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TEAS-N TEAS Nursing School - 2022

ATI wrote the TEAS® exam, so our prep materials are created to help nursing school applicants prepare and pass the TEAS with confidence.

ATI offers comprehensive assessments designed specifically to measure academic preparedness of nursing and allied health program candidates.
Why use ATI assessment resources for your Nursing or Allied Health program? ATI Nursing Education is part of the Ascend Learning family of companies, which includes healthcare education industry pioneers Jones & Bartlett Learning and the National Healthcareer Association.

We understand nursing and allied health programs are operating in environments of increasing accreditation and regulatory pressure to Excellerate program completion, pass rates and placement success. ATI offers resources that can help you assess candidates potential for success prior to the program start, identify areas where they may need review and remediation, and address those areas to better assure program success.

For Nursing Programs The Test of Essential Academic Skills (TEAS) from ATI is proven to be a statistically significant predictor of early nursing program success.* With it, youll recognize which students need extra attention and which ones are not a good fit for your program.

87% of RN students who scored at the advanced or exemplary level on TEAS were successful in Fundamentals, compared to 76% who scored at the developmental level and were successful.

Similarly, 94% of PN students who scored at the advanced or exemplary level on TEAS were successful in Fundamentals, while 91% who scored at the developmental level struggled.

About the Assessments
The TEAS is a multiple-choice assessment that measures basic academic preparedness in reading, math, science, English and language usage. The objectives assessed in our test are those that nursing and allied health educators deem most relevant for measuring entry level skills and abilities of program applicants. The test not only predicts the performance of incoming candidates, it also helps educators gain advance knowledge of the strengths and areas needing development of those that are accepted into the program.

ATI Nursing Education Entrance Assessment Advantages

Standardized assessments specifically designed for nursing and allied health programs
Normed for nursing programs and allied health programs separately
Ensures consistent, objective measures for applicants
In-depth group and individual reporting provides insight into candidate readiness and remediation needs
Gives a preview of candidates strengths and weaknesses
Provides focused review resources, enabling immediate access to customized remediation
Provides straightforward, flexible testing in electronic or paper formats

TEAS Nursing School - 2022
Admission-Tests Nursing book
Killexams : Admission-Tests Nursing book - BingNews https://killexams.com/pass4sure/exam-detail/TEAS-N Search results Killexams : Admission-Tests Nursing book - BingNews https://killexams.com/pass4sure/exam-detail/TEAS-N https://killexams.com/exam_list/Admission-Tests Killexams : Nursing programs to simplify selective admission criteria

PHOTO PROVIDED Pennsylvania College of Technology nursing student Johnette A. Michaels, of Danville, left, practices IV insertion alongside Ann E. Morrison, instructor of nursing. Penn College recently announced that it will no longer require the Test of Essential Academic Skills as part of the criteria for selective admission into its nursing majors.

WILLIAMSPORT — Beginning in December, Pennsylvania College of Technology will no longer require the Test of Essential Academic Skills as a criterion for admission into its pre-licensure nursing education majors.

Those majors are the LPN-to-RN associate degree, nursing associate degree and nursing bachelor’s degree.

Beginning with the college’s December selection period, current pre-nursing students and transfer students will be selected based on two criteria: their math/science grade calculation and cumulative graduation GPA. (Previously, current and transfer students who did not take the TEAS test were not eligible for selective admission.)

High school students seeking direct admission into a nursing major will be required to submit an ACT or SAT score and meet other Penn College admission requirements. Those who do not gain direct admission are accepted as a pre-nursing student and take the prerequisite courses for their desired major. Once the selective admission criteria are met, pre-nursing students are ranked for admission into the nursing program.

Penn College nursing graduates consistently exceed state and national pass rates on national licensure exams and boast a near-100% job placement rate. In 2020-21 and 2021-22, 100% of its associate degree nursing graduates passed the NCLEX-RN — the national licensure test for registered nurses — on their first attempt.

Penn College offers six nursing degree options, including a part-time associate degree for those seeking RN licensure, traditional two- and four-year degrees, a master’s degree, and pathways for licensed practical nurses to become registered nurses and for registered nurses with a diploma or associate degree to pursue a bachelor’s degree. They represent one of the largest academic program areas at Penn College, with more than 300 in-program students.

Penn College’s undergraduate nursing majors are fully approved by the Pennsylvania State Board of Nursing and accredited by the Accreditation Commission for Education in Nursing.

To learn more about Penn College’s nursing majors, call 570-327-4525 or visit www.pct.edu/nursing.

For information about Penn College, a national leader in applied technology education, visit www.pct.edu, email admissions@pct.edu or call toll-free 800-367-9222.

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Thu, 01 Dec 2022 15:06:00 -0600 en-US text/html https://www.lockhaven.com/news/health/2022/12/nursing-programs-to-simplify-selective-admission-criteria/
Killexams : Freshman Application Instructions

Applying for first-year admission to Saint Louis University has never been more streamlined: simply complete an application, and have your transcripts sent in. There is no application fee when you apply for undergraduate admission to SLU. 

Early Decision I and II, Early Action and Regular Decision  

Saint Louis University offers four application paths for all first-time freshman applicants: Early Decision I and II, Early Action and Regular Decision. Learn about all four options, see key dates and deadlines for each application path, and decide which is right for you. 

Learn About Early Decision I and II, Early Action and Regular Decision at SLU

Complete the Application for Admission

Option One: Apply directly through the applicant portal

Create an account with the SLU applicant portal. If you’ve already been receiving emails from SLU, use that email address and click the “forgot password” link. There is no application fee to apply for undergraduate admission to Saint Louis University via the SLU applicant portal. 

If you applied via the Early Decision I or II application path, you must complete your Early Decision I and II Agreement upon completion of your application. Your signature, along with a parent/guardian and your high school counselor/agent, is required to complete this form. You will need the correct spelling of their name and their email address in order to submit.

Note: The SLU applicant portal is also where you can access the separate applications for the following competitive scholarships and honors and scholars programs:

  • Presidential Scholarship
  • Martin Luther King Jr. Scholarship
  • University Honors Program
  • Medical Scholars Program
  • Law Scholars Program
  • Speech, Language and Hearing Sciences Scholars Program
  • Pharmacy Scholars Program
  • Physician Assistant (PA) Scholars Programs
  • Micah Program
  • Nutrition and Dietetics Scholars

Option Two: Complete and submit the Common Application

Saint Louis University accepts the Common Application. Supporting documents may be submitted via the Common Application as well. There is no application fee when you apply for undergraduate admission to Saint Louis University via the Common Application. 

Note: If you applied via the Early Decision I or II application path and completed the Common Application's Early Decision Agreement, you do not need to complete SLU's Early Decision I and II Agreement through DocuSign.

Send in Your Transcript

Have your high school transcript(s) sent electronically to Saint Louis University, at admission@slu.edu.  Submitting documents electronically is strongly recommended but may also be mailed to Saint Louis University's Office of Admission. Contact your admission counselor if you need assistance.

Additional Application Items

Though not required for admission, the following items are strongly encouraged. Please note that all documents must be submitted electronically at this time.

  • Standardized Test Scores. ACT/SAT scores are not required as part of the admission process. You may choose to submit ACT/SAT scores if you wish. Learn more about SLU's test-optional policy. SLU does not accept superscores so please be sure to send your composite score and all subscores from each completed test. International students are still required to demonstrate English proficiency, which may require the submission of a standardized test score.
  • Secondary School Report Form. The Secondary School Report Form should be completed by your high school guidance counselor.
  • Professional Résumé. Résumés may be submitted via email to admission@slu.edu. Please include your name, state and high school on your résumé.
  • Letters of recommendation. Letters should be emailed from the recommender to admission@slu.edu, and must include your name, state and high school.
  • Admission Interview. An admission interview is an opportunity to speak one-on-one with your admission counselor about your specific interests and application. Contact your admission counselor to arrange an admission interview.

Please note: Some competitive scholarships and special honors and scholars programs require a résumé and/or letters of recommendation as part of the application. Click here for more information about honors and scholars programs.

Requirements for Nursing, Occupational Therapy and Physical Therapy

The application deadline for occupational therapy and physical therapy is Dec. 1. The application deadline for nursing is Jan. 6, 2023. If you applied Early Action or Regular Decision, supporting documents must be received no later than Jan. 12. Some of these programs prefer the submission of an ACT/SAT score as part of the application. Contact your admission counselor with any questions. 

Nursing Application Requirements

High school seniors applying for admission are reviewed on a competitive, holistic and individual basis. The best-qualified students are selected from the application pool with a required minimum high school GPA of 3.20 on a 4.00 scale, with an emphasis on math and science. Standardized test scores are optional but are preferred.

Please note that all nursing students sit for multiple exams throughout the course of their studies at SLU, culminating in the state board of nursing NCLEX test at the end of the program. All applicants to nursing should be aware that while a standardized test score is not required for admission to the program (international applicants may be required to submit proof of English proficiency), standardized tests (during your undergraduate experience and NCLEX) are required to become a practicing nurse. If you choose to submit a test score, please note that the minimum requirement for admission consideration is a 24 ACT/1160 SAT, and our ACT/SAT average for students accepted to the program in Fall 2022 was a 28 ACT/1310 SAT.

Strong applicants will have:
• Four years of math (with math courses equivalent to algebra or advanced algebra) ​
• Four years of science (including one year of biology; one year of chemistry)
• Activities demonstrating leadership, community service and community involvement

All supporting documents, transcripts (required) and test scores (if you applied test-inclusive), must be received by Jan. 12, 2023.

Occupational Therapy Application Requirements

High school seniors applying for admission are reviewed on an individual basis. The best-qualified students are selected from the application pool with a required minimum high school GPA of 3.20 on a 4.00 scale, with an emphasis on math and science.
Standardized test scores are now optional; international applicants may be required to submit proof of English proficiency. When evaluating whether to apply test-optional or with a test score, applicants should note that students accepted in previous years had an average composite 29 ACT or an average total 1330 SAT.

The following high school courses are required for admission:
• Four years of math
• Four years of science, including one year each of biology and chemistry and preferably anatomy/physiology or physics
• Four years of English

All supporting documents, transcripts (required) and test scores (if you applied test-inclusive), must be received by Jan. 12, 2023.

Physical Therapy Application Requirements

High school seniors applying for admission are reviewed on an individual basis. The best-qualified students are selected from the application pool with a required minimum high school GPA of 3.20 on a 4.00 scale, with an emphasis on math and science.
Standardized test scores are now optional; international applicants may be required to submit proof of English proficiency. When evaluating whether to apply test-optional or with a test score, applicants should note that students accepted in previous years had an average composite 29 ACT or an average total 1330 SAT.

The following high school courses are required for admission:
• One year of biology; one year of chemistry
• College prep courses equivalent to algebra, geometry, advanced algebra and/or trigonometry

Strong applicants will have:
• Four years of math, including a course equivalent to pre-calculus
• Four years of science, including physics and anatomy/physiology
• Activities demonstrating leadership and community service
• An interest in the profession of physical therapy as demonstrated through observation, school activities, or personal experience

All supporting documents, transcripts (required) and test scores (if you applied test-inclusive), must be received by Jan. 12, 2023.

Requirements for Flight Science and Aviation Management

Dec. 1 is the application deadline for flight science and aviation management if you intend to register for flight training in your first semester. Students that apply after Dec. 1 will not be guaranteed admission to these programs, and may be placed on a waitlist until space becomes available.

Requirements for Music and Studio Art

There are additional requirements to complete your application if you are applying to the music or studio art programs:

SLU's Test-Optional Policy

Saint Louis University has a standardized-test-optional undergraduate admission process.

What does "test-optional" mean?

"Test-optional" means that you can choose whether or not to submit ACT/SAT scores as part of your application for admission. Test scores are not required for admission or scholarships. If you do choose to submit test scores, SLU does not accept superscores. Please be sure to send your composite score and all subscores from each completed test. International students are still required to demonstrate English proficiency, which may require the submission of a test score.

What is the deadline by which a test score must be received for admission and/or scholarship consideration?

Test scores can be submitted for admission consideration at any time before an admission decision is made. Superscores will not be accepted. The student must request in writing that they want their application path changed to include a test (or vice versa). If a test score is received after an admission decision, it will be considered for a merit scholarship increase only.

Test scores must be received by Feb. 1 for merit scholarship increase consideration.

Test scores for nursing, physical therapy and occupational therapy applicants must be received by Jan. 6, 2023.

Contact Us

Your admission counselor is your best resource throughout the admission process, and they are ready to connect with your however is most convenient: via phone, text, email or video chat.

Find Your Admission Counselor

Thu, 17 Nov 2022 11:04:00 -0600 en text/html https://www.slu.edu/admission/freshman/instructions.php/index.php
Killexams : How dare Luisa Zissman spout off about nurses as she basks in luxury with millionaire husband, says Ulrika Jonsson

OH it must be just dandy to be Luisa Zissman.

You know that irreverent, ­confident, vocal one from The Apprentice.

Luisa Zissman says proposed NHS strike action this month is “irresponsible and cruel”.

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Luisa Zissman says proposed NHS strike action this month is “irresponsible and cruel”.Credit: Channel 5
Zissman’s comments about nurses are not only heartless but show an ignorance beyond reproach

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Zissman’s comments about nurses are not only heartless but show an ignorance beyond reproachCredit:

I’m picturing her sitting in her schmancy fancy house, basking in her life of luxury that mere mortals can only dream of and with her multi-millionaire husband by her side, ­spouting that if NHS staff “aren’t happy with the pay the job offers, do a ­different f***ing one”.

She must feel so bold and ­empowered.

According to Zissman, their proposed strike action this month is “irresponsible and cruel”.

Well, out of the mouths of those lacking in knowledge, experience and those empathetically bankrupt often comes a diatribe of provocation and insult.

What is cruel, Zissman, is that the very people — those treasured nurses who kept us alive during the pandemic and were forced to witness many die — are paid so little for a job that demands so much.

Except, of course, nursing is not just a job, is it? It’s a vocation. It’s a calling.

It is work carried out by exceptional people of a certain calibre.

It takes someone very special to want to do a job that involves three years’ training.

It takes dedication to long, painful shifts which disrupt personal lives.

It requires someone willing to attend to the most basic and sometimes demeaning tasks.

It takes immeasurable levels of empathy and a heart of steel to have to endure horrendous life-and-death situations on a daily basis.

It’s not a job anyone does for the money. I can’t imagine there’s a nurse on Earth who is in it for the money.

And for that we are all quietly very grateful, because Zissman’s suggestion that they should like it or lump it would leave us where exactly?

It would leave us without any nurses at all.

Granted, everything seems flaming hopeless at the moment.

We’re experiencing a general strike in all but name. Not only is the economy up the spout but there aren’t many aspects of our lives that aren’t currently disrupted by industrial disputes.

If you want your post or packages delivered, the chances are they’re going to be late or not turn up at all.

If you want to catch a train to work or the Christmas party, you might as well cancel.

If you trip and fall it’s unlikely an ambulance will get to you on December 21 nor 29.

And you can forget about even trying to book yourself a driving test because a bunch of civil servants are laying down tools, too.

'Ignorance beyond reproach'

I can’t agree that all these disputes are of equal worthiness regardless of the hard cost-of-living crisis we are enduring.

However, Zissman’s comments about nurses are not only extraordinarily heartless but show an ignorance beyond reproach.

Sometimes you have to wonder if some people aren’t entirely bereft of intelligence and empathy.

I’ll make the radical assumption here that she can’t be entirely devoid of feelings, because she’s a mother of three, after all.

But as a businesswoman and entrepreneur she claims that if they would all stop doing their jobs then salaries would organically go up because there would have to be a massive recruitment drive.

I may not be a businesswoman but I know enough about the NHS to know that it isn’t a business like any other.

It’s a broken system where retainment and recruitment has been an issue for some time and nurses leaving their profession hasn’t hitherto increased pay, has it?

Sometimes you have to wonder if some people aren’t entirely bereft of intelligence and empathy.

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Sometimes you have to wonder if some people aren’t entirely bereft of intelligence and empathy.Credit: Rex

I fully acknowledge that the Royal College of Nursing’s strike action starting next week — the first in its 106-year history — will do nothing for the stress on the NHS nor the backlog of patients in need of referrals and care exacerbated by all the lockdowns.

But while I don’t like that they are resorting to such measures, I like even less the pen pushers and accountants at the top of the service creaming off six-figure salaries while hard-working staff have their backs up against the wall.

The nurses’ frustration and desperation is palpable.

Of course, there is no way in the world we could ever pay these guardians of humankind what they really, truly deserve.

By her own admission, Zissman says she couldn’t do the job of a nurse because she “doesn’t deliver a s**t enough” — at the very least that’s an acknowledgment that the work they do is one of responsibility, protection, nurturing and selflessness.

Presumably this also alludes to the fact that she is somewhat lacking in all of the above.

She won’t care what I or anyone else thinks about her comments — which is why, thank the Lord, there will never be a Nurse Zissman.

I'm a rum one to ask about boozing

APPARENTLY three quarters of adults underestimate the amount of wine in a 250ml glass.

Plus, we are all inclined to pour bigger measures at home than you might expect in a pub or bar.

I don’t often drink wine but can't get enough of rum

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I don’t often drink wine but can't get enough of rumCredit: Alamy

Well, it definitely can’t be me they’re talking about because I don’t often drink wine. Rum is my jam.

I’ve always sub-consciously known that I lie to myself (and those around me) about how much I might have drunk the night before.

The sentence always starts with: “I really didn’t have that much . . . ”, as I lie flatlining on the sofa the following day.

I tell myself it was only this much. I tell myself I only had three drinks.

I blame my hangover on the fact I hadn’t eaten. Or the alcohol had a strange effect on me because I was drinking on a day with a “y” in it.

Like on Christmas Day two years ago, when I found myself on my knees talking to God on the great white telephone and I had to ask my son to cook most of the Christmas dinner . . . 

That day I tried to convince myself and everyone that the bottle of rum I’d consumed the day before really hadn’t been a whole bottle.

Pray, do tell, how do we measure measures when we’re at home if the NHS says we should not consume more than 14 units a week?

My unit is probably bigger than yours.

And that’s not even a euphemism. It’s a statement of shame.

TV host is not kidding

WHEN asked about having children, Graham Norton replied that he “wouldn’t be a very good father” because he “doesn’t have the patience or the interest”.

I love his honesty. Although, for the vast majority of the time it is women who are persistently asked about having children.

I love Graham Norton's honesty that he does not want to have kids

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I love Graham Norton's honesty that he does not want to have kidsCredit: Getty

Collectively, societally and culturally we have an expectation that women should bear children.

It’s almost an assumption. The pressure is intense, and despite my own maternal instincts, I have always rather admired those women who have been capable of telling it straight – that they have no intention or desire to ever have kids.

It’s rarer for us to ask men. Presumably because men can have kids at more or less any age so the pressure is not as urgent as it is for those with a biological clock ticking.

Never one to be constrained by societal norms, I make a point of asking men all the time.

Partly to get my own back for those women who will always have been pestered but also, it might be relevant to my life if I date someone whose desire is to have kids with this ageing, no-longer-fertile hasbeen.

Graham’s response made me titter.

If someone asked me today – after four kids – I would probably say the exact same thing.

I don’t have the patience or the interest . . . 

Fri, 09 Dec 2022 06:30:00 -0600 Ulrika Jonsson en-gb text/html https://www.thesun.co.uk/news/20707520/how-dare-luisa-zissman-ulrika/
Killexams : Nursing students, employees report dissatisfaction with the program

A student strides through the audience at the Board of Trustees meeting and steps behind the podium with poise and confidence.

She brushes her hair out of her face and takes a deep breath before speaking.

“Hello, I’m Emily Angiolini and I’m here on behalf of the fourth-semester cohort,” she said. “I am here to discuss issues that we’ve had with the semi-newly appointed director of the [nursing] program Dr. Joy.

Angiolini looks across the room, giving direct eye contact with each trustee member and compares the current state of the nursing program to that of a living horror.

“She [Dr. Jeny Joy] has been in office as of two semesters and since that time, it has been an absolute nightmare for us as students working under her,” Angiolini said.

Although focused on the challenges that she and her graduating class have faced, Angiolini said many students and faculty members in the program are faced with numerous issues as well.

Angiolini is one of at least 30 nursing students and employees who have reported disorganization and negligence issues with the nursing program in addition to issues with its current director.

During the nursing program’s pinning ceremony on Dec. 5, a historic tradition where the graduating class is honored with a wearable pin, El Camino College’s President Brenda Thames highlighted the issues the students are facing.

“This cohort of students has had to navigate an exceptionally challenging change within the structure and administration of the program…in the midst of this, we have heard the voices of those individuals who so passionately made their concerns known,” Thames said. “We understand that this experience was not the experience that you imagined and it was not the experience [administration] imagined for you.”

President and Superintendent Brenda Thames speaks to attendees at a pinning ceremony for nursing program graduates in the Campus Theatre, on Monday, Dec. 5. Thames said she acknowledges the perseverance of the fall 2022 fourth semester cohort as they faced several challenges during the semester. (Raphael Richardson | The Union)
President and Superintendent Brenda Thames speaks to attendees at a pinning ceremony for nursing program graduates in the Campus Theatre, on Monday, Dec. 5. Thames said she acknowledges the perseverance of the fall 2022 fourth semester cohort as they faced several challenges during the semester. (Raphael Richardson | The Union)

El Camino’s nursing program is currently ranked 37th out of 134 total nursing schools in the state of California and ranked 144 out of 1,700 nursing programs nationally.

The program also boasts a 94% passing rate for the National Council Licensure Exam, 10% higher than the national average of 84%.

The National Council Licensure test is a mandatory test given to all nursing students that they must pass in order to be licensed as a registered nurse in the United States and Canada.

After the previous nursing director Wanda Morris retired, Jeny Joy was hired in September 2021, at which point, nursing students and employees have reported numerous issues since the beginning of her tenure. She previously worked at College of the Canyons and West Coast and Stanbridge universities.

“[The nursing department] has been dealing with this for over six months and it’s got to a point… where it’s frankly unlivable for us as students,” Angiolini said.

The most pressing issue that Angiolini and graduating students said they dealt with was a lack of planning and organization with their pinning ceremony.

When the fall semester began on Aug. 29, the fourth-semester nursing students were sent a mass email informing them of Joy’s intention to request one of two venues to reserve for the pinning ceremony on Dec. 12: The Campus Theatre, Haag Recital Hall or Marsee Auditorium.

The venues and dates for the pinning ceremony were also listed in the nursing student handbook which details what students can expect from the ceremony and allows them to plan accordingly.

Even with the email of intent and a plan of action as highlighted within the student handbook, several weeks passed without any confirmation of the fall 2022 pinning ceremony date.

“The first week of school, our Professor Dr. White said ‘Dr. Joy is going to be figuring out the venue. You should know by next week,’” Angiolini said. “Weeks go by…like two weeks, three weeks, we haven’t heard anything. We’re asking what is happening.”

With help from Center of the Arts Director Rick Christophersen, Angiolini herself placed a booking hold on the Campus Theatre for Dec. 5 but according to Angiolini, this posed a problem for Joy.

According to Angiolini, Joy had intentions of booking the Haag Recital Hall for the pinning ceremony on Dec. 12, however, the Haag Recital Hall has a maximum capacity of 125 people and approximately 300 guests were expected to be in attendance.

“This was an issue [Joy] created all because of her own shortcomings and because she didn’t request and book a venue when she was supposed to,” Angiolini said. “This is a bi-annual

occurrence and there’s a very specific week and day that they do it, so they could book this in advance and I don’t know why this wasn’t booked annually.”

After several meetings and emails sent between the nursing students and college administration and after a public statement made by Angiolini during the Oct. 17 Board of Trustees meeting, the fourth-semester students did not receive confirmation of a venue booking until Oct. 21, almost two months after the original email was sent on Aug. 29.

Emily Angiolini stands by the Campus Theatre moments before the pinning ceremony begins on Monday, Dec. 5. (Raphael Richardson | The Union)
Emily Angiolini stands by the Campus Theatre moments before the pinning ceremony begins on Monday, Dec. 5. (Raphael Richardson | The Union)

During an interview with The Union, Vice President of Academic Affairs Carlos Lopez said that due to the difficulties with scheduling, it took more time than anticipated to find alternative options for the fourth-semester students.

“As Dr. Joy indicated, [administration] had some complications with the schedule and the venues we would traditionally use,” Lopez said. “And that took some time to be able to find and determine and decide the alternate date and the alternate venue that’s suitable for this type of event.”

During the same interview, Joy said the order of precedence in booking venues places Marsee Auditorium first, the Campus Theatre second and the Haag Recital Hall last.

Both Joy and Lopez confirmed there was a scheduling conflict with Marsee Auditorium for Dec. 12.

The pinning ceremony took place on Dec. 5 at 4 p.m. where 44 nursing graduates were honored and celebrated.

Although the fourth-semester students prioritized the mishandling of their pinning ceremony, several told The Union they recognize the severity of different issues that the program has endured when concerning the nursing faculty and students outside of the fourth-semester cohort.

A nursing employee who asked to remain anonymous due to privacy concerns said although the faculty loves their jobs, currently, the department as a whole is not in a good place.

“It’s just a sucky situation right now…[instructors] could make a lot more money working as regular nurses within a hospital and we don’t do it,” the anonymous employee said. “We work at El Camino because we love our job, we love what we do and we want to make good nurses, however, it’s really hard to like what we do, it’s just not enjoyable right now.”

The anonymous employee said that a lot of the nursing employees in the department are undecided on whether or not they want to stay and endure the challenges that they have to face in their workplace environment.

Asked if there were any extenuating factors affecting the current state of the program, the anonymous employee said it was directly due to Joy.

The anonymous employee said the program is constantly changing its guidelines and expectations of students, creating barriers between the students and accessing their educational needs.

Students walk down the aisle of the Campus Theatre during their pinning ceremony rehersal on Monday, Dec. 5. The Campus Theatre boasts about 325 seats and saw a full house for the ceremony. (Ethan Cohen | The Union)
Students walk down the aisle of the Campus Theatre during their pinning ceremony rehersal on Monday, Dec. 5. The Campus Theatre boasts about 325 seats and saw a full house for the ceremony. (Ethan Cohen | The Union)

One of the changes the nursing students have faced with their curriculum is with the program’s Assessment Technology Institute (ATI) testing exams.

Students are allowed to test for the ATI test a second time if they did not receive their desired score the first time.

During the 2020 - 2021 academic year, the nursing syllabus and handbook showed each student’s grade would reflect their best score from the two tests, however, for the 2022-2023 academic year, El Camino College's ATI test records the most accurate grade, even if it happens to be a worse score.

Joy said the change was made because the faculty believed it was the best decision for the student body.

“It is one aspect of testing that was changed to better assess [and support] the learning needs of the students,” Joy said. “All those decisions were made by the faculty team [and] it was approved by me as well, so it was a collaborative decision.”

Several students, including nursing major Michelle Loring, said the current change to the way the ATI tests are graded is unnecessary.

“Nursing is hard, it’s a very hard major. How is that helping us succeed?” Loring said. ”If you want to deliver us two chances to [test] to try and Excellerate our scores, great! However, to not take the best out of those two scores…for me that was a really big thing that I was not happy about.”

Loring said because she performed worse during the retake of the ATI test, her grade dropped from 84% to 74%, a full letter grade.

Loring said she wished Joy would communicate to her students the basis of why the changes were made.

“How do you go around making all these changes with no reason as to why? In nursing, you’re taught to ask why for everything. It’s fine if you want to make changes but at least communicate to your staff, communicate to your students as to why you are doing it, not just ‘this is how it is,’” Loring said.

In addition to the nursing student syllabus, the current student handbook also contains language about the program’s withdrawal and student disability policies that set conflicting guidelines with both student accommodations and withdrawals.

Unlike the previous academic year, the 2022 - 2023 nursing student handbook has not been made available to the public. Several students told The Union that Joy frequently changes the rules and guidelines set for the program without reason.

“[Joy] makes changes not because they’re necessary or because they’re proven to be needed by the Board [of Registered Nurses] or because we’re not meeting requirements,” Angiolini said. “It’s a constant of this is just how [Joy] wants it and she doesn’t want to hear anybody’s opposition to it.”

The Union received the 2022 - 2023 handbook directly from the nursing students.

After speaking with 32 students and employees about the dissatisfaction expressed with the state of the nursing program, The Union scheduled an interview with Joy on Dec. 1.

Family and graduates flocked to the Campus Theatre to attend a pinning ceremony for graduating nursing students, on Monday, Dec. 5. The fourth-semester cohort collectively reports that they took initiative to book the Campus Theatre for their pinning ceremony. ( Raphael Richardson | The Union)
Family and graduates flocked to the Campus Theatre to attend a pinning ceremony for graduating nursing students, on Monday, Dec. 5. The fourth-semester cohort collectively reports that they took initiative to book the Campus Theatre for their pinning ceremony. ( Raphael Richardson | The Union)

Upon arrival at the interview, The Union expected to meet with Joy and Director of Public Information and Government Relations Kerri Webb, however, The Union’s editors were also joined by Dean of Natural Sciences Amy Grant, Registrar of Admissions & Records Lillian Justice, in addition to Joy, Webb, and Lopez.

The Union provided the administration members in attendance with documents regarding issues with the pinning ceremony issues, the nursing student syllabus and the handbook.

Whenever The Union provided student and employee testimonies, the college’s administration referred to the Federal Educational Rights and Privacy Act (FERPA) as to why they could not speak on individual cases.

“Per FERPA, [Joy] is not allowed to discuss any specifics in regards to the [student] complaint,” Webb said.

Enacted in 1974, FERPA is a law that provides protection for identifiable data kept within a student’s educational records.

FERPA not only grants students the ability to access their educational records but also protects a student’s record from disclosure to third-party sources.

Student Press Law Center’s Senior Legal Counsel Mike Hiestand said he believes El Camino College’s administration is misguided in their approach.

“I think that [the administration] is probably misguided if [the information] hasn’t actually been put into a record. They are misguided in saying that FERPA is the reason they don’t have to provide that information,” Hiestand said. “They don’t have to provide that information simply because they don’t have to provide it.”

Hiestand said that the administration should not have referred to FERPA when discussing issues concerning college employees because the law specifically covers students.

Similarly to the concerns brought up by the nursing students and employees, The Union was unsuccessful in obtaining information as to why the program has undergone changes since Joy was hired.

The fourth-semester cohort reached out to administration, filed grievances and publicly spoke out against Joy and the nursing program on various occasions.

Angiolini said that when the nursing students' issues were ignored, they took it upon themselves to book the Campus Theatre in order to accommodate guests at the pinning ceremony.

Angiolini said the main reason she decided to speak out against the nursing program was to help the current and future students and employees of the program.

“Clearly nobody cares, nobody is doing anything. We’ve met with people and no one seems to see this as an issue,” Angiolini said. For us [students], it got to the point where we can’t live like this anymore and we don’t want other students to have to deal with this. We don’t want our professors to quit their jobs. That’s why we’re fighting.”

 

Editor’s Note:

The Union has been following this story since the Board of Trustees meeting on Oct. 17. The Union has met with 32 nursing students and employees who provided various testimonies and documents chronicling different incidents and issues that have occurred within the past year of the program.

Wed, 07 Dec 2022 23:30:00 -0600 text/html https://eccunion.com/news/2022/12/08/nursing-students-employees-report-dissatisfaction-with-the-program/
Killexams : Nurses Questions Answered: Could You Face Repercussions for Your Actions?

Nurses are the most trusted profession for one reason. They care.

Nurses are passionate about patient interactions, quality, and giving optimal support, often to the detriment of self-care. Many do not hesitate to voice concerns in an atmosphere that produces anxiety, whether it be regarding supplies, documentation, or staffing. As a result, post-pandemic hospitals saw a wave of retaliatory action against nurses to the dismay of individual clinicians as well as professional nursing organizations.

In October, three nurses at Ascension Saint Joseph in Joliet, Illinois, were escorted off the premises of a hospital emergency room when they began an understaffed shift. They were removed from work by hospital security and then suspended for 1 week. It was a decision that was incomprehensible because the emergency room faced an overwhelming influx of patients — 46 that evening alone — and only four nurses instead of the more than 10 approved staffing were on duty. Why were they suspended?

Hospital officials have been quiet in responding to their alarmed community as well as in answering the Illinois Nurses Association, who criticized the hospital's response. It has been suggested the nurses had been intensely vocal about staffing for several weeks and the hospital might have wanted to silence their voices.

In my opinion, this could be considered a professional repercussion of the post-pandemic work environment. Though the nurses were reinstated after the week expired, nursing organizations believed that the actions of their employer were too harsh. 

There was a similar response by employers after a string of large strikes of California nurses earlier this year. For example, a walkout by nurses at Stanford Health Care and Lucile Packard Children's Hospital resulted in the hospitals withholding wages during the strike period and stating they might withhold health coverage from striking workers.

"Our sincere hope is that an agreement can be reached promptly so that nurses don't lose additional pay, don't risk losing the subsidy for employer-paid health benefits and can return to patient care," the hospital newsletter StanfordPackardVoice.com reported before the strike began in April. "Nurses who choose to go out on strike will not paid for missed shifts and cannot use PTO, ESL, or Education Hours."

Nurse: Could a similar repercussion be in my work future?

Nurses may take to picket lines or contact administrators (eg, Human Resources) for multiple reasons, but the most common issues are related to staffing, scheduling, mandatory overtime, or equipment required to do their job: safety or lifting equipment and broken or missing tools for monitoring patients. The lack of hospital security services to assist with violent or threatening patients has also become a concern.

Goodman: The inability to provide safe care is a common fear of all nurses, one that was exacerbated by healthcare workers leaving during the pandemic, primarily from nursing homes. Although overall safety has improved, that may not be the case in smaller, rural institutions. Staffing for all shifts may also be erratic as the country faces an uphill winter battle with influenza, respiratory syncytial virus, and newer COVID variants.

Report to your supervisor: First, be familiar with your institution's policy regarding chain of command. Know where to take a complaint when staffing seems unsafe. Contact your immediate supervisor as soon as the situation has been assessed. They might be able to shift resources to your area or find coverage to help. In addition, keep accurate notes related to your actions.

I covered a night shift where I was directly responsible for the care of 13 subacute medical-surgical patients (new admissions and postoperative patients). Patients kept arriving with no regard for the load that was present. One of the patients was completely unhappy with her pain regime and kept calling for assistance, as is often the case.

While I was doing my best to assess arrivals, another nurse contacted a supervisor. The next thing that happened was an on-site visit by hospital administrators (unusual!), who asked to see my assignment sheet. I had been hesitant to share the list, fearing recrimination from intermediate leadership (this was not my home unit). But it led to an immediate change in staffing. The ordeal ended amicably, but not all do. Thereafter, no nurse was expected to care for more than eight patients on the night shift.

Notify proper authorities: Nurses may believe contacting the Occupational Safety and Health Administration (OSHA) might be helpful, however OSHA may not have jurisdiction over the hospital, as the Saint Joseph nurses discovered. Working without safety equipment or with reduced supplies (eg, automatic blood pressure cuffs, oxygen saturation monitors, isolation gear) may appear to be a federal complaint, but it depends where the nurse is employed. The hospital in Joliet, Illinois, was covered by the Illinois Department of Public Health.

Federal law entitles you to work in a safe place. Contacting OSHA for direction should not lead to recrimination for nurses. Although OSHA has been overwhelmed with complaints since the onset of the pandemic, their website directs nurses. For example, a whistleblower complaint can be filed up to 30 days after an incident of worker retaliation.

If you are a member of a nursing union, follow union guidelines related to your actions. Thousands of nurses went on strike in the past 2 years. Most remained employed and returned to work with negotiations complete. As far as the nurses in Massachusetts, the state does not have mandatory staffing ratios — most do not — which complicated contract negotiations. At this time, California is the only state that has mandatory nurse-patient ratios written into law.

It is also important to know state law and to be cognizant of nursing organizations within your geographic area. Staying connected means staying informed and having nursing resources.

Respond rationally: An additional reminder for nurses is not to react to a tense situation impulsively. Leaving an assignment unfinished or walking off the job is never a good idea. (A scheduled strike organized by union leaders is different). Leaving work is viewed by institutions as job abandonment and can be grounds for dismissal. Most states are currently "at will" employers, meaning hospitals can terminate nurses without due process.

Above all, know that nurses worry about providing safe practice and avoiding recrimination. Only one of these should be in your future.

Wed, 07 Dec 2022 23:39:00 -0600 en text/html https://www.medscape.com/viewarticle/984879
Killexams : Montana State University nursing college to certain admission to Montana residents

Fri, 11 Nov 2022 10:06:00 -0600 en text/html https://www.bozemandailychronicle.com/news/montana_state_university/montana-state-university-nursing-college-to-guarantee-admission-to-montana-residents/article_0f76607c-61f2-11ed-81a7-8f8f3eb731d3.html Killexams : Many nursing homes are poorly staffed. How do they get away with it?

Regulators have allowed thousands of nursing homes across America to flout federal staffing rules by going an entire day and night without a registered nurse on duty, a USA TODAY investigation has found.

Nearly all of them got away with it: Only 4% were cited by government inspectors. Even fewer were fined.

When other nursing home caregivers are added into the equation, one-third of U.S. facilities fell short of multiple benchmarks the federal government has created for nurse and aide staffing.

Low-income residents, disproportionately people of color, fare the worst. Their nursing homes report the lowest staffing levels, but data show they seldom get in trouble because of it.

A USA TODAY investigation has documented, for the first time, how rarely the federal government enforces decades-old staffing guidelines and rules for nursing homes.

Citations and penalties remained sparse even as regulators developed three ways to measure staffing. In the spring, they will propose a fourth approach.

Nursing home workers, home care workers and supporters march through the streets of California's capital in June to advocate for higher industry standards, safer staffing levels and increased wages.

Having enough nurses and aides is the strongest predictor of whether nursing home residents will thrive, researchers have found. When facilities are short-staffed, essential medical tasks are ignored. Doctor’s appointments are missed, call buttons go unanswered, diapers are not changed, showers are not given and wounds are not cleaned. Dementia can set in faster. People get sicker, and die, alone.

The desperation of residents and their relatives can be heard in emergency 911 calls.

“She is on the floor, and she can’t get anybody to get her off the floor,” one niece told a Louisiana dispatcher. “Can y’all do a wellness call or something? I don’t know what to do.”

On the other side of the state, a man unable to leave bed without assistance defecated on himself. He dialed 911.

“I called” for help, he told the dispatcher. “But nobody answered.”

In his State of the Union address this year, President Joe Biden promised sweeping nursing home reforms. But the government’s persistent failure to crack down on facilities that fall short of nursing home standards could render his plan ineffective.

USA TODAY compared millions of nursing home timesheets and thousands of inspection reports to the staffing numbers set down by federal rules and formulas. It found a staggering pattern of failure.

Charlene Harrington, one of the nation’s leading researchers on staffing levels and nursing home quality, said USA TODAY’s analysis probably underestimated how often facilities fell short because it used a conservative standard to measure care expected from nurses and aides.

“What you’re looking at is the bare minimum,” said Harrington, a professor emerita at the University of California, San Francisco. And federal regulators have “not even been enforcing the bare minimum.”

Charlene Harrington

The problem existed long before COVID-19. Among facilities that did not have a registered nurse on duty eight hours a day as required by the federal Centers for Medicare & Medicaid Services (CMS), most failed to meet that standard in all three years before the coronavirus tore through nursing homes.

The pandemic did expose understaffing in nursing homes to many Americans. In its wake, former certified nurse assistant Tracey Pompey is floored that the public has not demanded better care for vulnerable elders.

“People get desensitized to things like this,” said Pompey, of Virginia. “If it happens to a child or a dog, people won’t shut up.”

Tracey Pompey of Richmond, Virginia, is an advocate and former certified nursing assistant.

James Lovette-Black, a California nursing home inspector until 2020, offers a glimpse of how the problem persists. Lovette-Black said facilities often did not have enough nurses or aides to meet residents’ needs. Yet despite his best efforts, he said, “I don’t recall ever citing for staffing violations in any nursing home in my eight years.”

He echoed hundreds of inspectors surveyed for a study in 2013 as he described why. Staffing citations were not a priority set by department leaders, Lovette-Black said, and they were difficult to back up. He accused facilities of routinely beefing up staff during inspections, among other tactics documented by researchers, to avoid black marks on public ratings.

The American Health Care Association, the nation’s largest trade group for nursing homes, said in a news release this summer that 94% of the country’s facilities missed minimum staffing guidelines tougher than those used in USA TODAY’s analysis.

The organization said in an email that “the vast majority” of nursing homes provide inspectors with accurate information. That, senior vice president Holly Harmon said, is not the culprit.

“We firmly support transparency and accountability,” Harmon said, “and we must also foster an oversight system that recognizes good faith efforts and promotes improvement, not just penalties.”

Speaking of Biden’s plan, she added: “A new, federal staffing mandate without the available workforce and financial resources necessary to meet it would reinforce a punitive process that hasn’t been working for decades.”

Medicaid reimbursements, which pay for most nursing home stays, pays less than Medicare. The broader financial picture, however, is complicated.

Taxpayers spend nearly $90 billion each year on Medicaid and Medicare stays at nursing homes — many of them run by companies that report double-digit profit margins. Nursing homes also pay caregivers less than most other health care sectors. 

Half of nursing staff — or more — turns over in a year, according to federal statistics on the industry.

Barbara Decelles, a retired RN, had a 38-year career at skilled nursing and assisted living facilities in Wisconsin and Illinois.

Registered nurse Barbara Decelles made the best of it for 38 years at senior care centers in Wisconsin and Illinois. She quit last year.

She’s done working 25-hour shifts, knowing she might be making mistakes, then, exhausted, driving off the road on her way home.

She’s done choosing which call light to answer and which to ignore. She’s done asking for more help and being told it doesn’t fit the budget. She’s had it with owners appearing on a busy day to celebrate the staff’s heroic work with a goofy photo-op but not extending benefits to aides or awarding raises.

But she can’t escape from the anger – that people she cared for daily declined faster and died sooner because of inadequate staffing.

“Somehow, somebody is making money off of this, and it certainly isn’t the caregivers,” Decelles said. “I’m tired to my soul.”

THE ENFORCEMENT GAME

Understaffing has been a problem throughout decades of nursing home reforms – one that Bill Halamandaris said leaders in Congress and at CMS have repeatedly sidestepped.

Halamandaris, a retired Capitol Hill staffer, worked on the Senate Committee on Aging as the nation wrote its first rules for nursing homes and granted broad authority to federal health officials to enforce them. Halamandaris said the 1967 Moss Amendments, among other things, were intended to lead to the creation of staffing minimums and a subsequent crackdown.

That didn’t happen.

“Like a lot of things, the congressional intent is lost in the bureaucracy,” Halamandaris said.

Federal regulators have since created multiple ways to measure whether a nursing home has enough staff.

Since the late 1980s, regulations have required facilities to have “sufficient nursing staff” to meet resident needs and to have a registered nurse in the building at least eight hours every day.

In 2001, a study commissioned by the Medicare regulator for Congress recommended minimum numbers of nurses and aides.

Then, beginning in 2011, CMS relied on the findings of a different study to determine how much to pay nursing homes for residents on Medicare. Reimbursements are calculated based on the level of staffing a typical nursing home provides for people with similar medical needs. It’s the formula CMS also deploys in its consumer-focused Nursing Home Care Compare tool.

That “expected” level of staffing, which USA TODAY used in its analysis, is almost always lower than the 2001 minimums.

Regulators have not used either the 2001 or 2011 benchmarks for enforcement. And USA TODAY found a chasm between facilities whose own filings with the federal government show they blew a third standard, the eight-hour rule, and those who get cited for it.

Nicholas Castle, a leading researcher on enforcement of nursing home standards from West Virginia University, said concentrated enforcement efforts also can have a significant effect. For instance, CMS and state inspection agencies focused for years on reducing the use of physical restraints.

Those restraints, he said, have “almost disappeared.”

Long-term care advocate Richard Mollot said that even without explicit numeric staffing requirements, the federal government’s qualitative approach combined with a wide array of available staffing benchmarks should provide plenty of leverage over short-staffing.

If inspectors “were empowered and interested, able or willing, to enforce this, I think the sufficient staffing requirement would be fine,” said Mollot, executive director of the Long Term Care Community Coalition. “But unfortunately, they’re unwilling or unable to do that.”

CMS declined multiple requests for an on-the-record interview about USA TODAY’s findings, staffing levels and oversight.

The results of timid enforcement play out daily in nursing homes across America.

CONSEQUENCES OF LAX ENFORCEMENT

Cindy Napolitan, 66, is an eyewitness to what short-staffing means at Cheyenne Medical Lodge in Mesquite, Texas, where she lives with her adult daughter. Both have multiple sclerosis, and Napolitan’s husband, who had been their caregiver, died in 2017.

Based on the 2001 federal study, the home should have enough aides to provide 2.8 hours of care per resident each day. The formula the government uses to pay the home Medicare money assumes it’s offering 2.4 hours. The real number for Cheyenne Medical Lodge? Each resident can expect 1.7 hours of aide care daily, according to its most accurate reports to the government.

Napolitan described a struggle to get regular showers or help transferring into a wheelchair. She said her daughter developed a painful pressure ulcer because a doctor’s orders to turn her every two hours were not followed.

Cindy Napolitan moved into a skilled nursing facility with her daughter after the death of her husband.

The administrator of Cheyenne Medical Lodge and its operating company, Foursquare Healthcare, did not respond to multiple requests for comment.

Since 2017, Texas nursing homes have reported the nation’s second-lowest staffing levels, USA TODAY found. Although more than 950 facilities reported fewer nurses or aides than expected by the Medicare formula, inspectors issued citations to just 16 of them – among the country’s lowest penalty rates.

A spokesperson for the Texas Department of Health and Human Services said inspectors “thoroughly investigate those concerns.” But assistant press officer Tiffany Young noted that the data collected by CMS is old before inspectors arrive, adding that they “are looking at staffing at that specific point in time.”

Napolitan has filed complaints, and when state inspectors made a repeat visit earlier this month, she said she quizzed them about whether her nursing home has had a record number of grievances.

“We don’t even come close,” she said. “That’s scary.”

She’s resigned to the fact that she’ll probably be fighting for good care for herself and her daughter as long as she can still communicate. 

“I’m diplomatic; I try to be,” Napolitan said. “But there are times when you just have to say, ‘All right, enough is enough.’”

Residents of other nursing homes and their family members told USA TODAY they felt trapped. No matter where they went, they could not find adequate care. No matter who they told about staffing problems, they could not find someone to Excellerate the situation.

In New York City, Claire Campbell encountered low staffing levels everywhere she took her mother, Grace E. Campbell.

USA TODAY’s analysis found that during her stays in two nursing homes between 2019 and 2022, the gap between genuine staffing and CMS’ expected staffing ranked them in the state’s bottom third.

Even though Claire participated on the family council at one and filed numerous complaints with the state against both facilities, she said little ever changed.

Claire Campbell took this photograph through a window at The Riverside Premier Rehabilitation and Healing Center in Manhattan as her mother Grace Campbell filled out her 2020 absentee ballot during COVID lockdown.

In 2019, Grace Campbell (right) dressed up for Halloween as "Grandma Noonie," which is what her grandson called her. She had become a resident of The Riverside Premier Rehabilitation and Healing Center in Manhattan earlier that year. Daughter Claire Campbell (right) said care for her mother was often delayed or missed because of understaffing – even after the pandemic had settled down.

In 2019, Grace entered The Riverside Premier Rehabilitation and Healing Center in Manhattan, a for-profit facility that overlooked the Hudson River.

She still was able to do the daily crossword in The New York Times and play along with “Jeopardy,” but she needed help standing up from the toilet. Instead, Claire said, nurses insisted her mother wear a diaper.

Delays in diaper changes, she claims, set off a chain reaction: Her mother avoided drinking water then suffered from dehydration and urinary tract infections.

In an email to USA TODAY, The Riverside administrator Jake Hartsein declined to discuss those allegations but denied that residents experience delays or omissions in care. He said that CMS recently gave the facility a five-star rating for some quality measures. He failed to mention that one-star ratings for health inspections and staffing pulled Riverside’s overall rating down to two stars.

When asked if he thought his staffing levels were adequate, Hartstein wrote: “In comparison with other skilled nursing facilities in our immediate proximity, The Riverside’s nurse aide (CNA) staffing levels are on the same level.”

After yet another fall, Grace moved from The Riverside to Amsterdam Nursing Home, a nonprofit, in the early summer of 2021. There, Grace routinely had to wait hours for help to use the bathroom, Claire said. She could not push her wheelchair over the marble threshold. 

Because of the frequent delays, Claire said, she hired an aide to visit her mother at the nursing home. Even that did not certain timely care.

On Claire’s birthday in January, Grace called saying she had to have a bowel movement but no one had helped. Claire and a friend abandoned their lunch to rush over.

Grace Campbell lived in New York's Amsterdam Nursing Home until her death in January 2022 at the age of 98. Claire Campbell says her mother had multiple falls while a resident because of understaffing. Describing the photograph, she said: "Mom toppled out of her wheelchair trying to move somewhere herself because nobody came to help her....What a horrible way to treat such a treasure."

Grace Campbell lived in New York's Amsterdam Nursing Home until her death in January 2022 at the age of 98. Claire Campbell says her mother had multiple falls while a resident because of understaffing. Describing the photograph, she said: "Mom toppled out of her wheelchair trying to move somewhere herself because nobody came to help her....What a horrible way to treat such a treasure."

Within an hour, Grace, 98, was dead. Her death certificate read “natural causes.”

In a statement to USA TODAY, a spokesperson for the management company with which Amsterdam Nursing Home contracts, Centers Health Care, said “safety and care” are the top priority.

Corporate communications director Jeff Jacomowitz said in a statement that the facility meets all state staffing requirements. Yet, Amsterdam Nursing Home was cited for insufficient staffing by the department’s inspectors in February, just weeks after Grace’s death.

Government penalties for insufficient staffing are rare in the state of New York. Of the facilities reporting levels below those expected by the Medicare formula, only 3% were cited for it. 

The inspectors who visited Amsterdam showed how it could be done. They compared daily staffing reports with the facility’s assessment of complete staffing, finding enough caregivers on just four days in January 2022. 

One nursing assistant interviewed by inspectors called the situation “a nightmare.” She said she was embarrassed to answer the phone and talk to family members who wondered why their relative had not been taken out of bed that day. “I can’t take 18 people out of bed when there are only two staff,” she said. “It’s impossible.”

Inspectors also had issued a citation for insufficient staffing to The Riverside in May 2019, when Grace was a resident. Neither that citation nor the one for Amsterdam ended in fines.

“Ensuring all nursing home residents receive proper care is a priority of the New York State Department of Health,” said  Deputy Director of Communications Jeffrey Hammond. He also noted that inspections “are conducted in accordance with federal regulations.”

A new state law that took effect in April requires nursing homes to spend at least 40% of their revenue on staff that provides face-to-face care. 

“I reported it to everyone,” Claire Campbell said of the understaffing and poor care. “From the nursing station to the medical director to the wound care director to the ombudsmen to the State of New York Department of Health. … Nobody took action.”

MORE INSPECTORS, OR MORE CLOUT?

Part of the president’s plan to address lax enforcement of nursing home rules is to pay states to hire more nursing home inspectors and boost their pay.

Inspectors, who often are registered nurses, can find better wages and less out-of-town travel in the private sector. Federal funding for nursing home enforcement has not changed since 2014: about $397 million a year. Biden wants to increase that by 25%, matching inflation over the past seven years.

Sen. Bob Casey, D-Pa., advocates for more resources for nursing home inspections.

Sen. Bob Casey, a Democrat from Pennsylvania who has pushed for tougher enforcement on the worst nursing homes, supports the funding increase.

“I’ve been advocating … for years now, for not just transparency and accountability with regard to nursing homes themselves,” he said, “but also the resources that will bring about that transparency, accountability and better performance.”

Casey notes that a January report from the Inspector General for the Department of Health and Human Services found inspection agencies understaffed. A quarter of states routinely miss a federal deadline to inspect a home within 10 days of receiving a safety complaint.

In letters to state officials this fall, Casey said about a third of nursing homes are overdue for standard annual inspections. Some states are doing far worse than others.

Inspectors also have reported frustrations with the job. The 2013 survey of hundreds of nursing home inspectors in 10 states found widespread pressure from industry and elected officials to change inspection results.

In September, SEIU Healthcare Pennsylvania union members went on strike over stagnant negotiations with nursing home owners. The union had advocated for the state to toughen its minimum staffing standards and increase funding so nursing homes could hire more workers to comply with those rules.

“We are being crushed by political influence of the nursing home groups,” one inspector wrote.

Some inspectors said they would recommend fines or even stiffer penalties only to have their bosses “downcode” their reports. A reversal that “throws out things you work so hard on can be discouraging,” another inspector wrote.

Dean Lerner, an attorney who oversaw regulatory enforcement in Iowa for nearly a decade, said he once expanded the state’s team of nursing home inspectors because they “were so understaffed.” But, he said, the incoming governor cut those positions before anyone could start.

Sometimes CMS’ own guidance has created confusion.

The federal manual given to states to train their inspectors for years told them they should not investigate staffing levels unless the inspector had first found that care standards were not met. It’s like handing out speeding tickets only to drivers who crash.

A year after regulations changed in 2016, that guidance was updated, allowing inspectors to look into staff at any time and without needing to link low staffing to poor care. But the rarity of citations, coupled with observations of inspectors, suggests some still believe they need examples of care violations.

That’s not the only barrier confronted by inspectors. Nurses told USA TODAY they have been threatened with termination if they speak honestly to inspectors. Others feared they could be held personally responsible for poor care caused by understaffing beyond their control.

Nurses also confessed they had given falsified staffing data to inspectors during visits or called in extra workers on days they learned inspectors would be coming. Academic research has found staffing spikes around inspection days.

Lovette-Black, the retired California state inspector, recalled seeing the same staffing-related problems – “frequent falls or pressure injuries or infections,” he said – year after year at the same facilities. By submitting paperwork that testifies they had retrained their staff members or had adjusted staffing schedules, he said, the nursing homes would be deemed back in compliance.

“A year later when you went back, they would have slipped back into their bad practices,” he said. “There still wasn’t enough CNAs. Wasn’t enough licensed nurses.

“Nothing really changes. The culture doesn’t change.”

UNEQUAL CARE

After David Jones, 71, had a stroke, he was sent to a Virginia nursing home for a few weeks of physical therapy to regain use of his leg. He and his wife chose Glenburnie Rehab and Nursing Care Center, a facility near their predominantly Black neighborhood in Richmond.

The proximity made it easier for Jones’ elderly wife and daughter – a nurse’s aide – to spend time with him daily. After retiring from his job as a hospital janitor, Jones had loved to travel and especially enjoyed fishing trips in the rural countryside where he grew up. Friends and other family members visited him in the nursing home.

Low staffing is particularly acute at nursing homes that serve a high proportion of nonwhite residents. That includes many facilities in Virginia like Glenburnie Rehab, where about half the residents are Black.

At Virginia facilities with more residents of color, only 7% met the staffing levels they were expected to employ based on the Medicare payment formula. Among all other nursing homes in Virginia, 30% hit that mark.

Yet only eight staffing citations were issued to any nursing home in Virginia last year. Three of them went to predominantly Black homes.

Kimberly Beazley, director of the Virginia office that oversees nursing home licenses and inspections, said the division has historically had more turnover than other teams. She said 30% of inspector positions are now vacant.

But Beazley said she does not think vacancies have affected the quality of inspections, only the quantity inspectors can complete. Asked whether the state was issuing enough citations for staffing violations, she said, “We have followed all CMS’ guidance.”

Researchers have connected the disparity in staffing to higher for-profit ownership of nursing homes in Black communities and the fact that more Black residents pay for their stays with Medicaid, which reimburses nursing homes at a lower rate. Some are too young for Medicare; others end up there beyond the usual 21 days covered by that benefit.

Tetyana Shippee, associate director of research at the Center for Healthy Aging and Innovation at the University of Minnesota, said the racial disparities in COVID-19 deaths brought attention to a little-discussed niche of nursing home research: the health and quality-of-life consequences of structural racism in policies and practices.

“Nursing homes are the most racially segregated aspect of health care,” she said. People who go to a facility where fewer residents are white will have different outcomes, she said. “Regardless of your health profile, you’re going to have worse quality of care.”

Tracey Pompey, a nurse’s aide in Virginia for 30 years, saw the disparities while working as an on-call agency nurse in dozens of facilities. 

A photograph of David Leland Jones is displayed in front of his ashes in the home of his daughter, Tracey Pompey, in Richmond, Va.

“No one is being held accountable for what is happening in these facilities,” said Pompey, a co-founder and vice president of the advocacy organization Justice and Change for Victims of Nursing Facilities. “I saw firsthand how patients are treated, how horrible the staffing levels are.” 

David Jones is Pompey’s father. She experienced the system from a new vantage point when writing a complaint about his care at Glenburnie, in which she described how she believed nurses and aides had failed to adequately address serious symptoms in the hours leading up to his death and did not notify family of his condition as required.

The administrator at Glenburnie did not return multiple requests for comment.

USA TODAY found that in every quarter since 2017, Glenburnie timecards reported fewer nurses and aides on hand than expected based on the federal reimbursement formula. At the time of Jones’ 2015 stay, federal regulators used a previous system to track staffing levels. That self-reported data shows Glenburnie fell short on aides, who provide the bulk of care, and registered nurses, who are trained to assess resident medical conditions.

Since 2015, the nursing home has never been cited for short staffing.

On his fifth day at the facility, Jones complained of stomach pain. His belly was swollen. For hours he vomited stool, according to a 74-page state report. A nurse documented each of his complaints. The facility also noted he had not had a bowel movement in four days.

An X-ray done at the facility showed Jones’ intestines were twisted, but no change in care was ordered beyond giving him giving him oral medications for stomach acid and constipation, along with a probiotic, according to the state report. No one did an abdominal exam.

Ten hours later, at about 2:30 a.m., a registered nurse on the next shift asked an aide to stay with Jones while she called 911, then his family. When she returned with the EMTs, the state report says, Jones was alone, face down on the floor.

His heart stopped before he could be carried into the ambulance.

An inspector issued citations against Glenburnie related to Jones’ death: failing to notify family about a change in condition, failing to maintain a resident’s well-being, and not keeping complete medical records.

A state review of time-stamped charting notes shows a manager at the facility amended Jones’ record days after his death to describe check-ins and care – some of which the review indicates the facility was unable to back up with additional documentation or that did not match staff interviews.

Reflecting recently, Pompey remains frustrated that the facility was not fined for her father’s death. And she is left to wonder whether a lack of training or understaffing played a role.

“We feel that had they gotten him to the hospital sooner, things could’ve been different,” she said. “Somebody should’ve said, ‘Something’s wrong.’”

MINIMUMS WITHOUT TEETH

When Biden was vice president, the Obama administration had a shot in 2016 at making the rules for nursing homes more explicit. Academics and advocates were calling for numeric staffing minimums to be written into new federal rules — and for those minimums to be enforced.

The administration chose a different path.

“We agree that sufficient staffing is necessary,” CMS wrote in the Federal Register. “However, we do not agree that we should establish minimum staffing ratios at this time.”

Instead, the agency decided, nursing home managers would have to conduct a “facility assessment” listing how many workers the facility would have on hand, a number they’re supposed to develop based on the medical conditions of residents. 

Staff levels at American nursing homes have changed little in accurate years, USA TODAY found. Low staffing strained the care system years before the COVID-19 pandemic arrived.

Little changed. USA TODAY found staffing levels at nursing homes have actually decreased 9.4% since 2017, when the assessments were first required. And penalties for understaffing remain rare.

Now under order from Biden as president, CMS plans to propose explicit minimums next year for each nursing role, which it says should push facilities to improve. It could be years more before new rules take effect or are enforced.

“Having something that’s more objective and numerical ... would be useful for increased enforcement relative to the existing, more qualitative standard,” said Hannah Garden-Monheit, special assistant to the president from the National Economic Council. 

But the data also shows putting numbers on the books is no certain they will be enforced.

In the vacuum of federal staffing minimums, 35 states stepped up to set their own, with varied results. Few wrote rules for both nurses and aides. None require the staffing minimums recommended by federal regulators in 2001.

Oregon, for instance, requires at least 2.46 hours of daily care per resident from nurses and aides.

The northwestern state has the lowest percentage of facilities reporting low staffing and among the highest rates of enforcement, USA TODAY found. Last year, fewer than half of Oregon nursing homes reported less staff than expected in the federal payment formula. Inspectors issued citations to 44% of those that did – more than six times higher than the U.S. average. 

“Staffing is something we care deeply about in Oregon as inadequate staff is often the cause of safety and quality of care issues,” Department of Human Services communications manager Elisa Williams wrote in an email.

Balloons are left outside a room at The Oaks at Sherwood Park nursing home in Keizer, Ore. The state is more likely than most to issue citations to facilities who report low staffing levels, according to USA TODAY's analysis.

Louisiana also wrote its own staffing rules, but more nursing homes there fail to meet expectations, suggesting that state rules are not a cure-all if they are not enforced. It requires facilities to provide each resident at least 2.35 hours of care each day from nurses, aides and, sometimes, ward clerks. 

Last year, only 1 in 10 Louisiana nursing homes had as much staffing as CMS expected based on the reimbursement formula. The state also has the nation’s lowest levels of daily RN care in the five years reviewed: 16 minutes per resident compared with 38 minutes nationwide, a total that counts nurses working in administrative jobs.

Yet only five facilities were cited for short-staffing. Zero were cited for not having a registered nurse on duty at least eight hours a day even though 78% of Louisiana’s nursing homes fell short at least once.

The Louisiana Department of Health said in an emailed statement that every inspection includes a review of staff levels. Inspectors also review staffing when investigating specific cases of poor care. Citations are issued, the department email said, “if there is sufficient evidence.” 

FAILURES IN ILLINOIS

Jacinda Gaston often smelled urine when she stepped off the elevator to start her shift on the fourth floor of Alden Lakeland, an Uptown Chicago nursing home.

Residents who could speak told her they had been sitting in soiled diapers for eight or more hours. Urine and stool ran up people’s backs to their necks and the entire bed had to be changed. 

She said it was a blessing when another aide shared the load.

“You have to make the decision: ‘What room can I get to first?’ Knowing in the back of your head there are people who are going to have to wait even longer,” said Gaston, an aide at the facility for five months this year. “Then you have the people who don’t understand. They’re constantly on their call light. By the time you get to them, they’re in tears."

Two inspection reports from this year document the understaffing at Alden Lakeland. In February, the director of nursing told inspectors that the fourth floor was supposed to have at least five certified nursing assistants to care for the 74 residents – not two. 

The nursing home is one of six facilities named in a class action lawsuit recently filed against The Alden Network, among the largest nursing home operators in Chicago. Gaston has volunteered as a witness for the plaintiffs.

In a statement to the Chicago Tribune, Alden officials said they do not comment on pending litigation but wrote that the company “vigorously denies any and all allegations of wrongdoing.”

Jacinda Gaston, a certified nursing assistant in training from the Chicago area, questions whether minimum staffing requirements at nursing homes and state changes to Medicaid rates will make any difference without tougher enforcement of rules.

Alden’s vice president of policy and public relations, Janine Schoen, declined to answer questions from USA TODAY, including whether the owners believe staffing has been adequate at Lakeland. Instead, she focused on the company’s recruiting efforts, which she described as expansive, and called for action from the state and national capitals.

“We need our leaders in Springfield and Washington to focus on actionable solutions to attract more caregivers to the industry rather than punitive acts that fail to solve the underlying labor shortage,” Schoen wrote. 

Complaints about Alden Lakeland prompted more frequent inspections than the federal minimum of once every year and three months. Since 2012, inspectors have shown up 28 times and issued 90 citations.

Their reports documented abuse, broken bones, head wounds, medication errors, pressure ulcers that threatened lives, residents with dementia wandering unsupervised, improper use of physical restraints, cloudy catheter tubes, mice infestations and staff members providing care beyond the scope of their licenses. 

Residents went months without leaving their beds, weeks without showers and hours without a diaper change.

In the 11-year span covered by those reports, Alden Lakeland was fined only once. In 2016, the facility paid $1,991 for failing to report and investigate abuse or neglect. Three years later, inspectors issued the same citation but no fine when the facility did not investigate how a resident’s femur had snapped.

Until this year, none of Alden Lakeland’s citations were for short-staffing. 

Overall, Illinois nursing homes had the lowest staffing in the nation across the five years reviewed by USA TODAY. Last year, 91% of nursing homes missed the mark set in the Medicare formula. 

The state also has been more likely than most to issue staffing citations against nursing homes, USA TODAY’s analysis found – which still meant inspectors wrote up only 14% of facilities whose timesheets showed they had missed the expected staffing level.

Given the increasing focus from state and federal officials, the Illinois Department of Public Health “anticipates increased inquiry into staffing” during inspections, said spokesperson Michael Claffey.

Last year, Alden Lakeland had fewer nurses and aides on hand than most nursing homes in the state: 2.7 hours of care per resident each day, a ratio similar to figures the facility reported in previous years.

That’s 1.1 hours less care than the staffing the nursing home should have based on the Medicare reimbursement formula and 1.4 hours under what Medicare and Medicaid’s 2001 report found essential to avoid medical errors. 

The most accurate staffing figures for Alden Lakeland are even lower.

Gaston, the former Alden Lakeland aide, said she once found a resident with dementia locked inside a shower room. He had been there at least three hours. Twice, Gaston remembers, a resident left the building unnoticed.

Mary Anne Miller, a retired physical therapist who worked at Alden Lakeland in 2018 and 2019, described the daily struggle to find an aide to help her move residents from bed into a wheelchair so they could attend therapy. 

Like Gaston, Miller has volunteered to testify against The Alden Network in the pending lawsuit.

“I couldn’t work there after a while because it was too heartbreaking,” she said. “It’s not because the staff isn’t trying. It’s just because there’s not enough staffing.”

Illinois lawmakers recently enacted reforms aimed at boosting staff and quality. The state has raised its staffing minimums and changed Medicaid payments to incentivize increasing staff and wages.

At Alden Lakeland, five inspection reports from this year noted the same kinds of poor care documented in dozens of earlier visits. But, for the first time, regulators issued three citations for insufficient staffing.

In May, a state inspector found two residents alone in the dining room, one eating with their fingers. Both had significant cognitive impairments and difficulty swallowing. Under medical order, they were to be monitored to ensure they not only ate enough but didn’t inhale food into their lungs or choke to death.

An aide informed the inspector that “there’s not enough staff” to watch or to help them eat. 

The inspector deemed it an isolated event and issued a citation that would not trigger a fine: “Minimal harm.”

Contributing: Maria Clark and Claire Withycombe, USA TODAY Network; Lauren Formosa, Jared Sweet and Audrey Whitaker, Grand Valley State University.

This report received support from the Economic Hardship Reporting Project.

Jayme Fraser and Nick Penzenstadler are reporters on the USA TODAY investigations team. Contact Jayme at jfraser@gannett.com, @jaymekfraser on Twitter and Facebook, or on Signal and WhatsApp at (541) 362-1393. Contact Nick at npenz@usatoday.com or @npenzenstadler, or on Signal at (720) 507-5273. Jeff Kelly Lowenstein is the Padnos/Sarosik Endowed Professor of Civil Discourse at Grand Valley State University. 

This article originally appeared on USA TODAY: The danger of nursing homes defying federal staffing guidelines

Fri, 02 Dec 2022 07:02:00 -0600 en-US text/html https://sports.yahoo.com/many-nursing-homes-poorly-staffed-100056554.html
Killexams : Penn College drops test requirement for nursing applicants | Today in Pa.

You can listen to the latest episode of “Today in Pa” at this link, or on any of your favorite apps including Alexa, Apple, Spotify, and Stitcher. Episodes are available every weekday on PennLive. Feel free to subscribe, follow or rate “Today in Pa.” as you see fit!

Consequences will be dealt to the students who staged a walkout at a high school last week. Penn College has dropped a test requirement previously needed for applicants to its nursing program. You can now vote for Pennsylvania’s 2023 “River of the Year.” Plus, over a quarter of Pennsylvanians’ fluid intake is alcohol and caffeine.

Those are the stories we cover in the latest episode of “Today in Pa.,” a daily weekday podcast from PennLive.com and hosted by Claudia Dimuro. “Today in Pa.” is dedicated to sharing the most important and interesting stories pertaining to Pennsylvania that lets you know, indeed, what’s happening today in Pa.

Today’s episode refers to the following articles:

If you enjoy “Today in Pa.,” consider leaving us a review on Apple Podcasts or on Amazon. Reviews help others find the show and, besides, we’d like to know what you think about the program, too.

If you purchase a product or register for an account through one of the links on our site, we may receive compensation.

Mon, 05 Dec 2022 00:51:00 -0600 en text/html https://www.pennlive.com/news/2022/12/penn-college-drops-test-requirement-for-nursing-applicants-today-in-pa.html
Killexams : Local author presentation Dec. 1 at Fontana Public Library; Event to include book signing by Fontana author

Published in September by Charleston, S.C.-based Arcadia Publishing Co., the history book "Evanston Hospital School of Nursing: 1898-1984" is the collaborative work of two Class of 1972 alumni, Barbara Ann McQuillan of Mount Prospect, Ill., and Dr. Carolyn Hope Smeltzer, of Fontana, Chicago and Juno, Fla. Smeltzer will be the featured guest of the Fontana Public Library for a free admission Thursday, Dec. 1, 6:30 p.m. presentation and book signing program at Fontana Village Hall.

Local author Carolyn Hope Smeltzer, R.N., Ed.D, will be the featured guest of the Fontana Public Library for a free admission Thursday, Dec. 1 presentation and book signing program.

Dividing her time between Fontana, Chicago and Juno Beach, Fla., Smeltzer, a Class of 1972 alumnus of the Evanston Hospital School of Nursing in Evanston, Ill, north of Chicago, will be talking about her new book “Evanston Hospital School of Nursing: 1898-1984,” co-authored with classmate Barbara Ann McQuillan, of Mount Prospect, Ill. Following graduation in 1972, McQuillan spent her entire nursing career at Evanston Hospital.

On Dec. 1, Smeltzer will also speak on her time at the school from 1969-1972 and how nursing education and the professional field of nursing has changed over time.

“A lot people around here are from the Chicago area and I thought a lot of people might remember Evanston Hospital and its School of Nursing,” said Sally Lee, Adult Program Coordinator at the Fontana Public Library. “I thought it would pique their interest. Besides that, it’s interesting to see how nursing has evolved. And Carolyn lives around here, too. I thought it would be an interesting program.”

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Evanston Hospital School of Nursing Class of 1972 alumni Barbara Ann McQuillan (left), of Mount Prospect, Ill., and Dr. Carolyn Hope Smeltzer, of Fontana, Chicago and Juno, Fla., are the co-authors of the history book "Evanston Hospital School of Nursing: 1898-1984," published in September by Charleston, S.C.-based Arcadia Publishing. Smeltzer will be the featured guest of the Fontana Public Library for a free admission Thursday, Dec. 1, 6:30 p.m. presentation and book signing program at Fontana Village Hall.

Smeltzer feels her Dec. 1 book presentation, which weaves “past history with vintage testimony” from Evanston Hospital School of Nursing Class of 1972 alumni, will have broad appeal.

“Everyone knows a nurse,” she said. “You probably have one in your home, or in your family. Do you know how they got educated? Do you know how they used to get educated? You’ll want to know the history of how nursing education started in the United States, more specifically right around this area in Evanston. There’s some unbelievable stories which you will not believe, but they’re all true. It’s gonna be really interesting.”

Smeltzer was planning a 50th Evanston Hospital School of Nursing class reunion celebration and realized that very little, if any, memorabilia from the school, disbanded in 1984, was left at the original hospital, now part of NorthShore University HealthSystem.

As Smeltzer was planning the Sept. 21-22 reunion, hosted in various Walworth County sites including her seasonal Fontana “Flower Cottage” residence, the George Williams College School of Nursing in Williams Bay and the Lake Geneva Country Club, she asked her classmates three questions—how did they select the Evanston Hospital School of Nursing, what were some memories about dormitory life, and what was the lasting impact and legacy of their time and nursing training at the Evanston Hospital School of Nursing over the last fifty years.

Because the answers brought back so many good memories, memories that student nurses would not believe today, instead of preparing the typical reunion booklet Smeltzer and McQuillan decided to write a history book, since there was no book out on the history of diploma schools of nursing and the nurses who attended those diploma schools, which have become a dying breed.

Determined not to let the the history of the Evanston Hospital School of Nursing and the nation’s pioneering diploma schools of nursing die, Smeltzer and McQuillan between February-May 2022 wrote the richly illustrated 128-page book, which includes a foreword by John Tressa, chief nursing officer for Evanston-based NorthShore University Health System, a teaching affiliate of the University of Chicago Pritzker School of Medicine.

“It is the only diploma school book that’s ever been published on how nurses got educated,” Smeltzer said.

While Smeltzer will focus her Dec. 1 presentation on the history of Evanston Hospital and the Evanston Hospital School of Nursing, Smeltzer said the story told is universally applicable to the development of any hospital in the 1800s and nursing schools of the era.

“If you are a nurse or faculty who taught in a diploma school, you can substitute your school name and the memories and stories will be the same,” Smeltzer said. “There will be artifacts at the presentation to make history come alive.”

Founded in 1891, Evanston Hospital opened its nursing school seven years later in 1898, providing nursing education at a reasonable cost while the students provided care to patients in between studies. In its first 50 years, the school graduated 1,157 nurses, with the first class of two graduating in 1901.

Like other nursing diploma programs, the Evanston Hospital School of Nursing flourished until educational costs escalated, technology boomed, training methods evolved, and a conversation about where and how nurses should be educated began. After 86 years of training nurses, the Evanston Hospital School of Nursing closed in 1984.

Using historical images and alumni recollections, “Evanston Hospital School of Nursing:1898–1984” highlights the marketing, education, curriculum and values of the Evanston Hospital School of Nursing, as well as alumni remembrances of their educational experience and dormitory life.

The 6:30 p.m. presentation and book signing on Dec. 1 will be held upstairs from the library in the meeting room at Fontana Village Hall, 175 Valley View Dr. (State Hwy. 67).

Books will be available for purchase, as well as signing and personalization by Smeltzer, who will be wearing a vintage candy-striper outfit and bring a variety of nursing memorabilia to the event. The cost for the books, which retail for $23.99, will be sold at a discounted price of $20 each.

For more information, call the Fontana Public Library at 262-275-5107 or visit https://www.fontana.lib.wi.us/.

Thu, 01 Dec 2022 01:00:00 -0600 en text/html https://lakegenevanews.net/news/local/local-author-presentation-dec-1-at-fontana-public-library-event-to-include-book-signing-by/article_54438540-6a8a-11ed-b5f4-034913b6e157.html
Killexams : BSc Nursing course: Admission criteria tweaked after Bombay High Court order

Following the order of Bombay High Court, the Maharashtra government has changed the criteria for admission to BSc Nursing course. Now aspirants will have to re-register with the Maharashtra Common Entrance Test (CET) Cell with marks they have obtained in Physics, Chemistry and Biology (PCB) in Class XII examinations.

According to a story published in The Indian Express, the new norms will be applicable for the remaining seats only as admissions to 1,200 of the total 6,030 seats in BSc Nursing have already been confirmed after the first round of admissions.    

Also Read | DU Admission 2022: List of vacant seats for round 2 spot allotment to be out today

The criteria was tweaked following an order by the Aurangabad bench of the Bombay High Court last week, which stated that admissions of nursing aspirants will now be considered on the basis of marks obtained by them in Physics, Chemistry and Biology (PCB) in Class XII examinations; instead of National Eligibility cum Entrance Test (NEET), IE reported.

The Private Nursing School and College Management Association (PNSCMA) had made an application to the court against the CET Cell circular, which was issued in June. They made a plea that the admission to nursing courses should be done on the basis of the qualifying criteria set by the Indian Nursing Council (INC).

Regarding the change, the association on Sunday organised a counselling session for colleges and candidates.They requested candidates to re-register for the admission.

Sun, 27 Nov 2022 20:39:00 -0600 en text/html https://www.financialexpress.com/education-2/bsc-nursing-course-admission-criteria-tweaked-after-bombay-high-court-order/2894611/
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