1. Developing an Integrated Nursing Career Pathway
Madisonville Community College
Madisonville, KY

2. Our Success Story What – What was the inspiration?
Where – Where are we located?
Who – Who was involved?
When – Timing of curriculum changes.
How – How did we go about the process?

3. What was the catalyst Program Advisory Committee
Health Visioning Committee
Kentucky Community and Technical College System support for career pathways

4. Concerns Addressed Identity of PN program
Level of entry of all students
Meeting needs of community for PN graduates
End Product
Success NCLEX-PN and NCLEX-RN
Employer Follow-up
What would end products look like?

5. Concerns Addressed Unmet needs in RN graduate
Socialization of nursing students
Meet needs of Kentucky Board of Nursing with all requirements

6. WHERE – Madisonville Community College
Health Campus
Associate Degree Programs:
Nursing
Respiratory Care
Radiography
Occupational Therapy Assistant
Physical Therapy Assistant
Clinical Laboratory Technology
Surgical Technology
Surgical First Assisting

7. WHERE – Madisonville Community College
Why Here?
Location
Shared faculty
One division
Proximity to clinical sites

8. WHO -- Team
Linda Thomas, Division Chair of Nursing and A.D.N. Coordinator
Elaine Terry, P.N. Coordinator
Michael Rager, R.N. Faculty
Marsha Woodall, R.N. Faculty
Lynn Whitledge, R.N. Faculty
Wendy Clayton, P.N. Faculty
Carolyn Neal, P.N. Faculty
Lisa Howerton, Associate Dean of Academic Affairs
Beth Moore, Curriculum Specialist
Eddie Marks, Title III Activity Director

9. WHO -- Collaboration Education Consultant, Kentucky Board of Nursing
Deputy Director, National League of Nursing
Dean, College of Nursing, Murray State University and Chair
President, KBN
KCTCS A.D.N. Coordinators
KCTCS P.N. Coordinators
System Curriculum specialist, KCTCS
Local Employers – Trover Health Systems, Regional Medical Center
Secondary partners – Hopkins County Schools.
Donna Ignatavicous, MSN/RN, D.I. Consultant

10. When – Best timing Sharing resources PN faculty education level
Building
Budget
Students
Faculty
PN faculty education level
Grants – DOL, Title III, HRSA
National trend for career pathways

11. HOW - the Beginning of a Nursing Career Pathway
Establish a timeline.
Examine R.N. and P.N. program components.
Review existing nursing course competencies.
Decide on theorists, threads, and conceptual framework for the Integrated Nursing program.

12. HOW - Program Requirements and General Education Components
Discuss options concerning the General Education component of the Integrated Nursing program.

13. HOW - General Education Courses
BIO 135 Human Anatomy and Physiology with Laboratory 4
MT 150 College Algebra 3
PY 110 OR General Psychology
PSY 100 Introduction to Psychology 4
Heritage/Humanities
ENG 101 Writing I
ENG 102 Writing II
CIS 100 Introduction to Computers
COM 252 OR Introduction to Interpersonal Communication 3
COM 181 Basic Public Speaking 3
TOTAL GENERAL EDUCATION COMPONENT cr.
GENERAL EDUCATION AS A PERCENTAGE OF THE WHOLE
INTEGRATED NURSING PROGRAM 32%

14. HOW - Technical Support Courses
FHM 100 Dosage Calculations 2 credits
AHS 100 Human Growth 2 credits
& Development
NIP 205 Pathophysiology 4 credits
Total 8 credits
Gen. Ed. and Support Courses = 43.5%

15. HOW - General Education Hours in Other Health Programs
Current A.D.N %
Current P.N %
Integrated Nursing 32%
General Education Requirements
for an AAS (as of Fall 2006) 23%
Radiography 31%
Respiratory Care 35%
MIT Engineering Tech. 25%
Medical Assisting 26%
Culinary Arts 26%

16. HOW - Map Course Content
Review competencies within each existing nursing course.
Write new course competencies for the Integrated courses.

17. HOW - Build Career Pathway
The Integrated Nursing Program includes four exit points for students:
C.N.A.
K.M.A.
Practical Nursing
Registered Nursing
Option to advance to BSN

18. 1st Semester NIP110 – Foundations of Nursing Care
NIP115 – Fundamentals of Clinical Practice
Mental Health
Perioperative – including beginning sterile skills
FHM100 – Dosage Calculations
AHS100 – Human Growth and Development

19. 2nd Semester NIP120 – Maternal Child Nursing NIP125 – Med-Surg A
NIP130 – Med-Surg B

20. 3rd Semester Practical Nursing Associate Degree Nursing
NIP140 – Practical Nursing Roles and Practicum
Associate Degree Nursing
NIP205 – Pathophysiology for Nursing
NIP210 – Advanced Nursing Practice

21. 4th Semester
NIP215 – Nursing Leadership and Specialty Practices

22. HOW - W.I.D.S. Training
40-hour Workshop: “Designing and Assessing Learning”
Performance-based learning
Designate exit learning outcomes.
Write competencies.
Write learning objectives for each competency.
Develop performance standards
Design performance assessment tasks.
Design a learning plan and teaching plan.
Create a syllabus.
Phase II of WIDS Training occurred in July concentrating on Teaching Plans and Learning Plans.

23. Integrated Nursing Career Pathway
NAA 100
(0-3)
(or equivalent)
Pre-Requisites
BIO 135 (4)
CIS 100 (0-3) or demonstrate competency
COM 181 or COM 252(3)
ENG 101 (3)
PY 110 (3) or PSY 100 (4)
1st Semester Nursing
AHS 100 (2)
FHM 100 (2)
NIP 110 (4)
NIP 115 (8)
2nd Semester Nursing
NIP 120 (5)
NIP 125 (5)
NIP 130 (5)
3rd Semester Nursing
Pathway #1 RN
MT 150 (3)
NIP 210 (6)
NIP 205 (4)
Pathway #2
PN Exit
NIP 140 (6)
Diploma
Practical Nursing
4th Semester Nursing
ENG 102 (3)
NIP 215 (6) Heritage/
Humanities (3)
AAS In
Nursing
Certificate
Minimum credits
needed for:
NA certificate – 3 hours
CNA certificate – 3 hours
KMA certificate -47 hours
LPN Diploma – 53 hours
AAS – hours
KMA
(exam eligible)
Nurse Extern
Optional Electives:
Pharmacology
Genetics
Intro to Nursing
CNA
BSN

24. Implementation/Outcomes
First Class Fall 2007
NCLEX Results thru Dec 2009
Practical Nursing – 100%
67% NCLEX tested who completed NIP140
Registered Nursing – 97%
Concerns –
Attrition rate

25. Then – Where do we go Modularization of Nursing course
Online course development
Launch online Integrated Nursing program Spring 2010
Kentucky Board of Nursing approval
Faculty with online teaching experience
Student population ready for program

26. Contact Information
Elaine Terry, PN Coordinator, Division of Nursing,