How To Train A Military Medic To A Nurse

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1 Military Medic to Paramedic to RN and Beyond Margie Clark, MSN, RN, GNP Dean, Health and Human Services Division Carole Stacy, MSN, MA, RN Nursing Program Director National Forum of State Nursing Workforce Centers Annual Conference June 12-13, 2014 Hartford, Connecticut 1

RN Nursing Program Director National Forum of State Nursing

2 Historical Journey 2001 State of Michigan Project MOVE Effort to connect highly trained and recently separated veterans without formal academic credentials with employers and educators 2

3 Historical Journey continued LCC expands the Advanced Standing RN Track to include licensed paramedics and respiratory therapists who want to become RNs. LCC meets with Michigan Veteran Affairs leaders to discuss curriculum accessibility. With the support of Senator Levin and Congressman Rogers, LCC begins the process of submitting for project funding. (earmark) LCC receives federal grant to develop a pilot Military Medic to Paramedic (MM2P) program (2009) 3

LCC meets with Michigan Veteran Affairs leaders to discuss curriculum accessibility.

4 Historical Journey continued January 2012 MM2P course of study redesigned with lessons learned from the pilot. Comprehensive crosswalks were developed to determine experiential credit qualifications Army (68W) veterans could waive 40-60% of MM2P program requirements based on experience and previous education that is validated with competency based testing and assessment. Innovative curriculum: material is covered in short, subjectspecific modules, hybrid and interactive units Accelerated classes: program can be completed in 5 to 6 months 4

program requirements based on experience and previous education that is validated with competency based testing and assessment.

5 Historical Journey continued March 2013 Senator Carl Levin visits LCC, meets with students and faculty and is briefed on program progress April 26, 2013 Frederick Vollrath, Assistant Secretary of Defense for Readiness and Force Management, visits campus to review program. April 29, 2013 Representative from LCC invited to the White House to present MM2P Program model to the Joining Forces Initiative on Military Credentialing and Licensing, co-sponsored by First Lady Michelle Obama and Dr. Jill Biden. 5

6 National Recognition Subsequent to a recent presentation by LCC at the White House Forum on Military Credentialing and Licensing, the LCC Military Medic to Paramedic (MM2P) Curriculum Model was acknowledged by the US Department of Defense at the National Model for awarding experiential college credit for military training and experience. 6

(MM2P) Curriculum Model was acknowledged by the US Department of Defense at the

7 National Accreditation LCC s paramedic program has been nationally accredited since 1995 by the Commission on Accreditation for Allied Health Education Programs (CAAHEP) upon recommendation by the Committee on Accreditation of Educational Programs for Emergency Medical Services Professions (CoAEMSP). This permits our graduates, including veterans seeking to transition into civilian paramedic careers, and qualifies them to obtain the National Registry of Emergency Medical Technicians Paramedic designation, a valuable professional credential. The Nursing Program is nationally accredited through the Accreditation Commission for Education in Nursing (ACEN). 7

This permits our graduates, including veterans seeking to transition into civilian paramedic careers, and qualifies them to obtain the National Registry of Emergency

8 Beyond MM2P - Stackable Degrees Advanced Standing RN Program Advance standing allows candidates to complete the program in months Concurrent enrollment in Michigan State University s BSN program is available Physician Assistant (Navy Corpsman - post Viet Nam) Eastern Michigan University (developing program) Western Michigan University Other Avenues - Education 8

University s BSN program is available Physician Assistant (Navy Corpsman - post Viet Nam)

9 Next Steps Adapt the experiential learning, competency-based testing model to other programs. Develop crosswalks from military curricula to civilian college course requirements to provide transferable, nationally accepted college credit for prior learning. Show examples of growth areas within Information Technology, Construction Trades, and Aviation Document LCC Board of Trustees support of free experiential credit for veterans. 9

nationally accepted college credit for prior learning.

10 Importance of Cultural Awareness to Educators and Health Care Providers Civilian/military nurses and allied health professionals will interact with this population in their practices. Educators will encounter combat veterans in the classroom. 10

professionals will interact with this population in their

11 Madeleine Leininger: Evidence-based Nursing Theory of Cultural Care Diversity and Universality Evidence-based conception of cultural diversity Stress on importance of quality of life within and among all cultures Promotes awareness of cultural diversity among groups, individuals, communities, and organizations (Leininger, 2007) 11

of quality of life within and among all cultures Promotes awareness of cultural

12 Madeleine Leininger: Evidence-based Nursing Theory of Cultural Care Diversity and Universality Predicts globalization of health care Evidence-based recognition of cultural diversity Stress on importance of quality of life within and among all cultures Promotes awareness of cultural diversity among groups, individuals, communities, and organizations (Leininger, 2007) 12

diversity Stress on importance of quality of life within and among all cultures Promotes

13 Leininger s Theoretical Concepts: How does it fit? Person: Varies in individual values, beliefs, customs, and behaviors. Environment: Meaningful life ways; survival in hostile/austere conditions of war. Health: Ability to perform activities of daily living both mentally and physically. Nursing/Educators: Facilitate beneficial ways of life; physical and psychological human caring. Fitzpatrick & Whall, 2005) 13

Environment: Meaningful life ways; survival in hostile/austere conditions of war.

14 What is culture? A learned set of common beliefs, customs, language, behaviors, and values. Expressed by different attitudes and behavior patterns. Cross-culturally communicated with mutual respect and sensitivity. (Maier-Lorentz, 2008) 14

15 Values Altruism: strength, courage, resilience, and personal sacrifice Identify with elitism and superiority Mental toughness Suck-up or Shake-off injury/pain Illness is a stigma, a sign of weakness (Sippola, n.d.) 15

superiority Mental toughness Suck-up or Shake-off

16 Adopting the Warrior Culture Unique Beliefs Cultural Meanings and Symbolic Referents Behaviors and life ways (patterns) Values (Asken, 2010) 16

17 Behavior and Guiding Life Ways I will always place the mission first. I will never accept defeat. I will never quit. I will never leave a fallen comrade. (Osran, Smee, Sreenivasan, Weinberger, 2010) 17

18 Culturally congruent care promotes quality of life, health, and cultural survival (Leininger, 2007). 18

19 Cultural Awareness Link to Education and Health Care Civilian/military nurses and allied health professionals will interact with this population in their practices. Educators will encounter combat veterans in the classroom. 19

will interact with this population in their practices.

20 Reintegration Body armor and improvements in battlefield medicine lead to increased survival rates (Church, 2009). More long term disability Veterans are present in every facet of community. Combat veterans and their families are encountered in civilian health care and educational organizations. 20

More long term disability Veterans are present in every facet of community.

21 Classification of Injuries Physical injury from blasts/gunshots: Burns Fractures Amputations Polytrauma Mental Health Injury: PTSD Depression Suicide Traumatic Brain Injury (TBI) (Church, 2009) 21

22 Indicators of Combat Veteran Adjustment Disorders Substance Abuse Risk Taking Behavior Sleep Disorders Anxiety/Depression Fatigue/Drowsiness (medication) Flashbacks/Nightmares Distrust/Anger Social Withdrawal Employment/Family issues Loss of cognitive/sensory function. 22

23 Implement Veteran Awareness Perform a self-assessment, know yourself. Become culturally aware by studying the warrior culture. Develop an unbiased caring attitude. Perform a cultural assessment with every encounter. Respect sacred memories 23

24 From Scutari to Iraq and Afghanistan (ookaboo.com, 2012) 24

25 REALITY 25

26 Questions? 26

27 Contact Information Contact information: Margie Clark, Dean, Health & Human Services, Administrative Assistant: Loretta Osborn, Carole Stacy, Nursing Program Director , 27

The Military Medic to Paramedic Program (MM2P) Lansing Community College Lansing, Michigan. Lisa Ferris-McCann, MA, EMS I/C, EMS Director

The Military Medic to Paramedic Program (MM2P) Lansing Community College Lansing, Michigan Lisa Ferris-McCann, MA, EMS I/C, EMS Director Historical Journey 2001 State of Michigan Project MOVE An effort