Fall 2005 Needs Assessment: Registered s and Vocational s Prepared by: Sunnary T. Adeva FA05: Needs Assessment-RNs and LVNs Institutional Research Chaffey College Reviewed by: Jim Fillpot 20051209 Revised: 20060105
I. Nursing (Registered s and Licensed Vocational s): Background Information: A.) Registered s: Like the rest of the nation, California is experiencing a Registered s (RNs) shortage that is expected to widen in the next two decades. The supply of RNs is not keeping up with the demand. The current capacity of California s education and training institutions to graduate RNs and LVNs does not meet California s needs. Over 50 percent of RNs licensed in 2001-02 came from other states or countries. Registered s (RN) constitute the largest group among all health occupations. Most RNs work in acute care hospitals as hospitals nurses. They care for patients at the hospital bedside, in private clinics, and in the patient s home. s may also work to help prevent disease, educate the public about health issues, enhance public health, and to support ill patients both physically and mentally. They assess patient health problems and needs, develop and implement nursing care plans, and maintain medical records. B.) Vocational s: Licensed Vocational s (LVN) are an important member of a health team. Under the supervision of doctors and registered nurses, LVNs must report changes in patient s condition. Licensed Vocational s perform tasks such as administering specified medication, orally or by subcutaneous or intramuscular injection, and noting time and amount on patients charts, performing basic patient assessment and report unfavorable reactions to medication or treatment to nurse or doctor, and assembling and using such equipments as: -catheters -tracheotomy tubes -oxygen suppliers Nationwide, about 13 percent of all wage and salary jobs created between 2000 and 2010 will be in the health service industry. II. Employment Outlook: A.) Registered s: The Labor Market Information Division (LMID) and the Employment Development Department (EDD) estimates that the number of Registered s in California by the year 2010 will be 250,400 more nurses. The State Board of Registered s reports that there were about 250,000 licensed RNs in California in 2001. Despite the large number, shortages still exist and shortages are expected to occur over the next 10 years. This is due to workers leaving and re-entering several times during their career. However, hospitals and clinics continue to have ongoing, active recruitment programs, some offering unique benefits to attract applicants. 2
B.) Vocational s: According to the California Occupational Guide LVN occupations will grow faster than average compared with all occupations in California. The Labor Market Information Division and the Employment Development Department estimates that the number of Licensed Vocational s will grow by 27,100 by the year 2012. Expected growth in employment of LVNs is in response to the long-term care needs of a rapidly growing elderly population and the general growth of healthcare. Nursing homes will offer the most new jobs for LVNs as the number of aged and disabled people in need of long-term care increases. Earning Potential: A.) Registered s: Table 1.1 below shows the median hourly wages for Registered s in three counties taken from the Occupational Employment Statistics (OES) survey. 1 Table 1.2 also indicates the current number of Registered s employed in San Bernardino County. Table 1.1: Occupation: Registered s Entry Level No Experience Experienced New to Firm Experienced 3 Years with Firm Low Median High Low Median High Low Median High County Year Riverside 2002 $16.78 $18.41 $25.00 $18.22 $23.62 $28.00 $20.62 $27.43 $35.00 San Bernardino 2002 $18.00 $18.50 $20.00 $18.00 $20.00 $25.00 $20.00 $24.00 $28.00 Ventura 2002 $18.00 $21.29 $24.00 $15.00 $21.50 $25.00 $16.00 $23.01 $31.00 Table 1.2: Current Employment for Registered s in San Bernardino County in 2005 SOC Code Current Annual Annual Job Occupational Title Hourly Average Number Employment Average Openings 29-1111 Registered s 18,530 $31.44 $68,500 9,900 B.) Vocational s: Table 2.1 below shows the current number of Licensed Vocational s (LVNs) employed in San Bernardino County. Table 2.1: SOC Code Number 29-2061 Occupational Title Licensed Practical and Licensed Vocational s Current Employment Hourly Average Annual Average Annual Job Openings 4,250 $18.12 $39,108 2,600 1 Health Care Careers, Employment Development Department and Labor Market Information Division, July 2005. 3
A.) Registered s: As depicted in table 2.1 and table 2.2, registered nurses are listed among the top 10 occupations with the greatest absolute job growth and the greatest number of job openings. Table 2.1: Top 10 Occupations with the Greatest Absolute Job Growth California 2000-2010 Occupational Title 2000 2010 Absolute Change Percent Change Education/Experience Retail Salespersons 436,800 536,400 99,600 22.8% 30-Day OJT Cashiers 357,700 432,800 75,100 21.0% 30-Day OJT Clerks, General Office 363,400 433,000 69,600 19.2% 30-Day OJT Customer Service Representative 199,500 267,300 67,800 34.0% 1-12 Mo OJT Teacher Assistants 163,800 222,100 58,300 35.6% 30-Day OJT Waiters/Waitress 208,500 261,600 53,100 25.5% 30-Day OJT Registered s 198,200 250,400 52,200 26.3% AA-Degree Table 2.2: Top 10 Occupations with the Greatest Number of Job Openings California 2000-2010 Occupational Title Occupational Guide No. Estimated Openings Education/Experience Retail Salespersons 536 284,700 30-Day OJT Cashiers 31 254,400 30-Day OJT Waiters/Waitresses 42 185,300 30-Day OJT Clerks, General Office 295 146,100 30-Day OJT Teacher Assistants 502 98,600 30-Day OJT Registered s 29 97,500 AA-Degree 4
II. Education and Training: A.) Registered s: Registered s must be licensed to practice in California by the State Board of Registered Nursing. The license requirements are (1) the completion of a board-approved nursing program and (2) a passing grade on the State Board examination. In California there are two types of Registered s training programs available: (1) a two-year community college associate degree programs and (2) a four-year bachelor s degree program. Both programs include clinical experience in one or more hospitals and clinics in addition to classroom instructions. Table 3 shows the projected number of registered nurses currently employed in San Bernardino County within the Chaffey College service area. The skills, knowledge, and abilities required for Registered Nursing provide a solid foundation for further growth in health career occupations. However, additional education or training is often required. Figure 1 shows other possible career paths for registered nurses. Table 3: Job Outlook for Chaffey College area by Occupational Education Programs San Bernardino TOP Code TOP Category Estimated Projected Separations Growth and County 1999 2006 Separations Chaffey College 1203.00 Nursing, R.N. 35,370 43,660 5,800 14,090 Figure 1: Career Paths for Registered s Practitioner Nursing Administrator Registered Certified Registered Anesthetist Nursing, Clinical, Certified Physician Specialty, eg, Pubic Health Assistant 5
B.) Vocational s: Licensed Vocational s must be licensed to practice in California by the State Board of Vocational Nursing. The license requirements are (1) completion of state-approved vocational nursing program (2) receiving a passing grade on the State Board of Vocational Nursing examination to qualify for a State license. The skills, knowledge, and abilities required for licensed vocational nursing provide a solid foundation for further growth in health career occupations. However, additional education or training is often required. Figure 2 show other possible career paths for registered nurses. Figure 2: Registered Psychiatric Licensed Vocational Occupational Therapist Assistant Supervision; Nursing Administration; Nursing Clinical Specialty 6
A.) Registered s: Table 4 shows the number of California Board of Registered Nursing approved training providers in Southern California for Registered s. 2 Of the 34 Registered Nursing Program only 3 programs are private institutions (8 percent). Table 4: California Board of Registered Nursing approved RN Programs in Southern California Institution Program Degree Public or Private Accreditation Antelope Valley College Associate Degree in Nursing Program AS Public Yes Cerritos College Associate Degree in Nursing Program AS Public Yes College of the Canyons Associate Degree in Nursing Program AS Public Yes College of the Desert Associate Degree in Nursing Program AS Public Yes Cooper Mountain College Associate Degree in Nursing Program AS Public Yes Cypress College Associate Degree in Nursing Program AS Public Yes East Los Angeles College Associate Degree in Nursing Program AS Public Yes El Camino College Associate Degree in Nursing Program AS Public Yes Glendale Community Associate Degree in Nursing Program AS Public Yes Golden West College Associate Degree in Nursing Program AS Public Yes Grossmont College Associate Degree in Nursing Program AS Public Yes Long Beach City College Associate Degree in Nursing Program AS Public Yes Los Angeles City College Associate Degree in Nursing Program AS Public Yes Los Angeles County College of Nursing and Allied Health Associate Degree in Nursing Program AS Public Yes Los Angeles Harbor College Associate Degree in Nursing Program AS Public Yes Los Angeles Pierce College Associate Degree in Nursing Program AS Public Yes Los Angeles Southwest College Associate Degree in Nursing Program AS Public Yes Los Angeles Trade-Technical College Associate Degree in Nursing Program AS Public Yes Los Angeles Valley College Associate Degree in Nursing Program AS Public Yes Maric College Associate Degree in Nursing Program AS Private Yes Moorpark College Associate Degree in Nursing Program AS Public Yes Mt. Saint Mary s College Associate Degree in Nursing Program AS Private Yes Mt. San Antonio College Associate Degree in Nursing Program AS Public Yes Mt. San Jacinto College Associate Degree in Nursing Program AS Public Yes Pasadena City College Associate Degree in Nursing Program AS Public Yes Rio Hondo College Associate Degree in Nursing Program AS Public Yes Riverside Community College Associate Degree in Nursing Program AS Public Yes Saddleback College Associate Degree in Nursing Program AS Public Yes San Bernardino Valley College Associate Degree in Nursing Program AS Public Yes Santa Ana College Associate Degree in Nursing Program AS Public Yes Santa Monica College Associate Degree in Nursing Program AS Public Yes Ventura College Associate Degree in Nursing Program AS Public Yes Victor Valley College Associate Degree in Nursing Program AS Public Yes West Coast University Associate Degree in Nursing Program AS Private Yes 2 California Occupational Guides, Employment Development Department, State of California. 7
B.) Vocational s: Table 5 shows the number of California Board of Vocational Nursing and Psychiatric Technicians approved training providers in Southern California for Vocational s. 2 Of the 122 accredited Vocational Nursing Programs only 36 programs are private institutions (29 percent). Table 5: California Board of Vocational Nursing and Psychiatric Technicians Institution Program Degree Public or Private Accreditation Allan Hancock College Associate Degree in Nursing Program AS Private Yes Allied Medical & Health Services, Inc. Associate Degree in Nursing Program AS Private Yes American Career College Associate Degree in Nursing Program AS Private Yes Antelope Valley Career Academy Associate Degree in Nursing Program AS Private Yes Antelope Valley College Associate Degree in Nursing Program AS Public Yes Antelope Valley Medical College Associate Degree in Nursing Program AS Private Yes Around the Clock Educational Center Associate Degree in Nursing Program AS Private Yes B & R Nursing School Associate Degree in Nursing Program AS Private Yes Bakersfield Adult School Associate Degree in Nursing Program AS Public Yes Bakersfield College Associate Degree in Nursing Program AS Public Yes Baldy View ROP Associate Degree in Nursing Program AS Public Yes Beaumont Adult School Associate Degree in Nursing Program AS Public Yes Boston Reed/Martinez Adult Education Center Associate Degree in Nursing Program AS Public Yes Bryman College Associate Degree in Nursing Program AS Private Yes Butte College Associate Degree in Nursing Program AS Public Yes California Career College Associate Degree in Nursing Program AS Private Yes Career Care Institute Associate Degree in Nursing Program AS Private Yes Career Colleges of America (4) Associate Degree in Nursing Program AS Private Yes Career Networks Institute Associate Degree in Nursing Program AS Private Yes Casa Loma College (2) Associate Degree in Nursing Program AS Public Yes Central County Associate Degree in Nursing Program AS Public Yes Cerro Coso Community College Associate Degree in Nursing Program AS Public Yes Chaffey College Associate Degree in Nursing Program AS Public Yes Citrus Community College Associate Degree in Nursing Program AS Public Yes City College of San Francisco Associate Degree in Nursing Program AS Public Yes Clovis Adult & Voc. Education Associate Degree in Nursing Program AS Private Yes College of Nursing and Technology Associate Degree in Nursing Program AS Private Yes College of the Desert Associate Degree in Nursing Program AS Public Yes College of the Redwoods (2) Associate Degree in Nursing Program AS Public Yes College of the Siskiyous Associate Degree in Nursing Program AS Public Yes Concorde Career College (6) Associate Degree in Nursing Program AS Private Yes Copper Mountain Associate Degree in Nursing Program AS Private Yes Dinuba Adult School Associate Degree in Nursing Program AS Public Yes Emanuel MJC Associate Degree in Nursing Program AS Private Yes Feather River Community College Associate Degree in Nursing Program AS Public Yes Four-D College Associate Degree in Nursing Program AS Private Yes Fresno Adult School Associate Degree in Nursing Program AS Public Yes Gavilan College Associate Degree in Nursing Program AS Private Yes Glendale Career College Associate Degree in Nursing Program AS Private Yes Grant Adult & Community Education Associate Degree in Nursing Program AS Public Yes Grossmont Health Occupations Associate Degree in Nursing Program AS Private Yes Hacienda La Puente Adult Education Associate Degree in Nursing Program AS Public Yes Hanford Adult School Associate Degree in Nursing Program AS Public Yes Hartnell College Associate Degree in Nursing Program AS Private Yes Healthcare Education Advancement Center Associate Degree in Nursing Program AS Private Yes Imperial Valley College Associate Degree in Nursing Program AS Private Yes Lake College Associate Degree in Nursing Program AS Public Yes Lassen Community College Associate Degree in Nursing Program AS Public Yes Long Beach City College Associate Degree in Nursing Program AS Public Yes Los Angeles Trade Tech College Associate Degree in Nursing Program AS Public Yes Los Angeles Unified School District (8) Associate Degree in Nursing Program AS Public Yes Los Medanos College Associate Degree in Nursing Program AS Public Yes Lynwood Community Adult School Associate Degree in Nursing Program AS Public Yes Marian College Associate Degree in Nursing Program AS Public Yes Maric College (2) Associate Degree in Nursing Program AS Public Yes Medical Institute VS-Albor School Associate Degree in Nursing Program AS Private Yes Merced Community College Associate Degree in Nursing Program AS Public Yes Merritt College Associate Degree in Nursing Program AS Private Yes Mira Costa College Associate Degree in Nursing Program AS Public Yes Mission College Associate Degree in Nursing Program AS Public Yes Mt. San Jacinto College Associate Degree in Nursing Program AS Public Yes Napa Valley College Associate Degree in Nursing Program AS Public Yes Nightingale School of Nursing Associate Degree in Nursing Program AS Private Yes North Orange County-ROP Associate Degree in Nursing Program AS Public Yes North West College Associate Degree in Nursing Program AS Public Yes Oxnard Adult School Associate Degree in Nursing Program AS Public Yes 8
Table 5: (continued) Institution Program Degree Public or Private Accreditation Pacific College Associate Degree in Nursing Program AS Public Yes Palo Verde Community College Associate Degree in Nursing Program AS Public Yes Pasadena City College Associate Degree in Nursing Program AS Public Yes Porterville College Associate Degree in Nursing Program AS Public Yes Preferred College of Nursing (3) Associate Degree in Nursing Program AS Private Yes Premiere Career College Associate Degree in Nursing Program AS Private Yes Prime Career College Associate Degree in Nursing Program AS Private Yes Redlands Adult School Associate Degree in Nursing Program AS Public Yes Rio Hondo Junior College Associate Degree in Nursing Program AS Public Yes Riverside Community College Associate Degree in Nursing Program AS Public Yes Sacramento City College Associate Degree in Nursing Program AS Public Yes San Bernardino Adult School Associate Degree in Nursing Program AS Public Yes San Joaquin Delta College (2) Associate Degree in Nursing Program AS Private Yes San Leandro Adult School Associate Degree in Nursing Program AS Public Yes Santa Barbara City College Associate Degree in Nursing Program AS Public Yes Santa Rosa Junior College Associate Degree in Nursing Program AS Public Yes Shasta Community College Associate Degree in Nursing Program AS Public Yes Sierra Community College Associate Degree in Nursing Program AS Public Yes Simi Valley Adult School Associate Degree in Nursing Program AS Public Yes Southwestern College Associate Degree in Nursing Program AS Public Yes State Center Community College District Associate Degree in Nursing Program AS Public Yes St. Francis Career College (2) Associate Degree in Nursing Program AS Private Yes Summit Career College (2) Associate Degree in Nursing Program AS Private Yes Tri-County ROP Associate Degree in Nursing Program AS Public Yes Ukiah Adult School Associate Degree in Nursing Program AS Public Yes Unitek College (2) Associate Degree in Nursing Program AS Public Yes Visalia Adult School Associate Degree in Nursing Program AS Private Yes Western Career College (2) Associate Degree in Nursing Program AS Private Yes WestMed College Associate Degree in Nursing Program AS Private Yes Yuba Community College Associate Degree in Nursing Program AS Public Yes YMCA Los Angeles Job Corps Associate Degree in Nursing Program AS Public Yes 9