1 COLLEGE OF MENOMINEE NATION NURSING PROGRAM AND HEALTH CAREERS ADVISORY BOARD MEETING FRIDAY APRIL 25, 2007 11:30 AM AGENDA

1. Welcome and introductions. 2. Overview of program. Allied Health Youth Camp CNA Medical Coding Medical Assisting CPR LPN-RN (Attachment A, B) 3. Marketing Plan (Attachment C) **** Please jot down ideas for brainstorming at the meeting 4. Community input. 5. Assistance. 6. Blog. http://collegemenominee.blogspot.com/

2 Overview of program CNA – 109 Inquiry List (10 admitted to fall 07 and 10 admitted for Spring of 2008) Nursing – 20 on Inquiry List ( 17 Interviewed by Nursing with only one cross over from inquiry list) Medical Coding – 11 on Inquiry list with one application in Youth Camp Still waiting to: A. Firm up the Schedule 1. Eagle 3 – tour confirmation 2. Bellin Sports Medicine confirmation 3. Science person to teach 2 hours of study skills B. Recruit Student - Need to get information out to other community high schools. C. Need to get CNA applications completed and into NTC D. Schedule transportation and meals E. Need to get person to facilitate camp CNA courses A. March Course in process – 1. Unable to start clinical yet as the Birch Hill contact is not signed. 2. Eight of the 10 students have not followed through with their fiscal responsibility for the course even with written letters from me. B. Summer Youth Course 1. Need students 2. Will pay tuition from the grant C. Summer Adult Course 1. Barbara Lemarche – is in the process of applying to NTC to teach the class. 2. Cannot complete the schedule until clinical site approved 3. Have 5 admitted to the class at this time. D. Fall classes – Hope to have 2 classes and evening taught by Sharon Coats and a Day time class taught by Barbara LeMarche. Jill is completing a grant request for $25,000 to support the tuition needs of CNA students. This is a grant from Metlife to support in home elder care. Medical Coding 1. Need applicants 2. Need a lab person For Body Structure and Function Medical Assisting We have not yet begun this program

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3 Overview of program CPR CPR equipment has been updated and five people will be supported to become CPR certified instructors to begin certifying students and staff. Nursing Program Updates The College of Menominee Nation AD-Nursing Program was approved by the Wisconsin State Board of Nursing at their meeting March 28, 2008. The organizing framework, philosophy, mission, curriculum and first semester of nursing courses were approved. The philosophy is outlined in attachment A and approved courses in attachment B. The college can now begin to admit students. In an effort to recruit students to the nursing program, information sessions at Keshena and Oneida campuses were scheduled and attended. Seventeen documented possible students were interviewed as part of the entrance to the program. Advisor meetings were also attended at both campuses. Several high schools were represented but it is anticipated that many high schools will need to be individually visited. The organizing framework of the nursing program has been submitted to the Labor and Education Board of the Menominee Tribal Legislature. Support for the dissemination of the organizing framework has been given by the committee. Policies related to the admission of students have been written and we have begun working with student services to implement admission policies and procedures. Admission packets have been developed and implemented. A fee schedule for the first semester has been submitted to Financial Aid and has been approved by the College Board. Clinical agencies for first semester have been contacted. Contracts will be submitted as soon as reviewed by the Policy and Procedure committee. Both Birch Hill nursing facility and Anna Johns will be clinical agencies for the fall. Laboratory Room 122 has been renovated for the CNA class and is currently in use. Cabinetry, sink and technology is being utilized by the CNA instructor from NTC. Pat Swinford has agreed to volunteer her services to help design the nursing skills and simulation lab that will be located where the library is at present. She will record her volunteer hours as documentation for the grant.

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Overview of program Curriculum Committee The faculty committee and the curriculum committee has approved the AD-Nursing curriculum. The committee has also approved the first four nursing classes . Schedule of classes is pending. Policy and Procedure Committee The Policy and Procedure committee has approved the following policies 105 Nursing Faculty Appointment 106 Nursing Faculty Job Documentation 205 Admission Criteria 210 Academic Advising 305 Student Health 307 Liability Insurance The following policies have been submitted for approval Policy: 405 Nursing Clinical Agreements Policy: 212 Academic Probation Policy: 215 Grading Scale for AD-Nursing Program Policy: 220 Student Progression Criteria for the AD-Nursing Program Policy: 222 Out-of-Sequence Progression Criteria for the AD-Nursing Program Policy: 230 Withdrawal/Dismissal from AD-Nursing Courses Policy: 320 Clinical Absence Policy Policy: 505 Faculty Rights and Responsibilities Policy: 507 Nursing Faculty Recruitment Policy: 512 Nursing Faculty Orientation Policy: 523 Nursing Faculty Promotion Policy: 521 Nursing Faculty Professional Development Policy: 530 Nursing Faculty Evaluation Masters Program Sally Lundeen reports she is working on the Masters program and plans to get back to us as soon as she resolves a couple of issues. She is waiting for a meeting with the Dean of Nursing at UWO. Potential students have been advised via email to make sure they have an undergraduate statistics course and have taken their GREs in preparation for the Masters program.

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Philosophy Transcultural nursing care

Attachment A

We believe that transcultural nursing care requires the nurse to recognize and honor the culture and cultural influences of their patients/clients just as they need to recognize and incorporate their own culture into the therapeutic relationship and care delivery. Foundational to the therapeutic relationship is the respect for cultural and biological diversity of lived experiences, cultural practices and life ways. Native nurses bring the lived experience of American Indian nursing and history in the transcultural care of clients, each with their own worldview and experience. The study and reflection of the nurse’s culture is necessary as is the study and reflection on the culture of others (patient/clients). This study and reflection leads to understanding and acceptances as the nurse challenges bias and predispositions and will develop a lifelong consideration of culture in the practice of nursing. The goal of nursing from a native cultural perspective is to promote balance and connectedness with family, community, and the physical world. Native nurses bring the lived experience of American Indian nursing and history in the care of clients. Nursing from a native cultural perspective requires the nurse, when appropriate, to incorporate traditional and herbal healing within their nursing care. Wisdom, respect for others, respect for nature, generosity, timeliness, bravery and fortitude are examples of American Indian values that reflect congruence with the practice of nursing and set the value base from which the nurse will make decisions. Ethical nursing practice is influenced by complex social worldviews, decision frameworks, professional standards, and global issues. Nurses are personally and professionally accountable for their professional practice with in this constantly changing environment and their role in providing service to their tribe and community. Nursing We believe that nurses personally live and breathe nursing, it is their way of being, a part of their meaning in relationship with the worlds around them. Nursing is the autonomous and collaborative care of individuals of all ages, families, groups and communities, sick or well and

6 in all settings. Nursing is the promotion of health, wellness, and prevention of illness of individuals, families, groups and communities regardless of their resources. Nursing provides holistic care integrating the physical, psychosocial, and spiritual aspects of the patient/client. Nursing, with its unique body of knowledge, requires the integration of the biophysical sciences, social sciences, and humanities as the basis of practice. Nursing care is the understanding of human needs and responses in varying states of health. Through the nursing process, the nurse applies critical thinking and decision making as they prioritize, delegate, and evaluate nursing care in the protection, promotion, and prevention of altered states of health. Nurses utilize advocacy to become the voice of those who trust them and act in their support. Lifelong Learning We believe that individuals are continuously engaged in the art of making meaning and creating our world through the unique process called human learning. Traditional American Indian education has historically occurred in a holistic social context that developed and prepared the individual as a contributing member of their social group. The AD nursing program at CMN honors the social structure of the Menominee Clan System as the organizing framework for the program. True learning occurs through participation and honoring relationship with the human and natural communities. Learning occurs through our bodies and spirit as well as through our minds. Learning and thinking are expressed through doing; therefore, learning through doing earning takes place in a variety of collegiate experiences on campus, in the community, and with interactive technology that includes simulation. Clinical experiences builds on the application of classroom and laboratory learning. The learning community at CMN supports mutual respect between faculty and students. Faculty function as a model of what the student may become and assume the role of guide and facilitator. The faculty role of expert is downplayed as faculty foster a humanistic learning environment of inclusiveness and support the student’s internal desire to learn. Learning as inquiry moves toward unity of thought and action. Learning as experience leads to problem solving. The integration of inquiry and experience provide the basis for professional nursing practice. The faculty at CMN honor each student’s way of being, doing, and understanding and explores

7 teaching methods designed to meet the individual student’s needs concurrently recognizing the student’s responsibility for their own learning. Students are expected to expand their minds by inquiry, discovery, synthesis and application of knowledge to practice. Students must have involvement in social and community activities. Students are expected to identify learning needs and utilize appropriate learning resources to develop the required knowledge and skills of a professional nurse. Education is a life-long commitment to personal and professional growth and development involving self-evaluation and reflection. The learning process lays the foundation for lifelong learning and continuing professional development. Research utilization We believe it is imperative for nurses to know how to seek, find, and use health resources and information. The attention to new information facilitates the nurse in the development and expansion of their nursing practice. Using technological, written and human sources of information is necessary as the knowledge base in nursing is ever evolving and rapidly expanding. Competent use of research and information assists the nurse in the development of problem solving skills and in the development of evidence-based practice. The nurse also uses technological information systems to integrate data and document care. Leadership We believe that nursing provides a leadership role within the collaborative heatlh care team and the larger community. Leadership requires personal attributes and abilities that successfully promote the growth of the indivdual nurse, the recipients of their care, the nursing profession, and the larger community. Personal attributes and abilities of the leader include confidence in theoretical and practical knowledge, effective communication, and skill in critical thinking, decision making, and problem solving. The Associate Degree nurse acts as a beginning leader and their continued growth provides further opportunities within the profession and community.

8 AD-NURSING CURRICULUM SEQUENCE OPTION 1 Semester 1 BIO 202 HUD 210 ENG 101 NUR 110 NUR 111 NUR 120 NUR 130 Semester 2 BIO 204 COM 100 NUR 150 NUR 151 NUR 160 NUR 161 Semester 3 BIO 207 MAT 106 PSY 100 NUR 201 NUR 202 NUR 210 NUR 211 Semester 4 ANT 200 SDE 100 NUR 250 NUR 251 NUR 260 NUR 261 Principles of Biology Introduction to Human Development Introduction to College English Nursing Fundamentals Nursing Fundamentals Skills Lab* Nursing Pharmacology Nursing: Introduction to Clinical Practice** Anatomy and Physiology Introduction to Oral Communication Nursing Health Promotion Nursing Clinical Practice Across the Lifespan* Nursing Health Alterations Nursing Introduction to Clinical Care Management** Attachment B 5 3 3 2 3 2 2 20***

5 3 3 2 3 2 18 LPN STOP OUT OPTION Principles of Microbiology 4 College Algebra 3 Introduction to Psychology 3 Nursing Complex Health Alterations 2 Nursing Intermediate Clinical Practice 3 Nursing Mental Health and Community Concepts 2 Nursing Advanced Skills 1 18 Introduction to Native American Cultures Introduction to Sustainable Development Nursing Complex Health Alterations II Nursing Advanced Clinical Practice* Nursing Management and Professional Concepts Nursing Clinical Transition** TOTAL 3 3 3 3 2 2 16 72

* First eight week class ** Second eight week class ***CMN policy for semester > 18 credit will apply

9 AD-NURSING CURRICULUM SEQUENCE OPTION 2 Semester 1 BIO 202 ENG 101 MAT 106 Semester 2 BIO 204 PSY 100 HUD 210 Semester 3 SDE 100 NUR 110 NUR 111 NUR 120 NUR 130 Semester 4 COM 100 NUR 150 NUR 151 NUR 160 NUR 161 Semester 5 BIO 207 NUR 201 NUR 202 NUR 210 NUR 211 Semester 6 ANT 200 NUR 250 NUR 251 NUR 260 NUR 261 Principles of Biology Introduction to College English College Algebra Anatomy and Physiology Introduction to Psychology Introduction to Human Development Introduction to Sustainable Development Nursing Fundamentals Nursing Fundamentals Skills Lab* Nursing Pharmacology Nursing: Introduction to Clinical Practice ** Credits 5 3 3 11 5 3 3 11 3 2 3 2 2 12

Introduction to Oral Communication 3 Nursing Health Promotion 2 Nursing Clinical Practice Across the Lifespan* 3 Nursing Health Alterations 2 Nursing Introduction to Clinical Care Management** 13 LPN STOP OUT OPTION Principles of Microbiology 4 Nursing Complex Health Alterations 2 Nursing Intermediate Clinical Practice 3 Nursing Mental Health and Community Concepts 2 Nursing Advanced Skills 1 12 Introduction to Native American Cultures Nursing Complex Health Alterations II Nursing Advanced Clinical Practice* Nursing Management and Professional Concepts Nursing Clinical Transition** TOTAL 3 3 3 2 2 13 72

* First eight week class ** Second eight week class

10 PROPOSED AD-NURSING AUDIT SHEET General Education Requirements ENG101 Introduction to College English MAT106 College Algebra COM100 Introduction to Oral Communication Natural Science BIO202 Principles of Biology BIO204 Anatomy and Physiology BIO207 Microbiology Social Science HUD 210 Introduction to Human Development PSY 100 Introduction to Psychology SDE100 Introduction to Sustainable Development Humanities ANT 200 Introduction to Native American Cultures Emphasis Course Requirements NUR 110 Nursing Fundamentals NUR 111 Fundamentals Nursing Skills NUR 120 Nursing Pharmacology NUR 130 Introduction to Clinical Practice NUR 150 Nursing Health Promotion NUR 151 Clinical Care Across the Lifespan NUR 160 Nursing Health Alterations NUR 161 Introduction to Clinical Care Management NUR 201 Complex Health Alterations NUR 202 Intermediate Clinical Practice NUR 210 Mental Health and Community Concepts NUR 211 Advanced Nursing Skills NUR 250 Complex Health Alterations II NUR 251 Nursing Advanced Clinical Practice NUR 260 Nursing Management and Professional Concepts NUR 261 Nursing Clinical Transition (35 credits) 3 cr. 3 cr. 3 cr. 5 cr. 5 cr. 4 cr. 3 cr. 3 cr. 3 cr. 3 cr. (37 Credits) 2 cr. 3 cr. 2 cr. 2 cr. 3 cr. 2 cr. 3 cr. 2 cr. 2 cr. 3 cr. 2 cr. 1 cr. 3 cr. 3 cr. 2 cr. 2 cr.

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Nursing Course Descriptions
Nursing 110 Nursing Fundamentals 2 credits This course focuses on basic nursing concepts that the beginning nurse will need to provide care to diverse patient populations. Current and historical issues impacting nursing will be explored with the scope of nursing practice. The nursing process will be introduced as a framework for organizing the care of patients with alterations in cognition, elimination, comfort, grief/loss, mobility, integument and fluid /electrolyte balance Pre-req: Accepted into AD-Nursing or permission of the Dean of Nursing Nursing 111 Fundamentals Nursing Skills 3 credits This course focuses on development of clinical skills and physical assessment across the lifespan. Content includes mathematic calculations and conversions related to clinical skills, blood pressure, assessment, aseptic technique, wound care, oxygen administration tracheotomy care, suctioning, management of enteral tubes, basic medication administration, glucose testing, enemas, ostomy care, and catheterizations. In addition the course includes techniques related to obtaining a health history and basic physical assessment skills using a body assessment approach. The impact of race and ethnicity on the findings of the health history and physical assessment will be incorporated. Pre-req: Accepted into AD-Nursing or permission of the Dean of Nursing Nursing 120 Nursing Pharmacology 2 credits This course introduces the principles of pharmacology, including drug classifications and their effects on the body. Emphasis is on the use of the components of the nursing process when administering medications. Additionally, this course includes cultural influences on drug therapy, herbal and traditional medicines and ethnopharmacology. Pre-req: Accepted into AD-Nursing or permission of the Dean of Nursing Nursing 130 Introduction to Clinical Practice 2 credits This introductory clinical course emphasizes basic nursing skills and application of the nursing process in meeting the needs of diverse clients. Emphasis is placed on performing basic nursing skills, the formation of nurse-client relationships, communication, data collection, documentation, medication administration and the beginning application of the nursing process. Pre-req, Co-req: NUR 110, NUR 111, NUR 120, BIO, 202 Nursing 150 Nursing Health Promotion 3 credits This course elaborates on the basic concepts of health promotion in the context of family. We will cover nursing care of the developing family which includes reproductive issues, pregnancy, labor and delivery, post-partum, the newborn and the child. Recognizing the spectrum of healthy families we will discern patterns associated with adaptive and maladaptive behaviors applying mental health principles. An emphasis is placed on teaching and supporting healthy lifestyle choices. Nutrition, exercise, stress management, empowerment and risk reduction practices are highlighted. Study of the family will cover dynamics, functions, discipline styles and stages of development. Pre-req: NUR 130

12 Nursing 151 Clinical Care across the Lifespan 2 credits The clinical experience applies nursing concepts and therapeutic interventions to clients across the lifespan. It also provides an introduction to concepts of teaching and learning. The extension of care to the family is also emphasized. Pre-req: NUR 130 Pre-req, Co-req: NUR 150, BIO 204 Nursing 160 Nursing Health Alterations 3 credits This course provides elaboration on the basic concepts introduced in Nursing Fundamentals. It applies theories of nursing in the care of clients through the lifespan, utilizing problem solving, and critical thinking. This course will provide an opportunity to study conditions affecting different body systems and apply therapeutic interventions. It also introduces concepts of leadership, team building, and scope of practice. Pre-req: NUR 130 Nursing 161 Introduction to Clinical Care Management 2 credits The clinical experience applies nursing concepts and therapeutic nursing interventions to groups of clients. It also provides an introduction to leadership, management and team building. Pre-req: NUR 130 Pre-req, Co-req: NUR 160, BIO 204 Nursing 201 Complex Health Alterations 2 credits This course facilitates the expansion of the student’s knowledge from previous courses in caring for clients with alterations in musculoskeletal, cardiovascular, respiratory, endocrine, and hematological systems as well as clients with fluid/electrolyte and acid/base imbalances and alterations in comfort. Pre-req: NUR 151, NUR 161 Nursing 202 Intermediate Clinical Practice 3 credits This clinical course facilitates the development of the registered nurses role when working with clients with complex health care needs. A focus of the course is developing skills needed for managing multiple clients and priorities. Using the nursing process, students will gain experience in adapting nursing practice to meet the needs of clients with diverse needs and backgrounds. Pre-req, Co-req: NUR 201, BIO 207 Nursing 210 Mental Health and Community Concepts 2 credits This course will cover topics related to the delivery of community and mental health care. Specific health needs of individuals, families, and groups will be addressed. Attention will be given to diverse and at-risk populations. Mental health concepts will concentrate on adaptive/maladaptive behaviors and specific mental health disorders. Community resources will be examined in relation to specific types of support offered to racial, ethnic, economically diverse individuals and groups. Pre-req: NUR 151, NUR 161 Pre-req, Co-req: HUD 210, PSY 100

13 Nursing 211 Advanced Nursing Skills 1 credit This course focuses on the development of advanced clinical skills. Content includes advanced IV skills, blood product administration, chest tube systems, basic EKG interpretation and nasogastric/feeding tube insertion. Pre-req, Co-req: NUR 201 Nursing 250 Complex Health Alterations II 3 credits This course prepares the student to expand knowledge and skills from previous courses in caring for clients with alterations in the immune, neuro-sensory, musculoskeletal, gastrointestinal, hepatobilliary, renal/urinary and reproductive systems. The student will focus on management of care of clients with high-risk perinatal conditions, high-risk newborns and the ill child. Synthesis and application of previously learned concepts will be evident in the management of clients with critical/life-threatening situations. Pre-req: NUR 202, NUR 211 Nursing 251 Nursing Advanced Clinical Practice 3 credits This advanced clinical course requires the student to integrate concepts from all previous courses in the management of groups of clients facing complex health alterations. Students will have the opportunity to further develop critical thinking skills using the nursing process in making clinical decisions. Interdisciplinary collaboration is emphasized as an integral component in the continuity of care. Pre-req, Co-req: NUR 250 Nursing 260 Nursing Management and Professional Concepts 2 credits The focus of this course is on the roles of the nurse as a manager and as a member of the discipline embedded within current issues and trends in nursing practice. Additionally this course guides graduating students through the process of completing a nursing portfolio to use when transferring to another institution or when seeking employment as a nurse. Students will complete a self assessment through the review of their current and previous clinical and theoretical coursework. The nursing portfolio is then presented to CMN faculty for critique and evaluation. Pre-req: NUR 202, NUR 211 Nursing 261 Nursing Clinical Transition 2 credits This course will assist the student in the transition from student nurse to graduate nurse. This course promotes the integration of all knowledge learned in previous courses, relatively independent clinical decisions, delegation, and working collaboratively with others to achieve client/patient and organizational outcomes. Pre-req, Co-req: NUR 260

14 Attachment C College of Menominee Nation Marketing Plan Purpose: The purpose of the nursing and health careers marketing plan is to have a plan of action to generate a pool of qualified students for the nursing and health careers programs/courses. These programs/courses include associate degree nursing, medical coding specialist, medical assisting and nursing assistant. Marketing methods may vary dependent on the needs of the program/courses Marketing methods to be utilized include both internal and external marketing: Internal Marketing Includes 1. CMN Website 2. CMN Marque 3. CMN Atruim TVs 4. Posters 5. Information Sessions 6. Itunes University 7. Word of Mouth External Marketing includes 1. Visits and fairs 2. Print materials 3. Newspaper (free and paid) 4. Community postings **** Please jot down ideas for brainstorming at the meeting

15 College of Menominee Nation Marketing Plan Method Internal: Website Actions 1. Create a Nursing Department area within the CMN site 2. Put all nursing program admission forms on the website. 3. Announce the creation of the web access to all partners within CMN via email. 1. One month prior to the due date for applications (each semester) run an announcement about the nursing program. 2. Run announcement for at least one week Timeline Responsible person

Internal: CMN Marque

Internal: CMN Atrium TV

Internal: Posters

16 Internal: Information Sessions

Internal: ITunes U

Internal: Word of Mouth

EXTERNAL Method External: Visits and fairs

Actions

Timeline

Responsible person

External: Print Materials

17 External: Newspapers (free and paid)

External: Community postings

External: Information Sessions

External: Internet