I-BEST Enhanced FTE Application€¦ · Basic Nursing Care/ Restorative Care- NAC 125 ESL 40 20 0 40 20 4 2 ... P-T course name Nursing Skill Fundamentals Dept./Division: NURS/II

College: Clover Park Technical College I-BEST Instruction Start Date: 9/24/07

I-BEST Program Name: Nursing Assistant-Certification ESL Original Submission Date: 9/11/06

Name/Email of primary contact: Wendy Freeman, Basic Skills Coordinator Revision #: 1

7/31/07 Plan Approved: YES NO

Criteria Plan Description Reviewers

Findings

Reviewer

Comments

PLAN OVERVIEW

1) Please list the professional-

technical program title and

CIP/EPC code that has been

approved by the SBCTC and is

associated with this I-BEST

program.

Nursing Assistant Certification for ESL program ( NA-

C/ESL) transitioning to LPN.

CIP/EPC 51.1614

Course numbering prefix NAC (nursing assistant-certification)

Meets

Criteria

Needs

Revision

2. For each integrated course, provide

P-T course information, credit

equivalency, ABE/ESL hours and

anticipated class size using

Format 1.

2) Separately describe non-integrated

ABE/ESL classes that directly

support the I-BEST program using

Format 2.

Original Scope & Sequence of

Courses

Quarter 1

Courses Hours Credits

Lecture Lab Other Total

Introduction to Long-Term Care-

NAC 105 ESL

20

10

20

10

2

1

Working

Environment/Safety/Infection

Control-NAC 110 ESL

30 15

30 15

3 1.5

Meets

Criteria

Needs

Revision

I-BEST Enhanced FTE Application

Special Needs of the Elderly Part 1:

Cancer/End of Life-

NAC 115

ESL

40

20

40

20

4

2

Systems: Urinary/Musculoskeletal/ Digestive/Endocrine-NAC120

ESL

80

80

40

8

4

TOTAL 170 17

Quarter 2

Courses Hours Credits

Lecture Lab Other Total

Basic Nursing Care/ Restorative

Care- NAC 125

ESL

40

20

0

40

20

4

2

Special Needs of the Elderly Part 2: CPR/Emergency Care-

NAC 130

ESL

20

10

0

20

10

2

1

Systems: Nervous/Cardiovascular/

Respiratory/Integumentary-

NAC 135

ESL 40 20

0

40 20

4 2

Unit based clinical experience-

NAC 140

ESL

64

-0-

64

-0-

3

-0-

TOTAL 164 13

Format 1: REVISED

P-T course name: Introduction to Long-Term Care

Dept./Division: Nurs/II Course Number: NAC 105

P-T course hours 20 credits 2 credit equivalency 3.5

(total credits x 1.75)

ABE/ESL hours 10 Class size 18

Meets

Criteria

Needs

Revision

P-T course name: Working

Environment/Safety/Infection Control


P-T course hours 28 credits 2 credit equivalency 3.5



P-T course name: Special Needs of the Elderly &

Chronically Ill/Cancer/Senses/End of Life


P-T course hours 40 credits 4

credit equivalency 7



P-T course name: Systems:

Urinary/Musculoskeletal/Digestive/Endocrine/Nervous/

Integumentary/Restorative Nursing


P-T course hours 82 credits 8

credit equivalency 14



QUARTER 2

P-T course name: Special Needs of the Elderly

Chronically Ill/Cardiovascular/Respiratory/CPR/

Emergency Care Part 2

Dept./Division: NURS/II Course Number: NAC 132

P-T course hours 30 credits 3 credit equivalency

5.25 (total credits x 1.75)


3) Provide evidence of local or

regional labor market demand for

jobs associated with the I-BEST

program. Data may be derived

P-T course name: Unit Based Clinical Experience


P-T course hours 60 credits 3 credit equivalency

5.25 (total credits x 1.75)

ABE/ESL hours 0(Students are at the Health Care

facility doing their clinical. ESL Instructor is

available for tutoring after hours during this

time.)

Class Size: 18.

P-T course name Nursing Skill Fundamentals

Dept./Division: NURS/II Course Number: NURS 104

P-T course hours 43 credits 4 credit equivalency 7



P-T course name: Career Exploration


P-T course hours 0 Credits 2 credit equivalency 3.5



Format 2:

ABE/ESL course name and # ESL for Health Care CH 05


According to the Workforce Education Board there currently

exists a shortage of health care personnel in the state. The

Nursing Assistant program also meets one of the 2004-2006

The following courses

are not eligible for

enhanced FTE:

P-T course name: Unit

Based Clinical

Experience NAC 139

and Career Exploration

NAC 145.

through a variety of sources

including traditional labor market,

industry, trade association, and

other valid resources.

strategic plan opportunities to integrate basic skills and English

as a Second Language with occupational skills training. The

NA-C program is also listed on the Washington State Eligible

training program for CPTC.

In Pierce County:

Estimated Employment (2006, 2nd

Qtr.): 2,654

Growth rate: 1.3%

Annual Average Openings: 67 Hourly Median Wage: $11.73

According to estimates by Washington State Department of

Employment Security, there were 22,421 nursing assistants employed

in Washington in 2002. It is projected that by 2007 there will be

24,646 and by 2012 there will be 26,483. Between 2002 and 2007 this

occupation is expected to grow about as fast as the average for all

occupations in Washington. Employment is projected to increase 9.9%

during this period. It is estimated that there will be 445 openings

annually due to new positions and 305 openings annually from

workers leaving this occupation. Between 2007 and 2012, this

occupation is expected to grow about as fast as the average for all

occupations in Washington. Employment is projected to increase 7.5%

during this period. It is estimated that there will be 367 openings

annually due to new positions and 332 openings annually from

workers leaving this occupation

Overall employment of nursing, psychiatric, and home health

aides is projected to grow much faster than average for all

occupations through the year 2014, although individual

occupational growth rates will vary. Home health aides is

expected to be the fastest growing occupation, as a result of both

growing demand for home services from an aging population

http://www.bls.gov/oco/oco20016.htm

and efforts to contain costs by moving patients out of hospitals

and nursing care facilities as quickly as possible. Consumer

preference for care in the home and improvements in medical

technologies for in-home treatment also will contribute to much-

faster-than-average employment growth for home health aides.

( http://www.bls.gov/oco/ocos165.htm#outlook)

Recent employment ad from “Peninsula Gateway” April 2006

4) Respond to any and all

criteria/criterion that fits your

proposed I-BEST program:

a) Provide evidence that the

The Nursing Assistant (NAC) Certification program will be

lengthened to two quarters to allow sufficient amount of time for

delivery of materials in an IBEST platform. Students who

complete the NA program and intend to enroll in the LPN

program will be provided with a third quarter of academic pre-

Meets

Criteria

Needs

http://www.bls.gov/oco/ocos165.htm#outlook

I-BEST program fits into an

advanced professional-

technical program at least

one year in length (45

college level credits);

AND/OR

b) Provide labor market data

that shows evidence of

available high wage jobs for

I-BEST program completers

at a minimum of $12 per

hour—with the exception of

King County which is $14

per hour. Specifically list

job titles and associated

wages for completers;

AND/OR

c) Provide evidence that the

proposed I-BEST program

is articulated with an

advanced career path

program where I-BEST

program completers are

given preferential status in

the advanced program.

requisites delivered in an IBEST format. This second phase

(third quarter) would lend itself to include ABE students along

with ESL students applying for the LPN program to benefit from

academic skills integration. The LPN program is 4 quarters and

students from the IBEST program will be given preferential

admission and acknowledgement for skills and knowledge

obtained in the NA-C program.

For the unemployed or displaced worker, reentry into the workforce

can include the health care arena. One option for the worker is as a

Nursing Assistant-Certified. While the position is entry level, current

salary compensation ranges between $11.50 to $12.00/ hour. There is a

constant demand for these workers as turn-over can be as high as

100% for many organizations. Since the NA-C is an entry level

position, many workers choose this point of entry to employment

while pursuing an LPN then RN course of study; NA-C graduates are

given preferred entry into the CPTC LPN program. In a sequential

pathway of experience, the progression from NA-C to LPN to RN is

well established.

Employment of nursing aides is expected to grow faster than

average for all occupations through 2014, in response to the

long-term care needs of an increasing elderly population.

Financial pressures on hospitals to discharge patients as soon as

possible should boost admissions to nursing care facilities. As a

result, job opportunities will be more numerous in nursing and

residential care facilities than in hospitals. Modern medical

technology also will drive demand for nursing aides because, as

the technology saves and extends more lives, it increases the

need for long-term care provided by aides.

Median hourly earnings of nursing aides, orderlies, and

Revision

attendants were $10.09 in May 2004. The middle 50 percent

earned between $8.59 and $12.09 an hour. The lowest 10

percent earned less than $7.31, and the highest 10 percent earned

more than $14.02 an hour.

Employment of LPNs is expected to grow about as fast as

average for all occupations through 2014 in response to the

long-term care needs of an increasing elderly population and the

general growth of health care services. Replacement needs will

be a major source of job openings, as many workers leave the

occupation permanently. Applicants for jobs in hospitals may

face competition as the number of hospital jobs for LPNs

declines; however, rapid employment growth is projected in

other health care industries, with the best job opportunities

occurring in nursing care facilities and in home health care

services.

Median annual earnings of licensed practical nurses were

$33,970 in May 2004. The middle 50 percent earned between

$28,830 and $40,670. The lowest 10 percent earned less than

$24,480, and the highest 10 percent earned more than $46,270.

(statistics and data from US Dept. of Labor Occupational

Outlook Handbook;

http://www.bls.gov/oco/ocos165.htm#outlook)

INSTRUCTION

1) List the integrated program

(student learning) outcomes that

illustrate professional-technical

skill development and basic

skills (ABE or ESL) gains.

Students who complete the IBEST Nursing Assistant for ESL

program will acquire language skills necessary to;

apply medical terminology and Nursing Assistant

procedures,

read with understanding all nursing orders in order to

Meets

Criteria

Needs



correctly provide individualized care to their assigned

resident/patient as a NA,

recognize and correctly interpret unfamiliar and

specialized terminology and abbreviations related to

allied health care,

accurately document observations pertinent to

resident/patient care and conditions

verbally communicate effectively in English using a

range of learned health care related vocabulary in order

to report observations and follow instructions as directed

by health care supervisor

use appropriate communication techniques when

working in familiar and unfamiliar, unpredictable, and/or

uncomfortable interactions in any healthcare

environment,

successfully complete the Nursing Assistant program at

Clover Park Technical College and be eligible to

successfully take and pass the WA state certification

exam.

Use math skills to accurately interpret and record

measurements in different formats to include but not be

limited to counting pulses and respirations, reading

degrees on thermometers and weights of both metric and

standard

Revision

2) Based upon those integrated

program learning outcomes,

describe how professional-

technical and basic skills faculty

members will coordinate and

Both the NA-C Instructor and the ESL Instructor will be

working together in collaboration to accomplish objectives using

same text. However, each instructor will have a different focus

Meets

Criteria

collaborate to create:

a) quality learning experiences

that support outcomes

(curricula) ; AND

b) comprehensive assessment

processes (including

CASAS testing and

reporting in WABERS) that

ensures opportunities for

students to meet integrated

learning outcomes.

when delivering the course content. Their cooperative and

coordinated abilities will allow the students to gain essential

perspectives enabling the ESL student to progress in skill and

ability. Methods to be used are:

Team Teaching

Pre-testing and Post-testing will be conducted by the

ESL Instructor using the CASAS testing and reporting in

WABERS.

Performance tasks will assess English skills and nursing

skills

Upon completion of program the student will correctly

demonstrate a randomly selected series of skills, which

mirrors the certification exam, in order to successfully

complete the course,

Performance tasks and written exams will assess the

math skills

Needs

Revision

3) Specifically describe how I-

BEST courses will provide a

minimum of 50% overlap of

instruction between

professional-technical and basic

skills faculty members.

The content instructor and ESL instructor will work together to

develop an integrated curriculum that will be delivered within

the guidelines for IBEST implementation with 50% overlap of

instruction. Added ESL integrated instruction will include;

basic math for healthcare, academic and career success

strategies, medical terminology along with Nursing Assistant

content.

The content instructor and ESL instructor will be present during

the entire class time. NA faculty will deliver planned curriculum

content with the follow up and added ESL components done by

Meets

Criteria

Needs

Revision

the ESL instructor. All students will participate in the content

and follow up instruction.

Lengthening the time for delivery of the NA-C program from

one quarter to two, allows for shared instruction and the ability

to deliver a true IBEST delivery.

YOU HAVE CHECKED NEEDS REVISION, BUT GAVE NO

COMMENT?

4) Describe strategies to ensure

that basic skills students will

have an opportunity to continue

basic skills learning beyond the

I-BEST program (classes above

federally supported level).

From the onset of enrollment into the NA-C IBEST, students

will receive information and guidance on continuing their

academic career pathway. There will be many opportunities

given to the IBEST student to continue learning beyond the NA

certification.

Students who receive two quarters of the (IBEST) Nursing

Assistant for ESL program will have an opportunity to enroll in

integrated academic English and math courses to acquire their

pre-requisite requirements to continue with their education.

Those students who participate in the NA-C IBEST and IBEST

academic courses will be given priority registration into the LPN

program. The NURS 104 Nursing Skills Fundamentals has been

incorporated into the program to allow an easier transition to our

LPN program. This course teaches common basic patient care

skills that are included in the content of the LPN program.

Students passing NURS 104 will not need to be retested on these

skills when they enter the LPN program.

IBEST students nearing completion of the NA program will

participate in career and job placement activities through the on

Meets

Criteria

Needs

Revision

campus career center, through job fairs, an on site employer

visits. The NAC 145 Career Preparation and Interview

Techniques course has been added to support this approach.

PROGRAM SUCCESS STRATEGIES

5) Describe strategies to recruit

and screen a cohort of basic

skills students into the I-BEST

program.

Students will be recruited from the campus population of ESL

students, through partners in our community and outreach

recruitment efforts, advertisements of the programs, and

traditional entry points for our student population.

Students will apply to the program after an individual interview

with the content and ESL instructor. During the interview

process, the CASAS appraisal (if not yet taken) Life Skills

reading and listening tests will be administered. Students who

place at level 4 and above will be eligible to enroll. Oral

Interview with individual ESL students, COMPASS scores will

be used to determine math and English placement level and will

provide student information about program area of interest that

can be used for recruitment into the ESL NA-C program by

advising, and other tools to be developed by content and ESL

instructors.

Meets

Criteria

Needs

Revision

6) Specifically describe strategies

to retain all cohort members to

Retention efforts will be demonstrated through establishment of

systems for on going assessments, and one on one

Meets

The establishment of

completion of the I-BEST

program.

student/teacher evaluation sessions once students are enrolled to

ensure retention and foresee/ intervene with individual and

academic challenges for students.

Retention mechanisms will include;

Bi-monthly meetings with ESL and content instructors with each

ESL student.

Meetings with WorkFirst coordinators, career and job placement

specialist and college educational advisors will be scheduled

with our ESL/NA-C students throughout the program.

Students will also be expected to attend program information

sessions on LPN and RN. Goal setting strategies will be an

integral part of the assessments with students.

All IBEST students will participate in the Workplace

Development Skills course. This course is 40 hours in length

and provides training in resume writing, cover letter and thank

you letter preparation, interviewing skills & techniques, and

actual job search. Students learn to fill out applications online as

well as on paper and prepare a portfolio. The Workfirst program

also works collaboratively with employers to help facilitate

interviews when job openings arise.

Criteria

Needs

Revision

peer mentors using

students from second

quarter classes is a

best practice!

7) Describe how local and regional

employers participated in the

development of the proposed I-

BEST program.

Through joint efforts by all the stakeholders the program was

and will be advertised and promoted through; the ABE, student

services, and Health Sciences and Workforce/Worker re-training

departments, campus advertisements, schedule of classes, flyers

will be distributed to area agencies;

We will be promoting the NA-C program at our local LPA

Meets

Criteria

Needs

meetings which are the 2nd Tuesday of every month. We will also be recruiting the program approximately 2 days per week at the Puyallup Valley CSO (Community Service Organization) and 1 day per week at the Pierce Lakewood CSO for our WorkFirst participants. We meet with “parents” to discuss their educational opportunities during one-on-one sessions that are part of the new Governor’s Directive for the Comprehensive Evaluation for WorkFirst. The NA-C IBEST program came up at the recent Comprehensive Evaluation training that we had at the downtown(Tacoma) DSHS office. A state representative noted that she was aware of our “application” and our WF coordinator was able to give a small presentation on it.

Through our college representatives, opportunities to provide

information about this program will include discussions withour employer partners such as MultiCare, Franciscan Health Services, and Good Samaritan Hospital where we would promote this program, (MultiCare is a signature partner for our WorkFirst

programs), Tacoma Community House and the Korean

Women’s Association in Lakewood. We will also meet with

other area hospitals and care center administrative leads to

discuss employment opportunities and to ensure that the training

our IBEST students receive is current, applicable and meets

employment standards.

Through our Workforce employment contacts both on and off

campus, the IBEST students will be included in job/career

search opportunities with agencies that provide employment

opportunities for our students.

Revision

8) Specifically describe how local Collaborative efforts are being made with the Employment

partners (WDCs, CBOs, labor

unions, etc) support the I-BEST

program.

Security Department, Department of Social & Health Services,

WorkSource, Community Based Organizations, and Faith

Organizations to advertise and promote the implementation of

the IBEST program. College representatives are being co-

located at two DSHS sites; specifically Lakewood and Puyallup

CSO’s. The college representative will work directly with the

WorkFirst case managers and community partner representatives

to provide IBEST course information so that the appropriate

individuals are referred into the program. These potential

students will be provided with written information on course

requirements, funding opportunities, and college information.

Local hospitals such as MultiCare, Franciscan Health Systems,

and Good Samaritan will be provided with course information

and will have a college representative available to call with any

questions or inquiries.

We have talked with the PCHSCC about the Robert Wood

Johnson Grant application the council is doing with MultiCare,

where the IBEST program is mentioned for NA-C/ESL and that

is to be included in their grant application. It supports their

employees that have limited English skills and put them on the

nursing pathway, which is their high demand employment area.

The program is included in the CPTC 2006-2007 Worker

Retraining Plan and was shared with the College’s General

Advisory Council members, which includes representation from

employers, agencies, labor and community-based organizations

mentioned above.

Meets

Criteria

Needs

Revision

9) Specifically describe how

internal college partners have

Internal stakeholders have met several times to discuss the

planning and implementation of IBEST. Planning groups

Meets

participated in the development

of the I-BEST program

(financial aid, advising,

counseling, registration, general

student services, etc).

included financial aid, registration, advising, workforce

development, division deans, ESL, program and ABE faculty

and the ABE coordinator to provide opportunities for everyone

at the table to share options, barriers, and the process for

implementation. ABE, financial aid, and instruction have

attended ITV, workshops and meetings regarding

implementation procedures, coding, and curriculum

development for IBEST.

Criteria

Needs

Revision

10) Education Pathway:

Specifically describe the

proactive measures that will be

used to inform students about

the full educational pathway,

including stop-in and stop-out

points, available to them

beginning with the I-BEST

program.

This includes progressing to a one

year certificate, a 2 year degree,

and/or a bachelor’s degree.

The NA-C program was chosen because it provides a pathway

for students to transition to the LPN program as well as an

opportunity to continue on to the RN program, thus providing a

clear career pathway for students. Planned integration will not

only improve their basic skills, but lead to successful completion

of their program and increase the success rate of the WA state

certification exam for those students. This integrated training

increases the opportunity for employment at each stage of their

transition from NA-C to LPN to RN.

Advisors and faculty will make information available to students

regarding the entry and exit points of the program. ( Please refer

to diagram of progression for the NA IBEST)

Students will have an opportunity to meet and observe program

courses and instructors in Nursing and Licensed Practical

Nursing Programs.

Advising sessions for students at the end of the NA-C course

about the next steps to progress towards the LPN and the RN

program requirements will be part of the exit requirements for

each student enrolled in the IBEST.

Students who plan to continue on with the LPN programs will be

offered opportunities to take their academic English and math

pre-requisite course in an IBEST format.

Meets

Criteria

Needs

Revision

Priority registration and course credit for the Fundamentals of

Nursing I will be granted to those students completing the NA-C

program and the prerequisites for the LPN program. While the

additional prerequisites for an LPN or RN program may not be

offered in the ESL format, mentoring services are available.

upon completion of all pre-requisite required courses have been

met.

The sequence from NA-C to LPN requires additional course

work as mentioned above. The sequence from the LPN

certificate at CPTC to the RN Option at CPTC requires

additional core science and social science course work as well as

1500 hours of clinical practice experience. It is felt that the

additional practice experience will enable the student to gain

practical knowledge of nursing work expectations and

confidence in the field. Other RN programs in the local area

allow bridging directly from the LPN to an ADN program with

core prerequisites being met. Each level of completion in a

nursing career pathway allows the student to exit and re-enter as

needed within a reasonable time frame identified by the

educational institution.

11)Career Pathway: Specifically

describe the proactive measures that

will:

a) allow students to be

employed at the conclusion

of the I-BEST program; and

b) inform students of

employment opportunities

IBEST students nearing completion of the NA program will

participate in career and job placement activities through the on

campus career center, through job fairs, an on site employer

visits.

Students will also participate in a Career search class that is also

offered to the students enrolled in the short term training

Meets

Criteria

Needs

Revision

in their career pathway as

they continue their

education to a one year

certificate, 2 year degree, or

bachelor’s degree.

programs through WorkFirst.

Every effort will be made to partner and coordinate with career

and job placement services that currently exist within our

campus resources as well as placement opportunities in our

county through collaboration and coordination with our business

and agency contacts.

The clinical sites serve the same role as other "internship" sites

do; it provides the employers with the opportunity to observe

students and determine their suitability as a future

employee. Through the clinical experiences our NAC students

would obtain exposure to a workplace similar to one they could

expect to work in after they graduate and as stated earlier, it will

give the clinical staff the opportunity to become familiar with

students who might apply for jobs in the future.

We reciprocally provide educational opportunities to employees

of our affiliate industry partners, and they in turn hire and

promote our graduates.

12) Describe the proactive

measures that will be used

to inform I-BEST students

about the range of support

services available to them as

college students (library,

computer labs, disability

support, counseling, child

care, etc.)

The ABE Coordinator, ESL and program faculty will work

closely with advising, registration, workforce development, NA

program staff and ESL students to identify potential and

qualified IBEST students.

During the NA IBEST orientation, students will be given

information and tours that provide students access to advising,

financial aid, child care, WorkFirst , on site career office, library

tours, computer lab orientations and health care program

orientations

ESL and NA Instructors will also be meeting with students on a

Meets

Criteria

Needs

Revision

monthly basis to ensure that students know how to access

relevant services as well as make contact with support

individuals on the student’s behalf.

Students will have full access to the library, computer labs

during scheduled class times. Software and internet based ESL

skills building programs located in the Basic Skills Lab will be

available to IBEST students.

13) What is the tuition impact of this

program for students and what

strategies do you have in place for

assisting them in acquiring the

financial means for entering the

program and continuing it to

completion?

Efforts will be made to qualify IBEST students for Workfirst or

Worker retraining funds available for tuition assistance. We will

work with CBO’s, and seek out other scholarship assistance

opportunities that qualified students may be eligible for.

Meets

Criteria

Needs

Revision

Documents

I-BEST Enhanced FTE Application€¦ · Basic Nursing Care/ Restorative Care- NAC 125 ESL 40 20 0 40 20 4 2 ... P-T course name Nursing Skill Fundamentals Dept./Division: NURS/II