Survey
* Your assessment is very important for improving the workof artificial intelligence, which forms the content of this project
Download RN Student Handbook - Mohave Community College
Transcript
2016/2017 Mohave Community College RN Nursing Program is accredited by: Accreditation Commission for Education in Nursing 3343 Peachtree Road NE, Suite 850 Atlanta, Georgia 30326 Phone: (404) 975-5000 Fax: (404) 975-5020 Website: www.acennursing.org Mohave Community College RN Nursing Program is approved by: The Arizona State Board of Nursing 4747 7th Street Phoenix, AZ 85014-3653 Phone: (602) 889-5150 Fax: (602) 889-5155 Website: www.azbn.gov DISCLAIMER This manual is provided to assist the student while in the Mohave Community College RN Nursing Program. The Nursing Administration and Faculty reserves the right to make changes without prior notice in all policies, assignments, schedules, courses, grading, curricula, and all other matters contained in this manual. Created: 6/29/16 Table of Contents Nursing Program .......................................................................................................................................................5-15 PURPOSE ......................................................................................................................................................................................... 5 PROGRAM INFORMATION .................................................................................................................................................................... 5 MISSION/VISION STATEMENT .............................................................................................................................................................. 6 GOALS ............................................................................................................................................................................................ 6 PHILOSOPHY ..................................................................................................................................................................................... 6 METAPARADIGM CONCEPTS ................................................................................................................................................................. 7 CURRICULUM CONCEPTS DEFINITIONS ............................................................................................................................................... 8-11 ORGANIZING FRAMEWORK ................................................................................................................................................................. 12 NURSING MODEL ............................................................................................................................................................................ 13 STUDENT LEARNING OUTCOMES .................................................................................................................................................... 14-15 Program of Learning ...............................................................................................................................................16-19 GRADUATION REQUIREMENTS (LPN STEP-OUT CERTIFICATE) .................................................................................................................... 16 TERMINAL OBJECTIVES FOR PN STEP-OUT ............................................................................................................................................ 17 RN GRADUATION REQUIREMENTS (AAS NURSING DEGREE)...................................................................................................................... 18 TERMINAL OBJECTIVES FOR AAS NURSING ............................................................................................................................................ 19 Program of Study Guidelines ..................................................................................................................................20-21 NURSING PROGRAM GUIDELINES ........................................................................................................................................................ 21 APPROVED SEQUENCE FOR PROGRAM OF STUDIES AAS NURSING DEGREE ................................................................................................... 20 Standards for Nurses ..............................................................................................................................................22-27 CODE FOR NURSES ........................................................................................................................................................................... 22 AMERICAN NURSES ASSOCIATION (ANA) PRINCIPLES FOR SOCIAL NETWORKING ........................................................................................... 23 ETHICAL/LEGAL BEHAVIOR ................................................................................................................................................................ 24 NURSE PRACTICE ACT .................................................................................................................................................................. 25-27 Title IX .......................................................................................................................................................................... 28 Student Health ........................................................................................................................................................29-46 ASSOCIATE DEGREE NURSING PROGRAM TECHNICAL STANDARDS .......................................................................................................... 29-33 VERIFICATION OF PERSONAL HEALTH INSURANCE .................................................................................................................................... 34 PREGNANCY DISCLAIMER ................................................................................................................................................................... 35 MCC MEDICAL MARIJUANA POLICY STATEMENT.................................................................................................................................... 35 GUIDELINES FOR DEALING WITH HIV, HBV (PROTOCOL 12) ................................................................................................................ 36-38 DRUG & ALCOHOL SCREENING & SUBSTANCE ABUSE DETECTION & PREVENTION (PROTOCOL 13) ............................................................... 39-46 Consent for Screening ....................................................................................................................................................... 45 Consent for Transportation ............................................................................................................................................... 46 Attendance (Protocol 3)............................................................................................................................................... 47 Clinical Experience Protocols (Protocol 5) .................................................................................................................. 48 Dress Code (Protocol 6) ..........................................................................................................................................49-50 Grading Procedure (Protocol 1) ..............................................................................................................................53-57 THEORY CONTENT ........................................................................................................................................................................... 53 CLINICAL CONTENT ..................................................................................................................................................................... 54-55 NURSING PROGRAM COMPUTERIZED TESTING POLICY (PROTOCOL 2) ..................................................................................................... 56-57 Cheating Includes, But Not Limited To .............................................................................................................................. 56 Policy and Procedure for Computerized Testing................................................................................................................ 56 Policy and Procedure for Computerized Test Problem Solving ..................................................................................... 56-57 Policy and Procedure for Computerized Test Review ........................................................................................................ 57 Failure to Take Test at the Assigned Time......................................................................................................................... 57 Dismissal (Protocol 7) .............................................................................................................................................51-52 REASONS FOR DISMISSAL OF NURSING STUDENT................................................................................................................................ 51-52 EXAMPLES OF UNPROFESSIONAL CONDUCT ............................................................................................................................................ 52 Nursing Skills/Simulation Laboratory Guidelines (Protocol 4) ................................................................................58-59 INTRODUCTION ............................................................................................................................................................................... 58 OBJECTIVE ..................................................................................................................................................................................... 58 LABORATORY ACTIVITIES ................................................................................................................................................................... 58 APPOINTMENTS ......................................................................................................................................................................... 58-59 GENERAL NURSING SIMULATION LABORATORY GUIDELINES....................................................................................................................... 59 Student Rights (Protocol 8) .....................................................................................................................................60-64 NURSING DEPARTMENT HONOR CODE VIOLATIONS ................................................................................................................................. 62 NURSING DEPARTMENT CLINICAL & PROFESSIONAL STANDARDS EXPECTATIONS ............................................................................................ 63 Nursing Program Honor Code ........................................................................................................................................... 64 Withdrawal/Failure/Re-Admission (Protocol 9) .....................................................................................................65-67 WITHDRAWAL ................................................................................................................................................................................ 65 FAILURE OF A COURSE ................................................................................................................................................................. 65-66 READMISSION PROCESS..................................................................................................................................................................... 66 READMISSION GUIDELINES ................................................................................................................................................................. 66 EXAM FAILURE WITHIN A NURSING COURSE ......................................................................................................................................... 67 RN Program Remediation Policy (Protocol 14) ............................................................................................................ 68 PURPOSE ....................................................................................................................................................................................... 68 POLICY .......................................................................................................................................................................................... 68 PROCEDURE ................................................................................................................................................................................... 68 ATI Examination (Protocol 10) ..................................................................................................................................... 69 ADMINISTRATION PROCEDURE ATI EXAMINATION: NURSING I, II, III .......................................................................................................... 69 ADMINISTRATION PROCEDURE ATI RN PREDICTOR EXAMINATION: NURSING IV............................................................................................ 69 Nursing Student Problem Resolution (Protocol 11)..................................................................................................... 70 Nursing Information Technology (Protocol 15) ......................................................................................................71-73 CRITERIA FOR USE OF MOBILE DEVICE DURING CLINICAL & CLASSROOM ROTATIONS ..................................................................................... 71 MCC INFORMATION TECHNOLOGY: ACCEPTABLE USE OF INFORMATION TECHNOLOGY ................................................................................... 72 MCC TECHNOLOGY RESOURCES ......................................................................................................................................................... 72 PROHIBITED USE ........................................................................................................................................................................ 72-73 Appendix ...............................................................................................................................................................74-108 A) B) C) D) E) F) G) H) AZBN LEGAL LIMITATIONS FOR NURSE LICENSURE ....................................................................................................................... 75-77 ESSENTIAL SKILLS & FUNCTIONAL ABILITIES FOR NURSING .............................................................................................................. 79-81 PORTFOLIO EXPECTATIONS ........................................................................................................................................................... 83 RN DEPARTMENT REQUEST FOR READMISSION ................................................................................................................................ 85 RN PROGRAM HANDBOOK RECEIPT ............................................................................................................................................... 87 MCC STUDENT RESPONSIBILITY STATEMENT ................................................................................................................................... 89 NATIONAL PATIENT SAFETY GOALS ................................................................................................................................................ 91 HIPAA .............................................................................................................................................................................. 93-96 RN Department HIPAA Information .................................................................................................................................. 93 Information Security .................................................................................................................................................... 94-95 HIPAA Statement .............................................................................................................................................................. 96 I) MCC RN STUDENT SELF-REMEDIATION FORM/SUCCESS PLAN ....................................................................................................... 98-99 J) HEALING COMMUNITY NURSING CURRICULUM ........................................................................................................................ 101-106 NUR 121 Nursing I: Clinical Competencies ...................................................................................................................... 101 NUR 122 Nursing II: Clinical Competencies ..................................................................................................................... 102 NUR 221 Nursing III: Clinical Competencies ............................................................................................................. 103-104 NUR 222 Nursing IV: Clinical Competencies ............................................................................................................. 105-106 K) STUDENT REPRESENTATIVE COMMITTEE GUIDELINES ........................................................................................................................ 108 PURPOSE The Mohave Community College Department of Nursing provides students with the opportunity to acquire the knowledge and skills requisite to the safe, effective practice of nursing. The Associate of Applied Science Degree nurse uses the nursing process in supervised settings in assisting the client to optimal wellness, comfort or a peaceful death. The Associate of Applied Science Degree nurse fulfills the roles of provider of care, advocate, researcher, counselor, communicator, teacher, manager, and member of the profession while exemplifying the qualities which are essential to the development of the nurse. These qualities are incorporated throughout the four core nursing courses and include caring attitude, clinical competences, and critical thinking skills. PROGRAM INFORMATION The Nursing Program from Mohave Community College is approved by the Arizona State Board of Nursing and is accredited by the Accreditation Commission for Nursing Education (ACEN). Once a student graduates with an Associate of Applied Science Degree in Nursing, he/she is eligible to take the RN-NCLEX (National Council Licensure Examination) to become licensed as a Registered Nurse is if he/she meets requirement of the Nurse Practice Act, Statutes, Rules and Regulations (July, 2011) which are independent of any college or nursing department requirements for graduation. It is the student’s responsibility to be familiar with the Arizona State Board of Nursing requirements, and to meet the guidelines. The Nursing Handbook is designed provide students with specific policies, practices, protocols and objectives of the Nursing Department. The information compliments the Mohave Community College catalog and Student Handbook. This handbook also contains information regarding the Nursing Department philosophy, as well as the educational model upon which curriculum is developed. Travel between campus sites for lecture and clinical experience is required throughout the Nursing Program for all students in all semesters. The student must be familiar with requirements to obtain the AAS-Nursing degree. It is the student’s responsibility to verify courses and credit obtained on the degree audit each semester. The two agencies that have oversight of the Mohave Community College Nursing Program are as follows: Revised: 8/2012 Accreditation Commission for Nursing Education (ACEN) 3343 Peachtree Road NE, Suite 850 Atlanta, GA 30326 Phone: 404.975.5000 Fax: 404.975.5020 www.acenursing.org P a g e |5 Arizona State Board of Nursing (AZBN) 4747 N. 7th Street, Suite 200 Phoenix, AZ 85014-3653 Phone: 602.771.7800 Fax: 602.771.7888 Email: [email protected] www.azbn.gov Philosophy of the MCC Nursing Department PHILOSOPHY The Department of Nursing at Mohave Community College shares the intent of the Healing Community, which is an educational consortium comprised of community college/university faculty committed to a seamless articulation model for nursing education. This process provides a mechanism, by which an individual pursues life goals, broadens human potential and opportunities, develops critical thinking and clarifies values. The Mohave Community College nursing faculty members’ philosophy reflects the values of culturally diverse human life and dignity, environment, health, and nursing. The philosophy promotes excellence for nursing education and practice incorporating changes aimed at current and emerging healthcare trends in the rural southwest. The Mohave Community College nursing faculty believes that nursing is an art and science that is an integral component of the health care system and value the different levels of knowledge, skills, and abilities of competent and caring practitioners within the discipline of nursing. Nursing practice is holistic and focuses on transitional experiences and their meanings for individuals, families, groups and communities related to health and illness. Special attention is given to the full range of health related experiences rather than a problemfocused orientation. Each faculty member serves as a facilitator of the nursing students’ learning process. The Mohave Community College nursing faculty believes: Students take ownership of learning and have diverse individual learning needs. Students come to us from diverse cultural and ethnic backgrounds. Students will set a range of personal goals based on their prior exposure to health care and life experiences. Students are primarily adult learners with various learning styles and person support systems. The nursing faculty believes that learning is a life-long process. We also believe the transition to the role of competent professional nurse is a major developmental achievement. It is the faculty who facilitate this transition, but the student must take ultimate responsibility for his/her own learning. Mission/Vision: “The mission of the MCC Nursing Department is to inspire, promote and empower students in learning the art and science of nursing leading to excellence and success in professional practice.” The mission of the AAS Nursing Program in accordance with the mission of Mohave Community College is to provide high-quality, learning-center education that prepares graduates to meet the health needs of a diverse population in a variety of dynamic community environments. The faculty is committed to the excellence and innovation in advancing the art of nursing through, caring, knowledge, collaboration, fostering communications, interpersonal interactions, and the use of technology in the classroom and clinical settings. The goals of the Mohave Community College Nursing Department are to: Prepare graduates for safe and effective clinical practice as evidenced by ATI results, ATI Comprehensive Predictor results, employer feedback, graduation rates and licensure exam results. Promote the current existing and establishment of new “tag (articulation) agreements” for BSN. 50% of graduates attain BSN within 2 years with eventual goal of 80% attaining BSN in 5 years. Attain 95% pass rate on RN-NCLEX® examination and maintain pass rate higher than National Average. Maintain national nursing accreditation. Reviewed: 5/15 P a g e |6 GOALS Metaparadigm Concepts The following concepts guide the implementation of the organizing framework: CLIENT Faculty define client as being the individual, family, groups and community. Faculty places a high value on culturally diverse human life and dignity. All life experiences involve dynamic and complex processes of human development an achievement of personal growth through learning. Recognizing these processes, faculty view each client as a unique, dynamic being which is more than and different from the sum of bio-psycho-social, cultural, spiritual, and developmental dimension and which is interdependent with an ever changing environment. People come from diverse cultural backgrounds, which influence the ways in which each client constructs reality, sets personal goals and assigns meaning to life’s experiences. Individuals have the right to choose from multiple options that are available in daily living experiences, but also accept responsibility for their choice. ENVIRONMENT The environment is comprised of internal and external forces which affect individuals, families, groups and communities. Environmental forces influencing everyday life include, but are not limited to bio-psycho-social, cultural, spiritual and developmental dimensions, political and economic structures, physical surroundings, and human relations. HEALTH Health is a dynamic process that is self-defined by individuals, families, groups and communities and is influenced by personal, family, cultural and societal norms. TRANSITIONS Transition denotes a passage or change of, from one condition to another. Nurses may deal with developmental, situational, health/illness, and organizational transitions. Transitions are multifaceted and potentially complex processes, which occur over time and involve multidirectional movement from one state to another and changes in life patterns. Nurses assess meanings and expectations ascribed to transitions. Outcomes of transitions include, but are not limited to, subjective well-being, role development and mastery, and well-being within relationships. Nursing therapeutics facilitate healthy transitions. NURSING THERAPEUTICS REVIEWED 5/2015, REVISED 7/16 P a g e |7 As a practice discipline, nursing strives to gain knowledge about client’s experiences and meanings associated with health and illness. Nursing therapeutics are concerned with assessing health patterns, implementing, evaluating activities and actions that promote, maintain, or restore the health individuals, organizational transitions. The goal of nursing therapeutics is to develop methods to foster human choices and independence that lead to healthy transition; it is the role of the nurse to assist the client using nursing therapeutics. The foundation for implementing nursing therapeutics is the nurse client interaction and the major expression of nursing therapeutics is client outcome. Curriculum Concept Definitions CLINICAL COMPETENCY Clinical competency is inherent to the practice of nursing. Clinical competency is defined as the ability to plan and carryout knowledgeable, efficient and safe nursing care and assumes an awareness of one’s own limitations. The achievement of clinical competency is evidenced by the student’s ability to provide nursing care in increasingly complex settings and situations. Students are required to master the core competencies that include: 1) Achieving a minimal knowledge base 2) Practicing safe and effective nursing care 3) Demonstrating basic nursing skills At the associate level, the students learn the skills and knowledge needed to demonstrate competency in classroom and laboratory settings. They begin their initial clinical experiences to become familiar with nursing skills and clinical judgment. Subsequently, students continue to develop proficiency in their skills and knowledge base for providing nursing care that is based on evidence-based practice principles and maintains client confidentiality. Students must prove their competency to demonstrate responsibility and accountability in well-defined practice settings with individuals, families and groups. At the baccalaureate level, students display a synthesis of nursing knowledge and skills by demonstrating competency in nursing practice. They must prove their competency to provide and coordinate nursing care by developing and implementing a comprehensive plan of care with individuals, families, groups and communities in complex practice settings. Students reflect the knowledge and skills that are needed to practice safely and efficiently as professional nurses. CRITICAL THINKING Critical thinking is “based on the evaluation and integration of existing data and theory into a solution about the problem at hand, a solution that can be rationally defended as most plausible or reasonable, taking into account the sets of conditions under which the problem is being solved” (King and Kitchener, 1994, p. 8). Critical thinking is defined as reflective judgment and reasonable thought that focuses on deciding what to believe or do and is a composite of attitudes, knowledge and skills. Attitude denotes a frame of mind in which there is the recognition of problems. Knowledge involves weighing the accuracy and logic of the evidence and understanding the nature of valid inferences, abstractions, and generalizations. Skill in cognitive application attitudes and knowledge must be demonstrated. Clinical judgment is the framework within which nurse educators expect students to apply critical thinking skills. Students are required to use knowledge from the natural, behavioral, social and nursing sciences and humanities to assess, plan, implement and evaluate care. They need to be able to arrive at decisions that are specific to the particular circumstances of each individual, family, groups and community to facilitate health. At the baccalaureate level, students integrate information from all previous nursing and general studies courses to initiate interventions that are based upon in depth assessments of individuals, families, groups and communities. Using this information, they formulate independent, complex decisions that relate to nursing care. P a g e |8 At the associate degree level, students are required to derive information from general studies and nursing theory research to use as a basis for nursing decisions. They learn to develop nursing interventions by selectively evaluating and integrating knowledge. At this level, students also learn to assess the health as well as the multidimensional human responses of individuals, families, and groups at a basic level. Subsequently, students are required to apply information derived from individuals, families and groups to structure clinical judgments and decision-making, for common nursing problems. CARING Caring is an essential component of nursing which involves the therapeutic use of self within the context of nursing practice. Caring requires a personal, social, moral and spiritual engagement of the nurse. The nurse is committed to self and others. Caring involves the protection, enhancement and preservation of human dignity. Therapeutic caring is intentional in nature and is promoted by knowledge, awareness of need, and use of empathy. Therapeutic caring is of benefit to the client. Caring actions do not occur in isolation, but exist within the socio-cultural context of all individuals involved. At both the associate and baccalaureate levels, students demonstrate and integrate caring behaviors into nursing practice. Students learn to differentiate between caring as an emotional response and a knowledgeable, deliberative intervention. Students incorporate the experience of the client into the self, interaction between their own feelings based on their own past experiences and the experiences identified and incorporated from the other person. They use this knowledge with cognitive and psychomotor activities to produce purposeful outcomes that protect, enhance, and preserve human dignity. CULTURE Important relationships between culture/diversity and health care require nursing faculty to acknowledge and integrate culture-related influences that help shape how individuals, families, groups and communities experience and ascribe meaning(s) to health and illness related phenomena. Culture refers to the acquired knowledge that groups (and individuals as members of groups) use to interpret life experiences and to generate social behavior. Nursing professionals need to learn, understand, acknowledge and integrate in practice the values, beliefs and daily living patterns of diverse cultural and subcultural orientations. At the associate level, students learn to recognize ways that culture/diversity affects health care experiences of individuals. Students learn basic concepts of culturally competent caring. Students begin to develop and expand the awareness, sensitivity, knowledge and skills that constitute culturally competent and meaningful cross-cultural encounters and care. Students use relevant culture-congruent and culture-specific understandings and knowledge to elicit and analyze information and to plan culturally appropriate nursing care. They also recognize, acknowledge, and learn to manage interactions between one’s own cultural/subcultural orientation(s) and those of individuals, families and groups, with whom they interact. At the baccalaureate level, students build on the associate level to incorporate cultural concepts and social dynamics in complex clinical judgment and problem solving with individuals, families, groups and communities. COMMUNICATION Communication theory and application provide the student with the skills needed to interact with clients in a therapeutic manner. In implementing the nursing process, the student applies therapeutic communication relevant to the beliefs and value system of those receiving care. The student then adapts communication appropriate to the cultural background, education, development and health of the individual, family, group or community. P a g e |9 Communication is the means of sending and receiving messages through symbols, words, signs and gestures. A student rings to the program communications skills learned through life experiences and prior formal education. These are the foundations upon which theory and application necessary for therapeutic nurse/client interactions and relationships are built. Effective goal accomplishment in the nurse/client relationship is dependent upon the ability to collaborate with nurse peers and other healthcare professionals. The student learns the terminology and the processes that support relationships with colleagues. These processes include clear, accurate, timely written and verbal communication. Formal presentations and papers contribute to the development of students as colleagues and nursing professionals. At both the associate and baccalaureate levels, students are expected to use effective communication. Students are exposed to basic communication and interpersonal theories. Students engage in health history taking and learning about the process of developing a caring relationship. They apply the beginning skills needed to develop a therapeutic relationship with individuals in a clinical setting. Communication skills are applied to individuals, families, and groups across the lifespan and among culturally diverse populations. Students are prepared to transmit pertinent healthcare information to other members of the healthcare team. Students explore, analyze and evaluate communication processes with clients. LEARNING - TEACHING The learning-teaching process is an ongoing, dynamic, interpersonal process whereby both the learner and the teacher grow, that is, become different from before. Learning is a process of sensory perception, conceptualization, and critical thinking. Teaching is the facilitation of learning based upon various principles of education as well as the theories in human development and learning. Through the learningteaching process, the nurse facilitates health promotion, maintenance and restoration of clients’ health. Faculty serves as catalysts, facilitators and role models. Educational activities are designed to build upon the student’s previous experiences, expand their perceptions, encourage them to clarify, modify and/or reaffirm their values, incorporated knowledge and enhance their interpersonal relations. Through this process, the student has opportunities to develop the ability to think critically, act responsibly, be creative, and communicate effectively. Learning-teaching is most effective when the student is an active participant in the process. Thus, the student implements choices and selected opportunities to develop personal learning-teaching objectives and experiences. At the associate level, students identify components of the learning-teaching process. They perform a learning-teaching needs assessment and develop a teaching plan for a learning need in a cognitive, affective, or psychomotor domain. Students incorporate the learning-teaching role into the nursing role. They develop teaching projects for an individual, family or group situations. At the baccalaureate level, students integrate learning-teaching principles to assess individual, family, group or community learning needs. They develop and conduct appropriate interventions to meet an identified need as well as an evaluation of learning. ACCOUNTABILTY The practice of nursing responds to healthcare needs of individuals, families, groups and communities through services such as case finding, health teaching, health counseling, and the provision of supportive or restorative care. Nurses are held responsible and accountable for nursing practice based upon the professions’ code of ethics, standards of practice and legal regulations. Nurses are responsible for developing and maintaining current nursing knowledge and skills through formal continuing education and, where appropriate, seek certification in their areas of practice demonstrating this accountability. Peer review and laws are the mechanisms by which nurses are held accountable for practice. P a g e | 10 Faculty fosters the development of professional responsibility and accountability through student’s selfregulatory mechanisms such as student self-appraisal, standards of academic integrity, honesty, and the maintenance of confidentiality. At both the associate and baccalaureate level, responsibility and accountability are foundational to nursing practice. Students identify, explore and analyze the ethical, legal and political factors that impact upon the role of professional nursing in the healthcare delivery system. Nurses are expected to demonstrate responsibility and accountability to their levels of education, experience and standards of practice that are expected. MANAGEMENT/LEADERSHIP Management and leadership skills are essential elements of nursing practice. Through knowledge and application of the theories and principles of management and leadership, nurses organize high quality healthcare to individuals, families, groups and communities. Management in nursing occurs at all levels of practice and involves coordination of client care, participation in organizational and fiscal concerns, resource utilization and responsibility associated with client care. Faculty facilitates acquisition of the human, technical and conceptual skills students need to become effective managers of client care. Leadership is the ability to influence and guide the decisions and subsequent actions of others. Developing leadership skills involves self-reflection, understanding and analyzing multidimensional delivery system introduces students to the importance of nursing involvement in professional organizations, political processes and organizational procedures. At the associate degree level, students learn traditional and contemporary theories of management and interpersonal processes. Knowledge and skills are developed in the supervision and delegation of nursing personnel, coordination of client care and client advocacy. At the baccalaureate level, students integrate management and leadership knowledge and skills into professional practice in multi-disciplinary settings. Emphases are on assuming a leadership role in the designing, organizing, directing, supervising, coordinating and evaluating healthcare in diverse settings. Information Technology The Electronic Medical Record and increased technology of the medical profession has lead the nursing program at Mohave Community College to integrate information technology and management into the clinical setting and curriculum. Informatics and Technology are part of the nurse of the future and the NCLEX test plan. INFORMATION MANAGEMENT & TECHNOLOGY Integrates technology to assist in providing safe, effective client care. Manages information confidentially and effective to insure positive client outcomes. The Nurse of the Future Nursing Core Competencies 1. Patient –Centered Care 2. Professionalism 3. Informatics and Technology 4. Evidence-Based Practice (EBP) 5. Leadership 6. Systems-Based Practice 7. Safety 8. Communication 9. Teamwork and Collaboration 10. Quality Improvement P a g e | 11 REVIEWED 5/2015, 6/16 Organizing Framework Faculty have developed and adopted an organizing framework as the basis for the course objectives, exit outcomes, and for nursing education. This framework represents a systematic organization of concepts that are the essential components of the curriculum. The framework serves as a guide and provides direction for faculty to organize nursing knowledge into nursing courses, clinical experiences and independent studies. Transitions are a nursing model used to interpret the interrelatedness of the four domains of nursing. Transitions denote change, or passage, from one state to another, the time in a person’s life when he or she is most likely to be under the care of a nurse. This model allows students to see clients in context and “offers a key to interpreting person-environment interactions in terms of their actual and potential effects on health” (Chick & Meleis, 1986, p. 239). The model includes all areas of basic client needs; psychosocial, spiritual, cultural, physiological, situational and developmental. This model includes the concepts addressed in the NCLEX® examination; effective care, physiological integrity, psychosocial integrity, and recovery/health promotion (Lusk & Decker, 2000). Though two of the NCLEX® need categories have been renamed to safe, effective care environment and health promotion and maintenance, the model remains effective in articulation our curricular approach. The conceptual framework consists of eight strands; caring, communication, clinical competency, critical thinking, culture, learning/teaching, management/leadership and accountability. These strands represent areas of competence, which are attributes of professional nurses. This is an integrated curriculum where all strands are addressed in each course, progressing in complexity over the entire curriculum. Outcome objectives for each of the strands are developed for level one which is at the end of two semesters (PN exit) and level two which is at the end of four semesters (associate degree), and level three which results in completion of the bachelor of science in nursing degree. Reviewed: 5/15 P a g e | 12 In the Mohave Community College Program, the curriculum begins at the freshmen level (Level I or first year) in which students begin foundational course work for nursing through various articulation agreements and ends at the completion of the second level (Level II or second year) with the completion of the AAS Degree. The student may then gain Registered Nurse licensure and apply to a RN-BSN program. The outcome goal of this curricular approach is to integrate the concepts depicted in the organizing framework that facilitates seamless articulation and promote professional nursing. Competency Culture Communication Learning – Teaching Critical Thinking Leadership Caring Accountability Healing Community Nursing Model P a g e | 13 ©Marilyn Lusk, 1999 Outcomes The Primary goal of the Nursing Program at Mohave Community College is to prepare a general practitioner in nursing who reflects the following outcomes. OUTCOMES ASSOCIATE of APPLIED SCIENCE DEGREE GEN ED PHILOSOPHIES Accountability Practice within the ethical and legal frameworks of current nursing practice standards as well as reflecting political awareness. 5 Caring Applies and integrates caring behaviors that demonstrate respect for the human condition. 1 Communication Clinical Competence Uses effective communication to achieve mutually defined goals in collaboration with clients and other members of the health care team. Utilizes evidence-based practice principles and nursing skills to provide safe and effective therapeutic nursing interventions in welldefined practice settings to individuals, families and groups. 2&6 6&5 Critical Thinking Uses theory, principles of evidence-based practice, and research to formulate clinical judgments and guide nursing practice. 3&6 Culture Applies principles of cultural competency in the provision of nursing care to individuals, groups, and families. 4 Selects, adapts and implements learning-teaching activities to address health needs of individuals, families, and groups. 1 Collaborates with other personnel within the organizational structure to manage client care through supervision, delegation, coordination and advocacy. 5&6 Learning-Teaching Leadership/Management * Informatics is embedded and integrated in all semesters of the RN Program. Use of informatics throughout all clinical experiences, which includes and is not limited to charting on EMR, utilizing electronic resources available at the clinical facilities and all electronic equipment used at the clinical facilities. (6) Informatics and Technology: Integrates technology to assist in providing safe, effective client care. Manages Information confidentially and effectively to insure positive client outcomes. Mohave Community College General Education Philosophy Mohave Community College’s general education emphasizes breadth of knowledge and academic skills to complement the depth of knowledge students will acquire in the individual major. The general education curriculum at MCC is designed to provide students with the following skills. 3. 4. 5. 6. Aesthetic Sensibilities: An appreciation of creative expression in the world around us. Communication Skills: The ability to effectively convey meaning through various media on both personal and professional levels. Critical Thinking Skills and Problem-Solving: The ability to analyze data and arrive at logical and defensible conclusions. Cultural Diversity and Global Awareness: An appreciation of relationships and differences in values, customs, and norms of diverse global communities. Techniques of Inquiry: Use of standardized methodological framework to collect, analyze, interpret, and present findings. Technological Competency: A proficiency in evolving technology to compete and flourish in society. Reviewed: 5/15, Revised: 6/16 P a g e | 14 1. 2. P a g e | 15 PN Step-Out Certificate Completion Requirements PN Step-Out Certificate To complete the certificate program for practical nurse, the graduate must complete the following requirements: 1. Successful completion with a “C” or better of NUR 121 (Nursing I), NUR 122 (Nursing II), NUR 227 (Pharmacology), NUR 123 (Transition to Practical Nurse) and all education core courses for the practical nurse certificate. NUR 221 (Nursing III) with a “C” or better grade may be completed in lieu of NUR 123 (Transition to PN). 2. Complete the Mohave Community College petition to graduate, obtain the appropriate Student Services representative’s signature, and pay fee. Petition to graduate deadline is March 1 for spring notation and November 1 for fall notation on certificate. 3. Obtain Arizona State Board of Nursing application and NCLEX application online from the Arizona State Board of Nursing. 4. Remove Certificate of Completion for Arizona Graduates from the Arizona State Board of Nursing application packet, complete name, social security number and level of completion and return to the Office of the Director of the RN Program. 5. Complete the online Petitions to Graduate and meet with a Mohave Community College Student Service Advisor. To be eligible to write the NCLEX examination the student must: Reviewed: 5/15, Revised: 6/16 P a g e | 16 1. Two months prior to graduation return completed application and fees to NCLEX. 2. One month prior to graduation return completed application and fees to the Arizona State Board of Nursing. Terminal Objectives for PN Step-Out Program Upon successful completion of the certificate program for practical nurses, the graduate will be able to: ACCOUNTABILITY Apply ethical, legal and professional standard principles to practical nursing scope of practice. CARING Demonstrate physical, emotional, cultural and spiritual components of caring behaviors for self and others. COMMUNICATION Demonstrate communication skills in interactions with clients, families, peers, faculty and others. CLINICAL COMPETENCY Demonstrate use of evidence-based practice principles and nursing skills in well-defined settings to provide safe and effective therapeutic nursing interventions for self and for individuals and families experiencing transitions. CRITICAL THINKING Begin to use theory, evidence-based practice principles to formulate clinical judgments and enhance professional role development. CULTURE Recognize that biological and cultural diversities impact self and others’ experiences with health care. LEARNING/TEACHING Apply learning principles for health promotion, restoration, maintenance and illness prevention for individuals and families across the lifespan. MANAGEMENT/LEADERSHIP Implement basic management skills with individuals, families and other members of the healthcare team. The Electronic Medical Record and increased technology of the medical professions has lead the nursing program at Mohave Community College to integrate information technology and management into the clinical setting and curriculum. Reviewed 5/15 P a g e | 17 INFORMATION MANAGEMENT & TECHNOLOGY Uses technology to assist/coordinate in providing safe, effective client care. Maintains information confidentially to assist with positive client outcomes. RN Program Completion Requirements AAS-Nursing Degree To complete the AAS-Nursing degree program for Registered Nurse, the graduate must complete the following requirements: 1. Successful completion with a “C” or better of NUR 121 (Nursing I), NUR 122 (Nursing II), NUR 227 (Pharmacology), NUR 221 (Nursing III), NUR 228 (Mental Health, OB and Pediatric Pharmacology), NUR 222 (Nursing IV), NUR 229 (Advanced Pharmacology) and all educational core courses for the AAS-Nursing Degree. 2. Complete the Mohave Community College petition to graduate, pay fee and obtain the appropriate Student Services representative’s signature. Petition to graduate deadline is March 1 for spring notation, and November 1 for fall notation on diploma. 3. Obtain Arizona State Board of Nursing and NCLEX application online from the Arizona State Board of Nursing. 4. Remove Certificate of Completion for Arizona Graduates from the Arizona State Board of Nursing application packet, complete name, social security number and level of completion and return to the Office of the Director of the RN Program. 5. Complete the online Petition to Graduate and meet with a Mohave Community College Student Service Advisor. 6. Purpose of the RN-Readiness exam is to provide information to successfully pass a standardized RNReadiness NCLEX® examination. Measure the ability of senior students to think critically and synthesize knowledge to make safe judgements and decisions in the discipline of nursing. Predict probability of passing the NCLEX-RN exam. To be eligible to write the NCLEX examination the student must: 1. Two months prior to graduation return completed application and fees for NCLEX®. 2. One month prior to graduation return completed application and fees to the Arizona State Board of Reviewed: 5/15, Revised: 6/16 P a g e | 18 Nursing. 3. If seeking licensure in the state of Utah, check for possible changes or updates with the Utah State Board of Nursing. RN Terminal Objectives for AAS-Nursing Upon successful completion of the Associate Degree of Nursing program, the graduate will be able to: ACCOUNTABILITY Practice within the ethical and legal framework of current nursing practice standards as well as reflecting political awareness. CARING Apply and integrate physical, emotional, cultural and spiritual components of caring behaviors that demonstrate respect for the human condition for self, individuals, families and groups. COMMUNICATION Communicate effectively in complex situations to achieve mutually defined goals in collaboration with clients, families, peers, faculty and other members of the healthcare team. CLINICAL COMPETENCIES Utilize evidence-based practice principles and nursing skills to provide safe and effective therapeutic nursing interventions for self and for individuals, families and groups experiencing transitions in well-defined practice settings. CRITICAL THINKING Use theory, principles of evidence-based practice, and research to formulate clinical judgments and guide nursing practice. CULTURE Apply principles of cultural competency in the provision of nursing care to individuals, groups, and families. LEARNING/TEACHING Identify, adapt and implement the learning/teaching process to address the needs of individuals, families and groups. MANAGEMENT/LEADERSHIP Collaborate with other personnel within the organizational structure to manage client care through supervision, delegation, coordination, procurement of available resources and advocacy. The Electronic Medical Record and increased technology of the medical professions has lead the nursing program at Mohave Community College to integrate information technology and management into the clinical setting and curriculum. INFORMATION MANAGEMENT & TECHNOLOGY Integrates technology to assist in providing safe, effective client care. Manages information confidentially and effective to insure positive client outcomes. The Nurse of the Future Nursing Core Competencies Reviewed 5/15, Revised 7/16 5. Leadership 6. Systems-Based Practice 7. Safety 8. Communication 9. Teamwork and Collaboration 10. Quality Improvement P a g e | 19 1. Patient –Centered Care 2. Professionalism 3. Informatics and Technology 4. Evidence-Based Practice (EBP) Registered Nursing Associate of Applied Science Name: ID#: Date: This program is designed to prepare students for a career as a registered nurse. Students must have completed prerequisites described below before applying for admission to this program. Students successfully completing the program will be eligible to take the national licensure examination for registered nurses. The program is approved by the Arizona State Board of Nursing and accredited by the Accreditation Commissions for Nursing Education (ACEN). Student Study Skills Requirement: Accuplacer (New students to the college) Fall Year One NUR 121 Nursing I *ENG 102 English Composition II Credits 8 Grade Grade Prerequisites Comment 3 Grade Admission to Nursing Program Completion of ENG 101 with a grade of “C” or better. 8 Grade Successful completion of NUR 121 3 3 Grade Grade NUR 121, LPN or Paramedic license 8 Grade Successful completion of NUR 121, 122, NUR 227 LPN –NUR 137 1 Grade NUR 121, NUR 122, NUR 227 8 Grade Successful completion of NUR 121, NUR 122, ,NUR 221, co-req: NUR 227, NUR 228 1 Grade NUR 121, NUR 122, NUR 227 coReq NUR 221 & NUR 228 Spring Year One NUR 122 NUR 227 *PSY 245 Nursing II Pharmacology for Nursing Lifespan Development Successful completion of PSY 101 Fall Year Two NUR 221 NUR 228 Nursing III Pharmacology for Nursing Specialties Spring Year Two NUR 222 Nursing IV Advanced Pharmacology NUR 229 TOTAL DEGREE CREDITS 72-73 Requirements for Graduation: ☐ Pass all core nursing courses and co-requisite courses with a “C” grade or better. TRANSFER STUDENTS MUST complete a minimum of 1/3 of their required program credits at MCC to graduate. This could mean you may have to take some of the required programs courses over to meet the minimum of 1/3 of the required program credits at MCC. Admission Prerequisite Courses Complete prior to applying for acceptance into the MCC Nursing Program. *Preferred classes with Gen. Ed Signature: MCC RN Program 6/14, 5/15 ☐ TEAS Test minimum composite score of 60, strive for 70 or higher ☐ PreCheck ☐ DPS Card ☐ 3 letters of recommendation After acceptance into the program ☐ Immunizations or titers ☐ MMR ☐ Varicella ☐ Hep B ☐ Tdap ☐ CPR – Healthcare Provider (American Heart AED/CPR Association) ☐ TB 4th semester of nursing program ☐ Graduation Application and application to state board of nursing for NCLEX Date: P a g e | 20 ☐ BIO 100: Biology Concepts (or) BIO 181: General Biology ☐ CHM 130: Fundamental Chemistry (or) CHM 151: General Chemistry ☐ *BIO 201: A&P I ☐ *BIO 202: A&P II ☐ *BIO 205: Microbiology ☐ *ENG 101 English Composition I ☐ *MAT 142 (or) *MAT 151 ☐ *PSY 101: Introductory Psychology Nursing Program Guidelines 1. All education core courses must be satisfactorily completed according to the AAS Nursing approved sequence for program of studies for the AAS Nursing Degree. Failure to comply will result in delay of progression within the nursing program. It is the student’s responsibility to verify the courses and credits obtained on the degree audit each semester and that all courses are completed in the appropriate timeframe. 2. CLEP and proficiency examinations must be taken early enough for results to be recorded prior to the semester the course is to be offered. 3. Advanced placement for nursing students will be granted as follows: Licensed Practical Nurses, upon successful completion of an LPN Articulation course, will receive credit for: NUR 121 (Nursing I), NUR 122 (Nursing II). 4. Pharmacology Classes Protocol: For all nursing pharmacology classes (NUR 227, 228, 229), if a student fails any pharmacology class, the student must retake the course the following academic year semester and may not progress to the next nursing or pharmacology class until the failed pharmacology class is passed. If the student does not pass the class after two separate attempts, the student will not be able to continue in the nursing program. o Students who fail a pharmacology course in the fall must retake the same course in the spring, and may not take the next level nursing or pharmacology class in conjunction with the pharmacology class they have failed. o Students who fail a pharmacology course in the spring must retake the same course in the fall – they may not take it in the summer – and may not take the level nursing or pharmacology class in conjunction with the pharmacology class they have failed. Approved Sequence for Program of Studies for AAS-Nursing Degree First Semester NUR 121 Nursing I Third Semester 8-Credits (Prerequisite: Acceptance to Nursing Program) NUR 221 NUR 228 Nursing III Mental health, OB and Pediatric Pharmacology 8-Credits 1-Credit (Prerequisites: NUR 121, NUR 122, NUR 227 or admission of PN into NUR III). Second Semester NUR 122 NUR 227 Nursing II Pharmacology (Prerequisite: NUR 121) Fourth Semester 8-Credits 3-Credits NUR 222 NUR 229 Nursing IV Advanced Pharmacology 8-Credits 1-Credit (Prerequisites: NUR 121, NUR 122, NUR 221, NUR 227, NUR 228) A Pharmacology dosage examination will be administered in each nursing course and must be passed with a 100%. Reviewed 5/15 P a g e | 21 Students are required to meet a minimum passing score of the standardized RN-Readiness NCLEX®. Code for Nurses The Nursing Department believes all nurses and nursing students should follow a professional code of ethics. The American Nurses’ Association developed the following Code for Nurses: Provision 1: The nurse practices with compassion and respect for the inherent dignity, worth, and unique attributes of every person. Provision 2: The nurse’s primary commitment is to the patient, whether an individual, family, group or community. Provision 3: The nurse promotes, advocates for, and protects the rights, health, and safety of the patient. Provision 4: The nurse has authority, accountability, and responsibility for nursing practice; makes decisions; and takes action consistent with the obligation to promote health and to provide optimal care. Provision 5: The nurse owes the same duties to self as to others, including the responsibility to promote health and safety, preserve wholeness of character and integrity, maintain competence, and continue personal and professional growth. Provision 6: The nurse, through individual and collective effort, establishes, maintains, and improves the ethical environment of the work setting and conditions of employment that are conducive to safe, quality health care. Provision 7: The nurse, in all roles and settings, advances the profession through research and scholarly inquiry, professional standards development, and the generation of both nursing and health policy. Provision 8: The nurse collaborates with other health professionals and the public to protect human rights, promote health diplomacy, and reduce health disparities. Provision 9: The profession of nursing, collectively through its professional organizations, must articulate nursing values, maintain the integrity of the profession, and integrate principles of social justice into nursing and health policy. P a g e | 22 ANA Code for Nurses: 2001 Revision, updated 2014 from website American Nurses Association (ANA) Principles for Social Networking Students are expected to adhere to the ANA’s Principles for Social Networking as listed below. Violations of these principles may result in termination from the Nursing Program. ANA’s Principles for Social Networking 1. Nurses must not transmit or place online individually identifiable patent information. 2. Nurses must observe ethically prescribed professional patient-nurse boundaries. 3. Nurses should understand that patients, colleagues, institutions, and employers may view postings. 4. Nurses should take advantage of privacy settings and seek to separate personal and professional information online. 5. Nurses should bring content that could harm a patient’s privacy, rights, or welfare to the attention of appropriate authorities. 6. Nurses should participate in developing institutional policies governing online conduct. Six Tips to Avoid Problems 1. Remember that standards of professionalism are the same online as in any other circumstance. 2. Do not share or post information or photos gained through the nurse-patient relationship. 3. Maintain professional boundaries in the use of electronic media. Online contact with patients blurs this boundary. 4. Do not make disparaging remarks about patients, clinical facilities, instructors, students, employers or co-workers, even if they are not identified. 5. Do not take photos or videos of patients on personal devices, including cell phones. 6. Promptly report a breach of confidentiality or privacy. References: American Nurses Association (2010), September). Principles for Social Networking and the Nurse. Silver Spring, MD: Author. National Council of State Boards of Nursing. (2011, August). Write Paper: A Nurse’s Guide to the Use of Social Media. Chicago, IL: Author. Violating any of the Nursing Program Honor Code, the MCC Code of Conduct, or ANA’s Principles for Social Networking will result in a required meeting with the student and Director of the RN Program and may include the instructor within five business days and may result in termination from the program with no possibility of return/reapplication. P a g e | 23 ADDED FROM ANA 2015 Ethical/Legal Behavior The Nursing Department believe all nurses and nursing students should follow a professional code of ethics. The American Nurses’ Association “Nursing: Professional Standards” contains the 2015 Code of Ethics. See American Nurses Association (ANA) Code of Ethics for Nurses for more information: http://www.nursingworld.org/MainMenuCategories/EthicsStandards/CodeofEthics.aspx *The student is responsible for reviewing this information. See International Council of Nurses Code for Nurses for more information: http://www.icn.ch/ethics.htm *The student is responsible for accessing this information. See Nurse Practice Act for more information: http://www.azbn.gov/NursePracticeAct.aspx *The student is responsible for accessing this information. See National Student Nurses Association for more information: http://www.nsna.org Please refer to the MCC College Website for more information on Student Code of Conduct: http://mohave.edu/documents/Catalogs/Student_Code_of_Conduct.pdf *See Appendix “A” for Arizona State Board Information P a g e | 24 Added 5/2015 Arizona Nurse Practice Act A copy of the Arizona Nurse Practice Act will be provided to the student during the NUR 121, Nursing I course. It is the student’s responsibility to be familiar with all the statutes, rules and regulations. 1. “Professional Nursing” includes the following: a) Diagnosing and treating human responses to actual or potential health problems. b) Assisting individuals and groups to maintain or attain optimal health by implementing a strategy of care to accomplish defined goals and evaluating responses to care and treatment. c) Assessing the health status of individuals and groups. d) Establishing a nursing diagnosis. e) Establishing goals to meet identified health care needs. f) Prescribing nursing interventions to implement a strategy of care. g) Delegating nursing interventions to others who are qualified to do so. h) Providing for the maintenance of safe and effective nursing care that is rendered directly or indirectly. i) Evaluating responses to interventions. j) Teaching nursing knowledge and skills. k) Managing and supervising the practice of nursing. l) Consulting and coordinating with other health care professionals in the management of health care. m) Performing additional acts that require education and training as prescribed by the board and that are recognized by the nursing profession as proper to be performed by a professional nurse. 2. “Registered Nurse”, “Graduate Nurse”, or “Professional Nurse” means a person who practices professional nursing as defined in this section. 3. “Practical Nursing”, includes the following activities that are performed under the supervision of a physician or a registered nurse: a) Contributing to the assessment of the health status of individuals and groups. b) Participating in the development and modification of the strategy of care. c) Implementing aspects of the strategy of care within the nurse’s scope of practice. d) Maintaining safe and effective nursing care that is rendered directly or indirectly. P a g e | 25 e) Participating in the evaluation of responses to interventions. f) Delegating nursing activities within the scope of practice of a practical nurse. g) Performing additional acts that require education and training as prescribed by the Board and that are recognized by the nursing profession as proper to be performed by a practical nurse. 4. “Practical Nurse”, means a person who practices practical nursing as defined in this section. 5. “Approved Nursing Program”, means a program for the educational preparation of professional and practical nurses for licensure that has met standards of the board. 6. “Board”, means the Arizona State Board of Nursing. 7. “Unprofessional Conduct” (Pre-Licensure) includes the following whether occurring in this state or elsewhere: (R4-19-403 Unprofessional Conduct AZ Nurse Practice Act) a) Committing fraud or deceit in obtaining, attempting to obtain or receiving a license or a certificate issued pursuant to this chapter. b) Committing a felony, whether or not involving moral turpitude, or a misdemeanor involving moral turpitude. In either case, conviction by a court of competent jurisdiction or a plea of no contest is conclusive evidence of the commission. c) Aiding or abetting in a criminal abortion or attempting, agreeing or offering to procure or assist in a criminal abortion. d) Any conduct or practice that is or might be harmful or dangerous to the health of a patient or the public. e) Being mentally incompetent or physically unsafe to a degree that is or might be harmful or dangerous to the health of a patient or the public. f) Having a license, certificate, permit or registration to practice a health care profession denied, suspended, conditioned, limited or revoked in another jurisdiction and not reinstated by that jurisdiction. g) Willfully or repeatedly violating a provision of this chapter or a rule adopted pursuant to this chapter. h) Committing an act that deceives, defrauds or harms that public. i) Failing to comply with a stipulated agreement, consent agreement or board order. j) Violating a rule that is adopted by the board pursuant to this chapter. k) Failing to report to the board any evidence that a professional or practical nurse or a nursing assistant is or may be: i. Incompetent to practice. iii. Mentally or physically unable to safely practice nursing or to perform nursing related duties. A nurse who is providing therapeutic counseling for a nurse who is in a drug rehabilitation program is required to report that nurse only if the nurse providing therapeutic counseling has personal knowledge that patient safety is being jeopardized. P a g e | 26 ii. Guilty of unprofessional conduct. l) Failing to self-report a conviction for a felony or undesignated offense within ten days after the conviction. 8. If convicted of a felony, applicant for licensure/certification must submit proof to the Arizona State Board of Nursing that they have completed any sentence including imprisonment, probation, parole, community supervision or any form of court supervision. The Arizona Nurse Practice Act states (section 32-1601; 32-1632, 32-1637) “If convicted of one or more felonies, the applicant must have received an absolute discharge from the sentences for all felony convictions five or more years prior to the date of filing an application.” Examples of situations which may prohibit licensure and certification include, but are not limited to felony/misdemeanor convictions, substance abuse, and conviction of an offense involving immoral behavior, or being guilty of acts which deceive, defraud or harm the public in any way. NEW INTERPRETATION OF Felony Bar Statutes by Arizona State Board of Nursing: https://www.azbn.gov/FelonyBarStatutes.aspx For purposes of the Nursing Board’s felony bar statues, A.R.S. Section 32-1606(B)(17) and 1646(B), the commission of any felony offense on or after July 23, 2010, which results in a conviction of an undesignated offense, shall be treated by the Board as a felony “until such time as the court may actually enter an order designating the offense a misdemeanor” pursuant to A.R.S Section 13-604(A). 9. Fingerprinting is a part of the Arizona State Board of Nursing application process for Nursing Assistant, PN, and RN applicants. Revised: 5/2015 P a g e | 27 Students may contact the Arizona State Board of Nursing at: www.azbn.gov or the National Student Nurse Association at: www.nsa.org for any information they may need. Title IX Campus Safety Title IX of the Education Amendments of 1972 states: “No person in the United States shall, on the basis of sex, be excluded from participation in, be denied the benefits of, or be subjected to discrimination under any education program or activity receiving Federal financial assistance”. Mohave Community College (MCC) is committed to providing a learning and working environment that promotes personal integrity, civility and mutual respect in an environment free of sexual misconduct and discrimination. Sexual discrimination violates an individual’s fundamental rights and personal dignity. MCC considers sexual discrimination in all its forms to be a serious offense. This resource refers to all forms of sexual discrimination, including: sexual harassment, sexual assault, and sexual violence by employees, students, or third parties. (Title 20 U.S.C. Sections 1681-1688) Title IX and the Sexual Misconduct Policy The college prohibits all forms of sexual misconduct by students and employees. Making a Complaint There are two options for students to make a formal complaint of sexual misconduct. A student may pursue either or both of these options. A student can make a formal complaint about sexual misconduct to the College administration by contacting the Campus Title IX Coordinator and the Campus Dean at the local campus. A student can make a formal complaint about sexual misconduct to the appropriate law enforcement authorities, in the case of sexual misconduct that occurs on campus. Note: A student may seek and receive support services from the campus dean or College Title IX Coordinator without making a formal complaint. (Please refer to the MCC College Website for more information on Title IX and Campus Safety) http://www.mohave.edu/about/safety/ (Please refer to the MCC College Website for more information on Student Code of Conduct) http://www.mohave.edu/documents/Catalogs/Student_Code_of_Conduct.pdf Please refer to the MCC College Website for more information on the Policy and Procedure Manual: Sexual Misconduct section 5.112 and Mandatory Reporting section 5.113) http://www.mohave.edu/documents/Repository/P&P_Manual.pdf P a g e | 28 (2014) Associate Degree Nursing Program Technical Standards Functional Abilities Essential for Nursing Practice The Purpose of the RN Program 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 RN Program, 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. Any applicant who has been ranked on the “Point System” high enough for admission and can, with or without reasonable accommodation, meet and/or perform the RN Program Technical Standards will be considered for admission. The RN Program within Mohave Community College will follow the college’s policies on services for individuals with disabilities. Any student with a qualified disability is eligible to receive services from MCC. To access services, the student must refer themselves to a student services’ representative and provide adequate documentation for the Disability Coordinator. The Disability Coordinator will provide the faculty with a letter explaining the accommodations that are to be put in place. If you believe you have a disability and have not met with the Academic Advisor, we strongly suggest you contact your student services’ representative. http://www.mohave.edu/resources/disabilitiyservices/ The RN Program is committed to the belief that the assurance of equality of opportunity and full participation at Mohave Community College for persons with disabilities should be supported. All policies for students with disabilities can be found on the MCC website. Nursing is a practice discipline with cognitive, sensory, affective, objective and psychomotor performance requirements. Although accommodations can be made in the classroom/clinical setting to accommodate students with disabilities, all students must be able to meet Core Performance Standards for nursing students. These standards reflect activities which nursing students are required to perform while enrolled in a nursing program. The standards are to be used to assist each applicant/student in determining whether or not they can fulfill the requirements of the program and/or whether accommodations or modifications are necessary. Students admitted to the RN Program 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 (HIPPA) of 1996 which safeguards patient confidentiality. REVISED: 6/2016 P a g e | 29 Transportation to and from health care facilities is the responsibility of the student. Technical Standards Functional Abilities Essential for Nursing Practice Standard Gross Motor Skills Gross motor skills sufficient to provide full range of safe and effective patient care activities. Examples of Required Activities Fine Motor Skills Physical Endurance Physical Strength Mobility Hearing Fine motor skills sufficient to perform manual psychomotor skills sufficient for safe and effective nursing care. Physical stamina sufficient to remain continuously on task for up to a 12 hour clinical shift while standing, sitting, moving, lifting and bending to perform patient care activities. Physical strength sufficient to perform full range of required patient care activities. Physical ability sufficient to move from room to room and maneuver in small spaces; full range of motion to twist/bend, stoop/squat, reach above shoulders and below waist and move quickly; manual and finger dexterity; and hand-eye coordination to perform nursing activities. Auditory ability sufficient for physical monitoring and assessment of patient health care needs. Visual Tactile Normal or corrected visual ability sufficient for accurate observation and performance of nursing care. Tactile ability sufficient for physical monitoring and Move within confined spaces such as treatment room or operating suite. Assist with turning and lifting patients and therapeutic positioning to minimize discomfort and provide basic care. Calibration, lift move and operate equipment in caring for patient. Administer CPR Pick up. Grasp and manipulate small objects with fingers such as insulin syringe, pills, and vials. Perform tracheotomy suctioning; insert urinary catheter; buckle and unbuckle, apply dressings, binders and sterile gloves; administer medications by all routes. Walk/stand for extended periods of time; turn, position and transfer patients. Manually resuscitate patients in emergency situations. Push and pull 250 pounds of wheeled bed or gurney Lift and move heavy objects up to 50 pounds Move around in work area and treatment areas without difficulty. Position oneself in the environment to render care without obstructing the position of other team members or equipment. Administration of rescue procedures-CPR. Safely handles blood and other body fluids. Administers treatments and therapies using potentially hazardous equipment (i.e. needles, caustic drugs and x-rays.) Hear normal speaking level sounds Hear and discern auscultatory sounds (heart, lung, abdomen) using a stethoscope Hear blood pressure sounds using a stethoscope Hear auditory alarms (monitors, fire alarms, call bells) Hear cries for help Hear PA announcements See objects up to 20 feet away. Visual acuity to read calibrations on 1 ml syringe Assess skin color (cyanosis, pallor) Ability to observe patient’s condition and responses to treatments. Feel vibrations (pulses) and other functions of physical examinations. P a g e | 30 Functional Ability Emotional/Behavioral Professional Attitudes and Interpersonal Skills Olfactory ability sufficient to detect significant environmental and patient odors. Emotional stability and appropriate behavior sufficient to assume responsibility and accountability for actions. Present professional appearance and demeanor; demonstrate ability to communicate with diverse populations of patients, supervisors, instructors, coworkers and peers to achieve a positive and safe work environment. The above groups may come from a variety of social, emotional, cultural and intellectual backgrounds. Follows instructions and safety protocols. Honesty and integrity beyond reproach. Communication Oral communications skills sufficient to communicate in English with accuracy, clarity and efficiency with patients, their families, other members of the health care team, instructors and colleagues including non-verbal communication, such as interpretation of facial expressions, affect and body language. Cognitive and Quantitative Abilities Reading comprehension skills and mathematical ability sufficient to understand Detect temperature changes Palpate veins for cannulation and perform other therapeutic interventions such as insertion of catheter. Detect odors from patient (fowl smelling drainage, fruity breath, alcohol breath) Detect smoke or odors which alert to overheated equipment. Establish rapport with patients, instructors, interdisciplinary team members and colleagues. Respect and care for persons whose appearance, condition, beliefs and values may be in conflict with their own. Deliver nursing care regardless of patient’s race, ethnicity, age, gender, religion, sexual orientation or diagnosis. Conduct themselves in a composed, respectful manner in all situations and with all persons. Work with teams and work groups. Capacity to engage in successful conflict resolution. Establish and maintain therapeutic and professional boundaries. Peer accountability. Ability to exercise thinking, reasoning and judgment in a patient care situation. 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. Adapt rapidly to changing environment/stress. Exhibit ethical behaviors and exercise good judgment. Give verbal directions to or follows verbal directions from other members of the healthcare team and instructor; participate in healthcare team discussions of patient care. Elicit and record information about patient’s health history, current health 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. Recognize and report critical patient information to other caregivers. Use computer to document patient information. Documentation and interpretation of nursing actions and patient responses. Calculate appropriate medication dosage given specific patient parameters. P a g e | 31 Smell assessment of health care needs. Conceptual and Spatial Abilities Critical Thinking/Clinical Reasoning and Judgment Flexibility Conceptual/spatial ability sufficient to comprehend three-dimensional and spatial relationships. Critical thinking ability for effective clinical reasoning and clinical judgment. Ability to reason across time about a patient’s changing condition and/or changes in the clinician’s understanding. Adapt to Nursing Department course scheduling procedures and course assignments. REVISED 5/2015 Analyze and synthesize data and develop an appropriate plan of care. Use of the scientific method in the development of patient care plans. Collect date, prioritize needs and anticipate reactions. Transfer knowledge from one situation to another. Accurately process information on medication container, physician’s orders, monitors, equipment calibrations, printed documents, flow sheets, graphic sheets, medication administration records, other medical records and policy and procedure manuals. Comprehend spatial relationships in order to properly administer injections, start intravenous lines, assess wounds of varying depths, etc. Evaluate patient or instrument responses, synthesize data, and draw sound conclusions. Identification of cause/effect relationships in clinical situations. Evaluation of the effectiveness of nursing interventions. Available to work the hours of an assigned schedule which could include any shift and day of the week. Available for course make-up time. P a g e | 32 written documents in English and solve problems involving measurement, calculation, reasoning, analysis and synthesis. After admission to the RN Program, the student is responsible for notifying their nursing instructor of conditions that impact the student’s ability to meet the Nursing Program Technical Standards. Any change in the student’s ability to meet and/or perform the Nursing Program Technical Standards would require the student to provide appropriate documentation (as identified by the RN Program) that they once again meet Technical Standards. If an accommodation is necessary to participate in the RN Program, participation is dependent on the identification of a reasonable accommodation. Reasonableness determined by the Disability Coordinator and the RN Program on a case-by-case basis utilizing the RN Program Technical Standards. The accommodation needs to be in place prior to the start of the program or it may delay your ability to start the program. Mohave Community College provides reasonable accommodations to those students who qualify under the Americans with Disability Act, as amended (ADA). Appropriate documentation will be required to determine eligibility to receive accommodations. It is the student’s responsibility to contact the Student Services Office and request accommodations in a timely manner. Reference: AACN Accommodating Students with Disabilities at http://www.sreb.org/page/1390’the_americans_with_disabilities_act.html The Americans with Disabilities Act – Southern Regional Education http://sreb.org/publications/americans-disabilities-act Policies and Procedures 1. The student will refer themselves to a Student Services Representative. 2. The student is responsible for any fees for testing or professional consultation required to obtain documentation of a disability. 3. The student must provide documentation of a disability to Disability Services. 4. The Disability Coordinator will provide the faculty of each individual course a letter explaining necessary accommodations that are to be implanted for each semester. REVISED 6/2016 P a g e | 33 *A more detailed list of Essential Skills & Functional Abilities for Nursing may be found in Appendix B. RN Department VERIFICATION OF PERSONAL HEALTH INSURANCE Each student is required to carry health/accident insurance and must provide proof prior to the start of classes. By signing this form, you are stating that you understand: 1) In order to participate in any nursing course with a clinical component, I will carry Personal Health Insurance. 2) By signing this verification, I am stating to the RN Program and the clinical agencies that I have Personal Health Insurance. 3) Falsification of this document will result in my being terminated from the RN Program. Name (print): Signature: Date: Entering Semester: (5/2015) P a g e | 34 Name of Personal Health Insurance: Pregnancy Disclaimer Clinical assignments consider each student’s health, welfare and safety. In the clinical rotations student may encounter risks of exposure to harmful toxins, blood, body fluids, and pathogens that may have adverse effects on the mother and fetus. A student who does not disclose her pregnancy assumes responsibility for an exposure or termination of pregnancy. Students who have declared pregnancy during the RN program must provide clear, written instructions from their physician as their ability to fully participate in clinical rotations and the physician must provide a list of any physical limitations, i.e., lifting, radiation exposure, fumes from cold sterilization agents or other chemicals, etc. Physician-directed limitation may require a student withdrawal from the program. Should a student not be able to fully participate in their clinical rotation per physician instructions, a decision must be made whether they may meet all course objectives and continue in the program or withdraw and reenter at a later time following pregnancy. MCC Medical Marijuana Policy Statement Due to recent addition of medical marijuana legalization it is important to address it. Mohave Community College Prohibits the possession and use of marijuana on all of its campuses and in all off campus student activities, including internships and clinical learning experiences in health programs. This policy is dictated by law. Arizona revised Statutes §15-108 prohibits any person, including medical marijuana cardholder from possessing or using marijuana on the campus of any public university, college, community college or postsecondary education institution. Federal legislation prohibits any institution of higher education that receives federal funding from allowing the possession and use marijuana. Mohave Community College receives federal funds through grants and financial aid. MCC continues to enforce its current policies regarding controlled substances and any students or employees who violates this policy prohibiting the use or possession of illegal drugs on campus or in student activities – including educational internships – will be subject to disciplinary action and criminal prosecution. Drug screens are required of students prior to attending a clinical learning experience. Medical Marijuana, or its metabolite, is not an accepted substance in urine drug screens which will result in a positive urine drug screen. Students with a prescription for medical marijuana would not be considered exempt from drug screening. www.mohave.edu/Assets/.../POS/.../2015-16_student_handbook.pdf P a g e | 35 (5/2015) Guidelines for Dealing with HIV, HBV – (Protocol 12) All persons who perform duties in hospitals, clinics, or other health care settings are considered at risk for exposure to body fluids. Primary concern is focused on contamination from fluids harboring the AIDS and/or Hepatitis B Viruses. As nursing students would be considered at risk of exposure, it is recommended that they obtain Hepatitis B inoculations. It is the responsibility of the individual student to have this done. Mohave Community College requires compliance with all guidelines recommended by the Centers for Disease Control (CDC) for preventing contamination and infection of health care workers at risk for occupational exposure. All health care workers should routinely use appropriate barrier precautions to prevent skin and mucous membrane exposure during contact with any patient’s blood or body fluids that require standard precautions. Standard precautions involve the use of protective barriers such as gloves, gowns, aprons, masks, or protective eyewear which can reduce the risk of exposure of the health car worker’s skin or mucous membranes to potentially infective materials. In addition under standard precautions, it is recommended that all health care workers take precautions to prevent injuries caused by needles, scalpels, and other sharp instruments or devices. In accordance with the recommended guidelines, the following procedures must be followed: STANDARD PRECAUTIONS Standard precautions shall be observed to prevent contact with blood and other potentially infectious material. 1. Poor hand washing and failure to wash after each patient contact is probably the greatest contributing factor in the spread of microorganisms in the health care setting. YOU MUST WASH YOUR HANDS BEFORE AND AFTER EACH PATIENT CONTACT. 2. Gloves are to be worn when there is reasonable likelihood of hand contact with blood or other potentially infectious materials. 3. Face and eye protection including masks, goggles, glasses or face shields are to be used when there is a potential for splashing, spraying, or splattering of blood or other potentially infectious material. 4. Appropriate protective clothing such as gowns, aprons, or lab coats shall be worn in occupational exposure situations. When gross contamination can be anticipated, head coverings and shoe coverings should be worn. 5. Eating, drinking, applying cosmetics or lip balm or handling contact lenses is prohibited in work areas where blood or infectious materials might be present. INFECTIOUS WASTE MANAGEMENT Infectious waste is defined as any waste, solid or liquid that is capable of producing an infection. ALL BODY FLUIDS AND SECRETIONS ARE TO BE TREATED AS CONTAMINATED AND POSSIBLY INFECTIOUS. 1. All equipment and/or work surfaces overtly contaminated with blood or infectious material will be cleaned and disinfected immediately. A chemical germicide or bleach solution diluted 1:9 is recommended. P a g e | 36 2. Infectious waste will be segregated from regular trash and labeled or tagged with this identification. 3. All health care workers should take precautions to prevent injuries caused by needles, scalpels, and other sharp instruments or devices during procedures; when cleaning used instruments; during disposal of used needles; and when handling sharp instruments after procedures. a. To prevent needle stick injuries, needles should not be recapped by hand, purposely bent or broken by hand, removed from disposable syringes, or otherwise manipulated by hand. b. After they are used, disposable syringes, needles, scalpel blades, and other sharp items should be placed in puncture-resistant container for disposal. The puncture resistant container should be located as close as practical to the use area. All reusable needles should be placed in a puncture-resistant container for transport to the reprocessing area. STUDENTS Student Clinical Assignments The student may be assigned to an HIV or HBV positive patient without knowledge of the diagnosis of the patient. The student will be taught standard precautions and will use standard precautions with all patients. Confirmed Pregnant Students Pregnant health care workers are not known to be at greater risk of contracting the HIV infection than are health care workers who are not pregnant. However, if a health care worker develops HIV infection during pregnancy, the infant is at risk of infection resulting from perinatal transmission. Because of this risk, pregnant health care workers should be especially familiar with, and strictly adhere to, precautions to minimize the risk of HIV transmission. Students with Actual/Possible Infections Students with diagnosed immune deficiencies are at an increased risk for developing opportunistic infections. Students with actual infectious process could further compromise the already incompetent immune system of the AIDS patient; Students Who Are Antibody Positive, or Have ARC (AIDS Related Complex) or AIDS. Present guidelines do not mandate that those asymptomatic health care workers with HIV infection be restricted from employment. Based on this information, students with HIV infection who are asymptomatic need not be restricted from clinical experience unless they have some other illness for which any health care worker would be restricted. The student should be aware that HIV infection may cause immunosuppression and therefore increase the students susceptibility to infections acquired from patient-student interaction. The student who is HIV positive has a moral/legal responsibility to protect patients and others with whom they come in contact. Students who are HIV antibody positive will utilize standard precautions with all patients. These students should also be educated regarding the epidemiology and prevention of HIV infection. P a g e | 37 HIV infected students with exudative or weeping skin lesions should be restricted from direct patient care contact. The determination of whether an infected student who is symptomatic should be excluded from providing direct care, shall be made on a case-by-case by the Nursing Faculty, appropriate College personnel and student’s physician. ANTIBODY TESTING OF STUDENTS AND FACULTY Accidental Exposure Accidental exposure is defined as accidentally being exposed to blood/body fluids through needle stick or skin lesion/non-intact mucosal membrane of a suspected or diagnosed ARC/AIDS patient. The accidental exposure of a faculty member of student in the Nursing Program while in a clinical agency is treated in a similar manner to any type of incident occurring within the agency. The student should immediately notify the clinical faculty who will then immediately notify the supervisor within the health care facility where the incident occurred. Agency policies will then be followed. The clinical agency will require the completion of an incident report and will usually order testing for antibody to HIV and HBV. The exposed student or faculty will then be encouraged to have testing. The decision to have testing or not; however, is the choice of individual exposed. A signed consent/denial form will be kept in the individual’s college file. The clinical instructor will notify the Director of Nursing and Health Science when a student or faculty has been accidentally exposed. Confidentiality When a student experiences an accidental exposure to the AIDS virus while in a clinical agency, the student would be made aware that the agency policy will mandate that an incident report be filed. While the College will make every effort to maintain confidentiality, the College cannot be held responsible for actions taken by the clinical agency. The supervising faculty will follow the procedure for reporting accidental exposure as outlined above. Within the Code of Federal Regulations are statements to protect medical information and the privacy of the individual when there is no overriding need for the public to know. Therefore, a person infected with HIV is not under obligation to disclose this information to the College. The College is aware of the extremely sensitive nature of healthcare information, particularly patient identifiable information, and the legal ramifications of disclosure of that information. (Federal Health Insurance Portability and Accountability Act known as HIPAA), therefore; no information concerning complaints or diagnosis will be released without the expressed written permission of the involved individual. Individuals involved with health care services that know they are infected with a communicable disease are ethically and legally obligated to conduct themselves responsibly in accordance with following protective behaviors: 1. Seek and follow medical advice. 2. Follow College and/or agency guidelines when involved in direct patient care. 3. Be knowledgeable about and practice measures to prevent transmission of HIV. P a g e | 38 Reviewed 5/15 Drug and Alcohol Screening and Substance Abuse Detection and Prevention Policy and Procedures – (Protocol 13) I. Statement of Purpose and Philosophy regarding Drug and Alcohol Screening The Mohave Community College Department of Nursing recognizes the importance of maintaining a safe learning environment while simultaneously demonstrating respect for the inherent dignity and worth of each individual student. The Nursing Department also respects the human rights of every individual and understands that each student has certain rights and freedoms in accordance with state and federal law. The Nursing Department requires its healthcare professionals to ensure the health and safety of the clients and organizations with whom we work. One of the standards the Nursing Department holds is that its students, particularly since throughout their educational experience they may care for clients in vulnerable situations, must demonstrate mental acuity and clarity of decision-making at all times, as well as possess physical abilities appropriate to the circumstances. Student mental or physical impairment stemming from the influence of alcohol or drugs (or any other cause) may pose an unacceptable safety risk which might endanger our clients, fellow students, faculty members, the clinical agency, or the college. Nursing students occupy safety-sensitive positions, particularly when participating in clinical programs, in which a single instance of mental or physical impairment could result in disastrous consequences; it is of paramount importance that such risks to the safety and welfare of the public be prevented whenever possible. It is also important to note that, while some of these clinical programs or agencies affiliated with the Department of Nursing may have their own drug and alcohol screening requirements, this Procedure applies to all students in the Nursing Program. Substance abuse can also be found in the healthcare setting, particularly since healthcare professionals may have access to drugs as part of their provision of care; therefore, the Department of Nursing also has an interest in protecting the public and safety through detection and prevention of substance abuse. The Department of Nursing also recognizes that chronic substance abuse is an illness that can be successfully treated. Therefore, if a student admits to a substance abuse problem and requests assistance, the Department of Nursing will provide the student with appropriate treatment referrals. However, it is important to emphasize that if a student’s conduct otherwise violates the college’s or the department’s policies, practices, procedures, or protocols (whether set forth in the Department of Nursing Student Handbook, the Mohave Community College Student Handbook, or in any other document) in any fashion, the student may be subject to discipline apart from the terms of this policy, up to and including dismissal in accordance with Protocol #7 of the Nursing Student Handbook. The Department of Nursing further recognizes that members of the Native American Church may use controlled substances as part of their religious ceremonies and that these substances may appear in a test result without the student being impaired. If the student has use controlled substances solely while participating in certain religious ceremonies and the student’s performance is not impaired, then such use shall not constitute cause for action. The Department of Nursing also recognizes that this Procedure shall be interpreted in light of and implemented consistent with Section 504 of the Rehabilitation Act of 1973 and the Americans with Disabilities Act, together with the regulations and court decisions arising there from. All aspects of this procedure will be conducted so as to safeguard the personal privacy rights of the student to the maximum degree possible. The laboratory will notify the Director of Nursing of the results of any positive screening test by providing the director with the secure facsimile of the screening test results. In order to ensure that the test results are kept confidential, there will be minimal identification information on the sample taken, and the Director of Nursing will only share the screening test results with the student and any faculty, staff members, or other individuals who need to know the test results (for instance, when it is necessary for a faculty member to participate in the student disciplinary process). The Department of Nursing will rely on the opinion of the laboratory which performed the screening test in determining whether the positive test result was produced by something other than consumption of a drug or of alcohol. The email containing the screening test results will be placed into the official individual student file maintained in the Nursing Administrative Office. Student files are stored in locked file cabinets and the office is always locked when P a g e | 39 CONFIDENTIALITY personnel are not present; only the Director of Nursing, permanent office staff, and faculty have access to student files. Any deadlines provided for within this Procedure may be extended by the Director of Nursing for good cause, which shall be documented, or when the day upon which an event is to occur falls on non-College workdays. Failure to comply with any aspect of this policy will result in dismissal from the Nursing Program. Definitions II. Designated medical service facility: means a testing laboratory capable of conducting the required drug and alcohol screening tests. Drug and alcohol screen or Screening test: means a scientifically substantiated method to test for the presence of illegal drugs and/or controlled substances such as cocaine, marijuana, opiates, amphetamines, phencyclidine (PCP) or Blood Alcohol Concentration (BAC), or the metabolites thereof, in a person’s urine, blood or hair. Positive: when referring to a drug or alcohol screening test administered under this policy means a toxicological test result which is considered to demonstrate the presence of drug or of drug or of alcohol, or the metabolites thereof, using the standards customarily established by the testing laboratory administering the screening test. Reasonable suspicion: means a suspicion of drug or alcohol use based on specific and articulable observations made by a faculty member, clinical instructor, or staff member of the appearance, speech, or behavior of an individual student, or the reasonable inferences that are drawn from those observations. Student: means an individual enrolled in the Nursing Program at Mohave Community College, or a person who has been accepted to the program but has not yet officially begun their formal schooling. Substance Abuse: means the use any drug, alcohol, or other substance which results in the mental or physical impairment of a student. III. Required Drug and Alcohol Screening Tests a) All students participating in the Mohave Community College Nursing Program will be required to complete a drug and alcohol screening test. This drug and alcohol screen will specifically test urine, blood or hair for the presence of illegal drugs and/or controlled substances such as cocaine, marijuana, opiates, amphetamines, phencyclidine (PCP), or Blood Alcohol Concentration (BAC), or the metabolites thereof. The fee for this initial screening test is included in the Nursing Program Fee. c) All students who cause substantial harm to any patient, other student, faculty or staff member in the clinical nursing setting must complete drug and alcohol screening test, at the expense of the student, and provide the results of such testing to the Director of Nursing within two (2) P a g e | 40 b) All newly admitted students must have a drug and alcohol screening test completed as a condition of enrollment in the Nursing Program. This drug and alcohol screening test must be completed, and the results provided to the Director of Nursing, prior to the first day of class. Students must either have a negative screening result or must substantiate their positive screening result with a current medical prescription to officially beginning their participation in the Nursing Program. The results of a positive screening result are discussed further in section IV (d), below. An inconclusive screening test will be repeated as necessary until a conclusive result is obtained. work days of the incident. This section shall apply even to those students who have provided faculty or staff members with reasonable suspicion that the student is under the influence of drugs or alcohol, so long as the student causes substantial harm as set forth above. d) Each student will be provided with screening information which directs the student to the location within the community at which the screening tests may be completed. The student will sign a release regarding the chain of custody of the sample; both the release and the sample will be forwarded to the MedTox testing facility via Airborne Express. The preprinted chain of custody forms with the college name and collection site location are supplied by MedTox. MedTox also provides the collection supplies. The specific testing will be conducted pursuant to the methodology and parameters set forth in the policies of MedTox. e) The screening test results will be reported to the Director of Nursing, via a secure email to the Nursing Administration Office. The test results received by secure email are placed in the student’s Official Nursing Program file stored in locked file cabinets in the Nursing Administrative Office. f) Random Drug Testing: some clinical facilities may request random drug screens on Students. g) Current collection sites (as of Fall 2016) for student’s urine drug screens are provided at the following locations: LabCorp 2401 Stockton Hill Rd. #3 Kingman, AZ 86401 928-692-0316 LabCorp 2580 Highway 95 #216 Bullhead City, AZ 86442 928-763-8272 LabCorp 2082 Mesquite Ave. #114 Lake Havasu City, AZ 86403 928-855-4077 LabCorp 1490 E. Foremaster Dr. #130 St. George, UT 84790 435-673-8266 h) Only students who receive negative screening test results may remain enrolled in nursing courses. If the results of the screening tests are positive for alcohol or other illegal substances or for non-prescribed legal substances, then a second screening test will be performed on the original sample, in order to verify the initial positive. If the second test is also positive, the student may be disciplined, up to and including dismissal from the Nursing Program, and may not reapply for admission for a period of one (1) calendar year. The student will be asked to seek professional counseling and/or enter an addictions treatment program. The student will reimburse the college for all costs associated with the “for-cause” drug and alcohol screening test. If the student has a certificate or licensed from a State Board of Nursing, the results of the positive drug and alcohol screening test will be reported to the Board. i) Drug and Alcohol Screening “For Cause” Testing This policy refers to the use and/or misuse of, or being under the influence of: alcoholic beverages, illegal drugs which impair judgment while on duty in any healthcare facility, school, institution or other work location as a representative of the Nursing Program. a) When a nursing faculty member/clinical instructor or a staff member in the clinical facility or at the College Campus where a student is assigned perceives that the student is mentally or physically impaired, the faculty or staff member must take immediate action to relieve the student of his or her duties and remove the student from the clinical classroom area. The immediate goal is to provide for the safety of patients, the public, other students, and the student who is suspected of being impaired. P a g e | 41 IV. Students failing to produce drug and alcohol screening test results prior to the start of Nursing I Class do not meet the requirement for drug and alcohol screening testing and will be withdrawn from all nursing courses. b) In a teaching situation, when a nursing faculty member/clinical instructor or staff member perceives the odor of alcohol or marijuana, or observes behaviors such as, but not limited to, slurred speech, unsteady gait, dilated pupils, or confusion, and these behaviors cause the faculty or staff member to suspect the student could be impaired by alcohol or drugs, the following steps are taken: 1. The student will be immediately removed from the immediate educational setting (whether or not said setting concerns patient care), and either the faculty or staff member, or a designee, will remain with the student until such time as transportation is available. 2. The faculty or staff member will immediately inform the student as to why actions are being taken to relieve the student of his or her duties, and either the Director of Nursing or, if the student is in the clinical setting, the clinical agency supervising personnel shall be notified of the circumstances. 3. The student will be asked if he/she will consent to undergo a drug and alcohol screening test, which will be conducted at the expense of the College. If the student agrees to undergo the drug and alcohol screening, the faculty or staff member will ask the student to sign the “Consent for Screening” form and the “Consent for Transportation” form. Once those forms are completed by the student, the faculty or staff member will arrange for the student’s transportation to a designated medical service facility for “for cause” drug and alcohol testing, which will be completed in the most confidential manner permitted by the practices of the medical service facility. The faculty or staff member will also arrange for the student to be transported home after said testing is complete. 4. The student is to have picture ID in his or her possession. 5. If a student admits to alcohol or drug use, he or she will still need to complete a drug and alcohol screening test in accordance with the procedures set forth above. 6. The faculty or staff member who suspected that the student could be impaired by alcohol or drugs shall set forth in writing the factors which the faculty or staff member relied upon in order to determine that cause existed for testing the student; this document shall be submitted to the Director of Nursing within two (2) working days of the incident. c) If the results of the screening tests are negative for drugs, alcohol, or other illegal substances, or for non-prescribed legal substances, the student shall meet with the Director of Nursing or designee within twenty-four (24) hours of the test to discuss the circumstances surrounding the impaired behavior. Notwithstanding the negative screening test results, if the student’s behavior otherwise violated any of the Policies, Procedures, or Protocols of the College or Department of Nursing, disciplinary action may still be taken against the student. 1. If the factor relied upon was the odor of alcohol, the student will be required to discontinue the use of whatever may have caused the alcohol-like odor before being allowed to return to clinical or class. P a g e | 42 2. If the factor relied upon was behavioral, consideration must be given to a possible medical condition being responsible for the symptoms. A medical referral for evaluation may be indicated. 3. Based on the information provided in this meeting and further medical evaluations if warranted, the Director of Nursing will make a decision regarding whether the student shall return to the clinical setting. d) If the results of the screening tests are positive for alcohol or other illegal substances or for non-prescribed legal substances, then a second screening test will be performed on the original sample, in order to verify the initial positive. An inconclusive screening test will be repeated as necessary until a conclusive result is obtained. If the second test is also positive, the student may be disciplined, up to and including dismissal from the Nursing Program, and may not reapply for admission for a period one (1) calendar year. The student will be asked to seek professional counseling and/or enter an addictions treatment program. The student will reimburse the College for all costs associated with the “for-cause” drug and alcohol screening test. If the student has a certificate or license from the State Board of Nursing, the results of the positive drug and alcohol screening test will be reported to the Board. V. Consequences of Testing Refusal 1. If a student refuses to submit to a “for cause” drug and alcohol screening test, the student will be required to leave the clinical/classroom area and make an appointment with the Director of Nursing. A seemingly impaired student should not be allowed to leave the clinical site or College campus by themselves; therefore, if the student does not consent to such a screening test, they will still be asked whether they will sign the “Consent for Transportation” form. If the form is signed, the faculty or staff member will arrange or the student’s transportation to the student’s place of residence, at the expense of the College. If the student refuses to sign the “Consent for Transportation” form, the faculty or staff member shall notify the local police. 2. Within two working days of the incident, the student shall meet with the Director of Nursing and the faculty or staff member who reported the incident, as well as with any other individuals the Director of Nursing deems appropriate to participate in such a meeting, in order to discuss the incident and determine the actions to be taken, which may include (but are not limited to) discipline, including dismissal from the program. Readmission Guidelines Related to Substance Abuse a) Students dismissed from nursing courses for reasons related to substance abuse may petition (after a period one calendar year) for readmission pursuant to the Readmission Protocol. Evidence of rehabilitation is required as part of the readmission application. The student Must: 1. Submit a letter requesting readmission to the Nursing Program. 2. Include documentation from a mental health specialist who specializes in addiction behaviors indicating the status of the student’s substance abuse issue(s), status of the student’s recovery and/or include other documents demonstrating rehabilitation related to the drug and/or alcohol issues. 3. Include documentation of compliance with a treatment program as identified by the mental health specialist, including a statement that the student will be able to function effectively and provide safe and therapeutic care for clients in a clinical setting. 4. Repeat the drug and alcohol screening process immediately prior to readmission, and provide the results of said tests to the Director of Nursing. P a g e | 43 VI. VII. Students Requiring Medical Prescriptions a) If a student requires current medical prescriptions that cause the student not to function appropriately within the clinical setting, the student will be asked to withdraw from the Nursing Program for medical reasons. b) The student may apply for readmission pursuant to the Readmission Protocol when the student can demonstrate evidence of unimpaired behavior and judgment, or discontinued use of any prescribed medication that contributed to the impaired behavior/judgments. c) At this time, Medical Marijuana and/or THC in any form is not considered an acceptable medical prescription according to the AZBN. VIII. Student Notification of Drug and Alcohol Screening Test Policy and Procedures a) The student’s signature on the Nursing Student Handbook receipt form indicates that the student has received a copy of the Drug and Alcohol Screening and Substance Abuse Detection and Prevention Policy and Procedures, has read and understood the Policy and Procedures, and acknowledges that failure to comply with any aspect of this policy will result in dismissal from the Nursing Program. IX. Some Clinical Facilities may request random drug screens on students. P a g e | 44 REVIEWED 7/14, REVISED 5/2015 RN Department CONSENT FOR SCREENING I, _________________________________, understand and agree that the screening test I am about to receive may include testing for drug, alcohol, or chemical use: ___________ (please initial). I understand that if I decline to sign this Consent, and thereby decline to take the test, the Director of Nursing will be notified and disciplinary action up to and including removal or dismissal from the clinical area, Nursing Program, or the College may result. If the test is positive and confirmed by a second test as outlined in the Department of Nursing’s Drug Screening and Substance Abuse Detection and Prevention Policy and Procedures, the Director of Nursing will be notified, making me subject to possible disciplinary action. If I am already a licensed professional, my licensing board will be notified as well, possibly in a suspension or loss of my license. I understand that the Department of Nursing at Mohave Community College will be responsible for the costs of the screening test. I understand that an exception may be made for the use of legally prescribed medication taken under the direction of a physician or other healthcare practitioner. I have taken the following prescription(s) or nonprescription drug(s) or substance(s) within the last two weeks (if none, please write in “None”): _____________________________________________________________________________________ _____________________________________________________________________________________ I understand that the above tests are not 100% accurate and may produce a false-positive or a false-negative result. I hereby release Mohave Community College from all liability arising from or in any way related to the screening tests or the results thereof. I hereby: Consent Refuse Consent for the Test I state that the sample, if provided, is in fact a specimen from my own body eliminated on this date. I also authorize the results of my test(s) to be released to Mohave Community College Department of Nursing, as well as to others with a need to know. Should any screening test(s) be positive, and if I am allowed to go through rehabilitation, I consent to periodic testing as deemed necessary by the Department of Nursing as outlined in the Drug Screening and Substance Abuse Detection and Prevention Policy and Procedures. If I enter a rehabilitation program, whether inpatient or outpatient, I hereby consent to the health care or mental health care professionals involved in providing service to me through such a program to inform the Department of Nursing of my treatment and participation in the program. I understand that after a period of one (1) year, I may reapply to the Nursing Program pursuant to the Readmission Protocols. Signature of Witness Reviewed 5/15 Date Date P a g e | 45 Student Signature RN Department CONSENT FOR TRANSPORTATION I, _________________________________________, herby authorize the Department of Nursing to notify a local transportation service to transport me to Student Signature Date Signature of Witness Date Reviewed 5/15 P a g e | 46 __________________________________________________________, a drug and alcohol screening test site, and/or to my place of residence at the expense of the Department of Nursing. Attendance – (Protocol 3) ABSENCES Frequent absences are considered undependable and in appropriate in the profession of nursing. Absences from class and the clinical area also results in a loss of knowledge and skill which seriously jeopardizes the student’s ability to give safe, comprehensive nursing care. Therefore, the following policies will apply: 1. It is mandatory that the student notifies the clinical instructor at least 60 minutes (1 hour) prior to the scheduled clinical and/or lab time for any absence or expected tardiness. Failure to do so will be considered an unexcused absence and may result in dismissal from the program. 2. All absences from clinical rotations must be made up. An opportunity to make-up a clinical absence must be negotiated; the necessity for type and amount is determined by the faculty member. The decision is based upon, but not limited to, the reason for the absence, the student’s past clinical performance, and the student’s current learning needs. If a student needs to make up more than one clinical day the cost of a clinical instructor may be charged to the student. 3. Excessive absences may result in an unsatisfactory clinical evaluation. In the event of more than two (2) unexcused absences from clinical in any nursing course, the student must submit a written petition to the Nursing Department to remain in the program. 4. The lab is looked on as a clinical setting and the same professional behavior shall apply. It is expected that if a student cannot keep a lab appointment, he/she will notify the lab personnel prior to the scheduled time. The student will be penalized in the event of one (1) “no-show” or more than one (1) late cancellation (less than 24 hours); final grade will be dropped two percent (2%) for each occurrence. a. Failure to complete skills evaluation/check-off by specified goal date, the final grade will be dropped 2%. b. Exceptions as defined under grading (pg. 54, item 8, a-b-c-d). 5. The instructor, as class content warrants, in each segment of instruction will give examination. The instructor will announce an examination at least one (1) week in advance. It is the student’s responsibility to be present for the examination. It is the individual instructor’s decision whether make-up exams will be allowed and the type of exam to be offered. 6. Regular punctual attendance to class is required. Any class missed, regardless of cause, reduces opportunity for learning and may affect achievement. Students are responsible for notifying faculty of any anticipated class absences in advance. The faculty has the prerogative of excusing or not excusing the absence. For an unanticipated absence, students must notify faculty prior to the start of class on the day of class. Any absence in which the faculty is not informed of is automatically an unexcused absence. Two unexcused absences will result in Nursing Program probation. Three unexcused absences will result in program dismissal unless the student petitions the Nursing Department to remain in the Program. The readmission decisions rests with the Nursing Faculty. TARDINESS Reviewed: 5/15, Revised: 6/16 P a g e | 47 Punctuality and attendance are important characteristics of a nurse and a discipline and must be learned by the student nurse in the classroom and clinical area. Due to the seriousness of tardiness in the clinical area, after three (3) times of being tardy more than 15 minutes, a full day of unexcused absence will be assigned to the student. Clinical Experience Protocols – (Protocol 5) GENERAL 1. All problems concerning lodging or off clinical times are to be referred to the Director of Nursing. 2. In the event of illness or injury in the clinical setting, the student maintains financial responsibility for his/her own care. 3. All transportation and meals before, during, and after clinical experience are the student’s financial responsibility. 4. All students are required to maintain health insurance coverage, current immunizations or titer verifications, TB screening, negative drug screening, DPS Clearance Card, background checks and CPR certification (American Heart Association Health Care Provider). The student must have current updated documentation on file in the nursing office or he/she will not be allowed to participate in the clinical experience. 5. All students are expected to conform to the policies and procedures of the agency where students are assigned. If required, the student must comply with the agency drug screening policy. 6. Travel between campus sites for lecture and clinical experience is required throughout the Nursing Program for all students in all semesters. 7. Pursuant to program requirements, all students must complete 675 hours of clinical work in healthcare agency placements. In order to maintain compliance with state and federal laws and regulations, as well as, providing clinical placements to students, various criminal background checks are required. Although not a requirement of the academic program, a student who fails to voluntarily undergo criminal background checking, as required by the healthcare agency, will not be able to fulfill the requirements of the clinical portion of the program. Voluntary background checks are completed at the student’s expense. The Arizona Department of Public Safety Clearance Card is required for nursing home, school nursing, and psychiatric rotations. The criminal background check is required by the acute care facilities. LODGING FEES Rooms are reserved as necessary for clinical. 1. If a student desires to stay alone in a room, resulting in another student being alone in a room against his/her wishes, then the one desiring a room of his/her own will pay additional fees. 2. Lodging cost is included in the Program Fee and thus is not subject to refund. 3. Lodging is provided for those traveling to Las Vegas clinical sites. P a g e | 48 REVISED 5/2015 Dress Code – (Protocol 6) 1) Guidelines for student’s dress and appearance when functioning in a professional capacity in classroom, class lab, simulation lab and clinical settings include: a. Be meticulous regarding person hygiene: 1. MCC approved uniform, clean and pressed. 2. Hair and skin clean no atypical hair colors or styles. 3. Nails short and clean no colored polish (no artificial nails); clear polish is acceptable. 4. Deodorants used. 5. Good oral hygiene. b. Hair to be arranged neatly and securely so that it will stay under control, away from the face and off the collar and no ponytails. Beards are to be neatly trimmed. c. Jewelry is limited to watch, “plain” wedding band, and ONE set of simple “stud” type earrings in ears only. NO OTHER PIERCINGS ALLOWED. d. Students are not to chew gum. e. The approved Nursing uniform includes: 1. White uniform top with collar, short sleeves and lower front pockets (may be patch or in-seam type). 2. MCC nursing patch (available from MCC bookstores) placed on the left uniform sleeve, one inch below the shoulder seam. 3. Red (to match the uniform patch) uniform pants, slacks, or skirt. No denim or casual red pants are acceptable. Uniform pants must be hemmed to reach the top of the shoe in front and must not touch the ground in back of the shoe. Skirts must reach the bottom of the knee when standing and rise no more than two inches above the knee when seated. Skirts in the clinical setting must follow the rules for length and not be longer than mid-calf. Capri length pants are not acceptable. 4. Appropriate white underwear (white tee shirts required for males). 5. Clean uniform white shoes with closed toes and heels (no clogs or sandal). 6. Tan or white hose or plain white anklet socks for women, white socks for men. 7. White long sleeve cotton/jersey t-shirt style can be worn underneath uniform top. 8. Name pin approved by the department of nursing is required at all times while in a clinical setting. 9. Body piercing is not appropriate to the clinical setting and tattoos must be covered. b. Usually slacks, skirt and blouse or sweater or a daytime dress should be worn by women. Attire should be discreet and non-suggestive. No shorts or jeans. Tops/blouses must cover skin to waist. Body piercing and tattoos must be covered. P a g e | 49 2) Guidelines for clinical laboratory experiences not requiring uniforms: a. “A” through “D” in section 1 applies. c. For men, a sport shirt and slacks are suitable. d. In certain institutions, in designed areas, special garments may be worn, such as scrub gowns/suits in operating rooms, maternity areas, etc. e. Clogs are not acceptable. f. When not required to wear nursing uniform, student should be aware of the professionalism expected in classroom, community and hospital facility learning activities. At all times, clothing should reflect professional and modest standards of dress contributing to the image of nursing as a profession. Clothing should be clean, neat, well-maintained and appropriate to the activity. Tops with thin narrow straps which bare the shoulder are not appropriate to the activity. Bare midriffs are also not appropriate. Ensure clothing and undergarments adequately cover all body parts as a sign of respect for yourself, your classmates, your instructors and your profession. 3) Students must meet the dress code of Mohave Community College Nursing Department as well as the dress code of the facility. 4) Students are required to wear nursing scrubs in classroom; students not adhering to the dress code policy will be asked to go home. Reviewed 5/15 P a g e | 50 5) It is expected that graduates maintain the Mohave Community College dress code at the Pinning Ceremony. Students not adhering to the dress code policy will be asked to go home. Dismissal – (Protocol 7) Reasons for dismissal of nursing students: 1) Failure to meet program objectives (achievement of grade below a “C” in all required course work). 2) Failure to pass clinical component of a given nursing course. 3) Failure to protect patient confidentiality. 4) Any behavior, which could jeopardize life, impedes recovery, or interferes with the maintenance of the patient’s current health status (attending clinical when not prepared or attending clinical with an infectious illness jeopardizes patient health). 5) Failure to immediately report a patient-care error to a college nursing instructor and responsible nursing personnel. 6) Any preparation of written material that is plagiarized/fraudulent for theory classes or clinical rotations (protocol 8, E). 7) Any performance and/or conduct while in the host hospital/clinical agency that brings from the agency a serious documented complaint indicating inability to perform at a professional level. 8) A consistent problem regarding attendance at clinical, laboratory and/or theory classes (see protocol 3). 9) Proven dishonesty, for example: providing false documentation, stealing and/or cheating on exams. I.e. sharing of exam information with others, taking written exams out of classroom, taking pictures of exams with cell phone cameras, unauthorized printing of exams, etc. 10) If charged with a felony, which may affect clinical performance, the MCC Dean of Student Services and Dean of Instruction, on recommendation from the Director of Nursing, may suspend the student while awaiting a verdict. 11) Actions of physical, psychological or emotional instability to a degree which could jeopardize life, impedes recovery, or interferes with the maintenance of a client’s health. 12) Evidence of substance abuse or refusal to participate in drug screening (see protocol 1, #15 and the Drug Protocol #13). 13) Failure to demonstrate a minimal proficiency of 100% in math (dosage calculations) during each nursing course. 14) Failure to maintain health insurance coverage, current TB screening, DPS Clearance Card, positive background check and/or CPR certification or failure to provide other required health information. (Current documentation must be on file in the nursing office). P a g e | 51 I. 15) Placing self or others in physical or emotional distress. If a student has been convicted of a felony/misdemeanor prior to or during the time they are in the program, they should contact the Arizona State Board of Nursing regarding eligibility to write the NCLEX exam for licensure. (see Arizona Nurse Practice Act June, 2007 R4-19-403 #28, R4-19-403 #29, A.R.S. §32-3208) *See Appendix A (AZBN Legal Limitations for Nurse Licensure) 16) Two course failures during the entire program (NUR prefix courses). II. Students are expected to display behavior standards of a professional nurse. Certain behaviors are grounds for immediate dismissal. In general, students are apprised of unsatisfactory behaviors through progress reports and weekly clinical evaluation tools. Students failing to demonstrate professional attitudes and professional behavior standards will be placed on probation or dismissed from the program depending on the situation. This includes disrespect to peers, instructors, and professional colleagues as well as unprofessional conduct as described in R4-19-403 in the Rules of the Arizona State Board of Nursing. If applicable, a plan of expected behavior to improve performance will be provided to the student. It is the student’s responsibility to report changes in medical status, personal information, and/or illegal or criminal action to the nursing office within 10 days. *See Appendix A (AZBN Legal Limitations for Nurse Licensure) EXAMPLES OF UNPROFESSIONAL CONDUCT ARE: 1. Failure to maintain professional boundaries: Any conduct or behavior of a nurse that, regardless of the nurse’s intentions, is likely to lessen the benefit of care to a patient, resident, or family of the patient or resident at risk of being exploited financially, emotionally or sexually. 2. Entering into a dual relationship: A nurse simultaneously engages in both a professional and nonprofessional relationship with a patient that is avoidable, non-incidental, and results in the patient being exploited financially, emotionally, or sexually. 3. Engaging in sexual contact with a patient, resident, or any family member of a patient or resident who does not have a pre-existing relationship with the nurse, or any conduct in the work place that a reasonable person would interpret as sexual. 4. Removing, without authorization, any money, property, or personal possessions, or requesting payment for services not preformed from a patient, employer, co-worker or member of the public. P a g e | 52 REVISED 5/2015 Grading – (Protocol 1) GRADING PROCEDURE An evaluation of both theory and clinical competence will be completed. Courses having a clinical laboratory component will be graded as follows: 1. The theory component will be assigned a letter grade based on the Nursing Department scale as described below: Grading Scale A = 92 - 100 B = 85 - 91 C = 80 - 84 D = 75 - 79 (unacceptable to continue in the Nursing Program) F = 74 & below (unacceptable to continue in the Nursing Program) 2. The clinical/laboratory component is interdependent with the theory component; e.g., if a student receives a failing grade in either component, the grade recorded for the class will be “D” or “F”, and the student cannot continue in the program. If the student is readmitted to the program, the entire course must be repeated. THEORY COMPONENT 1. Grading Scale for Nursing Courses: Students must have a grade of “C” or better in their nursing courses. Each course syllabus outlines requirements for successful completion of the course. The grading scale for nursing courses is as follows: “C” = 80 - 84%, “B” = 85 - 91%, “A” = 92 – 100%. 2. Final theory grades are based on examinations and/or other assignments. 3. All students must achieve a minimum average of 80% (not 79.9%) on examination grades in order to receive a passing grade of “C”. All examinations will be counted once in determining the average. Grades on other assignments may be used to increase a grade average only after the minimum average has been achieved by the examination average. All students must achieve a minimum average of 80% (not 79.9%) cumulative grade which includes all graded course work, test scores and final examination to successfully pass the course. This grading procedure applies to ALL nursing (NUR) courses. Cheating on examinations or actions which compromise the security of examinations will not be tolerated and is grounds for immediate dismissal. 4. A pharmacology dosage examination will be administered in each nursing course and must be passed with a 100%. If the student cannot achieve a minimum score of 100% on two attempts, the student will receive tutoring and/or completion of a dosage calculations course. Additional failures of dosage examinations will result in failure of the course. Student will not be permitted to pass medications in the clinical setting until the dosage exam is completed with a 100%. This will be reflected on clinical evaluation form. All Examinations undergo a thorough item analysis to insure equity in the grading process and fairness to the students. In addition tests are analyzed for internal validity. If a student fails an exam he/she may be advised to improve his/her understanding of key concepts through simulations, skills lab, case studies up to and including the fair grading process after a thorough exam analysis. P a g e | 53 5. The number of examinations given during a semester and the weight of each exam toward the final grade is decided by the individual nursing faculty member and is explained in the individual class syllabus. 6. A grade of “D” or “F” in ANY required nursing OR educational core course is not acceptable to fulfill requirements for the AAS-Nursing degree. 7. All material turned into a faculty/clinical instructor must be identified with first and last name. Material turned in without proper identification or illegible may have points taken off the total value of the material. Material submitted is expected to be the original work of the student. 8. It is the responsibility of each student to turn in assignments, reports (American Psychological Association format will be required), projects, etc. to the faculty/clinical instructor who made the assignment on the date designated by the faculty/clinical instructor. Assignments not submitted by the required date and time will be accepted and noted as completed but not scored. All assignments must be submitted. This is a requirement of all nursing courses. “All assignments must be submitted to pass the course.” Certain circumstances as outlined below will allow faculty or the program director to consider the acceptance of a late assignment. Exceptions: a) Court mandated-show proof b) Hospitalization-provide proof c) Illness- provide a doctor’s note d) Death of an immediate family member It is the student’s responsibility to contact the nursing faculty or Director of the Program as soon as possible. 9. The nursing courses incorporate clinical criteria, which must be satisfactorily met in order to achieve a passing grade. If these criteria are not met, the grade will be recorded as a “D” if the total cumulative grade is above 75% and as an “F” if the total cumulative grade is below 75%. 10. All students will be notified in writing if doing unsatisfactory work. 11. Students are expected to attend classes, laboratories and clinical assignments at all times. Nursing Faculty/instructors will inform their students, within the first few days of classes, of any special attendance requirements necessary for satisfactory completion of the course. CLINCAL COMPONENT 12. Clinical evaluation is based upon performance in the clinical area according to behavioral objectives as defined by the course outline. 13. All nursing students will have weekly clinical evaluations and a written end-of-course summary evaluation. Faculty or student may initiate additional evaluations at any other time. 14. Students are required to attend clinical assignments to meet the objectives of the course; however, the student may be restricted from clinical assignment if the agency staff or instructor deems them unsafe or unfit for duty. 15. Any student suspected of being under the influence of alcohol or other mind altering substances will be REQUIRED to have immediate urine and/or blood drug screening, according to hospital policies (see protocol 13). Refusal will result in dismissal from the program. (protocol 7) 17. All students are to perform clinical procedures under the direct supervision of their instructor until the instructor approves their performance as safe. P a g e | 54 16. Clinical performance, based upon behavioral objectives, is graded on a pass/no pass basis (see #9 above). 18. Students are to be supervised while giving medications until the instructor approves their performance as safe. 19. Student will not be permitted to pass medications in the clinical setting until the dosage exam is completed with a 100%. This will be reflected on clinical evaluation form. 20. Hospital and/or clinical agency incident reports involving any student and/or client are to be completed in full and signed according to agency policy. Faculty will also complete a Mohave Community College incident report and may require that a student complete a MCC incident report even if it is not requested by the clinical institution. Incident reports shall be placed in the student’s file in the Mohave Community College Nursing Office and sent to the Risk Manager as well. 21. Students are not to leave their assigned unit without notifying their instructor and the nurse in charge. At no time will the student leave the agency during the assigned clinical time for personal reasons, during meal breaks, or other break times without permission of their instructor. 22. When the assigned clinical time is finished, the student is to exit the facility in a timely manner. If it is necessary to re-enter the clinical facility after or at other than assigned times, the student must remove any Mohave Community College identifying articles of clothing such as name tags and uniform tops and may not participate in patient care. 23. Students not assigned to a particular area or group will not loiter in the area where other students are working. 24. Although the clinical component of each course is unique, the student is expected to apply all positive nursing behaviors learned in previous courses. Any problem-nursing behavior shall be evaluated on a continuum. It the student does not change the behavior he/she may be dismissed from the program at any point, based on the cumulative problem behavior as well as for a single grievous incident. 25. It is expected that the student’s clinical written assignments be the student’s original work. 26. When under a physician’s care for any medical or mental health need, the student is required to inform the instructor to facilitate safety for student, instructor, patient, clinical facility and the College. In order to participate in the clinical setting, the student must obtain a written release from his or her healthcare provider, describing any limitations. If none, the written release may state the same. If the limitations may be reasonably accommodated so that the student retains functional abilities required of a nurse, the student may remain in clinical. If the limitations create a risk for error or potentially affect the safety of the student, the patient or the instructor, the student will be given an incomplete for the number of clinical hours missed. If the student remains physically or mentally unable to complete all clinical hours within the semester, the student will again be given an incomplete. The Director of Nursing will work with the student and the faculty to develop a contract for completion of clinical hours and any outstanding assignments. A written release must be obtained prior to resumption of clinical care from the student’s healthcare provider. If the student is not able to meet the terms of the written incomplete agreement and demonstrate functional abilities of a nurse, the student will be given a failing grade for the course. Expected functional abilities of a nurse are included in the Appendix of this Handbook. Revised 5/15, 5/16 P a g e | 55 27. Use of cell phones and text messaging are prohibited in the clinical area. Students are to leave their cell phones either in the car or in their personal belongings at clinical. Students may give the direct phone line of the clinical site where they are working for their significant others/child care givers in case of emergency. If phones are combined with online resources, the resources may be utilized with the phone’s text functions turned off, when approved by the clinical instructor. Nursing Program Computerized Testing Policy – (Protocol 2) Mohave Community College is committed to a high standard of academic excellence and integrity. Students are responsible for an honest and independent effort during testing. When there is evidence of cheating, disciplinary action may be taken; including, but not limited to, receiving a zero for the exam or being withdrawn from the course or from the Nursing Program. Tests and testing computers are the property of the Mohave Community College RN Program and CANNOT be removed from areas designated for the taking and reviewing of computerized tests. CHEATING INCLUDES, BUT IS NOT LIMITED TO: Looking at or copying from another student’s exam. Communicating or receiving answers during the exam. Using unauthorized notes, texts, or other materials during an exam. Obtaining and/or distributing an authorized exam or part of an exam or a test bank. Opening additional browser windows before, during, or after the administration of an exam. Discussing exam content or questions with classmates who have not yet taken the exam. Opening any test without authorization from a proctor/instructor present. POLICY AND PROCEDURE FOR COMPUTERIZED TESTING: Once entering testing room, no one will be allowed to leave for any reason without instructor/proctor permission. All computerized testing will be proctored. Students will look only at their own computer screen during the exam. If a student looks in the direction of another screen, the student will be verbally warned once. If the behavior continues, the student’s exam will be terminated and a zero will be recorded. Students will login to browser via MCC network as instructed. No other browser window is to be opened before, during, or immediately after the exam. The student will not open any exam at any time unless he or she is in a proctored setting at the established date and time for the test to take place. If any student opens an exam prior to the established date and time, disciplinary action will be taken. Students may not print out or email any portion of any exam or results. Students may not discuss content of the exam until all students have taken the exam and scores have been recorded. If a student does not save an answer properly or appears to not have answered a question or skipped a question, the student will not be given an opportunity to answer the question. The question will be scored as incorrect. All books and personal belongings including hats are to be placed at the front of the testing room away from individual students. No cell phones, Smart Watches, or other electronic devices are allowed in the testing room. These devices must be turned off and left in the student’s car during testing. Faculty will not define or explain the meaning of medical terminology or answer any questions for student during the exam. No conversation will be allowed during testing period. If instructor/proctor needs to give a student a second warning, all students involved will receive a zero on the examination. Any problems or concerns about the administration of the examination should be submitted in writing to the nursing faculty immediately following the examination. P a g e | 56 POLICY AND PROCEDURE FOR COMPUTERIZED TEST PROBLEM SOLVING: If the computer network fails to initiate within a timely fashion, the nursing instructor has an option to administer the exam later during the class when the system is up and running or to reschedule the exam at the next class day or a different date. If the computer freezes or the student is disconnected prior to completion, the nursing instructor will instruct the student to refresh the screen. If refresh does not work, the student may log out of the system and log-in again. Students will be given credit for the time lost and have it added to the total time allotted for the test. If a student is unable to complete the test after logging in a second time, the nursing instructor may reschedule the student’s exam. If the computer network or laptop computer does not respond, a different laptop may be tried. If no additional laptop computers are available, the nursing instructor may reschedule the student’s exam. Any question left unanswered when submitted for grading will be marked incorrect. The nursing instructor will closely monitor all computerized exams to ensure accuracy of grading. If there are any problems or concerns regarding difficulty in concentration, please contact the nursing instructor/proctor immediately. POLICY AND PROCEDURE FOR COMPUTERIZED TEST REVIEW: Students will have an opportunity to review the exam in a proctored formal setting. The Nursing instructor will not accept questions concerning answer rationales during the discussion of the test. Students may only review an exam in a proctored formal setting. Accessing or reviewing an exam outside of a proctored formal setting is prohibited. A student may submit in writing (an email is also acceptable) a rationale or any concerns about specific test question(s). The written item of concern must be given to the nursing instructor within 2 hours following the examination. The student may not take notes or write information specific to a test question during the exam review. FAILURE TO TAKE TEST AT THE ASSIGNED TIME Reviewed 5/15, Updated 6/16 A test may be taken at a time other than the assigned time ONLY in the case of illness or an extreme emergency. If the student cannot take the test at the assigned time, he/she must contact their faculty instructor or the program director before the scheduled test time. The student is responsible for making arrangements with the faculty instructor for making up the test which must be taken as near the scheduled date as possible and no later than four (4) academic days later. (4 college days) The student must take the make-up test within four (4) academic days from when the test was given except in the case of illness or an extreme emergency. This is required so that the student’s grade will be in parity with the rest of the student’s grades, and to demonstrate that he/she has studied the material. The make-up exam may be either the original or another test, at the option of the lead faculty and student’s instructor. Taking a test at a time other than the scheduled time more than once will result in faculty review of the student’s status. Exception: a) Court mandated (must show proof) b) Hospitalization (must provide evidence) P a g e | 57 Nursing Skills/Simulation Laboratory Guidelines – (Protocol 4) INTRODUCTION Consistent with the philosophy of Mohave Community College, the faculty in nursing believes that individuals learn in different ways at different rates. Based on this belief, different modes of learning have been incorporated into the nursing curriculum. The simulated performance of nursing skills in the nursing laboratory results from a combination of auto tutorial and guided student instruction and practice. The instructional sequences have been planned to help the student learn how to simulate performance of basic nursing skills and to learn the scientific facts and principles upon which those skills are based. The instructional materials the student uses are intended for independent study, to be used as many times as the individual needs to use them in order to learn the content and gain confidence to do the simulated performance of that skill. Success will depend on early planning, preparation, and especially practice. No skill can be performed in a clinical setting without prior satisfactory performance in the lab. OBJECTIVES Upon completion of required skill performance/simulations for each semester, the student will: 1. 2. 3. 4. Demonstrate accountability for accurate preparation for scheduled skills. Demonstrate responsibility in managing time commitments. Simulate required nursing skills independently, correctly and within a given period of time. Identify nursing principles related to safe performance of required nursing skills. LABORATORY ACTIVITIES Each student will receive a Nurse Pac containing supplies required for mastery of specific skills. During practice in the laboratory, request instructor assistance and guidelines as needed. Needles and syringes must never be removed from the lab. Standard precautions must be used in all situations in which contact with body fluids is likely. Students must satisfactorily perform each skill in the laboratory to receive a satisfactory evaluation by the clinical instructor in the clinical area. Failure to satisfactorily complete skills in a timely manner may: 1. Decrease the number of clinical opportunities for a patient care experience resulting in clinical failure. 2. Be reflected in the student’s evaluation of preparedness for the clinical experience. 3. Result in an unsatisfactory failing clinical grade. Students must be able to maintain the functional abilities expected of a nurse. (See Functional Abilities in the Appendix B of this Handbook). APPOINTMENTS P a g e | 58 Appointments may be made in person or by the telephone. Consideration of other students is required when scheduling appointments. Same day cancellation, no show, and/or arriving late for an appointment result in time and laboratory personnel time being taken away from other students and will be considered as an unsuccessful attempt. Late arrival will not be accepted and will require another scheduled appointment. The student is responsible for making appointments and getting skills checked off in the lab by the contract date. Failure to do so will result in a clinical failure. No student is allowed in the lab without supervision by nursing faculty and/or staff. The student’s procedure manual, Nurse Pac and skills list must be brought to the lab for check-off of skills. When making an appointment, be sure to allow sufficient time to set up, review and demonstrate skill. A skill performance simulation includes demonstration of skill and answering oral questions relevant to skill principles and rationales. COME PREPARED. Performance Checklist and the Student Performance Record will be dated and signed by the simulation Laboratory personnel and/or the clinical instructor. A skill performance simulation will be terminated at the point at which it is determined that the student’s performance is unsatisfactory or the time limit for the skills performance is reached. Areas for improvement and recommendations will be given and noted on the academic performance form. Failure to improve and meet the required expectation will result in failure to comply with course requirements. The faculty will be notified periodically of student’s progress in performing skill simulations. The student will be responsible for bringing his/her updated skills contracts to clinical and keeping his/her clinical instructor up-to-date on his/her skill level. After each simulated skill performance, the student is requested to return any used lab equipment properly reassembled for other students to have available for use. GENERAL NURSING / SIMULATION LABORATORY GUIDELINES 1. Scheduled hours are posted on the Laboratory door. 2. Only nursing students, faculty and persons authorized by the Department of Nursing and/or college administration are permitted in the laboratory. (No children, family members, guests or friends without permission). 3. Eating/drinking and smoking are not permitted in the Skills/Simulation laboratories. 4. Students repeating a nursing course must repeat required skill performance simulations. 5. Student dress code in the Nursing laboratory requires student wear either student uniform or scrubs, and ID badges when practicing and/or testing. Student will be sent home if the dress code is not followed. 6. Simulation exercises that enhance clinical reasoning will be included in the nursing course of study. Students will be graded on the same numerical scales that are used as the clinical evaluations. These experiences will be in lieu of clinical experiences at clinical sites. P a g e | 59 Reviewed 5/15 Student Rights – (Protocol 8) Student rights, student code of conduct, and student academic honor code (Honor Policy) are identified in the Mohave Community College Student Handbook. The Nursing Program however, is regulated by the Arizona State Statute via the Arizona State Board of Nursing and is held to a higher standard as the Nurse Practice Act establishes educational, examination and behavioral standards for nurses that are designed to protect the public. Therefore; the Nursing Program retains the administrative capacity to determine the outcome of a nursing student who has violated the academic honor code or committed any act listed in Protocol #7 “Reasons for Dismissal” in the Nursing Student Handbook or in R4-19-403 of the Rules of the Arizona State Board of Nursing. The student retains the right to dispute the Nursing Department decision through the College’s Formal Problem Resolution Process. The Nursing Department certainly welcomes the College’s student academic honor policy and adopts the following definitions specific to the Nursing Department: Academic Dishonesty means any of the following: a. Cheating: Intentionally using or attempting to use unauthorized materials, information, or study aids in any academic exercise. To cheat on an exam is to use books, notes, or other materials not explicitly permitted by the instructor in taking an exam; to copy another students’ work in taking an exam; to use copies of examination material (whether stolen or accidentally obtained) in preparing for an examination when the instructor has not made these materials public by prior distribution; to assist a student in cheating in any of the aforementioned ways. To cheat on an assignment is to use materials or sources explicitly forbidden by the instructor in completing assignment (including the ideas and work of other students when forbidden and to assist students in cheating as defined above). Student should be aware that when taking an online course or when participating in online activities in ground courses, electronic trails may indicate cheating. Students sharing computers for the same course and submitting assignments within a few minutes of each other may give the appearance of shared work. b. Fabrication: Intentional and unauthorized falsification or invention of any information or citation in an academic exercise with the intent of gaining an unfair academic advantage, either for the individual who is committing the fabrication or for another. A falsification is the manifestation of untruth with the intent to mislead; disregard for the truth; false representation of one’s self; or intentionally creating false data. c. Stealing: The deliberate taking of another individual’s or group’s property without consent, permission, or acknowledgement with the intent of gaining an unfair academic advantage. d. Facilitating academic dishonesty: Intentionally or knowingly helping or attempting to help another to violate any provision of the MCC Honor Code. Students are on their honor to report known academic dishonest. Failure to do so in the Nursing Department will likely incur a penalty. e. Plagiarism: Intentionally representing the words or ideas of another as one’s own in any academic exercise. Plagiarism is the misrepresentation of someone else’s research, thought, or writing as one’s own. Plagiarism occurs when a student uses the ideas or phrasing of another individual or group and presents the information as their own without crediting the original source. Plagiarism includes, but is not limited to, the use paraphrase or direct quotation of the published or unpublished work of another person without full and clear acknowledgement. It also includes the unacknowledged use of materials prepared by another person or agency engaged in the selling of term papers or other academic materials. P a g e | 60 1. Information gathered from the internet and not properly identified is also considered plagiarism. Plagiarism includes, but is not limited to use of direct wording, artistic creations and/or expressions (written or musical) without proper acknowledgements, false citation, purchasing, downloading, or using papers written by another individual. Self-Plagiarism is included in academic dishonesty. Example: Resubmission of a previous assignment in a different semester or when repeating the class. (Protocol 7, #6) f. Misrepresentation: Intentionally or knowingly claiming college credit, certificate or diploma as one’s own when someone else did any or all work required toward the award of the credit/certificate/diploma. g. Collusion: The unauthorized collaboration with another person in preparing written work offered for credit. h. Abuse of resource materials: The intentional mutilation, destruction, concealment, theft, or alteration of materials provided to assist students in the mastery of course materials. 2. Academic work means the preparation of an essay, thesis, report, problem, classroom or online discussion, assignment or other project such as care plans, concept maps, case study, process recording, thought paper, etc. whether done alone or in an assigned group, submitted for purposes of grade determination. 3. Academic penalty means one or more of the following sanctions which may be imposed in cases involving violation of academic honesty: a. Requirement to re-submit the academic work in question with an automatic grade reduction. b. Requirement to perform additional academic work not required of other students in the course. c. A reduction to any level of the grade in the course, or on the examination, or other academic work affected by Violation of the Honor Code. d. College: Requirement to withdraw from the course with a grade of “F” or a “WF”. e. Nursing Program: Grounds for immediate dismissal from the Nursing Program. 4. Disciplinary penalty means any penalty which may be imposed in a student disciplinary matter pursuant to Mohave Community College Code of Student Conduct and the procedures of the Nursing Department. 5. Honor Code means the promise made to uphold the Mohave Community College Honor Policy. 6. Honor Code Reminder is the standardized reminder placed in all course syllabi, on nursing exams, and on the login page to the college online learning platform. 7. Honor Code Review Form: 8. Violation of the Honor Code includes any act of academic dishonesty as defined by this policy. 9. The Academic Honor Code is the promise made by all members of the Mohave Community College community to uphold the MCC Honor Policy. The Code states: “We, the members of the P a g e | 61 Form is used when a faculty member is convinced that a student has violated the Honor Code and the faculty has assessed an academic penalty, disciplinary action or recommended immediate dismissal from the Nursing Program. Mohave Community College academic community hereby resolve to uphold individually and collectively the honor of the college by doing all that is within our power to prevent any form of dishonesty in our academic work, including, by not limited to, refusing to participate in any act of cheating, fabrication, stealing, plagiarism, misrepresentation, collusion or facilitating the academic dishonesty of another”. 10. Academic Honor Pledge: A pledge of commitment of the Honor Code and shall appear on all nursing examinations and other assessments as faculty deem appropriate. Student signature on the assessment shall be an acknowledgement of the pledge. Students shall be advised that clicking through to assessments in Angel indicate that they have acknowledged the pledge. The pledge states: “In compliance with the Mohave Community College Honor Code, I pledge on my honor that I have not given or received any unauthorized assistance on this examination (or assignment) and that the person doing this course work is the person who is registered for this course. I further pledge that I have not to my knowledge committed any of the acts of academic dishonesty identified in this policy. Faculty will reference the Academic Honor policy in their syllabus and utilize proctoring, secure testing software and the like. Students are expected to take responsibility for reviewing their course syllabus and asking clarifying questions if an assignment is unclear. NURSING DEPARTMENT ACADEMIC HONOR CODE VIOLATIONS 1. When a faculty member reasonably suspects that a student under the faculty member’s supervision has violated the Academic Honor Code, the faculty member will summon the student orally or in writing to a private persona conference. At the meeting the faculty member will explain to the student both the suspected Code violation, evidence that supports the suspicion that the violation occurred and depending on the circumstance the determination of any imposed academic penalty, disciplinary penalty or probable dismissal from the Nursing Program. The faculty member may rely on direct visual evidence, documents, electronic evidence and other written statements. If the faculty member relies on documents or other written statements the faculty member may or may not be able to provide the student with copies of such documents due to the nature of examination security measures. The student will be provided with a specified period of time to respond to the allegation, and a meeting will be scheduled with the Director of Nursing if circumstances warrant. The student may present witnesses either by written statements or in person. However; neither the MCC personnel nor the student may be represented by legal counsel at any meeting. If the student fails to respond in the time that the faculty member has provided or if the student fails to attend further scheduled meetings, the student may be dismissed from the Program. 2. The Director of Nursing will be involved in the decision for the Program dismissal. The Nursing Department will utilize the Nursing Department’s Academic/Professional Standard/Clinical Probation documentation form and document the situation in detail. A copy of the documentation with determination will be provided for faculty, formal student file in the Nursing Administrative Office, and the student. If the situation involves program dismissal, copies of documentation will be shared with the Dean of Instruction. P a g e | 62 3. The student has the right to appeal the decision of the faculty member by first appealing to the Director of Nursing. The Director of Nursing will review the evidence, the faculty determination in the matter and make the final decision of the Nursing Department. The student then may opt to utilize the College Students Grievances process. NURSING DEPARTMENT CLINICAL AND PROFESSIONAL STANDARDS EXPECTATIONS 1. The student is expected to adhere to the Nursing Department Honor Code developed by students for students, the ANA Code for Nurses, and avoid any behaviors listed in Protocol #7 Reasons for Dismissal and unprofessional conduct described in R4-19-403 of the Rules of the Arizona State Board of Nursing. Any student with violations of the aforementioned is subject to immediate dismissal if the situation warrants or subject to being placed on clinical or professional standards probation. a. Examples of behaviors which lead to clinical probation are inability to apply nursing process and classroom theory to the clinical situation; failure to report client information to clinical instructor and staff, being unprepared to administer medications and perform skills. b. Examples of behaviors which lead to professional standard probation are utilizing inappropriate communication with peers, faculty, agency staff, failure to follow the dress code, and breach of confidentiality. 2. The Nursing Department will utilize the Nursing Department’s Academic/Professional Standard/Clinical Probation documentation form and document the situation in detail. A copy of the documentation with determination will be provided for faculty, formal student file in the Nursing Administrative Office, and the student. If the situation involves program dismissal, copies of documentation will be shared with the Dean of the Campus, Student Services, and Instruction. 3. If a student placed on probation fails to abide by the action plan set forth by faculty and demonstrates no improvement, the student’s outcome may be either immediate dismissal or clinical failure as determined by the faculty. 4. The student also needs to be aware that if a student is a licensed practical nurse, or a student in a position to test for licensure as a practical nurse or a certified nursing assistant, it is the obligated duty of the Director of Nursing to report the circumstances of the dismissal to the Arizona State Board of Nursing in the interest of public safety. P a g e | 63 Reviewed 5/15 NURSING PROGRAM HONOR CODE Student rights are identified in the Mohave Community College Student Handbook. In addition, the student is encouraged to adhere to the Honor Code developed by students for students. RESPECT: I WILL: 1. 2. 3. 4. 5. 6. Recognize and overcome my own biases toward others. Give the staff, instructors and peers the respect they deserve. Treat my peers as partners and equals, not as competitors. Show consideration of cultural and other differences between others and myself. Respect other’s personal affairs unless volunteered to you. Speak highly of others, praising in public; criticizing in private. COMMUNICATION: I WILL: 1. 2. 3. 4. Be aware of verbal and non-verbal communication and be a good listener. Address my concerns first directly to the person involved. Direct group concerns to the student representative. Maintain a team spirit and sense of unity among classmates. ACCOUNTABILITY: I WILL: 1. 2. 3. 4. 5. 6. 7. 8. Become a client advocate, safeguarding client health and safety at all times. At all times, be honest, open, democratic, collaborative and assertive. Maintain a professional attitude at all times with special consideration to the following: always be punctual; maintain an appropriate dress code; treat clients with kindness, respect and dignity, and respect confidentiality of client. Respect all materials and equipment in both skills lab and clinical settings. Function in a professional manner, abiding by the Code for Nurses found in the Nursing Student Handbook. Never allow an action to continue that may cause injury to the client, student, staff, or equipment. These types of incidents may be handled by an individual student initially, but must be reported to a faculty member as soon as possible. Address concerns directly to the person involved. If that is not possible or feasible, I will share my concerns with the faculty member involved. If issues are still not resolved, I will address my concerns to the Director of Nursing. Not participate in actions which jeopardize examination security or promote prohibitive sharing of examination information among students. Printed Student Name Student Signature Date REVIEWED 5/2015 P a g e | 64 Please Do NOT Remove from Handbook Withdrawal/Failure/Re-Admission – (Protocol 9) Once a student is admitted to the Nursing Program, the student is expected to follow the approved sequence for the nursing program by taking one core nursing course each semester. Additionally, the student is responsible for verifying progress in general education courses and in meeting all requirements of degree. Any interruption in progression of nursing courses requires the student to seek readmission. WITHDRAWAL From a Course: if a student withdraws from the nursing course, the student must write a letter to the Director of Nursing and have an exit interview with a nursing faculty member. Withdrawal from a course due to failing is considered to be the equivalent of course failure and will be considered as such if the student reapplies for readmission. From the Nursing Program: if a student interrupts progression of nursing courses by not registering for the next course in sequence, the student must write a letter to the Director of Nursing indicating the reason for the interruption and the desired date for readmission. Faculty will notify Director of the RN Program who will in turn notify Director of Student Services and the Dean of Instruction. FAILURE OF A COURSE If a student fails a nursing course, the student will be dismissed from the Nursing Program. Failure of any given nursing course may occur in one of the following ways: 1. Theoretical failure (achieving less than 80% NOT 79.9%). 2. Clinical failure (receiving less than 3 on any critical element on the Clinical Evaluation Tool or failure to complete lab skill competency in a timely manner). 3. Placing anyone (patient, staff, faculty, or other students) in physical or emotional jeopardy, i.e., alcohol or drug use, failure to maintain confidentiality, criminal (felony) activity. 4. Failure to achieve a 100% on the dosage exam in any nursing course. Only one retests will be allowed for any dosage examination. Student will not be able to pass medications in the clinical setting which will result in less than 3 on the clinical evaluation tool. If the student cannot achieve a minimum score of 100% on two attempts, the student will receive tutoring and/or completion of a dosage calculations course. Additional failure of dosage examinations will result in failure of the course. 5. Exhibiting behavior as noted in Protocol Number #7, Dismissal. P a g e | 65 6. Pharmacology Classes Protocol: a. For all nursing pharmacology classes (NUR 227, 228, 229), if a student fails any pharmacology class, the student must retake the course the following academic year semester and may not progress to the next nursing or pharmacology class until the failed pharmacology class is passed. If the student does not pass the class after two separate attempts, the student will not be able to continue in the nursing program. o Students who fail a pharmacology course in the fall must retake the same course in the spring, and may not take the next level nursing or pharmacology class in conjunction with the pharmacology class they have failed. o Students who fail a pharmacology course in the spring must retake the same course in the fall – they may not take it in the summer – and may not take the level nursing or pharmacology class in conjunction with the pharmacology class they have failed. READMISSION PROCESS A student who has failed or withdrawn from one nursing course or the Nursing Program has the right to apply for readmission. The steps in the readmission process include: 1. Completes Request for Re-Admission Form 2. The student writes a letter, attaches to Re-Admission Form and sends via US Mail directly to the Director of Nursing indicating: Factors that interfered with the student’s success. Reasons why the student has a better chance of success this time. Actions the student has taken to prepare for success in a subsequent attempt, i.e., gaining clinical experience as a CNA or LPN, lightening course load, etc. (Complete a Success Plan) 3. The Nursing Department will complete a review of the student’s request. 4. Recommendations from the faculty will be provided to the student to improve chances for success. 5. Re-Admission is contingent upon space availability and Admissions Committee approval. 6. If the student is denied readmission, the student may follow the Student Grievances process outlined in Mohave Community Colleges’ Student Handbook. No student will be allowed to register for RN Nursing classes during the Student Grievances process. 7. All readmissions must be approved by the Department of Nursing prior to registering for the next nursing course. If approved for readmission, the student may register for the desired course. READMISSION GUIDELINES 1. If a student submits a Re-Admission Form and letter requesting readmission and takes actions to improve chances for success, the student will be granted the opportunity to apply for readmission subject to approval by nursing faculty and Admissions Committee. No student will be allowed to be readmitted to the Nursing Program more than once. Documented illness or extenuating circumstances will be individually reviewed by the Director of Nursing and the Nursing Faculty. 2. Re-Admission is contingent upon space availability and Admissions Committee approval. 3. The maximum time for completing of the Nursing Program is five years. (i.e., admission spring 12graduate fall 2016 or 10 semesters). P a g e | 66 4. Failure to update contact information may cause loss of re-admission seat if the RN Department is unable to contact student. EXAM FAILURE WITHIN A NURSING COURSE 1. If a student is unsuccessful on any exam, (scores less than 80%), the student is also required to meet with an instructor. They will be required to utilize student enhancers provided for the course, i.e., Student Success Center, on-line resources, ATI, etc. 2. Student will be required to meet with faculty within three (3) days of the exam and bring a completed self-remediation form. The student is expected to complete a self-remediation form and bring it to the meeting. A student success alert will be issued. 3. The student will be placed on nursing academic probation if the student continues to produce course work below the minimum acceptable grade, it may result in stopping the progression in the nursing program. 4. If a student receives a second failing grade within the same course, he/she will be placed on academic probation. He/she must meet with the instructor to develop a success plan to remedy their deficiency. Failure to comply with the plan of action to improve and continuing to produce coursework and grade below the minimum acceptable grades stop progression in the nursing program. REVISED 6/2016 P a g e | 67 *See Remediation Policy RN Program Remediation Policy – (Protocol 14) A. Purpose: The purpose of remediation is to identify, remediate, and counsel those individuals who demonstrate behaviors or evidence of difficulties in their Nursing Program as early as possible. Remediation is a system of support for the student, and is not a disciplinary action. The sole purpose of this program is to help struggling students with remediation efforts designed at assisting them to become better equipped to be successful nurses. Remediation may be made for any significant areas of weaknesses. The faculty seeks to ensure that each student successfully completes our program, and is ready to enter the profession having assimilated the necessary knowledge, skills, attitude, and conduct essential for the successful nurse. B. Policy: There are two types of remediation: required and recommended. 1. Required Remediation a. Students who are referred for remediation from their clinical instructor will be required to remediate in the practice laboratory. b. Students who are referred for remediation from their laboratory instructor will be required to remediate in the skills laboratory. 2. Recommended Remediation a. If a student is unsuccessful on a theory exam, (scores less than 80%) the student is expected to complete a self-remediation form and submit it to their instructor within three (3) days of the exam. The student is also required to meet with an instructor. b. The instructor may further identify areas for needed improvement. C. Procedure: 1. Required Remediation: Skills a. The clinical, simulation, or laboratory instructor refers student for remediation of nursing skill(s) by completing the Nursing Skill Remediation Referral Form with the student. b. The student makes an appointment for remediation with the skills lab or simulation instructor. c. The student demonstrates competence of the skill to the nursing instructional support associate. d. The nursing lab staff or simulation instructor completes the remediation referral form by documenting the minutes/hours of remediation and signifying that the student has satisfactorily demonstrated the skill in the nursing lab. e. The student returns the completed Nursing Skill Remediation Referral Form to the clinical or laboratory instructor. f. The Lab staff communicates completion of remediation to faculty/clinical instructor. 2. Recommended Remediation: Theory Exams a. If a student is unsuccessful on a theory exam, the student is expected to complete a selfremediation form and submit it to their instructor within three (3) days of the exam. (nursing student self-remediation form/success plan) b. The faculty member will assist the student in developing an individualized remediation plan. (6/2016) P a g e | 68 *Nursing Student Self-remediation form/success plan is found in the Appendix of this handbook. Administration Procedure ATI Examination – (Protocol 10) NUR 121, 122, 221 (Nursing I, II, III) 1. Nursing students must take, by use of computer and via the Internet, the designated proctored ATI Examinations for Nursing I, II, and III, in order to meet the requirements for each core nursing course. a. Nursing I: Proctored Fundamental Examination and Nutrition Exam. b. Nursing II: Proctored Medical Surgical Examination. c. Nursing III: Proctored Maternal Newborn, Mental Health, Community Health, and Pediatric Examinations. 2. The examinations will be scheduled by faculty in available Mohave Community College computer classrooms near the end of each semester. 3. The examinations must be taken on a Mohave Community College campus site and must be proctored. 4. In Nursing I and II, a Level One score is considered serious. The student will be required to identify area(s) of weakness and develop a written plan for remediation with a faculty member. This process may include completion of additional testing as required by the faculty member to demonstrate the student’s competency and achievement of course objectives. 5. In Nursing II and III, faculty will guide students developing a written plan for remediation on content covered in class. This process may include completion of additional testing as required by the faculty member to demonstrate the student’s competency and achievement of course objectives. 6. Final grades for each respective course will not be issued until the ATI testing and remediation is completed. 7. Other practice examinations and assignments are available online from any site at www.atitesting.com. Students are given access codes from their instructor. Administration Procedure ATI RN Predictor Examination NUR 222, Nursing IV Nursing IV students must take the proctored ATI RN Predictor, Leadership, and Pharmacology examinations by accessing the Internet and the ATI website. 1. Students are strongly encouraged to prepare for this examination through review of previous ATI materials, practice tests and course materials. 2. The examination will be administered prior to the final examination via computer according to class schedules. The exam will be administered after class or during class on each campus site where class is normally held. 3. If a student earns below the designated predictive score, the student will be required to complete remediation on the ATI Website utilizing online and printed ATI materials. 4. Once remediation and review is completed, the student will inform the fourth semester faculty that they are ready to retake the examination. (within 1-2 weeks) (5/2005) REVISED 5/2015 P a g e | 69 5. There will be additional required proctored ATI examinations conducted during Nursing IV. Level one scores on any given examination will require the student to identify weak area(s) and prepare a written plan for remediation. The student must then follow the plan which may include retesting. Nursing Student Problem Resolution – (Protocol 11) Allied Health Programs have established a policy to resolve both academic and non-academic complaints. Students and Faculty should strive to resolve conflicts as quickly as possible within their program. Step 1-(A). Students are required to discuss their complaint with the instructor involved. If the outcome of such a discussion does not satisfy the student or faculty thinks that third party intervention would facilitate the resolution go to Step 1-B. B. Summarize the situation in writing and seek an appointment with the Program Director. C. The Program Director will meet with one or both, individually or together to seek further data on the situation. The Program Director will review the data and reach a decision on the matter. The Director will notify the student and faculty of the decision within ten (10) business days. D. If the student or faculty is still not in agreement with the decision of the Program Director, the MCC Student Grievance procedure should be followed. If the program director is the faculty/instructor and the resolution has not been reached, the MCC Student Grievance procedure should be followed. Step 2: MCC Student Grievance Process found in the MCC Student Handbook. (10/2006) REVIEWED 5/2015, REVISED 6/16 P a g e | 70 Submission forms are available on the MCC website at http://www.mohave.edu/studentforms Nursing Information Technology – (Protocol 15) Courses within the nursing program of study use online resources as a learning and communication tool between faculty, clinical instructors, and students. Students will need access to a computer and reliable network connections for all nursing classes. MCC Information Technology on next page P a g e | 71 CRITERIA FOR USE OF MOBILE DEVICE DURING CLINICAL AND CLASSROOM ROTATIONS: Professional behavior and proper technology etiquette should be observed at all times when using cell phones, iPads, iPods, mobile devices, laptops or other electronic devices. These may be used only when authorized by faculty and for clinical activities, not personal use. Cell phones and all mobile devices must be on “silent” mode or turned off during class, lab, and clinical experiences [when authorized to have them in the mentioned areas]. No photos may be taken by students in the clinical agency or lab environments. No personal phone conversations or texting allowed at any time while in the lab, class, or clinical areas. A clinical probation will be given for the first violation of using the mobile device for socializing during clinical time. A second violation will result in a course failure which will delay the student’s progression in the program. For the combined cellphone mobile device applications, students are expected to turn off the equipment if the agency policy requires it and go to the designated cellphone use area. Be respectful to the client at all times and ensure that your entire attention is focused on the client when you are in the client’s room. If you are using any type of mobile device at the bedside be sure to apologize for the interruption in care and explain how this will help in their care (This includes the accucheck machine or any other electronic equipment.) At any time the faculty or hospital staff may ask to see what programs you are using. Use of facility computers for personal use is prohibited. You must protect the confidentiality of patient information at all times in accordance with HIPAA. Students may not take any photographs of clients or client records, nor make copies of a client records. Students who violate patient/client privacy with the mobile device will be subject to HIPAA infractions of the clinical agency and may be subject to disciplinary action. Students found to be in violation of the standards may be subjected to disciplinary action under the Student Code of Conduct Policies and Procedures found in the MCC Student Handbook. Note just as other medical equipment may act as a reservoir for microorganisms and contribute to the transfer of pathogens, so may mobile devices. Disinfect/decontaminate them frequently and as needed. Social networking sites: when contributing to a social networking site, it is important to remember that everyone can see and read what is placed on the site even if “privacy” options are selected. Keep your interactions professional and err on the conservative side when placing written communication or posting pictures. Remember your online presence reflects on you as a professional. Be aware your actions capture via images, posts, or comments reflect on you. Many recruiters routinely search the social networking venues when considering people for new hire. It is never appropriate to post photos or information about a patient. Social network posting can be subjected to disciplinary action from the nursing program and/or the college MCC INFORMATION TECHNOLOGY: ACCEPTABLE USE OF INFORMATION TECHNOLOGY The information technology resources at Mohave Community College are in place to support the instructional, research, and administrative activities of the college. Examples of these information technology resources include, but are not limited to: personal computers, laptops, iPads, iPads, cell phones, mobile devices, printers, outsourced technology/application services, network equipment, servers (virtual and physical), storage area networks, wireless access points, Wilde Area Network (the MCC cloud), telephones, classroom and library computing, online college resources, shared network resources, and system and data security and reliability processes. Students, faculty and staff using these resources have access to valuable college information technology resources and it is imperative that users behave in a responsible, ethical and legal manner. This document establishes specific guidelines for the use of college information technology resources and apply to all users of the information technology resources owned or managed by Mohave Community College, including but not limited to: college faculty and visiting faculty, staff, students, consultants retained by the college, guests of administration, external individuals or organizations and individuals accessing external network services, such as the Internet, via the college’s computing facilities. In accepting a user account the user agrees to these terms of information technology use. By using the information technology resources at Mohave Community College the user agrees to abide by the guidelines governing the use of these information technology resources. MCC TECHNOLOGY RESOURCES Information technology resources in place at the college are Mohave Community College’s property and are intended for instructional, research, and administrative purposes only. Students, faculty and staff do not have any expressed or implied privacy rights for any subject matter/information created on, received or sent through, stored on and accessed by the college’s information technology systems including, but not limited to: electronic mail, voice mail, sites visited on the internet, data stored on shared/dedicated network drives; external media accessed using MCC technology systems. The mentioned subject matter and information as defined above, work-related and personal, are subject to monitoring without notification. PROHIBITED USE All users will adhere to the following guidelines when using the information technology resources of the college: ACCESSING OTHER ACCOUNTS: Do not use another individual’s account, or attempt to capture or guess other users’ passwords. RESTRICTED ACCESS: Do not use college information technology resources to access, or attempt to access, restricted portions of the network, operating systems, servers, security software or applications software unless you are authorized to do so. PERSONAL FILES: Do not use college information technology resources to create, store, transmit or receive any files that are personal in nature. P a g e | 72 TAX EXEMPT STATUS: Do not use college information technology resources for activities that would jeopardize the College’s tax exempt status. PERSONAL FINANCIAL GAIN: Do not use college information technology resources for non-college purposes. ILLEGAL ACTIVITIES: Do not use college information technology resources to create, store, transmit or receive verbal or imagery content that violates state or federal law or MCC policy, including, but not limited to: fraudulent, harassing, obscene, indecent, profane or intimidating messages; depictions of inappropriate or incriminating images, including but not limited to, hazing, sexual or other harassment, discrimination, vandalism, stalking, underage drinking, illegal drug use. COPYRIGHT / INTELLECTUAL PROPERTY INFRINGEMENT: Do not use college information technology resources to create, store, transmit or receive any software, graphics, photographs, or other tangible form of expression that would violate or infringe any copyright or similar legallyrecognized protection of intellectual property rights. GAMBLING: Do not use college information technology resources to create, store, transmit or receive information that supports gambling (where money or something of value changes hands or will change hands) including, but not limited to initiating or participating in pools, raffles, lotteries, taking or making bets. POLITICAL ACTIVITIY: Do not use college information technology resources to create, store, transmit or receive information that supports any partisan political activity, including MCC bond-related campaigning. Students may campaign for MCC Student Activities Council positons under the Student Activity Council Constitution and officer election guidelines. COLLEGE SOFTWARECOLLEGE SOFTWARE: Do not copy any college owned/issued software to portable media (CD, USB drive, zip drive, etc.) for purposes or use elsewhere within the college or on any system outside the college. This is a violation of intellectual property law and will expose you and the college to litigation, fines or imprisonment. ABUSE OF COLLEGE INFORMATION TECHNOLOGY RESOURCES: Do not perform any actions that degrade the performance of the information technology systems at the college. VIOLATIONS: Failure to follow these guidelines may result in Faculty / Staff – Disciplinary action up to and including termination. Students - disciplinary action up to and including expulsion from Mohave Community College per the Student Code of Conduct. *Refer to the MCC Student Handbook: MCC Standard of Acceptable Use P a g e | 73 (5/2015) REVISED: 6/2016 Appendix A AZBN Legal Limitations for Nurse Licensure The nursing faculty make available to applicants of the RN Program the following information regarding Arizona State Board of Nursing legal limitation for licensure. R4-19-403 Unprofessional Conduct For purposes of A.R.S. §30-1601 (22) (d) any conduct or practice that is or might be harmful or dangerous to the health of a patient or the public includes one or more of the following: 1. A pattern of failure to maintain minimum standards of acceptable and prevailing nursing practice. 2. Intentionally or negligently causing physical or emotional injury. 3. Failing to maintain professional boundaries or engaging in a dual relationship with a patient, resident or any family member of a patient or resident. 4. Engaging in sexual conduct with a patient, resident, or any family member of a patient or resident who does not have a preexisting relationship with the nurse, or any conduct in the work place that a reasonable person would interpret as sexual. 5. Abandoning or neglecting a patient who requires immediate nursing care without making reasonable arrangement for continuation of care. 6. Removing a patient’s life support system without appropriate medical or legal authorization. 7. Failing to maintain a patient record that accurately reflects the nursing assessment, care, treatment, and other nursing services provided to the patient. 8. Falsifying or making a materially incorrect, inconsistent, or unintelligible entry in any record: a. Regarding a patient, health care facility, school, institution or other work place location; or b. Pertaining to obtaining, possessing or administering any controlled substance as defined in the federal Uniform Controlled Substances Act, 21 U.S.C. 801 et seq., or Arizona’s Uniform Controlled Substances Act, A.R.S. Title 36, Chapter 27. 9. Failing to take appropriate action to safeguard a patient’s welfare or follow policies and procedures of the nurse’s employer designed to safeguard the patient. 10. Failing to take action in a health care setting to protect a patient whose safety of welfare is at risk from incompetent health care practice, or to report the incompetent health care practice to employment or licensing authorities. 11. Failing to report to the Board a licensed nurse whose work history includes conduct, or a pattern of conduct, that leads to or may lead to an adverse patient outcome. 13. Failing to supervise a person to whom nursing functions are delegated. P a g e | 75 12. Assuming patient care responsibilities that the nurse lacks the education to perform, for which the nurse has failed to maintain nursing competence, or that are outside the scope of practice of the nurse. 14. Delegating services that require nursing judgment to an authorized person. 15. Removing, without authorization, any money, property, or personal possessions, or requesting payment for services not performed from a patient, employer, co-working, or member of the public. 16. Removing, without authorization, a narcotic, drug, controlled substance, supply, equipment, or medical record from any health care facility, school, institution, or other work place location. 17. A pattern of using or being under the influence of alcohol, drugs, or a similar substance to the extent that judgment may be impaired and nursing practice detrimentally affected, or while on duty in any health care facility, school, or other work location. 18. Obtaining, possessing, administering or using any narcotic, controlled substance, or illegal drug in violation of any federal or state criminal law, or in violation of the policy of any health care facility, school, institution or other work location at which the nurse practices. 19. Providing or administering any controlled substance or prescription-only drug for other than accepted therapeutic or research purposes. 20. Engaging in fraud, misrepresentation or deceit in taking a licensing examination or on an initial or renewal application for a license or certificate. 21. Impersonating a nurse licensed or certified under this Chapter. 22. Permitting or allowing another person to use the nurse’s license for any purpose. 23. Advertising the practice of nursing with untruthful or misleading statements. 24. Practicing nursing without a current license or while the license is suspended. 25. Failing to: a. Furnish in writing a full and complete explanation of a natter reported pursuant to A.R.S. §321664, or b. Respond to a subpoena issued by the Board. 26. Making a written false or inaccurate statement to the Board or the Board’s designee in the course of an investigation. 27. Making a false or misleading statement on a nursing or health care related employment or credential application concerning previous employment experience, education, or credentials. 29. Failing to notify the Board, in writing, of a conviction for a felony or an undesignated offense within 10 days of the conviction. The nurse or applicant shall include the following in the notification: P a g e | 76 28. If a licensee or applicant is charged with a felony or a misdemeanor involving conduct that may affect patient safety, failing to notify the Board in writing, as required under A.R.S. §32-3208m within 10 days of being charged. The licensee or applicant shall include the following in the notification: a. Name, address, telephone number, social security, number, and license number, if applicable; b. Date of the charge; and c. Nature of the offense. a. Name, address, telephone number, social security number, and license number, if applicable; b. Date of the conviction; and c. Nature of the offense. 30. For a registered nurse granted prescribing privileges, any act prohibited under R4-19-511 (D); or 31. Practicing in any other manner that gives the Board reasonable cause to believe the health of a patient or the public may be harmed. SB-1096 Felony Bar for Nurses went into Effect August 21, 1998 New Interpretation of Felony Bar Statutes For purposes of the Nursing Board’s felony bar statutes, A.R.S. Sections 32-1606(B) (17) and 1646(B), the commission of any felony offense on or after July 23, 2010, which results in a conviction of an undesignated offense, shall be treated by the Board as a felony “until such time as the court may actually enter an order designating the offense a misdemeanor” pursuant to A.R.S. Section 13-604(A). P a g e | 77 (5/2015) Appendix B Essential Skills & Functional Abilities for Nursing Mohave Community College Individuals who apply for admission to the Mohave Community College Nursing Program must be able to perform essential skills. Any applicant who has met the necessary prerequisites and who can perform the essential functions will be considered for admission. If a student believes that he or she cannot meet one or more of the standards without accommodations, the nursing program must determine, on an individual basis, whether a reasonable accommodation can be made. Functional Ability Standard EXAMPLES of required activities Motor Abilities Skills Physical abilities and mobility sufficient to execute gross motor skills, physical endurance, and strength, to provide patient care. Mobility sufficient to carry out patient care procedures such as assisting with ambulation of clients, administering CPR, assisting with turning and lifting patients, providing care in confined spaces such as treatment room or operating suite etc. Demonstrate fine motor skills sufficient for providing safe nursing care. Motor skills sufficient to handle small equipment such as insulin syringe and administer medications by all routes, perform tracheotomy suctioning, insert urinary catheter, etc. Manual Dexterity Fine Motor Skills Perceptual Sensory Ability Sensory / perceptual / Auditory ability to monitor and assess clients Visual Normal or corrected visual ability sufficient for accurate observation and performance of nursing care. Sensory abilities sufficient to hear alarms, auscultatory sounds, cries for help, hears normal speaking levels sounds, etc. Tactile Tactile ability sufficient for physical monitoring and assessment of health care needs. Visual acuity to read calibrations on 1cc syringe, assess color, see objects up to 20 ft. away (cyanosis, pallor, etc.) Smell Olfactory ability sufficient to detect significant environmental and client orders. Tactile ability to feel pulses, temperature, palpate veins, etc. Behavioral Interpersonal Emotional Emotional/Behavioral Professional Attitudes and Interpersonal Skills Ability to relate to colleagues, staff and patients with honesty, integrity, and nondiscrimination. Capacity for development of mature, sensitive and effective therapeutic relationships. Interpersonal abilities sufficient for interaction with individuals, supervisors, members of health care team, families and groups from various social, emotional, cultural and intellectual backgrounds, achieve a positive and safe work environment. Ability to work constructively in stressful and changing environments with the ability to modify behavior in response to constructive criticism. Follow instructions and safety protocols. Olfactory ability to detect smoke or noxious odor, foul smelling drainage, alcohol, etc. Establish rapport with clients, instructors and members of health care team. Work with teams and workgroups. Establish and maintain therapeutic boundaries. Emotional skills sufficient to remain calm in an emergency situation and maintain behavioral decorum in stressful situations. Behavioral skills sufficient to demonstrate the exercise of good P a g e | 79 Gross Motor Skills Capacity to demonstrate ethical behavior, including adherence to the professional nursing and student honor codes. Honesty and integrity beyond reproach. Communication Ability to communicate in English with accuracy, clarity and efficiency with patients, their families and other members of the healthcare team (including spoken and nonverbal communication, such as interpretation of facial expressions, affect and body language.) Required communication abilities, including speech, hearing, reading, writing, language skills and computer literacy. judgment and prompt completion of all responsibilities attendant to the diagnosis and care of clients. Adapt rapidly to environmental/stress changes and multiple task demands. Exhibit ethical behaviors and exercise good judgment. Gives verbal directions to or follows verbal directions from other members of the healthcare team and participates in healthcare team discussions of client care. Elicits and records information about health history, current health state and responses to treatment from clients or family members. Conveys information to clients and others as necessary to teach, direct and counsel individuals in an accurate, effective and timely manner. Establishes and maintain effective working relations with clients and co-workers. Ability to read and understand written documents in English and solve problems involving measurement, calculation, reasoning, analysis and synthesis. Ability to gather data, to develop a plan of actions, establish priorities and monitor and evaluate treatment plans and modalities. Ability to comprehend three-dimensional and spatial relationships. Ability to react effectively in an emergency situation. Analyzes and synthesize data and development of an appropriate plan of care. Collects data, prioritize needs and anticipate reactions. Comprehend spatial relationships adequate to properly administer injections, start intravenous lines or assess wounds of varying depths. Recognizes an emergency situation and responds effectively to safeguard the client and other caregivers. Transfers knowledge from one situation to another. P a g e | 80 Cognitive Conceptual Quantitative Abilities Recognizes and reports critical client information to other caregivers. Calculates appropriate medication dosage given specific client parameters. Safe environment for patients, families, and co-workers Ability to accurately identify patients. Ability to effectively communicate with other caregivers. Ability to administer medications safely and accurately. Ability to operate equipment safely in the clinical area. Ability to recognize and minimize hazards that could increase healthcare associated infections. Ability to recognize and minimize accident hazards in the clinical setting including hazards that contribute to patient, family, and co-worker falls. Computer and Internet Use Ability to use a computer, including common software applications. Ability to access the community college’s intranet programs. Ability to access and use the Internet. Accurately processes information on electronic medical records (EMR), medication container, physicians’ orders, and monitor equipment calibrations, printed documents, flow sheets, graphic sheets, medication administration records, other medical records and policy and procedure manuals. Prioritizes tasks to ensure client safety and standard of care. Maintains adequate concentration and attention in inpatient care settings. Seeks assistance when clinical situation requires a higher level or expertise/experience. Responds to monitor alarms, emergency signals, call bells from clients, and orders in a rapid and effective manner. Proficient in using word processing software to prepare assignments. Use computer to access Mohave Community College’s student email system, College Learning Management System (Schoology) and other software programs as assigned by instructor. REVISED 5/2015 P a g e | 81 Use computer to access websites on the Internet/World Wide Web to obtain references, take tests, access learning materials and other assigned uses. Appendix C Portfolio Expectations Each student will be required to keep a personal professional portfolio throughout the nursing program. This must be completed by the end of each semester and signed by a nursing instructor before a grade will be issued. It will include examples of the student work as follows and other examples may be required at the instructor’s discretion. The student portfolio provides a visual record of individual work reflecting mastery of program objectives ownership of the learning process and allows for showcasing of talents and creative expression. Role of the Nurse NUR 121 / Nursing I Advocate Situational Member within Profession NUR 122 / Nursing II Counselor Health / Illness Provider NUR 221 / Nursing III Teacher Developmental Communicator NUR 222 / Nursing IV Researcher Leader Organizational Reviewed 5/15 Manager Project/Assignment 1. 2. 3. 4. 5. 1. 2. 3. 4. 5. 1. 2. 3. 4. 5. 1. 2. 3. 4. 5. 6. Ethics Paper Elderly Interview Skills Lists Clinical Evaluation Nursing Care Plan Nursing Care Plan Concept Maps (2) Process Recording Skills Lists Clinical Evaluation Nursing care plans including Teaching Projects (2): a. Pediatric b. Obstetrics Evidence-based articles review (3): a. Pediatric b. OB c. Psych Psychiatric Care Plan Skills Lists Clinical Evaluation Case Study Leadership Project Resume / Cover Letter Evidence-based Practice Article Review Skills Lists Clinical Evaluation P a g e | 83 Course/Transition Date Completed And Instructor Initials Appendix D RN Department REQUEST FOR RE-ADMISSION TO BE COMPLETED BY STUDENT. THIS FORM WILL NOT BE ACCEPTED UNLESS FULLY COMPLETED AND LETTER OF RE -ADMIT IS ATTACHED. I am requesting consideration for re-admission into the Mohave Community College Associate Degree Nursing Program. The course I am requesting to re-enter is: __________________________________. The semester I am requesting to enter is (i.e. Fall / Spring and Year): ___________________________. PreCheck (Completed Before Consideration): ______________ DPS Card (Copy of Front & Back): ______________ Action Plan attached: _______________________ Action Plan presented to faculty member and approved. Signature of Faculty: _________________________. Attached is my Letter of Request for Re-Admission with my Plan for Success. I understand re-admission is contingent upon space availability and Admission Committee approval. There is no guarantee a seat will be available upon my return. I understand failure to update my contact information may cause me to lose my re-admission seat because I cannot be contacted. (Attached is my MCC unofficial transcript). I have discussed my re-admission with a course nursing faculty, and they have verified I am eligible to apply for re-admission and have attached all necessary re-admission paperwork. I am aware that re-admission is contingent upon Admission Committee Approval. Student Name (Please Print): ____________________________________ MCC ID#: _______________ Any other names used while at Mohave Community College: ___________________________________ Current Address: _______________________________________________________________________ (Street Address / City / State / Zip) Home Phone: ______________________________ Cell Phone: _____________________________ Home Email: __________________________________________________________________________ MCC Email: ________________________________________________________@students.mohave.edu Student Signature: ____________________________________ Date: ________________________ Faculty Signature: ____________________________________ Date: ________________________ P a g e | 85 (5/2015) Appendix E RN Program HANDBOOK RECEIPT SIGNATURE FORM FOR NURSING DEPARTMENT STUDENT POLICY HANDBOOK Name: MCC ID#: Address: Street Address / City / State / Zip Home Phone Cell Phone Work Phone I have received, read, understood and will abide by the Mohave Community College RN Department Student Policy Handbook regarding the following policies: (Please initial) ______1. Philosophy of MCC Nursing Department ______2. Arizona Nurse Practice Act and Nursing Legal Limitations for Nurse Licensure ______3. Code of Nurses: ANA Code of Ethics ______4. Program Guidelines ______5. Graduation Requirements ______6. Title IX and Disability Students ______7. Health Policies / Insurance ______8. Associate Degree Nursing Program Technical Standards and Functional Abilities ______9. All Protocols: ______ Dress Code ______ Dismissal ______ Withdrawal / Failure / Re-Admission ______ Behavioral Policies: Protocols 7 & 8 ______ National Patient Safety Goals ______ HIPAA ______ Classroom / Clinical / Lab ______10. Pregnancy Disclaimer ______11. Drug & Alcohol Screening & Substance Abuse Signature: Date: Faculty: Date: Revised 5/2015 P a g e | 87 ______12. All Appendices Appendix F MOHAVE COMMUNITY COLLEGE STUDENT RESPONSIBILITY STATEMENT In order to meet the requirements of Section II G. Of the Agreement for Clinical Practicum and/or Internship/Externship experience, STUDENTS shall read the following and indicate their understanding by signing below. This Student Responsibility Statement is in addition to the course syllabus, and the student is responsible for being familiar with the content of both documents. In consideration of the opportunity to enter into a clinical education/internship/externship experience, I agree to: A. Complete and be responsible for the cost of providing all health forms, documents and certificates requested by the FACILITY. B. At all times conduct myself, both at the FACILITY and outside normal business hours, in a personally and professionally ethical manner. C. Agree to comply with all applicable Federal, State, and local laws, including those prohibiting discrimination. Follow the policies, rules and regulations of FACILITY, including those regarding confidentiality of protected health information or other confidential information pertaining to client and patient records. D. Secure my own room and board during my clinical/internship/externship assignment. E. Conform in my attire and appearance to the accepted standard of the COLLEGE and the FACILITY, and procure the appropriate and necessary attire required, if any, but not provided by the COLLEGE and the FACILITY. F. Procure the appropriate and necessary equipment required as identified by the COLLEGE, if any, but not provided by the COLLEGE and the FACILITY. G. Provide my own transportation to and from the FACILITY or to and from any related special assignment approved by the COLLEGE and the FACILITY. I will never transport clients. H. Conform to the work schedule of the FACILITY. Notify the FACILITY immediately if I must be absent due to illness. Make up time and work missed during unavoidable illnesses, in consultation with my academic coordinator and clinical or internship/externship instructor. I. Notify immediately the FACILITY and COLLEGE liaisons if I learn I am pregnant or have other health-related concerns or during the clinical practicum and/or internship/externship assignment so that appropriate personal safety precautions can be implemented. J. Obtain prior approval from COLLEGE and FACILITY before publishing or presenting any material relating to the clinical experience outside normal educational settings of the COLLEGE. K. Provide health insurance, if desired, because I understand that neither the FACILITY nor COLLEGE will provide me with health insurance. I understand that I am not an employee of the FACILITY or COLLEGE Workers’ Compensation Insurance purposes and that neither the FACILITY nor COLLEGE will provide such insurance during my involvement in the clinical practicum and/or internship/externship assignment. Date: Student Name (print): Student Signature: Facility: BUS 0033 (REV. 04152014) Program: P a g e | 89 Duration: Appendix G National Patient Safety Goals MCC RN Program follows National Patient Safety Goals established by The Joint Commission to improve patient safety. The goals focus on problems in health care safety and how to solve them. IDENTIFY PATIENTS CORRECTLY Use at least two ways to identify patients. For example, use the patient’s name and date of birth. This is done to ensure each patient receives the correct medicine and treatment. Ensure the correct patient receives the proper blood during a transfusion. IMPROVE STAFF COMMUNICATION All critical test results must be reported to the patient’s physician. USE MEDICATIONS SAFELY Before a procedure, label medicines that are not labeled. For example, medicines in syringes, cups and basins. Do this in the area where medicines and supplies are set up. Take extra care with patients who take medicines to thin their blood. Record and pass along correct information about a patient’s medicines. Find out what medicines the patient is taking. Compare those medicines to new medicines given to the patient. Make sure the patient knows which medicine to take when they go home. Tell the patient it is important to bring their up-to-date list of medicines every time they visit a doctor. USE ALLARMS SAFELY Make improvements to ensure that alarms on medical equipment are heard and responded to on time. PREVENT INFECTION Use hand cleaning guidelines established by the Centers for Disease Control and Prevention or the World of Health Organization. Set goals for improving hand cleaning. Use goals to improve hand cleaning. Use proven guidelines to prevent infections which are difficult to treat. Use proven guidelines to prevent infection of the blood from central lines. Use proven guidelines to prevent infection after surgery. Use proven guidelines to prevent infections of the urinary tract caused by catheters. IDENTIFY PATIENT SAFETY RISKS Determine which patients are most likely to try to commit suicide. Ensure the correct surgery is done on the correct patient and at the correct place on the patient’s body. Mark the correct place on the patient’s body where the surgery is to be done. Pause before the surgery to ensure a mistake is not being made. (5/2015) P a g e | 91 PREVENT MISTAKES IN SURGERY Appendix H RN Department HIPAA INFORMATION MCC RN Program takes privacy regulations very seriously. HIPAA impacts students in the following ways: Patient records may not be photo copied or printed from a computer terminal for personal use (i.e. writing care plans or other papers. Students must not release any patient information independently. Any request for patient information should be directed to the student’s Mohave Community College clinical instructor/instructor. Violations of HIPAA may result in termination of the student experience. The Objectives of the HIPAA training are: To heighten your awareness of and commitment to HIPAA regulations. To reinforce the role you play in creating and maintaining organizational integrity, ethics, and compliance. To renew your working understanding of HIPAA requirements. 1) What is HIPAA? a. The Health Insurance Portability and Accountability Act of 1996. b. Privacy section of the Federal Regulations – 45 C.F.R. parts 160 and 164 i. Compliance date was April 14, 2003 ii. This Federal Law has both civil and criminal penalties of up to $250,000 and/or up to 10 years in prison. iii. Privacy Regulations cover ORAL, WRITTEN, and ELECTRONIC COMMUNICATIONS. 2) Protected Health Information (PHI) includes: Name Address Age Why the patient is being treated Medications Notes written about the patient Account number Unit/medical record number Social Security Number Birthdate Telephone Numbers Fax Numbers Electronic Mail Addresses Health Plan beneficiary number Photographs 3) Notice of Privacy Practices a. Each patient will receive a Notice of Privacy Practices that explains how their Protected Health Information (PHI) will be used. 4) Complaint process a. Anyone with a concern about a breach of privacy has the right to file a complaint with the Facility Privacy Office (FPO) or the Secretary of Health and Human Services. The complaint and the resolution process must be made available to the department of HHS or OCR if requested. (5/2015) P a g e | 93 Any concerns should be reported to the Charge Nurse and the Clinical Instructor. Information Security IDs and Passwords Patient Financial Information, clinical Information, and User Passwords are all examples of confidential information. A User ID without a password is not confidential and is frequently included in directories and other tools widely available. The person granting access to a system or application typically assigns a User ID to the end user, and the User ID is sometimes used for identification, tracking and other maintenance procedures within IT&S. If you have access to information systems, please keep in mind that your password acts as an individual key to our network and to critical patient care and business applications, and it must be kept confidentiality, integrity and availability of electronic information assets. Confidential Information A patient’s diagnosis, the Company’s marketing strategy, and computer network configurations are all considered confidential information. The Confidentiality and Security Agreement states that individuals with access to confidential information will not disclose or discuss any confidential information even after termination of their relationship with the clinical sites. No clinical site colleague, affiliated physician, or other healthcare partner has a right to any patient information other than that necessary to perform his or her job. Although you may use confidential information to perform your function, it must not be shared with others unless the individuals have the need to know this information hand have agreed to maintain the confidentiality of the information. Patient or Confidential information should not be sent through our intranet or the Internet until such time that its confidentiality can be assured. If it is necessary to send Patient information to a business associate (i.e., someone outside clinical group), arrangements other than e-mail must be made. Privacy HIPAA and its implementing regulations set forth a number of requirements regarding ensuring the privacy of Protected Health Information (PHI). HIPAA requires healthcare entities to appoint a Facility Privacy Official (FPO). The FPO in the facility oversees and implements the Privacy Program and works to ensure the facility’s compliance with the requirements of the HIPAA Standards for Privacy of Individually Identifiable Health Information. The FPO is also responsible for receiving complaints about matters of patient privacy. HIPAA regulations do not prevent medical records from being maintained at the patient’s bedside or outside the patient’s room; however, they do encourage reasonable safeguards be put in place to protect the patient’s information from inappropriate uses or disclosures. The HIPAA regulations contain a number of restrictions on the transmission of PHI; however, they do not prevent faxing or mailing health information may not be sold by a facility. P a g e | 94 The Notice of Privacy Practices must be made available to all patients, posted on the facility’s internet site (unless the facility does not have a site) and the consent from language must refer to the notice. Facilities must make a good faith attempt to have the patient sign an acknowledgement form confirming receipt of the notice. Patients have the right to access any health information that has been used to make decisions about their healthcare at the facility. They can also access billing information. They may review the paper chart (supervised) or be provided a hard copy. Access to the Clinical Patient Care System (CPCS) is not a recommended method of providing access to Protected Health Information (PHI). A patient may have access to all of the records in the designated record set. This record set includes any information that is maintained, collected, used or disseminated by a facility to make decisions about individuals. The paper record is the legal medical record and a copy should be provided upon request (electron access is not appropriate). A patient may be denied access under certain circumstances (e.g., when a person may cause harm to him or herself or others, or when protected by peer review). A patient may add an amendment to any accessible record for as long as the record is maintained by the facility. The request for amendment should be made in writing to the facility. While patients have a right to amend their record that does not mean that health information can be deleted from the record. The patient may submit an addendum correcting or offering commentary on the record, but no information may be deleted from the record. In order for the Health Information Management (HIM) department to track releases of patient information, patients (including employees) should be directed to the appropriate personnel at the facility for access to any health information. Everyone is responsible for protecting patients’ individually identifiable health information. Any piece of paper that has individually identifiable health information on it must be disposed of in appropriate receptacles. The paper must be handled and destroyed securely. The elements that make information individually identifiable include: name, zip or other geographic codes, birthdate, admission date, discharge date, date of death, e-mail address, Social Security Number, medical record/account number, health plan ID, license number, vehicle identification number and any other unique number or image. Any member of the workforce with a legitimate need to know to perform their job responsibilities may access a patient’s health information. However, the amount of information accessed should be limited to the minimum amount necessary to perform their job responsibilities. Policies prohibit employees from accessing their own records in Electronic Medical Records. Typically, employees do not have a “Need to Know” for the performance of their job. Employees may, however, fill out the appropriate Authorization in (HIM) and can obtain a copy of their records. The hospital directory or listing of patients used by the PBX operator, information desk or volunteers should contain only patient name, room/location and condition in general terms. Patient diagnosis or procedures should not be released. Also, this information may not be released about confidential patients or patients who ask not to be listed in the directory or have their whereabouts known. Lists of patients may be provided to clergy. The current Conditions of Admission form explains that the patient name may be leased to local religious organizations. The list should consist of the patient name, room/location, and may include the condition in general terms. This list should be restricted by religion, and confidential patients; confidential information such as Social Security Numbers should not be included. IMPORTANT NOTE: Patient records, electronic and/or paper format, cannot leave the facility. This also includes the use of any external media, CD or jump drive, to download and transfer information. P a g e | 95 (5/2015) RN Program HIPAA STATEMENT All those in healthcare must now comply with the federal regulation of the Administration Simplification Subtitle of the Health Insurance Portability and Accountability Act of 1996 (HIPAA). This Act required that individually identifiable patient information be disclosed on a need to know basis only. Care must be taken to minimize incidental disclosures and must disclose only minimal amounts of information necessary to accomplish the task. The minimum disclosure standard, however, does not apply to requests for information by a healthcare provider for treatment purposes. For example, if one must administer a medication, you will have full access to the medical record. This is covered by the patient’s consent for treatment. In order to protect patient/client privacy, all personally identifying information must be removed from student papers, such as care plans and case studies. Information to be removed includes the individual’s name, initials, address, phone number, fax number, and Social Security Number. Student papers may not be copied for careless circulation and handling. These written documents containing private health information must be either carefully stored or shredded to prevent the circulation of confidential patient information. Confidentiality and privacy also extends to oral communications which extend beyond the need to know for treatment and/or educational purposes. Clinical agencies are also mandated to follow HIPAA regulations. Students will therefore be required to meet any and all of the clinical agency’s requirements as part of the clinical affiliation. HIPAA is a federal law. Penalties for wrongful disclosure include fines and/or imprisonment. By signing below, I am stating that I have read and understand the HIPAA Regulations as it applies to patient/client privacy issues. I understand this relates to the Mohave Community College RN Program and if I am unable to follow the HIPAA Regulations at all times as it applies to patient/client privacy issues, I will be asked to withdraw and defer my spot with no guarantee of re-admittance back into the RN Program. I understand my rights and agree to abide by the guidelines of the RN Program. Student’s printed name Student’s signature (5/2015) P a g e | 96 Date Appendix I MCC RN Student Self-Remediation Form/Success Plan Student Name: Date of Exam: Exam Score: Course: Date of Next Exam: Your last exam score was below 80%. You are advised to contact your course faculty to schedule an appointment and discuss the following form. Complete the student portion of this form prior to meeting with your faculty. 1) How many classes did you attend since the last exam? _____ I attended all classes _____ I missed _____ classes 2) In the week there is not an exam _____ I spend _____hours studying for this course _____ I read the text and assigned readings _____% of the readings completed When I do the readings I: _____Take notes _____ outline _____ other: ________________ _____ I study alone _____ I study with a group _____ I complete optional study activities 3) When I attend class I _____ Take notes _____Participate _____Ask questions 4) In the week there is an exam _____ I spend _____hours preparing for the exam _____ I review other supplemental instruction _____ I review previously read assignments _____ I review my notes within 5 hours after lecture _____ I study alone _____ study with a group 5) These are part of my routine study habits _____ I review my notes from the readings and class _____ I use an outline of the key points from the reading _____ I study the key points from the end of the chapters _____ I have a study schedule and plan _____ I complete 50-100 standardized questions NCLEX style questions prior to exam _____ I review the answers and rationale of the standardized exam prior to the exam _____ I study in a group 6) My best time to study is ______________________ The time I usually study is _________________ 7) My test taking strategy consists of _____ Reading the question more than once _____ Rephrasing the question in my own words _____ Watching for negative words (i.e. except) _____ Identifying all the wrong answers before selecting _____ Rarely changing answers 8) What best describes your exam experience _____ I have test anxiety _____ When others finish the exam, I feel pressured to hurry and finish the exam _____ I am one the first ones done with an exam _____ I am one of the last ones done with an exam _____ When I change my answers on an exam, I change to the wrong answer P a g e | 98 Student will complete the following (please check all that apply). 9) My overall impression of why I performed below standard is/are: (Check all that apply) _____ I misread question. _____ I misunderstood the question. _____ I read into the question. _____ I missed important keywords. _____ I did not remember subject content. _____ I did not understand subject. _____ I did not recognize rational for answer. _____ I guessed wrong. _____ I changed the answer. _____ I marked the answer incorrectly. _____ I did not read all responses carefully. _____ I used incorrect rationales for response. _____ I did not have time to study. _____ Other:___________________________ 10) Are there any stressors that are impacting your performance (family, financial, employment)? What is your strategy to overcome these stressors? When will your strategy begin? __________________________________________________________________________________________________ __________________________________________________________________________________________________ __________________________________________________________________________________________________ 11) What do you feel is the most difficult challenge in this course? __________________________________________________________________________________________________ __________________________________________________________________________________________________ __________________________________________________________________________________________________ 12) What do you plan to do differently to prepare for the next exam? __________________________________________________________________________________________________ __________________________________________________________________________________________________ __________________________________________________________________________________________________ 13) What type of learner are you? __________________________________________________________________________________________________ __________________________________________________________________________________________________ __________________________________________________________________________________________________ Referred to Student Success Center 14) Plan for Success (To be developed with Faculty/Instructor): Student Name: Date: Faculty Advisor: Date: (6/2016) P a g e | 99 __________________________________________________________________________________________________ __________________________________________________________________________________________________ __________________________________________________________________________________________________ __________________________________________________________________________________________________ __________________________________________________________________________________________________ __________________________________________________________________________________________________ __________________________________________________________________________________________________ __________________________________________________________________________________________________ __________________________________________________________________________________________________ __________________________________________________________________________________________________ __________________________________________________________________________________________________ __________________________________________________________________________________________________ __________________________________________________________________________________________________ __________________________________________________________________________________________________ __________________________________________________________________________________________________ __________________________________________________________________________________________________ __________________________________________________________________________________________________ __________________________________________________________________________________________________ __________________________________________________________________________________________________ Appendix J HEALING COMMUNITY Nursing Curriculum: Subject Matter Assignments Definition of nursing, profession Professional Standards, patient rights HC Nursing model/transition theory/other theorists Nurse Practice Act/NCLEX Test Plan Scope of practice, QSEN Acute/chronic illness; levels of prevention; factors affecting illness Situational transitions Maslow/Erikson; homeostasis, adaption; coping mechanism (defense) Levels of nursing education; Outcomes of AD Nursing HIPPA and confidentiality Evidence-based practice Functional Health Basic Assessment Life Span Considerations Alzheimer’s and dementia Activity/immobility/exercises, Parkinson’s Safety/restraints/nosocomial infection/chain of infection/standard precautions/disasters/National Safety Goals Hygiene/functions of skin and skin care/pressure Ulcers/wound stages of healing and assessment Binders/bandages/heat/cold Test taking Oxygenation; respiratory function/assessment/distress/oxygen Recording/reporting; documentation Admission/discharge Communication techniques (therapeutic blocks) Listening/helping relationship/assertiveness/teaching Plan/conflict Nursing process; data interpretation, documentation, abbreviations Pre, intra and postsurgical care/consent/assessment Legal/ethical/informed consent/crimes/torts Roles of nurse/continuity of care Home Health care (Sensory stimulations/sensory overload and underload) Elimination-Urinary retention, incontinence, UTI, cystitis, BPH/assessment/diagnostic tests/renal and bowel Diarrhea and constipation Nutrition-Obesity and malnutrition; assessment, TPN/tube feedings/diet types Rest and sleep Sleep Disorders/stages/promotion/needs Comfort and pain-pain Management Holistic person/self-concept/self-esteem; reproductive sexuality Sexuality-Sexually transmitted diseases/cervical CA Wound care and factors affecting healing Cultural values; cultural competency; ethnicity, stereotyping, transcultural nursing Values/ethics/legality/counseling role/leadership skills Continuity of care/home health/payment for health care Spiritual values; caring Loss, death, grieving, advance directives/end of life care Fluids and electrolytes Disturbances, acid-base CLINICAL COMPETENCIES The student will safely and competently demonstrate and document the following: a. Appropriate standard precautions for infection control. b. Identify safety precautions in caring with patients. c. Safely and efficiently assist patients with activities of daily living. d. Admission and discharge of patient to the hospital setting. e. Appropriate use of restraints. f. Proper body mechanics. g. Use of roll bandages and binders and TED hose. h. Specimen collections. i. Measure intake and output accurately. j. Accurate measurement of vital signs. k. Therapeutic communications. l. Documentation, including recording and reporting. m. Teaching and learning. n. Beginning health assessments. o. Perioperative care. p. Initiating electrocardiograms. q. Tube feedings. r. Dosage calculations. s. Administration of oral, topical, suppository, injectable and intradermal medications. t. Blood Glucose Monitoring. u. Physical assessment; IV assessment. v. Natural aging and trust walk. w. Oxygen administration/incentive spirometry. x. Enema/ostomy care. y. Insulin Administration. z. BASIC CARE AND COMFORT IN ALL AREAS OF INSTRUCTION Informatics within the hospital setting: aa. EMR/Computerized charting bb. Glucometer Readings cc. Electronic Vital Machine dd. Kangaroo/Feeding Pump ee. Accudose/Pyxis ff. Concept Map x2 gg. Careplan Informatics within the lab setting: hh. EMR/Computerized charting ii. Computerized med cart jj. Electronic Vital Machine kk. High-Fidelity Simulation Scenarios ll. Glucometer Readings Informatics within the classroom: mm. Computerized Testing nn. Learning Management System for Assignments oo. ATI for Assignments pp. PREP U, Docu Care, and Course Point for Assignments qq. Online Textbook(s) for references rr. Uses internet to locate and download information for Journal Articles ss. Uses e-mail Assess the accuracy of health information on the internet P a g e | 101 NUR 121 Nursing I NUR 122 Nursing II CLINICAL COMPETENCIES P a g e | 102 Continue NCLEX and QSEN test plan and scope of practice. The student will safely and competently demonstrate the Chronic functional and dysfunctional health-illness transitions; following skills: cultural differences; health care delivery system; community a. Use of proper aseptic technique. based and acute care settings. b. Dressing change and wound irrigation. Principles of time management, therapeutic communication and c. Suture and staple removal. critical thinking, nursing process; technology and d. Oral and nasopharyngeal suctioning. information systems, health education e. Urinary catheter insertion/irrigation/DC. Alterations in oxygenation: f. Nasogastric tube insertion/irrigation/DC. Upper respiratory infection, atelectasis, lung volumes, g. Administration of insulin and sliding scale insulin. influenza, sinusitis, pharyngitis, laryngitis, tonsillitis, h. Initiation, monitoring and discontinuance of andenoiditis abscesses, epitaxsis, fungal infections, intravenous infusion. IV dressing. occupational lung disorders, lung CA, blood gases, COPD, i. Venipuncture for purposes of drawing blood. asthma, pneumonia, bronchiectasis, TB anthrax j. Focused assessment of each major body system. Alterations in mobility and safety: k. Continuation of drug calculations. Sprains, strains, arthritis, fractures, joint replacements, l. Central line flush and dressing change. dislocations, bursitis, tendonitis, carpal tunnel, impingement m. Convert IV to peripheral well. system, amputation, osteoporosis, osteomalacia, gout, Informatics within the hospital setting: Pajet’s disks, bone tumors and osteomyelitis. Low back pain, A. Computerized charting fibromyalgia, Multiple sclerosis, myasthenia gravis, muscular B. Glucometer Readings dystrophy, ankylosing spondylitis, polymyositis, C. Electronic Vital Machine Scleroderma. Polio, huntington’s chorea, ALS, Inflammatory D. Computerized IV Pumps dermatoses, secretary disorders, blistering disorders, E. Accudose/Pyxis parasitic disorders, fungal disorders, dermatitis, keloids, F. Concept Map x2 psoriasis, cellulitis, scabies, ringworm, herpes, skin CA and G. Careplan tumors, ulcerations, skin CA and would care. Plastic H. Monitor telemetry patients reconstructive surgeries and skin grafts. Informatics within the lab setting: Alterations in nutrition; food and fluids a. EMR/Computerized charting Diabetes, thyroid, adrenal, parathyroid invective and b. Computerized med cart digestive disorders: oral cancer, esophagitis, hiatal hernia, c. Electronic Vital Machine gastritis, GERD, peptic ulcer, H. Pylori, tube feedings, d. High-Fidelity Simulation Scenarios dumping syndrome; Gastric surgeries. Inflammatory e. Glucometer Readings disorders of large and small bowell-Ulcerative colitis, Informatics within the classroom: Crohn’s, review ostomy, botulism, appendicitis, peritonitis, a. Computerized Testing gastroenteritis, lactose intolerance. Malabsorption-cancer b. Learning Management System for Assignments of stomach and esophagus, diverticulitis; parasitic c. ATI for Assignments organisms. Anorectal disorders-hemorrhoids, fissures, d. PREP U, Docu Care, and Course Point for Assignments abscesses, Bowel obstruction, Cholecystitis, cirrhosis, e. Online Textbook(s) for references hepatitis, liver CA, Surgeries for obesity; review diarrhea and f. Uses internet to locate and download information for constipation. Journal Articles Alterations in cognition and perception: g. Uses e-mail Seizure, Glasgow Coma Scale, headache, Creutzfield Jacob’s, h. Assess the accuracy of health information on the and Bell’s Palsy, trigeminal neuralgia. Eye and ear disordersinternet glaucoma, cataracts, inflammation, corneal dystrophies, retinal disorders, macular degeneration, trauma eye tumors, facial reconstructive surgery; otitis media, osteosclerosis, Meniere’s Disease, vertigo, tinnitus. Alterations in circulation: Risk factors, CAD, angina, stable MI, cardiac cath, CHF, myopathies, hypertension, peripheral vascular disease arterial and venous, Burgers and Reynaud’s, thrombophlebitis, lymph problems; Anemia, stroke, TIA Alteration in elimination and sexuality: Review incontinence and retention; calculi, UTI, Phelonephritis/glomerulonephritis, lithotomies Alterations in Comfort and Sleep Oncology (Cancer theory), radiation, complications, bone marrow transplants, malignant melanoma, leukemia, Hodgkins, laryngeal, breast, lung, thyroid, colon-rectal HIV, AIDS, Kaposi’s sarcoma Perioperative Nursing-Teaching, anesthesia, patient safety, surgical asepsis and pain management Continue NCLEX and QSEN test plan and scope of practice. Development Transitions Functional and dysfunctional acute and chronic health illness relative to family nursing. Alteration in thought process: Assessments of functional status; client rights in mental health system; communication in establishing rapport; assessment of client with psychiatric dysfunction; models of psychiatric care; stress theory and anxiety/panic/phobia/obsessive compulsive/Somatoform Disorders/ Post-traumatic stress syndrome, sexual alterations, eating disorders; Affective mood disorders: Depression/suicide/sleep disturbances, abusive behavior, rape; Substance abuse; autism, attention deficit disorders; conduct disorders; Oppositional disorders; dissociative disorders; Psychosis-delirium, delusions, hallucinations, Dissociative disorders, bipolar, schizophrenia, paranoid Developmental transitions: Birth/assessment of neonate, stabilization; jaundice; temperature, reflexes; Apgar; nutrition; infant care, metabolic screening, nutrition, teaching Congential anomalies/interference with development/genetics/otitis media, failure to thrive, drug addiction; bronchopulmonary dysplasia, Childhood/well child parameters/screening/immunizations; assessment and assessment Communication; psychological integrity needs. Alteration in Physiological needs: Oxygenation - Respiratory distress; nasopharyngitis, epiglottis, croup, asthma, RDS, Bronchiolities, bronchiectasis, pneumonia, cystic fibrosis, SIDS, TB, T and A. Circulation – Congenital abnormalities, anemia, rheumatic fever, Kawasaki, endocarditis, obstruction, communicable disorders. Fluid and food – cleft lip/palate, fistulas, omphalocele, intussusception, hirschsprung’s, inflammatory bowel, celiac, diarrhea, appendicitis, dehydration worms, lactose intolerance, biliary atresia, hepatitis, diabetes, thyroid, burns, failure to thrive, poisoning; fluid and electrolytes, T and A; nutrition in children. Rest and Sleep; Comfort – Cancer, leukemia, hodgkin’s, neuroblastoma, Wilm’s tumor, osteogenic sarcoma, ewing’s sarcoma, HIV, genetic disorders, Sickel cell, blood dyscracias. Elimination – congenital kidney malformation, UTI, hypo and epispadias, chordae, bladder extrophy, cryptorchidism, hydrocele. Mobility – Fractures, hip spica, traction, braces, leggcalve-perthes, osteogenesis, arthritis, duchenne’s, amputation. Cognition and perception – Seizure, meningitis, encephalitis, guillain-barre, hydrocephalus, spina bifida, eye/ear disorders, cerebral palsy, mental retardation, head injury, Reye’s Syndrome, trauma Psychosocial integrity Toddler, preschool School-age tasks/milestones Cultural considerations Role of siblings, placement in family Child abuse Spiritual Development of conscience Adolescence Physiological changes Psychosocial tasks and milestones/transitions CLINICAL COMPETENCIES The student will safely and competently demonstrate the following skills: a. Maternal/newborn/pediatric/psychiatric assessments. b. Family assessments. c. Neurological assessments appropriate to psychiatric and family nursing. d. Administration of IV piggybank medications. e. Adding medications to existing IV. f. Administrations of IV push medications. g. Blood administration. h. Pediatric drug calculation. i. Maternity advanced drug calculations. Informatics within the hospital setting: j. EMR k. Glucometer Readings l. Electronic Vital Machine m. Fetal Monitoring n. Computerized IV Pumps o. Accudose/Pyxis p. Careplan q. Monitor telemetry patients Informatics within the lab setting: r. Computerized med cart s. EMR/Computerized charting t. Electronic Vital Machine u. High-Fidelity Simulation Scenarios v. Glucometer Readings Informatics within the classroom: w. Computerized Testing x. Learning Management System for Assignments y. ATI for Assignments z. PREP U, Docu Care, and Course Point for Assignments aa. Online Textbook(s) for references bb. Uses internet to locate and download information for Journal Articles cc. Uses e-mail Assess the accuracy of health information on the internet. P a g e | 103 NUR 221 Nursing III P a g e | 104 Young adulthood Transitions/tasks and milestones Childbearing Fertility and infertility/Pregnancy/normal/complicated (PIH, HELLP syndrome, anemia, diabetes, heart disease, Rh thrombophlebitis, hemorrhage, infection, abortion, addiction, hyperemesis, renal, hydatiform mole). Fetal Development and circulation, placenta, patient education, adolescent focus, classes, screening tests, Giving birth/normal/high-risk DIC-fatal distress, preterm and post-term, drug addiction in newborn Cesarean Transition to parenting/postpartum nursing care; National Health Goals; Standards of Care Lactation/ breastfeeding/ mastitis; safety in home Contraception Middle to Late adulthood Menopause/health promotion screening and selfcare/female surgeries/impotence Continue NCLEX and QSEN test plan and scope of practice. Assisting clients with acute health/illness concerns Organizational experience in leadership/management Toward healthy transitions Holistic assessments Analyzing data Critical thinking skills Evaluate transitional outcomes Develop new skills for practice Alterations in oxygenation Blood Gasses, laryngeal trauma, tumor, anthrax, status asthmaticus Respiratory failures/ARDS, SARS, laryngeal tumors, Pneumothorax, chest tubes, anthrax, drowning, smoke inhalation, pleural effusion, lung cancer Pulmonary emboli, pulmonary hypertension, chest trauma, status asthmaticus, lung abscess, mechanical ventilation, artificial airways Alterations in circulation AMI, Unstable MI, EKG changes with ischemia, MI, ICDs, ablations, stents, cardiac surgeries, aneurysms, acute peripheral occlusions, hemolytic anemia, bleeding disorders Shock and trauma, arrhythmias, monitoringdefibrillators, cardioversion, pacemakers, implanted cardioverters, hemodynamic monitoring, rheumatic fever, endocarditis, pericarditis, valular disease and replacement, acute arterial occlusion, hypertensive crisis, sudden death, angioplasty, IABP, pericardial effusion, pericarditis, tamponade, myocarditis Alterations in mobility Spinal Cord Injuries, Guillian-Barre Alterations in cognition/perception Stoke-acute care, head injury, craniotomy, pituitary tumors, AV malformation, coma states, status epilepticus, CNS infections, brain tumors, pheochromocytoma Alterations in Food and Fluids: Liver failure and trauma, hepatitis, cirrhosis, portal hypertension, esophageal varices, pancreatitis, appendicitis, peritonitis, burns, DKA, HHNS, diabetes insipidus, obstructions Safety issues-Trauma, HIV/AIDS, hypersensitity responses. Terrorism and bioterrorism, triage, blood administration, radiation, shock, DIC, disaster planning. Comfort/sleep Sensory deprivation/overload Advanced oncology/steal syndromes/complications HIV/AIDS complications Alterations in urinary elimination Acute and chronic renal failure, ESRD, diabetic nephropathy, lupus nephritis, dialysis, transplants, Glomerulonephritis Renal and urinary tract tumors; renal trauma Intro to organization transitions Delegation Leadership, management theory, power, change, team processes Health care system, evidence based practice, emerging opportunities, nursing care delivery systems, information technology, best practices Legal/ethical issues Total quality management; critical pathways Financial management; managed care; staffing Student transition to professional role of nurse Continuity of care CLINICAL COMPETENCIES The student will safely and competently demonstrate the following skills: a. Administration of total parenteral nutrition. b. Central venous IV access and care. c. Care and suctioning of a patient with a tracheostomy. d. Care and suctioning of an intubated patient. e. Assessment and care of a patient with a chest tube. f. Administrations of IV push medications. g. Introduction to ventilator management. h. Introduction to advanced monitoring systems. i. Advanced drug calculations. j. Implanted port access and care. Informatics within the hospital setting: k. EMR l. Glucometer Readings m. Electronic Vital Machine n. Hemodynamic Monitoring o. Computerized IV Pumps p. Accudose/Pyxis q. Careplan r. Monitor telemetry patients Informatics within the lab setting: s. Computerized med cart t. EMR/Computerized charting u. Electronic Vital Machine v. High-Fidelity Simulation Scenarios w. Glucometer Readings Informatics within the classroom: x. Computerized Testing y. Learning Management System for Assignments z. ATI for Assignments aa. PREP U, Docu Care, and Course Point for Assignments bb. Online Textbook(s) for references cc. Uses internet to locate and download information for Journal Articles dd. Uses e-mail Assess the accuracy of health information on the internet P a g e | 105 NUR 222 Nursing IV Revised: 6/2015 P a g e | 106 Communication/collaborative techniques, conflict resolution; SBAR reporting Professional responsibilities and roles Member of profession, reality shock, forces of magnetism Credentials and licensure Employment seeking skills Position description Performance feedback Political Activism: Health care politics and policy Appendix K Student Representative Committee PURPOSE OF THE ORGANIZATION This committee will meet with the Director of Nursing and Nursing Faculty to: 1. 2. 3. 4. Give and receive information about the curriculum Be informed of clinical concerns Have a forum for student concerns Promote interest in nursing careers MEMBERSHIP This committee will be comprised of one member from each major nursing subject in the two year program (i.e. NUR 121, 122, 221 & 222) and the Director of Nursing. Interested faculty is invited to attend. BY-LAWS This committee shall be selected by the students from each class once each year. Selected representatives will serve for one year. The agenda for each meeting will be jointly developed by the Director of Nursing and the student committee, with each student representative responsible for submitting items to the Director. POWER OF THE COMMITTEE This committee may make recommendations to the Director but has no authority to make changes in the program. Its power is in advisement and facilitations of communication between the consumers in the program and administration. DUTIES/RESPONSIBILITIES (9/2001) Reviewed: 6/15 P a g e | 108 Student representatives are expected to be representative of the group of students they were selected by and not promoting agendas. Student representatives are expected to be objective in evaluating program concerns. Student representatives are invited to attend one faculty session a semester for open sessions pertaining to curriculum. Elected representatives are expected to attend meetings of the Student Representative committee as their schedule allows.
