Appendix D: Internal Quality Control System

School Nursing

Audit Process

Recruitment: Admissions: Advising: Monitoring: Final Clinical Placement: Completion Check:  Completer Follow-Up:

CSNO Conference

CSNO website

Word of mouth

Program visibility

SNSC CSUF website

Complete application

Rubric score

GPA

Prerequisites  Completed

Letter of Recommendation

 

GPA of A or B

Preceptor Eval of Skills

Preceptor Eval Performance

GPA coursework

Midterm Conference

Faculty recommendation

 

GPA

Faculty recommendation

Preceptor eval of student skills

Preceptor eval of dispositions

Preceptor eval professional management

Preceptor recommendation of candidacy

   

Student 1

Recruitment: Admissions: Advising: Monitoring: Final Clinical Placement: Completion Check:  Completer Follow-Up:
 

Rubric 35

GPA 4.00

LOR score 5/5

Extension 2/21

Conference 11/20

1/21

 

GPA= A

Faculty recommendation

Preceptor recommendation of candidacy -5

Extension 7/20

GPA= 4.00

Faculty recommendation

Preceptor recommendation of candidacy -5

Credential analyst notification

6/28/21

Student 1 Notes

M.S. is a registered nurse who worked in critical care and case management from 1987 to 2016 when she was hired by Bakersfield City School District. She was referred to Fresno State by her coordinator and contacted Fresno State in 2019 requesting consultation as to prerequisite coursework for the School Nurse Credential Program,  specifically community health. M.S. completed all prerequisites and formally applied to the program 12/2019. M.S. achieved a SNSC rubric score of 35 with a GPA of 4.00 in her BSN and had high scoring Letters of Recommendation. M.S. was formally admitted to the program, and after Orientation in June 2020 she completed N137 with a grade of A.  In Fall of 2020 she experienced crises when her father passed after a few weeks in hospice and early in December her mother passed. M.S. decided to continue in the program but requested additional time for assignments in Fall coursework which was granted, and she achieved a GPA in both classes of 4.00.  M.S. requested consultation as to continuing in the program and/or delaying the practicum for Spring.  After discussion it was decided to continue in the SNSC program and if needed take a course extension. In January, M.S. lost a cousin to COVID.  Despite all of the challenges M.S. was able to complete the program by working with instructors to allow leeway in assignment submission and remained in close contact with program coordinators as to her progress. GPA remained 4.00. Preceptors rated M.S. a 5 (Excellent) in Professional Dispositions and Professional Management areas.  On student performance evaluations it was stated, M.S. “is a positive and inquisitive person and always trying to ask the right questions to be of help to others.  She is a very good school nurse. She is kind, compassionate and dedicated.”  In May 2021, SNSC program coordinators assisted the Credential Analyst in recommending a needed M.S. for a Credential Extension. In June 2021 M.S. completed the program and was recommended by her instructors and preceptors for her clear credential to the CSUF Credential Analyst

Student 2

Recruitment: Admissions: Advising: Monitoring: Final Clinical Placement: Completion Check:  Completer Follow-Up:
 

Rubric 31

GPA 3.14

   

GPA

Faculty recommendation

Preceptor recommendation of candidacy

  Credential analyst notification

Student 2 Notes

R. J. - First contact was via email in March 2018. Candidate lacked Community Health and was referred to a program at CSUDominguez Hills that offered the required 5 units. (CSUDH ended their program at the end of 2020). Candidate had a previous Juris Doctorate degree, and an AA degree for his RN license. Although he lives in southern California he wanted to meet in person. An office visit was scheduled and held. In the summer of 2018 he took Audiology, then Counseling in the Fall of 2018, Special Education in 2019 and finished his CSUDH Community Health classes in Spring of 2020. He started the SNSC program in the summer of 2020. It was two years from first contact before he was able to begin the program.  He successfully completed the program in May of 2021.

Student 3

Recruitment: Admissions: Advising: Monitoring: Final Clinical Placement: Completion Check:  Completer Follow-Up:
  GPA 3.8    

GPA

Faculty recommendation

Preceptor recommendation of candidacy

  Credential analyst notification

Student 3 Notes

D. L. - First contact was via email in September of 2018.  She has a BSN, Master’s in Public Health, took the required Audiology Course  and  possessed a Public Health Certificate (not required but meets the course requirements in Community Health). Her situation was challenging.  She had retired from the State Retirement System and was required to wait 180 days before working again.  She also required an extension for her preliminary credential.  She was accepted for the 2018 program but chose to defer her start to the following year and her request was granted. Time was spent with the Credential Analyst and the Coordinator helping the candidate navigate through the CCTC system for an extension appeal. Additionally she was in need of a preceptor so one in her area was contacted by the coordinator and agreed to assist her with her practicum hours. She successfully completed the program in May of 2020. There were over 100 email exchanges with the coordinator and Credential Analyst from the first contact. 

Student 4

Recruitment: Admissions: Advising: Monitoring: Final Clinical Placement: Completion Check:  Completer Follow-Up:
 

Rubric 26

GPA 3.41

LOR 4/4.5

Extension 3/20  

GPA 4.00

Faculty recommendation

Preceptor recommendation of candidacy-5

Extension 7/20

GPA 4.00

Faculty recommendation

Preceptor recommendation of candidacy-5

Credential analyst Notified

6/6/21

Student 4 Notes

M. M. was hired in 2015 by Los Angeles USD and in March of 2016 she contacted the SNSC program and requested consultation via email as to the SNSC Program application and Community Health coursework.  Originally from the Philippines she achieved a Doctor of Medicine degree. M.M. submitted transcripts for evaluation and completed recommended prerequisites. She achieved a low 26 on the admission rubric due to a lower GPA, low letter of recommendation scores, and M.M. lives outside of the Central Valley. M. M. was accepted for late Fall 2017 entry when an opening to the program opened up; and she submitted signed contracts for the semester.  However,  before the first day of school, M.M. decided to drop from the program and leave school nursing.  After reevaluating she reapplied in December 2019 and formally entered the SNSC program in March 2020. She was assisted with an Extension recommendation in 7/2020 to the CTCC by program staff.  M.M. successfully completed Summer, Fall and Spring coursework with a 4.00 average. Her Preceptor stated she was a “very knowledgeable school nurse and an excellent learner”  She received a 5 (Excellent) rating on Professional Dispositions, Professional Management Skills and Student performance and was recommended for credentialing in Fall and Spring benchmarks. M.M. was recommended to the CSUF Credential Analyst for a clear credential  by program coordinators 6/6/21.

Appendix D: