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Rethinking RN Education: The Accelerated LVN-RN Program

Member, Texas Tech University System. Nursing Education in Texas. 88 Nursing Programs in Texas2 Diploma Programs56 Associate Degree Programs (ADN)51 ADN Programs5 LVN-ADN Track Programs25 Bachelor of Science in Nursing (BSN) Programs1 Alternate Entry Master's Degree in Nursing Program4 RN to

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Rethinking RN Education: The Accelerated LVN-RN Program

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    1. Member, Texas Tech University System Rethinking RN Education: The Accelerated LVN-RN Program Justin Louder, MA & Linda Ross, MS, RN

    2. Member, Texas Tech University System Nursing Education in Texas 88 Nursing Programs in Texas 2 Diploma Programs 56 Associate Degree Programs (ADN) 51 ADN Programs 5 LVN-ADN Track Programs 25 Bachelor of Science in Nursing (BSN) Programs 1 Alternate Entry Master’s Degree in Nursing Program 4 RN to BSN Nursing Programs

    3. Member, Texas Tech University System Nursing Education in Texas - 2 Enrollment numbers continued to increase in Texas schools of nursing, with a total of 16,658 students enrolled in the Fall of 2006. This number represents a 36.9 percent increase from the Fall of 2001. In the 2005-2006 academic year, a total of 6,674 students graduated from initial RN licensure programs. 47.3 percent increase from the 2000-2001 academic years.

    4. Member, Texas Tech University System Background Information By 2010, Texas will be short as estimated 25,000 nurses. By 2020, Texas will be short an estimated 52,000 nurses. To keep up with demand 10,072 nurses need to graduate by 2010. Rural hospitals have reported a RN vacancy rate of 15% in recent years.

    5. Member, Texas Tech University System LVNs in Texas As of 2004: 61,576 LVNs working in Texas Number of LVNs per 100,000 Population: 366 Nonmetropolitan Border Areas 454 Nonmetropolitan Non-Border Areas The LVN profession is among the few health professions where Texas exceeds the U.S. average for provider to-population ratios.

    6. Member, Texas Tech University System

    7. Member, Texas Tech University System

    8. Member, Texas Tech University System ASU Survey in 2006 Howard College LVN Class of 2006 approximately 45 responses. Brownwood Regional Medical Center LVNs approximately 30 responses. Discussions with CNOs & LVNs at Shannon Medical Center & San Angelo Community Medical Center.

    9. Member, Texas Tech University System The Working LVN LVNs are typically primary bread winners in their household. Many cannot continue their education because they cannot afford to lose pay and/or benefits. It is hard to fit the “traditional nursing education mold” and work full-time.

    10. Member, Texas Tech University System Texas Higher Education Coordinating Board Grant Program Nursing Innovation Grant Program Awarded in January, 2008 $1.27 Million over 3 years

    11. Member, Texas Tech University System New Solutions in LVN-RN Education Partnerships with community hospitals to accelerate transition from LVN-RN. Working LVNs will “go back to school” online for their ADN.

    12. Member, Texas Tech University System ASU’s Model Partner with 4 hospitals in West Texas: 2 San Angelo Hospitals San Angelo Community Medical Center Shannon Medical Center Scenic Mountain Medical Center in Big Spring, Texas Brownwood Regional Hospital in Brownwood, Texas

    13. Member, Texas Tech University System Four Hospitals in Rural West Texas

    14. Member, Texas Tech University System Project Goal Increase the number of RNs providing nursing care to the citizens of Texas, especially those Texans in rural areas.

    15. Member, Texas Tech University System Objectives Development & implementation of an innovative, accelerated LVN-RN program (21 weeks) Development of LVN-RN competency transcript (includes RN hospital orientation competencies) Development of an RN preceptor course 140 students enroll 85% pass rate, graduation rate

    16. Member, Texas Tech University System Standards for Admission Angelo State University Apply and be accepted to ASU Complete Departmental “Project” Application Process Prerequisites GPA ACT/SAT IRB Release Hospital Partners Documentation of Admission to ASU Documentation of eligibility for project participation (from ASU) Application form IRB Release Upon Acceptance send a letter to ASUs Dept of Nursing

    17. Member, Texas Tech University System Administrative Structure University Develop & provide course (acynchronous online learning) Laptops Pay for replacement LVN $15.00/hr. total $3,000/LVN Hospital Partners Tuition & fees Preceptors 8 hours paid study time per week Clinical release time

    18. Member, Texas Tech University System Curriculum Design Unique Features: Didactic content delivered and evaluated through a blending of online and printed study modules (mental health, OB, pedi); Paid release time for completion of didactic and clinical components; Capstone clinical experience focusing on complex nursing care throughout the lifespan Adoption or development of a LVN-RN transition competency transcript.

    19. Member, Texas Tech University System Curriculum Design

    20. Member, Texas Tech University System

    21. Member, Texas Tech University System Evaluation A huge component of the grant, did we accomplish what we said we would? Can it be adopted statewide? All partners are very involved Multiple cycles (6 cohorts) Research project (cost/benefit, satisfaction, graduation, pass NCLEX) External evaluator

    22. Member, Texas Tech University System Current Progress First Cohort has completed RNSG 1227 & 1160 First Cohort will start RNSG2427 & 2527 in the Fall. Second and Third Cohorts are applying for the program.

    23. Member, Texas Tech University System

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