FALL 2021-SUMMER 2022 - PAUL M. WILES SCHOOL OF NURSING PRACTICAL NURSING PROGRAM - POLICY AND INFORMATION BOOK - Forsyth Tech
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PAUL M. WILES SCHOOL OF NURSING PRACTICAL NURSING PROGRAM POLICY AND INFORMATION BOOK FALL 2021-SUMMER 2022 1
TABLE OF CONTENTS Welcome .........................................................................................................................................5 Foreword .........................................................................................................................................5 Mission ............................................................................................................................................6 Practical Nursing Education ..............................................................................................................6 The Practical Nurse...........................................................................................................................7 Conceptual Framework ....................................................................................................................7 Educational Outcomes.................................................................................................................... 10 Estimated Cost for the Practical Nursing Program............................................................................ 11 Resource Personnel ........................................................................................................................ 12 Faculty ........................................................................................................................................... 13 Advisor and Advisee Program ......................................................................................................... 14 Student Code of Conduct and Responsibilities ................................................................................. 14 Assigned Campus Policy ................................................................................................................. 14 Professionalism in the Practical Nursing Program ............................................................................ 15 Accommodations for a Disability .................................................................................................... 16 Technical Standards ....................................................................................................................... 17 Attendance Policy .......................................................................................................................... 22 Classroom Etiquette/Responsibilities .............................................................................................. 24 Cell Phones and Electronic Devices ........................................................................................................... 24 Voice/Picture Recordings .......................................................................................................................... 24 PN Program Grading Scale .............................................................................................................. 25 Calculation of Grades ..................................................................................................................... 25 Progression Policy .......................................................................................................................... 25 Testing Policy ................................................................................................................................. 25 2
Test Reviews .................................................................................................................................. 26 Graded Assignments ...................................................................................................................... 27 Computer Assignments ............................................................................................................................. 27 Quizzes- Given In Class .............................................................................................................................. 27 Graded Learning Activities (GLA)- Outside of Class Assignments ............................................................. 27 Lab Tests.................................................................................................................................................... 27 Pharmacology Calculation Tests ............................................................................................................... 27 Standardized Tests .................................................................................................................................... 27 Clinical ....................................................................................................................................................... 27 Recommended Interventions for Student Success ........................................................................... 28 Program Requirements................................................................................................................... 29 Health Requirements ................................................................................................................................ 29 Malpractice Insurance............................................................................................................................... 29 CPR ............................................................................................................................................................ 29 Criminal Background Check and Drug Screening ...................................................................................... 29 Nurse Aide II Certification ............................................................................................................... 30 Contact Information ....................................................................................................................... 30 Social Networking Policy ................................................................................................................ 30 Patient Confidentiality Policy .......................................................................................................... 30 Lines of Communication ................................................................................................................. 31 Dress Code While in the Lab or Clinical Setting ........................................................................................ 32 Adherence to the Dress Code ................................................................................................................... 32 Special Clinical Observation: ..................................................................................................................... 33 Clinical Conferences .................................................................................................................................. 34 Clinical Assignments .................................................................................................................................. 34 Safe Medication Administration Policy............................................................................................ 35 Unsafe Clinical Practice Policy ......................................................................................................... 35 Physical and Emotional/Behavioral Health Policy ............................................................................ 36 Student Accident or Exposure Incidents While in a Clinical Setting or at Forsyth Tech ...................... 36 Forsyth Tech - Health Technologies Division Information and Policies .............................................. 38 Student Academic Appeals ....................................................................................................................... 38 Academic Appeal: Clinical Experience ...................................................................................................... 38 Academic Appeal: Due Process ................................................................................................................. 38 Readmission Guidelines for the Practical Nursing Program .............................................................. 42 3
Transfers into the Practical Nursing Program................................................................................... 43 Transfer Student Credit ............................................................................................................................. 43 Pinning Ceremony and Graduation Guidelines ................................................................................ 44 Pinning Ceremony ..................................................................................................................................... 44 Licensure Information .................................................................................................................... 46 National Council Licensure Examination for Licensed Practical Nurses (NCLEX-PN) ................................ 46 Preparing for the Licensure Examination.................................................................................................. 47 Student Consent and Release ......................................................................................................... 48 Addendums to policy- Covid-19…………………………………………………………………………………………………………. 48 4
WELCOME Congratulations on your acceptance into the Paul M. Wiles School of Nursing Practical Nursing Program. The Practical Nursing faculty welcomes you as you begin your journey toward a career in Nursing. Nursing plays a significant role in health promotion and health maintenance in our society. The journey towards this career requires you to be an active participant in your education. The Practical Nursing faculty is available to support and guide you in your educational process. We hope, by working together, that you will acquire the knowledge and skills necessary to become a Licensed Practical Nurse. This is the initial step in your nursing career as nursing requires life-long learning. Again, the Practical Nursing faculty welcomes you and wishes you success in meeting your career goals. Sincerely, Practical Nursing Faculty Reviewed 1/2020 FOREWORD The policies in this book are effective for all Practical Nursing students. A lack of knowledge will not be an acceptable excuse should any student fail to abide by the policies. For this reason, each student should read the policies carefully. The student should talk with their Advisor, Lead Instructor, or Department Chair if he/she does not understand any of the policies. The student is also expected to follow the policies in the Forsyth Technical Community College Catalog and Student Handbook. The Practical Nursing faculty reserves the right to make changes in the regulations, course, fees, procedures, and other matters of policy and procedure as deemed necessary. Every effort will be made to minimize the inconvenience these changes might create for students. Reviewed 1/2020 5
MISSION The Practical Nursing program supports the mission of the North Carolina Community College System and the mission of Forsyth Technical Community College. The faculty is committed to providing accessible high-quality nursing education to meet the diverse and changing healthcare needs of the service area and to promoting the development of qualified graduates prepared for the professional role of the Licensed Practical Nurse (LPN) at the entry level. Graduates of this program meet the education requirements to take the National Council Licensure Examination (NCLEX-PN). The philosophy of the Practical Nursing Program is derived from statements about the health, quality of life, achievement of potential, the individual, environment, health, nursing, the practice, and education of the practical nurse. Within this mission, the goal of nursing faculty is to promote the highest quality of nursing care to the individual, families and significant persons, and the community. The aim is to facilitate optimum health, quality of life and achievement of potential for the individual. PRACTICAL NURSING EDUCATION Nursing education at the practical nursing level, in the North Carolina Community College System, is a process that facilitates changes in behavior, the acquisition of knowledge, skills, and attitudes necessary to function in the entry level role of the LPN. The curriculum is conceptually based and founded on principles of adult and collaborative learning. Basic assumptions include self-direction, utilizing adult experience, and problem- and activity-centered learning. (Rachel, 2002) It incorporates evidence-based nursing theory and practice, general education, and the sciences in an environment conducive to learning. The conceptual design defines the essential elements as the environment, quality of life, achievement of potential, and health. The organizing framework contains content related to the individual, the health care system and nursing. The Practical Nursing program at Forsyth Technical Community College provides an education that is flexible, progressive, and sensitive to the changing needs of the individual, significant support person(s), and community. Through these educational experiences, students will have the opportunity to develop critical thinking and problem-solving skills. Learning is a continuous process that results in a change of behavior and occurs when the individual is challenged and motivated to enhance personal knowledge. Teaching and learning is an interactive process between teacher and learner. The responsibility of the faculty of Forsyth Technical Community College Practical Nursing Program is to facilitate the student’s understanding and ability to meet the competencies for nursing practice through the design and evaluation of learning experiences. The nursing student is responsible for actively participating in learning experiences and the development of knowledge, skills, and attitudes necessary to provide quality individual centered nursing care. 6
THE PRACTICAL NURSE The graduate of the Practical Nursing program at Forsyth Technical Community College is prepared to practice as an entry level nurse. The practice of practical nursing is directed toward meeting the health care needs of individuals throughout their lifespan. The LPN role is characterized by evidence-based clinical practice with the provision of care for individuals and groups of individuals in structured settings. The role of the LPN is a dependent role under the supervision of the registered nurse (RN) and other health care providers approved by North Carolina law. In accordance with the North Carolina Board of Nursing Administrative Code, 21NCAC 36.0225, Components of Nursing Practice for the Licensed Practical Nurse (LPN), the LPN accepts assignments that can be safely performed and participates in assessing, planning, implementing and evaluating the client’s response to health care interventions. The Practical Nurse graduate demonstrates the competencies identified by the National League of Nursing (2010) and the Institute of Medicine (2003) to provide nursing care. The practical nurse graduate is prepared to be a responsible life-long learner. CONCEPTUAL FRAMEWORK The conceptual model provides a framework to prepare learners for new instruction and motivates by making a meaningful connection for the learner. The learner must attain mastery of each part of the framework; the individual, the healthcare system and nursing in order to understand the complete curriculum. (Knowles, 2005). The domains of the individual, the healthcare system, and nursing provide the conceptual framework guiding the practical nursing curriculum. Concepts are organized within each of these domains and learning occurs from simple to complex. Definitions: Individual The faculty of Forsyth Technical Community College believe that each individual is a complex, multidimensional, unique, and significant being possessing inherent value and worth, and a member of a family, community, and culturally diverse society. All individuals have dynamic bio-physical, psychological, socio-cultural, spiritual, and developmental needs that contribute to health, quality of life, and achievement of potential. Adaptation to the environment requires the individual to change throughout the lifespan. Each individual has a right to healthcare and to information that will assist him or her to participate actively in his or her health care in order to achieve the highest level of wellness possible. All individuals should be cared for, respected, nurtured, understood, and assisted. In order to provide care, nurses must view the individual at the center of any nursing activity. Healthcare System According to von Bertalanaffy (1968) a system consists of the coming together of parts, the power comes from the energy of the interconnection and the way the parts come together. The community healthcare system is a macrosystem and consists of a variety of parts or microsystems. Clinics, hospitals, pharmacies, laboratories, long term care and Internet sites are microsystems that are connected by patients and information to improve health. (IOM, 2001) 7
Nursing Nursing is a science and the art of integrating and assimilating knowledge and skills derived from biological, sociological, and behavioral sciences and information technology to deliver client-centered, culturally competent, holistic care. Through caring, empathy, ethics, and the development of a therapeutic relationship with the individual and significant support person(s), the nurse integrates the art of nursing with the scientific foundation for nursing practice that utilizes the nursing process. Incorporating documented best practice, the LPN functions dependently under the supervision of the registered nurse and collaboratively with the interdisciplinary team to assist individuals to reach their maximum health potential through assurance of quality client outcomes, promotion of wellness, prevention of illness, and restoration of health or assistance in achieving a dignified death. Emphasis is also placed on cost-effective care to facilitate the achievement of positive individual and organizational outcomes. Environment The individual is in constant interaction with a changing environment that consists of both internal and external forces that varies throughout the lifespan and has the potential to cause stress in the individual. The nurse can assist the individual to alter aspects of the environment and to utilize his/her innate and learned coping mechanisms to adapt to these stressors. Health Health is a dynamic, ever-changing state of mental, physical, and spiritual well-being, which exists on a continuum from optimal wellness to illness and ending in death. The individual’s needs for healthcare are determined by his/her position on the continuum. Each individual’s health is based on his/her cultural perceptions and beliefs of health and illness and the ability to adapt to internal and external environmental forces. The individual is responsible for and capable of identifying, learning, and practicing health behaviors that can promote wellness, prevent illness, restore or maintain wellness, or achieve a dignified death. Quality of Life Quality of life involves five domains including physical, functional, psychological, social, and spiritual well-being. The individual’s perception of and satisfaction with activities of daily living contributes to their worth, meaning, or satisfaction. This empowers the individual to cope successfully with the full range of challenges encountered in the real world. (Ignatavicius & Workman (2006). Achievement of Potential Achievement of potential is the individual’s growth toward attaining one’s utmost ability and quality of life. It is based on the individual’s choices, perceptions, personal goals, life experiences, and holistic health. 8
NLN Core Competencies for Practical Nursing Core competencies are the discrete and measurable skills, essential for the practice of nursing (NLN, 2010) • Human Flourishing: Promote the human dignity, integrity, self-determination, and personal growth of patients, oneself, and members of the health care team • Nursing Judgment: Provide a rationale for judgments used in the provision of safe, quality care and for decisions that promote the health of patients within a family context • Professional Identity: Assess how one’s personal strengths and values affect one’s personal identity as a nurse and one’s contributions as a member of the health care team • Spirit of Inquiry: Question the basis for nursing actions, considering research, evidence, tradition, and patient preferences Institute of Medicine Competencies The five core competencies identified by the IOM for healthcare providers are; patient centered care, interdisciplinary teams, evidence-based practice, quality improvement, and informatics. (IOM, 2003) References Bertalanaffy, L. V. (1968). General system theory: Foundations, development, applications (Rev. ed.). New York: George Braziller. Ignatavicius, D. & Workman, L. (2006) Medical surgical nursing: Critical thinking for collaborative care (5th ed.). St. Louis, MS: Elsevier. Institute of Medicine. (2001). Crossing the quality chasm: A new health care system for the 21st century. Washington, D.C.: National Academy of Science. Institute of Medicine. (2003). Health professions education: A bridge to quality. Washington, DC: The National Academies Press. Knowles, Holton & Swanson (2011). The Adult Learner. St. Louis, MS: Elsevier. National League for Nursing. (2010). Outcomes and Competencies for Graduates of Practical/Vocational, Diploma, Associate Degree, Baccalaureate, Master’s, Practice Doctorate, and Research Doctorate Programs in Nursing. New York: National League for Nursing. Rachal, J., (2002). Andragogy’s detectives: a critique of the present and a proposal for the future. Adult Education Quarterly, 52 (3), 210-222. Revised 6/2015 Reviewed 1/2020 9
EDUCATIONAL OUTCOMES Upon completion of the Practical Nursing Program, the graduate will upon licensure: 1. Participate in evaluating the concepts of the holistic individual and client response in the promotion of health, wellness, illness, quality of life, and the achievement of potential. 2. Practice professional nursing behaviors, within the ethical-legal practice boundaries of the LPN, incorporating personal responsibility and accountability for continued competence. 3. Participate in providing evidence-based nursing care, from an established plan of care, based on biophysical, psychosocial and cultural needs of clients in various stages of growth and development while assisting them to attain their highest level of wellness. 4. Reinforce and /or implement the teaching plan developed and delegated by the registered nurse to promote the health of individuals, incorporating teaching and learning principles. 5. Participate in the nursing process to provide individualized, safe and effective nursing care in a structured setting under supervision. 6. Demonstrate caring behaviors in implementing culturally competent, client-centered nursing care to diverse clients across the lifespan. 7. Participate in Quality Improvement (QI) by identifying hazards and errors and by suggesting, to the RN, changes to improve the client care process. 8. Utilize informatics to access, manage, and communicate client information. 9. Participate in collaboration with the interdisciplinary healthcare team, as assigned by the registered nurse, to support positive individual and organizational outcomes in a safe and cost- effective manner. Revised 6/2015 Reviewed 1/2020 10
ESTIMATED COST FOR THE PRACTICAL NURSING PROGRAM FIRST (1ST) SEMESTER Books and Modules......................................................................................................................... $850.00 Supplies ............................................................................................................................................. 600.00 Tuition (In State) ............................................................................................................................... 936.00 Criminal Background Check .............................................................................................................. 134.50 Student Activity Fee ............................................................................................................................ 35.00 Liability Insurance ............................................................................................................................... 18.00 Student Parking ................................................................................................................................... 25.00 Lab fees ............................................................................................................................................. 199.00 Total ............................................................................................................................................. $2797.50 SECOND (2ND) SEMESTER Books and Modules........................................................................................................................... $50.00 Tuition (In State) ............................................................................................................................... 860.00 Student Activity Fee ............................................................................................................................ 35.00 Lab Fee .............................................................................................................................................. 199.00 Total .............................................................................................................................................. $1144.00 THIRD (3RD) SEMESTER Modules ............................................................................................................................................ $20.00 Tuition (In State) ............................................................................................................................... 784.00 School Pin ............................................................................................................................................ 40.00 NCLEX Fee ......................................................................................................................................... 200.00 Criminal Background Check ................................................................................................................ 38.00 NCBON Application for Licensure ....................................................................................................... 95.00 Lab Fee .............................................................................................................................................. 199.00 Total .............................................................................................................................................. $1376.00 ESTIMATED TOTAL $5317.50* *cost varies depending on a number of variables Revised 1/2021 11
RESOURCE PERSONNEL Health Technologies Dean, Health Tech Linda Latham 757-3288 Associate Dean Sharon Moore 734-7569 Department Chair Angie Lundgren 734-7157 Staff Assistant, Nursing Bailey Roberts 734-7411 Retention Manager, Health Tech Student Success Counseling/Retention Services 734-7239 Student Success Center 734-7156 Director, Accessibility/Disability Dr. Sarah Hawks 734-7155 Services Admissions Counselors Director, Admissions Heather Azu 734-7331 Admissions Counselor, PN Nick Foley 734-7258 Financial Aid Director, Student Financial Services Adina Long 734-7272 Reviewed 3/2021 12
FACULTY Associate Dean Sharon Moore Office: BGH 200 Phone: 734-7569 Email: smoore@forsythtech.edu PN Department Chair Dr. Angie Lundgren Office: 202 Phone: 734-7157 Email: alundgren@forsythtech.edu Lead Instructors 1st Semester – Dr. Kristy Rowley 2nd Semester –Dr. Tracy Campbell 3rd Semester – Dr. Kristy Rowley Instructor Office Phone Email Tracy Campbell BGH 222 757-3472 tcampbell@forsythtech.edu Laura Galloway BGH W209 734-7361 lgalloway@forsythtech.edu Tonya Jennings BGH 281 757-3296 tjennings@forsythtech.edu Kristy Rowley BGH 219 757-3249 krowley@forsythtech.edu Pam Wright BGH 218 757-3339 pmwright@forsythtech.edu Stephanie Martin BGH 224 734-7179 Scmartin@forsythtech.edu Revised 3/2021 13
ADVISOR AND ADVISEE PROGRAM Faculty in the Practical Nursing Program maintains communication with students through the Forsyth Tech Advisement Program. Students are assigned to faculty advisors when admitted to the Practical Nursing Program. The advisor remains the same throughout the program. Advisors offer the student academic guidance in efforts to successfully complete the Practical Nursing Program. Advisors can make referrals to students for services available on campus. Faculty are available for advisement at scheduled office hours or by appointment. Each student should request a conference with their advisor during the first two weeks of each semester. Students and advisors should have advisement conferences regularly and as requested by the advisor. STUDENT CODE OF CONDUCT AND RESPONSIBILITIES The Practical Nursing Program adheres to the guidelines and policies established by Forsyth Tech. Upon enrolling in Forsyth Tech, the student acknowledges acceptance of the policies/rules of Forsyth Tech. Simultaneously, the student is guaranteed rights as a citizen and student. The Forsyth Tech catalog explicitly states the Student Code of Conduct and Responsibilities. Important information discussed within this topic include student rights, general campus policies/rules, violations of code of conduct, disciplinary procedures, and student appeals committee. Practical Nursing students are responsible for abiding by the Code of Conduct and Responsibilities established by Forsyth Tech. Reviewed 1/2020 ASSIGNED CAMPUS POLICY After admission into the practical nursing program, there will be no changes in class/campus site assigned by the admissions office of Forsyth Technical Community College. You will remain at the designated class/campus site that was indicated on your program application until the end of the program. Any request for changes in class/campus site must be presented to the department chair with evidence of the need, this need must be of extenuating circumstances to be considered by the department chair. When clinical assignments have been completed, any request to change clinical sites must be requested through the lead instructor. If a student is requesting a clinical site change, it is the student’s responsibility to find another student to change clinical sites with. The need for requesting a clinical site change must be of extenuating circumstances. The student that has agreed to change clinical sites must meet the criteria to change sites and must not have been assigned the clinical instructor or clinical site in a previous semester. The final decision to change the student’s clinical site will be the made by the lead instructor and the department chair. Revised 1/2020 14
PROFESSIONALISM IN THE PRACTICAL NURSING PROGRAM The nursing profession demands that individual be responsible, accountable, self-directed and professional in behavior. The process of becoming a professional person begins upon entering a professional education program. Students demonstrate professionalism by: • attending classes and clinical experiences • exhibiting courteous behavior to faculty and fellow classmates • being prepared for class/lab/clinical assignments • being punctual for class/lab/clinical • professional dress in class/lab/clinical • abiding by the policies of the college and program The policies found in this book are reflective of the professional behaviors expected in the nursing program. Policy violations are cumulative throughout the entire program; a student may be dismissed from the program based on the number or severity of the violations. Students are allowed no more than 3 policy violations in the same area and no more than 5 total during the program. Students will be dismissed from the program if either of these occur. Reviewed 1/2021 15
ACCOMMODATIONS FOR A DISABILITY The Accessibility Services Office is dedicated to meeting the needs of the increasing number of college students with disabilities. Our mission is to ensure that students with disabilities have equal access to educational opportunities at Forsyth Tech. The Accessibility Services Office provides assistance and encouragement to meet the challenges of college life. Believing that students with disabilities can better advocate for their needs with greater success, we at Forsyth Tech strive to empower students in every way possible. We believe that empowering students to maximize their abilities build the foundation for college success. In strict compliance with Section 504 of the Rehabilitation Act of 1973 and the Americans with Disabilities Act of 1990, no otherwise qualified individual with a disability shall solely by reason of his or her disability be excluded from the participation in, denied benefits of, or be subjected to discrimination under any program or any activity of this institution. If you have a disability and would like to request services and accommodations, you must register with the Accessibility Services Office, located in the Strickland Center Suite 2414. You will be required to provide current, official documentation of your disability. Please contact Accessibility Services Office / ADA, at (336) 734-7156. The Accessibility Services Counselors will work with you to determine appropriate services and accommodations. Registering with the Disability Services Office early is important as certain services and accommodations take time to arrange. 16
FORSYTH TECH – PAUL M. WILES SCHOOL OF NURSING TECHNICAL STANDARDS (Functional Abilities Essential for Nursing Practice) The purpose of the School of Nursing is to educate students to meet the program outcomes and to ensure that no graduate will pose a danger to the patient. Nursing students will receive both classroom and clinical instruction in multiple nursing specialty areas (Medical/Surgical, Maternal/Child, Pediatric, Mental Health, etc.) and will be required to demonstrate competency in each area. In order to provide safe and effective patient care in the Paul M. Wiles School of Nursing, the student must be able to demonstrate, with or without reasonable accommodation, physical, cognitive, and behavioral abilities required for satisfactory completion of all aspects of the program curriculum and clinical agency requirements. Students admitted to the Paul M. Wiles School of Nursing gain experience in many settings that can be physically demanding, e.g., hospitals, long term care facilities, public health and community agencies, school settings and clinics. During each clinical experience, the nursing student is assigned clinical care which may include medication administration and direct patient care. Students will be expected to adhere to the Health Insurance Portability and Accountability Act (HIPAA) of 1996 which safeguards patient confidentiality. Transportation to and from health care facilities is the responsibility of the student. Please carefully read the Paul M. Wiles School of Nursing Technical Standards: Functional Ability Standard Examples of Required Activities Observation Visual Normal or corrected visual • See objects up to 20 feet ability sufficient for accurate away observation and performance of • Read and interpret the nursing care electronic medical record and/or associated paper medical records • Visual acuity to read calibrations on 1 ml syringe • Assess skin color (cyanosis, pallor) 17
Functional Ability Standard Examples of Required Activities Hearing Auditory ability sufficient for • Hear normal speaking level physical monitoring and sounds assessment of patient health • Hear auscultatory sounds care needs • Hear auditory alarms (monitors, fire alarms, call bells) • Hear cries for help Smell Olfactory ability sufficient to • Detect odors from patient detect significant environmental (foul smelling drainage, and patient odors alcohol breath) • Detect smoke Tactile Tactile ability sufficient for • Feel vibrations (pulses) physical monitoring and • Detect temperature assessment of patient health changes care needs • Palpate veins for cannulation Communication Communication Oral communication skills • Give verbal direction to or sufficient to communicate in follow verbal directions English with accuracy, clarity from other members of the and efficiency with patients, health care team and their families, and other participate in health care members of the health care team discussions of patient team, including non-verbal care communication such as • Elicit and record interpretation of facial information about health expressions, affect, and body history, current health language state, and responses to treatment from patients or family members • Convey information to patients and others as necessary to teach, direct, and counsel individuals in an accurate, effective, and timely manner 18
Functional Ability Standard Examples of Required Activities Motor Function Gross Motor Skills Gross motor skills sufficient to • Move within confined provide the full range of safe spaces, such as treatment and effective patient care room or operating suite activities • Assist with turning and lifting patients • Administer CPR and maintain current certification Fine Motor Skills Fine motor skills sufficient to • Pick up and grasp small perform manual psychomotor objects with fingers, such skills as insulin syringe, pills • Perform tracheotomy, suctioning, inserting urinary catheter Behavioral and Social Emotional/Behavioral Emotional stability and • Establish rapport with appropriate behavior sufficient patients, instructors, and Professional Attitudes and to assume responsibility/ colleagues Interpersonal Skills accountability for actions • Respect and care for persons whose appearance, Present professional condition, beliefs, and appearance and demeanor; values may be in conflict demonstrate ability to with their own communicate with patients, • Deliver nursing care supervisors, and co-workers to regardless of patient’s race, achieve a positive and safe work ethnicity, age, gender, environment. Follow religion, sexual orientation, instructions and safety or diagnosis protocols. • Conduct themselves in a composed, respectful Honesty and integrity beyond manner in all situations and reproach with all persons • Work with teams and workgroups • Establish and maintain therapeutic boundaries • Demonstrate emotional skills to remain calm and maintain professional decorum in an emergency/stressful situation • Demonstrate prompt and safe completion of all patient care responsibilities 19
Functional Ability Standard Examples of Required Activities • Adapt rapidly to changing environment/stress • Exhibit ethical behaviors and exercise good judgement Intellectual, Conceptual, and Quantitative Abilities Cognitive/Quantitative Abilities Reading comprehension skills • Calculate appropriate and mathematical ability medication dosage given sufficient to understand written specific patient parameters documents in English and to • Analyze and synthesize solve problems involving data and develop an measurement, calculation, appropriate plan of care reasoning, analysis, and • Collect data, prioritize synthesis needs and anticipate reactions • Transfer knowledge from one situation to another • Accurately process information on medication containers, providers’ orders, equipment calibrations, policy and procedure manuals, and medical records Conceptual/Spatial Abilities Conceptual/spatial ability • Comprehend spatial sufficient to comprehend three- relationships in order to dimensional and spatial properly administer relationships injections, start intravenous lines, assess wounds of varying depths Clinical Reasoning Ability to reason across time • Evaluate patient or about a patient’s changing instrument responses, condition synthesize data, draw sound conclusions Physical Ability Physical Endurance Physical stamina sufficient to • Walk/stand for extended remain continuously on task for periods of time, turn, up to a 12-hour clinical shift position, and transfer while standing, sitting, moving, patients lifting, and bending to perform • Manually resuscitate patient care activities patients in emergency situations Physical Strength Physical strength sufficient to • Push and pull > 100 pounds perform full range of required • Life/move heavy objects patient care activities from 35-50 pounds 20
Functional Ability Standard Examples of Required Activities Mobility Physical ability sufficient to • Move around in work area move from room to room and and treatment areas maneuver in small spaces; full • Position oneself in the range of motion to twist/bend, environment to render care stoop/squat, reach above without obstructing the shoulders and below the waist, position of other team and move quickly; manual and members or equipment finger dexterity; and hand-eye coordination to perform nursing activities 21
ATTENDANCE POLICY The faculty believes that teaching and learning are interactive processes that facilitate the achievement of objectives by the learner. Attendance in class, clinical, and lab is crucial to meet the learning objectives. Hours allotted for absences are for emergencies only. I. Classroom: A. The student is expected to attend all class sessions and to be on time. The door to the classroom will be locked at the start time of class. Students who are late or those that leave the classroom before a break is given by the instructor may enter on a class break. Attendance time begins at the time the student enters the classroom. Absences will be documented by the amount of time missed each class session. B. Students are responsible for any classroom work which has been missed due to absences. C. After incurring the maximum number of hours allowed for classroom absences, the student will be removed from the program. D. The lead instructor of the course will hold a conference with a student who is habitually tardy to class. A classroom tardy is defined as coming to the classroom after the specified time. This also includes returning late from breaks. II. Lab: A. The student is expected to attend all scheduled lab sessions and to be on time. The door to the lab will be locked at the start time of class. Students who are late will be allowed to enter the classroom on the hour. If you arrive late, but before the hour mark, please wait quietly in the hall until it is time for you to enter the classroom. Attendance time begins at the time that the student enters the classroom. Absences will be documented by the amount of time missed each lab session. B. The student must sign the roll upon entering lab for the day and when leaving for the day. Failure to sign will count as an absence for that day. It is not the faculty’s responsibility to ensure that each student signs the roll. DO NOT sign for another student or sign for a different class time as this is considered falsifying a class roll. Students will be subject to disciplinary actions. C. A student who is absent from lab is responsible for all missed work and is encouraged to attend open lab hours to practice skills taught in the missed lab. D. After exceeding 6.5 hours of absences in lab, the student will be removed from the program. III. Clinical: A. The student who is absent from clinical is required to notify the clinical instructor prior to the beginning of the clinical day. Clinical instructors will provide the student with a contact 22
number/email on the first day of the clinical experience. Failure to follow the clinical attendance policy related to notifying the instructor will result in the following actions: • First infraction – Policy violation and documented on clinical evaluation form • Second infraction – anecdotal report to permanent record and possible dismissal from the Practical Nursing program B. Allowed hours of absence from clinical: Hours of Clinical Absences by Course NUR 101 7 hours NUR 102 11 hours NUR 103 12 hours After incurring more than the allowed hours of absences, the student will be withdrawn from the program with a grade of F for the class. B. Students are expected to arrive to the clinical unit or out rotation unit 10 minutes prior to the start of the clinical day/evening. If the clinical or out rotation is scheduled to start at *6:30 am, the student is expected to arrive on the clinical unit or the designated area by the clinical instructor at *6:20 am. If the student arrives to the clinical or out rotation unit late, up to *6:40 am, the student will be given a policy violation (see below). If the student arrives to the clinical unit or out rotation after *6:40 am, the student will be asked to leave the clinical area and will receive a clinical absence for that day. 1. First infraction – Policy violation and documented on clinical evaluation form. 2. Second infraction – anecdotal report to permanent record and possible dismissal from the Practical Nursing program • *Policies are subject to change; addendums will be provided when changes occur. ** • *Clinical and out rotation start times vary; this policy applies to all start times. Revised 3/2021 23
CLASSROOM ETIQUETTE/RESPONSIBILITIES The student is expected to participate in classroom discussion and to ask questions. The student should not hesitate to ask questions and clarify information that is not understood. The student is responsible for his/her learning and needs prior to each class, lab or clinical. CELL PHONES AND ELECTRONIC DEVICES Classroom and Lab The use of electronic devices (cell phones, laptops, netbooks, tablets, wearable and recordable devices, etc.) for learning purposes is permitted provided they do not disrupt the learning environment or violate academic integrity as defined by the student Code of Conduct. Students who do not comply will be considered in violation of the Student Code of Conduct and appropriate disciplinary action will be taken. (Student Code of Conduct) While in a nursing class or lab, all devices will be placed in a silent or mute mode. Students who disrupt class with electronic devices will be dismissed from class. Clinical Area Cell phones or electronic devices will not be allowed in the clinical/patient areas at any time. Students are not to receive or make telephone calls in the clinical area except in extreme emergency. Students are not to make personal calls from the clinical area. Students are allowed to access their electronic devices in designated non-patient care areas, for completing clinical assignments only, this area may be designated by the instructor. Internet access is limited to school related websites and content while in the clinical area and/or clinical site. Students are responsible for all items brought into the class, lab and/or clinical environment. VOICE/PICTURE RECORDINGS Voice/picture recording in class may be done with the permission of the faculty. There will be no voice/picture recording in the clinical settings. Any electronic devices used in clinical for written assignments are not allowed to be used to take pictures of the patients, equipment, staff, clinical instructors, clinical groups or any other clinical or work-related items on any assigned clinical site property. Photographs of any kind are not allowed in clinical settings. Violation of this policy may result in immediate dismissal from the Practical Nursing program. Reviewed 1/2020 24
PN PROGRAM GRADING SCALE A = 90 – 100 B = 80 – 89 C = 70 – 79 D = 60 – 69 F = 59 and below CALCULATION OF GRADES There will be no rounding at any time in the calculation and recording of grades. Grades are carried out to the hundredths place. (Example: grade 69.9 will be recorded as 69.9 which is a D) PROGRESSION POLICY A grade of at least a B must be maintained in all NUR courses in order to progress and graduate in the Practical Nursing Program. A grade of C or better must be maintained in all required/related courses and program specific courses or their equivalents and is mandatory for admission and progression in the program (BIO 163, PSY 150, ENG 111). If a student receives a grade that is less than C for one of these courses, then the student will be dropped from the program. TESTING POLICY All students in the Practical Nursing Program are to review and abide by the following testing expectations. This policy applies to tests given in the classroom and skills lab portions of the course. Students will take tests on the day and time scheduled. • If a student arrives to class or lab late on the day of the tests, he/she will remain outside of the class and may not enter the classroom during the testing period. • If the student attends any portion of the class or lab on the day of a test, the student will be required to take the test that day, immediately after class is over. The make-up test will not be the same test given in class. • If the student is absent on the day of a scheduled test, he/she must contact the lead instructor by email or telephone by the end of the class on test day. If the student is unable to speak with the instructor, the student should leave a message on voicemail. Failure to contact the instructor will result in a loss of 10 points on the make-up test. • If absent, the student must contact the lead instructor to make arrangements for the make-up test. The make-up test will be taken on the first day the student returns to class/clinical/lab or at the discretion of the lead instructor of the course. Failure to take the make-up test on the designated day will result in a grade of zero. The make-up test must be completed outside regularly scheduled class, clinical, or lab time. • A student is allowed two unit make up tests in Nur 101 and 102, and 1 make up test for Nur 103. A grade of zero will be recorded for any subsequent missed unit tests. 25
• The only item the student is to bring into the classroom is their pencil, highlighter, calculator and car keys, which are to be placed under their chair. Books, book bags, and purses are not allowed in the classroom during a test. • Cell phones, smart watches or other electronic devices are not allowed in the testing area. • Food and drink are prohibited in the classroom during a test. • No hats or hoods are to be on your head during a test. • The student is to sit at the seats designated by faculty and are not to move a test booklet location. • The honor code statement must be signed on the student’s test booklet. • The student is to place their name on the test booklet and scantron • Complete the student ID section of the scantron by bubbling in your 7-digit assigned number. • During the test if the student has a question, they are to raise your hand and the faculty will come to them. Faculty cannot explain a question or define any terms during a test. Do not leave your seat. • When finished with the test, the student will turn the test booklet and scantron over and remain in their seat. The faculty proctors will pick up your test and any other testing items at the end of the testing period. Students are to remain quietly in their seat until the test time expires. • In the event of a personal emergency during a test, the student should raise their hand to alert the faculty proctor. Revised 3/2021 TEST REVIEWS The faculty will review all unit tests, the review will be announced via Blackboard, email or in class. Reviews may be held outside of the regularly scheduled class hours. Students must take the time during the test review to look at the questions and their answers, students will not be allowed to view the test again after the review has ended. Students that score an 80 or below are expected to stay for all unit test reviews. During test reviews the student is expected to abide by the following guidelines: • No books, paper, writing implement or recording or electronic devices will be used during the review (no items allowed on the desk during a review). • There will be no arguing with faculty about test questions during the review. Students will be dismissed and given a policy violation for incivility at that time. • If you disagree with the answer to a question, you are to write a rationale for your answer and submit in writing to the instructor who developed the test within 7 days of the review. The final decision regarding the question, is determined by the faculty that developed the test and the department chair. • Any unit exam issues must be resolved prior to the next exam. • Remediation activities or assignments may be assigned by the lead instructor. • The test booklet is to be turned in to the instructor before leaving the classroom. • If you are unable to attend the scheduled review, you have 7 days from the review day to schedule an appointment with the instructor who developed the test to review your individual test. Students are given one opportunity to review the written test, in test review as a group or by scheduling an appointment with faculty within 7 days of the class test review. • Scantron sheets will never be returned to a student once submitted for grading. • There will not be a scheduled review of final examinations. 26
Revised 3/2020 GRADED ASSIGNMENTS COMPUTER ASSIGNMENTS The grade achieved on the computer-based assignment will be the grade recorded. QUIZZES- GIVEN IN CLASS Quizzes may be announced or unannounced by the instructor. There will be no opportunity to make-up missed quizzes due to absences; if absent for a quiz no grade will be given. GRADED LEARNING ACTIVITIES (GLA)- OUTSIDE OF CLASS ASSIGNMENTS Graded learning activities include worksheets, papers, or other assignments given by the instructor. A zero will be given if the assigned work is not turned in or completed on the specified day and time. If a student is absent on the specified day that assignments are due, the student must submit the GLA the first day he/she returns to class/lab/clinical. LAB TESTS In NUR 101 Lab the student will be given written and skills tests during the semester. The average for the grades must be 80 or higher in order to receive a passing grade in lab. The student must receive a passing grade in the NUR 101 lab in order to successfully complete the NUR 101 course. PHARMACOLOGY CALCULATION TESTS Each semester the student must receive a grade of 80 or higher on a pharmacology calculation test in order to pass the nursing course (NUR 101, NUR 102, and NUR 103). Each student is given three opportunities to achieve this grade. The first pharmacology test will be scheduled during class time. If needed, subsequent tests will be scheduled outside of class time with the lead instructor of the course. Students will be provided a calculator to use during the pharmacology calculation test. Failure to make a grade of 80 or higher on the 3rd attempt will result in immediate dismissal from the program. STANDARDIZED TESTS Throughout the Practical Nursing Program, you will be asked to take standardized tests offered by Health Education Systems, Inc. (HESI). These assessments provide you with information related to your comprehension of nursing content and are an opportunity to practice NCLEX formatted questions. The data that these assessments provide correlates to success on the NCLEX examination. The student will be expected to take the examination when they are scheduled. Students are required to stay the entire time scheduled for the exam. Students completing the exam prior to the allotted time may only utilize the functions of the HESI while waiting for the end of the testing period. There will be no make-up of standardized tests. Remediation will be required of all students not meeting the specified benchmark for the exam. CLINICAL Evaluation of clinical performance is described in the clinical evaluation tool. The student must receive a passing grade in clinical to successfully complete the course. Failure of the clinical component results in failure of the course. 27
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