teamwork with members of the inter-professional team. 5. Use information management (informatics) principles, techniques, and systems, and patient

care technology to communicate, manage knowledge, decrease errors, and support decision-making.

6. Assimilate leadership, management, legal, and ethical guidelines in practice as a registered nurse.

VI. PROGRAM OUTCOMES WITH RELATED COMPETENCIES

1. Provide safe, quality, evidence-based, patient-centered nursing care in a variety of healthcare

settings to diverse patient populations throughout the lifespan. a. Conduct comprehensive and/or focused physical, behavioral, psychological, and spiritual

assessment of health and illness parameters in patients, using developmentally and culturally appropriate approaches.

b. Identify priority patient needs based on assessment findings. c. Develop a plan of care based on evidence-based practice considering individual patient

needs. d. Implement patient-centered care that reflects an understanding of human growth and

development, pathophysiology, pharmacology, nutrition, medical management, and nursing management throughout the lifespan, and in a variety of healthcare settings.

e. Promote factors that create a culture of safety. f. Provide patient teaching that reflects developmental stage, age, culture, spirituality,

patient preferences, and health literacy considerations. g. Monitor patient outcomes to evaluate the effectiveness and impact of nursing care. h. Deliver care within expected timeframe. i. Provide patient-centered transitions of care and hand-off communications, including

discharge planning, to ensure the receiving caregiver has the knowledge needed to provide safe care.

j. Demonstrate cultural awareness/sensitivity when providing care to diverse patients in a variety of healthcare settings.

k. Revise the plan of care based on an ongoing evaluation of patient outcomes including recognition of alterations to previous patient conditions.

l. Demonstrate safe performance of psychomotor skills for efficient, safe, and compassionate patient care.

m. Accurately document all aspects of patient care.

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2. Engage in clinical reasoning to make increasingly complex patient-centered care decisions. a. Use clinical reasoning when making decisions to ensure accurate and safe nursing care,

including addressing anticipated changes in the patient's condition. b. Use clinical reasoning when implementing all steps of the nursing process while

integrating best available evidence. c. Anticipate risks, and predict and manage potential complications. d. Prioritize patient care. e. Analyze the clinical microsystem and its impact on the nurse’s ability to provide safe,

quality care.

3. Participate in quality improvement processes to improve patient outcomes. a. Apply quality improvement processes to effectively implement patient safety initiatives

and monitor performance measures, including nursing-sensitive indicators in the microsystem of care.

b. Analyze information about quality improvement projects in a variety of healthcare settings.

c. Participate in analyzing errors and identifying system improvements. d. Implement National Patient Safety Goals in all applicable patient care settings.

4. Participate in collaboration and teamwork with members of the inter-professional team. a. Communicate effectively with all members of the healthcare team, including the patient

and the patient’s support network when making decisions and planning care. b. Collaborate with the appropriate inter-professional healthcare professionals to

communicate data collected during patient care. c. Implement patient safety and quality improvement within the context of the inter-

professional team in a variety of healthcare settings. d. Implement conflict resolution principles as needed.

5. Use information management (informatics) principles, techniques, and systems, and patient

care technology to communicate, manage knowledge, decrease errors, and support decision-making. a. Use patient care technologies, information systems/technologies, and communication

devices to support safe nursing practice. b. Evaluate the role of information technology and information systems in improving

patient care outcomes and creating a safe care environment. c. Apply patient care technologies as appropriate to address the needs of a diverse patient

population.

6. Assimilate leadership, management, legal, and ethical guidelines in practice as a registered nurse. a. Practice within the legal and ethical frameworks of nursing practice. b. Analyze planned patient care within the context of the ANA Standards of Practice. c. Demonstrate accountability for nursing care given by self and/or delegated to others.

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d. Apply management skills and knowledge of the rules and principles of delegation when working with other healthcare team members.

e. Serve as a patient advocate. f. Evaluate the impact of economic, political, social, and demographic forces on the delivery

of health care. g. Complete a plan for ongoing professional development and lifelong learning.

VII. LICENSURE Upon completion of the LPN to RN program, having met all graduation requirements, graduates of the program are eligible to apply for the state licensure exam. Candidates may sit for the NCLEX-RN exam (licensure exam) upon graduation only after verification is provided to the Ohio Board of Nursing, by the program administrator, of the candidate’s completion of program requirements and then receives verification of eligibility to test from the Ohio Board of Nursing.

VIII. TARGET POPULATION

Any person 18 years of age and older with high school diploma or GED

Any person holding a current, valid LPN licensure interested in furthering his/her education to become a registered nurse

IX. PROGRAM MODEL A. 900 hours of instruction

A. 564 in classroom (up to 100 of those hours may be on-line) One to two days per week 8:00am – 4:00pm

B. 248 clinical hours 1 – 2 days per week 7:00 am to 3:30 pm C. 88 hours lab

B. See Addendum B for Curriculum Map

X. ASSESSMENT STRATEGIES A. Preassessment Skills Review

ATI Comprehensive PN Predictor Assessment

ATI – RN Maternal Newborn Proctored assessment B. Throughout Program

WorkKeys (if not taken within the last 2 years)

Topic quizzes

Topic exams

Skills check-off

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Clinical performance evaluation

Homework

Projects

Group work C. Graduation

Achieve a minimum cumulative grade average of 75% in each course of study.

Demonstrate satisfactory performance in all nursing laboratory and clinical experiences.

Meet all program objectives.

Meet all financial obligations of the program

Attended 90% of total hours of curriculum.

XI. EVALUATION PLAN TO DETERMINE PROGRAM EFFECTIVENESS

Survey of graduates into Registered Nursing industry within six months of graduation to determine employment rate

Learner evaluation of instructors, with each course, halfway through program and at end of program

Learner evaluation of course, each term, halfway through program and at end of program

Learner evaluation of program at the end of the program of study

Meetings with Advisory Committee at least twice a year

Meetings with Faculty on a monthly basis

XII. TRAINING PATHWAYS A. Before: A career pathway system is a series of connected educational and training

programs and support services that prepare and enable individuals, often while they are working, to secure a job and advance over time to successively higher levels of education and employment in a specific industry/field. Pathway goals are to increase access, awareness, affordability, resources, and alignment for high school students, adult learners, and the current workforce (Thrive, 2009). Knox Technical Center Adult LPN to RN program is an entry-level program designed to build on the knowledge base of the Practical Nurse to provide graduates with the knowledge, skills, and attitudes of a Registered Nurse based on current standards, guidelines, and competencies documented in nursing and nursing education literature. Prior to admission potential learners must have the following:

Completed application form with the associated fee

High school diploma or GED

Provide documentation Basic computer literacy including basic keyboarding skills

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Complete LPN training/ Hold current, valid Licensure in the USA or territory and have the ability to obtain endorsement by the Ohio Board of Nursing

Submit official transcripts in a sealed envelope directly sent from high school and post-secondary institutions (colleges/universities) – direct to Program Administrator

Completion of the following prerequisite courses with a letter grade of C or above o Anatomy & Physiology I o Anatomy & Physiology II o Algebra 1 o Microbiology o Human Growth & Development o English Composition I o General Psychology o Maternal Newborn Care

Complete the ATI PN Comprehensive Predictor Test – the candidate’s individual score must be at or above the current national mean score.

Complete the ATI Maternal Newborn Proctored Exam – the individual’s score must be at level 2 or above.

Proof of citizenship or legal residence that establish your identity and residency