Decker School of Nursing

Decker School of Nursing

Undergraduate Programs

Decker School of Nursing undergraduate programs lead to the bachelor of science degree with the major in nursing. These programs prepare graduates to provide high-quality health care, foster commitment to lifelong learning and the moral and ethical values of nursing, and promote social responsibility through community service.

Upon program completion, graduates are eligible for the national licensure examination (NCLEX-RN) to become registered professional nurses and are prepared for beginning professional practice in a variety of settings, such as hospitals and community health agencies. The programs also provide the foundation for continuing education at the graduate level.

Decker School of Nursing is registered by the State Education Department and is accredited by the Commission on Collegiate Nursing Education (CCNE). Decker School of Nursing is a member of CCNE and the American Association of Colleges of Nursing (AACN).

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PROGRAM OPTIONS

A part-time study option is available for students wishing to extend the upper-division nursing coursework beyond the traditional four semesters. A program plan is developed for the student in consultation with a faculty adviser.

An accelerated baccalaureate track program is available to students admitted to the Decker School who have earned a baccalaureate or higher degree in another field and who are interested in a career change to professional nursing. Candidates for the program must have completed all prerequisite courses to the nursing major and be able to study full time for one calendar year. Admission to the program is selective, requiring a minimum cumulative grade-point average of 3.0 in prior academic work and in courses prerequisite to the nursing major to be considered for the program.

An RN accelerated track program is available to registered nurse students. Students who have practice experience as a registered nurse, who have completed all courses prerequisite to the nursing major, the majority of the General Education requirements and a significant number of elective credits are eligible for consideration. Registered nurses with a degree in another field or who have taken a significant number of courses in other colleges are eligible. Candidates for the program must have a cumulative grade-point average of 3.0 in prior academic work, including courses prerequisite to the nursing major.

Course sequencing for students in part-time or accelerated programs may differ from the sample curriculum plan.

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ADMISSION

The procedure for candidates applying for admission is the same as for other students applying for admission to Binghamton University. Specific information may be found in the general section on Admissions in this publication.

Students admitted into another undergraduate school at Binghamton University may apply for admission to the Decker School at the sophomore or junior level.

Admitted students eligible for one of the accelerated programs must apply in writing to the Decker School in order to be considered for the specific program.

Transfer Student Admission

The University holds general articulation agreements with a significant number of community colleges within the SUNY system. (These are noted in the Admissions section of this publication.) Information about specific transfer mechanisms between programs may be found at the transfer counseling office of the community college or at Decker School.

Registered nurses from associate degree programs may be able to transfer up to 30 credits of nursing coursework to meet degree requirements at Binghamton University. Twenty credits may be used to fulfill nursing major requirements and 10 credits count toward the degree as general elective credits. Diploma program graduates may transfer General Education coursework in the liberal arts and sciences from other colleges. Acceptable Excelsior College Examination scores may be used to earn 24 credits toward the nursing major.

Decker School has developed policies and procedures by which students with baccalaureate nursing credit from another program may transfer some portion of that credit to meet nursing course requirements at Binghamton University. Designated credits may be used to fulfill a limited number of the credits required to complete the nursing major. Information about specific transfer credit mechanisms is available at Decker School.

Readmission

Students who apply for readmission to the Decker School of Nursing after withdrawal from Binghamton University for a minimum of one semester must submit an Application for Readmission to the Undergraduate Admissions Office. Decisions regarding readmission are based upon:

•     academic standing of a minimum cumulative GPA of 2.0 at the time of withdrawal;

•     required personal interview with the student services coordinator or director of undergraduate programs;

•     review of college transcripts for all colleges/universities attended since withdrawal;

•     review of student’s personal statement, including the reason for seeking readmission, description of career goals and employment history; and

•     review of student’s assessed potential for success.

Students who meet these criteria for readmission may be readmitted to complete the Decker School program described in the Binghamton University Bulletin/Catalog in effect at the time of the readmission, if the student has been absent three or more semesters (not including summers) before returning. Students readmitted prior to advance registration for that semester are permitted to advance register for courses.

In accordance with University policy, Decker School students who withdraw from all classes during a semester may register for the following semester without applying for readmission.

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Academic Policies

Students in the Decker School of Nursing are subject to all general regulations listed in the Academic Policies section of this publication. Additionally, any student wishing to register for more than 18 credits per semester, not including up to two credits of physical education taken P/F or performing arts, must file a petition for academic overload with Decker School. A complete description of all policies pertaining to undergraduate nursing students is contained in the Decker School of Nursing Undergraduate Programs Student Handbook, available at dson.binghamton. edu/cs.

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Advanced Placement Credit

See “Advanced Placement” in the Admissions section of this publication. Information is also available in the Decker School of Nursing Undergraduate Programs Student Handbook, available at dson.binghamton.edu/cs.

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GRADING SYSTEM

Grades in courses offered by Decker School are normally recorded as follows: A, A–, B+, B, B–, C+, C, C–, D, F. A cumulative grade-point average is computed for all courses and the following values are assigned to these letter grades:

A

= 4.0

C+

= 2.3

A–

= 3.7

C

= 2.0

B+

= 3.3

C–

= 1.7

B

= 3.0

D

= 1.0

B–

= 2.7

F

= 0.0

Grades of I (Incomplete), W (Withdrawn), WP (Withdrawn Passing), WF (Withdrawn Failing) and AU (Audit) may be given. These grades are not included in cumulative totals.

For all courses taken by nursing students in other schools in the University, the following applies:

1.                                                                                                                                                                                             Prerequisites and General Education:  Students are encouraged to meet the General Education requirements prior to entering upper-division nursing coursework. A number of the General Education requirements also fulfill prerequisites for the upper-division nursing coursework. (A full description of General Education is found elsewhere in this publication. All General Education courses that double as nursing curriculum prerequisites must be taken for a letter grade and passed with a C– or better. All other General Education courses must be taken for a letter grade and passsed with a D or better, unless the only grade option for a course is Pass/Fail.) The General Education requirements of the University apply to all students entering the University who do not hold a baccalaureate or higher degree (see the full description of General Education requirements elsewhere in this publication).

                                                                                                 

The following prerequisite courses must be completed before starting the upper-division nursing curriculum:

 

•     one composition course from English or rhetoric; a second composition course from any discipline;

•     one descriptive statistics course;

•     eight science courses, including:

 

—  one course in introductory biology (waived for students who have successfully completed two semesters of human anatomy and physiology at another institution);

—  one course in microbiology;

—  two courses in human anatomy and physiology;

—  two courses in general chemistry (including principles of inorganic, organic and biochemistry)

—  one course in introductory psychology; and

—  one course in developmental psychology.

2.                                                                                                                                                                                             General Electives: All additional credits needed to meet the Decker School requirement of 128 credits for graduation, exclusive of nursing courses, prerequisites and the General Education requirements, may be taken Pass/Fail. Nursing elective credit beyond the required two credits may be taken Pass/Fail at the discretion of the instructor. The grading option for all electives must be chosen by the drop deadline.

3.   Dropping Courses: Students requesting to drop courses after the drop deadline must seek approval of the Decker School through the Student Services Office. Grades are recorded according to the established systems of the respective schools of Binghamton University.

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ACADEMIC WARNING, PROBATION AND DISMISSAL

Students in the Decker School of Nursing must maintain a cumulative GPA of 2.0. Students whose end-of-semester GPA is below 2.0 or whose cumulative GPA falls below 2.0 will receive one of the following academic actions:

1a.                                                                                             Academic Warning

Students whose GPA at the end of a current semester falls below a 2.0 for that semester, but whose cumulative GPA is 2.0 or higher, will receive a letter of academic warning. The purpose of the academic warning letter is to notify the student that initial academic probation will result if the cumulative GPA falls below 2.0 in the next semester.

b.                                                                                                                                                                                             If a Decker School of Nursing student completes the first semester of freshman year with a GPA of less than 2.0, the student will receive a letter of academic warning rather than being placed on initial academic probation (see 2). This exception will apply only in this case, and after the first semester, academic policies will apply as per the Student Handbook.

 

2.                                                                                               Initial Academic Probation

If the student’s cumulative GPA falls below 2.0 at the end of the semester, the student will be placed on academic probation. The designation “Academic Probation” will be placed on the student’s internal transcript. The purpose of academic probation is to serve notice to students that the quality of their work is below an acceptable level and that continuation of unsatisfactory work will result in academic dismissal from the Decker School of Nursing.

3.                                                                                               Continuing Academic Probation

If the student has been placed on initial academic probation in the preceding semester and the GPA of the current semester is at least 2.0 but the cumulative GPA is less than 2.0, the student will be placed on continuing academic probation. The designation “Academic Probation” will continue to be placed on the student’s internal transcript, and the student will remain on continuing academic probation until the cumulative GPA is at least 2.0.

4.                                                                                               Academic Dismissal

If the student has been placed on academic probation and fails to achieve a GPA of at least 2.0 in the next semester, the student will receive notice of academic dismissal. If the student receives a failing grade and/or a withdrawal grade in the same nursing course twice, the student will receive notice of academic dismissal.

                                                                                                           

The student’s registration for the following semester is canceled and the student will not be eligible to re-enroll at the University as a Decker School of Nursing student. In addition, the academic dismissal action will be placed on the student’s internal and official transcript.

A full-time student normally completes the degree in the Decker School in a four- to five-year period. The requirements to complete the nursing degree must be met within six years from the time the student is enrolled in the first nursing course.

Nursing courses in which a student receives a W may be repeated only once, regardless of the number of credits the course carries. Failure to pass the course on the second attempt results in the student’s dismissal from the Decker School.

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CLASS AND LABORATORY ATTENDANCE

The Decker School adheres to University policy pertaining to attendance in class. In addition, attendance for all laboratory experiences is mandatory. Students must notify their instructors if they are unable to meet this commitment because of illness or other circumstances beyond their control. All course-related assignments must be completed as indicated in course syllabi unless prior arrangements are made with course faculty.

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Clinical Laboratory Requirements

Health Evaluations

The Decker School of Nursing (DSON) has formal affiliations with healthcare agencies for student clinical laboratory experiences. Healthcare agencies must comply with the New York State (NYS) Department of Health Code 405.3, which includes health requirements necessary for all persons engaged in patient contact. Agencies may have additional health requirements over and above those mandated by NYS (i.e., substance-abuse screening; removal of artificial/acrylic nails). The DSON must comply with NYS and agency requirements prior to student placement in the clinical agency.

Prior to enrollment in clinical nursing courses, all students are required to submit an annual health evaluation to the clinical site coordinator in the Decker School. The health evaluation must include:

•     a health history and physical examination documented on the Decker School of Nursing Student Annual Health Evaluation Form;

•     a Mantoux Tuberculin Test prior to enrollment in clinical nursing courses and annually thereafter; students with a positive reaction are required to have a chest x-ray and show evidence of follow-up health care. Some agencies require a Mantoux Test or chest x-ray (if indicated) within six months of a student’s clinical placement and students would be expected to oblige by this request;

•     documented evidence of current immunization to tetanus-diphtheria;

•     documented serologic evidence of immunity (titers) to:

— measles

— mumps

— rubella

      (a document prepared by a licensed laboratory, physician, physician assistant or nurse practitioner is acceptable);

•     proof of varicella (chicken pox) immunity as documented by a varicella titer report or documented varicella immunization series, prepared by a healthcare practitioner;

•     documented evidence of immunization and/or immunity to Hepatitis B, prepared by a healthcare provider. Those electing not to receive the Hepatitis B series must sign a Statement of Declination.

 

Agencies have the right to request this information from the DSON and students are required to sign a waiver authorizing the release of this information by the DSON. Failure to sign a release may lead to a delay/denial of clinical placement.

Training in Infection Control and Blood-Borne Pathogens

 

Clinical agencies require that students have annual training in infection control and blood-borne pathogens and HIPAA. Relevant content is presented to students through the DSON. Registered Nurse (RN) students employed in healthcare agencies, who have received the above training through their places of employment and can provide documentation of such, may satisfy this requirement. Some agencies have very specific training that they require students to participate in prior to the beginning of a clinical experience and students are expected to oblige by such requests.

Cardiopulmonary Resuscitation Certification

Prior to enrollment in clinical nursing courses, all students are required to submit evidence of annual cardiopulmonary resuscitation (CPR) certification (including AED training) at the professional rescuer level to the clinical site coordinator in the DSON.

Health Insurance

All DSON students enrolled in clinical nursing courses are required to submit proof of current personal health insurance. This documentation should be submitted to the clinical site coordinator prior to beginning any clinical experience.

Malpractice and Liability Insurance

All students enrolled in clinical nursing courses are required to purchase malpractice and liability insurance through the University. The cost of this insurance currently is $35 per semester, but is subject to change each semester. RN students who may have their own malpractice and liability insurance policy are also required to purchase this malpractice and liability insurance, as it provides coverage for their practice as a student in clinical nursing courses.

Release of Personal Information

Some agencies, in order to protect clients, require information related to students’ past employment and documentation as to whether they have ever been convicted of a criminal offense, including misdemeanors and felonies, other than vehicular violations. Students may be asked to respond to such questions.

The DSON will not provide opportunities for clinical experiences for students who fail to meet the requirements/responsibilities as outlined above.

Uniforms

Students are expected to have uniforms for selected clinical experiences beginning in the junior year. The cost is approximately $200. A student name pin is required and should be purchased through the Undergraduate Office in Decker School.

Equipment

Students are required to purchase a stethoscope, bandage scissors, hemostat and sphygmomanometer prior to the first semester of their junior year. The approximate cost is $60. Junior and senior students are also required to pay a $15 student health bag and equipment fee at the beginning of each academic year. This fee is charged to offset costs of supplies and equipment used by students during their junior and senior years.

Transportation

The University assumes no responsibility for providing transportation for travel from campus to the community health agencies used for student assignments. Transportation is provided to selected clinical sites outside the Broome-Tioga County area. Public bus transportation is available for travel to certain off-campus agencies, but is generally inadequate to meet students’ needs. Therefore, students are expected to have an automobile at their disposal for the junior and senior years.

Professional Ethics and Academic Honesty

Students are expected to comply with the University Rules for Student Conduct and the policies related to professional ethics and academic honesty as stated in the Decker School of Nursing Undergraduate Programs Student Handbook, available online at dson.binghamton.edu/cs.

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Academic Honors

Dean’s List

Decker School has a Dean’s List for all students who have an outstanding academic record. To qualify for inclusion in the Dean’s List for that semester, students must meet the following criteria:

•     be matriculated in Decker School;

•     have a minimum GPA of 3.5;

•     have completed at least eight credits for that semester; and

•     have received no less than a B– in any course taken that semester.

“Dean’s List” is noted on the student’s official transcript for each semester it is achieved.

Graduation with Honors

In order to receive honors at graduation, a student must have:

•     a Binghamton University cumulative GPA of 3.5; and

•     a minimum GPA of 3.5 in upper-division nursing courses.

In order to receive high honors at graduation, a student must have:

•     a Binghamton University cumulative GPA of 3.5; and

•     a minimum GPA of 3.9 in upper-division nursing courses.

The designation “honors” or “high honors” is placed on the student’s official transcript and on the diploma.

Sigma Theta Tau International

Sigma Theta Tau International, the international honor society of nursing, recognizes outstanding graduate and undergraduate students, faculty and practitioners of nursing. Candidates for membership in Binghamton’s Zeta Iota chapter must have demonstrated:

•     superior scholastic achievement,

•     academic integrity and

•     professional leadership potential and/or marked achievement in the field of nursing.

Eligibility for membership in the Zeta Iota chapter is by invitation to students who have completed at least half of the courses in the nursing major, have a GPA of 3.0 and above and rank in the top 35 percent of their class in scholarship.

Awards

See “Awards and Honors” in the Academic Policies section of this publication.

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Degree Requirements

To qualify for the bachelor of science degree with the major in nursing, the student must:

•     complete a minimum of 32 academic courses (128 semester hours) as defined by the Decker School of Nursing curriculum;

•     complete the General Education course requirements for a degree;

•     be in residence at Decker School during the last seven and one-half courses (30 credits) immediately preceding graduation, unless specifically exempted from this requirement by a duly designated committee of the faculty;

•     have a cumulative GPA of 2.0, with a cumulative GPA of 2.0 in nursing courses;

•     pay or satisfactorily adjust all fees and bills;

•     not be under any disciplinary action;

•     be duly recommended by the University faculty;

•     have been admitted to the degree by formal action by the State University Trustees.

Major Requirements

Satisfactory completion of specific courses in the social, behavioral and natural sciences is required for admission to the first course in the nursing sequence. Refer to “Prerequisites” in the “Grading System” section for a list of the prerequisite courses all students must complete prior to beginning upper-level nursing coursework. In addition, students must secure the approval of their faculty advisers before registering for the nursing courses. Students are expected to complete approximately 64 credits toward the degree prior to beginning the nursing major.

In addition to the courses listed under “General Requirements,” the following courses are required for the upper-division major in nursing:

•     NURS 320. Socialization into the Professional Role I

•     NURS 321. Nursing Assessment of Clients

•     NURS 322. The Client System of Nursing

•     NURS 351. Pathophysiology and Psychopathology I (half course)

•     NURS 352. Practice of Nursing I

•     NURS 353. Practice of Nursing II

•     NURS 360. Socialization into the Professional Role III (half course)

•     NURS 361. Pathophysiology and Psychopathology II

•     NURS 362. Practice of Nursing III

•     NURS 363. Practice of Nursing IV

•     NURS 365. Pharmacology in Nursing (half course)

•     NURS 470. Socialization into the Professional Role IV

•     NURS 471. Practice of Nursing V (double course)

•     Nursing elective or independent study (half course)

Sample Curriculum — Traditional Program

Following is a sample of a typical program of studies sequence of courses for the nursing program.

First Year/fall

English Composition

4

Intro Chem I (inorganic)

4

Intro Psychology

4

General Education/Elective

4

TOTAL

16

First Year/spring

Intro Biology (lecture)

4

Intro Chem II (organic/biochem)

4

Dev Psychology

4

Second Composition

Course/Elective

4

Physical Activity/Wellness

1

TOTAL

17

Second Year/fall

Anatomy and Physiology I

4

Statistics (or humanities)

4

General Education/Elective

4

General Education/Elective

4

Physical Activity/Wellness

1

TOTAL

17

Second Year/spring

Anatomy and Physiology II

4

Microbiology

4

General Education/Elective

4

General Education/Elective

4

TOTAL

16

Third Year/fall

NURS 320. Socialization into

the Prof Role I

4

NURS 321. Nursing Assessment

of Clients

4

NURS 322. The Client System

of Nursing

4

NURS 351. Pathophysiology

and Psychopathology I

2

Elective

4

TOTAL

16-18

Third Year/spring

NURS 361. Pathophysiology

and Psychopathology II

4

NURS 352. Practice of

Nursing I

4

NURS 353. Practice of

Nursing II

4

Elective

4

TOTAL

12-16

Fourth Year/fall

NURS 360. Socialization into

the Prof Role III

2

NURS 362. Practice of

Nursing III

4

NURS 363. Practice of

Nursing IV

4

NURS 365. Pharmacology in

Nursing and/or nursing elective

 2

TOTAL

12-14

Fourth Year/spring

NURS 470. Socialization into

the Prof Role IV

4

NURS 471. Practice of

Nursing V

8

Nursing elective or NURS 365

2

Elective

2

TOTAL

16

Accelerated Baccalaureate in Nursing Program for Candidates with Degrees in Other Fields

The accelerated baccalaureate in nursing program is a 12-month, three-semester program leading to a bachelor of science degree with a major in nursing. Applicants to the program are expected to have earned a baccalaureate or higher degree in another field and to have a desire to make a career change to professional nursing. They must have earned a minimum GPA of 3.0 in the prior degree and in prerequisite courses to be considered for the program.

Students selecting this option complete all required courses in the nursing major in a sequence that provides accelerated progression to achieve the undergraduate program objectives. This selective program option is designed for the mature, highly motivated student.

Summer Session Term I

NURS 320. Socialization into

the Prof Role I

4

NURS 321. Nursing Assessment

of Clients

4

NURS 351. Pathophysiology

and Psychopathology I

2

TOTAL

10

Summer Session Term II

NURS 322. The Client System

of Nursing

4

NURS 352. Practice of

Nursing I

4

TOTAL

8

Fall Semester

NURS 353. Practice of

Nursing II

4

NURS 360. Socialization into

the Prof Role III

2

NURS 361. Pathophysiology

and Psychopathology II

4

NURS 362. Practice of

Nursing III

4

NURS 365. Pharmacology

in Nursing

2

Nursing elective (Fall or Spring)

2

TOTAL

16-18

Spring Semester

NURS 363. Practice of

Nursing IV

4

NURS 470. Socialization into

the Prof Role IV

4

NURS 471. Practice of

Nursing V

8

Nursing elective (Fall or Spring)

2

TOTAL

16-18

Registered Nurse Program

Registered nurses who wish to earn the bachelor of science degree with the major in nursing have the opportunity to do so at Binghamton University. Decker School of Nursing offers several options for registered nurses who have earned an associate’s degree in nursing from a community college or have graduated from a hospital diploma program. Degree requirements for the nursing major are 128 credits, 52 of which must be nursing. RNs may be able to transfer up to 30 credits from associate degree nursing programs to fulfill nursing course requirements. See information on transfer credits in this publication. Required nursing courses (32 credits) for all registered nurse students include NURS 322, 323, 351, , 360, 361, 364, 365, 470, 472 and a nursing elective. Full- and part-time study options are available. Each RN student meets with an RN adviser to develop an individual program plan.

Listed here is a sample of a sequence of courses for registered nurse students who have completed all prerequisite courses to the nursing major, including inorganic chemistry, organic chemistry and statistics, and the majority of the General Education requirements (for more information on how General Education applies to a registered nurse student, consult an adviser).

Third Year/fall

NURS 322. The Client System

of Nursing

4

NURS 323. Transitions in

Professional Role

Development I

4

NURS 351. Pathophysiology

and Psychopathology

2

General Education/elective

4

Elective

2

TOTAL

10-16

Third Year/spring

NURS 361. Pathophysiology

and Psychopathology

4

NURS 365. Pharmacology

in Nursing

2

General Education/elective

4

TOTAL

6-10

Fourth Year/fall

NURS 360. Socialization into

the Prof. Role III

2

NURS 364. Population-Focused

Care in the Community

2

NURS 365. Pharmacology

in Nursing (if not taken above)

2

General Education/elective

4

Elective

2

TOTAL

6-12

Fourth Year/spring

NURS 470. Socialization into

the Professional Role IV

4

NURS 472. Practice of

Nursing V for Registered Nurses

6

Nursing elective

2

TOTAL

10-12

Accelerated Program for Registered Nurse Students

A two-semester accelerated program is available for registered nurses who have completed 76 credits, including all prerequisite courses and General Education requirements, with a 3.0 GPA or higher. Criteria for selection include potential for success based on previous education, professional work references, work experience and a personal interview with the coordinator of the undergraduate program.

Sample Curriculum Plan

                                   

credits fall

credits spring

NURS 322

4

NURS 361

4

NURS 323

4

NURS 354

2

NURS 360

2

NURS 365

2

NURS 351

2

NURS 470

4

NURS 364

2

NURS 472

6

Nursing elective

2

TOTAL

14-16

TOTAL

18

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Community Agencies for Clinical Practice

The nursing curriculum places its focus on knowledge and theory drawn from health science and the related disciplines. Students apply this knowledge and theory in a number of clinical settings, giving them an opportunity to develop skill in clinical practice, critical thinking and problem solving. The Decker School of Nursing places students in agencies locally and throughout New York state and Pennsylvania. Included among nearly 400 clinical affiliations are the following.

Listing of Hospital and Clinical Affiliations

 

•     Arnot Ogden Medical Center, Elmira, N.Y.

•     Bassett Healthcare, Cooperstown, N.Y.

•     Binghamton City Schools, Binghamton, N.Y.

•     Binghamton General Hospital, Binghamton, N.Y.

•     Broome County Health Department, Binghamton, N.Y.

•     Cayuga Medical Center, Ithaca, N.Y.

•     Delaware County Public Nursing Service, Delhi, N.Y.

•     Elizabeth Church Manor, Binghamton, N.Y.

•     Good Shepherd Fairview Home, Binghamton, N.Y.

•     Greater Binghamton Health Center, Binghamton, N.Y.

•     Guthre Healthcare, Sayre, Pa.

•     Ideal Senior Living Center, Endicott, N.Y.

•     Lourdes Hospital, Binghamton, N.Y.

•     Lourdes At Home, Binghamton, N.Y.

•     St. Joseph’s Hospital, Elmira, N.Y.

•     Susquehanna Nursing Center, Binghamton, N.Y.

•     Tioga County Health Department, Owego, N.Y.

•     Twin Tier Home Health, Vestal, N.Y.

•     United Health Services - Wilson Memorial Regional Medical Center, Johnson City, N.Y.

•     United Medical Associates, Johnson City, N.Y.

•     University Hospital, SUNY Upstate Medical University, Syracuse, N.Y.

•     Vestal Nursing Center, Vestal, N.Y.

•     Willow Point Nursing Home, Vestal, N.Y.

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