On Campus



Linda Esper

Dean of Nursing
(508) 849-3285

Pre-Licensure BSN

Program Overview

The nursing curriculum is modeled from state and national nursing core competencies, most notably the Massachusetts Nursing Core Competencies. Integral to the curriculum are critical thinking, writing, and cultural competency. Spirituality, which fosters a religious and moral sensitivity, is a core component of compassionate nursing care and is woven throughout the curriculum as one of the five dimensions of health (spiritual dimension). Behavioral and physical sciences and liberal arts are the foundation for simple to complex problem solving in patient care and the teaching/learning process.

The curriculum incorporates a focus on advocacy in health promotion for clients and populations across the lifespan. Faculty at Anna Maria College believe nursing is a unique profession concerned with all factors affecting clients in their environment. The function of nursing is to diagnose and treat the human response to actual or potential health problems. Nursing is concerned with the five dimensions of health: physiological, psychological, sociocultural, developmental, and spiritual. The goal of nursing is to support the client to attain, retain, and maintain optimal wellness. We believe nursing to be dynamic and caring. Nursing is an art as well as a science that utilizes critical thinking in both independent and collaborative nursing practice.


The Pre-licensure Bachelor of Science (BSN) program is approved by the Massachusetts Board of Registration of Nursing:

Massachusetts Board of Registration in Nursing (BORN)
239 Causeway Street, 5th Floor, Suite 500
Boston, MA 02114
1 (800) 414-0168


The Baccalaureate nursing program at Anna Maria College located in Paxton, is accredited by the:

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


Brandon Dorsey '23

Nursing graduate

Meghan Sonia '23

Nursing graduate

Nursing graduate

Jessica Clary '23

I chose Anna Maria College due to how close it was to home and the generous financial aid I received.

Anna Maria allowed me to be able to continue my love for athletics and pursue my education in nursing. It also had a very small community which resembled the one I grew up in.

As an Anna Maria student, I feel unbelievably grateful that this community acknowledges my hard work and supports me in my career goals. I look forward to becoming a pediatric oncology nurse.

Curriculum Highlights

Pre-licensure Baccalaureate Nursing Program (PL-BSN) Information

Clinical Experiences


Nursing does not have internships, we do have clinical experiences within some of the NUS courses. These clinical experiences are in various locations:

  • Christopher House
  • Harrington Hospital
  • Saint Vincent Hospital
  • UMass Hospitals

Clinical Experience opportunity

Program Learning Outcomes

At the conclusion of the Anna Maria College Baccalaureate in Nursing Program, the graduate will be able to:

  • Utilize the nursing process to manage safe and effective care across the lifespan, adapted to the client’s physiological, psychological, sociocultural, development, and spiritual dimensions of health. (Patient-Centered Care)
  • Use critical reasoning and best current evidence to make nursing practice decisions that support the client’s ability to attain, retain, and maintain optimal wellness. (Evidence-Based Practice)
  • Incorporate civil, legal, ethical, and spiritual principles into the provision of socially responsible, safe and effective nursing care. (Professionalism) (Safety)
  • Communicate professionally and effectively with clients in contemporary healthcare settings and members of the healthcare team to achieve mutually determined health care outcomes. (Communication)
  • Utilize contemporary information technology to communicate, facilitate, and provide care. (Informatics and Technology)
  • Integrate leadership skills and principles to influence the behavior of individuals, groups, and members of the interdisciplinary healthcare team within their environment to facilitate the acquisition/achievement of shared goals. (Leadership) (Teamwork and Collaboration)
  • Apply knowledge of health care policy, financial and regulatory influences on health care systems to quality improvement processes that contribute to achieving cost effective, patient-centered outcomes. (Systems-Based Practice) (Quality Improvement)
  • Model accountability for nursing practice decisions, with a commitment to professional growth and life-long learning. (Professionalism)

AMC’s Nursing Education Outcomes are derived from the following professional standards and guidelines:

  • AACN, Essentials of Baccalaureate Education for Professional Nursing (2008).
  • American Nurses Association. (2015). Code of Ethics for nurses with Interpretive Statements.
  • American Nurses Association (2015). Nursing: Scope and standards of practice.
  • Commonwealth of Massachusetts 244 CMR 3.00 Registered Nurse (Nurse Practice Act).
  • National Council of State Boards of Nursing (2016).
  • 2016 NCLEX-RN detailed test plan.
  • Accreditation Commission for Accreditation in Nursing, Inc. (2013) Accreditation manual with interpretive guidelines.
  • Massachusetts Action Coalition (2016). Nursing Core Competencies.
  • Quality and Safety Education for Nurses. (2007). Quality and safety competencies.

Clinical Practice Requirements

Nursing Program Clinical Health and Immunization Requirements

  1. Submit documentation of an annual physical exam administered within 1 year of August 1 (prior to the start of each academic year enrolled in the nursing program).
  2. MMR (measles, mumps, rubella): Documentation of Immunity includes a) 2 doses of MMR; or b) laboratory evidence of immunity to measles and mumps and rubella or laboratory confirmation of each disease (consider the terms of “indeterminate” or “equivocal” immunity to be susceptible.)  History of healthcare provider-diagnosed disease or documented proof of immunity is not acceptable as proof of immunity.
  3. Td/Tdap (Tetanus, diphtheria, pertussis): An initial dose of Tdap vaccine within the past 10 years or a current TD booster is required.
  4. Varicella (chicken pox): 2 doses of varicella vaccine > 4 weeks apart, or laboratory evidence of immunity, or laboratory confirmation of disease, or reliable history of varicella disease (chicken pox or herpes zoster) by a health-care provider, including occupational health nurse.
  5. Hepatitis B: Proof of three vaccinations and a positive antibody titer showing serologic immunity (hepatitis B surface antibody test) OR if not immune, negative antigen. (Course includes 3 doses hepatitis B vaccine on a 0. 1, and 6-month schedule. Test for hepatitis B surface antibody (anti-HBs) 1-2 months after the 3rd dose to document immunity. After completion of the 3rd injection of the series, a positive hepatitis titer is required. This process can take 6 -8 months to complete). This series must be completed before the start of the student’s first clinical course.
  6. An initial negative 2-step tuberculin skin test, 1 to 3 weeks apart, with an annual TB skin test thereafter. For students who cannot undergo skin testing (history of positive reaction of previous BCG immunization) evidence of a negative chest x-ray within five years and annual assessment of signs and symptoms from a medical provider is required.  If desired, a QuantiFERON Gold blood test OR T spot test is acceptable.
  7. Annual seasonal flu vaccine by October 1 or indicated by the Anna Maria College nursing department.
  8. Documentation of full COVID vaccination and proof of COVID boosters, as required.
  9. Proof of current valid American Heart Association Basic Life Support for Healthcare Providers CPR certification OR a Red Cross Basic Life Support (BLS), AED for Healthcare Providers

Clinical facilities may stipulate additional requirements for which medical documentation must be provided. Clinical sites require proof of student health and immunization status. This information is provided to affiliation offices before clinical clearance is granted. If this information is not disclosed, the student would be dismissed from the nursing program.

Students are not eligible for participation in the nursing program without documentation of required health and immunization requirements (see below). The Student Health Record is to be completed and submitted to Student Health Services prior to entry to the college. No record = No clearance for classes or clinical.

  • Massachusetts State Law requires that all Health Science students have a completed health form on file in the Student Health Office prior to the start of classes.
Change in Health Status

In order for a student to continue in class or clinical when their health status has changed, the student must provide documentation from a health care provider to Anna Maria College Health Services (508-849-3458) that clearly states the limitations or the ability of the student to fully participate in all activities. Please notify Student Health Services for an individual consultation. In addition, students must adhere to facility policy regarding return to clinical. Health status changes require medical documentation that clearly identifies student limitations/restrictions and ability to participate in all program activities. Health status changes include, but are not limited to injury, pregnancy/delivery, major illness (physical or mental), communicable disease, and/or splint/brace/cast/sling. Withdrawal from the course, with current grade earned, may result if the course outcomes cannot be completed.

  • Significant changes in health status may affect the student’s ability to perform clinical functions.  If determined that student or patient safety may be compromised, the student will be excluded from the clinical area until cleared by their healthcare provider.  Clinical agencies will be consulted, as needed, to determine if the student can participate in clinical assignments.  The inability to participate in clinical assignments may result in withdrawal from the nursing program.

Please be advised a clinical agency’s policy may require additional clinical compliance requirements of student nurses and are subject to change at any time. The nursing program is not responsible for providing alternate clinical placements for students who are not granted health clearance from a clinical agency.

Some clinical agencies may perform or request actual documentation of student test results in compliance with their mandates. Security clearance is required by some clinical agencies. This may involve a necessity to provide the clinical site with such identifying information. All information will be transmitted via secure measures.

All agencies’ clinical and health requirements must be successfully met for the student to meet the course requirements. Students not meeting, or unable to meet, the clinical and health requirements will not be successful in the nursing course; therefore, will be withdrawn from the nursing course and/or program.

Health Insurance

All students are required to carry either their own health insurance or the College health insurance. Any health expenses incurred while the student is enrolled are the student’s responsibility.

Malpractice Insurance

Each student will be covered for malpractice insurance with a group policy provided through the College.

Test of Essential Academic Skills (TEAS)

What is the TEAS test?

The TEAS test is a four-part, web-based, supervised assessment that includes subtests in Reading, Mathematics, Science, and English language usage.

When do I take the TEAS?

Anna Maria College recommends that nursing students take the TEAS test after preparing with a TEAS review workshop. Workshop reviews are held on campus. Beginning in the fall of 2021 continuing nursing students take the TEAS before enrolling in NUS 211 or NUS 212.

Where should I take the TEAS?

Please contact Dennis Vanasse to schedule a time to complete the exam on the Anna Maria College campus. Dennis can be reached at or (508) 849-3372. Students must have an admission application for nursing on file with the college before taking the test. The test is free and offered on campus

What does the TEAS cover?

  • The Math subtest covers whole numbers, metric conversion, fractions and decimals, algebraic equations, percentages and ratio/proportion.
  • The Reading portion covers paragraph comprehension, passage comprehension, and inferences/conclusions.
  • The English subtest measures knowledge of punctuation, grammar, sentence structure, contextual words, and spelling.
  • The Science portion of the exam covers science reasoning, science knowledge, biology, chemistry, human body science, basic physical principals, and general science.
  • Review classes are offered for the separate sections on campus thought the semester at our Learning Success Center.

State Requirements for Professional Licensure:
Federal Regulation (34 CFR 668.43)

Graduates from either the Anna Maria College Pre-licensure Nursing Program are qualified to work in the state of Massachusetts upon the successful attainment of the appropriate licensure. Not all states accept a Massachusetts license.

If you intend to practice outside of Massachusetts and obtain a license in another state, you are encouraged to review the NCSBN web site for eligibility. As an applicant to the Anna Maria College Pre-licensure Nursing Program, you are encouraged to discuss your eligibility for licensure and work in another state other than Massachusetts with the Anna Maria College Dean of Nursing.

Meet Our Faculty

Karin Ciance, DNP, RN

Associate Professor of Nursing
School of Professional Studies
(508) 849-3262

Linda Esper

Dean of Nursing
(508) 849-3285

Barbara Farrington MSN, RN

Professor of Practice
(508) 849-3402

Kimberly Griffiths

Quality Assurance Coordinator
School of Professional Studies
(508) 849-3498

Patricia Joseph-Delva

Adjunct Faculty
Marie Remillard

Marie Remillard

Nursing Curricula Support Facilitator
School of Professional Studies

Danielle Shaver

Assistant Professor

Betty Ann Warner

Assistant Professor