When Education Isnt Enough

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When Education Isnt Enough
2007 Annual Conference
Moderator

• Charlotte Beason, EdD,RN, Executive Director
• Kentucky Board of Nursing

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Panelists

• Chris Schillemore, Ontario College of Pharmacists
• Patricia Spurr, EdD, RN Kentucky Board of Nursing
• Sue Derouen, BSN, RN Kentucky Board of Nursing
• Regina Dinger, AL Board of Licensure for
  Professional Engineers and Land Surveyors
• Jonathan Bracken, Bircham Dyson Bell LLP

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When Education Isnt Enough
2007 Annual Conference
A Model for Pharmacy

• Chris Schillemore
• Manager, Registration Programs
• Ontario College of Pharmacists
• cschillemore_at_ocpinfo.com

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When Education Isnt Enough
2007 Annual Conference
A Model for Nursing Regulatory Initiative to
Bridge Education Practice

• Kentucky Board of Nursing
• Patricia Spurr, Ed.D., MSN, RN
• Education Consultant
• Sue Derouen, BSN, RN
• Operations Manager

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(No Transcript)
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Mission Statement Protect public health and
welfare by development and enforcement of state
laws governing the safe practice of nursing
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Safety Growing National Attention

• Each year a million or more people are injured
  and as many as 100,000 die as a result of errors
  in their care.
• This makes medical care one of the leading causes
  of death, accounting for more lost lives than
  automobile accidents, breast cancer, or AIDS.

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Every Patient Deserves A COMPETENT Nurse
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Are New Graduates Competent To Function
Independently At the Time of Graduation?
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Our Journey

• Fall 1995 KBN Competency Taskforce Formed
• February 1997 KBN Working Position Paper
  Adopted
• Accountability and Responsibility of Licensees
  to Assure Nursing Competence

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• PRE-GRADUATION
• Integrated Practicum (201 KAR 20320)

• 120 hours of concentrated clinical experience of
  direct patient care in a healthcare facility or
  healthcare organization.

• Shall be completed within a period not to
  exceed seven (7) consecutive weeks during the
  last semester or quarter of a nursing program.

• Effective for any student entering the program on
  or after July 1, 2004.

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• Clinical Hours in Basic Nursing Programs

Baccalaureate Degree RN Programs Average
hours 908 Range 789-1080 Associate
Degree RN Programs Average hours 677
Range 462-879 Practical Nursing
Programs Average hours 703
Range 372-1410
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POST GRADUATION Clinical Internship

• A supervised nursing practice experience, which
  involves any component of direct patient care".
•  

• Shall last a minimum of 120 hours and shall be
  completed within six (6) months of the issuance
  of the provisional license.

• The clinical internship is required for any new
  graduate that makes application for licensure to
  Kentucky beginning January 1, 2006

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Critical Components

• Minimum of 120 hours
• Components of direct patient care
• Supervised by a licensed nurse

Setting? Wherever the
components can be achieved.
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What is Meant By Direct Patient Care
Any component of direct patient care
includes Nursing practice experiences that
influence and/or impact direct patient
care. Example Supervisory Capacity
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Process
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Provisional License
To Avoid Interruption in Practice Candidates
should not apply for licensure until they are
comfortable that they will be able to complete
the internship and the NCLEX within a six month
period of time
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Until Full Licensure is Achieved

• New Graduates sign their documentation entries as
  either RNA or LPNA.
• Must be under the supervision of a licensed nurse

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How are we Evaluating the Implementation?
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Operational Issues

• Attempts to Beat Implementation Deadline
• Difficulty Finding Internship Sites
• Nurse Licensure Compact (NLC) Policy
• Foreign Nurse Licensure
• Examination Candidates Who Failed NCLEX
• New Graduates Seeking to Delay Practice

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Lessons Learned

• Decisions Need to be Evidence Based
• Critical Eye on Implementation
• Involve All Stakeholders
• Open Minded Critical Thinking Skills
• Review All Affected Regulations
• Research and Think the Change Through
• Before Taking Action

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Contact Information

• Charlotte Beason
• charlotte.beason_at_ky.gov
• Patricia Spurr
• patricia.spurr_at_ky.gov
• Sue Derouen
• sue.derouen_at_ky.gov
• Kentucky Board of Nursing
• 312 Whittington Parkway
• Louisville, KY 40222
• 502-429-3300

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When Education Isnt Enough
2007 Annual Conference
An Engineering Model

• Regina Dinger
• Executive Director
• AL Board of Licensure for Professional Engineers
  and Land Surveyors
• Regina.Dinger_at_bels.alabama.gov

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When Education Isnt Enough
2007 Annual Conference
The Legal Profession in the United Kingdom

• Jonathan Bracken
• Bircham Dyson Bell LLP

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By Way of Explanation
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The UK Legal Profession
Scotland 10,000 Solicitors
Northern Ireland 2,500 Solicitors
England and Wales 100,000 Solicitors
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Solicitors The Regime in Outline
9 years
Academic Stage
Professional Skills Training
Training Contract
Additional Skills Training
Practice Limitation Period
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Pluses and Minuses

• Plus comprehensive training
• supervised experience
• ethical guidance
• Minus time
• cost
• access

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Speaker Contact Information

• Jonathan Bracken
• Partner and Head of Public Policy
• Bircham Dyson Bell LLP
• 50 Broadway
• London SW1H 0BL
• United Kingdom
• jonathanbracken_at_bdb-law.co.uk

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WHEN EDUCATION ISNT ENOUGH
DISCUSSION