Published Dec 9, 2004
This is our last chance to provide feedback. You can respond until Feb 15, 2005.
Note the definition of the pn, adn, and bsn. ("ADN/Diploma in Registered Nursing- The Associate Degree/Diploma graduate is prepared to function as a provider of care, a manager of care, and a member within the discipline of nursing. The ADN/Diploma graduate provide care to individuals with common, well defined needs with predictable outcomes in structured settings under the direction of a BSN or more experienced RN.") :angryfire Changes that have been made are that we now have until 2010 to complete the initial education requirements. All faculty must have a master's degree and a concentration in Nursing is preferred, by 2015. The student faculty ratio is back.
As these proposals now stand, many ADN and LPN nursing programs across the state will still close down, due to unfunded mandates (NLN accreditation is very costly and no monies have been guaranteed by the State Legislature to fund such an endeavor), and unrealistic educational requirements for faculty (we can hardly find BSN faculty, much less Masters, especially for adjunct faculty in the clinical setting).
This is an intense battle and your voice is desperately needed. There is a small but powerful subset of radically pro-BSN forces on our board which would like nothing better than to see these programs permanently close. This would be disastrous for health care across the state.
Here is the link for feedback:
This draft needs to be copied to your hard drive, filled out electronically, and then sent back by email attachment to the designated party on the form. Any feedback forms sent to the NCBON via snail mail are generally not read and discarded.
Keep those forms, cards, letters, and emails coming in! We are making headway and we will win this battle!
Is it necessary to be a North Carolina resident to comment?
This will contribute to the nursing shortage. Without MANY more BSN programs AND MSN programs there will not be enough "professional" nurses.
I was a kind effective nurse as an ADN. Through experience and AACN CE classes I gained more knowledge that helps my patients than in the BSN program.
What a counterproductive waste of time.
VickyRN, MSN, DNP, RN
I totally agree! If we nurses would become united and stop fighting among ourselves, we truly would be an invincible force for good in our society.
VivaLasViejas, ASN, RN
I've weighed in on this subject before, but I'll put my two cents' worth in again: I am an ADN, and I work under NO ONE'S 'supervision'---I sat for the same boards as the BSN and the MSN, and I don't believe I'm inferior to anyone. I am a nationally certified, experienced nurse who knows her stuff, and I think that's a lot more important at the bedside than a host of "-ologies". :stone
RNPATL, DNP, RN
Joy - I recently had the opportunity to meet with the faculty of our closet community college. I am one of the members on their advisory committee. In your last post, I guess I was not aware, or perhaps lacked understanding of the entire rules changes that are proposed.
After my meeting with the faculty, and after some intense reading on the topic, I am shocked and saddened by the proposed changes by our BON. I will be one of the first to say that there is a need for sweeping reform of our nursing programs across the nation, but there is certainly a better way to propose reform than what North Carolina is preparing to do!
If the State desires to close the ADN programs, then that is what they should say they are doing, rather than lying to the nurses in North Carolina. I also agree that there are clearly some radical forces on the BON that are very pro BSN/MSN. I am in total disagreement about the changes and agree with you that if these changes are approved and written into North Carolina law, the impact of this legislative change will spell disaster for North Carloina employers, colleges as well as nurses ..... especially the ADN-RN.
According to my local college, the impact of this change on them is terrible. First, 75% of their faculty would not be eligible to teach under the new rules. There are several professors that have taught in the nursing program for greater than 15-20 years, yet, if the rules change, they would not be considered qualified to teach in the nursing program. This is totally crazy!
Aside from the links you have given us, is there other means by which we can communicate our concern about these rule changes? What about actions with the North Carolina Nurses Asscoiation? Has N-OADN gotten involved with this? I can not believe that there are no position statements from the ANA, N-OADN or other associations that advocate for nurses. I think a true grass-roots effort needs to be organized in North Carolina. After all - these members are elected to the BON by us .... we should have the power to influence what rules and laws they make.
Thank you for keeping us informed about these changes! This is clearly an opportunity for North Carolina Nurses to unite and send a clear message to our BON, that we expect and demand a voice before these changes become law.
My lead nursing instructor says that ADNs have the largest voice as RNs because there are so many, but the problem is that they DON'T VOTE. As future ADN nurses, she is constantly encouraging us to come together as one voice and vote. Perhaps emphasis on being politically active and aware of the NCBON changes should begin at the student level? Is there an association for ADNs nationally/statewide???
Maggie in NC
This is a great thread but, we're forgetting a HUGE factor-namely NC State politicians. They deserve to know what is happening since they fund education with OUR TAX DOLLARS!! Write, call, email, set appointments but GO, TALK, SEE, VOICE your opinion so someone other than the NCBON is looking at this issue and has some weight to STOP this insanity!
A reminder to all... please take the time to respond to this. Everyone's voice is important. We have until February 15th.
Patrick, that is a great idea about contacting N-OADN. Think I will do this. Maggie's suggestion is great, too. Ultimately, however, the NC legislature has no say in these changes (except, ahem, for the Medication Aide proposal.. a whole other topic in itself ). Once the entire Board votes in May, then, that is it. There will be no turning back the clock, no undoing the damage if all these schools and programs are forced to close.
North Dakota had an experiment with required BSN entry level. It failed miserably and was rescinded in April, 2004. In the meantime, all the ADN programs across that state closed down. Now, one ADN program is being resurrected in that state.... just one.
I made an appointment with my state representative, John Snow, and discussed this topic with him. After explaining the effect on our local community college (which would lose 1/3 of it's students) and the dramatic impact the local community, he made several calls and promised to get back with me. I told him that the legislature has little to no say. He thinks they do-on several levels. I'll let you know next steps.
A reminder to all... please take the time to respond to this. Everyone's voice is important. We have until February 15th.http://www.ncbon.com/forms/DraftEdu...eedbackForm.pdfPatrick, that is a great idea about contacting N-OADN. Think I will do this. Maggie's suggestion is great, too. Ultimately, however, the NC legislature has no say in these changes (except, ahem, for the Medication Aide proposal.. a whole other topic in itself ). Once the entire Board votes in May, then, that is it. There will be no turning back the clock, no undoing the damage if all these schools and programs are forced to close.North Dakota had an experiment with required BSN entry level. It failed miserably and was rescinded in April, 2004. In the meantime, all the ADN programs across that state closed down. Now, one ADN program is being resurrected in that state.... just one.
Thanks so much, Maggie, for doing this! I definitely want to hear what this legislator has to say. One of my professors (who has sat on the board in the past) told us that with these present proposals, the legislature has no say--that once the Board votes in May, then, that is it. I would love to have some clarification on this matter. The Education Consultants at the NCBON have been of absolutely no help in helping us decipher the actual process of these proposals being enacted, and are very tight-lipped when approached. Thanks again for your concern and activism.
Joy - were you successful in getting in touch with N-OADN? If so, did they give you any counsel or share what their plan of action would be? I visited their web site and I do not see anything in relationship to this proposal being mentioned.
From my understanding, each State's BON has its own authority. I believe the authority is provided by the State legislature and provides for powers that are designed to protect the public by regulating its licensees. I believe the legislature is the only power that can overturn the rules promugated by the Board of Nursing. So, with that said, nice call Maggie!
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