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Nursing Assistant and Acute Care Technician

March 2011 Needs Assessment

Prepared by Carli Straight

Date: March 8, 2011 Nursing Assistant and Acute Care Technician

RRN 1,895

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Scope Data compiled in this report covers San Bernardino, Riverside, Orange, and Los Angeles counties. Data were drawn from external sources, including the Employment Development Department’s California Labor Market Information and the U.S. Department of Education’s Integrated Postsecondary Education Data System (IPEDS), as well as Chaffey College’s Colleague Administrative database. Data Sources and Calculations Educational Program Data TOP Code Program of Study

1230.30 Certified Nurse Assistant The Taxonomy of Programs (TOP) is a standardized system used at the state level to classify programs and courses at California Community Colleges that are intended to achieve the same outcome. Both the Nursing Assistant and Acute Care Technician programs at Chaffey College are classified under the Certified Nurse Assistant TOP code. CIP Code Program of Study

51.1614 Nurse/Nursing Assistant/Aide and Patient Care Assistant The Classification of Instructional Programs (CIP) is a standardized coding system used at the federal level to facilitate accurate tracking, assessment, and reporting of fields of study and program completion at educational institutions throughout the country. This report draws on the Nurse/Nursing Assistant/Aide and Patient Care Assistant CIP code, which maps to the Certified Nurse Assistant TOP code, to compare Chaffey College to other institutions and examine employment trends. Completions Data Degree and certificate data regarding students at Chaffey College were collected from the Colleague Administrative database. Degree and certificate data for all comparison schools were collected from the U.S. Department of Education’s Integrated Postsecondary Education Data System (IPEDS). All comparison institutions included in this report are postsecondary and have provided data to IPEDS. IPEDS defines postsecondary education as a formal program designed primarily for students beyond high school age. These include academic, vocational, and continuing professional education, and exclude avocational and adult basic education programs. Occupational Data SOC Code Occupational Title

31.1012 Nursing Aides, Orderlies, and Attendants The Standard Occupational Classification (SOC) system is used by federal statistical agencies to classify workers into occupational categories. The Nurse/Nursing Assistant/Aide and Patient Care Assistant CIP code was mapped to the SOC code listed in the table above using the crosswalk described in the paragraph below.

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Educational Program to Occupation Crosswalk The TOP-CIP-SOC Crosswalk (Employment Development Department, 2007) was used in this report to map TOP codes to CIP and SOC codes. This crosswalk allows the user to estimate labor market demand for California Community College program completers using SOC-based projections from the California Labor Market Information Division. Industry Data The North American Industry Classification System (NAICS) is used by federal statistical agencies to classify business establishments for the purpose of conducting and reporting research on the U.S. business economy. The Standard Occupation Classification codes are mapped to industry data by the California Labor Market Information Division. Industry information is used to geographically map the business locations of potential employers as well as to observe trends across the industries that employ the occupations identified above.

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Introduction and Contents Contents Background Information 5 Regional Job Outlook 6 Largest and Fastest Growing Industry Employers 8 Regional Graduation Summary 10 Chaffey College’s Performance on Core Indicators 11 Map of Regional Employers and Competitor Institutions 12 Purpose and Goals Chaffey College currently offers a 7-unit non-transcripted certificate option in the Nursing Assistant program and a 7-14-unit non-transcripted certificate option in the Acute Care Technician program. The following is a description of the Nursing Assistant program as outlined in the 2010-11 Catalog: “The Nursing Assistant (NA) program prepares students for entry-level employment in health care facilities. Nursing Assistants are important members of the health care team, providing direct care to patients in long-term care settings. All Nursing Assistants function under the supervision of a Licensed Nurse. Programs are approved by the California Department of Health Services. Upon completion of the Nursing Assistant program, the student is eligible to take the state examination for Certified Nurse Assistant (CNA) for a fee. The CNA may then complete courses for certification in Home Health Aide (HHA) and/or Acute Care Technician (ACT).” The following is a description of the Acute Care Technician program as outlined in the 2010-11 Catalog: “To enter the Acute Care Technician (ACT) program a student must have an active California State Certified Nursing Assistant (CNA) certificate or equivalent. The Acute Care Technician program prepares the nursing assistant to function in acute care settings including hospitals and sub-acute facilities. The Acute Care Technician will gain skills for the Vocational Nursing Program at Chaffey

College.” The purpose of this report is to integrate and analyze data from multiple sources to determine labor market needs for the Nursing Assistant and Acute Care Technician programs at Chaffey. Regional Definitions Inland Empire includes the Riverside-San Bernardino-Ontario Metropolitan Statistical Area (MSA) Los Angeles County includes the Los Angeles-Long Beach-Glendale Metropolitan Division Orange County includes the Santa Ana-Anaheim-Irvine Metropolitan Division Key Terms and Concepts Replacement Jobs: Replacement jobs refer to the number of job openings due to workers leaving an occupation. Annual Openings: Annual openings are calculated by adding the number of new jobs to the number of replacement jobs, divided by the number of years in the projection period. Projections: Projections of employment are calculated by the Employment Development Department and are based on a mathematical formula that includes historical employment and economic indicators along with national, state, and local trends. Occupation: Jobs are grouped into occupations using the federal Standard Occupational Classification (SOC) system. Industry: Occupations are grouped into industries using the North American Industry Classification System (NAICS). Wages: Hourly wages are reported in percentiles and averages. The 25th percentile is a useful proxy of entry-level wages and the 75th percentile of experienced-level wages.

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Background Information 1 California Community Colleges, Chancellor’s Office, Taxonomy of Programs, Sixth Edition (Corrected Version). 2 O*Net Online: http://online.onetcenter.org/find

Certified Nurse Assistant

Certified Nurse Assistant programs in California Community Colleges teach students routine nursing services of patients in hospitals or long term care facilities practiced under the direction of nursing or medical staff, and specific to the nurse assistant certification examination.1 The description of job duties for Nursing Aides, Orderlies, and Attendants is provided by the Occupational Information Network.2

Nursing Aides, Orderlies, and Attendants Nursing Aides, Orderlies, and Attendants provide basic patient care, such as feeding, bathing, dressing, grooming, and moving patients, under the direction of nursing staff. Typical Tasks

♦ Answer patients’ call signals ♦ Turn and reposition bedridden patients, alone or with assistance, to prevent bedsores ♦ Observe patients’ conditions, measuring and recording food and liquid intake and output

and vital signs, and report changes to professional staff ♦ Feed patients who are unable to feed themselves ♦ Provide patients with help walking, exercising, and moving in and out of bed ♦ Provide patient care by supplying and emptying bed pans, applying dressings and

supervising exercise routines ♦ Bathe, groom, shave, dress, or drape patients to prepare them for surgery, treatment, or

examination ♦ Transport patients to treatment units, using a wheelchair or stretcher ♦ Clean rooms and change linens ♦ Collect specimens such as urine, feces, or sputum

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Regional Job Outlook

Projected Regional Job Outlook The table below displays 2008 employment estimates and 2018 projections for Nursing Aide, Orderly, and Attendant jobs. Each of the regions of interest are expected to provide a number of annual job openings, however, opportunities are most numerous in Los Angeles County, followed by Orange County and then the Inland Empire. In addition, most of these openings are due to new rather than replacement jobs.

Total

Estimated 2006 Jobs

Total Projected 2016 Jobs

Projected Growth (%)

Ave. Annual New Job Openings

Ave. Annual Replacement Job Openings

Ave. Annual Total Job Openings

Nursing Aides, Orderlies, and Attendants

State of California 108,100 130,800 22,700 (21.0%) 2,270 1,090 3,360

Inland Empire 9,160 11,030 1,870 (20.4%) 187 91 278

Los Angeles CO 32,260 41,030 8,770 (27.2%) 877 371 1,198

Orange CO 8,360 10,680 2,320 (27.8%) 232 83 315

Source: Labor Market Information Division, Employment Development Department, Occupation Profile, on the Internet at: http://www.labormarketinfo.edd.ca.gov/ (visited March 8, 2011). Projected Regional Job Growth The graph below shows the projected growth from 2008 to 2018 of Nursing Aide, Orderly, and Attendant jobs. All regions of interest show growth rates that are “faster than average”, but the Inland Empire is expected to grow the least over this time period.

01020304050

California Inland Empire

Los Angeles County

Orange County

% G

row

th

Nursing Aides, Orderlies, and Attendants

Source: Labor Market Information Division, Employment Development Department, Occupation Profile, on the Internet at: http://www.labormarketinfo.edd.ca.gov/ (visited March 8, 2011).

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Regional Hourly Wages This table displays the first quarter 2010 hourly wage statistics of Nursing Aides, Orderlies, and Attendants. Hourly wages range from approximately $10 to $15/hr, depending on the region and level of experience.

Mean Hourly Rate 25th Percentile Median Hourly Rate 75th Percentile

Nursing Aides, Orderlies, and Attendants

State of California $13.36 $10.81 $12.58 $15.11

Inland Empire $12.09 $10.38 $11.77 $13.76

Los Angeles CO $12.25 $10.21 $11.68 $13.94

Orange CO $13.02 $11.32 $12.68 $14.47

Source: Labor Market Information Division, Employment Development Department, Occupation Profile, on the Internet at: http://www.labormarketinfo.edd.ca.gov/ (visited March 8, 2011).

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Largest and Fastest Growing Industry Employers

Largest Industry Employers of Nursing Aides, Orderlies, and Attendants The graphs below display the 2008 staffing patterns of the largest industries employing Nursing Aides, Orderlies, and Attendants across the state of California. Nursing Care Facilities and General Medical and Surgical Hospitals employ the majority (80%) of individuals in these professionals.

0

10,000

20,000

30,000

40,000

50,000

60,000

Num

ber o

f Em

ploy

ees

Nursing Aides, Orderlies, and Attendants

Source: Labor Market Information Division, Employment Development Department, Staffing Patterns, on the Internet at: http://www.labormarketinfo.edd.ca.gov/iomatrix/staffing-patterns1.asp (visited March 8, 2011).

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Change Over Time of the Largest Industry Employers of Nursing Aides, Orderlies, and Attendants The graph below displays projections of change over time from 2008-2018 of the largest industries employing Nursing Aides, Orderlies, and Attendants in the state of California. Home Health Care Services are expected to increase the numbers of individuals employed in these occupations the most, whereas State Government, Psychiatric & Substance Abuse Hospitals, and Residential Mental Health Facilities are not expected to increase the number of Nursing Aides, Orderlies, and Attendants employed.

0.00%

10.00%

20.00%

30.00%

40.00%

50.00%

Perc

ent C

hang

e

Nursing Aides, Orderlies, and Attendants

Source: Labor Market Information Division, Employment Development Department, Staffing Patterns, on the Internet at: http://www.labormarketinfo.edd.ca.gov/iomatrix/staffing-patterns1.asp (visited March 8, 2011). Other Industries with Growth in the Number of Nursing Aides, Orderlies, and Attendants Employed Aside from the ten largest industries that were displayed in the graphs above, the number of Nursing Aides, Orderlies, and Attendants employed is expected to grow in two additional industries. The table below displays these industries along with the numeric and percent change in the number of Nursing Aides, Orderlies, and Attendants employed from 2008 to 2018.

Industry Employment in California

2008 2018 Numeric Change Percent Growth

Nursing Aides, Orderlies, and Attendants

Outpatient Care Centers 200 300 100 50.0%

Other Ambulatory health Care Services 100 200 100 100.0% Source: Labor Market Information Division, Employment Development Department, Staffing Patterns, on the Internet at: http://www.labormarketinfo.edd.ca.gov/iomatrix/staffing-patterns1.asp (visited March 8, 2011).

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Regional Graduation Summary

Education and Training3

Nursing aides qualify for many positions with a high school diploma or equivalent. Formal training is offered in high schools, vocational-technical centers, some nursing care facilities, and some community colleges. To work in nursing care facilities, nursing aides must complete a training program consisting of 75 hours and a competency evaluation or state certification. Aides who complete the program are known as certified nurse assistants (CNAs). They must be in good health and pass a criminal background check. They should also be tactful, patient, understanding, emotionally stable, and dependable. Regional Completers in Nurse/Nursing Assistant/Aide and Patient Care Assistant Programs The table below displays the number of program completers in the 2009-10 academic year at regional institutions offering Nurse/Nursing Assistant/Aide and Patient Care Assistant programs. Besides Chaffey College, there are 12 institutions offering degrees or certificates across the four county region.

Institution Name Award Level

< 1 year Certificate 1 to < 2 year Certificate

Associate’s Degree

2 to < 4 year Certificate

Chaffey College 2 -- -- --

Angeles College of Nursing 6 -- -- --

Baldwin Park Adult & Community Education 72 -- -- --

Barstow Community College 0 -- 0 --

Career Development Institute 81 -- -- --

El Camino College – Compton Center 0 -- -- --

Moreno Valley College 0 -- -- --

Palo Verde College 12 -- -- --

Pomona Unified School District Adult and Career Education 125 -- -- --

Preferred College of Nursing-Los Angeles 108 -- -- --

St. Francis Career College 27 -- -- --

Trinity Vocational Center 156 -- -- --

West Coast Ultrasound Institute -- 31 -- --

Total 589 31 0 --

Note: “--“ indicates that this type of degree is not offered. “0” indicates that this degree/certificate level is offered but no degrees or certificates were granted. Source: National Center for Education Statistics, U.S. Department of Education, Integrated Postsecondary Education Data System, on the Internet at: http://www.nces.ed.gov/collegenavigator/ (visited March 8, 2011)

3 Bureau of Labor Statistics, United States Department of Labor, Occupational Outlook Handbook, 2010-11 Edition, on the Internet at: http://www.bls.gov/OCO/ (visited March 8, 2011).

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Chaffey College’s Performance on Core Indicators

The Perkins IV Career and Technical Education Improvement Act of 2006 mandates that all state and local postsecondary institutions provide data on six core performance indicators for their career and technical education programs. These indicators are: 1) Technical Skill Attainment; 2) Completions; 3) Persistence and Transfer; 4) Employment; 5) Nontraditional Participation; and 6) Nontraditional Completion. Performance goals are set at the state and local levels and progress is monitored based on a comparison between the actual percentage of students who master each performance area and the negotiated levels of performance. 2009-2010 Chaffey College Performance on Core Indicators The table below displays negotiated and actual core performance indicator levels for all Chaffey College students classified under the Certified Nurse Assistant TOP code. These students performed above district negotiated levels in two of six areas.

Core Performance Indicators Negotiated Level

Chaffey College Performance

Percent Above or Below District

Negotiated Level State District

Certified Nurse Assistant

Core 1 – Technical Skill Attainment 88.81% 90.54% 88.71% -1.8%

Core 2 – Completions- Credential, Certificate, Degree, or Transfer Ready 82.05% 82.05% 94.74% 12.7%

Core 3 – Persistence and Transfer 85.96% 85.96% 83.87% -2.1%

Core 4 – Employment 82.21% 82.21% 94.74% 12.5%

Core 5a – Non-traditional Participation 20.37% 20.37% 11.29% -9.1%

Core 5b – Non-traditional Completions 22.10% 22.42% 21.74% -0.7%

Source: CA Community Colleges Reporting Services, Certified Nurse Assistant, College Core Indicator Information by 6-Digit TOP (2011-2012 Fiscal Year Planning)

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Map of Regional Employers and Competitor Institutions

Nursing Care Facilities and General Medical and Surgical Hospitals employ approximately 80% of Nursing Aides, Orderlies, and Attendants in the state of California. Across all four counties of interest, there are 1,484 employers in these industries listed by the California Labor Market (914 in Los Angeles County, 244 in Orange County, 157 in Riverside County, and 169 in San Bernardino County). This map illustrates the location of each of these employers. Also included are the locations of Chaffey College and other competitor schools offering a degree or certificate in Nurse/Nursing Assistant/Aide and Patient Care Assistant programs.