Fall Newsletter 2020

8338 NE Alderwood Rd. Portland, OR 97220

Fall 2020 Edition Issue #11

A Message from the President

I hope this newsletter finds you healthy, safe, and out of harm’s way as the region is experiencing unprecedented wildfires and health concerns. As 2020 throws yet another challenge our way, I continue to be amazed by the resilience of our students and staff as they navigate through every turn. The Sumner family has really stepped up to support each other, and I am thankful to be part of this family. I know many of you are concerned about missing classes. If any of you has any need, please reach out to me and we can look at alternative options on an individual basis to you get your education hours. As we have watched areas move from Level 1 to Level 2,

or from Level 2 to forced evacuation, it is impossible to put into words the feelings that must be going through the mind of that individual being forced to leave their home. The thought of losing a home with so many memories is overwhelming, and the reality that this has happened to many in our community is beyond devastating.

Please reach out to me if there is anything Sumner can do for you. The college has purchased items for those affected such as food, water, and toiletries. We will be setting up a clothing drive if students and staff need these items as well. Please know we will do what we can as we value your commitment to the col - lege and to each other. My thoughts go out each one of you during these heart - breaking and trying times.

President, Sumner College

FALL 2020 EDITION 1

October

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November 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 2 PM Break Finals Finals Finals Finals Finals Costume Selfie Deadline September 20 21 22 23 24 25 26 25 28 29 30 2 PM Professional Networking Workshop 10 AM December Sun Mon Tues Wed Thurs Fri Sat 1 2 3 4 5 Wed Thurs Fri Sat 1

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1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 TERM START

6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 Holiday Break Holiday Break

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What’s Going On? Zoom, zoom, zoom!

MA Zoom Meeting with the Vancouver Clinic Friday, September 25 at 10 AM

Medical Assistants, both Students and Alumni, are welcome to join Dr. John Farrell in a virtual face-to-face meeting with the prestigious Vancouver Clinic. Email jfarrell@sumnercollege.edu for a link to this zoom meeting. Hosted by Dr. John Farrell jfarrell@sumnercollege.edu

All Students - Professional Branding and Social Networking Workshop Tuesday, September 29, at 2:00 to 2:45 PM

In a world that revolves around virtual networking, you will need all the tips on building your online portfolio that you can get! This 45-minute workshop will be focused on the skills you

need to unlock the door to success with social platforms. Taylor, your Student Services Representative, will be happy to share her expertise, and hopes to see you there!

Hosted by Taylor Treen ttreen@sumnercollege.edu

Della Castleman hopes that anyone interested in being employed by the largest provid - er of renal care products and services in the nation with join her in this engaging Zoom Meeting. Email dcastleman@sumnercollege.edu for a link to this zoom meeting. All Students - Zoom Meeting with Employer: Fresenius Medical Care Tuesday, October 6, at 2:00 to 2:30 PM

About Fresenius: We are the leading provider of products and services for people with chronic kidney failure. Fresenius Medical Care is the world’s leading provider of prod - ucts and services for people with chronic kidney failure. Around 3.5 million patients worldwide with this disease regularly undergo dialysis treatment.

Hosted by Della Castleman dcastleman@sumnercollege.edu

Fall Breaks & Holidays:

PET & Human Costume Contest!

Win FANTASTIC Prizes! Send your selfies to studentservices@sumnercollege.edu before October 29th

November 11th School Closed

TERM BREAK: Tues. Oct. 27 - Friday, Oct. 30

Holiday Break December 21 - January 4, 2021

November 26 & 27 School Closed

(Mon Oct. 26 MLK make-up)

FALL 2020 EDITION 3

Student of the Month

Tyler M., PN AUGUST

“Tyler’s leadership traits and self-confidence are amazing attributes.” “Brilliant, focused, exceptional and resilient!” “Amazing GPA heading into his final term.” “A nursing professional who is committed to providing only the best of patient care.”

Tyler served in the US Army as a Human Intelligence/Interrogation Spe - cialist for 8 years before enrolling at Sumner College. He selected nursing because it is the primary healthcare role that facilitates patient advocacy and a holistic approach to care planning. His grandmother was a Nurse Practitioner and his mom was a travel nurse, so he has had great role mod - els! Tyler was attracted to the college because of it’s reputation and that prerequisites were included. He plans on pursuing a BSN and then deciding on which type of doctoral program he will apply to after gaining experience in trauma care. He really enjoyed his A&P and medical terminology classes during his first term and states that Kayla’s lab class was excellent. Born in Longview, Washington Tyler enjoys kayaking and jujitsu. He also lists Thai cuisine as his #1 favorite!

Kayla started working at the age of 16 in restaurants and then transitioned to American Eagle where she has been employed for 3 years. She attended Clark College as a math major, and also played softball at Mt. Hood Commu - nity College, before exploring the career path of medical assisting. Fascinat - ed by the human body, and inspired by the range of factors that influence health and wellness, she researched MA programs available. Kayla appreci - ated the “feel” of the campus at Sumner and was encouraged by the faculty members she met and the classroom visit she conducted during her admis - sions meeting. She begins her externship at the Vancouver Clinic in August “Perfect attendance and always on time.” “Active participation in class and a positive attitude that is genuine.” “A hard worker who takes extra steps to ensure homework is completed on time.” “A thoughtful individual who contributes to a strong team-centered envi - ronment!”

JULY

Kayla A., MA

and will be working in Family Medicine. She hopes to learn more about various healthcare career paths and is currently interested in obstetrics as she develops skills and qualifications. In her free time Kayla loves to exercise and hang out with her dog.

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“NURSE: Just another word to describe a person Strong enough to tolerate everything and soft enough to understand everyone.”

JUNE

“Always has a positive attitude!” “I appreciate his service to our nation and his insights from working in the emergency room.” “An individual who has demonstrated an ability to achieve goals!”

Dakota J., RN

Prior to enrolling at Sumner College Dakota was working as an emergency room technician at St. Charles Hospital in Redmond, Oregon. He started in this role after serving as an Army Combat Medic in Afghanistan. He was inspired to pursue nursing after interacting with the ER nurses he worked closely with. His supervisor recommended Sumner due to his frustration with the admissions process at his local community college. Dakota appreci - ated that prerequisites were included in our program, the admissions pro - cess which took into account a holistic approach to individual applicants, and the camaraderie of the cohort model. His future plans are to pursue his BSN and to focus on becoming a leader in the field of critical care and emergency triage. In his free time Dakota plays guitar, enjoys 4-wheeling and is continu - ing to improve his proficiency in Brazilian Ji-Jitsu martial arts.

MAY

“Daniel’s positive attitude and desire to learn is exceptional.” “A focused student who contributes to his cohort group.” “Always receptive to feedback and consistently strives to do better!” “An outstanding professional that will contribute to the field of nursing.”

Daniel R., PN

Prior to enrolling at Sumner College Daniel was completing his prerequisites for nursing at Lower Columbia College. He selected Sumner College because it provided a “fast track program” and he will be able to work as a LPN while fo - cusing on earning degrees as a RN, BSN and eventually a DNP. Daniel is grate - ful for faculty members such as Kayla (“awesome!”), Leisha (during clinical rotations), and Nathan (very informative during lab simulation exercises). He has worked as a bartender in Longview for the past few years and is fond of family traditions such as camping, kayaking and hiking. He recently returned from a trip to explore National Parks in Arizona and was inspired by both the land and people he encountered. At this time Daniel is open to possibilities in his career path, but is interested in travel nursing, labor & delivery, anesthesiology and psychiatry.

FALL 2020 EDITION 5

Annette Benedetti https://redtri.com/portland/free-or-cheap-things-to-do-in-portland/ 09/10/2020

Don’t Miss These Free & Cheap Activities in PDX

It’s been a crazy start to the school year, Which makes family time more important than ever. There are plenty of fun activities you can do in Portland with your kids without breaking the bank. Please make sure to check about restrictions and openings or temporary closures for all of the activities listed below until our city–and our country–has beat the Pandemic once and for all. Read on to find out more. 1) Head to a Park Portland has no shortage of parks, and it’s always a treat to visit your neighborhood green space. But why not shake things up sometimes and visit a park in a different neighborhood? Climb over logs at Westmoreland Park’s nature play space, check out the fountain at Peninsula Park or enjoy the universally-accessible equip - ment at one of Portland’s all-inclusive playgrounds. Set a family challenge to visit a new Portland park each weekend this summer. You can find all of Portland’s parks at the Portland Parks and Recreation website. Then pack some snacks and head outdoors! 2) Get Lost in a Book or Try a New Class Along with plenty of great reading options and a spot to chill and take a break in the A/C, Multnomah County Libraries offer story times and free activities. Build a creation at one of the Lego Club sessions, snuggle up for a story and play time during Book Babies, or catch a special event, or read to a therapy dog! Check the event page at your local library to see what fun events are happening this month! 3) Get Wild at the Zoo Visit your favorite animal friends at the Oregon Zoo! Take advantage of the

Photo: Oregon Zoo via Yelp.com

second Tuesday of each month, when admission to the zoo is only $5. You can visit the zoo’s new educa - tion center before scoping out your little one’s favorite animals. From porcupines to pythons and cheetahs to chimpanzees, there’s enough to keep your whole group occupied and exploring for hours. Learn More: oregon- zoo.org 4) Science and Submarines at OMSI From the tiniest tots to the grandparents and every age in-between, there’s something fascinating for every - one at the hands-on interactive exhibits at the Oregon Museum of Science and Industry. Visit the Physics Lab,

explore the Science Playground or hop aboard the USS Blueback Submarine. On the first Sunday of every month, admission at OMSI is just $2, and Submarine tours, Planetarium shows and the the - ater are just $5 per person. Learn More: omsi.edu

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5) Horse Around Ever noticed the tiny toy horses tethered to metal rings on Portland streets? Welcome to the Portland Horse Project! While these rings were once used to hold real horses and horse-drawn vehicles as far back as the 1900s, they now are adorned with toy equines of all shapes and sizes. Your little sidekicks will love exploring the city for a glimpse of a horse, or adding one of their own to an empty ring. (Plus, it’s a great way to recycle some of those old horse toys!) You can upload your own horse photos on Facebook and tag them on Instagram with #PortlandHorseProject. 6) Dine on Alberta Vita Café on Alberta is known for hearty, tasty fare with plenty of vegetarian, vegan and gluten-free options. Enjoy spicy tempeh sticks, 3-bean vegan chili, the Buffalo Tofu Wrap or a Mushroom Onion Burger, to name a few. The kids menu has lots of crowd pleasers for little ones, like burritos, PB & J, grilled cheese, berry smoothies, mac and cheese and veggies with rice and tofu. As if that’s not tempting enough, the Kids Happy Hour means that kids eat for $1 from 5 p.m.- 7p.m. every day! Learn More: vita-café.com

Photo: Annet Benedetti

7) Strike Up A Good Time Slip on those rental shoes, and get ready to bowl. Visit the Kids Bowl Free site for a list of places in the Port - land area that offer free bowling for tykes. Here’s our list of the best bowling alleys for kids in the area: https:// redtri.com/portland/where-to-take-the-kids-bowling-in-portland/ 8) All Aboard! If you’ve got little train lovers, be sure to make a stop at the Oregon Rail Heritage Center. Railroad enthusiasts can check out historic trains and browse the latest exhibit. Admission is always free, although donations are accepted and appreciated. The center is open Thursday- Sunday from 1-5 p.m. If you visit on a Saturday, you can also purchase tickets to take a short 45 minute ride on the Oregon Pacific Railroad passenger train. Tickets

are $5/person, and 2 & under are free. If your tiny engineer just can’t get enough of the impressive loco - motives, the Oregon Rail Heritage Center also offers birthday party packages. Learn More: orhf.org 9) A Night at the Museum The Portland Children’s Museum is always a hit with the younger set. They can build and explore the Bridgetown construction zone, splash in the water works or even give a pup a checkup in the Pet Hospi - tal. Second Sunday Savings offers reduced admission to the Museum: just $3 per person between 9 a.m.– noon every second Sunday of the month. (On occa - sion the date changes for special events, so check the museum’s website or calendar for the most up to date

FALL 2020 EDITION 7

information.) Learn More: portlandcm.org 10) Learn Fire Safety

At the Historic Belmont Firehouse, families can explore hands-on exhibits, stories and history while learning fire and safety educa - tion. Kids will love checking out the fire pole and the emergency response simulator, as well as all of the firefighting tools and equip - ment. Every Wednesday is Open House, and families are welcome to come and visit free from 9 a.m.- 3p.m. The firehouse also offers Safety Saturdays on the 2nd Saturday of each month. Visits and tours at other times must be scheduled in advance. Learn More: friendsofportlandfire.org/belmont-learn - ing-center 11) Brush up on History For history buffs, the Oregon Historical Society awaits you. Located downtown and always free for Multnomah County residents (with proof of residency), the museum houses a variety of exhibits designed to bring Oregon’s history to life. The permanent History Hub exhibit, with content that spans K-12 with a focus on 4th-8th grad - ers, delves into the topic of diversity, with hands-on activities and displays. Learn More: ohs.org 12) Browse Some Art Kids 17 and under are always free at the Portland Art Museum, where families can get inspired in the enor - mous galleries full of art. Let kids take the lead by chatting about the colors and shapes they see, or which pieces they particularly like. Feeling more adventurous? Check out some of the artwork online together before you go, and then make a scavenger hunt for kids to find the pieces they recognize! For adults, the museum of - fers free admission every first Thursday from 5 -8 p.m. You can also check out the museum on Friday evenings, when admission is just $5 after 5 p.m. The museum also participates in the Blue Star Museums Program, which offers free admission to active-duty military personnel and their families. Learn More: portlandartmuseum.org 13) Catch a Flick At McMenamin’s Kennedy School, families can enjoy second-run movies while relaxing on comfy couches and snacking on pizza, burgers and salads from the menu, along with wine, beer and ciders for those over 21. (And don’t forget the popcorn and candy!) Movie tickets are $4/adult, and just $2 for age 11 & under. Learn More: mcmenamins.com/kennedy-school/kennedy-school-theater 14) Get Physical with a Free Trial Class Kids need to get some energy out? Head to The Playground Gym to try out any of their amazing classes for kids. The first trial class is always free! With two locations teaching Parkour, Circus Arts and Martial Arts, there’s something for everyone. Learn More: theplaygroundgym.com 15) Head to an Indoor Play Space At Playdate PDX’s spacious indoor play space, kids can climb through a three level play structure, crawl through tunnels, shoot ball cannons, and play games on an interactive dance floor. On Mondays after 5 p.m., admission is free! You can also get free admission on the last Wednesday of every month with two canned goods per child. Along with the massive play area, Playdate PDX also has a designated toddler area for smaller explorers, as well a full menu for dining. Kids will love mixing and matching items to create the perfect Kids Meal ($7), while parents can enjoy paninis, salads, wraps, beer and wine. Learn More: playdatepdx.com

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16) Take a Hike! Pack up some snacks and water, slick on the sunscreen and head out for a glorious hike on one of the many trails around Portland! Younger kids might enjoy adventuring around Hoyt Arboretum, which has a variety of walks and trails, including a 1-mile paved path that is suitable for strollers. Tryon Creek State Natural Area has plenty of nature trails, and activity sheets that families can print online and take with them to enhance the experience. Kids will also love trying the scavenger hunt as they explore the flora and fauna of the Leach Botantical Garden. (Print the scavenger hunt from the Garden’s website, access it on your phone or pick up a laminated copy in the gift shop when you arrive.) For kids who can do more serious hiking, Latourell Falls has a 2.4 mile loop, gorgeous waterfall views and is often less crowded than Multnomah Falls. For fascinating city walks, pick up a copy of Laura O. Foster’s The Portland Stairs Book at Powell’s or the library, and do a self-guided tour of Portland’s most interesting urban hikes, including hidden staircases that you never even knew existed. 17) Make a Splash Grab your suits and take a dip for a Family Swim, Open Swim or Parent/Preschool Swim at one of the local pools through Portland Parks and Rec. Admission varies slightly by location, but is generally less than $6/ person, with kids 2 & under swimming for free. Swim times also vary with each location, so check each pool’s schedule through the Portland Parks and Recreation website for the most current information. Learn More: Perfect for the littlest legs! Preschoolers age 2-5 and their parents can explore parks around Portland with Ladybug Nature Walks. Environmental educators guide children and their grown-ups on exciting journeys to find bugs, plants, and other wonders of nature. Walks are $4/child, with no charge for adults. Locations vary, so check the website for the most current schedule. 19) Big Fun in a Little Bookstore There’s always something magical happening at Green Bean Books, the sweet bookstore nestled along Alberta. Although technically a store, one glance at the schedule shows plenty of free events and activities that families can join. Stop by for story times, the Middle Reader Book Club, craft times, author book signings, musical Span - ish story time and much more. Both kids and adults will love the fun surprises tucked all through the store, along with the outdoor space, which is perfect for sunny days. Learn More: https://www.portlandoregon. gov/parks/64625 portlandoregon.gov/parks/38284 18) Take a Ladybug Walk

FALL 2020 EDITION 9

Get to Know Members of the Team

David Balin - Dean of Students David was born and raised in Chicago, Illinois and graduated from Niles West High School where he was on the soccer, golf, swimming, fencing and synchronized swimming team and a member of the Lifeguard Club where David had his first experience in teaching as a swim - ming instructor. David graduated from Columbia College in Chicago with a BA in English and John Marshall Law School. After practicing law for three years David decided that practicing law was not his calling and earned his Masters of Arts in Teaching at Western New Mexico University. David taught third and fourth grades in New Mexico before moving to Wilsonville, Oregon where he has resided for the past 15 years with his wife and son. David’s wife is a BSN who currently works at the VA hospital. David moved from elementary education to adult education with ITT Technical Institute-Portland where he was an instructor teaching criminal justice and paralegal courses, then served as Associate Dean of General Studies, and was then promoted to Dean of Academic Affairs at ITT-Salem. David’s next position was the Director of Education with the Institute of Technology, and is currently serving as Dean of Students with Sumner College. David has over 20 years’ experience in education.

Tumbler with Straw

Sports Pullover

NEW Merchandise! To purc ase email us: studentstore@sumnercollege.edu

Maroon & Gray Fleeces

Rolling Backpacks Messenger Book Bags

10 SUMNER COLLEGE NEWSLETTER

Associates Degree in Nursing Iryn T. Nursingale Joel M. DaVita Lisa A. Adventist Alexandra C. Total Care Josie A. Naphcare Zachary M. Peacehealth Paula S. Capital Medical Center Makayla V. Unity Health—WCMC Laurel B. Marquis—Hope Valley Jessica S. Klickitat Valley Health Jeane G. Northwest Primary Care Practical Nursing Lucy G.

Royal Life Centers of Puget Sound Oregon City Health Care Center

Andrea C. Tiffany G. Courtney G. Monicah N. Happiness M. Mary K. McKayla P. Sheila S. Hannah H. Savannah C. Megan M. Scott G. Lisa E.

Pacific Health & Rehab Lifeline Connections

Aegis Living

University House

Action Healthcare Staffing Discovery Nursing & Rehab

Avamere

The Vancouver Clinic

Prestige Care

Marquis—Tualatin

Advanced Recovery Systems American Behavioral Health Systems

Medical Assisting Ravneet

Peacehealth Family Practice Peacehealth Fisher’s Landing Concentra Urgent Care

Michelle Nieves

FALL 2020 EDITION 11

SUMNER COLLEGE

by John S K i ernan Manag i ng Ed i tor

Best and Worst

The U.S. has gained a profound appreciation for nurses during the coronavirus pandemic, as they risk their lives every day to minimize

and other necessary protective treatment. It's more important now than ever for states to step up and make sure that nurses are properly equipped to do their jobs and have the best work environment possible. Despite the stresses of the occupation, nurses are generally well-rewarded for their life-saving work. Nursing occupations are some of the most lucrative careers, with a mean annual wage of over $75,000 and some of the lowest unemployment rates in the U.S. In fact, the industry is expected to grow at more than double the rate of the average occupation through 2028. In light of the current crisis and the industry’s projections for the future, WalletHub took stock of the nursing industry to help regis- tered nurses, particularly new graduates, pick a place to live that will bring success. We did so by comparing the 50 states across 22 key

from a panel of experts and a complete description of our methodology. Ask the Experts success. You can check out their bios and thoughts below.

Methodology:

1. Given the toll of the coronavirus pandemic on frontline healthcare workers, what are the best ways support nurses and all medical personnel to navigate this crisis? nursing? grads looking for a place to live and work? 4. What can local governments and health systems do The Criteria:

In order to determine the best and worst states for nurses, WalletHub compared the 50 states across two key dimen- - ment.” We evaluated those dimensions using 22 relevant metrics. Each metric was graded on a 100-point scale, with a score nurses. We then determined each state’s weighted average across all metrics to calculate its overall score and used the

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Over - all Rank (1=Best)

State

Total Score ‘Opportunity & Competition’ Rank

‘Work Environment’ Rank

Experts were asking these Questions: 1. Given the toll of the coronavirus pandemic on frontline healthcare workers, what are the best ways the authorities and local non-profit organizations can support nurses and all medical personnel to navigate this crisis? 2. What is the long term outlook for the field of nursing? 3. What tips do you have for recent nursing school grads looking for a place to live and work? 4. What can local governments and health systems do to attract and retain high quality nurses? 5. Are unions beneficial to nurses? Opportunity & Competition – Total Points: 70 Monthly Average Starting Salary for Nurses: Full Weight (~6.09 Points) Note: This metric was adjusted for the cost of living. Average Annual Salary for Nurses: Double Weight (~12.17 Points) Note: This metric was adjusted for the cost of living. Health-Care Facilities per Capita: Full Weight (~6.09 Points) Share of Population Living in a Primary-Care HPSA: Full Weight (~6.09 Points) Note: “HPSAs,” as defined by the Health Resources & Services Administration, “are designations that indicate health care provider shortages in: Primary care; Dental health; or Mental Health” and “may be geographic-, population-, or facility-based.” Projected Share of Elderly Population in 2030: Full Weight (~6.09 Points) Note: “Elderly population” includes adults aged 65 and older. Quality of Nursing Schools: Half Weight (~3.04 Points) Tuition Cost per Credit for BSN Online Program: Full Weight (~6.09 Points) Share of Licensed Nursing Professionals Not Working in Nursing: Full Weight (~6.09 Points) Nursing-Job Openings per Capita: Full Weight (~6.09 Points) Nurses per 1,000 Residents: Full Weight (~6.09 Points) Projected Competition in 2026: Full Weight (~6.09 Points) Note: “Competition” refers to the number of nurses per 1,000 residents. Work Environment – Total Points: 30 States Offering the Most Coronavirus Support Score: Double Weight (~4.62 Points) Note: This metric is based on WalletHub’s “States Offering the Most Coronavirus Support” score. Mandatory Overtime Restrictions: Double Weight (~4.62 Points) Ratio of Nurses to Hospital Beds: Full Weight (~2.31 Points) Nurses Job Growth (2019 vs 2015): Double Weight (~4.62 Points) Presence of Nursing Licensure Compact Law: Full Weight (~2.31 Points) Note: This metric considers the presence or absence of a Nursing Licensure Com - pact law in the state. The compact allows nurses to practice in their home state and other participating states. Regulatory Requirement for Nurse Practitioners: Full Weight (~2.31 Points) Share of Best Nursing Homes: Full Weight (~2.31 Points) Note: This metric is based on U.S. News & World Report’s Best Nursing Homes rating. Quality of Public Hospital System: Full Weight (~2.31 Points) Note: This metric is based on data from the Centers for Medicare & Medicaid Services. Friendliness Toward Working Moms: Full Weight (~2.31 Points) Note: This metric is based on WalletHub’s Best & Worst States for Working Moms ranking. In 2011, there were 3.5 million employed nurses in the U.S., and about 3.2 million were female. Average Number of Work Hours: Half Weight (~1.15 Points) Average Commute Time: Half Weight (~1.15 Points) Sources: Data used to create this ranking were collected from the U.S. Census Bureau, Bureau of Labor Statistics, Council for Community and Economic Research, HRSA Data Warehouse, Center on Education and the Workforce, Indeed.com, Nation - al Council of State Boards of Nursing, Centers for Medicare & Medicaid Services, U.S. News & World Report, Projections Central - State Occupational Projections, Nurse.org, Wage// Advocates, American Association of Nurse Practitioners and WalletHub research.

1 Oregon 58.15

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Washington New Mexico Minnesota

57.98 57.88 56.86 56.76 55.71 55.48 55.18 53.97 53.53 53.39 52.50 52.05 52.03 51.90 51.73 51.15 51.06 50.93 50.88 50.74 50.01 49.56 49.36 49.36 49.28 49.21 49.15 48.80 48.48 48.27 48.23 47.46 47.31 47.23 46.85 46.39 46.19 46.17 46.16 45.77 45.71 45.38 44.94 44.21 43.83 42.78 42.19 41.86 39.55

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Wyoming Montana

Maine Arizona

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New Hamp - shire Wisconsin

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Florida Kansas Indiana

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Illinois

Arkansas Nebraska

Utah

Georgia Virginia

South Carolina North Carolina

Kentucky Delaware

Massachusetts

Maryland Mississippi Tennessee New Jersey

Ohio

Vermont Oklahoma Alabama

Hawaii

Louisiana New York

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