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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/
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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 the
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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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 Attachment A

Transcultural nursing care

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
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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
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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.
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AD-NURSING CURRICULUM SEQUENCE OPTION 1 Attachment B

Semester 1
BIO 202 Principles of Biology 5
HUD 210 Introduction to Human Development 3
ENG 101 Introduction to College English 3
NUR 110 Nursing Fundamentals 2
NUR 111 Nursing Fundamentals Skills Lab* 3
NUR 120 Nursing Pharmacology 2
NUR 130 Nursing: Introduction to Clinical Practice** 2
20***
Semester 2
BIO 204 Anatomy and Physiology 5
COM 100 Introduction to Oral Communication 3
NUR 150 Nursing Health Promotion 3
NUR 151 Nursing Clinical Practice Across the Lifespan* 2
NUR 160 Nursing Health Alterations 3
NUR 161 Nursing Introduction to Clinical Care Management** 2
18
Semester 3 LPN STOP OUT OPTION
BIO 207 Principles of Microbiology 4
MAT 106 College Algebra 3
PSY 100 Introduction to Psychology 3
NUR 201 Nursing Complex Health Alterations 2
NUR 202 Nursing Intermediate Clinical Practice 3
NUR 210 Nursing Mental Health and Community Concepts 2
NUR 211 Nursing Advanced Skills 1
18
Semester 4
ANT 200 Introduction to Native American Cultures 3
SDE 100 Introduction to Sustainable Development 3
NUR 250 Nursing Complex Health Alterations II 3
NUR 251 Nursing Advanced Clinical Practice* 3
NUR 260 Nursing Management and Professional Concepts 2
NUR 261 Nursing Clinical Transition** 2
16
TOTAL 72

* First eight week class

** Second eight week class
***CMN policy for semester > 18 credit will apply
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AD-NURSING CURRICULUM SEQUENCE OPTION 2

Semester 1 Credits
BIO 202 Principles of Biology 5
ENG 101 Introduction to College English 3
MAT 106 College Algebra 3
11
Semester 2
BIO 204 Anatomy and Physiology 5
PSY 100 Introduction to Psychology 3
HUD 210 Introduction to Human Development 3
11
Semester 3
SDE 100 Introduction to Sustainable Development 3
NUR 110 Nursing Fundamentals 2
NUR 111 Nursing Fundamentals Skills Lab* 3
NUR 120 Nursing Pharmacology 2
NUR 130 Nursing: Introduction to Clinical Practice ** 2
12
Semester 4
COM 100 Introduction to Oral Communication 3
NUR 150 Nursing Health Promotion 2
NUR 151 Nursing Clinical Practice Across the Lifespan* 3
NUR 160 Nursing Health Alterations 2
NUR 161 Nursing Introduction to Clinical Care Management** 13
Semester 5 LPN STOP OUT OPTION
BIO 207 Principles of Microbiology 4
NUR 201 Nursing Complex Health Alterations 2
NUR 202 Nursing Intermediate Clinical Practice 3
NUR 210 Nursing Mental Health and Community Concepts 2
NUR 211 Nursing Advanced Skills 1
12
Semester 6
ANT 200 Introduction to Native American Cultures 3
NUR 250 Nursing Complex Health Alterations II 3
NUR 251 Nursing Advanced Clinical Practice* 3
NUR 260 Nursing Management and Professional Concepts 2
NUR 261 Nursing Clinical Transition** 2
13
TOTAL 72

* First eight week class

** Second eight week class
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PROPOSED AD-NURSING AUDIT SHEET

General Education Requirements (35 credits)

ENG101 Introduction to College English 3 cr.
MAT106 College Algebra 3 cr.
COM100 Introduction to Oral Communication 3 cr.

Natural Science
BIO202 Principles of Biology 5 cr.
BIO204 Anatomy and Physiology 5 cr.
BIO207 Microbiology 4 cr.

Social Science
HUD 210 Introduction to Human Development 3 cr.
PSY 100 Introduction to Psychology 3 cr.
SDE100 Introduction to Sustainable Development 3 cr.

Humanities
ANT 200 Introduction to Native American Cultures 3 cr.

Emphasis Course Requirements (37 Credits)

NUR 110 Nursing Fundamentals 2 cr.
NUR 111 Fundamentals Nursing Skills 3 cr.
NUR 120 Nursing Pharmacology 2 cr.
NUR 130 Introduction to Clinical Practice 2 cr.
NUR 150 Nursing Health Promotion 3 cr.
NUR 151 Clinical Care Across the Lifespan 2 cr.
NUR 160 Nursing Health Alterations 3 cr.
NUR 161 Introduction to Clinical Care Management 2 cr.
NUR 201 Complex Health Alterations 2 cr.
NUR 202 Intermediate Clinical Practice 3 cr.
NUR 210 Mental Health and Community Concepts 2 cr.
NUR 211 Advanced Nursing Skills 1 cr.
NUR 250 Complex Health Alterations II 3 cr.
NUR 251 Nursing Advanced Clinical Practice 3 cr.
NUR 260 Nursing Management and Professional Concepts 2 cr.
NUR 261 Nursing Clinical Transition 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
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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
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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
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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

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College of Menominee Nation

Marketing Plan

Method Actions Timeline Responsible person

Internal: Website 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.

Internal: CMN Marque 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

Internal: CMN Atrium TV

Internal: Posters
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Internal: Information Sessions

Internal: ITunes U

Internal: Word of Mouth

EXTERNAL
Method Actions Timeline Responsible person
External: Visits and fairs

External: Print Materials

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External: Newspapers (free

and paid)

External: Community postings

External: Information Sessions

External: Internet