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Experts Predict Future of Registered Nursing Will Include Evolving Skill Set and Broader Work Environment

As opportunities in the nursing field are evolving, so too are the skills and work environments associated with the field, says an article published September 12 on the online industry portal Nurse.com.

In her front-page feature, Nurse.com staff writer Cathryn Domrose details some of the notable shifts predicted for Registered Nurses (RNs) and the nursing field as a whole.

According to Domrose, these desirable and versatile skills include: the talent to shift between working independently and in collaboration with other health personnel; critical thinking abilities; training and expertise in elder care and knowledge of the healthcare system operations.

Domrose quotes industry expert Linda Tieman, RN, MN, FACHE, executive director of the Washington Center for Nursing and board president of the Forum of State Nursing Workforce Centers, who anticipates growth in the area “community health” work field.

Domrose article also cites figures provided in the 2010-2011 edition of the U.S. Bureau of Labor Statistics Occupational Outlook Handbook, including 22 percent expected growth in the RN industry from 2008 to 2018; however, the rate at which nurses are hired is likely to vary specific among healthcare industries.

For example, Domrose says that while “hospitals employ about 60% of all RNs,” this number is predicted to drop due to anticipated factors like “technological innovations,” “healthcare reform,” and “cost-cutting trends” that “provide incentives to take care of more people in the community.”

The article identifies several sectors that the BLS expects will offer increasing job opportunities for nurses. Specifically, RN jobs are expected to increase in physician’s offices by 48 percent, while home health positions are predicted to offer a 25 percent increase. By comparison, RN positions at hospitals are anticipated to grown by just 17 percent.

Domrose also addresses the effect of the country’s expanding population of aging baby boomers on the nursing field. In particular, she points to “nursing workforce researchers” who say a larger segment of older Americans with “multiple chronic conditions” will likely create an increasing number of community care and hospital patients.

Finally, Domrose describes how some industry-insiders are analyzing the role of recent healthcare reform, including how its focus on “coordinated care” and prevention may produce similar priority shifts in the country’s healthcare model—from hospital to more community-based care.

Changes in the country’s population and healthcare landscape will require more specialized and trained professionals, such as Sacramento RNs and San Francisco registered nurses. Learn more about training for a role as a Santa Clara RN at Unitek College, today!

For additional information on Cathryn Domrose’s article for Nurse.com, please visit:

To learn more about Nurse.com, please go to:

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California Extending Interest-Free Loans to Hospitals and Clinics Affected by State Budget Stalemate

According to a September 2 story by the Associated Press, the California State Treasurer’s Office is offering $9 million in interest-free loans to rural hospitals and community clinics impacted by the legislature’s failure to approve a state budget.

Loans are available for up to $750,000 for those rural facilities experiencing financial hardship due to delayed Medi-Cal reimbursements. The delinquent payments result from the state’s lack of funding—due to the budget impasse.

Rural clinics and hospitals are required to repay the loans within 45 days after the passage of the state budget. The funds are available through the California Health Facilities Financing Authority (CHFFA), confirmed state treasurer Bill Lockyer. CHFFA has been providing financing since its inception in 1988, and is currently chaired by Treasurer Lockyer.

“Patients and caregivers should not have to suffer because the state has no budget, and these emergency loans will help ensure they don’t,” stated Treasurer Lockyer in an announcement cited by the AP.

Based on the Sept. 2 AP report, loans for eight facilities were approved as of Thursday, Sept. 2. The funding recipients include Innovative Health Services in Chico, the George G. Glenner Alzheimer’s Family Centers in San Diego and Humboldt Senior Resource Center in Eureka. In July, Treasurer Lockyer announced a similar $750,000 loan offered from CHFF to the Medoc Medical Center, located in the small northeastern community of Medoc, CA.

According to the California State Treasurer website CHFF financing is offered through its Healthcare Expansion Loan Program II, also known as HELP II.  These funds “may be used to purchase or construct new facilities, remodel or renovate existing facilities, and purchase equipment or furnishings.” The site also states the CHFFA has “CHFFA has loaned more than $52 million under HELP II.”

Despite the financial challenges facing a number of California hospitals and community clinics, there is still a significant need for qualified health professionals, including Santa Clara Registered Nurses, throughout the state. Get started on your San Francisco RN career with skilled training from Unitek College. Learn how our quality programs can help you pursue Sacramento RN jobs and other healthcare positions in the Bay Area.

For more on the California Health Facilities Financing Authority and the California State Treasure Office, please visit:


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Major San Francisco Hospital Charged With Discrimination by California Nurses Association and Filipino Community Groups

Filipino community organizations and a leading state nurses association are charging San Francisco hospital California Pacific Medical Center (CPMC) with “systematic discrimination,” due its reported ongoing practice of discouraging the employment of Filipino nurses.

In a press release issued on August 19, the California Nurses Association (CNA), an advocacy group comprised of healthcare professionals like San Francisco registered nurses and San Jose RNs, announced it had filed a complaint with the San Francisco Human Rights Commission. A corresponding letter charged Sutter Health and its affiliate CPMC hospital “with employment discrimination on the basis of race, ethnicity, and national origin.”

Along with calling for an SF Human Rights Commission investigation into CPMC, the professional organization, which represents Sacramento RNs and other registered nurses, filed a class action grievance against the hospital and Sutter Health for contract violations related to discriminatory hiring practices. The California Nurses association also asked Sutter Health to demand CPMC “cease and desist” employment discrimination.

According to last Thursdays announcement, the CNA was joined by more than two dozen leaders of Filipino organizations and community groups in calling for a meeting with the hospital’s CEO Warren Browner and the Sutter Bay West Bay Vice President of Nursing Diana Karner. The groups are also demanding CPMC “publicly renounce its discriminatory practices, and commit to equal opportunity regardless of race or national origin.”

In a press conference last Thursday, CNA revealed testimony from former CPMC nursing professionals, including supervisors with first-hand experience of the discrimination against Filipino nurses. In onestate from the hospital’s former Critical Care Services director, the VP nursing director Karner reportedly advised him “not to hire any Filipinos.”

As further evidence, CNA provided a list of current employees at the CPMC-operated St. Luke’s hospital. The documents show that before February 2008, about 65 percent of the hospital’s registered nurses were Filipino; however, after February 2008, Filipino nurses comprised only 10 percent of the facility’s RN staff.

In the CNA press release, the supporting groups Filipino Community Center and the National Alliance for Filipino Concerns expressed their concerns against Sutter Health and CPMC through spokesperson Terry Valen.

“Our community needs access to healthcare and good jobs.  Sutter/CPMC’s discrimination against Filipino nurses is another blatant example of the abuse that Filipino migrant workers face in the United States,” Valen said.

For additional information on the California Nurses Association, please visit:


To learn more about the California Pacific Medical Center and Sutter Health, please go to:


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Unlicensed Los Angeles Nursing School Ordered Closed and Required to Pay $500,000 in Restitution

An unlicensed nursing school operating out of downtown Los Angeles was closed and ordered to pay $500,000 in restitution to the hundreds of victims who enrolled in the fraudulent operation, reported California Attorney General Edmund G. “Jerry” Brown Jr. in a press release issued on Aug. 11.

According to the Attorney General’s report, the RN Learning Center collected $20,000 tuition fees from nearly 300 students for a falsely-advertised “fast-track program for earning a bachelor of science degree in nursing.” Participating students were mislead to believe they could earn their degrees in less than two years.

Attorney General Brown described the school’s criminal actions and the subsequent decision by the state to close the fraudulent institution immediately.

“By creating the illusion it was training future registered nurses,” Brown said, “the school destroyed the aspirations of hundreds of students who also lost thousands of dollars in wasted tuition. The school will shut its doors today and pay back its former students as fully as it can.”

The unlicensed operation was owned and operated by Junelou Chalico Enterina. Under the terms of the settlement negotiated by the Office of the Attorney General on behalf of the state’s Board of Registered Nursing, Enterina was forced to close the RN Learning Center and pay defrauded students restitution totaling $500,000. He is also prevented from operating any future nursing schools in the state.

The actions against the RN Learning Center’s illegal operation began as an investigation by the California Board of Registered Nursing in 2007. The center never applied with the agency to receive its state-mandated education credentials. As a result, the school was ordered closed three years ago by the state’s nursing board.

Despite the investigation and orders from the state board, the RL Learning Center remained in business and continued to target students, particularly Filipino-Americans already working in the healthcare industry. Students took courses in nursing-relevant areas of study like microbiology and anatomy. They even participated in a month of clinical study at hospitals and prisons in the Philippines.

Since the RN Learning Center is unlicensed, its students are not qualified to take the National Council Licensing Examination required in order to work as licensed registered nurses. In addition, none of the classes they completed will count toward a nursing degree at a legitimate education institution.

Whether you’re interested in pursuing Sacramento RN jobs or working as a Santa Clara RN, receiving a quality education from an accredited institution is critical. Unitek College is a trusted accredited institution with an effective LVN to RN training program. See how our team of skilled and caring educators can help you get the expertise you need for San Francisco RN jobs, today.

For additional information on the RN Learning Center investigation and the Office of the Attorney General, please visit:


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UC Davis Medical Center Under Investigation for Potential Nurse Staffing Shortages

Possible violations of nursing staff levels have triggered the California Department of Public Health (CDPH) to investigate the UC Davis Medical Center, reports the Sacramento-based Capital Public Radio broadcasting organization.

In a feature story broadcast August 3, reporter John Sepulvado describes investigations by California state regulators into charges of nurse staffing shortages at the central Sacramento trauma center and comprehensive teaching hospital.

The investigation is reported to be the result of a February complaint filed with regulators by the California Nurses Association (CNA). The organization has a long track record of campaigning for guaranteed healthcare, patient safety, and the rights of California’s registered nurses.

Among the chief concerns expressed in the papers are chronic nurse understaffing at UC Davis Medical Center, and patient problems related to the staff shortage.

According to the Capitol Public Radio report, the California Department of Public Health confirmed that an investigation of UC Davis Medical Center is underway, but offered no further comments. The story also stated that two UC Davis nurses, who are also CNA members, said they were questioned in the last 30 days by the CDPH about understaffing and specific patient cases.

California state law requires different ratios of nurses, including Sacramento LVNs (licensed vocational nurses), to patients. These figures may vary depending on the type of facility and care unit. Operating rooms must have one nurse for each patient, while emergency rooms require one nurse for every four patients.

The CNA documents provided to Capitol Public Radio include several allegations of specific patient problems connected to a shortage of nurses at the UC Davis Medical Center. One complaint details an infant whose stomach required pumping after being overfed. In another instance, a patient in distress was assigned individual monitoring by a nurse. The patient later attempted suicide after being left without the recommended one-on-one nurse monitor.

For years, the California Nurses Association has cited numerous cases of nurse understaffing at hospitals throughout the state. Similar complaints were filed by the organization against the UC Davis Medical Center in 2009 and 2004.

There is an urgent need for qualified nursing professionals, like expert San Francisco LVNs, throughout Northern California. If you’ve thought of pursuing a career as a Santa Clara LVN, or a vocational nurse elsewhere in the Bay Area, see how Unitek College’s skilled training program can get you started in this growing field today!

For additional information on Capitol Public Radio or the California Nurses Association, please visit:


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Alameda County Registered Nurse Awarded $344,000 in Lawsuit Against ValleyCare Medical

Castro Valley registered nurse (RN) Kristeen Klaas was awarded more than $344,000 in damages last week by an Alameda County jury in response to her lawsuit against ValleyCare Medical System.

According to a July 24 story in the San Francisco Chronicle, Klaas, an RN for more than 30 years, claimed her former employer refused to rehire her after she quit her job in May 2008. Klass left the Livermore-Pleasanton-area hospital after 15 years of service.

Prior to her departure, Klaas complained for over two years to ValleyCare management about patient safety and the questionable conduct of fellow hospital staff. In her lawsuit, Klaas claims that facility management refused to respond to her rehiring request in retaliation against her expressing her concerns. The 54-year-old operating nurse now divides her professional time between San Leandro Hospital and the Alta Bates Summit Medical Center in Oakland.

The San Francisco Chronicle lists several examples of the controversial practices Klaas reported during her time at ValleyCare. One instance involved a surgical technician who brought a rifle that was for sale into the operating room office. Other instances include a nurse who jumped rope with an electrical cord in the hospital operating room and also brought a dog into the operating team break room.

One of the most shocking complaints made by Klaas describes how the tip of a surgical instrument was left inside a patient. The error was discovered after operating room staff failed to find the object following surgery. Klaas said ValleyCare does not have a formal policy requiring staff to account for instruments after surgical procedures.

Like other skilled nursing personnel, such as Santa Clara RNs, Klaas is dedicated to the proper care and health of her patients. Her commitment and sense of professional responsibility led her to report potentially unsafe practices and stand up to retaliatory management actions.

Northern California has a growing need for skilled and dedicated registered nurses like Klaas. Now may be the best time for you to train for San Francisco RN jobs, or career opportunities as a Sacramento RN.

Expand your professional horizons today with Unitek College’s quality LN to RN training program! Our staff of highly-skilled instructors give you the knowledge and expertise you need to transition from Licensed Nursing to an exciting and reward Registered Nursing career. Learn more about our established RN program now!

For more information on the legal proceedings involving Kristeen Klaas and ValleyCare Medical System, please visit: