Download blinn college associate degree nursing program student handbook

BLINN COLLEGE
ASSOCIATE DEGREE NURSING PROGRAM
STUDENT
HANDBOOK
2015 - 2017
1
Table of Contents
Table of Contents .......................................................................................................................................... 2
Mission Statement ........................................................................................................................................ 7
Vision Statement ........................................................................................................................................... 7
Welcome ....................................................................................................................................................... 8
INTRODUCTION ........................................................................................................................................ 9
Program Accreditation .................................................................................................................................. 9
Essential Qualifications/Basic Competencies ............................................................................................. 10
Motor Skills ................................................................................................................................................. 10
Sensory/Observation .................................................................................................................................. 11
Communication........................................................................................................................................... 11
Cognitive ..................................................................................................................................................... 11
Behavioral/Emotional ................................................................................................................................. 12
Professional Conduct .................................................................................................................................. 12
Implementation of the Essential Qualifications/Basic Competencies ........................................................ 12
Regular and Ongoing Evaluation of the Essential Qualifications/Basic Competencies for Progression and
Graduation .............................................................................................................................................. 13
Liability Insurance ....................................................................................................................................... 13
CURRICULUM .............................................................................................................................................. 14
Philosophy ................................................................................................................................................... 15
PROGRAM OBJECTIVES ............................................................................................................................... 16
Conceptual Framework ............................................................................................................................... 18
Roles and Functions of the Associate Degree Nurse .................................................................................. 19
Associate Degree Nursing Education .......................................................................................................... 19
Course Descriptions .................................................................................................................................... 21
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Degree Plans ............................................................................................................................................... 21
Generic Traditional Cohort ................................................................................................................. 22
LVN Transition Option Degree Plan .................................................................................................... 24
Required Electronic References .................................................................................................................. 26
List of Required Textbooks and Other Materials ........................................................................................ 26
Learning Management System ................................................................................................................... 26
RESOURCES ............................................................................................................................................. 27
Campus Resources ...................................................................................................................................... 28
Counseling Services............................................................................................................................. 28
Disability Services................................................................................................................................ 28
Non-Discrimination Statement ........................................................................................................... 28
Services for Students with Documented Disabilities .......................................................................... 28
Library ................................................................................................................................................. 28
Financial Aid ........................................................................................................................................ 29
Perkins Grant....................................................................................................................................... 29
The Learning Center ............................................................................................................................ 29
Security & Police Services ................................................................................................................... 29
Nursing Student Organizations ................................................................................................................... 29
Blinn College Nursing Student Association (BCNSA) ........................................................................... 29
Future Registered Nurses Club (FRNC) ............................................................................................... 30
Nursing Honor Society ........................................................................................................................ 30
Retention Services ...................................................................................................................................... 30
Life-long Learning........................................................................................................................................ 31
Transfer Information................................................................................................................................... 34
Pinning Ceremony ....................................................................................................................................... 34
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Student Conduct ......................................................................................................................................... 36
Criminal Activity while enrolled in the ADN Program ................................................................................. 36
RAP Back Procedure .................................................................................................................................... 36
Academic Integrity ...................................................................................................................................... 39
Professional Conduct .................................................................................................................................. 39
Social Media Guidelines .............................................................................................................................. 41
Substance Abuse Policy............................................................................................................................... 42
Attendance and Absences Standards ......................................................................................................... 44
Attendance Standards......................................................................................................................... 44
Absences and Excused Absences ........................................................................................................ 45
Student Health and Immunizations ............................................................................................................ 46
Infectious Disease Guidelines ............................................................................................................. 46
Follow-up to Exposure ........................................................................................................................ 47
Cardiopulmonary Resuscitation (CPR) Requirement .................................................................................. 48
Auditing ADN Course(s) .............................................................................................................................. 48
Directions for Auditing a Nursing Course ................................................................................................... 49
Incompletes ................................................................................................................................................ 49
Dismissal ..................................................................................................................................................... 50
Withdrawal ................................................................................................................................................. 50
Slow-Track ................................................................................................................................................... 50
Readmission ................................................................................................................................................ 50
Behavior Expected in the Clinical Area ....................................................................................................... 52
Dress Code .................................................................................................................................................. 53
Students Witnessing Legal Documents ....................................................................................................... 55
Requirements for Medication Administration ............................................................................................ 56
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Dosage Calculation Exam Policy.................................................................................................................. 58
Dosage Calculation Rounding Rules for Each Exam .................................................................................... 59
Procedure for Clinical Make-up Days.......................................................................................................... 60
Blinn College Health Sciences Clinical Simulation Labs .............................................................................. 61
Interactive Video Conferencing .................................................................................................................. 63
Videoconferencing Etiquette .............................................................................................................. 63
Test Taking Procedures, Conduct, & Etiquette ........................................................................................... 64
Written Reprimands/Contracts .................................................................................................................. 66
Student Rights and Responsibilities Policies ............................................................................................... 67
Student Complaint Policy ............................................................................................................................ 67
Written Assignments .................................................................................................................................. 68
Inclement Weather Procedure ................................................................................................................... 69
Internal & External Disasters ...................................................................................................................... 69
Internal Disasters ................................................................................................................................ 69
External Disasters................................................................................................................................ 70
EVALUATION ............................................................................................................................................... 72
Assessment Technologies Institute............................................................................................................. 73
Nursing Course Requirements .................................................................................................................... 74
Clinical Evaluation ....................................................................................................................................... 75
Differentiated Essential Competencies (DEC) ............................................................................................. 76
I. Member of the Profession ............................................................................................................... 76
II. Provider of Patient-Centered Care.................................................................................................. 78
III. Patient Safety Advocate ................................................................................................................. 83
IV. Member of the Health Care Team ................................................................................................. 85
Criteria for Unsafe Clinical Performance .................................................................................................... 89
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LICENSURE............................................................................................................................................... 91
RN Licensure ............................................................................................................................................... 94
Expunged and Sealed Offenses ........................................................................................................... 95
Orders of Non-disclosure .................................................................................................................... 95
Texas Nursing Jurisprudence Exam ............................................................................................................. 96
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Blinn College
Associate Degree Nursing Program
Mission Statement
Blinn College
Blinn College is a comprehensive community
college committed to educational excellence and to
individual and community enhancement.
ADN Program
The mission of the Blinn College Associate Degree
Nursing Program is to provide quality, innovative,
evidence-based Nursing Education preparing
Graduates for entry into the Nursing Profession.
Vision Statement
Blinn College
Blinn College will be the leading educational,
cultural and economic resource for our
stakeholders.
ADN Program
Graduate future nurse leaders with a spirit of
inquiry who will seek higher education in nursing
and lifelong learning opportunities.
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August, 2015
Dear Students:
Welcome to the Associate Degree Nursing (ADN) Program at Blinn College!
The Associate Degree Nursing Program Student Handbook is for students who have been admitted to the
Program, and is a supplement to the Blinn College Catalog. It contains important information about
program policies, licensure requirements, and student services.
The ADN Program has highly qualified faculty experienced in a variety of healthcare areas who work
closely with students in the simulated practice laboratory and in actual clinical settings. It is through a
spirit of cooperation and communication that students and faculty members share a common goal of
learning and developing skills for clinical nursing practice. In nursing, clinical competence and clinical
reasoning are developed through practice, determination, and application of theoretical content learned in
the classroom related to actual clinical situations while in school and later in practice throughout your
future career. While you are in the ADN Program you will learn how to think critically and solve clinical
problems as you prepare to take the licensing board examination (NCLEX-RN) to become a Registered
Nurse (RN).
We are committed to helping you graduate and become a future nurse leader with a spirit of inquiry and
someone who will seek higher education and look for lifelong learning opportunities. We value your
experiences here and welcome your suggestions and encourage your active participation on specific
committees and in our student organizations. We look forward to working with you in the coming
semesters.
Sincerely,
Blinn Associate Degree Nursing Faculty
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INTRODUCTION
Program Accreditation
The Blinn College ADN Program is fully approved/accredited by the
•
•
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Texas Board of Nursing (BON) (333 Guadalupe #3-460, Austin, TX 78701;
phone 512-305-7400; fax 512-305-7401; www.bon.state.tx.us),
Accreditation Commission for Education in Nursing (ACEN) (3343 Peachtree
Road NE, Suite 850, Atlanta, GA 30326; Phone 404-975-5000; fax 404-9755020); www.acenursing.org ), and
Southern Association of Colleges and Schools Commission on Colleges
(SACSCOC).
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Essential Qualifications/Basic Competencies for Progression and Graduation
(Including Physical and Emotional Standards)
Successfully completing Blinn College’s ADN Program means the graduate has been educated to
competently practice nursing in all healthcare settings and to apply for RN licensure. The education of a
future nurse requires assimilation of knowledge, acquisition of skills, and development of judgment
through patient care experiences in preparation for independent, semi-autonomous practice where making
appropriate decisions is required.
The curriculum requires students to engage in diverse, complex, and specific experiences essential to the
acquisition and practice of essential nursing skills and functions. Unique combinations of cognitive,
affective, psychomotor, physical, and social abilities are required to satisfactorily perform these functions.
In addition to being essential to the successful completion of this program, these functions are necessary
to ensure the health and safety of patients, fellow students, faculty and other healthcare workers.
Physical and emotional health are also critical to the successful progression and completion of this
Program. Physical health is defined as the ability to perform both fine and gross motor skills, being able
to perform normal weight-bearing activities, and be free of communicable diseases. Emotional health is
defined as reacting appropriately to stressful situations, understanding one’s own ability to cope with
stressful situations, and behaving appropriately within the current environment.
The essential abilities necessary to acquire or demonstrate competence in a discipline as complex as
nursing and needed for successful progression by nursing, (in addition to the standards of behavior and
conduct set forth by Blinn College), include but are not limited to the following:
Motor Skills
Students should have sufficient motor function so they are able to execute movements required to provide
safe effective general care and treatment to patients in all health care settings. [For example: For the
safety and protection of the patients, the student must be able to perform basic life support, including
CPR, and function in an emergency situation. The student must have the ability, within reasonable limits,
to safely assist a patient in moving, for example, from a chair to a bed, or from a wheelchair to a
commode.]
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Mobility – possess physical abilities sufficient to move from room to room, maneuver in
small spaces and stand and walk for extensive periods of time.
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Weight-Bearing – possess ability to lift and manipulate and move 45-50 pounds (22 Kg)
sometimes daily.
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Sensory/Observation
Students must be able to acquire the information presented through demonstrations and experiences in the
basic and nursing sciences. He or she must be able to observe a patient accurately, at a distance and close
at hand, and observe and appreciate non-verbal communications when performing nursing assessments
and interventions or administering medications. The student must be capable of perceiving the signs of
disease and infection as manifested through physical examination.
-
Hearing – possess auditory ability sufficient for observation and assessment. For example,
hear monitor alarms, emergency signals, auscultatory sounds and cries for help.
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Visual – possess visual ability sufficient for observation an assessment. For example, observe
patient responses to interventions.
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Tactile – possess tactile ability sufficient for physical assessment. For example, perform
palpation, functions or physical examination and/or related therapeutic intervention, and
insertions of various catheters.
Communication
Students must communicate effectively and sensitively with other students, faculty, staff, patients, family,
and other professionals. He or she must express his or her ideas and feelings clearly and demonstrate a
willingness and ability to give and receive feedback. A student must be able to: convey or exchange
information at a level allowing development of a health history; identify problems presented; explain
alternative solutions; and give directions during treatment and post-treatment. The student must be able to
communicate effectively in oral and written forms. The student must be able to process and communicate
information on the patient's status with accuracy in a timely manner to members of the health care team.
The appropriate communication may also rely on the student's ability to make a correct judgment in
seeking supervision and consultation in a timely manner.
Cognitive
Students must be able to measure, calculate, reason, analyze, integrate and synthesize in the context of the
nursing curriculum. The student must be able to quickly read and comprehend extensive written material.
He or she must also be able to evaluate and apply information and engage in critical thinking in the
classroom and clinical setting. Students must organize responsibilities and make appropriate decisions.
-
Critical Thinking/Clinical Reasoning – process critical thinking and clinical reasoning ability
sufficient for clinical judgment. For example, must be able to identify cause-effect
relationships in clinical situations.
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Behavioral/Emotional
Students must possess the emotional health required for the full utilization of his or her intellectual
abilities, the exercise of good judgment, the prompt completion of all responsibilities attendant to the
diagnosis and care of patients and families. In addition, he or she must be able to maintain mature,
sensitive, and effective relationships with patients, students, faculty, staff and other professionals under
all circumstances (with different social, intellectual, and cultural backgrounds) including highly stressful
situations. The student must have the emotional stability to function effectively under stress and to adapt
to an environment that may change rapidly without warning and/or in unpredictable ways. The student
must be able to experience empathy for the situations and circumstances of others and effectively
communicate that empathy. The student must know that his or her values, attitudes, beliefs, emotions, and
experiences affect his or her perceptions and relationships with others. The student must be able and
willing to examine and change his or her behavior when it interferes with productive individual or team
relationships. The student must possess skills and experience necessary for effective and harmonious
relationships in diverse academic and working environments.
Professional Conduct
Students must possess the ability to reason morally and practice nursing in an ethical manner. Students
must be willing to learn and abide by professional standards of practice. Students must not engage in
unprofessional conduct, and must possess attributes that include compassion, empathy, altruism, integrity,
honesty, responsibility and tolerance. Students must be able to engage in patient care delivery in all
settings and be able to deliver care to all patient populations including but not limited to children,
adolescents, adults, developmentally disabled persons, medically compromised patients, and vulnerable
adults.
Content Credit: University of Washington School of Nursing, Rowan Cabarrus Community College, and
Blinn’s Radiologic Technology Program
Implementation of the Essential Qualifications/Basic Competencies for Progression and
Graduation
The Essential Qualifications/Basic Competencies for Progression and Graduation are reviewed and
explained in detail during New Student Orientation. Students will have an opportunity to ask questions
and seek clarification followed by acknowledgement of receipt and their understanding.
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Regular and Ongoing Evaluation of the Essential Qualifications/Basic Competencies for
Progression and Graduation
The student will review the Essential Qualifications/Basic Competencies at the beginning of the academic
school year and each semester and self-evaluate at the end of each semester. Because of the close working
relationship with the students, the Clinical Instructor, Course Coordinator, and Director of the Program
will collectively be responsible for monitoring and documenting whether a student is meeting the
Essential Qualifications/Basic Competencies. Formal documentation is necessary for any concerns
relating to behavior in the classroom and/or clinical setting.
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Problematic behavior will be documented by faculty in the student's academic file and may
result in a written contract.
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If there is a pattern of problematic behavior or a single, very serious lapse in the essential
qualifications/basic competencies becomes evident, the following process will be followed:
Warn student verbally and/or in writing their continuation in the program is in jeopardy. Warning
documented by faculty and placed in student’s academic file.
Composing a contract: The student's instructor in consultation with the Course Coordinator (and Program
Director if appropriate), will prepare an individual student contract specifically identifying what needs to
be demonstrated in order to meet the essential qualifications/basic competencies and thus remain in the
program.
Contract is approved by the Director of the Program (and Dean of Health Sciences if appropriate):
Student reads and signs the contract (signature indicates the student has read it), a copy of the contract is
placed in the student's academic file until completion of the program.
Contract monitored at least each semester (or more frequently if needed) by Program Director. If the
contract is not upheld by the student, the student will be dismissed from the program.
Liability Insurance
As a component of professional responsibility and accountability, students of the Blinn ADN Program are
required to have liability insurance. A portion of student fees is allocated to cover the cost of the
premiums.
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CURRICULUM
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Philosophy
The nursing faculty accepts the mission statement of Blinn College. We believe community
college provides an optimal setting for Associate Degree Nursing education. Blinn College
provides an atmosphere where nursing education is complemented through the study of other
disciplines. The college setting allows opportunities for the student to develop in the intellectual,
spiritual, psychological, social, physical, and vocational areas through diversified activities.
The client is a dynamic complex person with biological, psychological, sociocultural, spiritual,
and developmental needs across the lifespan. The client has inherent dignity and worth and is
capable of reaching the highest potential of functioning. We emphasize respect for the client
within cultural and family systems, with the right to make choices. A client may be a participant
in and recipient of care. The client may be an individual or family, and may also be referred to as
consumer, patient, and/or resident.
Health is a state of biological, psychological, sociological, cultural and spiritual well-being and
not merely the absence of disease or injury. Health, as a level of wellness, varies over time and is
influenced by the environment, including internal and external variables. There is constant
dynamic interaction and adaptation between these variables. Alterations in health and the
environment may affect the individual’s ability to meet basic and developmental needs.
Nursing, as an art and science, builds its unique body of knowledge upon the sciences and
humanities. Nursing comprises a complex set of psychomotor, affective, and cognitive behaviors.
Nursing actions may involve health promotion and maintenance, prevention of illness or injury,
restoration, rehabilitation, and supportive care. Caring is an essential intentional element of
nursing. A value essential to nursing includes the moral commitment toward preserving human
dignity. Through therapeutic communication and the nursing process, safe, effective,
individualized care is assessed, planned, implemented or delegated in a variety of structured
settings within a community. This process involves the use of clinical reasoning as a basis for
decision-making and problem-solving and teaching-learning. Nurses collaborate with clients and
other health care professionals to assist clients with health care needs. Nurses are accountable and
responsible for client safety and advocacy, as well as the quality of nursing care they provide.
Graduates are prepared as novice practitioners to provide and coordinate care for clients in
diverse structured settings. The associate degree nurse is capable of functioning with four
interrelated roles, including member of the profession, provider of patient-centered care, patient
safety advocate, and member of the health care team.
Associate degree nursing education is a dynamic process based on sciences, humanities, and
nursing theory and practice. This process is designed to change cognitive, psychomotor, and
affective behaviors through a progressive curriculum. Nursing education promotes development
of competencies and values enabling students to become productive members of the nursing
profession and society.
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Instruction and evaluation are provided individually and in groups. The learning environment
consists of classroom, skills laboratory, distance learning, clinical simulation, and a variety of
clinical settings. The role of the faculty is to facilitate learning by providing an environment
conducive to individual growth. Faculty members serve as role models of professional practice.
The individual learner is responsible and accountable for achieving identified behavioral
objectives.
PROGRAM OBJECTIVES
Upon graduation, the associate degree nurse is capable of functioning within four interrelated
roles. These roles include: member of the profession, provider of patient-centered care, patient
safety advocate, and member of the health care team. Upon completion of the Associate Degree
Nursing Program, the graduate should be able to:
I. Member of the Profession:
A. Function within the nurse’s legal scope of practice and in accordance with the
policies and procedures of the employing health care institution or practice
setting.
B. Assume responsibility and accountability for the quality of nursing care provided
to patients and their families.
C. Participate in activities that promote the development and practice of professional
nursing.
D. Demonstrate responsibility for continued competence in nursing practice, and
develop insight through reflection, self-analysis, self-care, and lifelong learning.
II. Provider of Patient-Centered Care:
A. Use clinical reasoning and knowledge based on the associate degree nursing
program of study and evidence-based practice outcomes as a basis for decision
making in nursing practice.
B. Determine the physical and mental health status, needs, and preferences of
culturally, ethnically, and socially diverse patients and their families based upon
interpretation of comprehensive health assessment findings compared with
evidence-based health data derived from the associate degree nursing program of
study.
C. Analyze assessment data to identify problems, formulate goals/outcomes, and
develop plans of care for patients and their families using information from
evidence-based practice in collaboration with patients, their families, and the
interdisciplinary health care team.
D. Provide safe, compassionate, comprehensive nursing care to patients and their
families through a broad array of health care services.
E. Implement the plan of care for patients and their families within legal, ethical,
and regulatory parameters and in consideration of disease prevention, wellness,
and promotion of healthy lifestyles.
F. Evaluate and report patient outcomes and responses to therapeutic interventions
in comparison to benchmarks from evidence-based practice, and plan follow-up
nursing care.
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G. Develop, implement, and evaluate teaching plans for patients and their families
to address health promotion, maintenance, and restoration.
H. Coordinate human, information, and materiel resources in providing care for
patients and their families.
III. Patient Safety Advocate:
A. Demonstrate knowledge of the Texas Nursing Practice Act and the Texas Board
of Nursing Rules that emphasize safety, as well as all federal, state, and local
government and accreditation organization safety requirements and standards.
B. Implement measures to promote quality and a safe environment for patients, self,
and others.
C. Formulate goals and outcomes using evidence-based data to reduce patient risks.
D. Obtain instruction, supervision, or training as needed when implementing nursing
procedures or practices.
E. Comply with mandatory reporting requirements of the Texas Nursing Practice
Act.
F. Accept and make assignments and delegate tasks that take into consideration
patient safety and organizational policy.
IV. Member of the Health Care Team:
A. Coordinate, collaborate, and communicate with patients, their families, and the
interdisciplinary health care team to plan, deliver, and evaluate patient-centered
care.
B. Serve as a health care advocate in monitoring and promoting quality and access
to health care for patients and their families.
C. Refer patients and their families to resources that facilitate continuity of care;
health promotion, maintenance, and restoration; and ensure confidentiality.
D. Communicate and collaborate in a timely manner with members of the
interdisciplinary health care team to promote and maintain optimal health status
of patients and their families.
E. Communicate and manage information using technology to support decision
making to improve patient care.
F. Assign and/or delegate nursing care to other members of the health care team
based upon an analysis of patient or unit need.
G. Supervise nursing care provided by others for whom the nurse is responsible by
using evidence based nursing practice.
(Differentiated Essential Competencies of Graduates of
Texas Nursing Programs Evidenced by Knowledge,
Clinical Judgments, and Behaviors (DECs), Texas
Board of Nursing, October 2010)
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Conceptual Framework
The conceptual framework of the Associate Degree Nursing (ADN) Program curriculum at Blinn College
reflects the vision, mission, and philosophy statements of the College and the Program. The conceptual
framework as a rationale for the curriculum is based upon the beliefs of the nursing faculty about the
following major concepts: nursing, client, health, environment, roles and functions of the associate
degree nurse, and associate degree nursing education.
Nursing
The ADN faculty shares eclectic views of nursing theory with an emphasis on caring as a key construct
(Billings & Halstead, 2005). Nursing involves values and commitment, resulting in protection,
enhancement, and preservation of human dignity. Nursing is caring for clients in an effort to meet obvious
or anticipated needs (Watson, 1988). Nursing as a social service, must be attuned to the problems, issues,
trends, and needs of a culturally diverse society (Leininger, 1991). Gordon’s Functional Health Patterns
(Gordon, 1987) provide a way to organize assessment data to form nursing diagnoses for planning and
implementing nursing care.
Client
The client has needs which motivate behavior. The theories of Maslow and Erikson are incorporated in
the teaching of basic needs and developmental tasks. Maslow prioritizes human needs, while Erikson
explains human development across the lifespan. Maslow identified human needs in ascending order:
physiologic, safety and security, love and belonging, self-esteem, and self-actualization. A client may
have unmet needs which, according to Maslow, must be met to achieve a state of health or well-being
(Maslow, 1968).
Erikson’s theory of psychosocial development is used as a basis for understanding clients at various
stages. The theory is positively oriented and concerned with the development of a healthy ego. Erikson
emphasizes that individuals must change and adapt their behavior to maintain control over their lives
(Smelser & Erikson, 1980).
Health
Health varies over time and is more than the absence of disease or injury. Both internal and external
variables influence health as a wellness state. Throughout the lifespan, a client’s level of wellness varies.
As health fluctuates, the client may experience challenges in meeting basic and developmental needs.
Environment
The environment in which a client interacts consists of surrounding conditions and influences. This
environment influences a client’s health, through the continuous dynamic interaction, integration, and
adaptation between internal and external variables. Nurses are challenged to provide care in the client’s
environment.
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Roles and Functions of the Associate Degree Nurse
Four interrelated roles of practice have been identified for the graduate of the Associate Degree Nursing
Program: member of the profession, provider of patient-centered care, patient safety advocate, and
member of the health care team. These four nursing roles define the scope, limitations, and direction of
the associate degree nurse in the delivery of nursing care. Nursing care may include health promotion,
prevention of illness or injury, habilitative, restorative, rehabilitative, and supportive care. Specific
competencies for each of these roles have been defined previously by the Differentiated Essential
Competencies (DECs) (Texas Board of Nursing, 2010). Students are taught and evaluated based on these
roles of the associate degree nurse.
Member of the Profession
As a member of the profession of nursing, the associate degree nurse exhibits behaviors that reflect
commitment to the growth and development of the role and function of nursing consistent with state and
national regulations and with ethical and professional standards; aspires to improve the discipline of
nursing and its contribution to society; and values self-assessment and the need for lifelong learning.
Provider of Patient-Centered Care
The associate degree nurse accepts responsibility for the quality of nursing care and provides safe,
compassionate nursing care using a systematic process of assessment, analysis, planning, intervention,
and evaluation that focuses on the needs and preferences of patients and their families. The nurse
incorporates professional values and ethical principles into nursing practice. The patients for ADN
educated RNs include individual patients and their families.
Patient Safety Advocate
The associate degree nurse promotes safety in the patient and family environment by: following scope
and standards of nursing practice; practicing within the parameters of individual knowledge, skills, and
abilities; identifying and reporting actual and potential unsafe practices; and implementing measures to
prevent harm.
Member of the Health Care Team
The associate degree nurse provides patient-centered care by collaborating, coordinating, and/or
facilitating comprehensive care with an interdisciplinary/multidisciplinary health care team to determine
and implement best practices for the patients and their families.
Associate Degree Nursing Education
Associate degree nursing education is a dynamic process based upon principles derived from the sciences,
humanities, and evidence-based nursing practice. The process of nursing education is designed to
stimulate students to seek knowledge and to develop cognitive, psychomotor, and affective behaviors as
they progress from students to novice practitioners. Associate degree nursing education promotes
development of competencies and attitudes that assist students to become productive members of the
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healthcare delivery system. We believe associate degree nursing education must provide opportunities
and experiences for individuals to develop the necessary knowledge and competencies as associate degree
nursing graduates. Associate degree nursing education prepares the graduate to function as a novice
practitioner, both independently and collaboratively within structured healthcare settings.
Learning is a lifelong process progressing from simple to complex. The teaching-learning process is
enhanced through a curriculum based on simple to complex application of fundamental concepts. The
learner is responsible for achieving identified behavioral objectives. The faculty is responsible for
recognizing the individual learner’s diverse needs and abilities. Instruction, counseling, guidance,
evaluation, and testing are provided individually or in groups and in varied formats to address the
diversity of the student population.
The role of the faculty member is to facilitate learning by providing a caring environment conducive to
individual and professional growth. The faculty develops goal-directed learning experiences to promote
clinical reasoning, effective communication skills, inquiry, accountability, self-direction, and caring.
Faculty serve as role models of professional practice and ethics, define content, set limits, and establish
options for learning activities. The curriculum reflects changing trends and innovations in evidence-based
nursing practice within the healthcare industry.
References
Billings, D. & Halstead, J. (2005) Teaching in nursing: A guide for faculty (2nd ed.). St. Louis, MO:
Elsevier.
Leininger, M. M. (1991). The theory of culture care diversity and universality. New York: National
League for Nursing.
Gordon, M. (1987) Nursing diagnosis: Process and application. New York: McGraw-Hill.
Maslow, A. H. (1962). Toward a psychology of being. Princeton, NJ: D. Van Nostrand.
Smelser, N. J. & Erikson, E. H. (Eds.) (1980). Themes of work and love in adulthood. Cambridge, MA:
Harvard University Press.
Watson, J. (1988). Human caring as moral context for nursing for nursing education. Nursing & Health
Care 9(8), 423-425.
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Course Descriptions
Associate Degree Nursing (RNSG)
Course descriptions for the Associate Degree Nursing Program can be found in the Blinn College
Catalog.
Degree Plans
Blinn College Associate Degree Nursing offers degree options starting in the Fall, Spring, Summer
(LVN-Transition Option) semesters, and a “slow-track”.
Students need to refer to the official college catalog of record available online (Blinn College Catalog).
This corresponds with the academic year of the student’s acceptance into the ADN program.
The LVN Transition option is offered on the Bryan and Schulenburg campuses. This option allows
Licensed Vocational Nurses who meet specific admission criteria, to complete the ADN nursing course
requirements in one calendar year. The prerequisites must be completed prior to admission. Preference is
given to LVNs who have one year of clinical experience or more. The prospective student must hold a
current license in the State of Texas. Students must show Computer Literacy by either high school
Computer Science course(s), recent work history with word processing and/or data management
programs, or college Computer Science course(s).
The “slow-track” option is available only to students with a specific/validated need to extend the
Program. This will be at the Director’s discretion.
ALL ADN COURSES MUST BE COMPLETED WITHIN 5 CALENDAR YEARS.
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Generic Traditional Cohort
Updated August 2015
Associate in Applied Science
Associate Degree Nursing
1st Year
Prerequisite
Semester
Prefix
Number Course Name
Credit Hours
BIOL
BIOL
2401
2420
ANATOMY & PHYSIOLOGY
MICROBIOLOGY FOR NON-SCIENCE
MAJORS
4
4
PSYC
ENGL
2301
1301
GENERAL PSYCHOLOGY
COMPOSITION & RHETORIC (or 1302)
3
3
Prerequisite Semester Total Hours
14
1st Semester
Prefix
Number Course Name
RNSG
RNSG
RNSG
BIOL
1215
1513
1301
2402
Credit Hours
Health Assessment
Foundations for Nursing Practice
Pharmacology
ANATOMY & PHYSIOLOGY II
1st Semester Total Hours
2
5
3
4
14
2nd Semester
Prefix
RNSG
RNSG
RNSG
RNSG
RNSG
Number
1341
1260
1144
2213
2160
Course Name
Common Concepts of Adult Health
Clinical
Nursing Skills II
Mental Health Nursing
Clinical - Registered Nursing/Registered Nurse
PSYC
2314
LIFE SPAN GROWTH AND
DEVELOPMENT
2nd Semester Total Hours
22
Credit Hrs
3
2
1
2
1
3
12
2nd Year
1st Semester
Prefix
RNSG
RNSG
RNSG
Number
1343
2261
1412
RNSG
2161
2nd
Semester
Prefix
ENGL
PHIL
XXXX
RNSG
RNSG
RNSG
RNSG
Course Name
Complex Concepts of Adult Health
Clinical - Registered Nursing/Registered Nurse
Nursing Care of the Childbearing and
Childrearing Family
Clinical - Registered Nursing/Registered Nurse
1st Semester Total Hours
Credit Hours
3
2
4
Number Course Name
ANY HUMANITIES OR FINE ARTS
X3XX
COURSE AS LISTED: ENGL 2322, 2323,
2327, 2328, 2332, 2333
or ANY HUMANITIES OR FINE ARTS
X3XX
COURSE AS LISTED: PHIL 1301, 2306
or ANY HUMANITIES/FINE ARTS COURSE
AS LISTED: ARTS 1301, 1303, 1304; DRAM
X3XX
1310, 2361, 2362, 2366; MUSI 1301, 1306,
1308, 1310
2231
Advanced Concepts of Adult Health
2262
Clinical - Nursing [R.N. Training]
2263
Clinical - Registered Nursing/Registered Nurse
2121
Professional Nursing: Leadership and
Management
2nd Semester Total Hours
Total Credit Hours
Credit Hours
3
Approved by Texas Higher Education Coordinating Board (THECB) April 14, 2015
23
1
10
3
3
2
2
2
1
10
60
LVN-Transition Option Degree Plan
Prerequisite
Semesters
Prefix
Number Course Name
BIOL
BIOL
2401
2420
BIOL
PSYC
ENGL
ENGL
2421
2301
1301
1302
PSYC
2314
RNSG
RNSG
RNSG
1215
1301
1513
Summer I
RNSG
RNSG
Credit
Hours
ANATOMY & PHYSIOLOGY I
MICROBIOLOGY FOR NONSCIENCE MAJORS
ANATOMY & PHYSIOLOGY II
GENERAL PSYCHOLOGY
COMPOSITION & RHETORIC
or COMPOSITION AND
INTRODUCTION TO
LITERATURE
LIFE SPAN GROWTH AND
DEVELOPMENT
Health Assessment
Pharmacology
Foundations for Nursing Practice
Prerequisite Semester Total Hours
2
3
5
31
1327
1260
Transition to Professional Nursing
Clinical
3
2
Summer 10
Weeks
RNSG
1144
Nursing Skills II
1
Summer II
RNSG
RNSG
2213
2160
Mental Health Nursing
Clinical - Registered
Nursing/Registered Nurse
2
1
Summer Semester Total Hours
Fall
Semester
Prefix
RNSG
RNSG
RNSG
Number
1343
2261
1412
Course Name
Complex Concepts of Adult Health
Clinical - Registered Nursing/Registered Nurse
Nursing Care of the Childbearing and
24
4
4
4
3
3
3
3
9
Credit Hours
3
2
4
RNSG
Spring
Semester
Prefix
ENGL
PHIL
XXXX
RNSG
RNSG
RNSG
RNSG
2161
Childrearing Family
Clinical - Registered Nursing/Registered Nurse
Fall Semester Total Hours
Number Course Name
ANY HUMANITIES OR FINE ARTS
X3XX
COURSE AS LISTED: ENGL 2322, 2323,
2327, 2328, 2332, 2333
or ANY HUMANITIES OR FINE ARTS
X3XX
COURSE AS LISTED: PHIL 1301, 2306
or ANY HUMANITIES/FINE ARTS COURSE
AS LISTED: ARTS 1301, 1303, 1304; DRAM
X3XX
1310, 2361, 2362, 2366; MUSI 1301, 1306,
1308, 1310
2231
Advanced Concepts of Adult Health
2262
Clinical - Nursing [R.N. Training]
2263
Clinical - Registered Nursing/Registered Nurse
2121
Professional Nursing: Leadership and
Management
Spring Semester Total Hours
Total Credit Hours
Approved by Texas Higher Education Coordinating Board (THECB) June 30, 2015
25
1
10
Credit Hours
3
3
3
2
2
2
1
10
60
Required Electronic References
Hand Held Device (HHD) loaded with the required electronic references for use in the clinical areas.
The HHD can be a “smart” cellular phone or a small to medium sized personal digital device (“tablet”)
The HHD should be loaded with the pre-bundled cross-referenced software package available at
the Blinn College Book Store.
If you already have a capable HHD, the book store can order the references specifically for your device.
We recommend you purchase the required software and/or the HHD from the Blinn Book Store to
avoid confusion and assure compatibility and authenticity. The required HHD and required software
can be paid by financial aid (not Perkins Grant) if purchased at Blinn Book Store. The references
loaded onto the HHD will be used in courses throughout your nursing program and even in your nursing
career.
List of Required Textbooks and Other Materials
A list of required and recommended text books and other materials will be provided each semester in the
course syllabus. Students are expected to purchase the required textbooks and materials. Recommended
textbooks and materials are only suggested references and do not have to be purchased.
Learning Management System
eCampus is the learning management system used by Blinn College. It is also known as D2L (Desire 2
Learn). eCampus is utilized in the nursing program to augment traditional classes as well as the
management system for internet and blended courses. Students are expected to have access to the learning
management system.
Students can obtain technical help as well as find tutorials at this link - eCampus.
26
RESOURCES
27
BLINN COLLEGE
Campus Resources
Counseling Services
Counseling Services consist of academic advising, career/vocational counseling, personal
counseling, as well as a variety of testing services. Information on all the services can be found
on the Academic Advising and Counseling Services site.
Disability Services
Non-Discrimination Statement
Blinn College as well as the Associate Degree Nursing Program does not discriminate against
qualified individuals with disabilities in the recruitment and admission of students, the
recruitment and employment of faculty and staff, or the operation of any of its programs and
activities, as specified by applicable federal laws and regulations.
Services for Students with Documented Disabilities
Students with documented disabilities must self-identify and provide current, appropriate
documentation of the disability to the Office of Disability Services (ODS) prior to receiving
services. Students are encouraged to contact this office as early as possible to initiate services.
To meet Program objectives, students with disabilities are expected to perform all the essential
functions of the nursing program with or without reasonable accommodation. The Blinn College
ADN Program will work will students and make every effort to accommodate their disabilityrelated needs. Note: the Program is not required to provide requested accommodations that would
fundamentally alter the essential or technical qualifications, competencies, and functions of the
program nor that would entail an undue financial burden.
Blinn College is dedicated to providing the least restrictive learning environment for all students.
Support services for students with documented disabilities are provided on an individual basis,
upon request. Information, education, referrals, and consultation about specific disabilities are
available to interested parties on request. For answers to specific questions or to request an
information packet, contact the Office of Disability Services on the specific campus you will be
attending. Bryan Campus: (979) 209-7251; Brenham, Sealy, Schulenburg Campuses: (979) 8304157. Additional information can be found at www.blinn.edu/disability.
Library
Blinn College has libraries at its campuses in Brenham, Bryan, and Schulenburg. Each library
provides books, periodicals, reference tools, movies, electronic resources, and Internet access for
student assignments, research, and recreation. The library’s web site provides access to the
library’s online catalog, electronic subscription databases and much more.
28
Additional information is available on the Blinn College library web site.
Students are encouraged to give input to the ADN Program’s Library Resources Committee,
via the Student Representatives. Suggestions may be made for purchase of books, laboratory
materials/recourses and other reference materials.
Financial Aid
There are a number of financial aid programs available to assist students attending Blinn College.
Students needing information can obtain information from the Financial Aid site.
The financial aid program includes scholarships through local groups, hospitals, and organizations. In
addition, the nursing department notifies students of scholarships available specifically for nursing
students. The ADN Program Office can be contacted for information relating to some of these specific
nursing scholarships/loans. A list of scholarships available specifically to nursing students can be found
on eCampus under the “Nursing Student Lounge” section.
Perkins Grant
Perkins Grant assistance is available on a first-come, first-served basis to students enrolled in
Technical education programs who fall into a Special Populations Category. Assistance is
available to help defray the cost of textbooks, child care and transportation. For information
concerning eligibility, application procedures and deadlines, go online to
www.blinn.edu/twe/perkins.
The Learning Center
The Bryan Learning Center and the Brenham Learning Center strive to provide support services
and resources that help students achieve academic success.
Security & Police Services
Health Science Center Campus: Dial 911 for Immediate Police Assistance. Always notify
HSC security 979-436-9011 or 979-436-9001 of all 911 calls.
Bryan Campus: The Blinn College Security & Police Department is located on the first floor in
the back hallway of the “E” Building. Emergency contact with the Blinn College Police
Department can be obtained by calling 979-209-7600.
Schulenburg Campus: Security on the Schulenburg campus is handled by the Schulenburg
Police Department. Call 979-743-2677 or 911.
Nursing Student Organizations
Blinn College Nursing Student Association (BCNSA)
The Blinn College Nursing Student Association (BCNSA) is an organization for professional
nursing students. It operates in conjunction with the Texas Student Nurses Association (TSNA)
and the National Student Nurses Association (NSNA). Meetings are held monthly which offer
opportunities for education, service, and socialization into the professional role. Officers are
elected by the membership at the end of each academic year. A nursing faculty member serves as
an advisor/sponsor for the organization. All nursing students are encouraged to become members
29
and participate in the local and state nursing organization, as an introduction into professional
roles, activities, and service projects.
Future Registered Nurses Club (FRNC)
The purpose of the Future Registered Nurses Club (FRNC) is to enhance the interests and
abilities of nursing students in launching their careers. The primary activity planned for the year
is the Nursing Pinning Ceremony, as well as some service projects throughout the year. The
Pinning Ceremony is a long-standing tradition in nursing. Its primary purposes are to welcome
graduates into the profession of nursing, recognize each graduate for accomplishments during the
Program, and to give the graduates the opportunity to recognize the assistance of family/friends
during this time.
Nursing Honor Society
The National Organization for Associate Degree Nursing (N-OADN), in order to promote
scholarship and academic excellence in the profession of nursing has established the
N-OADN Alpha Delta Nu Nursing Honor Society and has made provisions for the establishment
of Institutional Honor Society Chapters. The Blinn ADN’s Chapter was approved in Spring 2014
as the Beta Sigma Chapter of Alpha Delta Nu.
The objective of the N-OADN Alpha Delta Nu Nursing Honor Society shall be to recognize the
academic excellence of students in the study of Associate Degree Nursing. The society shall
encourage the pursuit of advance degrees in the profession of nursing as well as continuing
education as a life-long professional responsibility. Additionally, the society shall participate in
the recruitment of qualified individuals into the profession of nursing.
Retention Services
The purpose of Retention Services is to increase the numbers of students that successfully complete the
Health Sciences Programs at Blinn College and become licensed or certified healthcare professionals. To
achieve this outcome, Retention Services provides several different resources for Health Sciences
students at Blinn.
The following resources are offered through the Health Sciences Retention Services:
1.
Preparation for Success Presentations: Topics such as time management, study skills, and test
taking strategies are presented during orientation for incoming Health Sciences students. The
presentations cover material that facilitates learning and helps improve student performance.
2.
1:1 Educational Guidance: Students meeting the following criteria will be referred by faculty for
individual test analysis and 1:1 educational guidance:
a.
students who fail an exam in any Program’s course(s), criteria for failure to be
determined
b.
students who have failed a previous Program’s course(s) and have been readmitted to the
respective program
c.
students admitted to a Health Sciences Program with low Grade Point Average (GPAs),
level to be determined
30
d.
e.
students admitted to a Health Sciences Program with low TEAS composite, reading,
and/or math scores
International students with identified difficulties with written or spoken English language
skills, have low TOEFL scores (slightly about the minimum to be admitted to Blinn
College), or have no TOEFL scores (e.g. transfers from other colleges/universities or
USA high school graduates).
A student must schedule an appointment with the Retention Coordinator within 5 business days
after being notified that he/she meets one or more of these criteria. Appointments can be made by
calling or emailing the Retention Coordinator directly. Continued meetings between the student
and the Retention Coordinator will be determined by student progression toward academic
success.
3.
Counseling/referral services: any student may self-refer to the Retention Coordinator for:
a.
1:1 guidance to improve low course grades, study skills, or time management skills
b.
assistance with financial aid, child care, transportation, referral for personal counseling
issues
Life-long Learning
We as a faculty believes in life-long learning as a necessary part of professional practice and
responsibility (see ADN Program Philosophy). The Texas Board of Nursing (BON) sees life-long
learning as such a necessary part of practice and staying current that requirements exist for continued
licensure (20 hours of Continuing Education Contact Hours per licensure period, with some periods
having a focused topic as a minimum requirement). See the BON web-site for specific information on
continuing education requirements at www.bon.state.tx.us .
Texas Nurses Association (TNA) instituted an education articulation plan several years ago to expedite a
nurse's advancement along the educational ladder. Most Texas educational institutions honor this
articulation plan and have made appropriate curricular plans for nurses wishing to continue their
education. Blinn College has specific articulation agreements for RN to BSN with: Prairie View A&M
University (PVAMU), Stephen F. Austin University (SFA), Texas A&M Health Science Center-College
Station (TAMHSC), Texas A&M University-Corpus Christi (TAMU-CC), University of Texas-Austin
(UT-Austin), UT-Brownsville, UT-Houston, and UT-Tyler.
Many of you have plans for advancement in your professional careers. Most of these plans will involve
either specialty certifications or advanced education. There are many good RN-BSN programs (e.g. those
mentioned above and others) in the state, as well as some new RN-MSN programs (TAMU-Corpus
Christi, UT Austin, UT San Antonio, UT El Paso, UTMB-Galveston, and others). There are even some
offering on-line only programs (e.g. UT Arlington, Angelo State, TAMU-Corpus Christi, UT El Paso,
UT-Tyler, and others). Other on-line offerings are available through the Virtual College of Texas (VCT)
and “E-line” (collaborative effort between Delmar College and TAMU-Corpus Christi). These will be
discussed to some extent during the Program. If you have specific questions, you may ask any of your
faculty, and we can direct you to appropriate sources of information.
Blinn’s ADN Program has a “Dual” Degree Plan with Texas A&M’s College of Nursing at the Health
Science Center. The following are the current requirements:
31
Texas A&M Health Science Center College of Nursing
Proposed
Blinn College Proposed
Associate Degree to BSN Curriculum
TYPE
Blinn CC Requirements
General Education
ENGL 1301
BIOL 2401
BIOL 2402
BIOL 2420 or 2421
PSYC 2301
PSYC 2314
Humanities/Fine Arts Elective
Total General
Education SCH
Texas A&M HSC
Requirements
ENGL 1301
BIOL 2401
BIOL 2402
BIOL 2420 or 2421
PSYC 2301 or SOCI 1301
PSYC 2314
Language, Philosophy, &
Culture (Humanities)
Elective
24 SCH
Additional Texas A&M
HSC Prerequisite Course
Requirements
Total Additional
Prerequisite SCH
Blinn College
Associate Degree
Nursing Courses
ENGL 1302 or 2311
MATH 1324
MATH 1325
Creative Arts Elective
HIST 1301
HIST 1302 or 2301
BIOL 1406
BIOL 1322
CHEM 1411
GOVT 2305
GOVT 2306
35 SCH
RNSG 1215
Health Assessment
RNSG 1513
Foundations for Nursing
Practice
RNSG 1301
Pharmacology
RNSG 1341
Common Concepts of
Adult Health
RNSG 1260
Clinical - Registered
Nursing/Registered Nurse
RNSG 1144
Nursing Skills II
RNSG 2213
Mental Health Nursing
RNSG 2160
Clinical - Registered
Nursing/Registered Nurse
RNSG 1341
Common Concepts of
Adult Health
32
Notes
HSC requires both
Humanities and Creative
(Fine) Arts
24 SCH of General
Education credits will be
accepted from Blinn
College
Will accept 1314 or 1324
35 additional prerequisite
credit hours are required
ADN Nursing Courses
RNSG 1260
Clinical - Registered
Nursing/Registered Nurse
RNSG 1144
Nursing Skills II
RNSG 2213
Mental Health Nursing
RNSG 2160
Clinical - Registered
Nursing/Registered Nurse
RNSG 2231
Advanced Concepts of
Adult Health
RNSG 2262
Clinical - Registered
Nursing/Registered Nurse
RNSG 2263
Clinical - Registered
Nursing/Registered Nurse
RNSG 2121
Professional Nursing:
Leadership and
Management
36 SCH
36 SCH of Nursing credits
will be accepted from Blinn
College
Texas A&M HSC Nursing
Courses
NURS 460
NURS 465
NURS 461
NURS 466
NURS 462
NURS 467
NURS 463
NURS 468
NURS 464
HSC Nursing Courses
30 SCH
TOTALS
36 SCH
65 SCH
Upon transfer of credits and completion of BSN coursework, transcript would reflect 101 hour curriculum (Proposed).
33
Transfer Information
Student wanting more information regarding transferring to four year universities should visit Blinn’s
Transfer Information web page.
Student wanting to transfer into the ADN Program need to follow the Transfer Student Application
Process.
Graduation Information
The process for graduating from Blinn College is located at Blinn’s Graduation Information web page. It
is very important for all nursing students to check on all the requirements for graduation and to ensure
they are met. Students can successfully complete the nursing program, but without the College conferring
the Associate in Applied Science – Nursing degree the student is ineligible to take the National Licensure
Exam.
Pinning Ceremony
The ADN Program holds a traditional Pinning Ceremony with each graduating cohort.
The Pinning Ceremony is a time-honored nursing school tradition. To many this may be more meaningful
than the actual graduation ceremony, since it signifies your official initiation into the
brotherhood/sisterhood of nurses. The ceremony is rich with symbolism. The history of this rite of
passage can be traced all the way back to the 12th century. Monks serving the sick, infirmed and injured
were initiated into the Knights of the Order of the Hospital of St. John the Baptist. When vowing to serve
in a ceremony, each monk was given a Maltese cross, the first badges given to those who nurse. The
modern ceremony dates back to the 1860s, when Florence Nightingale was awarded the Red Cross of St.
George in recognition for her tireless service to the injured during the Crimean War. To share the honor,
she in turn presented a medal of excellence to her brightest graduates. By 1916, the practice of pinning
new graduates was standard throughout the United States. We will be honored to give you your pin when
you complete this program.
34
POLICIES & PROCEDURES
35
Student Conduct
As required by the Texas Board of Nursing Texas Administrative Code Rule 215.8, students may be
dismissed for demonstration of the following, including, but not limited to:
(1) Evidence of actual or potential harm to patients, clients, or the public;
(2) Criminal behavior whether violent or non-violent, directed against persons, property or public order
and decency;
(3) Intemperate use, abuse of drugs or alcohol, or diagnosis of or treatment for chemical dependency,
mental illness, or diminished mental capacity; and
(4) The lack of good professional character as evidenced by a single incident or an integrated pattern of
personal, academic, and/or occupational behaviors which indicates that an individual is unable to
consistently conform his or her conduct to the requirements of the Nursing Practice Act, the Board's rules
and regulations, and generally accepted standards of nursing practice including, but not limited to:
behaviors indicating honesty, accountability, trustworthiness, reliability, and integrity.
Criminal Activity while enrolled in the ADN Program
RAP Back Procedure
All students who have been fully accepted into Blinn College’s Associate Degree Nursing Program,
LVN-Transition Option Program or the Vocational Nursing Program have successfully completed the
Texas Board of Nurses (BON) mandated DPS/FBI criminal background check (CBC) procedures. Once
this process is completed, the BON continuously monitors students for criminal conduct and notifies the
nursing programs of any legal charges incurred by a student during the enrollment period. This
notification process is known as the “Rap Back” (Record of Arrests and Prosecutions) process. (See
BON’s STRATEGIC PLAN for Fiscal Years 2013-17 page 73
http://www.bne.state.tx.us/pdfs/publication_pdfs/strat12.pdf)
When reviewing any information concerning a student’s legal infractions, the Blinn College Nursing
Programs utilize the same considerations the BON takes into account when determining a person’s fitness
to practice nursing. These considerations are, in part:
Nurses have access to persons who are physically, emotionally, and financially
vulnerable and who are easily exploited by virtue of illness, injury, age, and / or cognitive
ability.
Nurses are also in a position to have access to privileged / confidential
information concerning their patients. Therefore, criminal behavior, whether violent or
36
non-violent, directed against persons, property, and / or public order and decency is
considered by the BON to be highly relevant to an individual’s fitness to practice nursing.
Nurses who commit crimes outside the workplace raise concerns about the nurse’s
propensity to repeat the same conduct in the patient care setting which raises further
concerns about the nurse’s ability to provide safe, competent care to patients.
Because of this, the following processes will be strictly enforced by the Blinn College Nursing Programs:
•
A student has two school business days to inform the student’s respective Program Director if
the student is arrested or charged with a criminal offense (excluding Class C misdemeanor
traffic violations) committed while enrolled in the program. If the student fails to do so, the
student will be dismissed from the program and not be allowed to reapply.
•
If a student reveals criminal charges to their respective Program Director within the required
time frame, the Program Director will review the charges and confer with the student and one
of two things will occur:
1. The Program Director allows the student to remain in the program*.
a. The student is required to file a “Petition for Declaratory Order” with the Texas
BON. The student has five school business days to file the petition.
b.
If the BON issues a Declaratory Order of ineligibility, upon receipt of the order, the
student will be dismissed from the program.
c. A student dismissed from the program has one year to reenter the program, if space is
available, at the beginning of the same course/semester from when the suspension
occurred. A student who has been suspended from the program for more than one
year must reapply to begin the program from the first semester of the curriculum.
2.
Decision is made to suspend* the student from the Nursing Program. This decision
forwarded to the Dean and Vice President of Health Sciences.
a. The student is required to file a “Petition for Declaratory Order” with the Texas
BON. The student has five school business days to file the petition.
b. The student will be suspended from the program until a positive “Outcome Letter”
from the BON is received by the student stating the student will be allowed to sit for
the appropriate National Council Licensing Exam.
c. A suspended student who receives a positive “Outcome Letter” from the BON has
one year from the time the student exited the program, to reenter the program, at the
37
beginning of the same course/semester from when the suspension occurred if space is
available and the student is accepted in a clinical program(s) that enables the student
to complete the program competencies. A student who has been suspended from the
program for more than one year must reapply to begin the program from the first
semester of the curriculum.
A suspended student who receives an “Outcome Letter” of ineligibility from the BON, will be
dismissed from the program. All students must meet all current admission/readmission
requirements. Readmission is not guaranteed.
A student suspended or dismissed from one of the programs referenced in this RAP Back
Procedure is not necessarily prohibited from enrolling in other academic programs at Blinn
College. A student seeking to enroll in other academic courses or programs must first meet
with the campus judicial officer to determine eligibility to enroll in other academic course.
* The decision to retain, suspend, or dismiss a student lies with the respective Program Director
(see Texas Administrative Code Title 22, Part 11, Chapters 214 and 215 Rules § 214.6(i) and
215.6(i)). The Program Director will follow the policies of Blinn College (Discipline and Penalties
FM Local and Discipline Procedure FMA Local), use the BON disciplinary matrix
(http://www.bne.state.tx.us/pdfs/disciplinaryaction_pdfs/discp-matrix.pdf) and the accompanying
Disciplinary Guidelines for Criminal Conduct (http://www.bon.texas.gov/disciplinaryaction/discpguide.html) and the Texas Nurse Practice Act
(http://www.bne.state.tx.us/laws_and_rules_nursing_practice_act_2013.asp) as guidelines for
reaching a final decision. If a student is charged with a crime that, if convicted, would result in a
mandatory revocation, denial, or suspension of a nursing license under the Board of Nursing’s
Disciplinary Guidelines for Criminal Conduct, then that student shall be suspended and follow the
procedures outlined above including filing a Petition for Declaratory Order. If a student is charged
with a crime that, if convicted, would not result in mandatory revocation, denial, or suspension of a
nursing license, then the student shall remain in the program and follow the procedures outlined
above. The Program Director shall at all times retain discretion to allow a student who may
otherwise be suspended from the program to remain in the program pending receipt of a positive
Outcome Letter from the BON
38
Academic Integrity
Integrity is expected of every student in all academic work, from the beginning application
process to the final application for licensure. Academic integrity means a student's submitted
work must be the student's own and reflect an honest attempt to complete assigned work. Forms
of academic dishonesty include, but are not limited to: cheating, fabrication and falsification of
information, facilitating academic dishonesty, and plagiarism. Students engaging in academic
dishonesty diminish their education and bring discredit to the academic community.
The faculty believes academic integrity and professional responsibility and accountability are
inextricably linked. These qualities are essential to practicing nursing in a safe and ethical manner
within legal parameters as stated in the Texas Board of Nursing’s Nurse Practice Act and the
Rules & Regulations relating to Professional Nurse Education, Licensure, & Practice (available at
www.bon.state.tx.us ). During clinical laboratory experiences, students are required to exercise
confidentiality with regard to all patient and staff information, just as they will during subsequent
nursing practice, in accordance with the Health Insurance Portability & Accountability Act
(HIPAA). The student's progress in developing professional role characteristics, including
observances of legal and ethical standards, is evaluated in all clinical and simulated experiences.
Any student involved in academic dishonesty—in either theory or clinical courses—in the
Associate Degree Nursing Program will be subject to disciplinary action (see Student Conduct
Student Rights and Responsibilities) and may jeopardize his/her opportunity for successful
completion of the Program. Students found to have been dishonest in their application process
will be subject to immediate dismissal from or non-acceptance to the ADN Program and
disciplinary action by the College.
Professional Conduct
(also see “Essential Qualification/Basic Competencies”)
ADN students representing Blinn College will be expected to conduct themselves in such a manner as to
reflect favorably upon themselves, the Program, and the College—whether on campus, in the classroom,
or off campus. If a student acts in such a manner as to reflect immature judgment, disrespect for others, or
dishonesty, the student will be called before the student's Instructor, course coordinator, and/or the
Program Director for determination of his/her status in the Program (see Blinn College Catalog for
Disciplinary Sanctions policy, as well as the Incivility Protocol policy). Professional conduct includes but
is not limited to the following: college, nursing program, hospital, agency and community guidelines,
rules, regulations and laws related to behavior as determined by these agencies. This includes conduct
with faculty, staff, patients, other students at school, clinical, or club-sponsored events/experiences. See
related Classroom Incivility Statement and Student Conduct Student Rights and Responsibilities.
39
Classroom Civility Statement
CIVILITY STATEMENT
Blinn College has adopted Civility and Civility Notification statements, and a statement of Incivility
Protocol. The Civility Statement reads as follows: “Members of the Blinn College community, which
includes faculty, staff and students, are expected to act honestly and responsibly in all aspects of campus
life. Blinn College holds all members accountable for their actions and words. Therefore, all members
should commit themselves to behave in a manner that recognizes personal respect and demonstrates
concern for the personal dignity, rights, and freedom of every member of the College community,
including respect for College property and the physical and intellectual property of others.”
CIVILITY NOTIFICATION STATEMENT
The Civility Notification statement reads as follows: “If a student is asked to leave the classroom because
of uncivil behavior, the student may not return to that class until the student arranges a conference with
the instructor; it is the student’s responsibility to arrange for this conference.” If behavior is threatening or
violent, the college police have jurisdiction and the college’s Discipline Code, as outlined in the “Student
Handbook,” takes precedence. In the case of incivility in the classroom, the college’s Incivility Protocol
provides for removal of the uncivil student immediately from the classroom to maintain student/teacher
integrity and essential pedagogical decorum. IF THE INCIDENT IS THREATENING OR VIOLENT,
BLINN COLLEGE POLICE HAVE JURISDICTION AND SHOULD BENOTIFIED IMMEDIATELY:
BLINN COLLEGE DISCIPLINE CODE, AS OUTLINED IN THE “STUDENT HANDBOOK,” TAKES
PRECEDENCE. If the incident is one of common incivility, the student removed from class must arrange
a conference with his or her instructor to discuss and resolve the problem resulting from the uncivil
incident before being readmitted to the class (cf., Civility Notification Statement).
Examples of uncivil behavior include, but are not limited to: chronic absences and/or tardiness, use of cell
phones or pagers during class/clinical, reading of materials during class that do not pertain to the class
(e.g. newspaper, magazine, internet sites, social media sites, etc.), chatter with another student or students,
sleeping, rudeness, frequent interruptions, monopolizing class time, loudness, obscene or abusive
language (verbal or written), and substance abuse.
If an ADN student is dismissed from the classroom and/or clinical area because of uncivil behavior, that
behavior will be reflected in classroom and/or clinical evaluations. The student may also be asked to
arrange a conference with the Program Director. Uncivil behavior in clinical may also constitute “Unsafe
Clinical Performance”, discussed elsewhere in the ADN Student Handbook.
40
Social Media Guidelines
Social media websites allow people to engage in both professional and personal communications. These
guidelines provide standards of conduct when people associated with Blinn College (students, faculty,
and staff) go online to publish, discuss, blog, share files, post user-generated video and/or audio, enter
into virtual worlds, log onto social networks or any other form of user-generated media.
Keep in mind, all content posted on these websites become immediately available to everyone with access
and then can be shared beyond the initial intent. The original “owner” of the material loses control of the
information forever. Future employers may use this information when making hiring/firing decisions.
Protect confidential information. Do not disclose or use confidential information regarding your clinical
experiences, clinical facilities, clinical staff, or clients—including peers as “clients” in the simulated
situation. Respect confidentiality and abide by the Health Insurance Portability and Accountability Act of
1996 (HIPAA regulations), the Texas Veterinary Licensing Act (2009), and/or other professional
programs’ ethics and standards of practice. Removing an individual’s name does not constitute proper deidentification of protected health information. Inclusion of data such as age, gender, race, diagnosis, date
of evaluation, type of treatment, circumstances of injury, and/or the use of highly specific medical
photographs may still allow the reader to recognize the person’s identity.
Respect your readers, your peers, and your faculty. You should not post any material that is obscene,
defamatory, profane, libelous, threatening, harassing, abusive, hateful, or embarrassing to another person,
program, and/or institution. What might be considered humorous to one person may be hurtful to another.
Discourse should always be civil and respectful.
Be thoughtful, transparent, and honest. You should present yourself in a mature, responsible, and
professional manner. Considering anonymity should not be an option.
Respond to your own mistakes. If you make an error, correct it quickly. If you modify content
previously posted, make it clear you have done so.
Always use your best judgment. There are consequences to what you publish online. If something
makes you feel the slightest bit uncomfortable, it is suggested you do not post the information. Per Blinn
College Board of Trustees policy and to avoid conflict of interest, you should not endorse products or
candidates, representing Blinn College; any endorsements must be made as “John Q. Citizen, RN” for
example. Remember, you have sole responsibility for what you post in any form of online social media.
NOTE: You represent Blinn College. Any policies from the Blinn College Board of Trustees, the Allied
Health Division, or the individual program(s) may specify more extensive guideline and/or consequences
of infractions.
REMEMBER: Any posting that could be construed as unprofessional, unethical, or under the incivility
policy of the College can be grounds for dismissal from the respective program.
41
Substance Abuse Policy
Blinn College seeks to provide educational experiences and opportunities for student
development and growth, with a strong commitment to instructional excellence in an environment free of
unnecessary risks to the safety and well-being of students, faculty, staff, and patients/clients. It is the
desire of the faculty to provide support for students when problems arise related to impairment of allied
health student practice, either due to alcohol and other drug (AOD) abuse or mental illness.
For the purposes of this policy, an impaired student is defined as one whose performance
endangers EITHER their own learning process or patient/client health and safety and would, if
demonstrated by a Registered Nurse (RN) or other healthcare professional, be considered a
violation of the Nurse Practice Act or other applicable licensure laws. Impairment may be evident in
the classroom, learning laboratory, or the clinical area. Such impairment can result from:
1)
AOD abuse or dependency (prescription or illicit)
2)
mental illness
3)
physical illnesses/conditions with psychological or physical complications/deficits.
The Health Sciences Division seeks to uphold Blinn College policies regarding substance abuse,
e.g. standards of conduct and unlawful possession or distribution of illicit drugs/alcohol (Blinn College
Catalog). Because of concerns for public and patient/client safety, as well as professional and ethical
responsibilities, faculty in the Health Sciences Division will identify students enrolled in Health Sciences
Programs who appear to be impaired as a result of AOD abuse/dependency or physical and/or mental
health problems.
Consistent with professional practice and standards, any person who observes behavioral or
physiological characteristics suggestive of impairment is obligated to consult with a faculty
member/Program Director regarding those concerns. Both the identity of the reporting individual and the
identified student will be held in confidence to the maximum extent possible under applicable laws. The
validity and accuracy of the information reported will then be investigated. Any of the following may be
signs/symptoms/behaviors that may suggest impairment:
a.
Physiological characteristics of the substance abusing person including, but not limited to:
*smell of alcohol on breath, other unexplained body or breath odor
*flushed face, reddened eyes
*diaphoresis, pallor
*pupillary changes—abnormal constriction or dilation
*slurred speech
*weight loss
*sudden hyperactivity vacillating with lethargy or vice-versa
*blackouts, seizures
*impaired coordination—psychomotor skills, gait
*fine hand tremor
*numerous injuries/accidents with vague or unusual explanations
*declining health
b.
Behavioral characteristics of the substance abusing person including, but not limited to:
*extreme and rapid mood changes, irritability, loss of orientation
*excessive absenteeism, tardiness, frequently leaves unit/class
*unusual/frequent excuses or apologies for failure to meet deadlines
*isolation/withdrawal from group—professionally and socially
*decreased classroom and clinical productivity, fluctuating performance
*inappropriate physical appearance, unkempt appearance
*excessive use of mouthwash, mints, etc.
42
*arriving early and staying late at work (clinical, class) for no apparent reason
*overly solicitous to administer meds (especially narcotics) for own or others’
patients
*greater discrepancies in documentation of controlled substances administration
*uses PRN medications more frequently with maximum PRN dosage given
*alone in medication room more than others
*may have many somatic complaints requiring more Rx for self
If a student demonstrates characteristics of impairment while in the clinical area, the faculty member will:
a. Relieve the student from the client assignment IMMEDIATELY. The student will not be left
alone at any time. Another faculty member or the Program Director will be called in to help the
involved faculty member with the other students in the clinical area, while the suspected student
is being observed and counseled.
b. Carefully document data on indicators of substance abuse cited above. Include witnesses as
appropriate (e.g. staff, faculty, etc.)
c. Refer the student to the Program Director for investigation of the identified signs of
impairment.
The student will then meet with the faculty member and the Program Director to discuss options
for continuance in the Program and develop a plan for referral/treatment. The student CANNOT return to
the clinical area until a contract of agreement for return to the Program is formulated by the Program
Director, the Clinical Instructor, and the student. An investigation of the identified signs of impairment
will be conducted and the student referred for possible treatment. Should there be questions in the mind of
the student concerning the alleged offense, due process is afforded under the “Drug and Alcohol Use and
Abuse” and the “Blinn College Discipline Code”.
Impaired practice CAN be grounds for DISMISSAL from the Program and REPORTING TO
THE APPROPRIATE LICENSING AGENCY for investigation, e.g. Texas Board of Nursing,
American Dental Association, etc. The student may also be referred for FURTHER
DISCIPLINARY ACTION by the College, per the “Drug and Alcohol Use and Abuse” and “Blinn
College Discipline Code”, as well as those policies contained in the Blinn College Board Policy Manual,
sections FLBE, readily available on the internet at http://pol.tasb.org/Policy/Code/1204?filter=FLBE
Reporting to the appropriate licensing agency may result in the individual’s INABILITY TO SIT
FOR THE LICENSING EXAMINATION and receipt of a license.
Records of the student in question, relating to suspected impaired practice, will be kept
confidential, and will NOT be included in the student’s official academic file. Exceptions would exist if
the student comes under Blinn College’s disciplinary process for violations on campus or at collegesponsored activities, or if reporting to the appropriate licensing agency is necessary. For example,
Associate Degree Nursing students as well as Vocational Nursing Students will be required to submit a
Declaratory Order petition to the Texas Board of Nursing.
43
Attendance and Absences Standards
Attendance Standards
Nursing is a practice discipline requiring acquisition of knowledge and practical skill
development along with organizational and personal capabilities. In order to meet the
Program/course objectives and to comply with accreditation standards, the nursing curriculum
consists of clinical and classroom courses and experiences, which reinforce and complement each
other. A critical element influencing student success is attendance in both elements.
Per Blinn College policy, all faculty are required to take daily attendance in all classes with the
first class meeting and ending with the final examination. Attendance in each class and laboratory
session is recorded.
All classroom, clinical, and simulation experiences will begin on time. Students are expected to
be punctual. Because we are teaching workplace behaviors, students are expected to
appropriately notify the ADN Office, the clinical instructor, and/or the clinical unit if the
student finds that he/she must be absent or tardy. Your Clinical Instructor will inform you of
how he/she wants to be notified.
Students who miss clinical experience(s) are in jeopardy of missing opportunities to meet
course objectives and subsequently achieving passing grades. Tardiness and absences may
also be reflected on course evaluations and job references. Students who fail to notify
appropriately for clinical absences will receive an unsatisfactory grade for the day, which
could place one in jeopardy of failing a clinical course.
The ADN Program adheres to the student attendance policies outlined in the Blinn College
Catalog:
“The College District believes that class attendance is essential for student success;
therefore, students are required to promptly and regularly attend all their classes. Each class
meeting builds the foundation for subsequent class meetings. Without full participation and
regular class attendance, students shall find themselves at a severe disadvantage for achieving
success in college. Class participation shall constitute at least ten percent of the final course
grade. It is the responsibility of each faculty member, in consultation with the division chair, to
determine how participation is achieved in his or her class. Faculty will require students to
regularly attend class and will keep a record of attendance from the first day of class and/or the
first day the student’s name appears on the roster through final examinations. If a student has one
week’s worth of unexcused absences during the semester, he/she will be sent an e-mail by the
College requiring the student to contact his/her instructor and schedule a conference immediately
to discuss his/her attendance issues. Should the student accumulate two weeks’ worth of
unexcused absences, he/she will be administratively withdrawn from class.”
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Absences and Excused Absences
There are four forms of excused absences recognized by the institution. Students need to refer to
the Blinn College Catalog for the appropriate procedure for notifying faculty for those four
reasons.
Other absences may be excused at the discretion of the faculty member.
The faculty recognizes that situational emergencies and illness may occur. In addition, jury duty
may require the student to be absent. In these cases, documentation may be requested by the
instructor or Program Director to verify the reason for the absence. Evidence such as a
physician's note or jury summons may be requested. Students must call the instructor or the ADN
Office as soon as an absence is anticipated.
Students are responsible for meeting all required course assignments, i.e., papers, tests, clinical
assignments, despite absence from class or clinical. This includes assignments for all absences.
The student is responsible for contacting the instructor or Course Coordinator who will determine
the manner in which missed assignments may be made up. Generally, there is no provision for
making up clinical or simulation experiences.
45
Student Health and Immunizations
Students must obtain a physical exam and submit it to the ADN Program Office before beginning school.
Students are required to maintain current immunizations (Link to Required Immunizations). This includes
yearly TB testing (or chest x-ray every three years), annual influenza vaccination (immunization within
30 days of the annual vaccine becoming available), quantitative Hepatitis B titer > 10 mIU/mL, Tetanus,
Diphtheria, Pertussis (TDAP) (booster every 10 years), and other routine childhood immunizations or
proof of immunity (by titer) from these childhood diseases (varicella, measles, mumps and rubella).
Students who have a history of positive tuberculosis (TB) test must show proof of adequate follow-up
and/or prophylactic treatment by a physician. Students must be current on appropriate immunizations to
be allowed in the clinical areas, per State law and agency policies. If a student is not current, he/she will
be contracted and may not be allowed in the clinical area until the terms of the contract are completed.
Meningitis vaccine requirement. MANDATORY: for all “new” students <22 years of age when the
academic term begins. Vaccine must be administered at least 10 days prior to the start of the semester. All
students must follow Blinn’s policy regarding the Bacterial Meningitis requirements. Go to
www.blinn.edu/immunization.html for all information.
Students should be aware there is a potential risk of exposure to TB, Hepatitis B & C, HIV, and many
other communicable diseases during clinical assignments. If the student elects to not be tested for HIV, a
disclaimer form must be signed. Students who are known to be HIV positive have the option of
nondisclosure, per Americans with Disabilities Act (ADA). However, for the student’s own protection, as
well as his/her clients, it is wise to notify the Program Director, so appropriate care can be taken with
selection of some clinical experiences. This information will be kept in strictest confidence by the
Director.
Students are oriented to safety procedures at Blinn College and at all clinical facilities, per Occupational
Safety & Health Administration (OSHA) and The Joint Commission standards. Students will have access
to faculty within their clinical area for any additional information. It is an expectation that students will
accept all types of patient assignments. Should an injury occur while in clinical, the student will be treated
in accordance with Blinn College’s and the clinical agency’s policies and Clinical Affiliation Agreement
at the student’s own expense.
Students are financially responsible for their personal health care/hospitalization costs incurred while
participating in the ADN Program. It is strongly recommended students maintain some type of
health/accident insurance for their own protection should illnesses/accidents occur.
Infectious Disease Guidelines
It is the intent of the Blinn College ADN Program to promote quality care and safety for clients,
students, staff, and faculty. The ADN Program is in compliance with accepted policies, standards,
and guidelines set forth by Blinn College, the Centers for Disease Control (CDC), the Texas
Department of State Health Services (TDSHS), the Occupational Safety and Health
Administration (OSHA), the American College Health Association (ACHA), the American
Nurses' Association (ANA), and the National League for Nursing (NLN).
Students are expected to care for themselves, in order to learn and effectively care for
clients. Therefore, students are asked to call in appropriately and stay home when experiencing
46
any of the following signs/symptoms:
1) fever 100.4°F or higher
2) nausea & vomiting
3) diarrhea
4) open or weeping skin lesions
5) productive cough
6) nasal secretions
7) sore throat & hoarseness
8) red eyes or drainage from the eyes
We do realize some of these signs/symptoms have non-communicable origins (e.g. allergies)—
the student is expected to communicate with the Instructor. The Instructor may ask for
verification from the physician/healthcare provider of the origin of any of the above
signs/symptoms.
Due to the current issues surrounding communicable disease (e.g. hepatitis, tuberculosis, sexually
transmitted diseases [STD’s], and human immunodeficiency virus [HIV]), policies and
recommendations set forth in Standard Precautions are followed carefully. Students are taught
Standard Precautions in the first nursing courses and content is practiced and reinforced
throughout the Program. Students are responsible for using Standard Precautions at all
times.
Students are also responsible for any personal expenses that may occur in the event of an
exposure. Students are encouraged to check their health insurance policy for coverage. If the
student has no health insurance, it is recommended the student check into a special coverage
policy for students.
Follow-up to Exposure
In the event a student becomes exposed to blood or body fluids, the following procedures are
recommended (per Clinical Affiliation Agreements):
Step 1: Report exposure to clinical instructor, program director, authorities in health care agency, and
document the event.
Step 2: Assess the clinical status of the source client.
Step 3: Test the exposed individual and ask the client be tested for evidence of HIV or Hepatitis B or C as
soon as possible after the exposure (e.g. in the clinical agency emergency department).
Step 4: Retest if negative in 6 weeks, then at 3, 6, and 12 month intervals with a private physician.
Step 5: Seek counseling throughout the experience.
Step 6: Adhere to the recommendations for the prevention of transmission of any infectious disease
during the testing period (90 days).
Note: Confidentiality of medical records is protected, and information is shared only on
a strictest "need to know" basis. Any breaches of confidentiality will be grounds for
disciplinary action, per HIPAA regulations.
47
Note: Confidential screening for various communicable diseases can be obtained
through the Brazos County Health Department.
Cardiopulmonary Resuscitation (CPR) Requirement
As a part of professional responsibility and accountability, students are expected to maintain
current CPR certification throughout the Program. Basic Life Support (BLS) for Healthcare
providers offered by the American Heart Association (preferred) and CPR for Professional
Rescuer offered by American Red Cross are the ONLY two acceptable CPR courses.
Students must bring appropriate documentation to the Program Office each academic year. If the
student’s certification expires at some point during the academic year, the student is responsible
for renewing that certification and bringing appropriate documentation to the ADN Office. If the
student is found to be lapsed on the CPR certification, the student will not be allowed to attend
clinical and will receive unsatisfactory designations until the certification is completed—this
could jeopardize the student’s ability to successfully complete the course/program.
Auditing ADN Course(s)
The ADN Program has established a Program protocol for auditing nursing course(s), in keeping
with College policy (Auditing of Courses). An audit takes place or may be suggested by the
Director of the ADN Program when a non-degree-seeking student requests to audit a course or
when a student is recommended/required to audit a course for readmission or transfer into the
Program.
The audited course may have already been taken by the student for a grade, which will stand,
unless the student registers to officially retake the course—in that case it would not be an audit.
Successful audit may be considered for readmission application as evidence of compliance with
recommendations from the Director.
In the event of an audit, the student will pay the audit fee plus any other lab or course fees. The
student will not receive a grade for the course. The student’s name will not appear on the official
roster for the course. Once a student has registered for an audit, he/she may not change status to a
registered status and vice versa. Currently enrolled students take priority over auditing students in
class spaces.
Students are usually required to audit the accompanying clinical course, when auditing or
retaking the theory course to help reinforce the content. A student who audits a clinical course
MUST carry his/her own liability insurance. The College’s umbrella insurance policy only
covers those students officially registered in the course(s).
Successful course audit:
1)
requires permission of the Director of the ADN Program and the Dean of Health
Sciences to audit a nursing course.
2)
requires registration for audit and payment of audit fees.
3)
includes regular attendance in recommended course components.
4)
may include taking scheduled exams.
5)
completion of the audited course as “Satisfactory” by course instructor.
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Directions for Auditing a Nursing Course
1. Auditing a nursing course is different than auditing an academic course. Please read the following
carefully.
2. You must successfully audit the designated RNSG course(s) with a passing score on tests and
clinical performance. The score will not appear on your transcript, but will count towards your
full acceptance into the Program.
3. You must show proof of having student nurse malpractice insurance prior to the first day of the
audited clinical course. The National Student Nurses Association is one entity who offers
professional liability insurance.
4. You must be a current Blinn student to audit a nursing class.
5. To audit a nursing course, an Audit form must be picked up from the Program’s Administrative
Assistant and the appropriate signatures on the audit form obtained.
6. Once all signatures are obtained, you must take the Audit form to Enrollment Services and pay
the appropriate fees.
7. The Audit Form, payment receipt and proof of malpractice insurance must be presented to the
Director of the ADN Program before your attendance in class is approved.
8. A receipt of payment for malpractice insurance maybe presented until the actual policy is
obtained.
Incompletes
In the event extenuating circumstances (e.g. illness, pregnancy/delivery, military duty, accident,
death in family, etc.) interfere with an individual’s ability to complete a course in the assigned
semester, the option of an Incomplete (“I”) is available. At the point it is agreed upon by the
student, the Instructor, and/or the Director, an Incomplete is necessary, the student is given a
Course Completion Contract. On the academic side, by Blinn College policy, the student must
complete all course work within ninety (90) days after the beginning of the next long semester.
However, due to the consecutive nature of the ADN Program, a student may be contracted to
complete course work before the next course sequence in order to matriculate with their peer
group. If that is not possible, the student may take the full 90 days option and advance to the next
course sequence in the next semester offered. This would then constitute a “Withdrawal”
(although “temporary”) from the Program, and readmission would be on a SPACE
AVAILABILITY basis. See Withdrawal Policy in this Handbook.
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Dismissal
A student may be dismissed from the Program for any of the following reasons:
1.
2.
3.
4.
5.
6.
7.
8.
Failure to achieve a grade of “C” in any nursing course.
Failure to achieve a grade of “C” in any required academic course, which must
be completed in sequence or as prerequisite to a nursing course or courses.
Failure of clinical evaluation during any nursing course.
Inability to meet course requirements due to excessive absences.
Inability to meet specifically identified course requirements/competencies
deemed by the teaching team as critical for successful completion of the course.
Unprofessional appearance or unsafe conduct in the clinical area, including but
not limited to unsafe clinical practice (refer to “Criteria for Unsafe Clinical
Performance”).
Failure to comply with rules and regulations of the Program, Blinn College, or
any affiliating agency.
Failure to obtain the required score within the set number of attempts as stated in
the course syllabi on the Drug Calculations Test(s).
The final decision for dismissal will be made by the Program Director after consultation with the
faculty, student, Dean of Health Sciences, and the Vice President of Health Sciences.
Withdrawal
A student who wishes to “drop” a course or withdraw from the Program after registration must
meet with the ADN Program Director, notify the Registrar and the Office of the Dean of Student
Services, return all library books, equipment, and clear all accounts. An exit interview will be
conducted with the Program Director to assure proper advisement, documentation of student
records, and plans for readmission as appropriate. Please note deadlines for withdrawals with a
“Q” noted on the academic calendar (available on Blinn’s home page - printable academic
calendar is subject to change).
A student may be administratively withdrawn from a course for excessive absences. Refer to
Attendance Standards.
Slow-Track
A student might need to extend the educational program due to severe mitigating circumstances.
After consultation with the Program Director, the student may be put on a “slow-track” or
extended degree plan. This will constitute a special arrangement with the Director and faculty.
However, ALL nursing courses must be completed within a 5-year timeframe.
Readmission
Students may be readmitted to the ADN Program ONCE after withdrawal, “stop-out”, or failure
of a course. Students who have been dismissed for unsafe clinical practice are NOT eligible for
readmission. Readmission is based on SPACE AVAILABILITY and on the student’s
compliance with conditions/requirements established by the Director and the Admissions
50
Committee. Requests for readmission are reviewed by the Admissions Committee. Students
applying for readmission must:
⊗
Apply, in writing to the Director/Admissions Committee, at least 14 days prior to
the semester in which readmission is desired. Include the following information:
*
Semester and course(s) for which readmission is sought.
*
Date of withdrawal from the Program.
*
Primary reason(s) for withdrawal from the Program.
*
Understanding of the requirements for readmission at the time of
withdrawal.
*
Ways in which recommendations at the time of withdrawal have been
completed.
*
What has been done to improve chances for successful completion.
⊗
Complete all courses in the ADN program curriculum within five (5) years from
the date the student registered in the first course identified with a RNSG prefix.
⊗ Demonstrate evidence of follow-through and compliance with stipulations stated in
the readmission letter. Examples of stipulations may include audit or remediation in
academic course work, audit or repeat of nursing course(s) previously taken, or
documentation of recovery from illness. Inability to meet the readmission stipulations
may be grounds for denial or permanent dismissal from the program.
LVN-Transition students who are not successful (failure or stop-out) in completing one or more
of the LVN-T sequence (RNSG 1327 and/or 1162) may only be reconsidered for readmission into
the Semester I courses. Unsuccessful completion of either of these courses implies key pieces of
information are missing and should be reviewed in the Semester I courses. The student could then
compete for a spot in the next admission cycle.
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Behavior Expected in the Clinical Area
1.
No smoking except during assigned break in designated locations outdoors. All public buildings
in Bryan/College Station are designated “smoke free” facilities.
2.
No gum chewing, tobacco chewing, or snuff dipping in clinical areas.
3.
Breaks are limited to 15 minutes (inform instructor, student team leader when appropriate, and/or
assigned staff nurse before leaving and when returning to unit).
4.
If given a lunch break during a clinical experience, the student is NOT to leave the clinical
agency, but must eat somewhere on the premises (cafeteria, break room, café, etc.). The student
may NOT leave and return to go buy something to eat.
5.
The use of cellular phones for personal use is NOT allowed in the classroom or clinical areas.
These are to be turned OFF during class and/or clinical. Handheld devices or smart phones are
allowed & encouraged due to quick access to healthcare information. However, the phone portion
of any Smartphone must be turned off (i.e., put in “airplane mode”).
6.
In case of an emergency, the member of a family should call the Administrative Assistant in the
ADN office, who will in turn call the Instructor, who will then notify the student.
7.
A student is expected to perform only those procedures in which he/she has been checked off in
the skills laboratory. Any invasive procedure, even if checked off in the Skills Laboratory, must
be supervised by the Clinical Instructor or his/her designee (e.g. Staff Nurse). It is the Clinical
Instructor’s prerogative as to which procedures the student may perform alone, depending on the
course, the student’s performance previously, and the student’s apparent comfort/knowledge level
with the skill.
8.
Students are NOT permitted to take either a doctor's telephone or verbal order. The doctor should
be informed of that fact and a qualified person located to accept the order.
9.
Students are NOT permitted to give information about the patient's condition on the telephone.
Students shall maintain patient confidentiality at all times. Client records, or portions thereof,
may NOT be photocopied. Client information is to be shared only with appropriate health team
members. Clients' names and identifying information are not used on school paperwork.
REMEMBER: HIPAA rules, regulations, & potential penalties for violation of them!!
10.
Students may NOT witness permits—see Witnessing Procedure in this Handbook.
11.
Students are expected to have current immunizations, CPR certification, current TB test,
and liability insurance PRIOR to clinical.
12.
Violators will be counseled for a lack of professionalism and/or removed from clinical; excessive
violation of the above rules will be subject to further disciplinary action.
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Dress Code
The following dress code is required of all Blinn College ADN students in the clinical setting, during
simulation experiences, and at the request of the faculty. Students may be sent home if found to not be
in compliance with the Dress Code. If a student is sent home for Dress Code violations, this will result in
the inability to meet clinical requirements for that day. It will also be reflected in the clinical evaluation
tool.
1. Uniforms must be navy blue pants and a white top. Specifically, students must purchase the
following brand and style(s).
Brand – Landau.
Women:
Top SKU # 8219-WWP (4 pocket top)
Bottom SKU # 8320 – BNP
Jacket SKU #7525 – WWP (Note: this is optional)
Men:
Top SKU # 7489-WWY (5 pocket top)
Bottom SKU # 8550 – BNP
Jacket SKU #7551 – WWVC (Note: this is optional)
The uniform must remain clean, neat, well fitting, and without tears. Uniform should be properly pressed
and hemmed. If female students wish to wear a skirt, it must be navy blue and be at least knee length. No
jumpsuits, tapered knit pants, leggings, or T-shirts (as a top) are allowed. If you choose to wear a T-shirt
underneath the scrub top, it must be white without pictures, logos, or any writing visible through the
uniform top. With some scrub tops with large neck openings, T-shirts or undershirts are encouraged for
modesty. The T-shirt may be either short or long sleeved. NO low-rise pants are allowed—tops and pants
must meet when the student bends or reaches.
2. Blinn College ADN arm patches must be permanently affixed to the left upper sleeve of
uniform and lab coat, two inches below the shoulder seam—NO Velcro, tape, staples, safety pins,
etc.
3. Short white lab coat may be worn over uniform and must be worn over street clothes when the
student is in a clinical area. No sweat-suits, shorts, spaghetti straps, strapless tops, halter tops,
or denim are to be worn when picking up clinical assignments.
4. No sweaters or fleece jackets are to be worn as uniform tops. Washable white cardigans may be
worn with uniform, with the ADN patch affixed to the left upper sleeve, as above.
5. A picture student nametag must be worn any time a student is in the clinical area—either in
hospital, clinic, other community site or during simulation experiences. It is a professional
requirement (and law) that students and nurses identify themselves as such when working with
clients.
6. A watch with capability of measuring seconds, a pen that writes black ink, bandage scissors,
and stethoscope are also required parts of the uniform in the clinical area, unless otherwise
specified.
7. White socks may be worn with uniform slacks. If desired, students will wear white hose, without
design or runs (support hose recommended). No anklets or socks may be worn with skirt
uniforms.
53
8. Neutral color underclothes are to be worn with uniforms. There should be no patterns, colors, or
designs showing through the uniform.
9. Uniform shoes must be mostly white (white athletic shoes), with closed toes and heels,
soft-soled, clean, polished, and with clean white shoelaces. Neon colors on the soles or pastels on
the shoe uppers will not be approved. Any clogs worn must be nursing uniform clogs—with
closed toes and a lip on the back to prevent slipping out of the shoe easily. If the student has
questions as to the appropriateness of the shoe, double check with the clinical instructor.
10. Uniforms may be worn to class if scheduled class time is before or after clinicals.
11. In some laboratory settings, uniforms will be required to be worn, as some labs simulate the
clinical experience.
12. Appropriate, modest street clothing (NO denim, blue jeans, shorts, T-shirts, spaghetti straps,
strapless tops, halter tops, or sweat suits) will be worn for specified clinical experiences. Shoes
must be leather, closed toes and heels (no sandals), clean, and polished. Skirts and dresses must
be of at least knee length. No tapered knit pants or leggings are allowed. No clothing that is
revealing in nature will be allowed.
13. Make-up may be used in moderation. No false eyelashes are allowed. No perfume or
aftershave is allowed, due to potential client allergies.
14. Hair must be neat, clean, and up off the collar or secured in a ponytail (i.e., hair must be
contained). No hair ornaments are authorized. Hair bands/headbands must be narrow and either
white, navy blue, or black in color. Students who must wear a hair covering for religious reasons
may wear a white, navy blue or black one; long styles must be tucked into the uniform top. Male
beards and mustaches must be kept trimmed and clean.
15. Nails must be clean, neat, and not excessively long (finger-tip length only). If one can see the nail
above the finger (when the hands are viewed up), then the nails are too long. Because of the
chance of infection transmission, acrylic nails/tips and nail polish are not allowed.
16. Students may wear wedding ring(s), simple necklace inside uniform, and stud-type earrings that
are ¼ inch or smaller in size. No more than two (2) pairs of stud-type earrings on the lower lobes
are acceptable. No other jewelry is allowed.
17. Ear piercing is the only body piercing that is allowed in the clinical area. If one has other obvious
piercings (e.g. eyebrow, lip, nose, tongue, etc.), the ring, bar, or other ornament must be removed
or the area covered with a clean bandage.
18. Visible tattoos must be covered with clothing or a clean bandage.
54
Students Witnessing Legal Documents
From time to time, students may be asked to witness legal documents in the clinical area, e.g. surgical
consents, consent for invasive procedures, birth records, consent for circumcision, vaccines, etc.. Many
legal issues are involved in witnessing such forms.
1) As a general rule, students are NOT allowed to witness consents.
2) Students are NOT allowed to witness consents for invasive diagnostic procedures.
3) If a student is witness to a birth and does some of the documentation on the client’s record, it must also
have the attending nurse’s or paramedic’s signature as the primary caregiver.
4) Students may NOT pick up or sign out for blood or blood products.
5) A student’s signature may NOT be the sole signature on discharge forms; a staff member must check
the student’s documentation and sign.
6) Students may NOT sign discharge against medical advice (AMA) forms.
55
Requirements for Medication Administration
Medication administration is a basic competency of a Registered Nurse (RN). The policy of the Blinn
ADN Program is that every student must complete didactic lecture material on pharmacotherapeutics,
master medication administration skills in the clinical laboratory, and master drug calculations. The
following requirements must be fulfilled:
1. Students must attend lectures on pharmacotherapeutics in RNSG 1301 and RNSG 1513.
2. Successful completion of the Dosage Calculation Test as stated in each course’s syllabus.
3. Mastery of medication administration skills will be confirmed by observations of laboratory
performance. Skills performance success may determine the student’s ability to administer
medications in a clinical setting and/or matriculate in the ADN Program.
4. Medications given in the clinical setting are administered with supervision of the Clinical
Instructors/Preceptors and validation with staff nurses.
5. Students must demonstrate the “6 Rights of Medication Administration”. These are: Right
Patient, Drug, Dosage, Route, Time, and Documentation.
6. Prior to administering medications in clinical settings, the student must demonstrate
familiarity with the drug(s) properties, actions, usual route(s) and dose(s), expected
outcomes, and side effects. Drug cards may or may not be required; see individual course syllabi
or check with the Clinical Instructor for details. Clinical Instructors and/or staff nurses may
question the student on these elements of medication administration to assure the student is safe
to administer the medication(s) in question.
7. In specific clinical facilities, special policies regarding medication administration by students
override the Blinn College ADN Program policies and these guidelines.
8. In administering narcotics or controlled substances, the Instructor/Preceptor and student will
follow the guidelines of the clinical facility. In no circumstance, are the students to carry
narcotic keys or be involved in the count of narcotics. Students may observe while the count is
being made/documented.
9. In specialty areas (ICU, CCU, ED, OR, PACU, L&D, etc.), the student will NOT be responsible
for titrating IV medications to regulate blood pressure, cardiac arrhythmias, or labor. The student
may assess the client during these periods of medication titration, and observe the procedure.
10. In nursery and other pediatric areas, the Instructor/Preceptor shall supervise any/all medication
administration, and double check students’ calculations of dosage.
11. NO IV chemotherapeutic agents will be given by the student.
56
12. NO blood products may be administered by the student. The student may monitor the client
during the blood product administration process, and observe the entire process by the
nurse administering the blood product. The student may NOT pick up the blood from the
Blood Bank or Laboratory, NOR check the blood as one of the two designated persons.
13. ALL computed dosages must be checked by the Instructor/Staff Nurse/Preceptor.
14. Specific medications guidelines:
a. Instructor/Preceptor shall monitor the preparation and administration of anticoagulant
medications, digitalis preparations, intramuscular/intravenous antihypertensives, antiarrhythmics,
as well as any other drugs that rapidly alter the client’s hemodynamic state.
b. Digitalis—The student must verify a regular apical pulse rate greater than 60 beats/minute
prior to administration to adults. Refer to institutional procedure/ policy for apical rate in
pediatric clients.
c. Insulin injections must be verified with the Instructor/Preceptor or another RN prior to
administration.
15. The student who does not comply with these requirements may be sent home with an
unsatisfactory clinical day, failure of a course, and/or recommendation for dismissal from
the Program, as they may constitute unsafe clinical performance. (See Criteria for Unsafe
Clinical Performance)
57
Dosage Calculation Exam Policy
1.
2.
3.
4.
Dimensional analysis is the only method taught throughout the Program.
There will be 20 questions for each exam for progression.
The following table outlines the courses, the number of attempts, and the minimum passing score.
Students not achieving the minimum score within the allotted number of attempts will not be
allowed to continue in the courses listed for that semester. The student will need to drop the
course listed and reapply for admission to the Program.
5. For Semester 1 students, the student not meeting the requirements as stated in the syllabus will
fail the course.
Semester
Course
Semester
1
RNSG 1513
Semester
2
RNSG 1341/1260
RNSG 1144
RNSG 2213/2160
RNSG 2121
RNSG 1327/1162
RNSG 1343/2261
RNSG 1412/2161
RNSG 2231/2263
RNSG 2363
LVN – T
Semester 3
Semester 4
# of
Attempts
Minimum
passing score
Minimum
score as stated
in the course
syllabus.
Date of Exam
Administration
Exam Schedule as
listed in the course
syllabus
2
90%
First Week of Class
2
4
90%
100%
First Week of Class
First Week of Class
4
4
100%
100%
First Week of Class
Administered
during
preceptorship
58
Special notes
Number of tests
to be
determined by
faculty and
stated in course
syllabus.
One exam will
be administered
with 10 adult
health items and
10 pediatric/OB
items
Dosage Calculation Rounding Rules for Each Exam
1. Be as precise as possible/practical in the calculation process. If calculating using multiple
formulas (i.e., ratio::proportional), round to the nearest hundredth (2 decimal places) with each
step. For example, if converting pounds to kilograms, keep at least 2 decimals until you reach
your solution.
If calculating using dimensional analysis, do not clear your calculator when multiplying or
dividing until you reach your solution.
2. Round at the end of the calculation process. If the final answer is:
a.
Greater than 1mL, round to the tenth decimal place.
Ex: 2.44 = 2.4
2.45 = 2.5
2.49 = 2.5
b.
Less than 1mL, round to the hundredths place.
Ex: 0.082 = 0.08
0.084 = 0.08
0.085 = 0.09
c. Zeroes “always Lead, never Trail”. (Ex: “0.5”, is correct, NOT “.5” and 1 is correct,
NOT”1.0” for medication purposes.)
3. Calculating Intravenous infusion rates:
a. For an infusion pump, (calculated to milliliters per hour, mL/hr), round to the nearest
tenth if necessary.
Ex: preliminary answer = 32.83 mL/hr, then show answer as 32.8mL/hr.
b. For gravity drip (calculated in drops per minute, gtt/min), use the above rounding rules,
and then round to the correct whole number. The human eye cannot calculate a fraction
of a whole drop.
Ex: If your preliminary answer is 20.2, show 20 gtt/min.
If your preliminary answer is 20.45, show 20 gtt/min
If your preliminary answer is 20.5, show 21 gtt/min.
59
Procedure for Clinical Make-up Days
1. General--As a general rule, clinical make-up days are not necessary and not allowed.
Therefore, scheduling “extra” days for make-up days at the end of the semester is not necessary.
2. Specific Courses--However, in specific courses (e.g. Childbearing/Childrearing and
Preceptorship) with a limited number or specified hours required of clinical experiences, the
Clinical Instructor and the Teaching Team may decide a student needs to make-up one or more
day(s) and/or experience(s). It is the teaching team’s decision.
3. Clinical Written Work Competencies--If a student has not met the clinical paperwork
competencies due to absences, the Clinical Instructor and the Teaching Team may decide to
rearrange the student’s schedule to eliminate “off-site” or adjunctive observational experiences to
bring the student back to a particular unit for experience. This is completely at the discretion of
the Teaching Team.
4. Drop or Incomplete--If a student has a number of absences, the Teaching Team may decide, in
lieu of schedule change, to recommend the student drop or take an Incomplete in the course(s)
until such time as the student can return and complete course requirements. This is decided after
conference with the Program Director.
5. Excused Absences--Per the Blinn College Attendance Policy, “excused absences” are religious
holy-days, days in which the student is representing Blinn College, and others at the discretion of
the individual faculty member. The ADN Program honors personal illness, death of a family
member, family crisis, and other mitigating crisis situations as “excused absences.”
6. Unexcused Absences—“Unexcused absences” are those in which there was a “no call- no show”,
car trouble, or on the day of/before an exam—and may negatively affect the student’s grade. Two
weeks’ of unexcused absences will result in administrative withdrawal for excessive absences.
7. Classroom/Laboratory/Clinical Days—In some courses, the schedule may include a class and a
lab or clinical on the same day. These are counted as two (2) separate absences. Make-up of lab
days/experiences is at the discretion of the course teaching team.
60
Blinn College Health Sciences Clinical Simulation Labs (BCSCL)
Standard Policies and Procedures
(From Simulation Policy & Procedure)
Environment and Professionalism
Food and Drinks are NOT permitted in the BCSCL Center except in designated areas. This policy is
reflective of the Occupational Safety and Health Administration guidelines and should be strictly
enforced by faculty because of safety and the need to preserve laboratory equipment and resources.
Faculty, teaching assistants, and students using BCSCL classrooms will be responsible for leaving labs
clean and in order prior to departing. Whenever possible, sit on chairs, rather than beds. If beds are used,
please remove and fold bedspreads first and replace soiled linens as needed.
Sharps should be placed in the red sharps containers near the bed or medication cart. Do not remove
needles from the syringes. Do not cut, bend or recap needles. To avoid injury, please do not try to
overstuff sharps container. Notify the lab faculty when the container is full.
Civility Statement:
Members of the Blinn College community, which includes faculty, staff, and students, are expected to act
honestly and responsibly in all aspects of campus life. Blinn College holds all members accountable for
their actions and words. Therefore, all members should commit themselves to behave in a manner that
recognizes personal respect and demonstrates concern for the personal dignity, rights, and freedoms of
every member of the College community, including respect for College property and the physical and
intellectual property of others. Students who display behaviors reflecting incivility can be dismissed from
the BCSCL area and must make an appointment with their instructor before returning.
Reminder: students may be dismissed from their respective Program as a result of conduct that is unsafe,
unethical, inappropriate or unprofessional; this includes conduct in the skills and simulation laboratory.
Please refer to the Student Handbook under the section on Conduct.
Confidentiality
All simulation scenarios practice sessions involving students and/or recordings are considered
confidential. All mannequin accessibility should be treated as a real patient (including inappropriate
viewing). Discussion of scenarios or information is considered a violation of Allied Health privacy policy.
All students will need to sign a confidentiality agreement and take the City-wide clinical orientation
(Alpha/Beta/Gamma) course and print out successful completion for your student files. Students are
expected to uphold all requirements of the Health Insurance Portability and Accountability Act (HIPAA)
and any other federal or state laws requiring confidentiality. Students agree to report any violations to the
faculty or instructor.
Dress Code
Students coming to the skill lab for extra practice may wear street clothes (please refer to program
handbook for professional attire, i.e. nails, hair, etc.). No heels – closed-toe shoes must be worn if
working with sharps. Students performing mandatory clinical skills in the laboratory are expected to
come prepared with uniform, stethoscope, watch, pencil and paper and other equipment per instructor and
program requirements.
Equipment Use
All students must sign in when practicing in the lab in the attendance books located in the individual labs.
Students will not be alone when working in the lab areas. A variety of task trainers and models are
available for student’s use. Please wash hands and wear gloves when working with all mannequins.
Students must have an educator present in order to use this equipment. The models and task trainers are
very expensive. Failure to comply with these policies will result in denied access to the lab.
61
Leave the BCSCL as a student would in clinical – safe, neat and ready to use for the next person. Beds
should be remade and left in the lowest position. Curtains should be folded back and bed tables are to be
placed near the foot of the bed with garbage pail in place. Any basins, bedpans, urinals are to be washed,
dried and put away in bedside tables. Be sure to turn off the lights and lock the door when leaving.
Students and faculty are responsible for any broken, missing or used equipment. If any equipment is
broken or supplies need to be restocked, please fill out a lab incident report. All sharps must be disposed
of in a sharps container.
Mannequins in the BCSCL are kept in the bed or are on the chairs or stored on appropriate carts. Do not
move these mannequins unless it is part of the skill assignment (i.e. lifting, moving, etc.).
When cleaning up after using the lab, please make sure that mannequins are returned to the bed, beds are
made, and all supplies are replaced and put away. Please leave the beds in the lowest position. If for some
reason the linens are soiled, please put in the appropriate laundry hamper. The BCSCL does not have a
laundry service. The BCSCL Faculty and staff maintain the laundry onsite. If the linens are clean, please
refold them and put them back on the linen shelf or remake beds appropriately when training, tasks or
skills and simulations are complete. Over the bed tables should be placed at the foot of the bed with the
garbage can. If anything is spilled on the laminate flooring, please wipe up immediately or notify BCSCL
Faculty or Staff.
Important points to remember:
1. Treat the mannequin with respect. Treat the scenario as a real patient interaction. Follow quality
of life, confidentiality and infection control standards.
2. This is a team learning experience in a safe, non-threatening environment. Actively participate in
the simulation/laboratory experience and provide support and encouragement for those around
you. The student running the scenario should have everyone’s respect and attention. Situations
simulated in the lab are to be used as a learning tool and not to be used for humiliation of fellow
students.
3. Students are to wash their hands prior to using the mannequin. Gloves will be used when working
with the mannequin.
4. No mouth-to mouth respirations.
5. No felt tipped markers, ink pens, acetone, iodine, or other staining medications; no newsprint or
inked lines of any kind will be placed on or near the mannequin.
6. No food or drink is allowed around the mannequin.
7. No personal use of cell phones.
8. Students coming to the skill lab for extra practice may wear street clothes. No heels – closed-toe
shoes must be worn if working with sharps. Students performing mandatory clinical skills in
the laboratory are expected to come prepared with uniform, stethoscope, watch, pencil and paper
and other equipment per instructor and program requirements.
9. After practicing skills, straighten unit/area so it is ready for the next student:
o
o
o
o
o
o
Chairs should be replaced under the tables when leaving the area.
Pick up any waste materials observed on the floor and place in trash containers.
Wipe up all spills on floors.
Keep beds in low position with linens straightened before leaving and side rails in upright
position.
Replace manikins neatly in the bed.
Turn off all over bed lights, suction and simulated oxygen.
62
Interactive Video Conferencing
Interactive Video Class Official Notice
It is understood that by participating in an Interactive Video Class (IVC) your voice, physical presence,
and participation in the classroom activities can and will be transmitted to other distance education sites.
You also agree that your voice, presence, and participation in these activities is not a violation of our
personal rights and herby release any claims of the use of such for the duration of the course.
Further, you release and hold harmless Blinn College, its Board of Trustees, officers, administrators and
employees from any and all liability in connection with the participation of an interactive video course.
Videoconferencing Etiquette
Technology allows us to communicate without ever leaving campus. As we better utilize technology to
meet our communications needs, we should recognize that bridging the distance divide requires adapting
the way we plan and conduct meetings.
Below are tips to help us take advantage of videoconferencing technology to enhance communications
and administrative effectiveness.
Participants
•
•
•
•
•
•
•
•
•
•
Arrive early so video and audio can be set and everyone will be seen and heard.
Sit where you can be seen. The farther from the camera you are, the less identifiable you will be
to the remote site.
Listen carefully. The slight transmission delay can be disconcerting and result in participants at
separate locations talking over one another.
Speak toward the camera. Turning away from the camera serves to distance the other
conference sites even more.
Speak in a moderate tone and at a normal or slightly slower pace. Project and enunciate without
yelling.
Pause to allow for response time to your question or comment.
Avoid slang, jargon and acronyms that participants may not understand or hear clearly.
Stay focused. As with a face-to-face meeting, multi-tasking is discouraged.
Avoid sidebar conversations and extraneous noise that will be amplified and distracting.
Stay the entire time. If you must leave, inform the facilitator before the conference.
Facilitators
•
•
•
•
•
•
•
•
•
Schedule your conference through the Video Systems Coordinator at
http://www.blinn.edu/acadtech/index.html or the link from the Academic Technology webpage.
Rooms availability is first-come, first-served. Alert the coordinator of a cancellation so the
equipment, room and technician can be rescheduled.
Create a concise agenda allowing time for discussion.
Send materials to participants well in advance of the meeting. (Include this tip sheet.)
Arrive early to check the room setup and familiarize yourself with the equipment.
Greet each participant.
Have participants introduce themselves with name and title as the meeting begins.
Keep up the pace. The objective is to streamline communications and increase productivity.
End the meeting on time. The equipment and room may not be available beyond the reserved
time.
Follow the same rules as those for participants.
63
Test Taking Procedures, Conduct, & Etiquette
1. At the option of the Instructor(s), there may be the following rules/guidelines for test taking:
seating arrangements, leaving the room, and stopping an examination for violations of the test
taking policy.
2. Please sit where you will be most successful. If you are easily distracted in the Computer Lab,
pick a computer on a far wall and bring earplugs. You may need to get there early to get a
computer appropriate for your testing needs. For paper/pencil tests, you may need to choose your
seating in a similar fashion.
3. Exam Etiquette for the ADN Students of Blinn College should “mimic” test taking at Pearson
Vue (testing site for the NCLEX-RN). No personal belongings are to be brought into the testing
center (computer lab). These should be left at home, in your car, or in your locker.
Specific personal items not allowed are in the testing room (copied from the National
Council of State Boards of Nursing’s website):
•
•
•
•
•
•
•
Any educational, test preparation, or study materials
Cell/mobile/smart phones, tablets, cameras, pagers, jump drives, or any other
kind of electronic device
Bags/purses/wallets/watches
Coats/hats/scarves/gloves/sunglasses
Medical aids/devices
Food or drink, gum/candy
Lip balm
4. Remove large jewelry or other accessories before entering the testing room.
5. The only materials students may have at the table with them where they are taking an exam are
sharpened pencils. The Faculty will distribute scratch (blank) paper and pencil to be used during
the test, whether paper/pencil or computer-based.
6. No calculators allowed, unless furnished by the Instructor. For computer-based exams, the
Instructor will inform the group if the drop-down calculators may be utilized.
7. If using answer sheets/Scantrons they must be covered, turned over or folded. Same with scratch
paper.
8. A grade of zero will be recorded and averaged into the final grade if there is evidence of verbal or
nonverbal communications between students during an examination.
9. Information found on or in the vicinity of the student during a period of testing will be grounds
for termination of the testing procedure. A grade of zero will be recorded and averaged into the
final grade.
10. All students are to remain seated during a testing situation but should raise a hand if there is a
need to communicate with the Instructor. A student may fail the exam for walking around in the
classroom or Computer Lab during the test.
64
11. All paper/pencil tests must be handed in within the time limit. Online exams may close at the set
time limit and be automatically submitted.
12. Exam Confidentiality:
a. You may not reconstruct exam items using your memory of the exam or the memory of
others.
b. You may not disclose or discuss with anyone information about the items or answers seen
on your exam except directly with the course instructors (or the Retention Coordinator).
This includes posting or discussing questions on the internet and social media websites.
13. Violation of the testing policy will be construed as a violation of the Student Conduct Code, and
may be grounds for dismissal from the Program and/or disciplinary action by the College.
14. Students who do not call in absent or tardy appropriately for an exam will be given a grade of “0”
(zero). If a student is tardy for an exam, no extra time will be given for the exam.
15. Test grades will be provided to students by either the Course Coordinator or Clinical Instructor, at
the discretion of the teaching team.
16. Each student must maintain scholastic honesty at all times regardless of when an exam is given.
17. Use of Dictionary during Exams (Faculty write exams, using medical terminology and
vocabulary that are expected of students at this level): The student is allowed to raise his/her hand
during an exam if he/she does not know the meaning of a word. The word must not be a medical
term and must be one that is not in the required reading for the course. The Instructor will then
bring a dictionary to the student, observe as the word is located, and then return the dictionary to
its shelf. NO extra time will be allotted on the exam for such activity.
18. Students needing ADA accommodations, refer to the Blinn College Catalog for the appropriate
procedures to obtain accommodations.
65
Written Reprimands/Contracts
Any student who fails to comply with Program policies/procedures is subject to a written reprimand.
Less serious infractions may first receive a verbal warning that will be documented in the student’s
academic file. A more serious infraction may receive a written reprimand and/or written contract.
The following are examples warranting a written reprimand:









failure to comply with the American Nurses Association (ANA) Code of
Ethics for Nurses
failure to comply with the Essential Qualifications/Basic Competencies
failure to adhere to Program policies, procedures, and guidelines
failure to adhere to clinical agency’s policies and guidelines
failure to improve previously identified deficiencies or behaviors
negligence in regard to the patient’s safety and welfare
negligence in regard to the use and operation of equipment
failure or refusal to perform clinical responsibilities as instructed
unprofessional behavior
The Following Behaviors may warrant a more serious reprimand including probation or dismissal
from the program:












disruptive behavior
drinking alcohol or visible as a Blinn Student in an establishment
where alcohol is primarily sold, nightclubs, bars etc.
criminal activity (see “RAP Back” Procedure)
threatening or intimidating another individual
assault/sexual assault
unauthorized use of drugs, alcoholic beverages, weapons, or explosives
theft or falsification of records or information
disruptive activities
failure to comply with of confidentiality policies (patients records,
diagnosis, etc.)
sleeping at clinical site
leaving clinical site without permission
dishonesty
All written reprimands will remain active and in the students’ academic file for the entire time the
student is in the program. A maximum of five reprimands (verbal and/or written) may be received
in an academic year. Any subsequent verbal and/or written reprimands may be grounds for
dismissal.
All serious written reprimands are subject to review by the Program Director and Dean of Health
Sciences.
66
Depending on the severity of the offense, Blinn College will take the necessary disciplinary action against
a student for an offense with a minimal penalty ranging from probation to suspension, to a more serious
penalty of recommendation of dismissal from the ADN Program.
Student Rights and Responsibilities Policies
A student who wishes to dispute the processes regarding all policies should follow the procedures
outlined in the Student Rights and Responsibilities: Student Complaints guidelines and from the
“Student Complaints” webpage.
Student Complaint Policy
The intention of the student grievance and/or complaint procedures at Blinn College is to assure
every student of due process in the disposition of the grievance or complaint. While the procedure
does not guarantee a result totally satisfactory to the student, the College intends for the
procedure to provide sufficient options for resolution of the matter and to allow the student
reasonable opportunity to communicate his/her perspective. Click here for copy of the Student
Written Complaint Form.
Any student who has a problem with any facet of the Program has recourse through the procedure
outlined under Student Rights and Responsibilities - Student Complaints in the Board Policy
Manual (and at web page “Student Complaints”).
In the ADN Program, each course is coordinated by one faculty member. Per a “chain of
command”, students are encouraged to consult with the faculty member involved, then the Course
Coordinator, then the Program Director before proceeding with Level Two of the procedure
(meeting with the Dean of Health Sciences).
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Written Assignments
“Written” graded assignments are normally due one week after the clinical experience.
Unless instructed otherwise, submit written work as a Microsoft Office Word® compatible document
via the “drop-box” in “eCampus” to your course/clinical instructor by 0900 hours on the due date.
The formatting must be readable by the instructor. Ten percent will be deducted from the
assignment’s total score for each 24 hour time period the assignment is late. (i.e., the assignment
is due 1 week after the clinical experience @ 0900. It’s turned in at 0905. The assignment is “late”
and will have 10 points deducted from the graded score). If a student cannot submit electronically,
they must contact their clinical instructor to work out an agreeable alternative (if available).
Course/Clinical instructors may modify the “Due Date” for an assignment on an individual student
(case-by-case) basis. If done, the “Due Date” will be in writing and signed by both the instructor and
student.
Any assignment consisting of more than one document will not be considered turned in on time
unless all appropriate documents are turned in. Thus, points will be deducted accordingly until the
assignment is completed.
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Inclement Weather Procedure
(Blinn Administrative Policy Manual)
Inclement weather generally refers to cold and icy or other hazardous conditions severe enough to
make it impractical or dangerous to hold classes or require employees to report for duty. In the
event of severe inclement weather the procedure for the ADN Program will be as follows:
Student Responsibilities:
1. Each nursing student will make a reasonable decision regarding weather conditions
based on listening for announcements from BLINN COLLEGE ALERT SYSTEM,
radio/TV announcements, checking with Highway Patrol as to travel conditions, and
checking his/her own local conditions.
2. Based on the information received, students will notify the instructor and clinical agency
that they will not be in for clinical, or will be late in arriving.
3. A clinical absence due to inclement weather is classified as an excused absence. Students
should use reasonable judgment.
Internal & External Disasters
Internal Disasters
1.
Fire Drills--in the clinical area occur frequently, are mandated by The Joint Commission,
and can be a good learning experience for the Health Sciences student.
a.
Students are expected to participate in Fire Drills, following institutional policies
and guidelines.
b.
Students should observe the roles/functions of the Registered Nurse and other
Allied Health professionals during such procedures.
2.
Actual Fire
a.
The ADN Program's primary concern is the student's safety.
b.
Because students are not employees and are extra people on the units, students
may not be required to remain in the institution in an actual fire emergency.
c.
Whether or not the students remain in the clinical area is at the discretion of the
Clinical Instructor. The Clinical Instructor, in consultation with the Nurse
Manager and/or the Program Director, will make that determination and give the
students instructions.
d.
Should the Clinical Instructor decide for the students to remain on the unit, the
students will be given assignments to help the staff, in keeping with the
institutional policies for attending to clients' and visitors' safety.
e.
In the event of a fire on the students' own unit, the student is to follow directions
of the Clinical Instructor and/or health professional in charge, using the following
acronym:
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R---Rescue clients in immediate danger
A---Sound the Alarm
C---Confine the fire (close doors, etc.)
E---Extinguish or Evacuate
3.
Other Internal Disasters/Threats--e.g. Bomb Threat
a.
The ADN Program's primary concern is the student's safety.
b.
Because students are not employees and are extra people on the units in the case
of such a threat, students may not be required to remain in the institution.
c.
In the case of a bomb threat, students will leave the clinical area, after
collaboration with the Clinical Instructor and the health professional in charge,
leaving clients safe and having reported off to the nurse/allied health professional
responsible for the client.
d.
Students and Clinical Instructor will meet at the Health Science Center campus
immediately after leaving the clinical facility.
e.
The Clinical Instructor will be responsible for timely follow-up with the facility
for "all clear", and the students and Instructor will return after the "all clear" to
finish anything that needs to be finished with client care.
f.
In the situation of a Bomb Threat during the ADN student's Preceptorship the
student is to immediately notify the Clinical Instructor on call, and a
determination will be made as to whether or not the student is to remain on duty,
after collaboration with the health professional in charge of the student's
assignment.
External Disasters
1.
Disaster Drills--From time to time, students may have the opportunity to participate in an
institutional or community-wide Disaster Drill. These are excellent opportunities to
observe the roles/functions of healthcare professionals and see the Triage system firsthand.
a.
Students are expected to participate in the institutional Disaster Drill, following
institutional policies and guidelines. In the case of the community-wide Disaster
Drill, students may be called on to be "injured clients", in which case students are
encouraged to participate.
b.
Students should observe the roles/functions of the Registered Nurse and other
healthcare professionals during such procedures.
2.
Actual Institutional Disaster Call
a.
The ADN Program's primary concern is the student's safety.
b.
Whether or not the students remain in the clinical area is at the discretion of the
Clinical Instructor. The Clinical Instructor will make that determination and give
the students instructions. The Program Director shall be informed as soon as
possible.
c.
Should the Clinical Instructor decide for the students to remain on the unit, the
students will be given assignments to help the staff, in keeping with the
institutions' policies for attending to clients' and visitors' safety.
3.
Weather-related Disasters--such as a tornado, ice storm, flood, or hurricane
a.
The student is to follow the "Inclement Weather Policy" in determining whether
or not to attend clinical or class.
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b.
c.
The ADN Program's primary concern is the student's safety.
Faculty and the Program Director will make appropriate provisions for students'
safety and taking cover when necessary in the Allied Health building. Likewise,
the Clinical Instructor and institutional staff will take similar appropriate
precautions in the clinical area, keeping in mind the safety of clients, visitors, and
students/staff.
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EVALUATION
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Assessment Technologies Institute (ATI)
The Assessment Technologies Institute (ATI) is an online, comprehensive, testing and review program,
designed to provide students with various learning tools that will assist them in learning course content,
identifying strengths and weaknesses, reviewing content, improving test taking abilities, and ultimately
successfully passing the NCLEX-RN for professional licensure.
All nursing students are required to participate in the designated assessment and review program. In
addition to helping students prepare more efficiently for the licensure exam, the assessment evaluates
knowledge in relation to the nursing process, critical thinking, therapeutic intervention, communication
and competency skills. The assessments are written from the NCLEX-RN blueprint and are at the
application level. Students will be involved in taking both non-proctored and proctored computer exams
on content throughout the nursing program. The majority of the testing is administered in a computerized
format.
These exams are integrated within each of the nursing courses, and are further addressed by the faculty in
each of the nursing courses. The student should refer to each course syllabus and/or course
information packet to find the name of the exam(s) to be administered, the percentage of the course
grade the ATI exam(s) is/are worth, the date the exam(s) is to be completed by and the required, if
any, remediation.
Each student will receive Review Modules/Content Mastery Series booklets. The Review Modules are
soft-covered booklets which are unit-based, teaching guides covering nursing topics via concise
summaries and key concepts in the format of: critical thinking exercises using a case study approach,
open-ended questions with rationales for clinical decisions, and clinical application scenarios. This
information is also available online.
Student feedback about each of the exam results is provided to the students as part of the overall program.
This feedback is in the form of a detailed assessment of their individual performance on the designated
test and provides scores for mastery of nursing content areas, nursing process, critical thinking phases,
therapeutic intervention, communication skills and cognitive levels.
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Nursing Course Requirements
Courses in an Associate Degree Nursing (ADN) Program must be taken sequentially. In order to
proceed to the next nursing course or next semester of nursing courses, the student must maintain
at least a 2.0 ("C") grade point average (GPA) and earn a “C” in each nursing course, as well as in
all academic courses. A cumulative GPA of at least a 2.0 is the minimum average required for
graduation. The grading scale for all nursing (RNSG prefixes) courses differ from the Blinn
College standard. The ADN Program uses the following scale, unless notified differently in the
appropriate course syllabus (e.g. specific course exit competencies that must be achieved):
A = 90 - 100%
B = 80 - 89%
C = 75 - 79%
D = 60 - 74%
F = below 60%
Because theory and clinical reinforce each other and one component is necessary for learning in
the other component, both the theory and clinical components of a course pair (e.g. Adult Health I
theory and clinical courses, Mental Health Nursing theory and clinical courses) must be
successfully completed in order to progress to the next nursing course or next semester's courses.
If either the theory or clinical course is not passed, both must be repeated (the course passed will
be audited), unless permission from the Program Director is achieved. Specific grading
requirements and performance competencies for individual nursing courses are stated in each
course syllabus. A “passing grade” in the Blinn College ADN Program is 75%, or "C", or better,
unless otherwise stated (such as specific assignments/skills that must be passed with at least a
75% or other course requirements that must be met in order to pass). An average of 74.5 - 74.9
will be rounded up to a 75%.
All nursing theory courses require students to have at least a 75% weighted exam average in order
to pass the course. This means all other graded work in a course is not calculated (for the final
overall course grade) unless the weighted exam average is at least 75% or better. A weighted
exam average of 74.5 – 74.9 will be rounded up to a 75%.
Exam Review Process
Students making 75% or less on a unit exam must make an appointment with the Health Sciences
Retention Specialist or faculty member assigned to that semester to review testing strategies and
view their exam. Students wishing to see their exam that scored above 75% should make an
appointment with the Instructor of the course. It is up to the discretion of the Instructor whether
there is ample time and/or a need for the student to review the exam. Students cannot review unit
exams with the Retention Specialist or an Instructor one week before the Final Exam. Each exam
should be reviewed prior to the completion of the next exam. Exams must be reviewed as soon as
possible after the grades for the exam have been posted. Reviewing all unit exams preceding the
Final Exam is not allowed.
Dosage Calculation Exams are administered throughout the Program. See Dosage Calculation
Exam Protocol.
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Clinical Evaluation
Each RNSG clinical course will be evaluated as stated in the respective course syllabus. Students will be
given the clinical grading requirements during clinical orientation.
Clinical evaluation is based from the Differentiated Essential Competencies of Graduates of Texas
Nursing Programs Evidenced by Knowledge, Clinical Judgments, and Behaviors (DECs); see below.
A passing clinical grade is determined by achievement of the defined level of competency for that course
and a final course grade of 75% or greater.
A final course grade of less than 75% and/or failure of specific assignments that must be passed,
constitute a course failure and inability to matriculate to the next sequence of courses.
The clinical instructor will complete a clinical evaluation form each week and confer with the student
regarding clinical performance. The student will be given a place for written comments.
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Differentiated Essential Competencies (DEC)
Clinical Judgments and Behaviors
All levels of pre-licensure nursing education prepare graduates to demonstrate the Differentiated Essential
Competencies of Graduates of Texas Nursing Programs Evidenced by Knowledge, Clinical Judgments,
and Behaviors (DECs). The competencies for each education level are based upon the preparation in the
program of study.
The primary role of the entry level graduate of an ADN program is to provide direct nursing care to or
coordinate care for a limited number of patients in various health care settings. Such patients may have
complex multiple needs with predictable or unpredictable outcomes.
The entry level competencies of the ADN graduate are listed below:
I. Member of the Profession
As a member of the profession of nursing, the associate degree nurse exhibits behaviors that reflect
commitment to the growth and development of the role and function of nursing consistent with state and
national regulations and with ethical and professional standards; aspires to improve the discipline of
nursing and its contribution to society; and values self-assessment and the need for lifelong learning.
A. Function within the nurse’s 1. Function within the scope of practice of the registered nurse.
legal scope of practice and in
2. Use a systematic approach to provide individualized, goal-directed
accordance with the policies
nursing care to meet health care needs of patients and their families.
and procedures of the
employing health care
3. a. Practice according to facility policies and procedures and
institution or practice setting.
participate in the development of facility policies and procedures.
b. Question orders, policies, and procedures that may not be in the
patient’s best interest.
B. Assume responsibility and
accountability for the quality
of nursing care provided to
patients and their families.
1. Pass the Nursing Jurisprudence Examination before licensure.
2. a. Provide nursing care within the parameters of professional
nursing knowledge, scope of practice, education, experience, and
ethical/ legal standards of care.
b. Evaluate care administered by the interdisciplinary health care
team.
c. Advocate for standards of practice through professional
memberships.
3. a. Practice nursing in a caring, nonjudgmental, nondiscriminatory
manner.
b. Provide culturally sensitive health care to patients and their
families.
c. Provide holistic care that addresses the needs of diverse individuals
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across the lifespan.
4. a. Use performance and self-evaluation processes to improve
individual nursing practice and professional growth.
b. Evaluate the learning needs of self, peers, and others and intervene
to assure quality of care.
c. Apply management skills in collaboration with the interdisciplinary
health care team to implement quality patient care.
5. a. Assume accountability for individual nursing practice.
b. Promote accountability for quality nursing practice through
participation on policy and procedure committees.
c. Implement established evidence-based clinical practice guidelines.
6. a. Follow established policies and procedures.
b. Question orders, policies, and procedures that may not be in the
patient’s best interest.
c. Use nursing judgment to anticipate and prevent patient harm,
including invoking Safe Harbor.
7. Use communication techniques and management skills to maintain
professional boundaries between patients and individual health care
team members.
8. Comply with professional appearance requirements according to
organizational standards and policies.
9. Collaborate with interdisciplinary team on basic principles of
quality improvement and outcome measurement.
C. Participate in activities that
promote the development and
practice of professional
nursing.
1. Analyze the historical evolution of professional nursing and the
application to current issues and trends.
2. Promote collegiality among interdisciplinary health care team
members.
3. a. Participate in activities individually or in groups through
organizations that promote a positive image of the profession of
nursing.
b. Collaborate with nursing colleagues and health care organizations
to promote the profession of nursing.
c. Articulate the values and roles of nursing to the public.
4. Recognize roles of professional nursing organizations, regulatory
agencies, and organizational committees.
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5. Practice within the professional nursing role and Scope of Practice.
6. a. Serve as a positive role model for students, peers, and members
of the interdisciplinary health care team.
b. Participate in activities that promote consumer awareness of
nursing’s contribution to society.
D. Demonstrate responsibility
for continued competence in
nursing practice, and develop
insight through reflection, selfanalysis, self-care, and lifelong
learning.
1. Participate in educational activities to maintain/improve
competence, knowledge, and skills.
*2. Participate in nursing continuing competency activities to
maintain licensure.
3. Use self-evaluation, reflection, peer evaluation, and feedback to
modify and improve practice.
4. Demonstrate accountability to reassess and establish new
competency when changing practice areas.
5. Demonstrate commitment to the value of lifelong learning.
II. Provider of Patient-Centered Care
The associate degree nurse accepts responsibility for the quality of nursing care and provides safe,
compassionate nursing care using a systematic process of assessment, analysis, planning, intervention,
and evaluation that focuses on the needs and preferences of patients and their families. The nurse
incorporates professional values and ethical principles into nursing practice. The patients for ADN
educated RNs include individual patients and their families.
A. Use clinical reasoning and
knowledge based on the
diploma or associate degree
nursing program of study and
evidence-based practice
outcomes as a basis for
decision making in nursing
practice.
1. Use clinical reasoning and nursing science as a basis for decision
making in nursing practice.
2. a. Organize care based upon problem-solving and identified
priorities.
b. Proactively manage priorities in patient care and follow-up on
clinical problems that warrant investigation with consideration of
anticipated risks.
3. Use knowledge of societal and health trends and evidence-based
outcomes to identify and communicate patient physical and mental
health care problems.
4. Apply relevant, current nursing practice journal articles and
evidence-based outcomes from research findings to practice and
clinical decisions.
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B. Determine the physical and
mental health status, needs,
and references of culturally,
ethnically, and socially diverse
patients and their families
based upon interpretation of
comprehensive health
assessment findings compared
with evidence-based health
data derived from the diploma
or associate degree
nursing program of study.
1. Use structured and unstructured data collection tools to obtain
patient and family history in areas of physical, psychiatric/ mental
health, spiritual, cultural, familial, occupational, and environmental
information, risk factors, and patient resources.
2. Perform comprehensive assessment to identify health needs and
monitor changes in health status of patients and families.
3. a. Validate, report, and document comprehensive assessment data
for patients and families, including physical and mental health status
and needs for patients and their families.
b. Evaluate the use of safe complementary health care practices.
4. Identify complex multiple health needs of patients, with
consideration of signs and symptoms of decompensation of patients
and families.
5. Use clinical reasoning to identify patient needs based upon analysis
of health data and evidence-based practice outcomes and
communicate observations.
6. Perform health screening and identify anticipated physical and
mental health risks related to lifestyle and activities for prevention.
7. Interpret and analyze health data for underlying pathophysiological
changes in the patient's status.
8. Incorporate multiple determinants of health when providing
nursing care for patients and families.
9. Recognize that political, economic, and societal forces affect the
health of patients and their families.
C. Analyze assessment data to
identify problems, formulate
goals/ outcomes, and develop
plans of care for patients and
their families using
information from evidencebased practice in collaboration
with patients,
their families, and the
interdisciplinary health care
team.
1. Integrate knowledge from general education and sciences for the
direct and indirect delivery of safe and compassionate care for
patients and their families.
2. Establish short- and long-term goals and outcomes, select
interventions considering cultural aspects, and establish priorities for
care in collaboration with patients, their families, and the
interdisciplinary team.
3. a. Use current technology and evidence-based information to
formulate and modify the nursing plan of care across the lifespan,
including end-of-life care.
b. Assist with collection of data from direct patient care to redefine
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practice guidelines.
4. Collaborate with interdisciplinary team members to plan for
comprehensive services for patients and their families.
5. Plan, implement, and evaluate discharge planning using evidencebased guidelines in collaboration with the interdisciplinary health care
team.
6. Demonstrate fiscal accountability in providing care for patients and
their families.
7. Demonstrate knowledge of disease prevention and health
promotion in delivery of care to patients and their families.
D. Provide safe,
compassionate, comprehensive
nursing care to patients and
their families through
a broad array of health care
services.
1. Assume accountability and responsibility for nursing care provided
within the professional scope of practice, standards of care, and
professional values.
2. a. Identify priorities and make judgments concerning the needs of
multiple patients in order to organize care.
b. Anticipate and interpret changes in patient status and related
outcomes.
c. Communicate changes in patient status to other providers.
d. Manage priorities and multiple responsibilities to provide care for
multiple patients.
3. a. Implement plans of care for multiple patients.
b. Collaborate within and across health care settings to ensure that
healthcare needs are met, including primary and preventive health
care.
c. Manage care for multiple patients and their families.
4. Apply management skills to assign and/or delegate nursing care to
other members of the nursing team.
E. Implement the plan of care
for patients and their families
within legal, ethical, and
regulatory parameters and in
consideration of disease
prevention, wellness, and
promotion of healthy lifestyles.
1. Implement individualized plan of care to assist patients and their
families to meet physical and mental health needs.
2. a. Implement nursing interventions to promote health and
rehabilitation.
b. Implement nursing care to promote health and manage acute and
chronic physical and mental health problems and disabilities.
c. Assist patients and their families to learn skills and strategies to
protect and promote health.
3. a. Adjust priorities and implement nursing interventions in rapidly80
changing and emergency patient situations.
b. Participate with the interdisciplinary team to manage health care
needs for patients and their families.
4. Communicate accurately and completely and document responses
of patients to prescription and nonprescription medications,
treatments, and procedures to other health care professionals clearly
and in a timely manner.
5. a. Facilitate coping mechanisms of patients and their families
during alterations in health status and end of life.
b. Apply evidence-based practice outcomes to support patient and
family adaptation during health crises.
6. a. Collaborate with other health care providers with treatments and
procedures.
b. Promote interdisciplinary team collaboration in carrying out the
plan of care.
c. Seek clarification as needed.
d. Provide accurate and pertinent communication when transferring
patient care to another provider.
7. a. Inform patient of Patient Bill of Rights.
b. Evaluate and clarify patient’s understanding of health care rights.
c. Encourage active engagement of patients and their families in care.
8. Use interdisciplinary resources within the institution to address
ethical and legal concerns.
9. Use therapeutic communication skills when interacting with and
maintaining relationships with patients and their families, and other
professionals.
10. Apply current technology and informatics to enhance patient care
while maintaining confidentiality and promoting safety.
11. Facilitate maintenance of patient confidentiality.
12. a. Demonstrate accountability by using independent clinical
judgment and established clinical guidelines to reduce risks and
promote health.
b. Provide nursing interventions safely and effectively using
evidence-based outcomes.
13. Provide direct and indirect patient and family care in disease
prevention and health promotion and/or restoration.
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F. Evaluate and report patient
outcomes and responses to
therapeutic interventions in
comparison to benchmarks
from evidence-based practice,
and plan follow-up nursing
care.
1. a. Report changes in assessment data.
b. Evaluate need to intervene to stabilize and prevent negative patient
outcomes and/or to support end-of-life care.
c. Evaluate patterns of behavior and changes that warrant immediate
intervention.
2. a. Use standard references to compare expected and achieved
outcomes of nursing care.
b. Analyze patient data to compare expected and achieved outcomes
for patient using evidence-based practice guidelines.
3. a. Communicate reasons and rationale for deviation from plan of
care to interdisciplinary health care team.
b. Use nursing knowledge to recommend revisions of plan of care
with interdisciplinary team.
4. Modify plan of care based on overt or subtle shifts in patient status
and outcomes.
5. a. Report and document patient’s responses to nursing
interventions.
b. Evaluate and communicate quality and effectiveness of therapeutic
interventions.
c. Collaborate with interdisciplinary health care team to evaluate plan
of care and to promote quality and effectiveness of care.
6. Evaluate the effectiveness of nursing interventions based on
expected patient outcomes; modify interventions to meet the changing
needs of patients; and revise plan of care as a result of evaluation.
G. Develop, implement, and
evaluate teaching plans for
patients and their families to
address health promotion,
maintenance, and restoration.
1. Assess learning needs of patients and their families related to risk
reduction and health promotion, maintenance, and restoration.
2. a. Collaborate with the patient and interdisciplinary health care
team to develop individualized teaching plans based upon
developmental and health care learning needs.
b. Use best practice standards and other evidence-based findings in
developing and modifying teaching plans for patients and their
families.
3. Develop and implement comprehensive teaching plans for health
promotion, maintenance, and restoration and risk reduction for
patients and their families with consideration of their support systems.
4. Evaluate learning outcomes of the patients and their families
receiving instruction.
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5. a. Modify teaching plans for health promotion and maintenance
and self-care to accommodate patient and family differences.
b. Teach health promotion and maintenance and selfcare to
individuals and their families based upon teaching goals.
6. Provide patients and their families with the information needed to
make choices regarding health.
7. Serve as an advocate and resource for health education and
information for patients and their families.
H. Coordinate human,
information, and material
resources in providing care for
patients and their families.
1. Identify and participate in activities to improve health care delivery
within the work setting.
2. Report the need for corrective action within the organization for
safe patient care.
3. Collaborate with interdisciplinary health care team to select human
and materiel resources that are optimal, legal, and cost effective to
achieve patient-centered outcomes and meet organizational goals.
4. Use basic management and leadership skills, act as a team leader,
supervise and delegate care, and contribute to shared goals.
5. a. Use management skills to delegate to licensed and unlicensed
personnel.
b. Demonstrate leadership role in achieving patient goals.
6. Implement established standards of care.
III. Patient Safety Advocate
The associate degree nurse promotes safety in the patient and family environment by: following scope
and standards of nursing practice; practicing within the parameters of individual knowledge, skills, and
abilities; identifying and reporting actual and potential unsafe practices; and implementing measures to
prevent harm.
A. Demonstrate knowledge of
the Texas Nursing Practice Act
and the Texas Board of
Nursing Rules that emphasize
safety, as well as all federal,
state, and local government
and accreditation organization
safety requirements and
standards.
1. Attain licensure.
2. Practice according to Texas Nursing Practice Act and Texas Board
of Nursing rules.
3. Seek assistance if practice requires behaviors or judgments outside
of individual knowledge and expertise.
4. Use standards of nursing practice to provide and evaluate patient
care.
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5. a. Recognize and report unsafe practices.
b. Manage personnel to maintain safe practice including participation
in quality improvement processes for safe patient care.
6. Participate in peer review.
B. Implement measures to
promote quality and a safe
environment for patients, self,
and others.
1. Promote a safe, effective environment conducive to the optimal
health and dignity of the patients and their families.
2. Accurately identify patients.
3. a. Safely perform preventive and therapeutic procedures and
nursing measures including safe patient handling.
b. Safely administer medications and treatments.
c. Reduce patient risk related to medication administration and
treatment based on evidenced-based data.
4. Clarify any order or treatment regimen believed to be inaccurate,
non-efficacious, contraindicated, or otherwise harmful to the patient.
5. Document and report reactions and untoward effects to
medications, treatments, and procedures and clearly and accurately
communicate the same to other health care professionals.
6. Report environmental and systems incidents and issues that affect
quality and safety, promote a culture of safety, and participate in
organizational initiatives that enhance a culture of safety.
7. Use evidence-based information to participate in development of
interdisciplinary policies and procedures related to a safe environment
including safe disposal of medications and hazardous materials.
8. Assess potential risk for patient harm related to accidents and
implement measures to prevent risk of patient harm resulting from
errors and preventable occurrences.
9. Inform patients regarding their plans of care and encourage
participation to ensure consistency and accuracy in their care.
C. Formulate goals and
outcomes using evidence-based
data to reduce patient risks.
1. Formulate goals and outcomes using evidence-based data to reduce
the risk of health care-associated infections.
2. a. Implement measures to prevent exposure to infectious pathogens
and communicable conditions.
b. Anticipate risk for the patient.
3. Participate in development of policies to prevent exposure to
infectious pathogens, communicable conditions, and occupational
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hazards.
D. Obtain instruction,
supervision, or training as
needed when implementing
nursing procedures or
practices.
1. Evaluate individual scope of practice and competency related to
assigned task.
2. Seek orientation/ training for competency when encountering
unfamiliar patient care situations.
3. Seek orientation/ training for competency when encountering new
equipment and technology.
E. Comply with mandatory
reporting requirements of the
Texas Nursing Practice Act.
1. Report unsafe practices of healthcare providers using appropriate
channels of communication.
2. Understand Safe Harbor rules and implement when appropriate.
3. Report safety incidents and issues to the appropriate internal or
external individual or committee.
4. Participate in committees that promote safety and risk
management.
* F. Accept and make
assignments and delegate tasks
that take into consideration
patient safety and
organizational policy.
1. Accept only those assignments that fall within individual scope of
practice based on experience and educational preparation.
* 2. When making assignments and delegating tasks, ensure clear
communication regarding other caregivers’ levels of knowledge,
skills, and abilities.
* 3. a. When assigning and delegating nursing care, retain
accountability and supervise personnel according to Texas Board of
Nursing rules based on the setting to ensure patient safety.
b. Implement and participate in development of organizational
policies and procedures regarding assignments and delegated tasks.
IV. Member of the Health Care Team
The associate degree nurse provides patient-centered care by collaborating, coordinating, and/or
facilitating comprehensive care with an interdisciplinary/multidisciplinary health care team to determine
and implement best practices for the patients and their families.
A. Coordinate, collaborate,
and communicate with
patients, their families, and the
interdisciplinary health care
team to plan, deliver, and
1. Involve patients and their families in collaboration with other
interdisciplinary health care team members for planning health care
delivery to improve the quality of care across the lifespan.
2. a. Use strategies of cooperation, collaboration, and communication
to plan, deliver, and evaluate interdisciplinary health care.
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evaluate patient centered care.
b. Promote the effective coordination of services to patients and their
families in patient-centered health care.
3. Apply principles of evidence-based practice and methods of
evaluation with the interdisciplinary team to provide quality care to
patients and their families.
B. Serve as a health care
advocate in monitoring and
promoting quality and access
to health care for patients and
their families.
1. a. Support the patient’s right of self-determination and choice even
when these choices conflict with values of the individual professional.
b. Apply legal and ethical principles to advocate for patient wellbeing and preference.
2. Identify unmet needs of patients and their families from a holistic
perspective.
3. a. Act as an advocate for patient’s basic needs, including following
established procedures for reporting and solving institutional care
problems and chain of command.
b. Advocate on behalf of patients and their families with other
members of the interdisciplinary health care team.
c. Teach patients and families about access to reliable and valid
sources of information and resources including health information.
4. a. Participate in quality improvement activities.
b. Participate in professional organizations and community groups to
improve the quality of health care.
5. a. Refer patients and their families to community resources.
b. Serve as a member of health care and community teams to provide
services to individuals and their families who experience unmet
needs.
C. Refer patients and their
families to resources that
facilitate continuity of care;
health promotion,
maintenance, and restoration;
and ensure confidentiality.
1. a. Assess the adequacy of the support systems of patients and their
families.
b. Work with families to use resources to strengthen support systems.
c. Identify providers and national and community resources to meet
the needs of patients and their families.
2. a. Facilitate communication among patients, their families, and
members of the health care team to use institutional or community
resources to meet health care needs.
b. Maintain confidentiality according to HIPAA guidelines.
c. Promote system-wide verbal, written, and electronic
confidentiality.
3. a. Advocate with other members of the interdisciplinary health care
team on behalf of patients and families to procure resources for care.
b. Assist patients and their families to communicate needs to their
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support systems and to other health care professionals.
4. Collaborate with interdisciplinary team concerning issues and
trends in health care delivery affecting public/government/private
health care services, programs, and cost to patients and families.
D. Communicate and
collaborate in a timely manner
with members of the
interdisciplinary health care
team to promote and maintain
optimal health status of
patients and their families.
1. a. Communicate changes in patient status and/or negative outcomes
in patient responses to care with members of the interdisciplinary
health care team.
b. Follow legal guidelines in communicating changes in patient status,
including chain of command and Texas Nursing Practice Act.
c. Facilitate joint decision making with the interdisciplinary health
care team.
2. Refer to community agencies and health care resources to provide
continuity of care for patients and their families.
3. Assist the interdisciplinary health care team to implement quality,
goal-directed patient care.
b. Facilitate positive professional working relationships.
4. Use evidence-based clinical practice guidelines to guide critical
team communications during transitions in care between providers.
5. Recognize and manage conflict through the chain of command.
6. a. Initiate and participate in nursing or interdisciplinary team
meetings.
b. Provide evidence-based information during interdisciplinary
meetings.
7. Use change strategies in the work environment to achieve stated
patient outcomes to facilitate optimum patient care.
E. Communicate and manage
information using technology
to support decision making to
improve patient care.
1. a. Identify, collect, process, and manage data in the delivery of
patient care and in support of nursing practice and education.
b. Evaluate credibility of sources of information, including internet
sites.
c. Access, review, and use electronic data to support decision making.
d. Participate in quality improvement studies.
2. a. Apply knowledge of facility regulations when accessing client
records.
b. Protect confidentiality when using technology.
c. Intervene to protect patient confidentiality when violations occur.
3. a. Use current technology and informatics to enhance
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communication, support decision making, and promote improvement
of patient care.
b. Advocate for availability of current technology.
c. Use informatics to promote health care delivery and reduce risk in
patients and their families.
4. Document electronic information accurately, completely, and in a
timely manner.
*F. Assign and/or delegate
nursing care to other members
of the health care team based
upon an analysis of patient or
unit need.
*1. a. Compare needs of patient with knowledge, skills, and abilities
of assistive and licensed personnel prior to making assignments or
delegating tasks.
b. Assess competency level and special needs of nursing team
members.
c. Participate in decision making related to delegation and assigned
tasks.
*2. a. Assign, delegate, and monitor performance of unlicensed and
licensed personnel in compliance with Texas Board of Nursing rules.
b. Assign patient care based on analysis of patient or organizational
need.
c. Reassess competency and learning needs of team members.
*3. a. Evaluate responses to delegated and assigned tasks and make
revisions based on assessment.
b. Plan activities to develop competency levels of team members.
*G. Supervise nursing care
provided by others for whom
the nurse is responsible by
using evidence-based nursing
practice.
*1. Provide staff education to members of the health care team to
promote safe care.
*2. Provide direction and clarification to health care team members or
seek additional direction and clarification to promote safe care by
health care team.
*3. a. Oversee and follow through on patient care provided by health
team members.
b. Base assignments and delegation on team member competencies.
*4. a. Ensure timely documentation by assigned health team
members.
b. Ensure documentation of patient care follow-up.
*advanced competencies evaluated as the nurse transitions into nursing practice
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Criteria for Unsafe Clinical Performance
Since nursing students are legally responsible and accountable for their own acts, commission
and/or omission, and nursing instructors may be held responsible and/or accountable for any acts of their
students in the clinical area, it is necessary to define unsafe behavior. The examples noted below are not
an inclusive list of all possible acts of “unsafe clinical performance”, but are examples only.
Unsafe clinical behavior is demonstrated when the student:
Safety
Examples
A.
Violates or threatens the physical
safety of the patient.
Fails to properly position patient;
Failure to carry out medical/nursing orders;
Does not appropriately utilize side rails/restraints;
Comes unprepared for clinical;
Does not wash hands appropriately when caring for clients;
Injures a client;
Functions under the influence of substances affecting
performance;
8. Fails to report significant patient information in a timely
fashion.
B.
Violates or threatens the
psychosocial safety of the
patient.
1.
2.
3.
4.
C.
Violates or threatens the
micro-biological safety of the
patient.
1. Fails to recognize and correct violations of aseptic
technique;
2. Does not wash hands appropriately when caring for clients.
D.
Violates or threatens the
chemical safety of the patient.
1. Violates the "6 Rights" in administering medications;
2. Fails to accurately prepare and monitor IV infusions.
E.
Violates or threatens the thermal
safety of the patient.
1. Fails to observe safety precautions during 02 therapy;
2. Burns patient with hot packs, heating lamp, etc.
Nursing Process
A.
B.
C.
Inadequately and/or inaccurately
assesses the patient.
Inadequately or inaccurately
plans the care for the patient
Inadequately or inaccurately
1.
2.
3.
4.
5.
6.
7.
Repeatedly uses non-therapeutic techniques;
Attacks/degrades the individual's beliefs or values;
Calls individual by inappropriate names;
Identifies client by initials or name on written work.
Examples
1. Unable to identify basic human needs through assessment;
2. Makes repeated faulty judgment/ decisions resulting in
ineffective nursing care;
3. Fails to observe/report/chart critical patient data;
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implements patient care.
D.
Inadequately or inaccurately
evaluates patient care.
4. Comes to clinical unprepared.
5. Fails to report significant patient information in a timely
fashion.
Skills
Examples
Violates previously mastered principles/
learning objectives in carrying out
nursing care skills and/or delegated
medical functions.
1. Fourth semester students unable to give IM injections;
2. Second semester student fails to obtain accurate vital signs;
3. Unable to verbalize key information previously covered in
lab and/or class.
Decision Making
Examples
A.
Assumes inappropriate
independence in action or
decisions.
1. Performs competencies not yet tested;
2. Fails to appropriately seek assistance with assessment
and/or skills;
3. Supervision by a staff nurse when the Instructor has
specifically stated that students are only to do specific
procedures with his/her supervision;
4. Fails to report significant information in a timely fashion;
5. Accepts a verbal/ telephone order from a doctor.
B.
Fails to recognize own
limitations, incompetence and/or
legal responsibilities.
1. Refuses to admit error;
2. Cannot identify own legal responsibility in specific nursing
situations;
3. Fails to complete assigned nursing responsibilities.
Professional Accountability
Examples
A.
Fails to accept moral and legal
responsibility for his/her own
actions thereby violating
professional integrity as
expressed in the Code for
Nurses and the Nurse Practice
Act.
1.
2.
3.
4.
5.
Fails to conduct self in professional manner;
Comes unprepared to clinical;
Falsifies or fails to report information;
Fails to report significant information in a timely fashion;
Steals or functions under the influence of substances or in
an impaired state affecting performance;
6. Does not follow school/healthcare institution policies and
procedures;
7. Violates Academic Dishonesty or Student Conduct Code
(e.g. cheating on written work, plagiarism).
B.
Violates patient
confidentiality—can also be a
violation of Federal Law
(HIPAA) & may result in fines
and/or incarceration.
1. Shares client information on the phone;
2. Photocopies client records;
3. Shares client information with individuals outside the health
team;
4. Puts client name and/or identifying information on student
assignment(s).
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LICENSURE
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RN Licensure
All students (especially at the beginning of their 4th semester in the program) need to go to the BON’s
web site and become familiar with it. The “Licensure – Examination Information” page explains in detail
the steps to take to become eligible to take the licensure exam.
All graduates seeking licensure must pass the NCLEX-RN licensure examination administered by the
Texas Board of Nursing (BON). The BON may refuse to admit persons to its examinations or may refuse
to issue a license for any of the following reasons, in accordance with Section #301.2511 (Criminal
History Record Information for License Applicants) & #301.257 (Declaratory Order of License
Eligibility) of the Nurse Practice Act and Rules §213.27 (Good Professional Character), §213.28
(Licensure of Persons with Criminal Offenses) & §213.30 (Declaratory Order…) in the Rules &
Regulations relating to Professional Nurse Education, Licensure & Practice, and Chapter #53.021 of the
Texas Occupations Code:
1. Denial of licensure or disciplinary action (revocation, annulment, cancellation, accepted
surrender, suspension, probation, fine, censure, reprimand, or other discipline) by any licensing
authority in any state, country, or province.
2. Conviction of a crime; judgment of guilty by a court; plea of guilty, no contest or nolo contendere
to any crime in any state/territory/country; or deferred order or adjudication (with or without
guilt) for felony or misdemeanor offense(s) other than minor traffic violation. Note—DUI’s,
DWI’s, & PI’s are not considered minor traffic violations and must be reported.
3. Criminal charges pending, including unresolved arrests.
4. The use of any nursing license, certificate, or diploma which has been fraudulently purchased,
issued, counterfeited or materially altered.
5. The impersonation of or acting as proxy for another in any examination required by law to obtain
a license as a registered nurse.
6. Addiction or treatment for use of alcohol or drugs within the past 5 years.
7. Diagnoses or treatment of some specific psychiatric disorders (schizophrenia, psychotic disorder,
bipolar disorder, paranoid personality disorder, antisocial personality disorder, or borderline
personality disorder) within the last 5 years.
8. Unprofessional or dishonorable conduct which, in the opinion of the Board, is likely to injure the
public.
9. Previous issuance of any order concerning eligibility for examination or licensure by the BON.
To check your eligibility for initial licensure, answer the following questions (Licensure Eligibility):
1.
2.
3.
4.
Been convicted of a misdemeanor?
Been convicted of a felony?
Pled nolo contendere, no contest, or guilty?
Received deferred adjudication?
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5. Been placed on community supervision or court-ordered probation, whether or not adjudicated
guilty?
6. Been sentenced to serve jail or prison time or court-ordered confinement?
7. Been granted pre-trial diversion?
8. Been arrested or have any pending criminal charges?
9. Been cited or charged with any violation of the law?
10. Been subject of a court-martial; Article 15 violation; or received any form of military judgment,
punishment, or action?
NOTE: You may only exclude Class C misdemeanor traffic violations
Expunged and Sealed Offenses
While expunged or sealed offenses, arrests, tickets, or citations need not be disclosed, it is your
responsibility to ensure the offense, arrest, ticket, or citation has, in fact, been expunged or sealed. It is
recommended that you submit a copy of the Court Order expunging or sealing the record in question to
our office with your application. Failure to reveal an offense, arrest, ticket, or citation that is not in fact
expunged or sealed, will at a minimum, subject your license to a disciplinary fine. Non-disclosure of
relevant offenses raises questions related to truthfulness and character of the Nurse.
Orders of Non-disclosure
Pursuant to Tex. Gov't Code §552.142(b), if you have criminal matters that are the subject of an order of
non-disclosure, you are not required to reveal those criminal matters on this form. However, a criminal
matter that is the subject of an order of non-disclosure may become a character and fitness of duty issue.
Pursuant to other sections of the Gov't Code Chapter 411, the Texas Nursing Board is entitled to access
criminal history record information that is subject of an order of non-disclosure. If the Board discovers a
criminal matter that is the subject of an order of non-disclosure, even if you properly did not reveal that
matter, the Board may require you to provide information about any conduct that raises issues of
character.
•
•
•
•
Are you currently the target or subject of a grand jury or governmental agency investigation?
Has any licensing authority refused to issue you a license or ever revoked, annulled, cancelled,
accepted surrender of, suspended, placed on probation, refused to renew a license, certificate or
multi-state privilege held by you now or previously, or ever fined, censured, reprimanded or
otherwise disciplined you? (You may exclude disciplinary actions previously disclosed to the
Texas Board of Nursing on an initial or renewal licensure application)
*Within the past five (5) years have you been diagnosed with, treated, or hospitalized for
schizophrenia and/or a psychotic disorder, bipolar disorder, paranoid personality disorder,
antisocial personality disorder, or borderline personality disorder? (You may answer "No" if you
have completed and/or are in compliance with TPAPN for mental illness OR you've previously
disclosed to the Texas Board of Nursing and have remained compliant with your treatment
regimen and have had no further hospitalization since disclosure)
*In the past five (5) years, have you been addicted or treated for the use of alcohol or any other
drug? (You may answer "No" if you have completed and/or are in compliance with TPAPN)
*Pursuant to the Occupations Code §301.207, information, including diagnosis and treatment, regarding
an individual's physical or mental condition, intemperate use of drugs or alcohol, or chemical
dependency and information regarding an individual's criminal history is confidential to the same extent
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that information collected as part of an investigation is confidential under the Occupations Code
§301.466.
If you must answer “Yes” to any of the above questions you will need to complete a “Petition for
Declaratory Order” and when this is finished, you will then apply to take the NCLEX-RN by paper
application. See the BON’s website for specific details.
Students who have any questions as to their eligibility for licensure are strongly encouraged to contact the
Board of Nursing early while in the nursing program at:
Texas Board of Nursing
333 Guadalupe, Suite #3-460
Austin, Texas 78701
(512) 305-7400
Texas Nursing Jurisprudence Exam
All graduates will have to take the Texas Nursing Jurisprudence Examination before the BON will issue
an authorization to test (ATT) for the NCLEX-RN examination. A student can take this exam once they
have made application to the BON for licensure. This will occur during the last semester of nursing
school.
There are 50 items on the nursing jurisprudence examination (NJE). You must correctly answer 75% of
the questions to pass the NJE. You will have two (2) hours to complete the NJE. Displayed in the
upper right hand corner of the computer screen will be a digital clock and the question number so you can
monitor your progress throughout the NJE.
You are permitted to access the Board of Nursing (BON) website and other resource material throughout
the exam to locate the answers to questions. The NJE will run in another window, thereby leaving this
window open to access reference materials on the BON website.
A Passing Result will be posted and recorded to the BON system when all 50 questions are answered and
a minimum of 38 questions are answered correctly. A certificate will be available for printing at the end
of the examination process. Once a passing result is recorded, Board Staff will be notified and the
jurisprudence exam requirement will be updated as completed in your BON file. Keep the certificate for
your records. Do not mail the certificate to the BON.
A Failing Result will be posted and recorded to the BON system if 13 or more of the 50 questions are
answered incorrectly, or the exam is not completed in the allotted amount of time, or the connection to the
exam is closed, terminated or lost. You may NOT reconnect to the test to return to the last question
answered. You may, however, retake the exam after 7 business days have elapsed.
Read each question carefully. There is only one correct answer for each question. You are not allowed to
use the back-button to check/change a previously answered question.
Resource List: The resource lists provides topics, testing subject areas and BON Rules/Regulations, NPA
sections or other locations where the topic is defined. This information may be printed and used during
the testing process.
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