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ASSOCIATE in SCIENCE NURSING PROGRAM STUDENT HANDBOOK 2015 - 2016 0 Dear Nursing Student: Welcome to the Nursing Program at Florida SouthWestern State College! We are pleased you have chosen Florida SouthWestern State College (FSW) to pursue your nursing education. We are committed to assisting you in accomplishing your professional nursing education goals. Communication between students and faculty members is essential to facilitate your success. We encourage you to actively participate and assume responsibility for your learning; it is a two-way process. This handbook has been designed to provide you with information about the nursing program policies, college policies and curriculum expectations which will affect your progression, retention, and graduation from the nursing program. It is important you become familiar with the contents in this handbook as it will serve as your guide for both academic and nonacademic policies. We welcome you and wish you academic success! Sincerely, Barbara Ward, MSN-Ed, RN, CCRN Program Director, AS Nursing Program The policies and procedures in this Handbook are subject to change as needed. Students will receive notification in writing if a policy is revised. Please read all standards and e-mail communications from Nursing and Florida SouthWestern State College. 8099 College Parkway Fort Myers, Florida 33919 P 239.489.9300 www.FSW.edu Florida SouthWestern State College is an equal access, equal opportunity organization. FSW Nursing Student Handbook 2015-2016 1 Table of Contents Chapter One Administration and Staff ........................................................................................................................ 5 Faculty ...................................................................................................................................................... 6 Organizational Chart .............................................................................................................................. 9 Regulatory and Accrediting Organizations ....................................................................................... 10 Introduction ............................................................................................................................................ 11 Purpose.................................................................................................................................................. 11 Mission & Vision Statement ................................................................................................................ 12 Statement of Philosophy ..................................................................................................................... 12 Program Outcomes .............................................................................................................................. 15 Curriculum Framework ........................................................................................................................ 15 Chapter Two Campus Transfer Policy ...................................................................................................................... 17 Technical Standards for Nursing Students ....................................................................................... 17 Core Performance Standards for Progression................................................................................. 18 Physical, Emotional, and Mental Requirements .............................................................................. 20 Health Policy ....................................................................................................................................... 21 Grading Policy....................................................................................................................................... 22 Relationship of Credit Hours to Classroom and Clinical Hours ..................................................... 23 Academic Standards for all Nursing Students ................................................................................. 23 Length of Program................................................................................................................................ 24 Cost of Program.................................................................................................................................... 24 Student Success Program .................................................................................................................. 24 Retention Algorithm.............................................................................................................................. 25 Advisement ............................................................................................................................................ 26 Graduation Requirements ................................................................................................................... 26 Information on File in Nursing Office ................................................................................................. 26 Scholarly Papers .................................................................................................................................. 26 Unsafe/Unprofessional Clinical Practice Policy and Procedure .................................................... 26 Attendance and Punctuality Policy .................................................................................................... 28 Clinical Rotations .................................................................................................................................. 29 Computerized Testing and Computer Requirements ..................................................................... 30 Attendance Exams ............................................................................................................................... 30 Pharmacology and Drug Calculation Policy ..................................................................................... 30 Intravenous Medications ..................................................................................................................... 31 Community/Volunteer Service ........................................................................................................... 31 Preceptorship ........................................................................................................................................ 31 Progression in the Program ................................................................................................................ 31 FSW Nursing Student Handbook 2015-2016 2 Academic Warning ............................................................................................................................... 32 Student Conduct ................................................................................................................................... 32 Lines of Communication ...................................................................................................................... 33 Chapter Three Ethics ...................................................................................................................................................... 35 Civility ..................................................................................................................................................... 36 Clark Academic Civility Index for Students....................................................................................... 37 Impaired Provider ................................................................................................................................. 38 Grievance/Appeal Process/Student Complaints ............................................................................. 39 Confidentiality ....................................................................................................................................... 39 Social Media .......................................................................................................................................... 40 Academic Honesty ............................................................................................................................... 40 Sharing of Prior Clinical Evaluations ................................................................................................. 40 Uniform and Hygiene Regulations ..................................................................................................... 41 BLS for Healthcare Provider Certification ......................................................................................... 43 Licensure ............................................................................................................................................... 43 Liability Insurance................................................................................................................................. 43 Personal Health Insurance.................................................................................................................. 43 Faculty Office Hours ............................................................................................................................ 44 Student Involvement in the Nursing Program .................................................................................. 44 Student Involvement in FNSA ............................................................................................................ 44 Chapter Four Background Check and Drug Screen................................................................................................ 46 Appeal Process..................................................................................................................................... 47 Arrests While in the Health Program ................................................................................................. 48 Appendix A: Dismissal ......................................................................................................................... 49 Chapter Five Informed Consent – Liability and Special Risk Accidental Insurance Form ................................ 52 Informed Consent – Hepatitis A & Hepatitis B Form....................................................................... 53 Internet and Computer Code of Ethics and Student Conduct Form............................................. 54 Statement of Confidentiality and Dissemination of Client Information and HIPAA Form ......... 55 Acceptance of Responsibility Form ................................................................................................... 56 FSW Nursing Student Handbook 2015-2016 3 CHAPTER ONE FSW Nursing Student Handbook 2015-2016 4 School of Health Professions Associate of Nursing Program Administration Dean School of Health Professions Dr. Marie Collins Associate Dean Nursing Programs Dr. Marsha Weiner Program Director A.S. Nursing Barbara Ward Staff Staff Assistants Sandy Krotov - Lee Campus Wendy Morris - Charlotte Campus TBD - Collier Campus Coordinator, Assessment & Student Success Pamela Comstock FSW Nursing Student Handbook 2015-2016 5 Nursing Faculty Lee Campus Catherine Bogar, MSN, RN, CPEN, CNE A.S. Cuyahoga College B.S. Ohio State University B.S.N. University of Akron M.S.N. University of Akron James Coogan, MSN, RN A.D.N. Raritan Valley Community College M.S.N. Walden University Julissa Gonzales, MSN, RN, ARNP, CPN, CPNP-PC A.S N. Edison Community College B.S.N. University of South Florida M.S.N. ARNP, University of South Florida Carrie Kozel, MSN, RN A.S.N. Edison Community College B.S.N. Hodges University M.S.N. Sacred Heart University Nora Stadelmann, MSN, RN A.A. Green Mountain College B.S.N. Skidmore College M.S.N. Walden University Andrea Storrie, MSN, RN, CPNP A.D.N Henry Ford Community College B.S.N. University of South Florida M.S.N., C.P.N.P., University of South Florida Angela Vitale, MSN, RN B.S.N. Eastern Michigan University M.S.N. Walden University Debra Weeks, DNP, MSN, RN-BC B.S.N. University of Florida M.S.N. University of Florida D.N.P. University of Florida Pat Zebrook, MSN, RN B.S.N. University of Wisconsin M.S.N. University of Alabama FSW Nursing Student Handbook 2015-2016 6 Nursing Faculty- cont. Charlotte Campus June Davis, MSN, RN, CNE, OCN A.D.N. Monroe County Community College M.S.N. University of South Florida Colleen Moore, MSN, RN, MHA B.S.N. University of Phoenix M.S.N. University of Phoenix M.S. University of Phoenix Judy Sweeney, MSN, RN A.S.N. Edison State College B.S.N. Grand Canyon University M.S.N. Grand Canyon University Collier Campus Patricia Arcidiacono, MA, RN B.S.N. Fairleigh Dickinson University M.A. Nursing, New York University Debra Ebaugh, MSN, RN, ARNP B.S.N. Valdosta State College M.S.N. University of Miami Hope Goodwin, MSN, RN A.S.N. Edison State College M.S.N. Walden University Jenneine Lambert, MSN, RN B.S.N. University of Florida M.S.N. University of Florida Gayle Wetzel, MSN, RN, ARNP B.S.N. Florida State University M.S.N. ARNP, University of Arizona FSW Nursing Student Handbook 2015-2016 7 Nursing Faculty- cont. Lee Campus - Clinical Coordinators Rima Stevens, BSN, RN, PCCN, VA-BC, RRT A.S.N. Edison State College B.S.N. Nova Southeastern University Lorrie Stillwagon, BSN, RN B.S.N. Indiana University Charlotte Campus - Clinical Coordinators TBD XXX XXX XXX Collier Campus - Clinical Coordinators Mary Pasquinelli, MSN, RNC-OB, LCCE B.S.N. Villa Maria College M.S.N. University of Pittsburgh FSW Nursing Student Handbook 2015-2016 8 Florida SouthWestern State College Nursing Programs Dean, School of Health Professions DR. MARIE COLLINS Coordinator, Assessment & Student Success PAMELA COMSTOCK Associate Dean Nursing Programs DR. MARSHA WEINER Program Director, Nursing ASN Program BARBARA WARD Program Director, Nursing RN - BSN Program BOBBY HOLBROOK Staff Assistants to ASN Program SANDY KROTOV— Lee WENDY MORRIS—Charlotte TBD—Collier Staff Assistant to Associate Dean & RN - BSN Program ADRIANA FIGUEROA Nursing Support Specialist CAROL MINCHEFF Click on the link below for the current School of Health Professions Organizational Chart https://www.fsw.edu/assets/pdf/sohp/SHP_Organizational_Chart.pdf FSW Nursing Student Handbook 2015-2016 9 Regulatory and Accrediting Organizations Florida SouthWestern State College is accredited by The Southern Association of Colleges and Schools - Commission on Colleges (SACSCOC) to award associate and baccalaureate degrees. For questions about the accreditation of Florida SouthWestern State College contact the Commission on Colleges at 1866 Southern Lane Decatur, Georgia 30033-4097 Phone: (404) 679-4500 Fax: (404)679-4558 www.sacscoc.org Florida SouthWestern State College Nursing Programs are approved by the Department of Health Board of Nursing 4052 Bald Cypress Way Bin C-02 Tallahassee, FL 32399-3252 Phone: (850) 488-0595 www.floridasnursing.gov Florida SouthWestern State College Nursing Program is accredited by the Accreditation Commission for Education in Nursing (ACEN) (Formerly the National League for Nursing Accrediting Commission) 3343 Peachtree Road NE, Suite 850 Atlanta, GA 30326 Phone: 404-975-5000 Fax 404-975-5020 www.acenursing.org Accreditation reviews are available in the Lee – Thomas Edison Campus Nursing office. FSW Nursing Student Handbook 2015-2016 10 Florida SouthWestern State College Associate Degree Nursing Program Introduction Florida SouthWestern State College students are guided by the FSW College Catalog and Student Handbook for requirements and policies regarding student conduct, academics, and course information. The nursing program is subject to guidelines of regulating and accrediting organizations in addition to those of the College. Therefore, the nursing program must provide student policies in addition to those in the FSW College Catalog and Student Handbook. The information contained in this ASN Student Handbook indicates these differences. Program policies contained herein are subject to change. Nursing is a profession and a dynamic science. The program has a responsibility to ensure students are properly prepared to meet licensing and profession requirements. Changes affecting students after they start the program may be necessary to accomplish the latter. Content and requirements for program courses are contained in the syllabi provided each semester. Specific attendance, evaluation, and grading information for each course are applied according to the syllabus. Information contained in this ASN Student Handbook is intended to provide an overview of operational requirements and general program policies. Nursing program faculty and staff are committed to helping you succeed in this program and realize your career goals. If you require clarification on information contained in this handbook, it is important you communicate with department members. Purpose The purpose of the Associate in Science in Nursing (ASN) program is to prepare graduates for the practice of nursing in a variety of community settings. At the completion of the program, the graduate is eligible to sit for the National Council Licensure Examination for Registered Nurses (NCLEX-RN). FSW Nursing Student Handbook 2015-2016 11 Mission & Vision Statement Mission The Florida State College Nursing Program's mission is to prepare qualified entry-level professional nurses to work in diverse healthcare settings at the Associate in Science Nursing level. Partnerships with members of the Southwest Florida healthcare community are integral to the mission's success. The program accomplishes the mission by providing a challenging education that prepares students to think logically, critically and analytically in order to problem-solve effectively and make sound clinical decisions; communicate effectively; and to integrate knowledge, skills, values, cultural competence, and professionalism in the delivery of high-quality health care. Vision The Florida SouthWestern State College Nursing Program shall provide a positive and supportive learning environment that promotes student success through evidencebased and innovative instruction. The program will prepare a safe, competent nurse generalist with affective, cognitive and psychomotor skills that meets the diverse health care needs of our community. Statement of Philosophy In accordance with the mission of Florida SouthWestern State College the philosophy of the Nursing faculty of the School of Nursing includes the following: I. Health The nursing faculty believes that health is a dynamic state that reflects the physical, psychological and social elements of the individual. An individual’s state of health varies along the health-illness continuum as one grows and develops from conception until the time of death. Optimum health is a state achieved by using available resources that assist the individual to reach his/her maximum level of functioning. Health care needs and changes in health status cause health alterations that affect the individual’s ability to maintain optimum health, hence the need for nursing care. The faculty believes the individual should be a partner with the health care provider in order to maintain or regain optimum health. II. People The nursing faculty believes that each person has basic human needs that are shared by all people and are necessary for survival. A person is a complex and FSW Nursing Student Handbook 2015-2016 12 unique individual made up of physical, emotional, intellectual, social, developmental and spiritual needs. The extent to which basic and unique human needs are met can determine a person’s level of health. Faculty believes that a person’s beliefs and behaviors can influence his/her health and predict behavior and adherence to health care interventions. III. The Profession of Nursing The nursing faculty believes that nursing is a caring and service-oriented profession. Nursing as a profession is focused on assisting individuals, families and communities in promoting, maintaining and restoring optimal health and functioning. The profession of nursing is achieved through nursing education which is based on a body of knowledge derived from nursing theories, nursing research, nursing skills and the biological, social and behavioral sciences. Professional behaviors within nursing practice are characterized by a commitment to the profession of nursing, professional association and lifelong learning. IV. The Practice of the Florida SouthWestern State College Department of Nursing Graduate The nursing faculty believes that the practice of the graduate is based on three interrelated roles: (1) provider of care, (2) manager of care, and (3) professional within the discipline of nursing. The graduate of the Associate Degree nursing program adheres to standards of professional practice, is accountable for his/her actions, and practices within the legal, ethical, and regulatory framework of nursing. V. Nursing Care The nursing faculty believes that nursing care is accountable to the client, the community, and the profession. The nurse responds to actual or potential problems that interfere with the client’s ability to meet human needs. Therapeutic, caring nursing interventions are provided through the use of the nursing process: a logical, systematic decision-making process which enables the nurse to assist in meeting the health needs of individuals, families, and communities. Caring behaviors are client-centered, protective and compassionate. The nurse participates in a team approach to provide clientcentered care across healthcare settings. This occurs through a collaborative approach involving other health care providers, the client and the client’s family. Collaboration requires consideration of client’s needs, priorities, available resources, and shared accountability. Ongoing assessment and reassessment are required to meet the client’s changing needs. Therapeutic communication is necessary to establish trusting relationships and promote positive outcomes. FSW Nursing Student Handbook 2015-2016 13 VI. Nursing Education Nursing education is a process which fosters the development of critical thinking and clinical decision-making. The nursing faculty believes learning is a continuous and lifelong process, progressing in a manner from basic to complex. The nursing educator’s role is to provide the necessary environment, objectives, guidance, and educational resources to facilitate learning for the individual who desires to become a member of the nursing profession. The nursing faculty supports a student-focused philosophy in which faculty serve as facilitator, mentor, and role model to students. The nursing faculty believes that the ability to think critically is one of the most valued skills to be developed in nursing students and is an essential element in the overall education of nursing students. Critical thinking is an attitude of inquiry that recognizes the existence of a problem, knows that evidence is both empirical and non-empirical, and provides the foundation for appropriate clinical decision-making. The nursing faculty believes that the nursing process is a framework for critical thinking. Clinical decision-making includes integrating and analyzing this knowledge and formulating clinical judgments. Effective clinical decision-making results in appropriate nursing care, and moves the client toward positive outcomes. Teaching/learning activities build a foundation, which is necessary to develop critical thinking and appropriate clinical decision-making skills. The nursing faculty recognizes that communication plays a vital role in the development of skills and knowledge. Further, the faculty seeks to prepare graduates who integrate effective communication in all aspects of professional practice. The goal of nursing education is to develop competent beginning level graduates who are committed to professional development. The nursing curriculum addresses the cognitive, psychomotor, and affective abilities that are needed to implement the nursing process and perform therapeutic, caring nursing interventions. As a result of this educational process, students attain the knowledge, and skills needed to make sound decisions and practice competently. Revised 5/08, 08/2010 FSW Nursing Student Handbook 2015-2016 14 Program Outcomes Upon successful completion of the ASN Program, the graduate will: 1. Perform a comprehensive assessment of the physical, psychosocial and environmental needs of clients within a culturally diverse population across the lifespan. 2. Demonstrate proper use of the nursing process to evaluate the client, modify the plan of care with the mutual goal of achieving the highest quality of life in a variety of healthcare settings. 3. Demonstrate effective oral and written communication when in the healthcare setting with clients and other members of the healthcare team. 4. Demonstrate effective nursing care skills needed for entry level into the clinical setting. 5. Demonstrate the role of a professional nurse within the scope of nursing practice, interacting in a responsible legal and ethical manner with clients and members of the healthcare team. 6. Demonstrate caring and compassionate behaviors and communication to clients, families, and members of the healthcare team. Approved 2011, 8/12 Curriculum Framework The ASN program at Florida SouthWestern State College is based upon the three interrelated roles of the nurse and the program outcomes. All clinical courses integrate these elements with the nursing process. Each course’s clinical and classroom objectives are organized under the nurse’s role of (1) provider of care, (2) manager of care, and (3) professional within the discipline of nursing. The nursing curriculum progresses from basic nursing skills and concepts to complex nursing skills and concepts. Required courses for each of the Nursing Programs can be located in the College catalog found on-line at www.fsw.edu/academics/catalog1516. There are required prerequisite courses, general education course requirements as well as core nursing requirements. Please see the College catalog for the Nursing EntryLevel Program and LPN to RN Transition Program requirements. FSW Nursing Student Handbook 2015-2016 15 CHAPTER TWO FSW Nursing Student Handbook 2015-2016 16 Campus Transfer Policy Transfer between Campuses and Program Options is prohibited. Should extenuating circumstances arise which are beyond the student’s control that incur a hardship (travel is not considered a hardship), the student must provide a written statement and submit a petition for transfer to the Program Director. Each petition will be considered on an individual basis. Determination will be made by a College Committee and space availability. Technical Performance Standards for Nursing Students The Nursing Program complies with the 1990 Americans with Disabilities Act (ADA). Any students requiring special accommodations or classroom modifications should make an appointment with an Adaptive Services Coordinator for students with disabilities at your Florida SouthWestern State College campus. It is the student’s responsibility to communicate documented modifications or needs to the professor at the beginning of each course. Nursing at the associate and baccalaureate degree level involves the provision of direct care for individuals and is characterized by the application of knowledge in the skillful performance of nursing functions. Therefore, in order to successfully complete the clinical and laboratory requirements, all students must possess: 1. Sufficient visual acuity such as is needed in the accurate preparation and administration of medications, and for the observation necessary for patient assessment and nursing care. 2. Sufficient auditory perception to receive verbal communication from patients and members of the health team and to assess health needs of people through the use of monitoring devices such as cardiac monitors, stethoscopes, IV infusion pumps, fire alarms, etc. 3. Sufficient gross and fine motor coordination to respond promptly and implement the skills, including the manipulation of equipment, required in meeting health needs. 4. Sufficient communication skills (speech, reading, writing) to interact with individuals and communicate their needs promptly and effectively as may be necessary in the individual’s interest. 5. Sufficient intellectual and emotional functions to plan and implement care for individuals. FSW Nursing Student Handbook 2015-2016 17 Core Performance Standards for ASN Program Progression* Nursing involves the provision of direct patient care for individuals and is characterized by the application of knowledge in the skillful performance of nursing function. Therefore, in order to be retained in the nursing program after admission, all students must be able to demonstrate the following abilities: EXAMPLES ISSUE STANDARD (not inclusive) Critical Thinking Critical thinking sufficient for clinical judgment. Independent decisionmaking which results in competent client assessment, accurate data analysis and problem identification, appropriate treatment plans and interventions, evaluation of client outcomes. Interpersonal Abilities Interpersonal abilities sufficient to interact with individuals, families and groups from a variety of social, emotional, cultural, and intellectual backgrounds. Therapeutic interactions with clients and their families stressed by illness, death, life situations, and cultural differences. Communication Communication abilities sufficient for interaction with others in verbal and written form. Accurate interpretation of verbal and/or written instructions, communication of patient responses, documentation of therapeutic procedures, health education, professional consultation with other health care providers. Mobility Physical abilities sufficient to move from room to room, walk in hallways, maneuver in small spaces and lift patients as needed. Ability to ambulate to and from departments and patient rooms, to care for all assigned clients, to assist in patient transport, to administer CPR. FSW Nursing Student Handbook 2015-2016 18 Motor Skills Gross and fine motor abilities sufficient to provide safe and effective nursing care. Performance of vital signs and psychomotor nursing skills, calibration and use equipment, physical assessment. Hearing Auditory ability sufficient to monitor and assess health needs. Auscultation of BP, breath sounds, heart sounds, bowel sounds, ability to hear alarms, emergency signals, call bells, phones, cries for help; ability to converse with patients, family, and staff Visual Visual ability sufficient for observation and assessment necessary in nursing care. Reading patient charts/flow sheet/monitors, preparation and administration of medications, assessment of patient skin color, reading thermometers. Tactile Tactile ability sufficient for physical assessment and to provide nursing intervention. Performance of palpation, administration of injections, initiation of IVs and other therapeutic interventions Strength/Stamina Sufficient stamina to provide care and related responsibilities for extended periods of time (8-12 hours) Ability to perform shift work, lift 25 pounds from standing position, ability to bend, position and lift patients. *Adapted from the Board of Directors of the Southern Council on Collegiate Education for Nursing (SCCEN) guidelines for Nursing Education Programs. FSW Nursing Student Handbook 2015-2016 19 Physical, Emotional and Mental Requirements In order to provide direct patient care safely and to be able to utilize equipment in a variety of health care settings, the student must meet the following physical, mental and emotional requirements. Physical Requirements Ability to perform repetitive tasks. Ability to walk the equivalent of five miles per day. Ability to reach above shoulder level. Ability to hear tape recorded transcriptions. Ability to distinguish colors. Ability to adapt to shift work. Demonstrate a high degree of manual dexterity. Ability to work with chemicals and detergents. Ability to tolerate exposure to dust and/or fumes. Ability to grip. Demonstrate a high degree of physical flexibility. Ability to bend both knees. Ability to sit for periods of time. Ability to climb stairs or ladder. Ability to stand for long periods of time. Ability to lift 25 pounds. Ability to squat. Ability to perform CPR. Mental and Emotional Requirements Ability to cope with a high level of stress. Ability to make fast decisions under high pressure. Ability to cope with the anger/fear/hostility of others in a calm manner. Ability to manage altercations. Ability to concentrate. Demonstrate a high degree of mental flexibility. Ability to cope in an acceptable manner with confrontation. Ability to handle multiple priorities in a stressful situation. Ability to assist with problem resolution. Ability to work alone. Ability to demonstrate a high degree of patience. Ability to adapt to shift work. Ability to work in areas that are close and crowded. FSW Nursing Student Handbook 2015-2016 20 Health Policy Required Documentation Students admitted prior to Fall 2015 will follow the prior health documentation requirements and submitted Attestation Forms. Students must keep health records updated annually as previously directed. Students coming in Fall 2015 the following documentation must be current and on record with Certified Background. Submission instructions are provided in the new student acceptance packets: Health Forms Urinalysis Reports CPR Certification (American Heart Association) PPD Test MMR Immunization HEP B Series Immunization Tetanus Vaccination Influenza Vaccine (Seasonal) *Florida LPN license or Paramedic certification (Transition Track students only) Students with expired documentation are not eligible to participate in the clinical portion of the program and risk subsequent dismissal from the program for excessive absence. Students with expired documentation receive a registration hold placed on the next semester courses. The hold remains until documentation is provided. Any student who has a change in health status due to an injury, hospitalization, pregnancy, etc., should report this change to the Program Director. Once health has improved the student must have a letter from his/her physician stating the health improvement and clear the student to return to the clinical area and participate in clinical activities. Health Record / Ability to Meet Technical Standards Nursing students who do not meet the standards of good physical and mental health, as required by clinical facilities for safe patient care, may reapply and be considered for application to the Department of Nursing after resolution of the health problem. Additionally, student drug screens, criminal background reports, and medical records, when submitted, will become the property of Florida SouthWestern State College, and will not be available for copying or for use to meet the requirements of outside employers or other agencies/persons. Students who are out of their program for six months or more must submit new records. FSW Nursing Student Handbook 2015-2016 21 Grading Policy In the Nursing Program, each student is evaluated on application of theoretical concepts, safe performance in the clinical area, and ethical behavior expected of a professional nurse. The Nursing Program uses the following grading system: 100–92 = A 91-85 = B 84-77 = C 76-70 = D F= below 70 A student will be considered “unsatisfactory” in the clinical area if the student violates client safety standards, does not make up absences, does not meet the uniform code requirements, is not prepared to meet the objectives for that day, does not consistently make appropriate judgments, does not submit paperwork associated with patient care on a timely basis and if written work is unsatisfactory. In classes having lecture and clinical components, students must pass both classroom and clinical portions of the course to progress in the program. The student must be able to render safe patient care to the satisfaction of the clinical evaluation standards, inclusive of professionalism, critical thinking and clinical judgment. In order to progress in the program, a student must achieve a grade of “C” or higher in all Nursing (NUR) courses. Any grade below a 77% is a failing grade. Failing grades will not be rounded up to the higher percent. The student must achieve a grade of “C” (2.0) or better. A course grade of “D” is not acceptable for any nursing course. A grade of 77% will not be achieved by rounding up from 76.5 or above. A minimum average score of 77% on exams must be achieved before grades from assignments will be included in the course grade. The Nursing Program does not offer retake of examinations. Grade Dispute Students who wish to dispute a grade on an exam, assignment, clinical rotation or course, must begin the process with the appropriate Nursing instructor no later than seven (7) working days after receipt of the grade. If a satisfactory resolution is not determined, it is expected students will follow the protocol outlined in the GRIEVANCE/APPEAL PROCEDURE section of this handbook. The formal appeals process included in the FSW College Catalog www.fsw.edu/academics/catalog1516 and Student Handbook - Student Appeals option per FSW College protocol if satisfactory resolution is not obtained after completion of the process included in this handbook. FSW Nursing Student Handbook 2015-2016 22 Relationship of Credit Hours to Classroom and Clinical Hours The ratio of credit hours to clock hours for theory (class lecture), practicum skills lab, and clinical experiences are consistent for all nursing courses. The ratio of credit hours to clock hours is as follows: Theory: Practicum skills lab: Clinical: 1 clock hour per week per credit hour 3 clock hours per week per credit hour 3 clock hours per week per credit hour Academic Standards for all Nursing Students 1. A student must earn a grade of “C” or above in theory and a passing grade in clinical in each nursing course attempted. 2. An “attempt” is defined as a course registration in effect at the end of the drop/add period. A student who fails a course or withdraws from a nursing class will be permitted to re-enter the nursing program one time only on a spaceavailable basis. 3. Failure or withdrawal in any second nursing course will result in the student being dropped from the nursing program. If a student demonstrates unsafe patient care, the student may be separated from the program at any time in accordance with the procedure set forth in the handbook section: Unsafe/Unprofessional Clinical Practice Policy and Procedure. 4. Students must successfully complete the required computerized testing/remediation program. 5. Students wishing to re-enter a nursing course must notify the Program Director in writing of their wish to re-enter the nursing program as soon as possible. Students will be readmitted on a space-available basis only. 6. A student must maintain a cumulative G.P.A. of 2.0 or higher. Failure to do so will result in the student being placed on academic probation (see Academic Probation in College Catalog). If the student received a grade below a “C” in a general education course, they must repeat that course and earn a grade of “C” or above. Students will not be allowed to enroll in nursing courses while on academic probation. 7. A student who feels there are extenuating circumstances which warrant an exception to these academic standards may appeal to the Nursing Leadership FSW Nursing Student Handbook 2015-2016 23 Committee through the Program Director. This request must be in writing and must explain the circumstances. If re-enrollment is approved, it is on a “space available” basis. Length of Program Students in the Entry-Level ASN option will have four (4) semesters of nursing career core courses. This will take approximately two (2) years to complete after starting the nursing career core courses. Students must complete the program within three and onehalf (3.5) years. Students in the LPN to RN Transition ASN option will have three (3) semesters of nursing career core courses. This will take approximately one and one-half (1.5) years to complete after starting the nursing career core courses. Students must complete the program within two and one-half (2.5) years. Students in the Part-time Associate in Science Nursing option will have five (5) semesters of nursing career core courses. These are offered in the evenings, on weekends and during the summer. This will take approximately two (2) years to complete after starting the nursing career core courses. Students must complete the program within three and one-half (3.5) years. Cost of Program The total cost of the Entry-Level Nursing (ASN) Program is approximately $15,400 not including travel which will vary by student. The total cost for the LPN to RN Transition Nursing (ASN) Program is approximately $13,520. The cost is subject to change, based on costs determined by textbook publishing companies, the College (tuition and fees) and other businesses. Student Success Program The AS Nursing Program has a Student Success Program. All nursing students are required to take various computerized tests at different intervals while in the Nursing Program. The goal is to promote every nursing student’s success while in the program and when taking the NCLEX-RN examination after graduation. Satisfactory completion of computerized tests is required in most nursing courses by a date set in class. Computerized testing and remediation will be explained during each nursing course. FSW Nursing Student Handbook 2015-2016 24 Retention Algorithm Acceptance in the Nursing Program New Student Nursing Orientation Successful Course Work: 77% or better Receives <77% on an exam Receives a course grade of <77% Successful Deficient Clinical Clinical Performance: Performance No “1” rating on clinical evaluation tool Reassess each semester: Required paperwork, Successful results on ATI testing Fails First Course Exam: Meet with faculty course instructor to: Review course exam Review test taking strategies Refer to Learning assistance Faculty Course instructor will: Meet with student and fill out an Exit Conference Form Reassess each semester: Satisfactory care plans Satisfactory clinical evaluations Fails Second Course Exam: Review course exam with course instructor Written Academic Success plan which may include any or all of the following: Tutorial with faculty (course instructor) ATI tutorial Counseling by course instructor Course instructor will notify Program Director Notify Program Director Counseling with clinical instructor and lead instructor: Written Academic Success Plan Corrective plan Refer to Nursing Lab for practice on skills Revised 10/01, Revised 6/04, Revised 6/05, Revised 6/06, Revised 4/09, Revised 8/09, Revised 8/10, Revised 8/13 FSW Nursing Student Handbook 2015-2016 25 Advisement It is the student’s responsibility to perform a nursing graduation audit each semester prior to registration. Any variation in graduation compliance should be addressed with a general college academic advisor. Graduation Requirements Students who plan to graduate within four months must have a degree evaluation check before entering the last semester of the nursing program. In order to be eligible for graduation, the students must have completed the 72 credit hour nursing curriculum as outlined in the Florida SouthWestern College Catalog. Students must also satisfy all graduation requirements as per the college. When students have met the requirements for graduation, they must register for graduation. All students are invited to attend a college-sponsored Nursing Pinning program. Graduating students will be eligible to participate in Pinning Ceremonies when all requirements for graduation have been met. Attendance and participation in the Pinning Ceremony does not assume graduation requirements for the College are satisfied. Information on File in Nursing Office The student must notify the nursing office immediately of any name, address, telephone number or criminal background change. Failure to do so could result in disciplinary action. Scholarly Papers Scholarly papers and formal written assignments in the nursing program must be typewritten or completed on a computer. They require utilizing the format found in the Publication Manual of the American Psychological Association, Current Edition. This is known as APA Style, which is the style used in professional papers and in nursing and other professional journals. Unsafe/Unprofessional Clinical Practice Policy and Procedure Students must meet academic and professional standards of behavior and adhere to clinical agency policies and procedures when in clinical practice to ensure client safety and well being. Where there is unsafe or unprofessional practice, a student may be removed from clinical practice to maintain client safety and well being as well as the safety and well being of other students, faculty, and agency personnel. Students will be notified during the semester if they are not meeting expectations. It should be understood that egregious deviations from the standards of care or other FSW Nursing Student Handbook 2015-2016 26 actions jeopardizing patient safety or unprofessional conduct, can result in failure in a clinical course and/or dismissal from the Nursing Program. See Appendix A: Dismissal Examples of unacceptable clinical practice behaviors include, but are not limited to, the following: 1. 2. 3. 4. 5. 6. 7. 8. 9. Inadequate preparation for the clinical assignment. Careless or negligent behavior when caring for a client. Providing care without the supervision of a Registered Nurse. Failure to report an omission of, or error in care. Falsifying patient records. Breach of client confidentiality. Breach of professional ethics. Failure to adhere to agency policies and procedures. Absence from clinical practice without appropriate notification to instructor and/or agency. 10. Chronic tardiness. 11. Impairment (drugs and/or alcohol; sleep deprivation). 12. Non-adherence with FSW Nursing Program practice attire requirements. Removal from clinical practice may be for a single clinical assignment; the remainder of a course; or all clinical practice courses. The student may receive an unsatisfactory in the clinical practice course(s), or be dismissed from the Nursing Program when evidence of unsafe or unprofessional practice has been determined. . When a student is removed from the clinical area or classroom for a failure to comply with the applicable standards as set forth in this Handbook, an ad hoc committee shall be formed. The Associate Dean of Nursing or Program Director assembles an ad hoc hearing committee comprised of 3-5 Health Sciences faculty members. A hearing is to be scheduled within 10 days. The hearing panel will meet and review the evidence including any evidence offered by the student. The ad hoc committee will make a recommendation to the Dean who will notify the student as to the final determination. If the student is dissatisfied with the determination, he/she can meet with the Dean. Further appeal may be made to the Vice President, Academic Affairs. The decision of the Vice President, Academic Affairs will be final. FSW Nursing Student Handbook 2015-2016 27 Attendance and Punctuality Policy In Classroom Students are expected to attend all classes for which they are duly registered. Regular attendance and class participation are significant factors which promote success in college. In the event a class period is missed, the student is responsible for obtaining all material covered and all announcements made prior to returning to class. Further, punctuality and attentiveness is courteous behavior exemplified by: Tardiness is disrespectful and disruptive to instructors and fellow students. Therefore, instructors reserve the right to refuse entry to the classroom once instructional activities have begun. Remaining in the classroom until a break or the end of the class period. In Clinical Lab/ Practice Sites Attendance at ALL practice sites and practicum classes is required. Due to limited time in the practicum lab and clinical area, students must understand that failure to attend and perform at an acceptable level in the lab and clinical area will deny them the opportunities they may need to meet clinical hour requirement to pass clinical course. Therefore, clinical and lab class time require 100% attendance. A clinical absence can result in a clinical failure and course failure. Lab absences can result in a course failure. Attendance - Clinical Attendance in clinical courses is required. This includes FSW Simulation and skills lab and all facility sites. Consult syllabi for tardiness/absence disciplinary and grading policies specific to each nursing course. Students must notify their instructors prior to absence from a clinical session. In order to be counted as present students must: 1. Skills Lab - Be properly attired and prepared to begin session at scheduled start time. Sign Attendance Roster. 2. Facility Sites - Be properly attired and prepared to begin pre-conference at scheduled start time. Documentation of clinical absence will be submitted by the student to Lead Clinical Faculty for assessment with Program Director, AS Nursing for the determination of an excusable absence. Clinical make up time is not guaranteed due to clinical schedule and time constraints, as well as clinical resources available. FSW Nursing Student Handbook 2015-2016 28 In The Clinical Setting Smoking, including use of e-Cigarettes, is not permitted at the clinical setting. Gum chewing is not permitted at the clinical setting. Use of cell phones, beepers or other electronic communication devices is not permitted at the clinical setting during instruction time. Guests, children and pets are not permitted at the clinical setting. Punctuality is expected without exception. Students must be prompt and in uniform as required. Lateness or absences may necessitate the student traveling to a different clinical site to complete time with another clinical group, or in receiving an unsatisfactory clinical grade. Employment 1. The demands of the nursing program are such that students must make it their primary commitment. Students who work fulltime seriously jeopardize their ability to succeed in the program. Students who must work in order to meet financial obligations need to consider a maximum workweek of 24 hours. The ASN program is not scheduled around student work schedules. All schedules are made through the Clinical Coordinator. The Program Director does not override schedule decisions made by the Clinical Coordinator. If there is a need to switch days, the student is responsible for finding a student to switch with and this must be communicated to the Clinical Coordinator in writing and signed by both students. Students are not permitted to work the shift immediately preceding the starting time of their assigned program clinical hours. This is considered impairment due to lack of sleep and endangers patient safety. Clinical Rotations Clinical experience sites vary and are located in Charlotte, Collier and Lee counties. All nursing students are required to travel to clinical facilities and are responsible for arranging their own transportation. Carpooling is not recognized as a reason to change clinical rotation sites. Students may be expected to travel to other counties as assigned during their studies. Students are not allowed in any clinical area without prior authorization from their clinical instructor. Failure to comply will result in dismissal from the nursing program. FSW Nursing Student Handbook 2015-2016 29 Computerized Testing and Computer Requirements Courses in the nursing program will have an online component. This component may consist of course examinations, learning activities, course discussions and study guides. Several nursing courses will use the Canvas environment for online examinations that are timed. If a student fails to complete an examination in the allotted time, only answers submitted prior to the expiration of the time will be accepted for grading. No phones, laptops/tablets, food or beverages are allowed in the testing area. Block-out sound headphones use (without connections to mobile/technical devices) will be left to the discretion of the Faculty/Proctor. ALL Adaptive Services needs require 72 hour notice from Adaptive Services – please be clear on the protocol for Adaptive Services. www.fsw.edu/adaptiveservices. Attendance Exams Make-up exams are provided at the discretion of the Faculty when: Students notify their instructors prior to absence from an exam. Students arrive for an exam after the testing session has begun. Make-up exams may have a point(s) deduction at the discretion of the Faculty. Students who are absent from an exam without prior notification to instructors receives a grade of 0% for the exam and are not eligible to schedule a make-up exam. Pharmacology and Drug Calculation Policy The ability to correctly calculate and administer various medications is a required competency of all nurses. The ASN student must have a thorough knowledge of pharmacology and be able to solve medication dosage problems. Pharmacology content will be included in every unit of the curriculum and included in unit examinations where appropriate. A drug calculation test will be required each semester. The student will be required to score a minimum of 90% on each exam in order to pass the exam. Failure to achieve a minimum of a 90% by the third attempt will result in a course failure. FSW Nursing Student Handbook 2015-2016 30 Intravenous Medications Students in NUR 1022 may not give ANY IV Push medications. Students in the second half of NUR 1211, NUR 1204, NUR 2260, NUR 2424 and NUR 2310 may give some IV Push medications under the direct supervision of the clinical instructor, subject to hospital policy. These medications may include: histamine blockers, steroids, diuretics and limited others as deemed appropriate by the instructor. Exceptions to this policy may vary during preceptorship. Community/Volunteer Service All ASN students must complete 16 hours of volunteer service in a FSW College of Health Professions program or in a FSW approved affiliated healthcare community setting before entering the last semester. This project assists the student to develop an awareness of FSW Health Professions, affiliated healthcare services or community services and resources available. Pre-approval from the Clinical Coordinator or Program Director is required. Preceptorship All ASN students will be required to complete a Level 2 clinical preceptorship (as defined by the Florida Board of Nursing) at the end of the nursing program. This preceptorship teams the student with a registered nurse mentor for an in-depth clinical experience consisting of ninety-six hours. Clinical Preceptorship settings will be discussed in the final semester of the ASN program. Progression in the Program All courses required in the nursing curriculum must be successfully completed prior to enrollment in the final nursing semester courses. The Department of Nursing reserves the right to discontinue a student’s enrollment at any time during the program if the student does not perform adequately or demonstrates behavior potentially detrimental to patients’ safety and well being. Registration for the last semester will be given an “Administrative Hold” if there are any incomplete pre-requisite courses, co-requisite courses or missing forms in the student file. FSW Nursing Student Handbook 2015-2016 31 Academic Warning It may become necessary to advise a student that his/her performance is not satisfactory and not meeting the standards required in the program. A student could be given an academic warning for failure to meet course requirements, failure to meet clinical objectives, or failure to comply with Nursing Program policies as outlined in the Student Nurse Handbook and College Catalog. The student’s responsibilities related to an academic warning and/or counseling are to: Meet with the course professor, Program Director, or the Associate Dean of Nursing to discuss the reason for the warning and behaviors that are needed to correct the problem. Provide evidence of the corrected behaviors to the appropriate person. Meet with the professor, AS Nursing Program Director or Associate Dean of Nursing to receive additional feedback (if needed). Failure to comply with the recommendations stated in the warning could result in a course failure or dismissal from the nursing program. Student Conduct FSW and the ASN program have a moral and legal obligation to protect the safety and security of the clients entrusted to our care. Unethical, unsafe, dishonest or behavior that consistently demonstrates poor judgment in the classroom/clinical setting will result in the student receiving an unsatisfactory evaluation by the instructor and recommendation from the Program Director to the Dean for program dismissal. Students are expected to exhibit courteous, respectful and attentive behavior on campus and in clinical agencies. Students participating in disruptive behavior will be dismissed from the classroom/clinical agency resulting in an absence and possible dismissal from the program. The College has an explicit set of rules regarding conduct and academic integrity. The nursing program expects its students to adhere to the code as it is outlined in the FSW College Catalog and Student Handbook - Code of Conduct. In The Classroom Smoking, including use of e-Cigarettes, is not permitted in the classroom. Use of cell phones, beepers or other electronic communication devices is not permitted in the classroom during instruction time. Guests, children and pets are not permitted in the classroom or peripheral instructional areas (skills lab, media lab, etc). Use of laptops for other than notetaking purposes is prohibited. FSW Nursing Student Handbook 2015-2016 32 Lines of Communication In the Nursing Program, there is a line of communication students are expected to utilize when attempting to solve problems, offer suggestions, get questions answered, etc. This line of communication begins with the student’s class and/or clinical instructor and proceeds as follows until the situation is resolved or the question is answered. Student Clinical Instructor Class Instructor Program Director, AS Nursing Associate Dean, Nursing Dean, School of Health Professions Vice President for Academic Affairs FSW Nursing Student Handbook 2015-2016 33 CHAPTER THREE FSW Nursing Student Handbook 2015-2016 34 Ethics Nurses are faced with many ethical dilemmas. Nurses are confronted daily with the difficult problem of distinguishing ethical from unethical behavior. One of the functions of the nursing program is to provide the student with a foundation for ethical behavior and decision-making. A nurse must maintain awareness that all decisions have an ethical dimension. Nurses are constantly working with and making judgments about what should be done for other human beings. This level of professionalism must be established in the classroom. Ethics is not an adjunct to nursing practice, but an integral part of the day to day interaction with patients and peers. See NCSBN: A Nurse’s Guide to Professional Boundaries. www.ncsbn.org/ProfessionalBoundaries_Complete.pdf The commitment to professional competence in nursing practice is the responsibility of each individual student. Each student will demonstrate responsibility and accountability for individual and professional actions. Each student has the responsibility for maintaining a level of competence which will ensure safety in the delivery of health care. A student who is unable to perform clinical activities as assigned, with reasonable skill and safety to patients, by reason of illness, use of alcohol, drugs, narcotics, chemicals or any other type of material, or as a result of any mental or physical condition, shall be required to submit to a mental, physical or drug screen examination. The drug screen examination may be done at a designated test site determined by the College. In the role of patient advocate, the nurse acts to safeguard the patient and the public. When health care and safety are or may be affected by the incompetent, unethical or illegal practice of any person, responsible action may include, but is not limited to: Reporting to appropriate persons, students, or faculty behavior that could adversely affect the patient (including, but not limited to alcohol, drug use or theft); Questioning a potentially harmful medical or nursing order. Confronting or reporting individuals observed stealing clinical or academic materials. The faculty and students in the nursing program shall avoid any conduct that would bring disrepute and disgrace to the students, faculty, nursing program, College or profession of nursing, or that would adversely affect the teaching-learning environment. Such conduct may include, but is not limited to: Acts which violate the accepted social norms regarding conduct of one person towards another. Commission of a misdemeanor or felony. Fraud or deceit in filing an application. Violating client confidentiality. FSW Nursing Student Handbook 2015-2016 35 Falsification of the client’s medical record. Failure to meet these standards may result in the student being suspended or dismissed from the nursing program in accordance with the procedure set forth in the handbook section: Unsafe/Unprofessional Clinical Practice Policy and Procedure. See Appendix A: Dismissal Civility The learning environment (classroom, practice sites, hallways, etc.) in which students gain knowledge, values and competencies is co-created by all who enter into this environment. Students in the Nursing Program conform to and express themselves in acceptable patterns of social behavior. Such behavior is consistently expressed through social politeness, keen sensitivity, respect and courteous treatment to others. It is expected that students express appropriate behavior to all faculty, students, patients and others. Disruptive and uncivil behavior will not be tolerated at any time in the nursing program and can result in student dismissal from the program. www.fsw.edu/studentofconcern. If the student is prohibited from finishing the semester, the student must petition to return. Cell phones are disruptive to learning and are not allowed in the classroom or clinical area. Personal computers may be used in the classroom to take notes only. There is a ZeroTolerance for Incivility in the ASN program! FSW Nursing Student Handbook 2015-2016 36 The Clark Academic Civility Index for Students Ask yourself the following questions, responding either “Yes” or “No”: Do I, the majority of time (80 percent or more) … 1. Role-model civility, professionalism, and respectful discourse? Yes/No 2. Add value and meaning to the educational experience? Yes/No 3. Communicate respectfully (by email, telephone, face-to-face) and really listen? Yes/No 4. Avoid gossip and spreading rumors? Yes/No 5. Avoid making sarcastic remarks or gestures (staged yawning, eye-rolling)? Yes/No 6. Pay attention and participate in class discussion and activities? Yes/No 7. Use respectful language (avoid racial, ethnic, sexual, gender, and religiously biased terms)? Yes/No 8. Avoid distracting others (misusing media devices, side-conversations) during class? Yes/No 9. Avoid taking credit for someone else’s work or contributions? Yes/No 10. Co-create and abide by classroom and clinical norms? Yes/No 11. Address disruptive student behaviors and promote a safe, civil learning environment? Yes/No 12. Take personal responsibility and stand accountable for my actions? Yes/No 13. Speak directly to the person with whom I have an issue? Yes/No 14. Complete my assignments on time and do my share of the work? Yes/No 15. Arrive to class on time and stay for the duration? Yes/No 16. Avoid demanding make-up exams, extensions, grade changes, or other special favors? Yes/No 17. Uphold the vision, mission, and values of my school? Yes/No 18. Listen to and seek constructive feedback from others? Yes/No 19. Demonstrate openness to other points of view? Yes/No 20. Apologize and mean it when the situation calls for it? Yes/No FSW Nursing Student Handbook 2015-2016 37 Scoring: Add up your “yes” responses to determine your Civility Index score: 18-20 (90 percent or more “yes” responses)—Very civil 16-17 (80 percent)—Moderately civil 14-15 (70 percent)—Mildly civil 12-13 (60 percent)—Barely civil 10-11 (50 percent)—Uncivil Less than 10—Very uncivil http://www.reflectionsonnursingleadership.org/Pages/Vol39_1_Clark_5RITES.aspx Impaired Provider Client safety requires that all providers of care be mentally alert and able to think clearly and to make sound clinical judgments. Many factors (i.e., drugs, alcohol, lack of sleep, etc.) can interfere with the ability to think critically. Consistent with Florida SouthWestern State College’s Drug-Free Campus and Workplace Policy, the Nursing Program prohibits any student from reporting to class or clinical to perform his/her duties while under the influence of drugs or alcohol. Violation of this policy will result in disciplinary action up to and including immediate suspension, expulsion, and/or a requirement of satisfactory participation in a College approved drug or alcohol rehabilitation program in accordance with the Florida Board of Nursing. A student who is suspected of violating this policy will not be allowed to provide patient care in the clinical setting. Procedure: If a faculty member or instructor suspects a student of being impaired, the faculty member or instructor will take the following steps. 1. The student will be removed from the patient care area. 2. The Program Director or designee will be notified. 3. The student’s behaviors may be validated by second FSW nursing personnel. 4. Arrangements for student transportation to home will be made. 5. Student will make a follow-up appointment with Lead Clinical Faculty and Program Director within 48 hours. Revised 6/08 Revised 4/09 Revised 9/11 Revised 8/13 FSW Nursing Student Handbook 2015-2016 38 Grievance/Appeal Process/Student Complaints The nursing department places high regard on respectful behavior and professional demeanor. It is expected that students who experience difficulty with the nursing department operation, any of its faculty/staff or grading issues, to first attempt a resolution at the level where the difficulty/misunderstanding exists. If after addressing an issue with the person(s) involved and the problem persists, you must follow the proper chain of command to seek resolution. Concerns unresolved at the faculty/staff level may be brought to the attention of the Program Director. Students must first submit a request to see the Program Director through their Canvas – Student Colloquium email (Conversations). After reviewing the request the director will contact the student(s) with a response or appointment date. If concerns are not resolved at the Program Director level they may be brought to the attention of the Associate Dean of Nursing. The College maintains a process for students to formally appeal decisions and issues which they believe require reconsideration. Information on this process is included in the FSW College Catalog and Student Handbook at www.fsw.edu. The informal process referenced above for complaints and grievances must be completed prior to submission of appeal. Students participating in a formal appeals process for clinical course dismissal may be granted approval to continue attending theory classes. Participation in clinical course will be suspended until outcome of appeals process is determined. Confidentiality The right to privacy of students, faculty, staff, patient, families and other health professionals should be judiciously protected by those associated with the nursing program. Cognizance of, and respect for, rights and privileges of others is an expectation of all within the helping professions. Students are expected to honor, respect and maintain confidences and privacy of patients. All student/patient encounters – written, oral or other – obligate confidentiality under all circumstances. For written assignments, initials of a patient’s first and last name only are used as identifiers. When knowledge gained in confidence is relevant or essential to others, professional judgment should be used by all when sharing information. It is the responsibility of all those who have access to confidential information to see that such information is accessible only to those directly concerned with the individual’s health care delivery. No reproduction of the client’s hospital record is allowed. All information learned by the student about a patient in the course of research and study is considered confidential. The confidentiality with which the information is to be FSW Nursing Student Handbook 2015-2016 39 treated should be established with the patient. Patient information should not be discussed in public places with those people not involved with the student’s study or patient’s care. Failure to take this into account can be considered an invasion of the patient’s right to privacy and may lead to the student’s dismissal from the nursing program. Social Media Please visit the NCSBN site and read the Social Media Guidelines. www.ncsbn.org/NCSBN_SocialMedia.pdf Academic Honesty Cheating is the giving or taking of information or material with the intention of wrongfully using it to aid oneself or another student in academic endeavors. The nursing faculty expects honesty from nursing students in relation to performing patient care, written/electronic examinations, papers, care plans/concept maps and any other written/electronic assignments. Examples of cheating include, but are not limited to: Copying test questions and/or answers by electronic or manual means before, during or after the test. Copying another person’s written work and turning it in as your own without giving credit to the original author. (plagiarism) Utilizing outside sources during a test (i.e. hidden notes, cell phone, etc.). Two students turning in identical or nearly identical assignments. See: Academic Integrity Policy in the current Florida SouthWestern State College catalog for more details www.fsw.edu/academics/catalog1516. Every nursing student and faculty member has the responsibility to promote the highest standards of academic honesty, which should include whatever kind of personal intervention necessary to eliminate dishonest conduct like the multifaceted forms of cheating. Evidence of cheating in any nursing course may result in a grade of “F” and referral to the Dean of Student Affairs with the recommendation for dismissal from the nursing program and the College. Sharing of Prior Clinical Evaluations Due to patient safety concerns, before a rotation or assignment to a new or different clinical site location, departmental officials of the accepting site are given the right to review prior clinical evaluations of students they are being asked to accept into their institution. Therefore, be advised that program administrators may be sharing prior FSW Nursing Student Handbook 2015-2016 40 clinical evaluations of students before new assignments or transfers take place. Your signature agreeing to abide with the policies and procedures of this handbook and the health professions program it represents provides authorization for this practice. Uniform and Hygiene Regulations The student is constantly being appraised by patients, nursing staff and fellow students and must be aware of factors which promote the most acceptable appearance. When wearing any part of the uniform at any time, the student represents Florida SouthWestern State College and the Nursing Program. The student’s appearance is a reflection on the Nursing Program and the nursing profession. Any deviation or laxity in the observation of uniform regulations will result in counseling or action by the faculty of the Nursing Program. THE FSW UNIFORM/LAB COAT CAN ONLY BE WORN WHEN REPRESENTING FLORIDA SOUTHWESTERN STATE COLLEGE (Revised 3/13/2015) A complete uniform, as described below, must be worn during clinical experiences unless otherwise stated by instructors. 1. Students will wear a clean, well-pressed white top and white uniform pant or dress in the clinical and simulation area. These will be obtained from the designated supplier. 2. The FSW logo and Nursing Program designation are to be worn on the left sleeve of the uniform. 3. Hosiery and shoes should be white. Socks must cover skin at ankles when sitting. Undergarments shall be neutral in color. Men shall wear a solid white crew-neck T-shirt under the uniform top. Shirts will be zippered or buttoned to the top at all times. 4. Full uniform or FSW Nursing polo shirt with long pants (no jeans) should be worn, with proper identification, whenever students go to the clinical areas to obtain patient assignments. If lab coat is worn, it is to be 3/4 or full length, with the FSW logo and Nursing Program designation on the left sleeve. 5. Full uniform, FSW Nursing polo shirt of approved colors with long pants or scrub bottoms (not tops) may be worn in specified nursing lab classes (NO Jeans). FSW Nursing Student Handbook 2015-2016 41 6. Clean all white leather shoes with closed back and toes are required. Hi-tops, clogs or sandals are not acceptable. Sport shoes or tennis shoes must be leather and not have color logos. In order to prevent transmission of infection, shoes worn for clinical duty should not be worn for other purposes. 7. Picture IDs must be worn at all times in lab and clinical settings (classroom per professor discretion). Student’s name must be visible at all times. 8. Hair must be clean, neat and not extremely colored, styled or loose enough to come in contact with patients or equipment. If the student’s hair falls below the collar, the student will be asked to style the hair off the collar. Sideburns and beards should be trimmed closely and neatly maintained. 9. Jewelry should not be worn, except for wedding band, earrings and the nursing watch. Students may wear one small pierced post earring per earlobe. No body or tongue piercing jewelry allowed in the clinical/lab setting. 10. Tattoos are not to be visible when in the clinical area. A long sleeve white tee shirt may be worn under the uniform top to cover tattoos. Tattoos on areas outside of clothing coverage, i.e. neck or facial, should be minimized through camouflage make-up. 11. Fingernails will be short (fingertip length), neat, clean and without polish. No acrylic, artificial nails or nail jewelry are allowed. 12. Make-up should be used with discretion. 13. Students should be clean and without offensive body or mouth odors. This can include the smells from perfumes, cigarette smoke and failing to wear deodorant. 14. Essentials, such as pens, stethoscopes, watch with a second hand, penlight, scissors and notepaper are considered part of the uniform and should be carried in the clinical areas at all times. 15. The clinical facility staff reserves the right to deny access to the facility if student’s attire is deemed inappropriate. Failure to comply may result in the student being removed from the clinical area. This may result in an unsatisfactory clinical absence. FSW Nursing Student Handbook 2015-2016 42 BLS for Healthcare Provider Certification A student must have a current BLS (Basic Life Support) certification for Healthcare Provider approved by the American Heart Association prior to clinical experience in the health care facilities. It is the student’s responsibility to maintain current certification throughout the program. A photocopy of BLS certification must be submitted to the Nursing Office or Certified Background Tracker before clinical begins. A second copy should be carried with the student. If the student’s BLS Certification is expired the student will not be permitted to attend clinical rotations. Licensure Graduates of the Florida SouthWestern State College Nursing Program are eligible to apply to State of Florida’s licensing exam called the NCLEX-RN examination. Satisfactory completion of this examination results in Registered Nurse licensure. Students must consider the legal requirements for licensure before entering the program. The Florida Statutes, Chapter 464 and the Board of Nursing Rules 64B9 state that an applicant’s application for licensure by examination may be denied in Florida. Graduation does not guarantee that the Board of Nursing will issue the candidate a nursing license. Please review the Florida Statutes or visit the FL Board of Nursing website at http://www.floridasnursing.gov/ for more information. Liability Insurance For ASN Students Every student enrolled in a clinical course at FSW is covered by liability and special risk accidental insurance through the college. In case of injury or error in the lab or clinical setting, the student must contact the instructor immediately. It will be the student’s responsibility to follow the current procedure as directed by the instructor. This insurance does not cover injury at the clinical site that may occur when student is not on the clinical unit (i.e., on break, in the cafeteria, in the parking lot). Personal Health Insurance The Nursing Program highly recommends that students provide health insurance for themselves. The College does not pay for student illnesses not related to a class or clinical accident. Any injury received while attending a FSW class or clinical should be promptly reported to the professor and Nursing Program Director. Please be advised that some of the clinical agencies may require additional student personal health insurance coverage. FSW Nursing Student Handbook 2015-2016 43 Faculty Office Hours Faculty office hours are posted at individual faculty member’s office doors. Students with any classroom or clinical issues should meet first with the individual faculty member with whom the student is working. Appointments can also be made with faculty to go to the Nursing Lab for skill assistance. Student Involvement in the Nursing Program Students are encouraged to express ideas and opinions to improve the academic experience in the Nursing Program at Florida SouthWestern State College. Together we can keep our Nursing Program strong and embrace ideas and opportunities for improvement. Students may communicate ideas or concerns by: Becoming a class leader and presenting student ideas or concerns at the Nursing Student Committee and/or faculty meeting. Becoming a member or officer in the Student Nursing Association. Becoming a member or officer in the Florida SouthWestern State College Student Government. Talking to Professors or Program Directors. Attending a nursing faculty meeting or committee meeting (please request in advanced though your Program Director). Student Involvement in Florida Nursing Student Association (FNSA) & FSW FNSA chapter Just as the faculty is expected to participate in their professional organization, you are strongly encouraged to join your pre-professional student association. We believe that the key to the future of the profession of nursing is having "one strong voice" that represents our needs as nurses. Your student organization is the precursor of your future professional involvement. FNSA offers many membership services: scholarships, reduced rate for nursing periodicals, student government opportunities, annual conventions, leadership conferences, State office opportunities, etc. FSW has an active chapter of FNSA (www.fnsa.net/fnsa-region-7.html) which has various activities throughout the year. Be a part of the solution in nursing - participate and enjoy enriching experiences with your peers. The membership cost is reasonable. FSW Nursing Student Handbook 2015-2016 44 CHAPTER FOUR FSW Nursing Student Handbook 2015-2016 45 Background Check and Drug Screen Students must consider the legal requirements for licensure before entering the program. The Florida Statutes, Chapter 464 and the Board of Nursing Rules 64B9 provide that an applicant’s application for licensure by examination may be denied or revoked in Florida for such reasons as (but not limited to): a. Having been convicted or found guilty, regardless of adjudication, of a crime which directly related to the practice of nursing or the ability to practice nursing. b. Being unable to practice nursing with reasonable skill and safety by reason of illness or use of alcohol, narcotics, chemicals or any other type of materials, or as a result of any mental or physical conditions. c. Having engaged in certain activities or having been convicted of certain specified criminal offenses as set forth in Section 464.018, Florida Statues. d. Procuring a license to practice nursing by bribery or through known misrepresentation. The Florida Board of Nursing requires that any nursing licensure applicant who has an arrest record must have arrest and court records of final adjudication of each offense sent to the Board at the time of licensure application. A nursing licensure application will not be considered complete until these records are cleared through the State Board of Nursing. The laws in the State of Florida may change while the student is enrolled in a nursing program. It is the student’s responsibility to continue to monitor laws and be aware of how they may be affected by changes in Statutes. Applicants must be cleared through the Background Check committee prior to admission to the program. Students who are arrested while in the Nursing Program must contact the Program Director or Associate Dean of Nursing immediately. Required for applicants who are finalists for admission into the AS Nursing Program Applicants notified of finalist status for the AS Nursing Program are required to complete a Level 2 background check (Florida and National search by fingerprint scan) and a Ten-Panel urine drug screen through the currently specified background check company Certified Background. This background screening ensures consistency with the requirements of Chapter 435, Florida Statutes, by health care agencies with which Florida SouthWestern State College has clinical affiliation agreements. Background and drug screening must be completed before final acceptance to any Health Professions FSW Nursing Student Handbook 2015-2016 46 Program can be approved. It is the applicant’s responsibility to pay for and complete the background check and drug screen by the deadlines specified in the notification. Applicants with criminal records are forewarned that the Florida Department of Health-Division of Medical Quality Assurance requires any licensure applicant who has ever been convicted or found guilty of a felony, regardless of adjudication, to explain the circumstances. Per recent legislation changes, a graduate with a felony conviction within the past 15 years may not be approved for a license. The same is true for other states with licensure statutes as well as national certification boards. These individuals will need to gain clearance from these agencies before they are allowed to take state licensure and national certification examinations that are usually required for employment. Criminal History and Drug Screen Findings Upon notification of finalist status for the AS Nursing Program, each applicant will be provided with a detailed procedure for completing the Level 2 background check and drug screen. The results are sent to the Dean, School of Health Professions, for review. Failure to complete the Background Check and Drug Screen by the deadline set will result in forfeiture of finalist status for that application cycle. If the background results are negative and drug screen is negative, the student will be admitted into the Nursing Program. If a positive background result (i.e. arrest record) is found, the record will be reviewed and the student may be contacted for additional information. If the offense is cleared based on the current guidelines of the Florida Board of Nursing, the student is admitted to the AS Nursing Program. If the offense is not cleared, the student will be denied admission until such time as they meet the clearance criteria. Probation status and a positive drug screen that cannot be verified by a legal prescription are disqualifying offenses. Appeal Process If a review of a criminal background check or a medical health report deems an applicant or student ineligible for admission or continuation in the Nursing Program, an appeal can be filed through the Florida SouthWestern State College’s Academic Grievance process outlined in the College catalog. The College’s published appeal process is to be followed as found in the current Catalog under “Student Rights and Responsibilities”. FSW Nursing Student Handbook 2015-2016 47 Arrests While in the Health Program If a health professions student is arrested at any time while enrolled in the program, the arrest must be reported to the Program Director or Associate Dean of Nursing within two (2) class days of the arrest. Failure to do so may result in dismissal from the program. A student arrested for a disqualifying offense during the program will be placed on academic probation until the case disposition can be obtained. Clinical privileges will be at the discretion of the Program Director or Associate Dean of Nursing during this time period. FSW Nursing Student Handbook 2015-2016 48 Appendix A: Dismissal In addition to violation of the general rules for student conduct listed in the FSW College Catalog and ASN Student Handbook - Student Conduct, nursing students are subject to dismissal from the program for any of the following reasons. Faculty shall begin the counseling documentation process at the first incident related to any of the following as well as refer students to the Program Director. 1. Achieving final grade of less than “C” in theory courses. 2. Achieving final grade of “U” in clinical courses. 3. Failure to meet Math Competency requirement. 4. Incidence(s) of Medication Variance according to progressive disciplinary measures included in clinical syllabi. 5. Exceeding maximum absence time allowed in Clinical Course Attendance requirement. 6. Noncompliance with HIPAA Regulations (confidential information). 7. Declining participation in required department drug testing procedures. Receipt of positive drug testing results. 8. Neglecting to report change in State or Federal Criminal Information. 9. Acquisition of Criminal Incident of a nature that precludes, as determined by the School of Health Professions Dean, continuation in the program. 10. Result of due process proceedings based upon written request from a clinical facility that the student be withdrawn from said facility. 11. Endangering a client's life or jeopardizing his/her safety: a. Violating standard safety practices in the care of clients. b. Delaying care that is within the student's realm of ability and/or knowledge. c. Performing skills or procedures that are beyond the realm of the student's ability and/or knowledge. d. Failure to update CPR and PPD and/or provide documentation of renewal. e. Failure to maintain current status for required medical information and immunizations and/or provide documentation of renewal. FSW Nursing Student Handbook 2015-2016 49 DISMISSAL- (cont’d) Additionally, students must demonstrate adherence to the Code of Ethics as put forth by the American Nurses Association. The provisions of this code comprise a model by which those entering the nursing profession are to act and to embrace its ideals. The 9 provisions as listed in Guide to the Code of Ethics for Nurses, ANA, 2010 are: 1. The nurse, in all professional relationships, practices with compassion and respect for the inherent dignity, worth, and uniqueness of every individual, unrestricted by considerations of social or economic status, personal attributes, or the nature of health problems. 2. The nurse’s primary commitment is to the patient, whether an individual, family, group, or community. 3. The nurse promotes, advocates for, and strives to protect the health, safety, and rights of the patient. 4. The nurse is responsible and accountable for individual nursing practice and determines the appropriate delegation of tasks consistent with the nurse’s obligation to provide optimum patient care. 5. The nurse owes the same duties to self as to others, including the responsibility to preserve integrity and safety, to maintain competence, and to continue personal and professional growth. 6. The nurse participates in establishing, maintaining, and improving healthcare environments and conditions of employment conducive to the provision of quality health care and consistent with the values of the profession through individual and collective action. 7. The nurse participates in the advancement of the profession through contributions to practice, education, administration, and knowledge development. 8. The nurse collaborates with other health professionals and the public in promoting community, national, and international efforts to meet health needs. 9. The profession of nursing, as represented by associations and their members, is responsible for articulating nursing values, for maintaining the integrity of the profession and its practice, and for shaping social policy. FSW Nursing Student Handbook 2015-2016 50 Please Sign Here CHAPTER FIVE FSW Nursing Student Handbook 2015-2016 51 FLORIDA SOUTHWESTERN STATE COLLEGE SCHOOL OF HEALTH PROFESSIONS INFORMED CONSENT – LIABILITY AND SPECIAL RISK ACCIDENTAL INSURANCE As a student performing in clinical facilities, I understand that I may be exposed to environmental hazards and infectious diseases including, but not limited to, tuberculosis, hepatitis A, hepatitis B, and HIV (AIDS). Every student is required to have liability insurance (which covers malpractice) and special risk accidental insurance while enrolled in classes involving clinical activities. This insurance is automatically included in the course fees. This special risk accidental insurance, provided by the College, will pay for the cost of care should a student be injured while in the clinical or classroom setting. It will not cover student illness not related to a classroom or clinical injury. To obtain coverage following an injury, the student must complete and submit the required paperwork provided by the College. It is strongly recommended that students have private health insurance to cover other health illnesses and needs. Proof of health insurance may be required before beginning certain clinical rotations. I hereby verify informed consent of the inherent risks of clinical/practicum by completion of this form. I, , have been informed and understand (Please print name) the inherent risks involved in the education of Health Program students at Florida SouthWestern State College. Signature Date Student ID Number NUR-013 FSW Nursing Student Handbook 2015-2016 52 FLORIDA SOUTHWESTERN STATE COLLEGE NURSING PROGRAM INFORMED CONSENT – HEPATITIS A & HEPATITIS B As a student, performing in clinical facilities, I understand that I may be exposed to environmental hazards and infectious diseases including, but not limited to, tuberculosis, hepatitis A, hepatitis B, and HIV (AIDS). Florida SouthWestern State College recommends that all Health Program students obtain the hepatitis A and hepatitis B vaccines. Proof of vaccination from hepatitis A and hepatitis B may be required before certain clinical rotations. I, , have been informed and understand the (Please print name) inherent risks related to exposure to environment hazards and infectious diseases, including hepatitis A and hepatitis B, while involved in clinical rotations. I also understand that the hepatitis A and hepatitis B vaccines are highly recommended. Signature Date Student ID Number Declination Statement I understand that due to my occupational exposure to blood or other potentially infectious materials I may be at risk of acquiring hepatitis B virus (HBV) infection; however, I have declined to receive the hepatitis B vaccination at this time. I understand that by declining this vaccine I continue to be at risk of acquiring hepatitis B, a serious disease. Signature Date NUR-014 FSW Nursing Student Handbook 2015-2016 53 FLORIDA SOUTHWESTERN STATE COLLEGE NURSING PROGRAM Internet and Computer Code of Ethics and Student Conduct Form The Florida SouthWestern State College Nursing Program sets forth the following additional standards for conduct in online courses, course companion websites and laboratory Internet use. Students who are given access to these resources are expected to utilize them in an ethical manner to support research, education and other legitimate educational pursuits. Users have the legal and ethical responsibility not to abuse the resources and to respect the privacy, copyrights, and intellectual property rights of others. Violations of the Code of Ethics specified here and the Student Conduct Code as outlined in the FSW College Catalog will be subject to disciplinary action through the Program and College’s existing structures. It is a violation of this Code of Ethics to: 1. Obtain, possess, utilize or attempt to utilize a User ID and password of another individual. Each student retains the responsibility to maintain this information as confidential and to contact the instructor of the course if they feel the confidentiality has been compromised. 2. Utilize course discussion boards, email and chat rooms in any way that harasses, threatens or negatively impacts the educational experience of other students. Whether or not the receiver objects, the following are examples of inappropriate use: Electronic mailings (‘junk mail’) Personal business/profit making activities Email/Discussion Forum - Any non-course related use including but not limited to chain letters, pyramid schemes, jokes etc. Sexually explicit or obscene materials Any other type of offensive, annoying, racist, sexist or threatening materials or messages 3. Knowingly introduce a virus, worm or other program that damages or otherwise harms the system or network. 4. Vandalize computer hardware and components in any way that damages or destroys them. I acknowledge the Code of Ethics detailed above and will respect the academic intent of the computer and Internet tools utilized in the Nursing Program and with affiliated clinical agencies as per the AS Nursing Handbook. ________________________________ Name (Printed) _____________________________ Student ID Number ________________________________ Signature _____________________________ Date Adapted from Broward Community College FSW Nursing Student Handbook 2015-2016 54 FLORIDA SOUTHWESTERN STATE COLLEGE NURSING PROGRAM STATEMENT ON CONFIDENTIALITY AND DISSEMINATION OF CLIENT INFORMATION and HIPAA Given the nature of our work, it is imperative that we maintain the confidence of client information that we receive in the course of our clinical experiences. Florida SouthWestern State College (FSW) prohibits the gathering of any client information unless required for purposes of treatment, payment, or health care operations and discussions of Protected Health Information (PHI) within the organization should be limited. Acceptable uses of PHI within the organization include, but are not limited to, exchange of client information needed for the treatment of the client, billing, and other essential health care operations, peer review, internal audits and quality assurance activities. I understand that FSW students provide services to clients that are private and confidential and that I am a crucial step in respecting the privacy rights of clients. I understand that it is necessary, in the rendering of services, that clients provide personal information and that such information may exist in a variety of forms such as electronic, oral, written or photographic and that all such information is strictly confidential and protected by federal and state laws as stated in the Health Insurance Portability and Accountability Act – HIPAA. I agree that I will comply with all confidentiality policies and procedures. If I, at any time, knowingly or inadvertently breach the client confidentiality policies and procedures, I agree to notify the Program Director immediately. In addition, I understand that a breach of client confidentiality may result in suspension or expulsion from FSW’s program. I also understand that a wrongful breach of client confidentiality could personally subject me to criminal and civil penalties. I understand all privacy policies and procedures that have been provided to me by FSW. I agree to abide by all policies or be subject to disciplinary action, which may include verbal or written warning, suspension or expulsion. This does not alter the nature of the existing relationship between FSW and me. ________________________________ Name (Printed) _____________________________ Student ID Number ______________________________ Signature _____________________________ Date FSW Nursing Student Handbook 2015-2016 55 FLORIDA SOUTHWESTERN STATE COLLEGE NURSING PROGRAM ACCEPTANCE OF RESPONSIBILITY I HAVE READ THE FLORIDA SOUTHWESTERN STATE COLLEGE NURSING PROGRAM STUDENT HANDBOOK AND UNDERSTAND THAT I AM RESPONSIBLE FOR ITS CONTENT, AND AGREE TO HONOR THE RULES AND REGULATIONS SPECIFIED IN THE HANDBOOK.* Each student is responsible for the objectives and course requirements of each course in the curriculum and understands that he/she must abide by the policies, objectives, and course requirements of the Nursing Program and of Florida SouthWestern State College. I hereby verify informed consent and acceptance of this responsibility by the completion of this form. ________________________________ Signature _____________________________ Date ________________________________ Name (Printed) _____________________________ Student ID Number *The policies and procedures in this Handbook are subject to change as needed. Students will receive notification in writing if a policy is revised. Handbook\2011-2012 09/11. Revised 7/2015 NUR-016 FSW Nursing Student Handbook 2015-2016 56