Excelsior and Texas

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Oh No!!!! I just received an email from Excelsior that Texas BON said that Excelsior is not "substantially equivalent" to other programs. They want to require traditional clinical training for Excelsior's associate degree nursing graduates. What if they would eradicate it completely??? I am so nervous now, I just started this program.

Here is a copy of the letter...

Your Urgent Help Needed

Contact Your State Legislators Today

I am asking for your help in contacting your state legislators urging them to support bills that have been introduced that will maintain Excelsior's nursing program as a viable option for working adult, health care professionals to become RNs.

During last year's session, the Texas Legislature modified the Nursing Practice Act in an effort to open Texas to innovative nursing programs and provide guidance to the Board of Nursing in approving out-of-state programs by requiring it to approve a program approved by another state if the standards of that state are "substantially equivalent." Unfortunately, the Board of Nursing has indicated that it does not view Excelsior's program as "substantially equivalent" to Texas in-state programs, and it wants to require traditional clinical training for Excelsior's associate degree nursing graduates.

This is despite the following facts and indicators of program quality:

* Excelsior College is approved by regulators in our home state of New York.

* Excelsior is accredited by the Commission on Higher Education of the Middle States Association of Colleges and Schools.

* Our School of Nursing is accredited by the National League for Nursing Accrediting Commission - the associate degree program has been continuously accredited since 1975.

* The School has twice been designated as a Center of Excellence in Nursing Education by the National League for Nursing and is one of only 13 such centers nationwide.

* Excelsior's graduates consistently pass the national nurse licensing exam (NCLEX-RN) the first time at a rate equal to or higher than the national average.

Two Legislative Bills are Being Introduced

Two identical bills have been introduced, one each in the Senate and House, that will provide for continued recognition of our School of Nursing as being "substantially equivalent" to Texas in-state programs.

* The Senate bill is SB 1397 (introduced by Senator Deuell)

* The companion bill in the House is HB 3230 (introduced by Representative Pitts)

You may view these bills at this Web address by entering the bill numbers into the "Search Legislation" box at the top of the middle column: http://www.capitol.state.tx.us.

Without the guidance that these bills will provide to the Board of Nursing, Excelsior's nursing pre-licensure program as an alternative, nontraditional means for working adult professionals to become an RN may be in jeopardy.

Send Letters of Support

We need you to send letters and emails to your state Senator and Representative today asking them to support these bills. If they are not members of the Senate Health & Human Services Committee or the House Public Health Committee, ask them to urge their colleagues who are on these committees to support the bills. Hearings on these may take place as early as March 31, so please send your letters and emails right away.

To locate the address for your Senator and Representative go to http://www.capitol.state.tx.us and fill in your address in the "Who Represents Me?" box on the right-hand side of the page.

These letters should be in your own words and should tell the legislators your story:

* Why you want to become an RN and how important it is to you and your family.

* Why you chose Excelsior College to earn your degree.

* How your current and past clinical experiences are helping you to achieve your goal.

* Let them know how rigorous the program is.

Be sure to include the program quality bullet points listed above and to write a letter that is professional in nature. You want to make a good impression of yourself and Excelsior's program.

Please send copies of your letters and emails to [email protected] so we know which legislators have been contacted.

Thank you,

Bridget Nettleton signature

M. Bridget Nettleton, PhD, RN

Dean, School of Nursing

It makes me sick... I just started this and now it may be taken away... ugh....

Mandy

Specializes in LTC, Acute Care.
As much as I hate to say it....I am glad Texas BON is doing what they are. I live in Texas and am about to graduate from a BSN program here and honestly I would be worried about an new RN who is expected to really know assessment and have clinical judgement who had NO CLINICAL experience in school. I believe that clinicals are essential to developing sound clinical judgement and to just becoming a safe nurse. Even though Excelsior grads may pass the NCLEX like other RN's...answering questions on a test and actually being in a clinical situation are 2 different things in my opinion. If I were you...I would work on transfering to a program that has clinicals and is more respected whether its ADN or BSN. That would probably be the safest route. Good luck to you! :nurse:

You can't get accepted into Excelsior's program without significant educational clinical experience. Period. Feel free to research this, because you don't want to stand by this post that will ruffle some darned good nurses' feathers here.

As much as I hate to say it....I am glad Texas BON is doing what they are. I live in Texas and am about to graduate from a BSN program here and honestly I would be worried about an new RN who is expected to really know assessment and have clinical judgement who had NO CLINICAL experience in school. I believe that clinicals are essential to developing sound clinical judgement and to just becoming a safe nurse. Even though Excelsior grads may pass the NCLEX like other RN's...answering questions on a test and actually being in a clinical situation are 2 different things in my opinion. If I were you...I would work on transfering to a program that has clinicals and is more respected whether its ADN or BSN. That would probably be the safest route. Good luck to you! :nurse:

You really don't understand Excelsior's RN program. You have to have your clinical experience BEFORE you go into the program. You just can't walk in and take a written test and qualify for the NCLEX. Before I graduated from Excelsior I was a CNA, a medical assistant, an EMT, a Paramedic, Licensed Midwife Apprentice and LVN. The program was perfect for me as I had LOTS of clinical hours--more than you would ever see in a RN program. Excelsior also has a VERY TOUGH testing clinical in a hospital with pts. It is not a learning clinical but a real, repeat demo on all nursing skills. The 3 days that I took my testing clinical only 3 out of 7 who tested actually passed! (I did!) It would be interesting to see a study that showed problems with Excelsior grads vis traditional RN program grads. I've also never seen any headlines screaming Excelsior grad involved in a medmal case or had been implicated in a death or serious medical event. If there were problems with Excelsior grads the program would have been shut down years ago. They are also NLN accredited.

LOL! A "more respected" program. Hospitals want new grads to have warm bodies, they don't even look were they graduated from! If the BON will take someone from another country that graduated from who knows where, then they should take Excelsior grads.

The last time I talked to Excelsior I think, if I recall right, they said they graduate more RN's per year than any other program.

Specializes in LTC, Acute Care.

The last time I talked to Excelsior I think, if I recall right, they said they graduate more RN's per year than any other program.

It's because the program is huge and not because they let everyone pass. (I know you know this, but for anyone else who doesn't...) I believe it's the largest nursing program in the US.

It's because the program is huge and not because they let everyone pass. (I know you know this, but for anyone else who doesn't...) I believe it's the largest nursing program in the US.

There will be some who will insist on the incorrect assumption here. These threads just turn into the dead horse scenario.

There will be some who will insist on the incorrect assumption here. These threads just turn into the dead horse scenario.

Here you go caliotter! :deadhorse:deadhorse:deadhorse:deadhorse:deadhorse:deadhorse:deadhorse:deadhorse:deadhorse:deadhorse:deadhorse:deadhorse:deadhorse:deadhorse:deadhorse:deadhorse:deadhorse:deadhorse

awsmom Now that't what I call a good, informative post!!! In keeping with the treatment of the topic!!!

Hmmm. That's kind of cute.

You really don't understand Excelsior's RN program. You have to have your clinical experience BEFORE you go into the program.

This isn't true. It should be, but it isn't. This was the point I tried to make in a previous post. The program is set up for experienced nurses and RTs, but anyone can go straight from an LPN program (or even sooner, if it is an RN program) and into EC.

LOL! A "more respected" program. Hospitals want new grads to have warm bodies, they don't even look were they graduated from! The last time I talked to Excelsior I think, if I recall right, they said they graduate more RN's per year than any other program.

This isn't necessarily true, either. I applied for a job and during the interview the NM had a lot of reservations about hiring me because I was an EC graduate. Not because she was a snotty elitist, but she was genuinely concerned about my skill level.

I still have mixed feelings about EC. I never would have gone through it if I had the opportunity to go to an on-campus program, but I'm glad there was an opportunity to become an RN when there would have been no other way. I had too many family obligations to go to a regular school.

Specializes in LTC, Acute Care.

I also have very mixed feelings about EC, but I had to correct the person saying that people going through the program have no clinical experience.

I personally think the requirements for admission to EC should maybe be tightened even further, and that's my own personal feeling...not to exclude those whose licenses make them eligible for admission currently, but maybe to verify recent pertinent clinical experience in work. That would have excluded me from admission, which is okay. However, this would be quite the headache for the school, I'm sure.

Specializes in Med/surg, Geriatrics, Home Health, LTC.

I have to disagree with you KW TX because I have worked with plenty of nurses from the traditional setting, BSN, MSN, and sorry to say that they have been (my opinion + a few others) for the most part UNSAFE on the floor, have absolutely no idea how to manage in a crisis, nursing tasks, etc. The traditional RNs and LVNs great! because we mainly work the floor. But why is that? Because BSN nurses are drilled more on the didactic aspect of nursing and not clinical importance. Just as you said, Its one thing to complete theory classes but another to work on the floor. Not quite verbatum but you get the point. Not to say that all BSN, MSN nurses are not equipped to work the floor but just my opinion from my 8+ years hospital experience, and a few other collegues.

Please don't down play Excelsior College because you may be working next to one of their excellent grads very soon! :twocents: and that will entail that your working conditions are adequately staffed, what might not be if Excelsior is taken away from Texas. And I do think that it is a heck of a lot harder to complete Excelsiors program than a traditional program. :smokin:

Specializes in Mental and Behavioral Health.

If we could get them to understand what the CPNE is about, that might help. What does it cost to mail a carjack? Everyone who has an old paper Study Guide binder for the CPNE ought to pack it up, and MAIL it to the Texas State Board of Nursing! This could be our way of protesting this, and getting Excelsior nurses heard on this issue. When thousands of these huge binders turn up, that will get thier attention! Contact Excelsior alumni, and get them to send in their CPNE Study Guides. The more, the better!

Send them to:

Katherine Thomas, MN, RN

Executive Director

Texas Board of Nursing

333 Guadalupe #3-460

Austin, Texas 78701

Make sure you include a respectful note about how you feel about this.

Specializes in LTACH, Med-surg, Hem-Onc, Hospice, Neuro.

I also live in Texas and unfortunately there are not enough bridge programmes for LVN-RN. Many agencies are not able to place LVNs in hospital settings and it is getting more and more limited to where an LVN can practice despite all the experience. Therefore Excelsior College is the only alternative to going to school and working. A lot of us do not have the luxury to quit working and going to school full time and the demand is WAY more than the supply.

I was encouraged by my managers at the hosptials I work at to go through EC to complete my ASN because of my clinical experience. I already have a BA in political science and wanted to go through an accelerated BSN programme at a local university, but due to funding, it was scrapped. There seems to be so many road blocks here in Texas which can be so discouraging. I only need a couple prereqs and then it is off to the main nursing courses.

The facility I work at has A LOT of nurses doing EC so there is a lot of support. I hope that TX does grandfather the nurses already enrolled and lets us take the boards,but if we all can't do it here, a lot of us will relocated to other areas of the country that are not so limiting and then TX will be in crisis mode by their own doing.

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