Download Nursing Handbook

Columbia State Community College
Columbia, Tennessee
Department of Nursing
Student Handbook
2015 - 2016
Columbia State Community College is an equal opportunity and affirmative action employer and does not
discriminate on the basis of race, color, gender, sexual orientation/gender identity, religion, ethnic or national origin,
sex, age, disability status, or status as a covered veteran in educational and employment opportunities, and is
committed to the education of a non-racially identifiable student body. Inquiries or complaints should be directed to
the Director of Human Resources, Room 116, Pryor Administration Building, 1665 Hampshire Pike, Columbia, TN
38401; Telephone (931) 540-2521.
Individuals needing this material in an alternative format should contact the associate vice president for student
services.
CoSCC AN-5-2013
Table of Contents
Welcome/Program Purpose
Program Accreditation
Program Faculty and Staff
Mission Statement
Philosophy
Program Outcomes
Framework
Student Learning Outcomes
Major Concepts/Threads
Glossary
Standards of Professional Nursing Practice
Academic Support Services for Students
Tuition, Fees and Related Costs
Fee List
Program of Study
Curriculum
Credit/clock hour requirements
Admission Requirements
Core Performance Standards for the Nursing Program
Self-Assessment according to Core Performance Standards
Americans with Disabilities Act
Campus/Clinical Placement
Enrollment Requirements for Accepted Applicants
Health Requirements
Basic Cardiac Life Support Certification
Continuation Requirements
Withdrawal
Exit Interview
Readmission Requirements
Policy Governing Classroom Instruction
Expectations for Students
Nursing Courses via Interactive Television Technology
Grading Scale
Exam Policies
Dosage Calculation Requirement
Academic Integrity
Policies Governing Clinical Instruction
Infection Control Policy
Guidelines
Gloves Required During the Following Procedures
Implementation
Needle Stick Injury Policy
General Health Requirements
Criminal Background Checks and Drug Screening
Policy and Procedure for Clinical Evaluation
Daily Clinical Evaluation
Final Clinical Evaluation
Criteria Evaluation
Unsatisfactory Performance
Clinical Absence
Inclement Weather
Clinical Requirements
Student Behavior in Clinical
Personal Appearance
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Department of Nursing Dress Code
Student Practices
Policies Relating to Reporting Incidents
Clinical Policy Regarding Removal of Valuables, Narcotics and
Weapons from Patients
Student Advisory Council
Pinning Ceremony Policy
Student Nurse Association
Student Grievance and Appeal Process
Academic and Non-Academic Process
Complaints Regarding Nursing Program and Its Policies
Grounds for Immediate Dismissal
Application for Licensure
Policy Governing Availability & Security of Student Records
Policy Governing Student Career Placement
Policy Governing Advisory Committee
Student Conduct and Allied Health Programs
Disclaimer Clause
Statement of Agreement: Academic Honesty, Confidentiality and
Nursing Handbook
Background checks & Drug Screens Student Agreement Form
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WELCOME
Welcome to the nursing program at Columbia State Community College. We, the faculty and staff,
are delighted that you have selected our nursing program.
The purpose of the nursing program at Columbia State Community College is to graduate students
able to pass the nurse licensure examination and who will demonstrate knowledge and skill to
provide safe and competent care as an entry level Registered Nurse.
This handbook will help you become familiar with the guidelines, policies and procedures related to
you as a student within the nursing program. The handbook is provided to assist you in being
successful while enrolled in the nursing program. The program policies in this handbook are an
extension of the guidelines in the College Student Handbook. The program policies are subject to
change. We look forward to working with you for a successful journey in the Nursing Program.
Barbara Blum MSN, RN
Nursing Program Director
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Program Approval and Accreditation
The course of study involves a curriculum that is approved and implemented in accordance with
requirements set forth by:
Tennessee Board of Nursing [(Rules and Regulations 1000-1-.05 (4)(b))]
State of Tennessee
Department of Health
Health Related Boards
Tennessee Board of Nursing
665 Mainstream Drive, 2nd Floor
Nashville, TN 37243
(615) 532-5166
Accreditation Commission for Education in Nursing (ACEN)
(A copy of the publication is available to students for review in the director’s office.)
Accreditation Commission for Education in Nursing
3343 Peachtree Road NE, Suite 850
Atlanta, Georgia 30326
Phone: 404-975-5000
Fax: 404-975-5020
www.acenursing.org
Columbia State Community College is accredited by:
The Southern Association of Colleges and Schools Commission on Colleges
1866 Southern Lane
Decatur, GA 30033-4097
(404) 679-4500
Columbia State Community College is accredited by the Commission on Colleges of the Southern Association of Colleges and
Schools to award the Associate of Arts degree, Associate of Science degree, Associate of Applied Science degree, Associate of
Science in Teaching degree, and Technical Certificates. Contact the Commission on Colleges at 1866 Southern Lane, Decatur,
Georgia 30033-4097 or call (404) 679-4500 for questions about the accreditation of Columbia State Community College.
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Program Faculty
PROGRAM DIRECTOR
Blum, Barbara
Office: WRWB-121 Phone: 931.540.2609
[email protected]
FACULTY & STAFF
Everhart, Lisa
Office: WCC-102A Phone: 615.790.5978
[email protected]
Perley, Sandra
Office: Warf 130-A Phone: 931.540.2598
[email protected]
Gailani, Kristy
Office Y – 113B WCC Phone: 615.790.4416
[email protected]
Robertson, Sheri
Office: WCC-105B Phone: 615-790-5977
[email protected]
Hart, Marilyn
Office Y-113C WCC Phone: 615.790.4408
[email protected]
Russell, Susan
Office: WRWB -108 Phones: 931. 540.2610
[email protected]
Huff, Amy
Office: WRWB 119 Phone: 931-540-2607
[email protected]
Smith, Cheryl, Clinical Coordinator
Office: WRWB 119 Phone: 931.540.2608
[email protected]
Jaudon, Jodie
Office: WCC-102B Phone: 615.591.4109
[email protected]
Smith, Judy
Office: WRWB-122 Phone: 931.540.2596
[email protected]
Lacher, Teri, Lab Coordinator
Office: WRWB 104 Phone: 931.540.2603
[email protected]
Street, Georgetta
Office: WRWB-120 Phone: 931.540.1322
[email protected]
Mashburn, Ann
Office: WRWB 109 Phone: 931.540.2604
[email protected]
Swanson-Moore, Susan
Office: WCC 200 Phone: 615-790-5985
[email protected]
Massey-Holt, Ginny
Office: WRWB 110 Phone 931.540.2602
[email protected]
Young, Jim
Office Y-105A WCC 615.790.4414
[email protected]
SECRETARIES
Katrina Woody
Office: WRWB 112 Phone: 931.540.2599
[email protected]
Sharon Conant
Office: WRWB 112 Phone: 931.540.2600
[email protected]
ADMISSIONS & RECORDS CLERK
Livia Derryberry
Office: WRWB-115 Phone: 931.540.2849
[email protected]
INCLEMENT WEATHER LINE COLUMBIA STATE ALL CAMPUSES: (931) 540-2515
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DEPARTMENT OF NURSING
Mission Statement
In accordance with the mission statement of the College, our mission is to serve humanity by providing a
basic nursing education program which prepares graduate nurses to be compassionate, professional, selfmotivated critical thinkers, who are able to assess their own strengths and weaknesses and who gain the
respect and support of their communities as successful registered nurses. In carrying out this mission, we
continually strive to practice what we teach. (Reaffirmed 1/14)
Philosophy
The principal aim of the nursing education program at Columbia State Community College is to prepare
individuals to become registered nurses.
Nursing is the application of knowledge and skills to help individuals, sick or well, adapt to their health
needs. The individual is a unique being of intrinsic worth and dignity, a unified whole, possessing an
interrelatedness of experiences derived from biological, psychological, sociocultural and spiritual needs in
response to the environment. The practice of nursing is an art and a science. The nurse extracts from a
knowledge base comprised of evidence-based and intuitive knowledge to select nursing actions. Nursing
actions are directed toward assisting individuals to attain and/or maintain optimum health throughout the
life span.
Health is a dynamic process whereby the individual continually adapts to stressors in the internal and
external environment in an attempt to achieve and maintain optimum wellness. Adaptations to stressors
may result in altered functions. The individual has the capacity and the responsibility to determine health
care needs and influence the state of wellness by increasing knowledge and altering behaviors.
The Associate Degree Nurse is a generalist whose practice encompasses the interrelated roles of provider of
care, coordinator/manager of care and a member within the discipline of nursing. As a provider of care, the
Associate Degree Nurse gives direct nursing care to individuals with imminent health needs, with
consideration of their relationship within a family, a group and a community. As a manager of care, the
nurse coordinates care for groups of patients in acute, intermediate and long-term care settings.
Collaboration, organization, delegation, accountability, advocacy and respect for other health care workers
characterize this role. The Associate Degree nurse adheres to and fosters professional codes of conduct.
This practice is characterized by a commitment to professional growth, continuous learning and selfdevelopment.
Nursing education involves adult learners who are self-motivated, goal-directed and who view the learning
experiences of the program as a means of achieving their goals. Learning is an ongoing process, which is
progressive, cumulative, and is evidenced by behavioral change. Nursing is an applied discipline and the
nursing student must assimilate and apply information from the humanities, psychosocial sciences, nursing
science, and physical sciences in providing nursing care for individuals. While the responsibility for learning
rests primarily with the learner, it is the responsibility of the teacher to provide an environment and
experiences, which promote learning and goal achievement. Opportunities in the clinical setting provide for
the application of knowledge and acquisition of skills. Learning experiences are directed toward growth of
independent thought and critical thinking.
The nursing curriculum combines general education and nursing education courses to provide the student
with scientific knowledge, technical and interpersonal skills. The curriculum is planned to progress from
education at the basic and familiar level to one of increased depth in knowledge and skill. (Reaffirmed 4/13)
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Program Outcomes:
1)
2)
3)
4)
5)
70% of students will graduate within 3 years (150% of program length) of enrollment.
National Council Licensure Examination first attempt pass rate will be greater than national average.
75% or greater graduate program satisfaction survey responses will be ‘satisfied’ or ‘very satisfied’.
75% or greater employer satisfaction survey responses will be ‘agree’ or ‘strongly agree’.
The graduate job placement rate will be at or above the local employment rate.
Framework
The conceptual framework of the nursing program evolves from the philosophy and is based on three major
concepts—basic needs, stress-adaptation, and the nursing process. In addition, components of care
common to all individuals are integrated throughout the curriculum and are identified as threads.
Each individual is a unique being of intrinsic worth and has basic needs that must be fulfilled in order to
function at the optimum level of health. These basic human needs are requirements common to all human
beings regardless of age, sex, race or culture. This faculty accepts Maslow’s theory, which organizes needs
into five basic areas that are ordered in a hierarchy of relative priority. This priority goes from physiologic to
safety and security, love and belonging, self-esteem and self-actualization needs. This theory recognizes that
while all needs are present at all times, the individual focuses on satisfying those needs lower on the
hierarchy before striving for those on the higher levels. As lower level needs are satisfied, the awareness of
higher level needs emerge and efforts are then directed toward meeting these higher level needs.
Health is a dynamic process whereby the individual continually adapts to stressors in the internal and
external environment in an attempt to achieve and maintain optimum health. Stress is a state produced by a
change in the individual’s internal or external environment that threatens the dynamic equilibrium and
evokes a response in the individual. Any stimulus that causes stress in an individual is considered to be a
stressor. Adaptation is the response of the individual to stress. Stress and adaptation may be viewed at
various levels—from the basic cellular level to the total organism level as well as family, group and
community levels. Stress is constant, as are adaptive responses. Thus, through a complex series of
interrelationships, the individual functions as a unified whole. Successful adaptation to stressors results in
optimum health. Adaptive responses may result in altered functions and health problems.
It is the function of nursing, through the nursing process, to assist the individuals to adapt to internal and
external stressors, to satisfy their basic needs and to maintain and/or attain optimum health. The nursing
faculty considers the nursing process in terms of the five steps of assessment, nursing diagnosis, planning,
implementation and evaluation. Critical thinking is necessary for the application of the nursing process and
embodies an attitude of inquiry and presupposes an adequate knowledge base that is necessary for safedecision making and clinical judgment.
In addition to major concepts, there are components of care common to all individuals integrated throughout
the curriculum identified as threads. These threads are communication, growth and development,
sociocultural factors, pharmacology, nutrition, management, history and trends, and legal and ethical issues.
Student Learning Outcomes (SLO)
100% of Nursing Program progressing students and graduates are expected to:
1) Communicate with others using appropriate verbal and nonverbal methods.
2) Plan and revise nursing care using the nursing process.
3) Implement/facilitate nursing care with safety and skill.
4) Demonstrate acceptance of professional responsibility.
5) Function as a contributing member of the health team.
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Major Concepts
Threads
Basic Needs
Stress Adaptation
Nursing Process
Communication
Growth & Development
Sociocultural Factors
Nutrition
Pharmacology
Management
Legal & Ethical Issues
History & Trends
Basic Needs
Stress
Threads
mhreads
Adaptation
Threads
Nursing
Process
Critical Thinking
Nursing Process
Basic Needs (Maslow)
Self Actualization
Self Esteem
Love & Belonging
Safety & Security
Physiological
Assessment
Nursing Diagnosis
Planning
Implementation
Evaluation
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Glossary
Adaptation - A response to stress that may have a positive result of maintaining or improving health or a
negative result of altered function.
Basic Needs – Requirements to maintain life, promote physical and spiritual development and achieve and
maintain optimum health.
Clinical Judgment – The quality that results from the consistent use of critical thinking in reaching decisions
that determine nursing interventions. This is evidenced by the decisions made and interventions planned and
implemented in clinical situations—actual or simulated.
Communication – An effective exchange of information. Communication abilities are competencies that
students demonstrate through therapeutic communication, team communication, written communication, and
in the use of information technologies.
Community – Community is the extended environment, including the cultural orientation of an individual or
population that impacts well-being. Focus is on the continuity of care within the community designed to
meet the needs of people as they move between and among health care settings. The Associate Degree nurse
networks with this extended environment to assist patients or populations to meet optimum wellness.
Critical Thinking – A dynamic process that embodies an attitude of inquiry and presupposes a knowledge
base that promotes consideration of all factors related to the situation under study. It involves reasoning that
uses a number of intellectual skills. It is conceptualized as a purposeful, disciplined, self-directed quality that
is necessary in the application of the nursing process and in making sound clinical judgments that are
defensible.
Evidence-Based – Actions, processes, or methodologies that are grounded in and flow from the translation of
substantive and current research.
Health – The individual’s physiological and psychosocial state. It is a dynamic process, which continually
changes as the interaction between the individual and his/her internal and external environment changes.
Individual – A unique biopsychosocial being of intrinsic worth who functions as a unified whole.
Manager of Care – One who controls, directs, conducts, guides, or administers, by utilizing principles such
as authority, accountability, and delegation applied at many levels to provide nursing care for one or several
patients and to guide others in the care of larger numbers of patients.
Nursing – The application of knowledge and skills to help individuals as total beings, sick or well, meet their
health needs.
Nursing Process –The application of scientific problem solving consisting of 5 steps: (1) assessment (2)
nursing diagnosis; (3) planning; (4) implementation; and (5) evaluation.
Optimum Health – The most positive state of well-being for each individual, which is comprised of the
amount or degree of adaptation that is most favorable to physiological and psychosocial functioning.
Program Outcomes - Indicators that reflect the extent to which the purposes of the nursing education unit are
achieved and by which program effectiveness is documented. Program outcomes are measurable, consumeroriented indexes designed to evaluate the degree to which the program is achieving its mission and goals.
Examples include but are not limited to: program completion rates, job placement rates,
licensure/certification pass rates, graduate satisfaction and employer satisfaction.
Stress – A state produced by change in the internal or external environment that threatens a person’s dynamic
equilibrium and evokes a response in that individual.
Stressors – The stimulus or environmental demand (internal or external) that evokes stress in an individual.
Student Learning Outcomes – Statements of expectations written in measurable terms that express what a
student will know, do or think at the end of the learning experience; characteristics of the student at the
completion of a course and/or program. Learning outcomes are measurable, learner-oriented abilities that are
consistent with standards of professional practice.
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STANDARDS OF PROFESSIONAL NURSING PRACTICE
ANA Standards of Care
Standard 1 Assessment - The registered nurse collects comprehensive data pertinent tothe
healthcare consumer’s health or the situation.
Standard 2 Diagnosis - The registered nurse analyzes the assessment data to determine the
diagnoses or issues.
Standard 3 Outcomes Identification - The registered nurse identifies expected outcomes for a
plan individualized to the healthcare consumer or the situation.
Standard 4 Planning - The registered nurse develops a plan that prescribes strategies and
alternatives to attain expected outcomes.
Standard 5 Implementation - The registered nurse implements the identified plan.
Standard 5A Coordination of Care - The registered nurse coordinates care delivery.
Standard 5B Health Teaching and Health Promotion - The registered nurse employs
strategies to promote health and a safe practice environment.
Standard 6 Evaluation - The registered nurse evaluates progress toward attainment of outcomes.
ANA Standards of Professional Performance
Standard 7 Ethics - The registered nurse practices ethically.
Standard 8 Education - The registered nurse attains knowledge and competence that reflects
current nursing practice.
Standard 9 Evidence-based practice and research - The registered nurse integrates evidence
and research findings into practice.
Standard 10 Quality of practice - The registered nurse contributes to quality nursing practice.
Standard 11 Communication - The registered nurse communicates effectively in all areas of
practice.
Standard 12 Leadership - The registered nurse demonstrates leadership in the professional
practice setting and the profession.
Standard 13 Collaboration - The registered nurse collaborates with healthcare consumer, family,
and others in the conduct of nursing practice.
Standard 14 Professional practice evaluation - The registered nurse evaluates her or his own
nursing practice in relation to professional practice standards and guidelines, relevant statutes, rules,
and regulations.
Standard 15 Resource utilization - The registered nurse utilizes appropriate resources to plan and
provide nursing services that are safe, effective, and financially responsible.
Standard 16 Environmental health - The registered nurse practices in an environmentally safe
and healthy manner
Source: American Nurses Association (ANA) Scope and Standards of Nursing Practice, 2010
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Academic Support Services Available for Students
SERVICE
Counseling
Services
Advising
Career
Services
Financial Aid
Disability
Services and
Wellness
Testing
Services
Access &
Diversity
SERVICES PROVIDED
Counseling by professionally trained counselors is available to students through the Student Success
Counseling program. The Student Success Counseling program offers students assistance with educational
planning and personal problems in an environment of confidentiality. Students also have access to Peer
Counseling through the Student Success Counseling program. An effort is made to recruit a nursing student
in the mix of peer counselors to be available for nursing students.
All students have an assigned faculty advisor. Refer to: http://www.columbiastate.edu/advising-services for
questions related to advising prior to selection of major or admission into the nursing program.
Nursing and pre-nursing students are assigned to a nursing faculty advisor. The advisor is available in person,
via email, or by telephone. Nursing faculty individually assist nursing students with information about
academic and program requirements, academic planning and scheduling, course registration, filing for intent
to graduate, and post AAS education.
Students have access to Career Services for a variety of services and resources related to career planning or
job search. Through Career Services, students have access to the latest technology and information tools.
From every campus, students can access the Internet and utilize other printed media for their career planning
and job search needs. With over 150 current books and access to 200 plus Web sites, students have easy
reference to an infinite amount of career information. Career services presentations are provided at each
campus regularly. The Strong Interest Inventory, the MBTI, and the Discover programs are all available
online to students from any campus location. Students are also provided individual assistance with the
following and other issues upon request:
 Choosing/changing a major
 Developing a career plan
 Job-search planning
 Resume writing
 Interviewing
 Networking
 Utilizing the Internet for career planning and job search
 Salary and employment projections
The financial aid program is designed to assist students who would find it difficult or impossible to attend
Columbia State without financial assistance. The college offers a comprehensive program of financial aid in
the form of scholarships, part-time employment on campus, grants, loans, and veteran’s benefits. Columbia
State places major emphasis upon financial need, academic achievement, character, and promise of future
success.
Information regarding who should apply for financial aid, the application process and types of financial aid
can be obtained in the Financial Aid Office, or in the administrative offices at any of the Columbia State
extended campuses.
The Disability Services Office provides plans and facilitates reasonable individualized accommodations
enabling qualified disabled students to participate and realize their goals. Information regarding contacting
the Disability Services Office is located in the College Catalog and Student Handbook, the Nursing Student
Handbook, and each nursing course syllabus. Students needing accommodations must contact the Disability
Services Office and provide official documentation. Provisions are made in a variety of ways including
tutoring, special testing arrangements, and classroom accommodations
The Testing Services Office are responsible for the administration of the ACT, Compass, ASSET, and
various other group tests which are used to assist students in planning their program of study. Testing
Services also provides proctoring services on the Columbia campus to support Distance Education, the
Regents Online Degree Program, and ADA proctoring needs.
Additionally, Columbia State is an official testing center for GED (General Educational Diploma)
assessment. Persons who have not received a high school diploma and wish to apply for a certificate of
equivalency may take the GED. Satisfactory scores on the test enable the individual to apply to his/her high
school for an equivalency diploma.
The Office of Access & Diversity is involved in the recruitment, retention and graduation of ethnic minority
students and other under-represented groups. Functions of the office include outreach efforts, meeting
students, monitoring student progress, serving as liaison with other campus services, and developing and
coordinating activities related to minority issues. Contact information is listed the College Catalog and
Student Handbook.
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Tuition, Fees, and Related Program Costs
The Nursing Program shall charge no fees or cause the student to incur any costs except those
specifically designated in the college catalog or in the estimated cost sheet for nursing students, (see
next page of this nursing student handbook).
The college shall assess and collect prevailing rates for tuition and application (refer to the college
catalog and current semester schedule).
The program faculty shall also review the estimated costs specific to nursing for the purpose of
maintaining reasonable fees. The student is responsible for all costs incurred relative to travel to
and from clinical assignments, uniforms required for clinical rotations, name tag, supplies,
textbooks and parking. Transportation to and from the clinical assignment is the sole responsibility
of the student. Columbia State does not assume liability for personal injury or property damage
incurred while en route to and from these facilities and while in the facilities.
Malpractice insurance coverage is included with tuition fees.
Health insurance is required for students to participate in clinical activities.
Policies governing student withdrawal and refunds of tuition, fees, etc. shall be consistent with
those of Columbia State Community College (reference college catalog, and/or each semester
schedule).
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Estimated Nursing Program Fee List
(subject to change)
Application Fee
Tuition – Instate approximately
$152.00 per semester credit hour (estimated),
for 4 semesters; based on 66 credit hours; subject to
increase depending on legislation
Health Science Academic Course Fee
$25 per semester hour ($25 x 39 Nursing credit
hours)
Access fee for four semesters ($10 per semester)
Activity fee per semester for four semesters
Technology access fee $112.50 per semester
(estimated) for four semesters
$10.00
$10,032.00
$975.00
$40.00
$12.00
$450.00
The above fees are based upon the FALL 2015 semester
Additional Fees for Nursing Students
Malpractice Insurance $20 per year
Achievement Exams
Physical examination (pre-admission)
*Books/Supplies $600/ semester A
Uniforms
CPR Course (pre-admission)
Criminal Background Check and 10 panel
Drug/Alcohol ScreenB (required)
My Record Tracker through Truescreen
 Annual Fee – this MUST be maintained
throughout program
Tennessee Board of Nursing Application Fee
Finger print & background checkC
NCLEX Application Fee
School pin (optional)C
Individual picture and class composite (includes
State Board picture)C
Travel expensesD
Fees are subject to change without notice.
$40.00
$175.00
$300.00+
$2400.00
$300.00
$50.00
Approximately $100
$17.50
$7.50 per year
$100.00
$56.00
$200.00
$40.00-$200.00
$50.00
Variable
A Represents average costs. Expense is greatest during the first semester of the freshman year.
B Criminal background checks and drug screens are requirements for attending clinical sites. Based on the results
of the criminal background check and drug screen results, the clinical site may refuse to allow your presence at
their facility. This could result in your inability to successfully complete the requirements of a clinical nursing
course, and therefore, would not be able to meet the requirements of the nursing program. More information is
available from the Nursing Program Director.
C Purchased in the last semester of the nursing program.
D Transportation to and from clinical agencies including parking fees will be the responsibility of the student. Travel
to clinical facilities outside the campus/center area will be required. Columbia State does not assume liability for
personal injury or property damage incurred while on route to and from these facilities and while in these facilities.
*Required equipment includes stethoscope, blood pressure cuff, bandage scissors & penlight.
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Program of Study
Nursing Program (Associate of Applied Science in Nursing, A.A.S.)
This program:
- offers entry into the practice of Nursing by preparing students for writing the National
Council Licensure Exam (NCLEX-RN) in order to obtain the title of Registered Nurse.
- offers opportunity to gain knowledge and skills in order to function in a beginning staff
nurse position.
- is available at Columbia State Community College, Columbia and the Williamson
County Center, Franklin.
Students gain nursing experience in clinical facilities at area hospitals and various health agencies
throughout the community. The length of the program is four academic semesters.
CURRICULUM (effective Fall 2014)
Prerequisite:
BIOL 2010 Human Anatomy & Physiology I = 4 credit hours
Semester One
Credit
Hours
BIOL 2020 Human Anat. & Phys. II
PSYC 1030 General Psychology I
NUR 1115 Nursing Foundations
NUR 1118 Nursing I Clinical
NUR 121 Math Apps for Nursing
4
3
5
2
1
Semester Three
ENGL 1010 English Composition I or
ENGL 1020 English Composition II
Humanities/Fine Arts Elective
NUR 2116 Intermediate Med-Surg
Nursing
NUR 2117 Psych/Mental Health
Nursing
NUR 2118 Nursing III Clinical
NUR 2188 Applying Surgical Concepts
NUR 2189 Applying Psychiatric
Concepts
Credit
Hours
3
3
4
2
3
1
1
Total:
Semester Two
15
Total:
Semester Four
17
BIOL 2230 Microbiology
PSYC 2130 Develop Psych-Lifespan
NUR 1126 Basic Med-Surg Nursing
NUR 1127 Health of Women & Infants
NUR 1128 Nursing II Clinical
NUR 122 Pharmacology
4
3
3
2
2
2
SPCH 1010 or SPCH 1030
NUR 2125 Advanced Med-Surg
Nursing
NUR 2128 Nursing IV Clinical
NUR 2198 Applying Pediatric Concepts
NUR 2199 Applying Medical Concepts
3
Total:
16 Total:
TOTAL CREDIT HOURS: 66
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3
1
1
14
Students in pre-nursing curriculum may take non-nursing courses in any sequence. If not completed
prior to semester indicated, non-nursing courses must be taken as co-requisites with nursing courses
in each semester. Students enrolled in nursing must complete all course requirements by the
semester as indicated.
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Example of a typical week for Nursing Foundations semester for only Nursing classes
Mon
Tues
Wed
Thur
Fri
8:00a – 10:50a
8:00a – 12:00p
8:00a – 9:50a
Nursing Theory
Clinical in health
Nursing Theory
Lecture class.
care facility
Lecture class
Pick up assignment
and prepare for
1:00p – 3:00p
11:00a – 12:20p
clinical ***
Lab on campus
Math Applications
Additional practice time in lab
*** Done day prior to assigned clinical day
Credit/Clock Hour Requirements
One semester hour of classroom credit is based upon 750 minutes of class instruction per semester.
The ratio of credit to clock hours for nursing clinical/laboratories is 1 to 3. One semester hour of
clinical/laboratory credit is 2250 minutes (45 hours) per semester.
Semester One


Credit Hours
Per Semester
5
2
1
8
NUR 1115 Nursing Foundations
NUR 1118 Nursing I Clinical
NUR 121 Math Apps for Nursing
Clock Hours
Per Week
5
6
1.3
12.3*

Total:
Semester Two
 NUR 1126 Basic Med-Surg Nursing
3
3
 NUR 1127 Health of Women & Infants
2
2
 NUR 1128 Nursing II Clinical
2
6
 NUR 122 Pharmacology
2
2
Total:
9
13**
Semester Three
 NUR 2116 Intermediate Med-Surg Nursing
4
4
 NUR 2117 Psych Mental Health Nursing
2
2
 NUR 2118 Nursing III Clinical
3
9
 NUR 2188 Applying Surgical Concepts
1
2 (1/2 Semester)
 NUR 2189 Applying Psychiatric Concepts
1
2 (1/2 Semester)
Total:
11
17**
Semester Four
 NUR 2125 Advanced Med-Surg Nursing
6
6
 NUR 2128 Nursing IV Clinical
3
9
 NUR 2198 Applying Pediatric Concepts
1
2 (1/2 Semester)
 NUR 2199 Applying Medical Concepts
1
2 (1/2 Semester)
Total:
11
17**
*Excludes recommended practice lab and expected preparation time and follow-up of the clinical
experience.
**Excludes expected preparation time and follow-up of the clinical experience.
13
Admission Requirements
Nursing Program (A.A.S.)
See current Columbia State Community College catalog.
In compliance with the Americans with Disabilities Act, all applicants and admitted students
must be, with reasonable accommodation, physically and mentally capable of performing the
essential functions of the program as outlined in the Core Performance Standards listed below.
These standards were developed by the Southern Council on Collegiate Education for Nursing and
are adopted by all nursing programs in the Tennessee Board of Regents system.
CORE PERFORMANCE STANDARDS FOR THE NURSING PROGRAM
SLO
Outcome 1
Issue
Communication abilities
sufficient for interaction with
others in verbal, non-verbal and
written form
Interpersonal
Interpersonal abilities sufficient to
interact with individuals, families
and groups from a variety of
social, emotional, cultural, and
intellectual background.
Critical thinking ability sufficient
for appropriate clinical judgment
and utilization of the nursing
process.
Physical abilities sufficient to
move from room to room and
maneuver in small spaces.
Strength to perform patient care
and assist with patient mobility,
reach IV pole, etc.
Gross and fine motor abilities.
Outcome 2
Critical Thinking
Outcome 3
Mobility
Motor Skills
Hearing
Auditory ability sufficient to
monitor and assess health needs.
Visual
Visual ability sufficient for
physical assessment and
intervention.
Tactile ability sufficient for
physical assessment and
intervention.
Ability to be responsive within
appropriate time period.
Tactile
Outcome 4
Standard
Communication
Timeliness
14
Examples
Assess health status, explain
procedures, interventions,
patient responses and
communicate with health care
team and faculty.
Establish rapport with
patients, peers, healthcare
professionals and family.
Identify cause-effect
relationship in clinical
situation and revise/develop
nursing care plan.
Move around in patient’s
room, workspace, and
treatment areas and
administer cardiopulmonary
procedures.
Manipulate syringe and
ampule, vial, calibrate and
use equipment, assist with
patient movement.
Hear monitor alarms,
emergency signal, auscultate
sounds, call system and cries
for help.
Distinguish color and observe
patient responses.
Perform palpation function of
physical examination, e.g.
insertion of IV catheter.
Complete assignments on
time; report to assignments
on time.
Self-Assessment According to Core Performance Standards
All students admitted to the program shall self-assess their physical and mental capability to
perform the essential functions of the program (outlined in the Core Performance Standards for
Nursing Program). The Nursing Program Director shall abide by the requirements of section 504 of
the Rehabilitation Act of 1974 while maintaining standards that ensure the protection of students
and patients. The essential functions of the program shall be those that are customarily practiced in
accordance with the National League of Nursing Standards. Each student must determine his/her
own ability to achieve the standards of the program. After self-evaluation, any student requiring
special accommodations to fulfill program requirements should contact the Office of Disability
Services to determine if requested accommodations are reasonable.
Americans with Disabilities Act
Each student is responsible for providing notice of any disability requiring special accommodations.
Such notice may be provided to the College’s Office of Disability Services. Requesting such
accommodations is encouraged in order to provide notice prior to the beginning of the semester so
that appropriate documentation on accommodations can be presented to the course faculty.
Columbia State Community College is an equal opportunity affirmation action educational
institution. No person shall be excluded from participation in, be denied the benefit of, or be
subjected to discrimination under any program or activity of the College because of race, color,
gender, sexual orientation/gender identity, religion, ethnic or national origin, sex, age, disability
status (who meet core performance standards), or status as a covered veteran.
Campus/Clinical Placement
Campus location assignment is subject to change during enrollment in the Nursing Program based
on student enrollment numbers, clinical placements, and instructor availability.
15
Enrollment Requirements for Accepted Applicants
All students accepted into the nursing program must meet the following enrollment requirements.
Health Requirements
All Nursing students must provide evidence of good health (disease free) by submitting the
following:
a. A completed Physical Exam form must be returned to the Health Sciences Admission
and Records Clerk prior to enrollment in any nursing courses.
b. Physical Exam form includes documentation of the following.
2 step TB Skin Test
(date and results)
Chest X-Ray
(date and results)
Mumps (IGG) Titer
Rubella (IGG) Titer
Varicella Zoster (IGG) Titer
Rubeola (IGG) Titer
Tetanus/Diphtheria Booster
Hepatitis B Vaccine/Titer
Influenza Immunization
Drug and Alcohol Screen
This test is used to screen for previous infection to tubercle bacillus. It involves an initial
intradermal injection of purified protein derivative or PPD. You must then have the test
read in 48-72 hours after injection, wait 2-3 weeks then follow same procedure.
If any part of the initial 2-stepTB skin test result is positive, a chest X-ray will be
required. A radiologist must read your chest X-ray and forward the report to you or
directly to the Department of Nursing.
A Mumps titer simply indicates that you have immunity to mumps. *
Rubella also called the German Measles or Three Day Measles is generally a mild viral
infection that occurs in childhood or with young adults. It is important to know if you have
immunity to Rubella or are susceptible to this disease. This is measured in a blood test
called a Rubella IGG Titer. A titer is a blood test that demonstrates immunity or nonimmunity to the disease. Therefore, you must receive a Rubella IGG Titer or show
evidence of having had the disease.*
Varicella is also known as chickenpox. Immunity may be acquired by having the disease
or by receiving the Varicella Zoster vaccine. Immunity to Varicella is measured by a blood
test in IGG units.
Rubeola, commonly called measles, is a severe disease complicated by middle ear
infections and bronchopneumonia. It is important to know if you have immunity to
Rubeola or are susceptible to this disease. The Rubeola Titer is measured in IGG units. A
titer demonstrates immunity or non-immunity to the disease. Therefore, you must show
evidence of having had the disease.*
You must show proof of having had this booster within the past 10 years.
State of Tennessee Health Department regulations require the Hepatitis B vaccine for all
students who will have patient contact. Compliance is demonstrated by:

Documented completion of the Hepatitis B vaccine series, or

Laboratory evidence of immunity or infection.
Students who have not previously completed the Hep B series will be allowed to begin the
nursing program by providing evidence of the first shot in the series. Continued enrollment
in the program is contingent upon scheduled completion of the immunization series.
Students must adhere to the 3-dosage schedule (dose #1…dose #2 a month later …dose #3
six months after the first dose.) Students who do not complete each dose in the series on
time and provide documentation to Columbia State immediately will not be allowed to
attend clinical rotations, will be unable to complete clinical course objectives, and, as such,
will not be eligible to continue in the program. Students are encouraged to follow the series
with a Hepatitis B Surface Antibody Titer to be done sixty (60) days after dose # 3 to
determine whether immunity is achieved. If immunity is not present, a booster or repeat
series is suggested. The only exceptions to the vaccine requirement will be for students
who decline in writing for medical or religious reasons.
Influenza season runs 10/1 – 4/1 each year. You must have an influenza immunization.
A minimum 10 panel drug screen with an additional alcohol screen will be required for
students after acceptance into health science programs as a condition for beginning clinical
education. This drug and alcohol screen must be within 90-days of the first day of your
clinical rotation. Since multiple facilities utilized for clinical experience require a drug and
alcohol screen of all applicants for employment, students rotating in the clinical
environment are subject to the same standards.
*If titers do not show immunity, you will need to get an MMR/Varicella Zoster vaccine and have
another titer drawn to check for immunity after the appropriate amount of wait time.
16
You must submit a copy of the health reports to the Health Science/Nursing Office before your first class
day. YOU WILL NOT BE ALLOWED TO START CLINICAL UNTIL YOUR HEALTH RECORD
IS COMPLETED. Missed clinicals may result in an unsatisfactory. (See Clinical Absence section of this
handbook.)
Annually: All current, readmitted and transfer students must submit proof of an annual TB skin test and
current Basic Cardiac Life Support (BCLS) for Health Care Providers certification before beginning
classes. Some clinical affiliates require two (2) TB skin tests within 3 months of participating in clinical
activities in their facility.
Basic Cardiac Life Support (BCLS) for Health Care Provider Certification
This certification may be obtained through Columbia State Community College, or the American
Heart Association (BCLS for the Healthcare Provider). Proof of BCLS certification must be
submitted to the Health Sciences Admission Records Clerk before the student can attend the first
clinical experience. The student is responsible for maintaining BCLS certification throughout the
program.
17
Continuation Requirements
After admission to the program, a student must maintain the following to remain eligible for
continuation in the nursing program:
1)
2)
3)
4)
5)
6)
Maintain a score of 75% (grade of C) or better in all nursing courses.
Maintain satisfactory performance in clinical laboratory assignments.
Earn a grade of C or better in each science requirement.
Maintain a minimum GPA of 2.00 for the semester.
Maintain professional conduct in the classroom and clinical settings.
Complete all co-requisite courses each term.
Students, who fail to meet the continuation requirements as stated, must drop/withdraw from the
Nursing Program. Students who must drop/withdraw from the program may be qualified to
continue taking courses at Columbia State, but will not be permitted to register in nursing courses
without readmission to the program.
Withdrawal
It is the student’s responsibility to officially withdraw from nursing course(s). Students who
withdraw and wish to be readmitted into the nursing program will be required to follow the
readmission requirements as designated in the current college catalog, including the completion of
an Exit Interview.
Exit Interview
Students who withdraw from a nursing course or who are terminated for academic or other reasons
must have an exit interview at the time of exit to be eligible for readmission. This exit interview is
required for any student who is or will be seeking readmission. It is the student’s responsibility to
schedule this interview with a course instructor. Students who fail/withdraw from a course must
complete the Exit Interview no later than 6 weeks following the end of the semester or the date of
withdrawal.
18
Readmission Requirements
Students who exit the program prior to second semester (Nursing II) are not eligible for readmission
to the program. A formal appeal based on extenuating circumstances will be considered for
readmission into the first semester. Only one readmission into the nursing program is permitted.
Readmission to the program is not guaranteed, regardless of the reason for dismissal. Students are
readmitted on a space available basis for each nursing course. Students, who withdraw/fail from the
nursing program and are seeking readmission within three years, may be readmitted into the course
in which they were enrolled at the point of exit. If three years or more have elapsed since
enrollment in nursing courses, all nursing courses must be repeated. An Exit Interview Form must
be on file to be eligible for readmission. All extenuating circumstance appeals must be presented
within one semester after the semester of exit.
Readmission Requirements:
1.
2.
3.
To be eligible for readmission, the student’s overall college-level grade point average
should be at least a 2.0 or higher. Students on academic probation are not eligible for
readmission.
A completed exit interview should be on file in the Health Sciences/Nursing Office for
the student. Students who fail a course or withdraw after completing the semester must
complete the exit interview no later than 6 weeks following the end of the semester in
which they were enrolled.
Readmission Procedures are listed in the current College Catalog.
Policies Governing Classroom Instruction
Students are expected to:
1) Attend class on time and as scheduled. Class rolls are utilized to record student attendance (see
College Catalog and Student Handbook). Regardless of the cause or nature of an absence,
students are responsible for all class work covered or assigned during the absence. Students are
expected to notify the instructor IN ADVANCE if unable to attend class, a clinical day or an
examination. Students are to take exams as scheduled.
2) Conform to college expectations for classroom behavior, conduct and academic integrity as
described in the Columbia State Community College Catalog and Student Handbook as well as
program expectations outlined in this Handbook.
3) Arrange for instructor assistance as deemed necessary by self-evaluation.
4) Read appropriate textbook sections and selected references prior to class attendance, use the
campus resources as assigned and keep current with class notes.
5) Participate in classroom discussions.
6) Use the nursing laboratory, Library and Teaching Learning Center (TLC) for practice and
references as assigned and/or as individually needed.
19
7) Use appropriate Drop-Add procedures as stated in the College Catalog under “Change of
Registration Procedures.”
8) Complete all written/oral examinations covering lecture material and assigned reading with a
grade of 75% (grade of C) or above.
9) Receive instructor’s permission to record lectures.
10) Cell phones must be turned off in the classroom.
Nursing Courses via Interactive Television Technology
Some nursing classes will be taught through distance learning. Classes are held in Columbia and
Franklin and taught simultaneously through an interactive compressed video system, technology
which combines two or more electronic classrooms to one another in a network managed by
computer and linked by telephone lines. These lines permit simultaneous transmission and
reception of audio, visual and data signals, integrating the two sites into a cohesive unit.
Each classroom is equipped with multiple television monitors, microphones, video cameras, and
computers which manage and integrate all functions. An instructor will lecture from one site. The
instructor will be able to see, hear and communicate with all students at all sites. Moreover, all
students at other sites will be able to see, hear and communicate with the instructor as well as with
all other students at the other sites.
Student responsibilities are similar to other lecture courses. Students must take notes, participate in
class discussions, ask questions, view visuals in class, and take exams. This technology permits use
of a team-teaching approach, which provides the student with a broader understanding of nursing.
It also allows the faculty to make greater use of visuals in the lectures. Ceiling mounted
microphones are available for students to ask questions at any time.
Media specialists and staff facilitators are available to ensure that equipment works properly or to
provide information and instructions should a power failure occur. Nursing faculty will be available
at the Columbia and Williamson sites for instructional and student support.
20
Grading Scale
A= 91-100%
B= 83-90%
C= 75-82%
D= 65-74%
F= below 65%
1. An average grade of 75% or higher in each nursing course is required for progression.
2. The specific method for weighting the course grade is identified in each course syllabus and is
explained by the instructor on the first day of class.
3. In calculating the final grade, 0.5 will round up to the next numerical grade and 0.499 will
round down to the next lower numerical grade if grades are calculated on a percentage basis.
4. Some course grades are calculated on a point earned basis. The course syllabi will identify the
number of points needed for each grade. The “C” grade is based upon 75% of the total possible
points for the course.
Testing/Exam Policies
1) Administration of Examinations:
a. Unit tests and final examinations are timed. It is to the student’s benefit to be on time for a
test in order to receive the maximum time allotted for the test/exam.
b. Team instructors will be present for all examinations.
c. All exams and answer sheets will be handed in when the student finishes the exam and
leaves the room.
d. Answers on the answer sheet are used to calculate test/exam grades, regardless of what is
written on the test/exam booklet.
e. No student will receive exam answers until the test review and/or all students have
completed the exam.
f. Cell phones must be turned off during all examinations.
2.) Examination Review:
a. Students will have the opportunity to review tests/exams at the designated test/exam
review time.
b. Students having questions regarding their grades are encouraged to notify the faculty in a
timely manner. For examinations, this means the student is to notify the faculty about an
exam grade error within one (1) week following the review date.
c. If there is a question about the correctness of a student’s answer, it should be addressed in
writing with documentation to the instructors via email or by appointment.
d. Note taking and/or tape recorders are not permitted during test/exam reviews.
e. All students must return their test/exam to the instructor before they leave test/exam
review session.
f. Exams will be counted at the end of the review session to ensure all have been returned.
21
3.) Exam Make up Policy:
In the event of an unexcused absence from an exam, THE GRADE BEGINS AT 85%. To be
excused, students MUST call the course faculty prior to the exam to explain the absence. The
faculty will then determine if the absence is excused. Students may be given an alternate exam
for the test/exam make-up. Students are expected to take the exam on the first day they return
to class or clinical. It is the student’s responsibility to make arrangements with the course
coordinator or instructor for the exam make-up. If proper procedures are not followed, a grade
of zero may be assigned for the test.
4.) Exam Scores and Posting Grades
The posting of student grades is at the discretion of the instructor. If grades are posted,
an individual exam posting number is used. Each student is responsible for verifying his/her
test/exam grades.
Computer scantron forms are used for most test/exams. The scantron forms (not answers
recorded on test/exam) are used for scoring. Exam materials are destroyed at the end of the
grade appeal period (see College Catalog).
Students having questions regarding their grades are encouraged to notify the faculty in a
timely manner. For examinations, this means the student is to notify the faculty about an
exam grade error within one (1) week following the exam.
Grades for the current semester will be available online. The specific date grades are available
is published in the Academic Calendar of the current semester Course Schedule.
Dosage Calculation Requirement:
Accurate calculation of drug dosages is critical for safe administration of medications. Clinical
drug dosage calculation test/quizzes are integrated into the content and evaluation of all nursing
courses, both in theory and clinical. Each nursing course will specify in the course syllabus the
dosage calculation requirement for satisfactory performance/passing. Students will fail the
course if they do not meet the requirement as specified. The use of calculators is not allowed in
NUR 121 (Dosage Calculations) and at instructor discretion thereafter.
Academic Integrity:
Consistent with Columbia State Community College’s and the Tennessee Board of
Regents’ (TBR) Policies, academic dishonesty is prohibited. Students must not divulge any
questions from examinations to any individual or entity. Students must understand that the
unauthorized possession, reproduction or disclosure of any examination material including the
nature and/or content of examination questions without consent of the institution is in violation
of institutional and TBR policies. Further, students must understand that to knowingly discover
or attempt to discover the content of an exam before the contents are revealed by an instructor is
in violation of institutional and TBR policy that can result in disciplinary action. See the
Columbia State Community College Student Handbook for more information.
22
Policies Governing Clinical Instruction
Columbia State Community College shall provide clinical instruction in the application of didactic
information. This shall be provided in the campus laboratory and through affiliation agreements
with health care facilities. Students shall adhere to the following procedures and policies governing
the clinical component of the nursing program.
1.) Students are expected to attend every clinical session. Attendance is mandatory.
2.) Complete all required clinical hours and clinical paperwork at a satisfactory level.
Infection Control Policy
Guidelines
This policy relates to Standard Blood and Body Fluid Precautions as defined by the Center for
Disease Control (including HIV and Hepatitis B). Some hospital personnel and students are in
direct contact with patients’ body fluids, blood, and blood products. To prevent possible
exposure to the HIV virus, Hepatitis B, and other blood borne infections, the following policy
applies to all students regarding all routine patient care while in clinical rotations.
1.) Standard precautions are followed in all clinical facilities.
2.) Students will follow the specific Infection Control policy in the institution in which they
are practicing clinical nursing. Additional precautions will also be followed if necessary
to meet Columbia State’s and clinical site’s policies.
3.) When the possibility of exposure to blood or other body fluids exists (see chart below),
the student shall wear disposable gloves. They will be removed after each patient contact
and hands are to be washed before and after each patient contact.
GLOVES REQUIRED DURING THE FOLLOWING PROCEDURES:










Venipuncture
Wound drainage
Emesis
NG tube insertion and removal
Suction—NG, OP, NP, and tracheal
Urine—bed pan, foley
Feces
Vaginal drainage/Perineal care
Decubitus with drainage or open wound
Bathing and linen changes










23
Conversion to heparin lock
Discontinuing a foley catheter
Removal of vaginal or rectal packs
Oral care
Irrigation
Episiotomy and/or perineal care
Newborn bath (only first bath)
IM, SQ and intradermal injection
Eye drops
Discontinuing IV
4) Gloves are not recommended for casual contact.
5) Gowns, masks, and eye coverings (goggles) are indicated when performing procedures
involving more extensive contact with blood or potentially infective body fluids, as in
surgeries and invasive procedures in which bleeding may occur (e.g. hemodynamic
monitoring, OB deliveries, suctioning procedures).
6) Eye coverings (goggles) are required when opportunity for splashing exists. Such as:
 Wound irrigation
 Separation of tubes that have body fluid within the tube
 Tracheostomy care and suctioning
 Eye irrigation
 Situations individually assessed by faculty
 Suctioning
7) Hands or other body parts must be washed thoroughly and immediately if accidentally
contaminated with blood and/or body fluids.
8) Ventilation devices should be used for emergency mouth-to-mouth resuscitation.
9) Sharp items (needles, scalpel blades, broken ampules, and other sharp instruments) shall be
considered as potentially infective and be handled with care to prevent accidental injuries.
10) All needle stick accidents, mucosal splashes, or contamination of open wounds with blood
or body fluids shall be reported immediately using an incident report and following proper
procedure. The Nursing Program Director must also be notified within twenty-four (24)
hours of the incident.
11) Blood spills shall be cleaned promptly with a disinfectant solution, which complies with the
Center of Disease Control (CDC) and/or institutional guidelines.
12) All patients’ body fluids shall be considered bio-hazardous.
13) No patient diagnoses shall be excluded from student assignments.
Implementation
To ensure adherence to the recommended Standard Precautions, the following educational
measures will be required:
1) All students enrolled in the Nursing Fundamentals/Nursing I Clinical courses will be
instructed in the appropriate precautions before clinical experience begins.
2) Compliance with precautions will be monitored. When monitoring reveals a failure to
follow precautions, counseling, education, or retraining shall be provided and appropriate
disciplinary action shall be considered.
3) No student participating in a clinical rotation will be required to handle patients with
infectious diseases as outlined above unless that student is provided with gloves, disposable
gowns, or any other safety equipment designed to reduce the transmission of diseases.
24
Needle Stick Injury Policy on Campus
Procedure:
1) Students are to wear gloves during practice of venipuncture/injections.
2) Contaminated needles are not to be re-capped, purposely bent or broken by hand.
3) After use, disposable syringes/needles will be placed in appropriate puncture resistant container.
4) In the event a student is injured by a needle stick, the instructor must be immediately notified
and the incident documented with a conference record in the student's file.
5) The instructor will determine the sterility of the needle involved in the stick injury.
6) The instructor will complete an incident report; provide copy for student with recommendation
to follow up with healthcare provider if the needle involved was not sterile.
General Health Requirements
In order to participate in the clinical setting, students will be required to meet the same health
standards of the clinical affiliate as the employees. Students will be notified in advance of
additional health requirements for specific clinical sites. Students who do not comply with the
health requirements cannot attend clinical and may not complete the course.
Criminal Background Checks and Drug & Alcohol Screening
Criminal background checks and a drug and alcohol screen will be required at affiliated clinical
sites. Based on the results of the criminal background check and drug and alcohol screening, an
affiliated clinical site may refuse your presence at their facility. This could result in your inability
to successfully complete the requirements of a clinical nursing course and therefore, would not
allow you to meet the requirements for the nursing program. More information is available from
the Nursing Program Director.
Clinical Evaluation
The student is responsible for performing according to the Clinical Evaluation Criteria for each
nursing course. Each student will have daily (formative) and end of rotation (summative)
evaluations of his/her clinical experience. Both student and clinical faculty participate in the
evaluation process. The faculty determines satisfactory and/or unsatisfactory behavior.
Policies and Procedures for Clinical Evaluation
Satisfactory performance in clinical is necessary to progress to the next nursing course. A grade of
satisfactory is earned when the student successfully meets the five (5) student learning outcomes
listed on the “Clinical Evaluation Criteria”. The “Clinical Evaluation Criteria” describes minimal
behaviors for each major outcome which must be satisfactorily completed by the end of the
semester. The final clinical rating is determined by the clinical instructor.
25
1. Daily Clinical (formative) Evaluation: Evaluation of student performance will be done
each clinical day by both the student and the instructor using the “Daily Clinical Evaluation”
form. There will also be a written evaluation and an instructor/student conference at the end
of each clinical rotation or at mid-term. In addition, conferences may be arranged at any
time by the student or the instructor.
2. Final (summative) Clinical Evaluation: The final evaluation is determined by the
instructor at the end of each clinical rotation to assess the level of performance of the
student. This evaluation is based on the student’s performance of the “Clinical
Evaluation Criteria” behaviors throughout the semester.
Procedure:
a. On the scheduled evaluation day, the student will meet with the clinical instructor
for the midterm or final clinical evaluation.
b. The evaluation form will be reviewed and signed by the student. The student will
have an opportunity to make comments.
3. Criteria for Evaluation: The following guidelines are used in evaluating the level of
clinical achievement and the assignment of a clinical grade of “satisfactory” or
“unsatisfactory”.
a. The instructor assigns the clinical grade based on evaluation of clinical behaviors as
described by the “Clinical Evaluation Criteria.”
b. Any student receiving an “unsatisfactory” three times in any one student learning
outcome during the semester will receive an “unsatisfactory” for the semester OR
any student receiving a total of six unsatisfactories in the combined five student
learning outcomes will receive an “unsatisfactory” for the semester.
c. Unsatisfactory behavior will be documented on the “Daily Clinical Evaluation” form
and described in detail on the “Unsatisfactory Behavior Form.” A student/instructor
conference will be held after the unsatisfactory behavior, to review the
documentation and discuss the behavior. At this time, the student has the
opportunity to make written comments. Students are asked to sign the clinical
evaluation form; the student’s signature indicates the conference was held and the
student reviewed the documentation. A copy of the evaluation form will be given to
the student, and the instructor will retain a copy for the student’s clinical file.
d. If the instructor questions the assignment of an “unsatisfactory” due to extenuating
circumstances, the instructor will consult with another faculty member to assist in
making a grade assignment.
e. Examples of Satisfactory Behaviors*:
1. Demonstrates ability to perform critical behaviors as described by the Clinical
26
Evaluation Criteria.
2. Completes patient assessment tool on each assigned patient each clinical day.
3. Completes written nursing care plans satisfactorily as determined by clinical
instructor.
4. Completes other written reports and reaction papers as designated by the
instructor.
5. Actively participates in pre- and post-conferences.
6. Delivers overall safe nursing care.
7. Is able to identify areas of own need and seeks appropriate assistance.
8. Demonstrates retention and refinement of skills learned in the previous
semesters as well as overall progress over the semester being evaluated.
9. Demonstrates professional behaviors.
f. Examples of Unsatisfactory Behaviors*
Unsatisfactory behavior violates professional conduct as outlined in the course
clinical evaluation criteria.
1. Demonstrates behavior with the potential to jeopardize the patient’s physical
and/or psychological safety.
2. Demonstrates unprofessional behavior as outlined in the rules of the Tennessee
Board of Nursing “Unprofessional Conduct, Negligent Habits, or Other” Section
1000-2-13.
3. Does not demonstrate retention of skills learned in previous semesters or
acquisition of skills required in the current semester.
4. Violates patient’s rights (privacy, confidentiality, protection from injury, etc.).
5. Is unprepared for clinical laboratory.
6. Fails to turn in written assignments as 2 - 4 under “Examples of Satisfactory
Behaviors”.
7. Minimally participates in pre- and post-conferences.
8. Has limited insight into own needs and behavior and does not actively seek
assistance.
9. Is tardy or absent for clinical laboratory.
10. Is impaired by alcohol and other substances.
11. Is inappropriately attired according to the nursing department policies.
(*These are not complete lists of behaviors, but are examples of each category.)
Unsatisfactory Performance
Students receiving three (3) clinical unsatisfactories in one student learning outcome or a total
of six (6) unsatisfactories from all five (5) student learning outcomes during the semester will not
be allowed to continue attending clinical. If this occurs before the last day to drop/withdraw,
students may drop/withdraw from the course by completing and submitting the “Change of
Registration” form. If this occurs after the last day to drop/withdraw, the student will receive a
failing grade.
Students are often uncomfortable about receiving an unsatisfactory in clinical. It is suggested that
students utilize this experience to learn from their mistakes. No one “unsatisfactory” can fail a
student; a substantial number of “unsatisfactories” indicates that a student may not be a safe
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practitioner and therefore, may not be allowed to continue. Failing in the nursing program by a
number of “unsatisfactories” does happen and students are advised to critically evaluate their own
performance based on the criteria listed above. (See “Grounds for Immediate Dismissal” from the
program, page 34.)
Clinical Absence
Students are expected to attend their required scheduled clinical and clinical laboratories.
Clinical attendance is expected to allow for the application of the nursing process and theoretical
knowledge and to allow for evaluation of the student’s clinical performance by faculty. Therefore,
if more than one scheduled clinical day and/or laboratory in a semester is missed for any reason, the
student will fail the clinical course and be dismissed from the program. One clinical make up day
will be allowed. See below for guidelines.
There are specific guidelines regarding notification if a student is to be absent from clinical. It is
the student’s responsibility to follow the guidelines for the clinical rotation.
1) Notify the faculty and the assigned clinical area prior to the absence from a clinical
assignment or within a reasonable time considering the circumstances.
2) Contact the clinical faculty regarding scheduling the make-up of clinical hours. Students
are required to complete the scheduled clinical hours for the course. Clinical absences
must be made-up, however, not all absences can be made up in the clinical facility and
an alternative assignment may be necessary.
3) Following an episode of illness, hospitalization, surgery or childbirth the student must
submit medical clearance to the course faculty and program director. The medical
clearance must state the student can return to full clinical duties, without restrictions.
Faculty may request medical clearance at any time from a student following an absence
from class or clinical that is attributed to health reasons.
4) Missed clinical assignments shall be completed prior to the end of the semester or a
failing grade will be assigned to the student.
Inclement Weather
Due to inclement weather, clinical will be cancelled if the college is closed or classes are cancelled.
Students will make up clinical hours as assigned by the clinical faculty. Information regarding the
college’s status during operational hours in inclement weather may be heard on the telephone
information recording by accessing the following number: 931-540-2515. All absences, including
inclement weather, require the same notification to clinical faculty and make-up of clinical hours.
Traveling in inclement weather is the student’s decision. The clinical facility as well as the
instructor must be notified. The absence must be made up. Should the instructor cancel clinical,
she/he will be responsible for notifying students and the clinical facility.
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Clinical Requirements
It shall be the responsibility of the student to become thoroughly acquainted with the clinical
rotation schedule and requirements for the rotation. Each nursing course has specific Clinical
Evaluation Criteria. Students are responsible for being familiar with the expectations delineated in
these and the course syllabus.
Student Behavior in Clinical
1) Students are expected to hold all patient and institutional information in the strictest confidence
at all times. The discussion of any patient information, clinical situation or experience outside of
the classroom setting is NOT PERMITTED. This includes placing information on social
network sites, such as Facebook, etc. Breach of confidentiality is a violation of federal law and
will result in disciplinary action including possible prosecution. See “A Nurse’s Guide to Social
Media” at: https://www.ncsbn.org/Social_Media.pdf
2) Students will behave in a manner consistent with standards of practice for professional nurses.
3) Students will stay in assigned areas during clinical rotations and not go into unassigned areas.
4) Students will not read unrelated material during clinical assignments.
5) Students will participate in unscheduled learning experiences that are available when assigned
areas are not busy.
6) Students will adhere to the nursing code of ethics and comply with the nursing scope of practice.
Copy of nursing code of ethics:
http://nursingworld.org/MainMenuCategories/EthicsStandards/CodeofEthicsforNurses.aspx
7) Each student should be advised that if he/she reports acts of misconduct of other students or
clinical staff, program faculty will act upon verifiable reports and cannot ensure student
anonymity.
8) Any student involved in deceit of program faculty or clinical staff shall be subject to
disciplinary action. (This includes contributing to or concealing the deceitful actions of other
students).
9) Students are expected to practice self-discipline and take action to improve their conduct when
unacceptable behavior, conduct, or performance is identified.
10) Students are not allowed to duplicate or copy items from the patient’s clinical record.
11) Medications will be administered according to clinical agency’s policies and procedures.
12) Students will be accompanied by the instructor or appropriate licensed personnel for ALL
invasive procedures (including administration of intravenous and/or injectable
medications). Failure to do so on the student’s part will result in an unsatisfactory and possibly
dismissal from the program.
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13) Chewing gum or any other item/object in the clinical setting is not permitted.
14) Cell phones and/or recording devices are NOT permitted in the clinical area and are not to be
turned on while the students are engaged in the clinical setting.
Personal Appearance
There is a formal dress code for nursing students (see below). Please read the dress code carefully
and note all details. Guidelines for the psychiatric/mental health clinical and dress for obtaining
patient assignments are also included. Unsatisfactories are given for failure to comply with the
dress code. Students will also be sent home for non-compliance. There are no guidelines
pertaining to dress for classroom attendance; however, appropriate dress is appreciated. Students
are expected to wear appropriate undergarments at all times.
DEPARTMENT OF NURSING DRESS CODE
1) Hair—pulled back, secured from face, and neatly arranged in acceptable color. Neatly
arranged and acceptable color to be determined by the faculty, using clinical facility
policy and professional standards. Hair is not to hang forward of the face while students
are providing nursing care.
2) Facial hair—beards and mustaches clean and neatly trimmed.
3) Make-up – appropriate with no “heavy” make-up.
4) Nails—no nail polish or false nails, nails finger-tip length or shorter.
5) Jewelry—
a. Students will not wear jewelry in the clinical setting to prevent potential injury to
themselves or others. However, a set of wedding rings may be worn. If the ring(s)
interfere with the performance of safe nursing care and/or nursing duties, the faculty
will instruct the student to remove them. One small pair of post earrings (one stud
earring per ear) may be worn. No stretched, hoops or dangling earrings are allowed.
b. No external visible body jewelry including tongue jewelry is allowed at anytime.
6) Glasses—Clear glasses, which allow for eye-to-eye contact.
7) Cologne, perfume or strong-scented lotions—not appropriate while in the clinical area.
8) Tattoos must be covered.
9) Uniform
Female students’ uniform
a. White nurse’s uniform top with hunter green uniform pants or skirt. No
stretch knits, capris, jeans, or sweats allowed. Mini skirts or camisole tops
may not be worn. Uniform must be neat, well-fitted and professional.
b. Appropriate undergarments, no thongs
Male student’s uniform:
a. White uniform top with hunter green uniform pants. No stretch knits, capris,
jeans, or sweats will be allowed. Uniform must be neat, well-fitted and
professional.
b. White t-shirt and undergarments.
Uniforms must be clean and pressed and include the following:
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
Standard nurse duty shoes (white leather) or all white leather sneakers. Shoes
may not be toeless or be made of canvas material. The heel must be enclosed
(no clogs or clog-like styles).
 White hose in good repair
 White socks (no ankle socks) worn with pants (socks are not appropriate with
skirts)
 Appropriate skirt length (knee length or longer) or appropriate pants length
(not dragging floor)
 Photo ID pin worn to the left side of the uniform or lab coat
 Photo ID pin is to be worn at all times in the clinical area
 Watch with a second hand
 One black pen and others as appropriate to the facility
 Bandage scissors
 Stethoscope
 Penlight
 Lab coat
 Eye protection (goggles)
 School of Nursing patch on left upper sleeve of uniform and lab coat
10) Lab coat or white scrub jackets may be worn over uniform while providing patient care,
if the sleeves can be pushed or rolled up.
11) Dress code for clinical experiences for which uniforms are not worn, such as
psychiatric-mental health clinical and going to the clinical facilities to obtain patient
assignments the day before clinical, are as follows.
The attire must be professional in appearance, i.e., no shorts, stretch knits,
stretch pants, capris, jeans, denim, leggings or other tightly fitting pants; no
sleeveless blouses or sweaters; no tightly fitting T-shirts or sweaters; no
“crop-tops”, see-through blouses, mini-skirts or “ragged-look” clothes; no
sweats or scrub suits; no toeless shoes or sandals. Professional dress is the
usual rule of dress for visiting the clinical sites, including during psychiatric
rotations. No bare midriffs (there must be closure between top and shirt or
pants) Appropriate identification (I.D.) must be worn at all times, unless
directed by clinical instructor.
Uniform or lab coat with appropriate identification (I.D.) must be worn when
getting pre-assignments in the clinical setting. Lab coat must be clean and
pressed. Professional attire is to be worn under lab coat.
12) Overall appearance and personal hygiene shall be neat, clean, and free of offensive
odors at all times.
13) Appropriate undergarments are to be worn.
A student not meeting the above requirements will be sent off duty and receive an
unsatisfactory grade for the clinical experience.
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Student Practices
The student shall be responsible to the clinical instructor in the specified clinical area. Specifically,
the following student behaviors shall apply:
1) Smoking is allowed only in designated areas as specified by the clinical affiliate.
2) The student shall not chew gum or other items while in the clinical setting.
3) The student shall not drink or eat while in the clinical setting.
4) The student shall not possess alcoholic beverages or drugs for personal consumption within the
facility. Proof of violation of this policy will result in immediate dismissal from the hospital
and the program (reference “Student Conduct in Health Science Programs” in the current
College Catalog).
5) The student shall never enter the clinical setting under the influence of any medication or
substance (prescription or nonprescription), which might impair judgment or compromise the
safety of students, staff or patients.
6) The student shall maintain patient safety at all times.
7) The student shall monitor the proper function of equipment utilized in the clinical setting for
possible equipment malfunction. In the event of suspected or confirmed malfunction, the
student shall immediately report this to the clinical instructor and/or appropriate nursing
personnel.
8) The student shall not disclose addresses and telephone numbers of other students and staff of
the department.
9) The student shall refer all grievances related to the program to the appropriate clinical instructor
and, if not satisfactorily resolved, to the course coordinator and/or the Nursing Program
Director.
10) The student shall not initiate or participate in arguments/confrontations in the presence of
patients or visitors.
11) The student shall comply with all applicable policies of the institution, program, and/or
clinical setting.
12) Cell phones (including text messaging) are prohibited in clinical facilities. If a student expects
to receive an urgent call during clinical, the situation should be discussed with the instructor.
13) It shall be the student’s responsibility to review the nursing website and class Online Campus
homepage(s) regularly for announcements relating to program and departmental policy updates.
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Policies Relating to Reporting Incidents
Incidents or injuries to any student or patient occurring during clinical must be reported
immediately to the on-site clinical instructor. The specific facility incident report and Columbia
State Community College Nursing Department incident report will be completed. These forms
shall be filled out immediately. The incident shall also be reported by the instructor to the Nursing
Program Director within twenty-four (24) hours of its occurrence.
In case of student injury suffered during clinical practice, emergency medical treatment may be
obtained at the facility. However, such treatment will be at the expense of the student.
Clinical Policy Regarding the Removal of Valuables,
Narcotics and Weapons from Patients
Valuables
The student shall follow the policy in place at each clinical affiliate regarding the
safekeeping of patient valuables (i.e., jewelry, wallets, purses, and money).
Narcotics/Weapons
The student should not attempt to remove narcotics/weapons from a patient. The student
should immediately notify the patient’s nurse and nursing instructor. The student should act
to insure the safety of other patients, visitors, staff, self and others.
Student Advisory Council
Students select class representatives to represent their class who will serve as the Student Advisory
Council to the program. The council meets on a regular basis with the Nursing Program Director
and/or faculty to communicate problems, concerns and dialogue about the nursing program.
Council meetings are open to all nursing students. This channel of communication is used to relay
information between all parties.
Pinning Ceremony Policy
At the end of each semester the nursing graduates are honored with one pinning ceremony. In order
to participate in the pinning ceremony students must have successfully completed all required
nursing courses.
The following Pinning Ceremony Guidelines are to be followed:
1. Columbia State Nursing Program and the graduating class will sponsor pinning.
2. The class pinning representatives will work with the assigned faculty member to plan
and coordinate the pinning ceremony.
3. The Nursing Program Director must approve all aspects of the pinning ceremony.
4. All student speakers/participants will submit speeches and presentations to the
Program Director and assigned faculty member by the designated date for review.
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STUDENT NURSE ASSOCIATION
Columbia State Community College Nursing Department sponsors two chapters of the Student
Nurse Association (SNA), one at the Columbia Campus and one at the Williamson County Campus.
The bylaws of this organization detail the organizational structure and maybe obtained from the
SNA advisor. The purpose of the SNA is to assist in the professional development of the student.
Information regarding SNA and meetings are posted on all nursing bulletin boards at both locations.
Student Grievance and Appeal Process
Academic and Non-Academic Appeal Process:
If a student believes the assignment of a course grade was based on discrimination, arbitrary
or capricious action or other reasons not related to academic performance, a procedure exists
whereby a student may appeal the grade. Students are to refer to the Grievance Procedure as
outlined in the Columbia State Student Handbook.
Complaints Regarding the Nursing Program and Its Policies:
Complaints should be presented in writing to the Nursing Program Director. Complaints
will be directed to the appropriate party (instructor, faculty, committee, etc.,) for
consideration and action.
Grounds for Immediate Dismissal
Acts of misconduct, which endanger the safety, health or well-being of another or have the potential
to be hazardous, may result in immediate dismissal without warning. Examples of actions that
might result in immediate dismissal are listed below. This list is not all inclusive.
 Administering IV meds without the instructor or designee
 Removing narcotics from the medication system without an instructor/nurse present
 Insubordination
 The conviction and/or known use of, distribution of, or possession of illegal drugs or
controlled substances
 Possession of alcohol or controlled substances on campus or in a clinical setting
 Unprofessional or unethical conduct
 Academic dishonesty
 Refusal by any clinical affiliate to allow a student on hospital property
 Failure to treat all patient information as confidential
 Leaving clinical without permission.
 Misrepresentation of oneself as a licensed Registered Nurse
In all cases, the student will be apprised of the right of due process of appeal as provided by
Columbia State Community College and as outlined in the Columbia State Student Handbook.
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Application for Licensure
Graduates of the Nursing Program will be eligible to write the National Council Licensure
Examination-RN (NCLEX) for licensure as a Registered Nurse. Finger-printing and a current
comprehensive background check must accompany the licensure application. The Tennessee State
Board of Nursing requires full disclosure of all legal offenses, including expungments. Also
required is verification of one of the following: 1) a U.S. citizen, 2) a “qualified alien”, or 3) a
nonimmigrant who meets 8 U.S.C. 1621 requirements.
Policy Governing Availability and Security
of Student Records
Columbia State shall ensure that the availability and security of all student records shall comply
with the “Federal Family Education Rights and Privacy Act of 1974” (Buckley Amendment).
Student records relative to the Nursing Program are secured in the Nursing office. Clinical records
will be retained according to current Tennessee Board of Regents Policy. Clinical files will be
destroyed two (2) years after graduation.
Policy Governing Student Career Placement
Clinical affiliates often assist in providing placement for students. Faculty actively assists with
student placement by providing student recommendations as requested by the student to employers
and/or academic institutions. Student requests are to be in writing and should indicate that the
faculty are held harmless for writing the recommendation.
Policy Governing Advisory Committee
There shall be an Advisory Committee for the Nursing Program. This committee shall generally
provide consultation to the program and its administrators relative to program curriculum content,
evaluation, revision, etc. (refer to Columbia State Community College’s 01-04-00 Advisory
Committee policy).
Student Conduct and Allied Health Programs
Students are to be familiar with this section of the current College catalog.
Disclaimer Clause
The course offerings and requirements of the Nursing Program are continually under examination
and revision. This Handbook presents the offerings and requirements in effect at the time of
publication, but is not guaranteed that they will not be changed or revoked. Students enrolled in the
program will receive notice of any changes, additions or revocation in writing: This Student
Handbook is not intended to state contractual terms and does not constitute a contract between the
student and the Nursing Program or Columbia State Community College.
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The following two pages (pages 37 and 38) must be signed by all incoming
students and returned to the Nursing Department.
36
COLUMBIA STATE COMMUNITY COLLEGE
Department of Nursing
Statement of Agreement: Academic Honesty,
Confidentiality/Patient Simulation Lab/Photography Release
Consistent with Columbia State Community College and Tennessee Board of Regents
policy, academic dishonesty is prohibited. I agree that I will not divulge any questions from
examinations to any individual or entity. I understand that the unauthorized possession,
reproduction, or disclosure of any examination materials including the nature and/or content
of examination questions without consent of the instructor is in violation of institutional and
TBR policy. I further understand that to knowingly discover or attempt to discover the
content of an exam before an instructor reveals the content will result in disciplinary action
(see College Student Handbook).
I understand that any information regarding a patient that is disclosed to me while I am in
the role of a nursing student is confidential and protected by HIPPA federal laws. I agree not
to disclose any patient information.
Students are expected to keep all events, procedures, and information used in conjunction
with the Patient Simulation Lab strictly confidential. This includes patient history
information obtained prior to the actual simulation experience, as well as information
obtained and used during the scenario including pre and post conferences. I agree to not
share information about simulation experience with other students.
I agree to allow Columbia State Community College to record and/or photograph my
performance in the Patient Simulation Lab. I understand that the recordings may be shown
in my classes for learning purposes, or may be shown to faculty at Columbia State to assess
the use of technology in the classroom.
By my signature below, I acknowledge that I have read, understand, and agree with the
above and the contents of the Nursing Handbook. I agree to comply with all policies and
procedures.
__________________________________________________________________________
(Student Signature)
__________________________________________________________________________
(Print Last Name)
(First Name)
(Middle Initial)
_________________________________________________________________________
(Date of Birth)
(Date)
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DEPARTMENT OF NURSING
I have read and understand that criminal background checks and
drug and alcohol screens will be required for attending clinical. I
understand that based upon my criminal background check and
drug screen results, the clinical affiliate may refuse my presence at
their facility. If I cannot attend a clinical site, I understand that I
will not be able to meet the requirements of a clinical nursing
course, and therefore, would not be able to meet the requirements
of the nursing program.
______________________
Print Name
___A - _____________
Student #
_______________________
Signature
__________________
Date
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