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This grant provides funding to Johnston Community College Foundation (JCCF) to create a simulated specialty care unit at the college. This unit will be used to train nurses with the skills to meet the growing demand to care for the most acute and critically ill patients in intensive care and progressive care units, and those in post-anesthesia and post-operative care, and provide all nursing students 12 lab hours dedicated to specialty care. JCCF states that annually, there are 2,289 open nursing positions within a 50-mile radius of Smithfield. Johnston Health, currently with about 70 specialty care openings for RNs, will provide some nursing students the opportunity to participate in a paid, nurse extern program that exposes those students to specialty care during the final year of nursing school. Upon satisfactory completion of the program, graduation and licensure, Johnston Health will offer them employment in specialty care. Nurse externs can also access the Johnston Health tuition reimbursement program for that final semester of nursing school. Golden LEAF dollars will pay for medical and simulation equipment/software to establish a specialty care patient room and associated training for nursing faculty.