P P Table of Contents Page 1 TABLE OF CONTENTS POLICY AND PROCEDURE NOTEBOOK (Alphabetical by Policy Name) Section 1: Committee Bylaws Section 2: Policies Policy Policy Form Status Number Available F/S 20 F/S 6 S 32 F/S F F/S F/S 4 53 19 21 F 73 F/S 71 29 S F/S S S S S 72 69 11 23 18 Form 19A: Incident Report Form Form 73A: Clinical Agency Request Form 71A: Incident Report Form Forms 72A and 72B Form 22: F Day / Counseling Form Title of Policy Revision Date (M/YR) Absence from Exam Academic Advising Achievement Tests Admission of Students with Credit for Nursing Courses Completed BLS Certification for Faculty 12/2015 Blood or Body Fluid Exposure - Students/Faculty Clinical Absences 11/2015 Clinical Facilities 12/2015 Clinical Incident Clinical Proficiency 12/2015 Clinical Supervision by Preceptors 12/2015 Conference Forms Criminal History Check Disciplinary Action Policy Dress Code 1/2016 12/2015 12/2015 4/2016 5/2015 12/2015 12/2015 5/2015 12/2015 1/2016 P P Table of Contents Page 2 F/S 40 F S 98 41 F/S 22 F/S F F F S S S S F/S F S S F F/S 38 54 95 57 5 26 Form 40: Student Evaluation of Clinical Agency Forms 98A-F Form 22: F Day / Counseling Form Form 38A, 38B, and 38C: Student Evaluations of Courses and Action Plan Forms Form 5A: Petition Form 12 10 80 65 7 8 56 24 Form 80A: Contract Form Evaluation of Clinical Agency by Students Evaluation of Curriculum by Graduates and Employers Evaluation of Student Clinical Performance 5/2015 12/2015 2/2015 F Day Policy 5/2015 Faculty and Course Evaluations Faculty Educational Development Faculty Evaluation of Clinical Agency Faculty Workload 5/2015 Forgiveness of Grades for Consideration of Admission Grievance Procedure 5/2015 11/2015 5/2015 4/2016 12/2015 Health Care Provider BLS Certification for Students Health Insurance for Students 5/2015 Independent Studies Immunization for Faculty Immunization of Students Liability Insurance Requirements Merit Raise NCLEX Review Policy 11/2015 5/2015 12/2015 3/2015 5/2015 12/2015 12/2015 P P Table of Contents Page 3 F 50 S 33 61 81 25 63 F F S F F/S 34 F 97 9 58 82 55 S F F F Form 50: Mentor Checklist Forms 61A-E Form 34A: Sim Lab Reservation Form; Form 34B: Sim Lab Confidentiality Form Form 97A: Attrition Form Forms 64.1 and 64.2 64 S 30 F 83 F 84 S 13 Policy No's. Available to Use 1 43 68 2 44 70 3 45 74 15 46 75 16 47 76 F New Faculty Orientation Nursing Knowledge and Clinical Proficiency after Four Years Nursing Peer Review Records Retention Retention and Progression Revision of Test Items 5/2015 12/2015 4/2016 2/2015 8/2015 5/2015 Simulation Center 12/2015 Student Attrition Survey Student Impaired by Chemical Dependency Summer Teaching Telephones/Long Distance Tenure/Promotion 12/2015 Test Plan Policy Transportation of Patients/Clients Travel Reimbursement Travel Reimbursement - Travel to Clinical Site Urine Drug Screen 12/2015 Deleted Policy Numbers: 14; 88; 89; 90; 91; 92 12/2015 5/2015 1/2016 5/2015 12/2015 1/2016 5/2015 5/2015 P P Table of Contents Page 4 17 27 28 31 35 36 37 39 42 48 49 51 52 59 60 62 66 67 77 78 79 85 86 87 93 94 96