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There's an acute nursing shortage in the United States, but schools are turning away thousands of qualified applicants as they struggle to expand class size and hire more teachers for nursing programs.In America, experienced nurses are retiring at a rapid clip, and there aren't enough new nursing graduates to replenish the workforce. At the same time, the nation's population is aging and requires more care."It's really a catch 22 situation," said Robert Rosseter, spokesman for the American Association of Colleges of Nursing."There's tremendous demand from hospitals and clinics to hire more nurses," he said. "There's tremendous demand from students who want to enter nursing programs, but schools are tapped out."There are currently about three million nurses in the United States. The country will need to produce more than one million new registered nurses by 2022 to fulfill its health care needs, according to the American Nurses Association estimates.That's a problem.In 2017, nursing schools turned away more than 56,000 qualified applicants from undergraduate nursing programs. Going back a decade, nursing schools have annually rejected around 30,000 applicants who met admissions requirements, according to the American Association of Colleges of Nursing."Some of these applicants graduated high school top of their class with a 3.5 GPA or higher," said Rosseter. "But the competition to get into a nursing school right now is so intense."Because of the lack of openings, nursing programs across the board -- in community colleges to undergraduate and graduate schools -- are rejecting students in droves.Erica Kay is making her third attempt to get into a nursing program offered in a community college near where she lives in southern California.Kay, 35, already is a certified surgical technician and a certified medical assistant."I've been working in health care since I was 21. This is my passion," she said. "I know I will be a great nurse and I'm studying very hard to get accepted into a program," she saidShe's taken the standardized admissions test for nursing schools twice and applied to three community colleges. She didn't get in."One school responded in a letter they had 343 applications and only accepted 60 students," she said. Another school had 60 slots for 262 applications."Some programs won't even consider you if you score less than 80% even if you meet all other criteria," she said. Kay is retaking the nearly four-hour-long test next month, hoping to better her score."It shocks and upsets me that there are so many hurdles to get into nursing school when we have a nursing shortage," said Kay. "But I am going to keep trying."Jane Kirschling, dean of the University of Maryland School of Nursing in Baltimore, said her school admits new students in the undergraduate program twice a year."We're averaging 200 applications each time for 55 slots," she said. "So we're turning away one student for every student we accept."She said the nursing profession has surged in popularity for a few reasons. "Nursing offers an entry-level living wage with which you can support a family," said Kirschling.There's built-in flexibility and mobility. "You can work three 12-hour shifts and get four days off," she said. And nurses aren't locked into a specific location, employer or specialty for the rest of their lives. "There's tremendous growth opportunity," said Kirschling.But Kirschling said increasing school class size to accommodate more students isn't easy or practical.For one thing, nursing schools are struggling to hire more qualified teachers. "The annual national faculty vacancy rate in nursing programs is over 7%. That's pretty high," said Rosseter. "It's about two teachers per nursing school or a shortage of 1,565 teachers."Better pay for working nurses is luring current and potential nurse educators away from teaching. The average salary of a nurse practitioner is ,000 compared to an average salary of ,575 for a nursing school assistant professor, according to the American Association of Nurse Practitioners.Mott Community College in Flint, Michigan, last year reduced its new admissions from 80 to 64 students accepted twice a year into its two-year associate degree in nursing program.The move was partly in response to a decision by the Michigan Board of Nursing to shrink the nursing student-to-faculty ratio for clinical training in hospitals and clinics. This was aimed at improving safety and avoiding crowded clinical settings."It changed from 10 students for one educator to 8 students. So we had to adjust our class size accordingly," said Rebecca Myszenski, dean of the division of Health Sciences at Mott Community College.Kirschling's school in Baltimore has made similar adjustments. "We used to send eight to 10 nursing students per instructor to hospitals for clinical rotations. Now it's six students," she said.Pediatrics, obstetrics and mental health are the areas where nursing students have the most unmet demand for clinical training," said Kirschling. "As we try to increase the number of nursing students, these three areas will be bottlenecks for nursing programs."Rosseter agrees that class size presents another challenge for nursing schools. "There's not enough available clinical space to train students," he said.Despite the constraints, nursing programs are thinking of ways to accommodate more students."We're expanding our program to new campuses, we're looking at new models of partnering with hospitals to allow [their] nursing staff to [be able] to teach," said Tara Hulsey, dean of West Virginia University's School of Nursing.For example, Anne Arundel Community College in Arnold, Maryland, offers an accelerated associate nursing program that allows qualified paramedics or veterans to be admitted straight into the second year of the two-year program.In Flint, Mott Community College has partnered with University of Michigan's accelerated 16-month undergraduate program designed for veterans with medical experience who want to transition into a nursing career."These bridge programs could really help with the [nursing] shortage," said Myszenski. "You have to address the nursing shortage by thinking out of the box."  6239

This holiday season won't be the same without "A Charlie Brown Christmas" on network TV.But after viewer outrage, it is coming back to TV — for just one night.Viewers looking for "A Charlie Brown Christmas" won't find it on ABC or CBS this year for the first time in 50 years.Apple this fall snapped up all the Peanuts specials (including "It's the Great Pumpkin, Charlie Brown"), and they will be streaming on Apple TV Plus from now on.You can just see Apple jumping up and down in a little wooden booth like Lucy Van Pelt, saying "I just love the sound of money!"Where you can still see it freeBut if you don't want to pay a month to subscribe to Apple TV Plus, you still have several free options to watch the holiday favorite.Apple announced "A Charlie Brown Christmas" will be available to stream on the platform for free from Dec. 11 to Dec. 13.Just go visit the Apple TV Plus website(tv.apple.com) on a TV, smartphone or laptop and search for the special.You should not be required to enter a credit card to watch the special between Dec. 11 and 13, according to Apple Insider. A credit card is required for a 7-day free trial of the entire streaming service on all other days.What about those who don't stream?But from the doesn't that stink file — Apple's free offer doesn't help those who still use cable or antenna TV.After thousands of viewer complaints, Apple recently announced it is allowing PBS stations nationwide to air the show on Dec. 13. It will air at 7:30 pm on most stations, but check your local PBS listings.DVDs of "A Charlie Brown Christmas" are also available at Walmart, Target, and Amazon for between - for those who want to watch the show on demand without a streaming service. The only thing missing: The old Dolly Madison snack cake commercials featuring Lucy and Linus and the gang that used to air during the broadcast.Streaming TV is the future, but some traditions are best enjoyed the old fashioned way, with the whole family gathered in front of the big TV screen. As always, don't waste your money.______________________________Don't Waste Your Money" is a registered trademark of Scripps Media, Inc. ("Scripps").Like" John Matarese Money on FacebookFollow John on Instagram @johnmataresemoneyFollow John on Twitter (@JohnMatarese)For more consumer news and money saving advice, go to www.dontwasteyourmoney.com 2369

There is a heavy police presence at Mercy Hospital in Chicago after there were reports of shots fired inside the building Monday afternoon.WLS-TV in Chicago is reporting there are multiple injuries, and the building is being partially evacuated. Chicago Police said one officer was shot and wounded, and he is in critical condition. The TV station has interviewed witnesses who said they saw at least one person get shot and heard as many as 20 gunshots fired.Some witnesses ducked and hid as they hear the gunshots ring out, WLS-TV reports.Police also said the suspect was shot. 602

There is a nationwide voluntary recall of almost 19,000 bottles of hand sanitizer over concerns the mixture contains methanol.The Food and Drug Administration announced Monday the company ITECH361 is recalling their All Clean Hand Sanitizer, Moisturizer and Disinfectant sold in one liter bottles. The 18,940 recalled bottles have UPC Code 628055370130.According to the FDA, substantial exposure to methanol (wood alcohol) can cause nausea, vomiting, headache, blurred vision, and more serious conditions including death. There are no reports at this time of anyone getting sick from the recalled sanitizer.This may sound familiar. Last month, the FDA warned people about sanitizer from the manufacturer Eskbiochem SA de CV in Mexico Because of possible methanol concerns.The ITECH361 product was distributed around the country to distributors and retailers. Retailers are encouraged to pull it from their shelves, those who purchased it are asked to stop using it and return the product for a refund.Consumers with questions regarding this recall can contact Corina Enriquez by phone number (888)405-4442 or e-mail at corina@itech361.com, Monday through Friday beginning July 6, 9:00a.m. to 5:00 p.m. (MDT). Consumers should contact their physician or healthcare provider if they have experienced any problems that may be related to using this product. 1361

TIJUANA, Mexico (AP) — Migrants in a caravan of Central Americans scrambled Wednesday to reach the U.S. border, arriving by the hundreds in Tijuana, while U.S. authorities across the border were readying razor wire security barriers.Mexican officials in Tijuana were struggling to deal with a group of 357 migrants who arrived aboard nine buses Tuesday and another group of 398 that arrived Wednesday."Mexico has been excellent; we have no complaint about Mexico. The United States remains to be seen," said Josue Vargas, a migrant from Honduras who finally pulled into Tijuana Wednesday after more than a month on the road.U.S. Defense Secretary Jim Mattis, meanwhile, went to visit U.S. troops posted to the border in south Texas and said the deployment provides good training for war. President Donald Trump has said the caravan of migrants amounts to an "invasion."RELATED: Video shows people climbing on top of fence at Border Field State ParkThat didn't deter arriving groups of Central Americans from going to a stretch of border fence in Tijuana to celebrate.On Tuesday, a couple of dozen migrants scaled the steel border fence to celebrate their arrival, chanting "Yes, we could!" and one man dropped over to the U.S. side briefly as border agents watched from a distance. He ran quickly back to the fence.Tijuana's head of migrant services, Cesar Palencia Chavez, said authorities offered to take the migrants to shelters immediately, but they initially refused."They wanted to stay together in a single shelter," Palencia Chavez said, "but at this time that's not possible" because shelters are designed for smaller groups and generally offer separate facilities for men, women and families.But he said that after their visit to the border, most were taken to shelters in groups of 30 or 40.With a total of three caravans moving through Mexico including 7,000 to 10,000 migrants in all, questions arose as to how Tijuana would deal with such a huge influx, especially given U.S. moves to tighten border security and make it harder to claim asylum.On Wednesday, buses and trucks carried some migrants into the state of Sinaloa along the Gulf of California and further northward into the border state of Sonora.The bulk of the main caravan appeared to be about 1,100 miles (1,800 kilometers) from the border, but was moving hundreds of miles per day.The Rev. Miguel Angel Soto, director of the Casa de Migrante — House of the Migrant — in the Sinaloa capital of Culiacan, said about 2,000 migrants had arrived in that area. He said the state government, the Roman Catholic Church and city officials in Escuinapa, Sinaloa, were helping the migrants.The priest also said the church had been able to get "good people" to provide buses for moving migrants northward. He said so far 24 buses had left Escuinapa on an eight-drive to Navojoa in Sonora state. Small groups were reported in the northern cities of Saltillo and Monterrey, in the region near Texas.From Sonora, some migrants said they had already caught buses from to Tijuana.About 1,300 migrants in a second caravan were resting at a stadium in Mexico City, where the first group had stayed last week. By early Wednesday, another 1,100 migrants from the third and last caravan had also arrived at the stadium.Like most of those in the third caravan, migrant Javier Pineda is from El Salvador, and hopes to reach the United States. Referring to the first caravan nearing the end of the journey, Pineda said "if they could do it, there is no reason why we can't."It is unclear whether the two caravans would merge or when they would set out on the road north.Many say they are fleeing poverty, gang violence and political instability in the Central American countries of Honduras, Guatemala, El Salvador and Nicaragua.Mexico has offered refuge, asylum or work visas, and its government said Monday that 2,697 temporary visas had been issued to individuals and families to cover them during the 45-day application process for more permanent status. Some 533 migrants had requested a voluntary return to their countries, the government reported.The U.S. government said it was starting work Tuesday to "harden" the border crossing from Tijuana ahead of the caravans.Customs and Border Protection announced it was closing four lanes at the busy San Ysidro and Otay Mesa ports of entry in San Diego, California, so it could install infrastructure.That still leaves a substantial path for the tens of thousands of people who cross daily: Twenty-three lanes remain open at San Ysidro and 12 at Otay Mesa.San Ysidro is the border's busiest crossing, with about 110,000 people entering the U.S. every day. That traffic includes some 40,000 vehicles, 34,000 pedestrians and 150 to 200 buses.___Maria Verza contributed from Escuinapa, Mexico. 4804

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