This program prepares students for a career as a registered nurse (RN) to provide direct patient care. Our faculty members create learning experiences that foster innovative teaching and learning, support and enhance student development, promote the use of college resources, and encourage civic engagement. We provide quality, rigorous education to prepare graduates to qualify as collaborative members of the interdisciplinary healthcare team to meet the needs of a diverse community in an evolving world.

Graduates will be able to:

  • Use the nursing process, clinical reasoning, and evidence-based practice to design, implement, and evaluate care focusing on the self-care requirements for the patient with commonly occurring illnesses.
  • Incorporate principles and concepts using critical thinking, clinical reasoning, and humanistic values.
  • Design and implement a plan of care with the patient and healthcare team to focus on the wholly compensatory nursing system.
  • Evaluate effective therapeutic and collegiate communication needed to enhance health outcomes.
  • Manage nursing care directly and/or through delegation for the patient with a range of self-care deficits.
  • Create an optimal environment for the patient using microsystem resources, evidence-based practice, quality improvement processes, and patient safety standards.
  • Establish a caring relationship with the patient to provide holistic and culturally sensitive nursing care.
  • Demonstrate accountability for nursing care, adhering to professional, ethical, and legal standards.
Performance on Licensure Exam: NCLEX-RN Pass Rates (first-time test takers)
Pass Rates Class of 2016 Class of 2017 Class of 2018 Class of 2019 Class of 2020
NHTI Pass Rate 95.35% 97.87% 97.5% 96.49% 98.24%
New Hampshire Pass Rate 90.31% 90.85% 96.71% 95.68% TBA%
National Pass Rate 84.56% 87.12% 88.29% 88.18% 86.57%
Job Placement Rates (employed within 9 months after graduation), based on survey responses
Graduating Class Employment Rates
2020 TBA
2019 100%
2018 100%
2017 100%
2016 96%
Program completion rates (within 150% of program-stated length time)
Time Frame (Fall to Spring) Completion Rates
2017-2020 82%
2016-2019 65%
2015-2018 68%
2014-2017 62%
2013-2016 64%

There’s a strong demand for nurses. Our graduates have been offered jobs immediately after graduation and passing the National Council Licensing Examination for Registered Nurses (NCLEX-RN®) licensing exam. They work in intensive care units, emergency rooms, maternity, pediatrics, home care, long-term care, and other healthcare settings. Upon graduation, students are eligible to sit for the NCLEX-RN®.

Our graduates’ first-time pass rates on the NCLEX licensing exam exceed the national average. Once a student passes the exam and becomes an RN, they can work full-time and continue their education online to earn a bachelor’s/master’s degree in nursing through one of our transfer opportunities. Many of our partners offer tuition discounts. Matriculated students may be eligible to apply to the N.H. Board of Nursing (NHBON) for licensure prior to completing program requirements. After successful completion of the following nursing courses with a C or higher, they may apply for licensure by comparable education:

  • NURS 115C: Nursing I – Licensed Nursing Assistant (LNA)
  • NURS 116C: Nursing IIA and NURS 117C Nursing IIB – Licensed Practical Nurse (LPN)

The nursing program is approved by NHBON and accredited by the Accreditation Commission for Education in Nursing (ACEN). Upon satisfactory completion of the program, graduates are eligible to take the NCLEX-RN®. Graduates should contact the Board of Nursing in the state in which they intend to practice regarding licensure requirements. NHTI’s NCLEX-RN® pass rates can be viewed at https://www.oplc.nh.gov/nursing/. NHBON licensing regulations may restrict candidates who have been involved in civil or criminal legal proceedings. Questions about licensing restrictions should be addressed to NHBON or individual states’ Board of Nursing.

New Hampshire Board of Nursing
7 Eagle Square
Concord, NH 03301
603-271-2323

The Associate Nursing Program at NHTI – Concord’s Community College in Concord, N.H., is accredited by the:

Accreditation Commission for Education in Nursing (ACEN)
3390 Peachtree Road NE, Suite 1400
Atlanta, GA 30326
404-975-5000

The most recent accreditation decision made by the ACEN Board of Commissioners for the Associate Nursing Program is Continuing Accreditation. View the public information disclosed by the ACEN regarding this program at http://www.acenursing.us/accreditedprograms/programSearch.htm

  • High school or college biology with lab with a C or higher
  • High school or college chemistry with lab with a C or higher
  • College preparatory Algebra I with a C or higher, or NHTI’s MATH 092C with a C or higher
  • Completed ATI Test of Essential Academic Skills (TEAS) exam with a minimum score of 74.5% on Reading Comprehension, 68.8% on Mathematics, 55.3% on Science, 66.7% on English and Language Usage. For info on testing locations and registration, contact the Admissions Office at 603-230-4011 or 800-247-0179.
  • Submit two references from professionals, supervisors, or teachers on the NHTI nursing application. Contact the Admissions Office at 603-230-4011 or 800-247-0179 for more information.

College-level science and technical courses (BIOL 195C/196C/202C) taken more than five years prior to desired entry into the program must be repeated; final decisions will rest with the Nursing department chair. Courses with virtual/online labs are not accepted, except for labs completed online because of COVID-19. Transfer credit will depend on course content, applicability to the program, grade earned, and length of time since completion.

Students who wish to enter the Nursing program and are currently enrolled in General Studies or another NHTI program must complete and submit the Change of Program form prior to the application deadline and return them to the Admissions Office at NHTIadmissions@ccsnh.edu

  • Previously Enrolled in Another Nursing Program: Candidates who previously attended a nursing RN program at another institution within the last five years must also complete a Success Plan and submit it to the Admissions Office at NHTIadmissions@ccsnh.edu by the application; qualified candidates will be contacted for an interview with the Nursing Student Affairs Committee.
  • Advanced Standing Transfer into Nursing: Candidates seeking transfer and credit for prior nursing coursework may review the policy for Nursing Advanced Standing Transfer and the registration form for the required Advanced Standing Exam.

Admission is determined by a cumulative point system based on high school-level prerequisite courses and grades, applicable college courses and grades, and TEAS exam scores. References are considered critical to the admission process and are evaluated. Qualified candidates not accepted may be assigned to a prioritized waiting list based on the above criteria. They may be admitted if an opening becomes available prior to the beginning of the fall semester. The waiting list will be discarded six to eight weeks prior to classes beginning; students must reapply.

Acceptance is conditional based on the submission the following documents no later than four weeks prior to the beginning of the semester:

  • Submit health requirements for Allied Health clinical clearance to Health Services. Prior to the start of the clinical nursing courses, students are required to have on file in the Health Services Office documentation of current medical insurance, a complete physical exam, current immunizations, and current CPR for Healthcare Providers/Professional Rescuer. Professional liability malpractice insurance is arranged by the college and will automatically be charged to the student’s account. Students’ health insurance plans must meet N.H. requirements. Yearly Marketplace health insurance open enrollment is November-mid December and is effective Jan. 1. This is the only time to sign up unless a qualifying life-changing event occurs.
  • Complete criminal background check as directed through NHTI’s approved vendor. Background checks from previous employers or other vendors are not accepted. Students are required to undergo and meet the Nursing Department’s criteria for a criminal background check. No student is exempt. Students are provided with procedural and cost information and are responsible for all costs associated with these testing procedures. Students will repeat the criminal background check prior to their second year.
  • Complete drug and alcohol testing as directed through NHTI’s approved vendor. Drug testing from previous employers or other vendors are not accepted. Students are required to undergo and successfully meet the Nursing department’s criteria for drug and alcohol screening. No student will be exempt. Students are provided with procedural and cost information and are responsible for all costs associated with these testing procedures. Drug and alcohol screenings are required prior to clinical, prior to the second year, and randomly throughout the program.

 

Matriculated nursing students who have withdrawn, have been suspended for not achieving the minimum grade in a nursing, science or math course, and are not able to continue in the Nursing program may be considered for readmission only once. Readmission is not guaranteed, and students must reapply to the semester they left. Returning students must satisfy the admission criteria. Readmission will depend on space and clinical/faculty availability. Students who have failed a Nursing course due to unsafe clinical performance may not be eligible for readmission and should consult with the Nursing department chair to determine readmission eligibility. The Nursing department chair will notify students of the specific readmission procedure after course failure or withdrawal. Students must submit a new application to the Admissions Office and complete a Success Plan to be considered for readmission to the program. These must be submitted by the application deadline (Oct. 1 for Spring readmission and March 1 for Fall readmission); after the deadline, qualified candidates will be contacted for an interview with the Nursing Student Affairs Committee. 

 

These standards provide guidance as to skills and abilities requisite to participate in the Nursing program:

  • General abilities: Student must possess functional use of vision, touch, hearing, and smell so data received by these senses can be integrated, analyzed, and synthesized in a consistent and accurate manner. They must possess the ability to perceive pain, pressure, temperature, position, vibration, and movement to gather the information needed to effectively evaluate patients. Students must be able to respond promptly to urgent situations during clinical training activities and must not hinder the ability of other members of the healthcare team to provide prompt treatment and care to patients.
  • Observational ability: Student must have sufficient capacity to make accurate visual observations and interpret them in the context of laboratory studies, medication administration, and patient care. They must be able to document these observations and maintain accurate records.
  • Communication ability: Students must be able to communicate effectively verbally and non-verbally to elicit information and translate it to others. They must have the ability to read, write, comprehend, and clearly speak the English language to facilitate communication with patients, their family members, and other professionals in healthcare settings. Students must be able to maintain accurate patient records, present information in a professional, logical manner, and provide patient counseling and instruction. They must be able to communicate verbally and in writing with instructors and other students.
  • Motor ability: Students must be able to perform gross and fine motor movements with sufficient coordination to complete physical exams using inspection, palpation, percussion, auscultation, and  diagnostic maneuvers. They must develop the psychomotor skills to perform or assist with procedures, treatments, administration of medication, management and operation of diagnostic and therapeutic equipment, and maneuvers to assist with patient care activities such as lifting, wheelchair guidance, and mobility. They must have sufficient levels of neuromuscular control and eye-to-hand coordination and possess the physical and mental stamina to meet the demands associated with extended periods of sitting, standing, moving, and physical exertion, including performing CPR if necessary. Students must possess the ability of manual and visual dexterity such as to draw up solutions in a syringe.
  • Intellectual, conceptual, and quantitative abilities: Students must have problem-solving skills, including the abilities to measure, calculate, reason, analyze, and synthesize objective and subjective data, and to make decisions, often in a time urgent environment, that reflect consistent and thoughtful deliberation and sound clinical judgment. They must possess the ability to incorporate new information from peers, teachers, and the nursing and medical literature to formulate sound judgment in patient assessment, intervention, evaluation, teaching, and setting short- and long-term goals. Students must demonstrate arithmetic competence to read and understand columns and/or writing, tell time, use measuring tools, and add, subtract, multiply, and divide.
  • Behavioral and social attributes: Compassion, integrity, motivation, effective interpersonal skills, and concern for others are critical, as is personal comfort and acceptance of the role of a nurse functioning under supervision of a clinical instructor or preceptor. Students must possess the skills required for full usage of their intellectual abilities, the exercise of good judgment, the prompt completion of all responsibilities, and the development of mature, sensitive, and effective relationships with patients and other members of the healthcare team. They must exercise stable, sound judgment and complete assessment and interventional activities in a timely manner to assure patient safety and well being. The ability to establish rapport and maintain sensitive, interpersonal relationships with individuals, families, and groups from a variety of social, emotional, cultural, and intellectual backgrounds is critical. Students must be able to adapt to changing environments, display flexibility, accept and integrate constructive criticism, effectively interact in the clinical setting with other members of the healthcare team, and function cooperatively and efficiently in the face of uncertainties inherent in clinical practice.
  • Examinations: Certain courses in the Nursing programs require students to take timed and/or online exams. Students may be required to take timed, online and/or other types of exams in a proctored, secure setting that is acceptable to the program.
  • Ability to manage stressful situations: Students must adapt to and function effectively in stressful situations, including emergency situations. Students will encounter stressors related to (but not limited to) personal, patient care/family, faculty/peer, and program.

The healthcare environment contains latex. Applicants with latex allergies place themselves at risk of reaction. The Nursing department does not recommend that individuals with a latex allergy pursue a career in healthcare.

 

The Nursing program maintains articulation agreements with colleges so students can continue their education to earn a bachelor’s or master’s degree in Nursing. Our articulation agreements include but are not limited to Aspen University, Chamberlain University, Franklin Pierce University, Granite State College, Rivier University, Salve Regina University, and Southern New Hampshire University. These programs accept our Nursing program credits, and most will transfer in up to 90 credits. This allows students to take 30 extra credits at NHTI. Some also offer NHTI graduates who have successfully passed their NCLEX-RN exam a discounted tuition rate. Transfer policies vary. The receiving college or university has sole discretion in determining the amount of credit to be awarded. Students should not make assumptions about which credits are transferable even if an articulation agreement exists. It is the student’s responsibility to contact the appropriate person at the receiving institution to discuss policy, learn what documentation is required, and determine and confirm transferable credit.

 

All Nursing courses integrate theory and clinical experience. Failure to receive a satisfactory grade in either theory or the clinical experience portion of the course will result in a failing grade. All Nursing courses must be passed with a C or higher before proceeding to the next level. A grade of C or higher is required in BIOL 195C, BIOL 196C and BIOL 202C and Math elective to enter or progress in the Nursing courses.

 

 

All required Nursing courses must be completed within four years from when the student begins the first Nursing course regardless of whether that first course was taken at NHTI or in another Nursing program. Eligible students will be readmitted to the Nursing program per specifications of the Readmission Policy. Students may be readmitted only once during the four years. Readmission will depend on space and clinical/faculty availability. Students who do not complete the program within the required timeframe must reapply for admission into NURS 115.

Students must satisfactorily meet the health requirements for Allied Health Clinical Clearance, criminal background check, and drug and alcohol testing prior to participating in clinical. All students may be required to do a day, evening and/or weekend clinical rotation depending on availability. Transportation to and from the clinical agency is the student’s responsibility.

NHTI has developed practicum opportunities for students to foster hands-on learning while simultaneously receiving credit. The college’s first priority must be to ensure that patient safety is not compromised by students during learning experiences. Students must demonstrate sufficient emotional stability to withstand the stresses, uncertainties and changing circumstances that characterize patient responsibilities. Students are expected to exercise sound judgment, accept direction and guidance from a supervisor or faculty member, and establish rapport and maintain sensitive interpersonal relationships and confidentiality with peers, staff, and/or patients. Technical standards have been established to provide guidance to students as to skills and abilities requisite to participate in the nursing program. Clinical sites are in hospitals and community-based settings:

  • Catholic Medical Center, Manchester, N.H.
  • Concord Hospital, Concord, N.H.
  • New Hampshire Hospital, Concord, N.H.
  • Community agencies throughout N.H.

Curriculum Abbreviations

  • CL – Number of lecture/classroom hours per week for the course
  • LAB – Number of simulation laboratory, laboratory or clinical hours per week for the course
  • CR – Number of credit hours for the course

The following program of study, which begins each May, reflects a four-semester curriculum plan that students enrolled in the Nursing program are required to complete for graduation. Eleven (11) credits are awarded from the NLN Nursing Acceleration Challenge Exam I: Foundations of Nursing score. Transfer credit for the five prerequisite college courses will be evaluated on an individual basis and may result in an additional 18 credits awarded. Non-nursing courses must be taken in the semester indicated in the plan of study below or may be taken earlier. Nursing courses must be taken in the sequence listed below. Nursing theory classroom, simulation lab and clinical instruction must be completed concurrently.

 

CourseTitleCLLABCR
Summer Semester
NURS 178CLPN-RN Completion1,24107
    7
Fall Semester
BIOL 202CMicrobiology334
MATH xxxCMath elective3404
NURS 116CNursing IIA1,2,461511
    19
Spring Semester    
ENGL xxxCEnglish elective300
NURS 215CNursing III1,2,44159
XX xxxCHumanities/Fine Arts/Language elective303
    15
Total Credits705

Fees

FeeCourse #Semester
$615NURS115CFall
$615NURS116C/NURS 117CFall
$615NURS116C/NURS 117CSpring
$615NURS 215CSpring

1Indicates major field courses

2All students enrolled in a clinical course will be charged a $500 per semester clinical surcharge. The following courses carry this charge: NURS 116C, NURS 178C, and NURS 215C.

3MATH 120C or higher-level math. Students who wish to continue their education and pursue a bachelor’s or master’s degree in Nursing are encouraged to complete MATH 251C.

4These fees will cover costs associated with ATI online practice and proctored assessments and tutorials, detailed individualized remediation plans, and end of program testing to prepare students for the NCLEX-RN licensure exam. An ATI Live NCLEX-RN Review Course is included with NURS 215C fees.

5All students enrolled in a clinical course will be charged a $500 per semester clinical surcharge. All fees are subject to change.

  • Associate Professor

    Aleta Billadeau

    Nursing
    Associate Professor
    Grappone 214

    Expertise in acute care, leadership, staff development, telemetry, emergency and cross- cultural mission nursing. Member of NHNA, ANA, and the American Holistic Nurses Association. Joined faculty in 2019.merican Holistic Nurses Association. Joined faculty in 2019.

  • Professor

    Jennifer Brace

    Nursing
    Professor
    Grappone 216

    Expertise in obstetrical nursing. Member of the Association of Woman’s Health, Obstetric and Neonatal Nurses. Previously adjunct, joined NHTI fulltime in 2016.

  • Department Chair

    Mary Jean Byer

    Nursing
    Department Chair
    Grappone 226

    Expertise in obstetrical nursing. Membership in the Association of Women’s Health, Obstetric and Neonatal Nurses, NHNA and ANA. Joined faculty in 1986.

  • Professor

    Kerri Vining-Goupil

    Nursing
    Professor
    Grappone 225

    Expertise in medical-surgical nursing and simulation. Member of NHNA and ANA. Joined faculty in 2009.

  • Associate Professor

    Candace Knowlton

    Nursing
    Associate Professor
    Grappone 223

    Expertise in labor and delivery, and experience in med/surg, OR, and education. Member of the North Eastern Organization of Nurse Educators. Joined faculty in 2019.

  • Associate Professor

    Barbara Laganiere

    Nursing
    Associate Professor
    Grappone 224

    Expertise in mental health, rehabilitative, community and public health, geriatrics, and correctional nursing. Member of the NHNA, ANA and Sigma Theta Tau National Honor Society. Joined faculty in 2019.

  • Associate Professor

    Margaret Lambert

    Nursing
    Associate Professor
    Grappone 214

    Expertise in adult critical care, cardiac and nursing leadership. Member of NHNA, ANA, AACN. Joined faculty in 2018.

  • Associate Professor

    Rae Mello-Andrews

    Nursing
    Associate Professor
    Grappone 215

    Expertise in emergency, critical care, staff development and EMS education. Registered paramedic. Member of NHNA, ANA, Emergency Nurses Association and Infusion Nurses Society. Joined faculty in 2018.

  • Associate Professor

    Kimberly Stewart

    Nursing
    Associate Professor
    Grappone 215

    Expertise in Pediatric/NICU and home health. Member of NHNA and ANA. Previously adjunct, joined faculty in 2017.

  • Professor

    Kelley Taylor

    Nursing
    Professor
    Grappone 223

    Expertise in telemetry, cardiac stress lab, emergency, management in long term care and education. Member of NHNA and ANA. Joined faculty in 2013.

  • Professor

    Maureen “Molly” R. Thomas

    Nursing
    Professor
    Grappone 221

    Expertise in school nursing, hospice, rehab, and community mental health. Yoga teacher. Member of American Psychiatric Nursing Association, NHNA and ANA. Joined faculty in 2013.

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