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1 Master of Science in Nursing Graduate Student Handbook University of Mary Hardin-Baylor Scott & White College of Nursing 2011-12 2 TABLE OF CONTENTS Introduction Mission Philosophy Student Learning Outcomes 3 3 3 4 STUDENT PROGRAMS AND SERVICES Nursing Organizations Standing Committees for the College of Nursing College of Nursing Faculty Academic Advisor Libraries Digital Media Services Learning Laboratory Computer Laboratory Inclement Weather Notification 5 6 7 7 8 8 8 8 POLICIES Essential Performance Standards for Admission and Progression College of Nursing Criminal Background Clearance Health Policies Changes in Health Status Affiliated Clinical Agency Requirements Professional Appearance and Policies for Clinical Experiences Attendance Grading Progression Academic Honesty Criteria for Information System Literacy 10 11 11 12 12 13 14 15 16 16 16 RIGHTS AND RESPONSIBILITIES Professional Behavior Expenses Rights and Responsibilities Student Grievance /Right of Appeal Process Nursing Student Employment Incident Reports Exposure to Hazardous Materials/Substances Policy for Graduate Students with Substance Abuse Problems and/or Mental Illness Guide for Formal Papers 17 18 19 20 21 21 22 22 24 3 INTRODUCTION The University of Mary Hardin-Baylor (UMHB) Graduate Catalog and Graduate Student Handbook are the primary resources of information for the graduate student. The College of Nursing (CON) Graduate Student Handbook is designed to be a supplemental aid to address policies and procedures unique to the College of Nursing. The College of Nursing Graduate Student Handbook is organized according to the following sections: (a) introduction, philosophy and conceptual framework, (b) student programs and services, (c) policies, and (d) student rights and responsibilities. UMHB offers a Master of Science degree in nursing with a functional major in nursing education, clinical nurse leadership and preparation as a family nurse practitioner. Students who enter the program have already completed undergraduate work in nursing and are members of the profession of nursing. As a student progresses through the graduate course of study in the College of Nursing he/she is studying to become an advanced practice nurse. Therefore, the graduate student is expected to demonstrate professional responsibility by being a goal-directed learner who regularly attends all classes, clinical experiences, and school programs where attendance is expected. The student must conduct him/herself in a manner which is consistent with the Texas Nursing Practice Act and the ethical standards of professional nursing. Upon completion of the prescribed curriculum, the student is awarded an M.S.N. (Master of Science in Nursing) degree. The graduates of the nurse educator track have met the educational requirement for the Certified Nurse Educator (CNE) examination; the graduates of the clinical nurse leader track have met the requirement for the Clinical Nurse Leader (CNL) certification exam and the graduate of the nurse practitioner track have met the requirement for the Family Nurse Practitioner (FNP) certification exam. The curriculum for a graduate degree in nursing is a 39 to 48 semester hour program, consisting of a core, a clinical specialization, and an education component, planned within the framework of 22 to 24 months of full-time study. The graduate program begins in the fall semester and should be completed in the fall semester of the following year. MISSION The mission of the Scott and White College of Nursing is to prepare excellent professional nurses who contribute to the health and welfare of individuals, families, and communities in diverse health care environments. The College of Nursing strives to prepare graduates to become leaders in the profession, life-long learners, and community servants who practice nursing based on Christian values and professional principles. PHILOSOPHY Included in the College of Nursing Philosophy is the faculty philosophy of learning. It is important that students in the College of Nursing understand and are prepared to be active participants in the learning process. Therefore, the faculty philosophy of learning is quoted from the Graduate Course Catalog. 4 The Scott and White College of Nursing is an integral part of the University. The philosophy of the College of Nursing is consistent with the purpose of the University which emphasizes instruction in a Christian environment and service to individual students and the community. The College of Nursing prepares graduates who, as professional nurses, contribute to the health and welfare of the individual, the family, and community. This outcome, supported by the liberal arts foundation and the nursing curriculum enables graduates to realize their own potential as individual citizens and practitioners in the health care system. The faculty believes that humans are bio-psycho-social-spiritual beings. The role of the nurse is to assist clients in adapting to stressors in their internal and external environments throughout the life cycle. Nurses serve a diversity of clients; individuals, families, groups and communities. The faculty further believes that the professional nurse must demonstrate leadership in assessing, analyzing, planning, implementing and evaluating nursing care to clients. To provide leadership in aiding clients to adapt, the nurse must effectively communicate and collaborate with the individual, family, group, community and with others who share in the provision of client care. Furthermore, the faculty believes that the practice of nursing involves decisionmaking and problem-solving which require analytical and critical thinking based on knowledge of the natural, behavioral, and social sciences; humanities; and nursing. The nurse must use therapeutic interventions which include the provision of physical, psychological, and spiritual care, health teaching and advocacy. These interventions require skillful utilization of the nursing process, health care technology, and communication, and multidisciplinary referral. The professional nurse must assume responsibility and accountability for nursing practice. The nurse must continuously strive to improve as a professional and to contribute to the advancement of the nursing profession. The faculty believes that learning is a dynamic process, is influenced by the learner‘s individuality and experiences, and is manifested by changes in behavior. The learner has the major responsibility for acquiring and applying knowledge. The faculty is responsible for assisting the learner in accomplishing the program objectives by providing well-planned learning experiences based on sound educational principles. Student Learning Outcomes PRACTICE 1. Use informatics & technologies to design and implement safe, effective, and efficient practice models based on evidence-based rationales. PROFESSIONALISM 2. Integrate professional, ethical, moral, legal and spiritual concepts to improve outcomes within a multi-cultural, global environment SCHOLARSHIP 3. Develop scholarly contributions to enhance the body of nursing knowledge. 5 LEADERSHIP 4. Evaluate nursing‘s contributions to the improvement of healthcare policy and systems in a diverse global society. 5. Formulate strategies to facilitate the education of individuals, families, communities, and aggregates/clinical populations within the multi-disciplinary health care teaFormulate strategies to facilitate the education of individuals, families, communities, and aggregates/clinical populations within the multi-disciplinary health care tea STUDENT PROGRAMS AND SERVICES NURSING ORGANIZATIONS The College of Nursing has two organizations in which graduate students may participate. These are the Tau Epsilon Chapter of Sigma Theta Tau International Honor Society of Nursing and the Nurses' Christian Fellowship. Each of these organizations has College of Nursing faculty as sponsors. Meeting times for these organizations are announced at the beginning of each fall semester. The TAU EPSILON CHAPTER of Sigma Theta Tau International, the international honor society of nursing, is a professional organization composed of students, faculty, and nursing professionals in the community. The purposes of the society are to: 1. Recognize superior achievement. 2. Recognize the development of leadership qualities. 3. Foster high professional standards. 4. Encourage creative work. 5. Strengthen commitment to the ideals and purposes of the profession. Membership in this honor society is by invitation and inductions are held semi-annually. Candidates/nominees shall have demonstrated superior scholastic achievement, academic integrity, professional leadership potential and/or marked achievement in the field of nursing. To be eligible for nomination, a graduate student shall: 1. Be enrolled in the College of Nursing 2. Rank in the highest 35 percent of the class. 3. Have at least a 3.0 cumulative GPA on a 4.0 scale. 4. Demonstrate academic integrity. 5. Demonstrate professional leadership Candidates are considered for membership without regard to race, age, gender, creed or color. Members of the community are also eligible for honor society membership in accordance with the honor society by-laws. 6 NURSES CHRISTIAN FELLOWSHIP (NCF) is the campus component of a national and international professional organization and ministry of and for nurses and nursing students. NCF seeks to bring the good news of life in Jesus Christ to nursing. It is the desire and practice of the members to know God in a deep, personal way through Bible study and prayer. Groups meet on a regular basis for study, prayer, and to learn skills for spiritual assessment and caregiving. NCF resources and opportunities to attend camps, workshops, and retreats are also available. All students and faculty are welcome to attend any NCF function. There is no financial obligation for local activities. STANDING COMMITTEES FOR THE COLLEGE OF NURSING Students serve on all Standing Committees of the College of Nursing relative to students' needs. Graduate student members are elected to these committees by their peers at the beginning of the academic year. Graduate student members are responsible for bringing the views of their classmates to the attention of the committee and reporting committee actions back to their class. Students must meet the following criteria in order to be eligible to serve on a CON committee: interest in the committee, ability to meet at times such as Friday afternoon, and have a GPA of 3.0 or better. Standing Committees on which students serve include: Admissions, Progression and Retention Purpose: The committee makes decisions with regard to admissions, progression and retention of undergraduate and graduate students in the CON. Recommendations from the Admissions, Progression, and Retention Committee are presented to the Committee of the Whole. This committee updates the College of Nursing Student Handbook. Curriculum Purpose: The committee reviews the curriculum of the undergraduate and graduate nursing programs in relation to the philosophy, program objectives and conceptual framework. This committee also collects and analyzes data from undergraduate and graduate students and faculty related to course and clinical facilities, evaluation and curriculum outcome data. Recommendations from the Curriculum Committee are presented to the Committee of the Whole. Program Evaluation Purpose: The committee reviews and implements components of the systematic evaluation plan of the undergraduate and graduate nursing programs, and implements appropriate studies of program effectiveness. This committee also collects and analyzes data from faculty and students concerning campus facilities and physical resources. Recommendations are presented to the Committee of the Whole regarding program resources. Special Events This committee is responsible for planning special events involving faculty and students in the College of nursing, including but not limited to the Pinning Ceremony. 7 Student-Faculty Council The College of Nursing Student-Faculty Council is designed to promote communication between undergraduate and graduate nursing class groups and faculty. The Council facilitates communication within the total nursing student body. The Council will act as a medium to hear issues (not covered by the existing CON committee structure) and direct the student(s) to the appropriate office/person for resolution. COLLEGE OF NURSING FACULTY ACADEMIC ADVISOR Each student admitted to the graduate program is assigned a nursing faculty member as an advisor. Advisors prepare degree plans for assigned students. The advisor assists the student in arranging his/her schedule of classes and in making progress towards a degree. By appointment, academic advisors are available for counseling and guidance. Prior to registering each semester, a student must obtain the advisor‘s approval of his/her proposed schedule. LIBRARIES Townsend Library is a full service library containing numerous nursing texts and journals. The inventory of total holdings is approximately 147,000 volumes and more than 359,000 microforms. The library receives approximately 1,100 periodicals. An interdisciplinary media collection of 2,900 videotape titles is available through the library. Librarians provide demonstrations and instruction in the use of the online catalog, online databases, indexes, Internet, and other research materials. Reference librarians are available to assist students with location of research materials and to advise in conducting searches. Required reading or media placed on reserve by the faculty are available at the circulation desks for use in the library only. Videos/DVDs are included in library holdings and may be used in the audio-visual room during library hours or may be checked out for one week, unless they are on reserve at the circulation desk. The on-line catalog of the library (Towncat) is networked with all databases being accessible from the library web page. The library pays for access to over 100 different databases. The library web page may be accessed from off-campus. The databases include Cochrane database, CINAHL, MEDLINE, IDEAL, Clinical reference systems, Health & Wellness Research Center, Health Source: Nursing/Academic, PsychInfo, Psychology & Behavioral Sciences Collection, Alt-Health Watch, and Social Work Abstracts. Microform readers, printers and photocopiers are available. Interlibrary loan service is also available. Books may be checked out for three weeks. Journals may not be checked out. Library hours are posted at the library and on the library web page. Copy machines are available in the library. The Richard D. Haines Medical Library at Scott & White Hospital holds approximately 6000 book titles and is located in the Texas A&M Education Building on the 3rd floor. This 8 includes large clinical, nursing and administration collections. Approximately 1100 journal titles are available in current subscriptions. An audio and video collection is also contained in the library. The CD-ROM databases are Medline and CINAHL. Other services available include inter-library loan, microfiche viewers and photocopiers. The number of books that may be checked out is limited to 3. It is requested that one be prompt in returning such library materials in order to insure continuous privileges for all students and/or other hospital staff. No journals may be checked out. Olin E. Teague Veterans Administration Center (VAMC) in Temple has an extensive number of texts, journals and media materials. Medline, Psych Lit and CINAHL are available on CD-ROM. An audio and video collection is also available as well as photo copying equipment. Nursing students have access to the library but do not have check-out privileges. A valid college ID or VA ID will be required for entry into the library. DIGITAL MEDIA CENTER The copy center provides services for individual and class utilization for a fee. Students have access to equipment to prepare transparencies, to laminate posters for class or clinical presentations, and to print handouts for class. LEARNING LABORATORY THE LEARNING LAB is located on the first floor in Wells Nursing and Science Building and is equipped with manikins, simulators, equipment and supplies that may be used to practice procedures and skills. Both high-fidelity and low-fidelity simulation equipment is available. Students must schedule use of the lab through their instructor. In all instances the lab is open only until 4:45 p.m. unless special arrangements have been made. Alternative lab hours can be arranged through the faculty member and the director of the learning lab. All students will be asked to view the introductory video and sign a contract for use of the learning lab. COMPUTER LABORATORY The computer lab on the second floor of Wells Nursing and Science Building is available for student use. Use of this laboratory for class time is arranged through each individual course. Open hours are posted each semester. Additional computers for students use are available in the library and the student union building (SUB). INCLEMENT WEATHER NOTIFICATION Should the university administration decide to close due to actual or forecasted inclement weather, official notification may be obtained in three ways. 1. Internet site: www.umhb.edu 2. TV channels: KCEN-TV (Channel 6, Cable Channel 3) KXXV-TV (Channel 25, Cable Channel 5) KWTX-TV (Channel 10, Cable Channel 2) 9 3. Radio stations: WACO-FM (100) KCKR-FM (95.7) KWJX-FM (97.5) KBRQ-FM (102.5) KWTX-AM (1460) KRZI-AM (1580) Every effort will be made to make notifications as early as possible. If you need to leave your home before official notifications are available, use your best judgment concerning driving conditions. The faculty/clinical agency should be notified prior to the scheduled class/lab in this event. 10 POLICIES ESSENTIAL PERFORMANCE STANDARDS FOR ADMISSION AND PROGRESSION COLLEGE OF NURSING Professional nursing is a practice discipline with cognitive, sensory, affective and psychomotor performance requirements. As a student in the College of Nursing, the student must have the ability and skills considered essential to meet these performance requirements. Please carefully review the Essential Performance Standards indicated below. If you have any questions about your ability to meet these standards, you should seek guidance from the Director of Graduate Nursing Program. ESSENTIAL PERFORMANCE STANDARDS STANDARD EXAMPLES (Not all inclusive) Critical thinking ability sufficient for clinical judgment Identify cause-effect relationships in clinical situations, develop nursing care plans Interpersonal abilities sufficient to establish and maintain a helping relationship with individuals, families, and groups from a variety of social, emotional, cultural, and intellectual backgrounds Establish rapport with patients/clients and colleagues. Demonstrate behavior that reflects a caring attitude. Communication abilities sufficient for interaction with others in verbal and written form using correct English. Explain treatment procedures, initiate health teaching, document and interpret nursing actions and patient/client responses. Physical abilities sufficient to move from room to room and maneuver in small spaces Move around in patient's rooms, work spaces, and treatment areas, administer cardio-pulmonary procedures. Gross and fine motor abilities sufficient to provide safe and effective nursing care Calibrate and use equipment; position patients/clients; lift objects up to 30 lbs. work entire 8-12 hour shift. Auditory ability sufficient to monitor and assess health needs Hear monitor alarm, emergency signals, auscultatory sounds, cries for help. Visual ability sufficient for observation and assessment necessary in nursing care Observe patient/client responses. Read labels on medication ampules/vials. Perform palpation, functions of physical examination and/or those related to therapeutic intervention, e.g. insertions of a catheter. Adapted from the National Council of State Board of Nursing, Inc. Reviewed 2011. Tactile ability sufficient for physical assessment 11 CRIMINAL BACKGROUND CLEARANCE Graduate nursing students are expected to comply with the criminal background clearance through the Texas Board of Nursing as required of all registered nurses in Texas Students must submit a clear background clearance form from this site: certifiedbackground.com checks prior to attending clinical experiences. Students whose clearance receives a ―hit‖ must make an appointment with Dean. HEALTH POLICIES The purpose of the following health policies is to protect the student in the clinical setting as well as to protect the clients with whom the student will be working. I. HEALTH HISTORY AND PHYSICAL EXAMINATION All graduate students, seeking admission to the College of Nursing must provide documentation of a health history and physical examination before beginning clinical nursing. Health forms are available from the CON secretary. Completed health forms should be submitted to the CON secretary (office) as directed. Each semester students will be required to have current health update and immunization update prior to 1st class. II. TB SCREENING The graduate student must be screened for TB prior to admission to clinical nursing. The student seeking admission to the nursing program will provide evidence of a negative TB skin test or a negative chest x-ray if the skin test is positive. The student having a negative TB skin test upon admission must present evidence of retesting annually and/or following any known exposure. The student who has had a negative skin test and converts to positive will be referred to the Bell County Health Department or his/her private physician for follow-up care. Evidence of a negative chest x-ray must be provided to the school within one month. The student must keep the CON informed of follow-up care during the prescribed regimen. The student having a documented positive TB skin test upon admission or at any point during the time enrolled in the program, must provide the school with evidence of a negative chest x-ray taken within the last 2 years. Negative chest x-rays over 2 years old must be repeated. Students with a positive TB skin test must complete a Texas Department of State Health Services (TDSHS) symptom questionnaire annually. III. IMMUNIZATIONS Texas state law requires students born on or after January 1, 1957 to show proof of: 1. Two doses of measles vaccine administered on or after their first birthday and at least 30 days apart, OR Immunity to measles validated by a physician's statement of history of the disease. 2. Mumps vaccine administered on or after their first birthday, OR 12 Serological confirmation of mumps immunity, OR Immunity to mumps validated by a physician's statement of history of the disease. 3. Rubella vaccine administered on or after their first birthday, OR Serological confirmation of rubella immunity. Pregnancy: Requirements for measles, mumps and rubella vaccines are waived during pregnancy. 4. A minimum of three doses of tetanus/diphtheria is required, the last dose of which was within 10 years. 5. Hepatitis B vaccine is required. This is a series of injections over 4-6 months. 6. Varicella (chickenpox) immunity, by history, positive titer or immunization. IV. CHANGES IN HEALTH STATUS Students with any change in health status since the initial enrollment health status (e.g. surgery, pregnancy, serious illness, emotional problems, accidental injury) requiring professional care must submit a statement from their health care provider which clears them to participate in class and/or clinical experiences. If a health status change requires continuous monitoring the student must provide the health care provider with the official copy of the UMHB CON Medical Clearance Form (obtain form from the College of Nursing secretary). This clearance form should indicate the length of time the clearance form is valid. This statement must be submitted to the Director of Graduate Nursing Program. If a change occurs between semesters, the statement must be submitted to the Director of Graduate Nursing Program prior to enrollment. If a student must drop a class for health reasons, the student will need to submit an updated health form prior to seeking readmission. V. AFFILIATED CLINICAL AGENCY REQUIREMENTS Various clinical agencies utilized by the College of Nursing may have specific requirements which must be met before students are permitted to care for clients within the given facility. Because requirements are agency specific and are subject to frequent change, more detailed information will be provided in individual course syllabi. This section outlines the student‘s responsibility for these requirements. 1. Healthcare Provider CPR– The student must have successfully completed Healthcare Provider CPR instruction at the health care provider level. Documentation of current CPR course completion must be on file in the CON office. The CON requires Healthcare Provider CPR to be renewed before the beginning of the semester if the renewal date expires anytime during the current semester. Failure to provide this documentation before the semester starts may mean that the student will not be allowed to register. 2. Criminal Background Clearance – Affiliated agencies require evidence of this clearance prior to admission to clinical nursing sites. Graduate nursing students are expected to comply with the criminal background clearance through the Texas Board of Nursing as required of all registered nurses employed in Texas. 13 3. Drug Testing – Students admitted to clinical nursing will be asked by Scott and White Hospital to certify in writing that they are not engaging in any substance abuse behaviors. This signature will acknowledge that in ―for cause‖ situations they will be asked to submit to drug testing. The refusal to sign this acknowledgement will result in the student being denied access to clinical facilities at Scott and White Hospital. If this occurs, the student will be unable to meet clinical course requirements and will be required to withdraw from the CON. PROFESSIONAL APPEARANCE AND POLICIES FOR CLINICAL EXPERIENCES The appearance/behavior policy is designed to assist students to maintain standards considered appropriate and safe for professional nursing practice. All students enrolled in the College of Nursing are expected to maintain professional relationships with clients/families and to wear appropriate attire when representing the school in the hospital and in the community. The graduate program adheres to the Dress Code as stated in the UMHB Graduate Student Handbook. The attire must be clean, neat and present a professional image. Specific requirements are stated below. I. Uniforms: Graduate students are not required to wear a specific uniform in the clinical setting unless required to do so by the clinical agency. If no uniform is required, graduate students are expected to wear professional attire appropriate to the setting. Graduate students should wear a white lab coat over professional attire. II. Professional Attire in Clinical Settings A. Appropriate attire defined: When worn as professional attire, this clothing should be "conservative" in design, color and fit. Dresses, suits, skirts, tailored slacks, blouses or sweaters are acceptable. Hose (women) and socks (men) must be worn with shoes. Faculty reserve the right to make further recommendations for specific experiences. B. Inappropriate attire defined: Dress considered inappropriate includes jeans (any color), Capri pants, bicycle pants, sweat suits, shorts, above-knee skirts or dresses, halter tops, off-shoulder or low-cut tops, transparent or translucent clothes, "flip flops" or slides, decorated hose, tight, ill fitting or revealing clothing. Note: See the University Graduate Student Handbook for campus dress policy. C. Lab coat in white (required) D. College of Nursing patch- The patch is to be sewn onto the left sleeve of the lab coat with the upper border of the patch centered 2.5 inches below the left shoulder seam. E. Official name pin to wear on the uniform or lab coat can be purchased from Trophies Etc; 2304 N. Main Street; Belton TX 76513; 939-2442. When ordering, the fact that the name pin is for the College of Nursing at UMHB, must be indicated (pins are white with purple lettering). Official name pin with current legal name must be worn during all clinical experiences. Be certain to indicate that you are a Registered Nurse in the Graduate Program F. Clinical Facilities will require a picture ID. 14 III. Hair All students will keep their hair clean and well-groomed. Extreme hair styles and colors are unacceptable. Men's facial hair (moustaches, beards, or side-burns) will be clean and neatly trimmed. Only naturally occurring hair color will be acceptable, i.e., a student may color his/her hair, a single color of black, brown, blonde or red, but not any color that would be considered extreme. ATTENDANCE Attendance in class, clinical lab and learning lab is expected. Absences or tardiness will be carefully assessed and it is the prerogative of the instructor to deduct points from the final course grade. Clinical experiences at the graduate level are scheduled by the student with a preceptor. Students are expected to provide the course faculty with dates and times of all scheduled clinical experiences. Changes of either times or dates must be communicated to the faculty and the preceptor at least 24 hours in advance via either e-mail or telephone as determined by the faculty at the beginning of the course. Failure to notify the faculty and/or preceptor of changes in the scheduled clinical experience may result in changes in grades and the options allowed by the official university calendar as related to the W/WP/WQ dates. Each course syllabus will state any additional policies regarding attendance. Absences in excess of these policies will result in failure or a request for withdrawal. The student who does not attend class must notify primary faculty prior to class or within the first hour of class. Tardiness and absences from class and/or clinical experiences will be tracked throughout the nursing program and if excessive, will result in a request that the student withdraw from the program. If a student is unable to take an examination as scheduled he/she must personally notify the primary faculty on or before the day of the exam to make arrangements to reschedule the exam. Examinations must be made up within a maximum of seven (7) calendar days from the originally scheduled exam time. Exceptions to these policies may be made only in extraordinary circumstances at the discretion of the faculty. A student may be on the assigned clinical unit only during designated clinical hours. During clinical lab experiences the student is expected to remain available within the institution at all times unless prior approval by faculty is granted for being out of the institution. Note: When notifying the CON, individual faculty and department office of an absence, be prepared to give the following information: name, reason for absence, class or classes to be missed, phone number where you may be reached. Messages may be left on the faculty voice mail system by calling the faculty office phone number. The CON department number is (254) 295-4662. 15 GRADING The College of Nursing adheres to the University grading system (see UMHB Graduate Catalog or the university‘s Graduate Student Handbook). In addition, the College of Nursing has adopted the following grading policies: Grades in nursing courses will be based on critical components and clinical laboratory experiences. I. CRITICAL COMPONENTS The student must receive at least an average of 73 in all of the critical components in a nursing course to pass. These components may include exams and designated requirements as described in each course syllabus. If a 73 (C) or better is not achieved on a critical component, the maximum course grade that can be achieved is a "D". Courses having clinical skills exams will have guidelines in course syllabi. The clinical skills exams must be passed as outlined in the individual course syllabus. II. CLINICAL LABORATORY A student must perform satisfactorily in the clinical component to pass a clinical nursing course. If a student does not perform satisfactorily in the clinical laboratory the maximum course grade that can be achieved is a "D". A student may be asked to withdraw at any time from nursing course(s) if there are justified circumstances (see University Catalog, College of Nursing, general information section). The individual course syllabus will identify the components to be used in clinical evaluation. Guidelines to describe unsafe clinical performance are also used in clinical evaluation. These are as follow: A. Violates or threatens the biological, psychological, sociological and/or spiritual safety of the client. B. Inadequately or inaccurately utilizes communication (verbal and/or written). C. Violates previously mastered principles/learning objectives in carrying out nursing care skills and/or delegated medical functions. D. Assumes inappropriate independence in actions or decisions. E. Fails to recognize own limitations, incompetence, and/or legal responsibilities. F. Fails to accept moral and legal responsibilities for his/her own actions; thereby violating professional integrity as expressed in the American Nurses Association's Code for Nurses. G. Fails to be accountable to the standards of practice included in the Texas Nursing Practice Act. III. GRADE OF INCOMPLETE College of Nursing policy concerning "I" (incomplete) is consistent with university policy. (See University Catalog under Academic Standards for policy regarding an incomplete). 16 PROGRESSION The nursing curriculum is sequential and, therefore, certain prerequisites exist for progression in the nursing program. Any exceptions to the prerequisite requirements, such as with transfer students, will be made after review by a faculty committee and/or the dean (University Catalog). The nursing faculty make every effort to assist students in being successful. Students having difficulty are accountable for seeking assistance from the primary faculty of the course. Graduate students may receive only one (1) grade of C throughout the program. Eligibility to repeat a nursing course is determined by the MSN committee. If the class is a prerequisite to the next semester‘s nursing courses, the student must repeat the class before proceeding to the next course. If the student receives another ―‖C‖, or "WQ", "D", or ‗F‘ in a nursing course during a subsequent semester, the student is not eligible for readmission. Students eligible to be reviewed for progression must complete an application for readmission, which includes their analysis of why they were unsuccessful and specific measures they plan to take to be successful in the future. A student's request must be approved prior to registering for any nursing course. Also the student is referred to the University Handbook Academic Policy section relative to withdrawals. A student who withdraws or has an interruption in his/her enrollment in nursing for any reason must seek readmission to the nursing program. This should be a written request directed to the Director of the Graduate Program. The request will be evaluated on the basis of current criteria for admission and progression. After the readmission request is submitted, the MSN committee will determine if the student is eligible to be readmitted. If eligible to be readmitted, the student can progress if space is available. ACADEMIC HONESTY Each individual graduate student is expected to act with honesty and integrity in personal, social, academic and professional relationships and with consideration and concern for peers and co-workers. Lying, stealing, plagiarism, and giving or receiving of academic information in a manner not authorized by an instructor will be considered a breach of Academic Honesty. Violations should be reported to the course instructor. The CON adheres to the policies on Academic Honesty and Dress Code as defined in the University‘s Graduate Student Handbook. In addition the CON has adopted policies applying to classroom and clinical experiences. For example, all cell phones and beepers are to remain off during learning experiences unless the phone or beeper references patient care inquiries and then the phone or beeper must be placed on silent. The Nursing Practice Act also has statements referring to professional conduct and affirmative duty to report unprofessional conduct. All sources will be used when evaluating instances of student misconduct. CRITERIA FOR COMPUTER COMPETENCIES The student will be able to: 1. Use Microsoft Word to prepare a formal paper, to include the proper use of grammar check, spell check, edit and insert functions. Use of current APA format and appropriate 17 2. 3. 4. citations are expected. In addition, the student must be able to save his/her work to a CD or a memory stick. Locate appropriate web sites, copy/print information, use links, and cite appropriately. The student will also be able to use textbook specific or faculty web sites for assignments, exercises, quizzes, etc. Communicate effectively with classmates and faculty via e-mail and/or the Universitywide LMS system. Microsoft Word is expected word-processing program and the student should be able to demonstrate and implement the use of the attachment function. Demonstrate the ability to efficiently find resources using at least three library databases. RIGHTS AND RESPONSIBILITIES PROFESSIONAL BEHAVIOR As a health care professional who provides nursing services to clients, the nurse strives to inspire the confidence of clients. The nurse will treat all clients, as well as other health care providers, professionally. Clients can expect the nurse to act in their best interests and respect their dignity. This means that the nurse should abstain from obtaining personal gain at the client's expense and refrain from inappropriate involvement in the client's personal relationships. The nurse should promote the client's independence. To do these things, the nurse must understand and apply the following concepts of professional boundaries: Professional boundaries are the spaces between the nurse's power and the client's vulnerability. The power of the nurse comes from the professional position and the access to private knowledge about the client. Establishing boundaries allows the nurse to control this power differential and allows a safe connection to meet the client's needs. Boundary crossings are brief excursions across boundaries that may be inadvertent, thoughtless or even purposeful if done to meet a special therapeutic need. Boundary crossings result in a return to established boundaries but should be evaluated by the nurse for potential client consequences and implications. Repeated boundary crossings should be avoided! Boundary violations can result when there is confusion between the needs of the nurse and those of the client. Such violations are characterized by excessive personal disclosure by the nurse, secrecy or even a reversal of roles. Boundary violations can cause delayed distress for the client, which may not be recognized or felt by the client until harmful consequences occur. Professional sexual misconduct is an extreme form of boundary violation and includes any behavior that is seductive, sexually demeaning, harassing or reasonably interpreted as sexual by the client. Professional sexual misconduct is an extremely serious violation of the nurse's professional responsibility to the client. It is a breach of trust! Indicators of professional boundary crossings 1. Excessive self-disclosure the nurse discusses personal problems or aspects of his or her intimate life with the client, or discusses feelings of sexual attraction. 2. Giving personal phone number or address to clients and families. 18 3. 4. 5. 6. 7. 8. 9. 10. Transporting clients/families in personal vehicles. Secretive behavior The nurse keeps secrets with the client and/or becomes guarded or defensive when someone questions their interaction. "Super-Nurse" behavior The nurse believes that he or she is immune from fostering a nontherapeutic relationship and that only he or she understands and can meet the client's needs. Singled out client treatment or client attention to the nurse The nurse spends inappropriate amounts of time with a particular client, visits the client when off duty or trades assignments to be with the client. This form of treatment may also be reversed, with the client paying special attention to the nurse, e.g., giving gifts to the nurse. Selective communications The nurse fails to explain actions and aspects of care, reports only some aspects of the client's behavior or gives "double messages." In the reverse, the client returns repeatedly to the nurse because other staff members are "too busy." Flirtations The nurse communicates in a flirtatious manner, perhaps employing sexual innuendo, off-color jokes or offensive language. "You and me against the world" behavior The nurse views the client in a protective manner as his or her client, tends not to accept the client as merely a client or sides with the client's position regardless of the situation. Failure to protect client The nurse fails to recognize feelings of sexual attraction to the client, consult with supervisor or colleague, or transfer care of the client when needed to support boundaries. NURSING PRACTICE IMPLICATIONS--Nurses will practice in a manner consistent with professional standards and legislation (HIPAA). Nurses are knowledgeable regarding professional boundaries and will work to establish and maintain professional boundaries. Nurses will reflect upon and examine any boundary crossing behavior and seek assistance and counsel from their faculty. Adapted from Guidelines by National Council of State Boards of Nursing, Inc. Reviewed 2011. EXPENSES In addition to tuition, fees, and textbooks, graduate students majoring in nursing will have the following expenses: I. Identification badge. This should be a onetime expense prior to the 1st clinical nursing course. II. Graduating expenses during the final semester: A. Graduation Fee (cap, gown and diploma fee) $75.00 B. Announcements - $1.50 to 2.50 each in multiples of 10 (optional) III. Liability insurance Graduate students in clinical nursing courses are covered during university clinical experience by the University blanket liability insurance policy. Students are not covered outside of the clinical experiences involved in course requirements. 19 IV. Criminal background checks A. Clearance will be required prior to entry to first clinical nursing courses, and annually thereafter. The student will pay the vendor directly. V. Accessories – it is expected that graduate students will have equipment necessary for clinical experience, i.e., stethoscope, watch, scissors, goggles or side-shields for glasses. * All prices listed above are estimates and are subject to change without notice. Rights and Responsibilities The following student rights and responsibilities were initially adopted in 1975. The document was updated by the NSNA House of Delegates in San Antonio, Texas (1991); and item #4 was revised by the NSNA House of Delegates in Baltimore, Maryland (2006). The College of Nursing faculty and administration believe graduate nursing students should have the same rights and responsibilities. 1. Students should be encouraged to develop the capacity for critical judgment and engage in a sustained and independent search for truth. 2. The freedom to teach and the freedom to learn are inseparable facets of academic freedom: students should exercise their freedom in a responsible manner. 3. Each institution has a duty to develop policies and procedures which provide and safeguard the students‘ freedom to learn. 4. Under no circumstances should a student be barred from admission to a particular institution on the basis of race, color, creed, national origin, ethnicity, age, gender, marital status, life style, disability, or economic status. 5. Students should be free to take reasoned exception to the data or views offered in any course of study and to reserve judgment about matters of opinion, but they are responsible for learning the content of any course of study for which they are enrolled. 6. Students should have protection through orderly procedures against prejudiced or capricious academic evaluation, but they are responsible for maintaining standards of academic performance established for each course in which they are enrolled. 7. Information about student views, beliefs, political ideation, or sexual orientation which instructors acquire in the course of their work or otherwise, should be considered confidential and not released without the knowledge or consent of the student, and should not be used as a basis of evaluation. 8. The student should have the right to have a responsible voice in the determination of his/her curriculum. 9. Institutions should have a carefully considered policy as to the information which should be a part of a student's permanent educational record and as to the conditions of this disclosure. 10. Students and student organizations should be free to examine and discuss all questions of interest to them, and to express opinions publicly and privately. 20 11. Students should be allowed to invite and to hear any person of their own choosing within the institution's acceptable realm, thereby taking the responsibility of furthering their education. 12. The student body should have clearly defined means to participate in the formulation and application of institutional policy affecting academic and student affairs, e.g., through a faculty-student council, student membership or representation on faculty committees. 13. The institution has an obligation to clarify those standards of behavior which it considers essential to its educational mission, its community life, or its objectives and philosophy. 14. Disciplinary proceedings should be instituted only for violations of standards of conduct formulated with significant student participation and published in advance through such means as a student handbook or a generally available set of institutional regulations. It is the responsibility of the student to know these regulations. Grievance procedures should be available for every student. 15. As citizens and members of an academic community, students are subject to the obligations which accrue to them by virtue of this membership and should enjoy the same freedoms of citizenship. 16. Students have the right to belong or refuse to belong to any organization of their choice. 17. Students have the right to personal privacy in their living space to the extent that the welfare and property of others are respected. 18. Adequate safety precautions should be provided by nursing programs, for example, adequate street lighting, locks, and other safety measures deemed necessary by the environment. 19. Dress code, if present in school, should be established with student input in conjunction with the school director and faculty, so the highest professional standards are maintained, but also taking into consideration points of comfort and practicality for the student. 20. Grading systems should be carefully reviewed periodically with students and faculty for clarification and better student-faculty understanding. 21. Students should have a clear mechanism for input into the evaluation of nursing faculty. STUDENT ACADEMIC COMPLAINTS AND RIGHT OF APPEAL PROCESS The purpose of the student academic complaints and right of appeal process is to provide students with a mechanism to resolve a grievance related to the College of Nursing. Students are encouraged to think carefully and objectively prior to submitting an academic complaint or grievance. Prior to filing a grievance, students are responsible for making appointments with faculty to discuss areas of concern. A grievance does not exist simply based on the student's perceiving or feeling his or her performance was better than determined by faculty. In addition, the CON graduate program adheres to the Right of Appeal Policy in the UMHB Graduate Student Handbook. The grievance process must be initiated within one month of the occurrence. The graduate student may choose to discontinue the grievance/appeal at any step in the process. It is expected that confidentiality will be maintained by all participants. The procedure for presenting the grievance is as follows: 21 1. The grievance process may be initiated when the student has an area of concern or issue with a faculty member that the student wishes the faculty member to address or review. Step one includes the following: a. The student shall make an appointment to meet with the faculty member concerned with the grievance. A resolution of the grievance should not be an expected outcome of this appointment; a faculty decision may be expected within five working days post-conference. b. The student should submit the grievance in writing (which includes an explanation of the concern, the rationale for the grievance, and a proposed resolution as well as the original paper or assignment in cases of written work) to the faculty member involved. c. The grievance should be submitted at least one working day prior to an appointment with the faculty member involved. 2. If the grievance is not resolved at the faculty level, the student has three working days to appeal the decision by submitting the grievance in writing to the Director of the MSN Program, College of Nursing.* Step 2 includes the following: a. An appointment with the Director of the MSN Program may be expected within three working days of receipt of the grievance. b. A review decision may be expected at this level within five working days post-appointment. 3. If the grievance is not resolved at the Director level, the student may choose to file an appeal with the Dean, College of Nursing. The same time lines outlined in 2a and b apply. 4. If the grievance is not resolved at the level of the Dean, the student may choose to file an appeal with the Academic Vice-President and Provost. Refer to the Right of Appeal section in the UMHB Graduate Student Handbook. * Note: At step 2 as well as in 3 and 4 in the process, the student's original grievance as submitted in writing to the faculty, the written faculty response, and all supporting documents, such as a student paper or instructor criteria for grading, are forwarded to the next reviewer. NURSING STUDENT EMPLOYMENT The CON graduate program was developed and is intended for registered nurses working in various practice settings either full-time or part-time. The MSN program is a hybrid approach, with approximately 1/3 of course work being presented in a classroom session on campus. Twothirds of the course work will be done off –campus, generally on-line or in a clinical practice setting. INCIDENT REPORTS Graduate students involved in an untoward incident in the clinical setting should report the incident promptly to the agency preceptor and the university faculty member for the course. The faculty member must be informed of any written report for which the student is responsible prior to the student leaving the clinical setting, and must receive a copy of the incident report 22 within 24 hours of completion. The student and faculty will also document the incident for the student‘s clinical evaluation that week, and attach the documentation to the clinical evaluation form. EXPOSURE TO HAZARDOUS MATERIALS/SUBSTANCES All nursing students are expected to take precautions to prevent exposure to hazardous materials or substances, i.e. wear goggles/gloves, when performing certain procedures. If a graduate student experiences an exposure, he/she should report it promptly to the agency preceptor and the university faculty member for the course. Students are expected to follow any and all policies the agency has regarding the exposure. POLICY FOR GRADUATE NURSING STUDENTS WITH SUBSTANCE ABUSE PROBLEMS AND/OR MENTAL ILLNESS The purpose of this policy is to identify behaviors related to alcohol and other drug abuse problems (AODUP) and/or mental illness and appropriate interventions when student performance in the clinical setting endangers patient health and safety which, if demonstrated by a Registered Nurse (RN) would be considered a violation of the Texas Statutes and would be regulated by the Texas Board of Nursing (BON). This policy applies to instances in which graduate students perform their clinical responsibilities in an impaired condition. The University of Mary Hardin-Baylor Scott & White College of Nursing (CON) reserves the right to investigate and discipline graduate students for such impairment under both the provisions of this policy and the university‘s alcohol and drug policy and disciplinary policy which appear in the university‘s student handbook. Students who are chemically impaired or who suffer from certain mental illnesses may be unqualified or unfit to continue in the graduate program, especially if their conditions endanger or could endanger the public or patients under their care. The chemically impaired student is defined as one who is under the influence of or has abused alcohol, illegal drugs, prescribed medications, inhalants, synthetic designer drugs or over the counter medications. Abuse of these substances includes episodic misuse or chronic use that has produced psychological and/or physical symptomology. The categories of mental illness that fall under this policy include: schizophrenia or other psychotic disorders, bipolar disorder, paranoid personality disorder, antisocial personality disorder, or borderline personality disorder. A graduate student who is not qualified to be in the clinical setting because of an AODUP and/or mental illness problem will be removed from the clinical environment and given the chance to receive evaluation, treatment, education, and rehabilitation for their disease. Graduate nursing students whose evaluations confirm that they may have an AODUP or mental illness, and who choose to pursue treatment and recovery, may participate in the CON Student Nurse Peer Assistance Committee (SNPAC) procedural requirements. Graduate nursing students, who are currently licensed in Texas as a RN, will be under the jurisdiction of Texas Peer Assistance Program for Nurses (TPAPN) policies and procedures related to AODUP and mental illness. Participation in TPAPN will be a condition of continuing in or being readmitted to the graduate 23 program. It should be noted that the student must also continue to meet current CON criteria for admission and progression in order to participate. The UMHB College of Nursing faculty believes that most alcohol and other drug use problems and/or mental illness can be successfully treated and that the return of nursing students whose behaviors evidence good recovery, (such that they are no longer a threat to their patients or the public and are otherwise qualified to resume participation in the program), is in the best interest of UMHB. 24 COLLEGE OF NURSING GUIDE FOR FORMAL PAPERS Formal papers must be written in a logical manner using the style and system of documentation found in the American Psychological Association (APA) manual, Publication Manual of the American Psychological Association, Sixth Edition. Refer to the APA manual for questions of form or style not addressed in this guide. Correct grammar, spelling, and punctuation are expected. It is the student's responsibility to review the paper for correct form. Arrangement of Paper: 1. The paper will be securely bound in some fashion in a folder. 2. Title page 3. Table of Contents (if appropriate) 4. Text of paper 5. Appendix (tables, diagrams, illustrations) if appropriate 6. References (alphabetized) 7. In any particular course, there may be additional requirements. General Information: 1. Papers are to be typed in 12-point font and double spaced. Computer printout is preferred and must be on good quality paper. Print must be dark enough to be easily read by faculty. 2. Pages are to be numbered according to APA format. 3. Abbreviations: In general, words should be spelled out and abbreviations used sparingly. When abbreviations are used a word should be spelled out on its first occurrence and the abbreviation placed in parentheses immediately after the abbreviation, i.e.: registered nurse (R.N.). Thereafter in the paper, you may use the abbreviation. Common abbreviations such as Mr., Mrs., Dr., a.m., p.m., etc. need not be spelled out. Never begin a sentence with a number (i.e. 61). Write the number out (sixty-one) if you must use it to begin a sentence. See APA Manual for other rules related to the use of numbers. 4. Do NOT identify people, places, or institutions by name. 5. Appendices—Items included in the appendix must be discussed in the body of the paper with an indication that the item appears in a section (lettered) of the appendix (see Appendix A). 6. Quotations and Citations: Absence of or inadequate quotation or reference citation in text constitutes plagiarism. Credit should be given for both exact quotations and paraphrased content. 7. Proofreading: It is helpful to have someone else read your paper for errors in spelling, grammar, typing, etc. before submitting it for grading. Remember that neatness is an important quality in a professional paper. Erasures, corrections, or white-out on a final copy detract from its appearance. After corrections, submit a clean copy. Reviewed 06/11 Graduate Student Handbook- 10/08 MP