Chabot College Nursing Program tudent Handbook Class 2015 – 2017 Chabot College Nursing Program 25555 Hesperian Blvd Room 2273 Hayward, California 94545 Website: www.ChabotCollege.edu/nurs 510.723.6896 Chabot College Nursing Program Class 2017-Student Handbook ii | P a g e Chabot College Nursing Program Class 2017 – Student Handbook WELCOME TO THE CHABOT COLLEGE NURSING PROGRAM Dear Student, Welcome to the Chabot College Associate Degree Nursing Program. The information in this handbook is designed to help orient and clarify the policies and procedures of the Nursing Program during your enrollment as a nursing student. The Chabot College Nursing Program enjoys an enviable reputation as a high quality program. Our graduates have demonstrated success on the National Council Licensing Examination for Registered Nursing (NCLEX-RN) with a pass rate of 96-100% over the past five years. This Handbook and your course syllabi outlines our expectations and your responsibilities for your education as you progress through the nursing curriculum. The material contained within is drawn from a number of official sources such as the California Education Code, the Chabot College Catalog, the California Board of Registered Nursing Rules and Regulations, Federal Regulations and Chabot-Las Positas District policies. The nursing faculty believes that all registered nursing programs, including ours, are academically and physically rigorous. The program requires that you be responsible for your own learning. Nursing faculty members serve as your resource and share your goal of successful completion of the Nursing Program. You will need to practice in the skills laboratory and receive clinical experiences in area hospitals and selected other community health care agencies to meet the objectives of the program. We recommend reviewing test-taking and study skills information before starting the Nursing Program. It is recommended that students see a Chabot College academic counselor prior to staring the program to ensure that all general education requirements are met. With the demands of the program, clinical commitments need to take precedence over outside employment requirements. Where there is conflict, a student may be requested to reduce or eliminate those conflicting demands during the college academic year. We look forward to participating with you in your preparation for a successful and productive nursing career. Chabot Nursing Program Faculty iii | P a g e Chabot College Nursing Program Class 2017-Student Handbook iv | P a g e Chabot College Nursing Program Class 2017 – Student Handbook Chabot College Nursing Program Student Handbook Class 2015-2017 Chabot College Nursing Program 25555 Hesperian Blvd Room 2273 Hayward, California 94545 Website: www.ChabotCollege.edu/nurs 510.723.6896 Office 510.723.7298 Fax v|Page Chabot College Nursing Program Class 2017-Student Handbook vi | P a g e Chabot College Nursing Program Class 2017 – Student Handbook INTRODUCTION TABLE OF CONTENTS Page Welcome from Nursing Faculty……………………………… iii SECTION ONE - NURSING PROGRAM FRAMEWORK Program Vision and Philosophy……………………………………… Program Objectives……………………………………………………… Patient's Bill of Rights………………………………………………… 3 5 6 SECTION TWO CURRICULUM AND PROGRAM REQUIREMENTS Curriculum: Nursing Program Course (Generic RN) ………………………… LVN-Program Degree …................................................. LVN-RN 30 Unit Option………………………………………………… Curriculum Progression …………………………. Course Challenge Policy……………………………………………. Additional units …………………………………………………………. Program Requirements: Background Check and Drug Screen Policy…………………….. Physical Examinations………………………………………………..… Immunizations Requirements…..…………………………………… Special Health Problems ……………………………………………… 9 10 11 12 12 15 15 17 17 18 Pregnancy, Mental Illness, , Health Changes BLS Certification (American Heart Association)…..………… Uniform requirements …………………………………………………. Health/Auto Insurance ………………………………………………… Malpractice/Liability Insurance …………………………………… ATI Testing Service …………………………………………………….. Policies: Policy on Student Injury……………………………………………… Policy for Occupational Exposure…………………………………… Policy for Caring for Patients…………………………………………. Policy on Student Sign-up for Group Study..…………………… Policy for Electronic Devices…………………………… Policy on Sexual Harassment………………………………………. Policy on Educational Rights and Privacy Act……………… Skills Lab: Skills Lab Policy an Procedures…………………………………… Injections/IV Therapy in Skills Lab ……………………………….. Medication/Calculation Test. ………………………………………… Medication Check-off …………………………………………………… Textbooks ………………………………………………………………….. SECTION THREE - PROGRAM STANDARDS AND STUDENT DUE PROCESS Program Policy …………………………………………………………… Priority Commitment …………………………………………………… Standards: Academic Standards ……………………………………………………. Clinical Experience Standards………………………………………. 21 21 22 23 23 25 25 26 27 27 27 27 28 29 29 30 30 33 33 33 34 vii | P a g e Chabot College Nursing Program Class 2017-Student Handbook TABLE OF CONTENTS SECTION THREE CONTINUED Re-Admission: Student Grievance Policy……………………………………………. Standards of Punctuality and Attendance……………………… Absences (Illness, Family & Bereavement) …………………… Behavior Standards …………………………………………………….. Progression and Promotion ………………………………………….. Assignment to Advanced 2nd, 3rd and 4th Semesters ……… Statement of Due Process- Definitions of Due Process …… Procedure for Due Process Notification …………………………. Immediate Dismissal (Grounds for)……………………………… Academic Honesty (Cheating)……………………………………… Re-Admission Policy and Procedures ………………………… Advanced Standing Ranking…………………………………………. Clinical Examination for Advanced Standing ….. Page 36 36 37 37 38 39 39 43 41 42 43 44 46 SECTION FOUR - OTHER INFORMATION Skills Laboratory ………………………………………………………… Library ……………………………………………………………………… Support Services ………………………………………………………… Nursing Counselor ………………………………………………………. Financial Aid/Employment …………………………………………… Student Participation …………………………………………………… Estimated Expenses …………………………………………………… Transportation ………………………………………………………….. Student Data Change of Address/Phone/Name……………… 51 51 51 52 52 52 54 55 55 APPENDIXES APPENDIX A: Social Networking Policy………………………………………………………………………. APPENDIX B: Statement of Due Process Form …………………………………………………………… APPENDIX C: Assistance Referral Form …………………………………………………………………… APPENDIX D: Clinical Simulation Experience Program General Guidelines ………………….. APPENDIX E: Promotion to 2nd year level status ……………………………………………………… APPENDIX F: Pinning Guideline…………………………………………………………………………………. APPENDIX G: N55 Release Authorization for Injections …..……………………………………. APPENDIX H: Simulation Lab Confidentiality Agreement...………………………………………… APPENDIX I: BRN Background Checks for Student Clinical Placement…………………………… APPENDIX J: Fall 2015- Spring 2015 Textbooks List……………………………………….………….. APPENDIX K: Student Nursing Association (SNA) By-Laws APPENDIX L: Certificate of Student Understanding and Agreement………………………… 59 62 67 71 77 81 85 89 93 96 100 107 viii | P a g e NURSING PROGRAM FRAMEWORK Chabot College Nursing Program Class 2017-Student Handbook 2|Page Chabot College Nursing Program Class 2017 – Student Handbook Program Vision The vision of Chabot College is to provide educational excellence and life-long learning. The Nursing Program is one of the comprehensive ranges of educational programs and services designed to meet the needs of the diverse community. It is recognized by the employing health care agencies in the nearby geographic area as a valuable entity in providing well-prepared graduates for entry-level staff nurses. It is our hope that the student continues their education endeavors by pursing a Baccalaureate degree in Nursing. Nursing Program Philosophy The philosophy of the Nursing Program is consistent with the mission statement and philosophy of the college and the Roy Adaptation Model. Chabot College places emphasis upon providing a rich learning environment where critical analysis and independent thinking are fostered. Students are expected to take an active role in their own learning. The college supports sensitivity to individual differences in learning styles utilizing both traditional and non-traditional methods of learning as well as respect for diverse cultures represented in the student body. The concept of a community-centered institution that recognizes and endeavors to provide a framework of educational excellence has a particular significance for the Nursing Program. Nursing education is a lifelong process that begins with a progressive course of learning activities which are designed to teach nursing practice competencies, based on clinical practice standards. The desired outcome of this process is to prepare a safe and competent entry-level nurse who is accountable for clinical decisions, nursing actions, and professional behaviors. Within this context, the curriculum in nursing and the process of teaching and learning essential to its implementation is based on the following premises. W e believe that… .. 1. Each person is a biopsychosocial being with the ability and capacity to adapt to change. 2. Every person has the right to receive compassionate, competent, individualized nursing care regardless of the circumstances of their illness. 3. The essence of nursing practice may evoke responses in the care giver necessitating the use of supportive systems to promote healthy coping. 4. The protection of human and legal rights of patients forms the basis for the role of advocacy in patient care. 5. The health status of each person is dynamic and directly related to his/her capacity to adapt to changes in the internal and external environment. Nursing can enhance healthy adaptation through direct intervention, education, environmental awareness, and preventive health practices. 3|Page Chabot College Nursing Program Class 2017-Student Handbook 6. Health and illness are not mutually exclusive; health is a dynamic state of being that moves back and forth across a continuum. 7. The perception of health is uniquely individual; nursing is a variable which facilitates client identification of their health status and the promotion of individual adaptation. 8. There is a special core of nursing knowledge which is adaptable to society's needs throughout the life cycle, across diverse populations, and within a variety of clinical settings. 9. Critical thinking within the nursing process involves understanding and integration of the scientific bases (physical, biological, and behavioral) in order to meet the client's health needs. 10. Effective verbal and written communication skills form the basis for utilization of the nursing process, patient teaching, leadership development and professional growth. 11. Each person possesses a system of values, beliefs, and health practices, influenced by their own culture. The nurse acknowledges these differences and incorporates them into the plan of care. 12. Nursing students, as adult learners, vary in experiences, values, cultural beliefs, learning styles, goals, and potential for growth. These student variables are recognized through the implementation of: a. Utilization of and referral to resources and programs that help students develop their potential; b. Active encouragement in transferring to a state university to obtain a Bachelor of Science degree in nursing. (See the ADN to BSN Roadmap tab on our webpage). 4|Page Chabot College Nursing Program Class 2017 – Student Handbook Program Objectives The program in nursing at Chabot College is designed to prepare an entry-level staff nurse able to provide direct client-centered care in accordance with the California Nursing Practice Act and the American Nurse Association (ANA) Code of Ethics. The program’s conceptual framework is based on Roy’s Adaptation Model. The framework is integrated in the core curriculum by applying and including the nursing program’s philosophy as a foundation for development of course objectives beginning with the initial courses and continuing through the completion of the final course in the program. The terminal objectives reflect the incorporation of the philosophy, meet all the Standards of Competent Performance” 1443.5 BRN Title 16, and follow the American Nurses Association Code of Ethics. Upon completion of the nursing program, the Chabot College nursing graduate will: 1. Incorporate the core of knowledge unique to the nursing profession in the delivery of health care in acute, chronic, or community health settings; 2. Utilize the nursing process to provide care for clients, families and significant others with diverse health needs and practices; 3. Apply current relevant knowledge from natural and behavioral sciences and alternative therapies in the provision of health care; 4. Respond to the demands of rapidly changing information technology by incorporating informatics in health care delivery and utilizing the internet for research; 5. Employ principles of therapeutic communication to facilitate and maintain effective verbal, written, and group interaction; 6. Apply appropriate teaching-learning principles in the incorporation of activities designed to assist the adaptation of the client and family across the health-illness continuum; 7. Use critical thinking skills in decisions related to managing care for groups of clients; 8. Utilize evidence-based practice in the provision of nursing care; 9. Apply the principles of Quality, Safety, and Education in Nursing (QSEN) in health care delivery; 10. Practice within the profession’s ethical and legal framework; 11. Recognize the need for accountability in the practice of nursing utilizing the principles of professionalism and ethics; 12. Act as the client’s advocate by initiating action to provide the opportunity to make informed decisions about health care; 13. Respond to the unique health needs of the culturally diverse client across the life span. 5|Page Chabot College Nursing Program Class 2017-Student Handbook Patient’s Bill Of Rights Students of the Chabot College Nursing Program are expected to uphold the Patients Bill or Rights at all times. These are the patient rights: • the right to be informed about the care you will receive. • the right to get information about your care in your language. • the right to make decisions about your care, including refusing care. • the right to know the names of the caregivers who treat you. • the right to safe care. • the right to have your pain treated. • the right to know when something goes wrong with your care. • the right to get an up-to-date list of all of your current medicines. • the right to be listened to. • the right to be treated with courtesy and respect. • the right to ask for written information about all of your rights as a patient. 6|Page Chabot College Nursing Program Class 2017 – Student Handbook CURRICULUM AND PROGRAM REQUIREMENTS 7|Page Chabot College Nursing Program Class 2017-Student Handbook 8|Page Chabot College Nursing Program Class 2017-Student Handbook Curriculum Nursing Program Courses (Generic RN) The program in nursing is approved by the California Board of Registered Nursing. Completion of this program qualifies the student to take the National Council Licensing Examination for Registered Nursing (NCLEX-RN). NURSING PROGRAM CHABOT COLLEGE UNITS FIRST YEAR NURSING PROGRAM FALL Nursing 55 Fundamentals of Nursing Practice 8.5 Nursing 56 Essentials of Nursing Care / Growth and Development 0.5 Nursing 58 Nursing Care of Patients with Infectious Disease 1.0 Nursing 61 Clinical Nutrition 1.5 Nursing 69 Gerontological Nursing 1.0 Nursing 51* Nursing Care of the Childbearing Family (Obstetrics) Nursing 52* Pediatrics Nursing Nursing 75 Fluids and Electrolytes Nursing 88 Pathophysiology Nursing 88L Health Assessment Nursing Nursing Nursing Nursing Nursing Nursing 53* 60A* 64 73 60B 60C SECOND YEAR OF NURSING PROGRAM Mental Health Nursing Adult Health I Pharmacology for Professional Nurses Intravenous Therapy Adult Health II Adult Health III FALL 4.0 4.0 2.5 1.0 SPRING 4.0 4.0 1.0 3.0 1.0 SPRING 6.0 3.5 Total Nursing Program Units 46.5 Total Units for Licensure 70 - 73 Total Units for Graduation per BRN approved curriculum including general education and pre-requisite/fixed courses** 80 - 91 *Courses offered each semester **Pre-requisite science courses may be 4 to 5 units with a lab depending on the college where the courses have been completed. Student Responsibility: It is the student’s responsibility to meet with a counselor as necessary to ensure they meet graduation requirements. For other requirements for the AA or Arts Degree see the Chabot College Catalog. It is strongly recommended that the students take an approved Critical Thinking and Statistics class that will transfer to the CSU for the BSN degree. GRADUATES OF THIS PROGRAM RECEIVE AN ASSOCIATE IN ARTS DEGREE IN NURSING, AND ARE ELIGIBLE TO TAKE THE NATIONAL COUNCIL LICENSING EXAMINATION (NCLEX-RN). Note: The Board of Registered Nursing requirements override the Chabot College requirements for graduation as stated in the Chabot College Catalog. 9|Page Chabot College Nursing Program Class 2017-Student Handbook LVN- RN - Registered Nursing Program for Licensed Vocational Nurses Associate Arts Degree in Nursing Chabot College offers a step-up program to assist Licensed Vocational Nurses to achieve eligibility to sit the registered nursing licensing examination (NCLEX). This program meets the requirements of the Nurse Practice Act and Section 1429 of the Regulations. (2015 Edition) Open only to Licensed Vocational Nurses holding a current California license as a L.V.N. COURSES Prerequisites: Anatomy 1 Microbiology Physiology 1 UNITS 4-5 4-5 4-5 The science courses must be completed with a 2.5 GPA or better before clinical validation or admission to the Nursing Program. Science can be 4 or 5 units depending on college but must be with a lab component Nursing 70 (Nursing Theory: LVN-RN Transition) Nursing 70L Lab Fall 1.5 0.5 Nursing 84 Prescriptive Clinical Skills Nursing Practice Nursing 88 (Pathophysiology) Nursing 88L (Physical Assessment) Spring 0.5 3.0 1.0 The above courses must be pass with 73% or better for admission to the full time program. CLINICAL SEQUENCE Fall Spring Nursing Nursing Nursing Nursing Nursing Nursing 53 (Mental Health Nursing) 60A (Adult Health I ) 69 (Gerontological Nursing) 73 IV Therapy (if not certified) 60B (Adult Health II) 60C (Adult Health III) 4 .0 4.0 1.0 1.0 6.0 3.5 Prerequisites for admission to the program include: (1) Completion of Advanced Standing application; (2) Validation of previous nursing knowledge is required for counseling/assessment purposes. (3) Additional required coursework includes English IA, Sociology I, Psychology I, and Communications 1 or 10. LVN’s are given the option of enrolling in Nursing 60A Adult Health I (8.5 Unit) which includes Nursing 53 Mental Health Nursing curriculum OR enroll in Nursing 53 with the Mental Health portion only. In spring of 2016 N60A Adult Health I will be split into two separate course, N60A Adult Health 4.0 units and Mental Health N53, 4.0 units. It is highly recommended the student enroll in Adult Health I to prepare for the rigors of Adult Health II and III which are offered in spring semester. 10 | P a g e Chabot College Nursing Program Class 2017-Student Handbook LVN Pathway for 30-Unit option: LVNs that enter into the second year of the Nursing Program may opt for one of the three following: AA in Nursing, Non-Degree Option, or 30-Unit option. The 30-unit option is offered and accepted only in the state of California. Graduates of any of these options are eligible to take the National Council Licensing Examination (NCLEX) for Registered Nursing. However, unlike the AA graduate, whose eligibility to practice as a registered nurse is recognized by a process called “endorsement,” in all the United States, the licenses of graduates who choose the non-degree or 30-Unit Option may not be recognized in other states. Please see the Nursing Program Director regarding these options. Coursework: Microbiology with lab Minimum 4 units Physiology with lab Minimum 4 units Nursing 70 (Nursing Theory: LVN-RN Transition) Nursing 84 Prescriptive Clinical Skills Nursing Practice Nursing 88 (Pathophysiology) Nursing 88L (Physical Assessment) Nursing 53 (Mental Health Nursing) Nursing 60B (Adult Health II) Nursing 60C (Adult Health III) Nursing 69 (Gerontology Nursing) Total number of units 4 4 1.5 0.5 3 1.0 4 6 3.5 1 28.5 Assessment Technology Institute (ATI)LVN-RN The purpose of the testing package is to validate minimal theoretical core information and a minimal level of safe clinical behaviors considered by the nursing faculty to be pre-requisite for the course or program level in which the advanced standing applicant is to be placed. LVN’s will be required to take Fundamentals of Nursing, Nursing Care of Children, Maternal-Newborn Nursing, and Pharmacology assessment exams. Students must pass all ATI exams with a score of Level 2 or higher. There will be a one-time fee for all exams. Testing is completed in N70L. Approximate cost is $600 for the set of tests. Access to materials will be E-Books. Testing is a proctored exam. Retesting will be included in the initial costs. The cost is non-refundable. • • • • Passing score for each exam is Level 2. If the student scores lower than Level 2, he/she will be required to take two (2) remediation exams and score 100% on each before being allowed to take the 2nd ATI and final exam. No more than two attempts may be made on the ATI exams. Those who are not successful will have one (1) opportunity to take and pass a theory only course [(N81 (Obstetrics), N82 (Pediatrics) and/or N64 (Pharmacology)]. Additional theory courses N70 (Transition), N70L(Clinical Practice), N88(Pathophysiology) and N88L(Health Assessment) are included in the one attempt policy as an advanced standing student. Should a student not pass the theory–only course, he/she will not be eligible for entry in the nursing program as an Advanced Standing Student. In this case, the student may apply as a beginning, generic student. 11 | P a g e Chabot College Nursing Program Class 2017-Student Handbook All Students: Curriculum Progression – Graduation Evaluation 1. Courses with a nursing number are rarely offered in more than one semester of each year, it is important that you seek guidance from a counselor and/or Nursing Program Director in regard to programming matters. Students will submit a form “Request for AA/AS Degree Evaluation” at a meeting with the program director. 2. You will receive a letter from the college’s evaluator by the middle of Fall Semester each year advising you of coursework you will need to complete in order to receive the A.A. Degree in Nursing from Chabot College. Please review it and, if it is not correct, please make an appointment with a counselor. If you have not received the letter by December 1, please contact the Nursing Program Director. It is the ultimate responsibility of the student to be sure that all required courses have been taken in correct sequence. 3. At the end of Spring Semester, first year of the nursing program, you will receive a “promotional notice” advising you of General Education courses you will need to complete for the A.A. in Nursing. If there are errors in this promotional notice, please make an appointment with a counselor, or contact the Nursing Program Director. 4. Some courses in the nursing sequence may be assigned in late afternoon, evening or weekend. You will be notified in advance of the actual dates/times. Course Challenge Policy Nursing Courses Not Taken at Chabot College Once you have been admitted to the Chabot College Nursing Program, all courses must be taken in the prescribed sequence. If this is the case, the following must occur: 1. The Course must be pre-approved by the instructor of record. Courses that have not received prior approval will not be accepted. 2. You must complete and pass this course - Passing grade must be 73%. It will be accepted as a 'program course'. 3. Once you have successfully completed the course (73%), transcripts must be submitted to the program office before the first day of class. Course substitution form must also be completed and official transcripts submitted to Admission and Records prior to the first day of class. 4. You will need a letter/note from the instructor stating your final grade in percentage, which must be a minimum score of 73%. 5. If you 'drop' the course prior to attending class (and receive a grade of “no grade of record”) you must submit verification to the program office prior to the first day of class in fall semester. 6. Students requesting substitution of any course must take and pass the corresponding ATI exam (if available) with Level 2 or they must take the assigned course. 12 | P a g e Chabot College Nursing Program Class 2017-Student Handbook CHALLENGE (Credit by Examination) POLICY Board of Registered Nursing Regulation: Every nursing program must have a policy permitting the student who has equivalent experience to challenge the course. Nursing Program Policy: Each nursing course will have a specifically developed method by which the student who can substantiate previous job-related experience can challenge the course. This is in accordance with the Board of Registered Nursing requirements and Chabot College policy relating to credit by examination. Guidelines: 1. Challenge procedures are not an option to remediate failing grades from previous nursing courses. 2. Only students who can document substantial job-related clinical experience will be permitted to challenge a course. 3. Each challenge applicant's credentials will be individually evaluated by the nursing faculty to determine eligibility for the challenge process. The faculty reserves the right to deny the challenge process to any applicant and to require the applicant to apply for the generic program at the appropriate level on a space-available basis. 4. The nursing faculty has the sole authority to determine if the student has successfully challenged a course. An instructor of record will be assigned to the student, but the entire faculty may be involved in the ultimate determination of the student's progress. 5. An individual may only have one attempt to challenge a particular course. 6. The challenge process may be initiated by obtaining and completing an Application for Credit by Examination located in the Health, Kinesiology, Athletics office. Upon completion, the form should be submitted to the Health, Kinesiology, Athletics Division Dean for final approval. 7. The challenger's request will be considered for approval by the nursing faculty at the next regularly scheduled nursing faculty meeting. The approval process may take 3-4 weeks. 8. The student will be responsible for meeting with the instructor and mutually agreeing for setting up the following: a. arranging the required instructor evaluation (if applicable) in the Skills Laboratory; b. arranging to take the required theory examinations; c. arranging any necessary instructor conference; d. coordinating with the Instructor of Record for a clinical performance examination if required. 9. If the student intends to challenge the Nursing Care/Childbearing course (Nursing 59), then the student will need to pass the appropriate ATI Test with a Level 2 or higher or higher as well as follow the procedure to challenge that course. If the student does not pass the ATI test, then the faculty will determine the proper entry-level placement for the student on a space available basis. Time frames for passing the ATI test will be determined on an individual basis, subject to faculty discussion specific to each student. 10. All challenge work will be completed within four weeks from the date of approval. 11. The successful challenge candidate will receive a "Credit" on the transcript; no letter grade will be assigned for a challenged course. It is necessary to achieve the equivalent of a grade of "C" or better to receive a "Credit." A "C" is based on a standard of 73%. 12. Once the student receives credit for the course that has been approved for challenge, s/he may petition the nursing faculty for advanced placement in the Nursing Program on 13 | P a g e Chabot College Nursing Program Class 2017-Student Handbook a space-available basis. REQUIREMENTS 1. All policies enumerated in the Chabot College Nursing Student Handbook apply to the challenge student on an equal basis as to the other nursing students. 2. Each student challenging a course must sign for the receipt of a Chabot College Nursing Student Handbook at the beginning of the challenge experience and will be held accountable for the policies and guidelines enumerated therein. The Handbook may be obtained from the Nursing Program Administrative Assistant in the Nursing Program Office. 3. Since it may be necessary to schedule Skills Laboratory evaluation for the challenge student, the student may be charged a fee for this service. Every attempt will be made to place the student on notice of his/her financial responsibilities at the outset of the challenge experience. EXPECTATIONS 1. The student challenging a course must demonstrate the same standard of competence expected of the generic student enrolled in the course the student is attempting to challenge. 2. The student may reasonably be held accountable for every skill enumerated in the Skills Laboratory component of the course he/she is challenging. 3. If a challenge student encounters academic difficulty or exhibits behavior of noncompliance, the nursing faculty reserves the right to dismiss the student. The same probationary and dismissal policies may be applied to the challenge student as are applied to all nursing students enrolled in the Chabot College Nursing Program. (See Chabot College Nursing Student Handbook.) RECORDING THE COMPLETION OF THE CHALLENGE: Documentation of the completion of the challenge will be placed in the student’s file in the Nursing Program Office. The Office of Admissions and Records will be sent a grade sheet indicating the grade of “CR” or “NC” as appropriate. RECORD OF CHALLENGE COMPLETION Name of student Name of course challenged Inclusive dates of challenge *Evidence of challenge: Results: Credit______ Instructor of Record No Credit______ (*) Signature (*) Asterisk or ( ) indicates evidence of failure to achieve satisfactory performance. 14 | P a g e Chabot College Nursing Program Class 2017-Student Handbook Additional Units It is possible for students to earn additional units of credit by enrolling in Nursing 84. This course allows nursing students to receive 0.5 unit of credit for each twenty-seven hours spent in the nursing skills laboratory, engaging in special clinically-related activities, such as practicing skills or viewing audio-visual materials beyond the basic requirements of the program course in which you are enrolled. Additional units may also be earned by tutoring other students. The Peer Academic Tutoring Help or PATH (formerly The Tutorials Center) is a Learning Connection Program at Chabot College. The PATH Center offers small group and one-on-on peer tutoring in a wide variety of subjects. Each appointment is scheduled regularly for 50minutes.. PATH supports the Learning Connection's Peer-Led Team Learning and Learning Assistant programs. The PLTL program allows peer tutors to work directly with instructors to support their students in extra-class workshops. Learning assistants provide in-class learning support for students whose instructors request it. Program Requirements In order to comply with requirements of The Joint Commission, area hospitals require that all students who participate in clinical experiences show proof of recent physical examination, immunizations, clearance for tuberculosis, background check and drug screening. Background Check and Drug Screen Policy Students who are admitted to the Chabot College Nursing Program must submit to a urine drug screen and a background check. If a student has ANY issue in his/her background, the student must meet with the program director prior to starting the program. The Policies of the Background check are consistent with the Board of Registered Nursing Policy Number EDP-1-33. See Appendix I. If you have been convicted of a misdemeanor, felony, or an infraction involving drugs or alcohol, it is possible you will be denied placement in one or more hospitals that are used for clinical experience and the Board of Registered Nursing (BRN) may not grant you a license. Chabot College is required to secure background checks on all students entering clinical sites. We will review the following for each student. 1. Social Security Number Trace 2. Felony/misdemeanor Criminal Conviction Search 3. Combined OIG.GSA Exclude parties/Debarment List Search 4. A pre-placement drug screen 15 | P a g e Chabot College Nursing Program Class 2017-Student Handbook In the event that your Background Check reveals some issue you will need to demonstrate to the satisfaction of the BRN that the behavior for which you were convicted is no longer a problem. Please contact the BRN or review the California Nurse Practice Act - Section 480 at www.rn.ca.gov. It is best to have a 'clean' background. If possible, it is recommended the individual student take steps to expunge convictions from their records prior to a background check. Q&A 1. Who will perform the search? The Background check will be performed by: Certified Background www.CertifiedBackground.com 1845 Sir Tyler Drive, Wilmington, NC 28405 Student Services 888-666-7788. 2. Who will pay for the process? The prospective student is responsible for payment of the background check and drug screen. 3. Where and by whom the results will be maintained and protected (student confidentiality)? The student records are maintained in a confidential file in the Program Director’s office. 4. What criteria will be used to exclude a student from a particular clinical placement? If the background check reveals a misdemeanor, felony or infraction involving drugs or alcohol, in the student history, the Nursing Program Director will contact each clinical site’s administration and inquire if this student with the identified background would be allowed to complete their clinical assignment in this facility. If any clinical site refuses a student due to this background the student may not enroll in the nursing program. Should the nursing program office become aware of a misdemeanor, felony or infraction which occurred prior to or during the students enrollment in the nursing program, the student may be dismissed from the program. Should a student be convicted of a felony, misdemeanor or an infraction regarding drugs or alcohol while in the nursing program, the student should immediately notify the nursing program director. An evaluation of the incident will determine if the student may continue in the program. If a student fails to report such an incident the student will not be allowed to progress in the nursing program. 5. What alternatives if any will be available in the event a student is denied a clinical placement? 16 | P a g e Chabot College Nursing Program Class 2017-Student Handbook The program has limited options for student placement. If any clinical facility refuses the student, she/he may not be admitted into the program. Drug Screen Policy Students are required to have 'clear' drug screen prior to program admittance. Students are held to the same standard as candidates for employment at health care facilities in regards to drug screens and background checks. In the event that a student does not pass a drug screening or background check, the student may not be admitted to the Nursing Program. Positive results of any non-prescription drug may result in non-admission into the program. Drug testing will be performed using a 10 panel, urine-based test performed at SMAHSA certified laboratories. An adulteration test will be performed as well. All drug tests will be sent to a medical review officer (MRO). Every individual that has a non-negative or dilute laboratory result will have an opportunity to speak with an MRO before a report is made to client. In the event of a dilute lab result, the student will be allowed one more opportunity to repeat this test at their expense. Should the second specimen be dilute the student will be denied admission into the nursing program. Physical examinations and immunization records August 6th Deadline: If required documentation is not submitted to the Nursing Program the student will NOT be eligible for admittance to the nursing program. 1. Each student, AFTER acceptance to the Nursing Program and BEFORE the first day of the Fall semester in the nursing sequence, MUST COMPLETE THE FOLLOWING AND SUBMIT TO CERTIFIED BACKGROUND. Hospital as and clinics required this documentation up to six weeks before the student begins clinical rotations. If not received from the college, the student cannot attend clinical. All of the forms for the physical examinations etc. are posted on the nursing webpage. a. a recent physical examination with a release with no limitations with verification of health status by a physician or health care provider; b. An immunization record; i. Two-step tuberculin skin test or Quantiferon Gold blood test. If the tuberculin test is positive, the student will need a recent negative chest x-ray completed within the last year along with a tuberculosis questionnaire, completed and signed by a medical doctor or nurse practitioner. TB testing is updated annually. ii. Documented proof through a Titer Report of immunity to MMR, Hepatitis B, Varicella, and a recent Hepatitis C exposure level is required. iii. TDaP is also required. iv. Flu shots will be given in October during the flu season and updated annually. 17 | P a g e Chabot College Nursing Program Class 2017-Student Handbook 2. An annual update of the tuberculin test (or completion of the tuberculosis Symptom Review form) must be submitted to Certified Background prior to the beginning of second year of the Nursing Program. 3. If testing positive; the tuberculosis Symptom Review form may be obtained from the Nursing webpage. 4. The student may be asked to consult a physician or dentist if health problems appear to be impeding performance in course work, and/or may be asked to withdraw if health problems require it. This student, if passing all classes at time of withdrawal, will be considered for re-admission as in “good standing” with the program. 5. A background check and drug screen urine test are required of all entering students. If a student has any felony, misdemeanor or infraction in their background, the student must meet with the program director at least one week prior to the start of the classes. 6. N95 Mask Fit Test is required for all program students and must be renewed each year. 7. Each student that is admitted to the nursing program must be fully capable of performing the vigorous duties of the bedside nurse such as bending, lifting 50 pounds, moving and transferring patients and equipment. Special Health Problems Lead instructors, clinical instructors as well as the program director must be notified of any change in your health condition. From time to time, special health problems, necessitating clinical and/or classroom absence, may compromise a student's progress in the program. Should an instructor become aware of a student illness not identified previously and determines it will affect the student performance or safety of the student or others in clinical or the classroom the student may be dismissed. Each situation is decided on an individual basis by the Nursing Program faculty using the review process outlined in Section Three. However, there are some general considerations that are observed and are included in this section. 1. Pregnancy: Student must meet the following requirements: a. Notify the program director and your clinical instructor immediately. b. The attending physician must attest in writing to the student's physical capacity to continue in program sequence with no limitations at the time the pregnancy is verified and again at the 7th month of pregnancy. The student must be able to meet the objectives (clinical and theory) in the same manner as the non-pregnant student. It is the responsibility of the student to notify the program office if there is a change in ability to perform the full responsibility of the nurse at the bedside. c. Students are not allowed to be in the clinical area under a modified or restricted duty status during the pregnancy. d. After delivery, her physician must attest in writing that the student's physical capacity allows her to continue with no limitations in program sequence. The student must be able to meet the objectives (clinical and theory) in the same manner as the student who has not recently delivered a baby. e. The student may decide to withdraw from the Nursing Program because of 18 | P a g e Chabot College Nursing Program Class 2017-Student Handbook pregnancy and may withdraw under good standing if she is passing her classes at the time of withdrawal. 2. Medical Illness: Some illnesses are more incapacitating than others in meeting clinical obligations. If the student wishes to continue in the Nursing Program while ill, the student must meet the following requirements: a. As soon as possible after the medical illness has been diagnosed, the attending physician must attest in writing to the student's physical capacity to continue in program sequence. The student must be able to meet the objectives (clinical and theory) in the same manner as the student who does not have the medical illness. b. Students are not allowed to be in the clinical area under a modified or restricted duty status. c. If the student chooses to withdraw (or must withdraw) from the Nursing Program to have the condition treated, he or she should notify the Program Director in writing. If student withdraws and is currently passing with 73% in all classes h/she will be readmitted as student in ‘good standing’ (See Advanced Standing Ranking) d. Students who are taking physician-prescribed medications which have the potential for impaired behavior may not be in the clinical area (including Skills Laboratory). e. Students may not be in the clinical area if they are under the influence of any medication or drug which may affect their cognitive or manipulative skills. The student may, upon recovering sufficiently from the illness, seek to apply for readmission to the nursing program following the guidelines for readmission in Section Three. The attending physician MUST ATTEST IN WRITING that the student's physical capacity will allow him or her to meet the objectives (clinical and theory) with no limitations in the same manner as the student who has not required treatment for a medical illness. 3. Impairment by alcoholism, drug abuse, and emotional illness: The Chabot College Nursing Program follows the policy of the Board of Nursing located at http://www.rn.ca.gov/enforcement/complaint.shtml. These are diseases in which the student can be helped to recover but which may endanger the student and/or patients in her or his care if left untreated. It is the responsibility of the student to voluntarily seek diagnosis and treatment for any suspected illness. The Counseling Department of the college as well as the Nursing Program will offer assistance by referral to appropriate sources. As with all matters involving students, the right to privacy is scrupulously observed. a. Upon observation of behaviors deemed to represent impairment on the part of the student, the faculty member making the observation will document the behavior in writing. b. The student will be removed from the classroom or clinical facility (considered to be an extension of the college campus) upon identification of behaviors suggesting impairment. c. The situation will be discussed in the review process. A plan of action will be 19 | P a g e Chabot College Nursing Program Class 2017-Student Handbook recommended to the student. Every effort will be made to assist the student in maintaining his/her academic and clinical standing, insofar as the impairment does not interfere with performance, and/or the student receives treatment. d. If the review committee's decision includes a leave of absence for a specified time and includes referral to a treatment program/therapy, the following will be observed: 1. Students who have been referred to any type of diversion program will need to have a repeat drug screen and background check before re-entering the nursing program. Such students will also be required to have one to one instructor (or designee) supervision when preparing and administering any medications to assigned patients. 2. The student should follow the guidelines for readmission to the Nursing Program as outlined in Section Three. If student withdrew and is currently passing with 73% in all classes h/she will be readmitted as student in ‘good standing’ (See Advanced Standing Ranking) 3. The student will be subject to the rules and policies of readmission as with any other student enrolled in the Nursing Program. 4. In addition, the student will: 1. Provide satisfactory evidence of having participated in and successfully completed the plan of action. 2. If the impairment was related to observable behavior that seemed to impair judgment or ability to perform, the student will be under the direct supervision of the clinical instructor when administering any medication to a patient. e. Should the student fail to adhere to any one or more of the conditions of the individualized rehabilitation program/plan, the review committee will need to meet in order to consider the applicant's request for readmission. f. 20 | P a g e It is the responsibility of the student, not the faculty, to take steps to resolve the impairment. Non-compliance on the part of the faculty in following procedural steps shall not constitute an excuse by the student for failure to take measures to treat the impairment. Chabot College Nursing Program Class 2017-Student Handbook Basic Life Support (BLS) All students, prior to entry to the nursing program, must obtain certification in professional (HealthCare provider) cardiopulmonary resuscitation (CPR, BLS). The specific CPR course requirement is also known as the "Health Care Provider" version of basic life support. The American Heart Association is the only acceptable provider. Your certification must be current through an entire semester, preferable through the two year program. If it does expire mid-semester it must be renewed prior to the beginning of the semester. It is the student's responsibility to maintain this certification for the duration of time he/she is enrolled in the nursing program. Students should be prepared to show valid CPR certification upon request of the faculty member or representative of the clinical agency. Students not meeting the above requirement will not be allowed in the clinical area. Uniform Requirements When students are in the clinical setting, they represent the Chabot College Nursing Program. Students will be required to wear designated uniforms in all clinical areas at all times. Information on cost and availability is given at the time of acceptance into the program. Appropriate Dress for the Clinical Setting: 1. White uniform—purchase enough uniforms to assure being able to report to the clinical area in a clean uniform each day. The uniform must not be too tight/small for wearer. a. Uniforms must cover the entire torso even when bending or stooping. b. Female students must wear white pants and a tunic top or dress. No cleavage should be visible. c. Male students must wear white pants and white tops. d. Appropriate undergarments must be worn and should be skin color or white without a pattern. Undergarments should be discreet and not visible through the uniform. e. Uniforms and lab coats are to be clean and pressed at all times. f. For the mental health rotation there is a separate uniform requirement. Students are required to wear khaki pants with a Chabot College polo shirt, either black or yellow. 2. A Chabot College nursing patch must be sewn to the left shoulder on both uniform and lab coat. This patch is available to the Chabot Bookstore. Shoes must be solid white and are to be kept clean. Heels and toes must be enclosed. No sandals, high heels or clogs are to be worn in clinical or the skills lab. Socks/stockings may be white or neutral in color. Hospital: When reviewing their clinical client assignment, the student will wear their white lab coat, short or mid length, with left shoulder patch, and photo ID over the Chabot Nursing polo shirt and khaki pants. 3. 4. 5. 21 | P a g e Chabot College Nursing Program Class 2017-Student Handbook 6. 7. 8. 9. 10. Photo Identification (Chabot College) is required to be worn at all times while in the hospital or clinic. Any hospital identification MUST be worn in accordance with the hospital policy. Hygiene and patient safety a. Nails must be kept clean and short. No nail polish or nail decorations or artificial nails are permitted. These all harbor bacteria and create an unsafe environment for the patient. b. Hair must be styled in such a way as to keep it confined and off the shoulder. No extreme hairstyle or colors are permitted. c. It is required to carry scissors. Scissors must be cleaned routinely as they can harbor bacteria and create an unsafe environment for the patient. d. Hygienic practices must be used that prevent body odor and halitosis. No perfumes or colognes are to be worn. e. Excessive makeup is not permitted. f. Facial hair must be closely trimmed and student must pass the N95 fit test. The test shall not be conducted if there is a hair growth between the skin and the face piece sealing surface, such as stubble beard growth, beard, mustache or sideburns which cross the respirator sealing surface. Any type of apparel which interferes with a satisfactory fit shall be altered or removed. (OSHA Standards Fit Test Protocols) Jewelry: a. Earrings must be simple: posts only in the ear lobe only, no hoops or dangling earrings and are also limited to no more than one in each ear. Gauged earlobes must be approved by faculty. See the instructor. b. No other visible body piercing is permitted; this includes nose, lip, eyebrow or tongue rings. c. A watch with a large visible dial. No chewing gum, or tobacco, is permitted during clinical hours or within the skills lab. If you are a smoker you must not come to class or clinical with the smell of smoke on your uniform. No visible tattoos are permitted. You will need to wear a plain white T-shirt or use band-aids to cover the tattoos. Any hospital issued keys, parking tags, or identifications must be returned at the conclusion of the clinical rotation or your grade will not be submitted until these items are returned. Health and Auto Insurance 1. Health insurance is not provided for the students by the college. It is strongly urged that health insurance coverage be obtained by you while enrolled in this program. 2. California law requires current automobile insurance. 3. All students registered at Chabot College have access to the Student Health Services. 22 | P a g e Chabot College Nursing Program Class 2017-Student Handbook Malpractice/Liability Insurance The Chabot Las Positas Community College District provides malpractice liability insurance for all students at no cost to the student. All students must be registered to the nursing class for this to be in effect. ATI Testing Services Students entering the Chabot College Nursing Program as full-time students will be required to take standardized and normed on-line examinations on a periodic basis. A fee will be assessed of each student upon admission to the Nursing Program and all subsequent semesters in which the student is enrolled on a full-time basis. The testing is packaged and the cost is approximately $600+ and is required. The goals of these examinations are: • Enhance learning • Assist in reducing attrition • Develop/increase critical thinking skills • Provide opportunities for remediation • Assist in early referral for tutorial or other college learning assistance services • Increase program first-time pass rates for the NCLEX-RN licensing examination Students are reminded to review their course syllabi for dates on which the proctored examinations will be given. ATI E-books are online and available to all program students. Hard copies of the book will also be distributed to all students. Non-proctored practice test codes will be released prior to the proctored test. End of each semester, a proctored on-line test* will be administered covering the content taught in the course and outlined in the ATI E-Books. Results of the proctored examinations will be given to the student immediately following the test. The student will be able to identify the areas of strengths and weaknesses in his/her knowledge base and will be given suggestions for additional reading and follow-up. Test-taking tips: There is an on-line test-taking video from Elsevier on Top Ten Test-Taking Tips, each geared toward helping you pass your nursing examinations. These tips (and the video) may be obtained at the following web-site: http://evolve.elsevier.com/staticPages/s_student_development.html. You will need to click the “play” buttons to learn how these strategies can work for you. There are also some tips for making the best use of your time while you are in the nursing program. Testing P rocedures First week of class in N55/N70 all students will take the following assessments. Critical Thinking (Entrance) and Learning Assessment 23 | P a g e Chabot College Nursing Program Class 2017-Student Handbook The student will be tested on-line in and the results will be available immediately following completion of the tests, together with suggestions for improving performance and methods that enhance student learning styles. Students who have been evaluated by the Disabled Student Resource Center (DSRC) must request to test via pencil and paper at least 10 working days prior to the test. The student is responsible to schedule the test time at the DSRC on the Chabot campus. Student is required to process the paperwork to request the test. Please see DSRC www.chabotcollege.edu/dscr for guidelines. Content areas for testing Fundamentals of Nursing Maternal-Newborn Psychiatric/Mental-Health Nursing Community Nursing Medical-Surgical Nursing Nutrition Nursing of Care of the Child Critical Thinking (Entrance and Exit) Leadership NCLEX-RN Predictor Examination P assing Score for ATI testing/ R em ediation All students must meet at least the criterion for Proficiency Level 2 on each ATI test. Students not meeting this cut score are required to remediate. P olicy for rem ediation Student will: • Create and complete a focus review. • Take and pass one non-proctored test with a score of 100% (Non-proctored test is unlimited at no additional charge.) • Submit a copy of the ATI student transcript to the program office. Students must complete this remediation within two weeks after receiving the referral or they will be given a statement of concern or statement of program probation, at the instructor’s discretion. This statement of concern will be for not completing a required assignment. 24 | P a g e Chabot College Nursing Program Class 2017-Student Handbook Policies Policy on Student Injury during Clinical Experience Chabot College Policy: In accordance with the requirements of California state law, all employees of the District are covered under Worker's Compensation Insurance. The word "employee" is extended to include students in the clinical area. Any injury, no matter how slight, should be reported so that a claim record is established should physical disability or the need for medical attention arise at a later date. All students are to be advised by their instructor in the clinical area of the need to be informed immediately if any injury (fall, needle puncture, back strain, etc.) occurs in the course of the delivery of care to a client. When the student reports the injury, he or she may seek care at the hospital or agency Emergency Room (if services are available) in which they were injured. Additionally, the injured student may seek treatment at Kaiser Permanente Occupational medicine (if a member of Kaiser Permanente Group), St. Rose Hospital – Occupational Health or Stanford-ValleyCare Occupational Health Services. Students are not able to seek treatment with their personal physician unless the physician has been pre-designated for such care. There are two forms which must be completed by the student and instructor. The instructor is responsible for obtaining the forms. The student will receive a copy of the “Employer’s Report.” Both forms will be taken by the instructor and forwarded to the District’s Employee Benefits/Workers’ Compensation manager. Policy for Occupational Exposures/Injuries Health care workers are at risk for occupational exposure to HIV and Hepatitis B and C through direct inoculation with blood or body fluids containing HIV and/or Hepatitis B/C organisms. For maximum protection, students must be careful to follow CDC "Standard Precautions": A. Exposures 1. The following exposures should be treated as potentially infectious for HIV/Hepatitis B/C a. contaminated needle sticks b. puncture wounds from a contaminated sharp instrument c. contamination of any obviously open wound, non-intact skin or mucous membrane (eye, nose or mouth) by blood or a mixture of blood and bodily fluids from an infected person. 2. Exposure to a patient's blood or saliva on the unbroken skin is not considered significant. Thoroughly wash the contaminated area with soap and water. 3. If exposure is to non-intact skin or mucous membrane of eye, nose or mouth, wash area with copious amounts of water and proceed with steps outlined in part B 25 | P a g e Chabot College Nursing Program Class 2017-Student Handbook (Exposures and Injuries) below. 4. Puncture wounds from contaminated needle sticks or sharps: a. Do not make a judgment concerning the seriousness of the injury yourself. Instead, immediately administer first aid treatment by: i. squeezing (bleeding) the wound ii. cleansing the wound by running under tap water iii. washing thoroughly with soap and water and/or disinfecting with iodophor solution or chlorbexidine, iv. stop bleeding by applying pressure to the affected area v. Make a mental note of affected area; 1. Location 2. Tissue involved 3. Depth of wound 4. Amount of contaminant source vi. apply antiseptic and bandage as needed 5. Report the injury to the supervising instructor, who will assist you in reporting the exposure and obtaining emergency care. B. Exposures and Injuries 1. Report the exposure/injury immediately to the supervising instructor who will assist you in reporting the exposure and obtaining emergency care. 2. The student should go to the Emergency Department or Occupational Health of the hospital in which you are receiving clinical experience. Treatment must be sought within one hour of exposure/injury. 3. At the time of your medical consultation, you will be advised whether post-exposure prophylaxis is indicated based on U.S. Public Health guidelines. Such prophylaxis, if deemed necessary, needs to be initiated within 24 hours of the exposure. Clearance from the health care provider with no limitations will be required. 4. As part of the medical follow-up, the instructor and student will follow Chabot College Campus Safety policy and complete all necessary paperwork and submit as required. 5. The student must follow-up as recommend by the Health Care Practitioner as deemed necessary. Policy for Caring For Patients: The American Nurses Association (ANA) has formulated a Code of Ethics stating that nurses are ethically obligated to care for any and all patients. Appendix J The Chabot College Nursing Program upholds the standards of the ANA Code of Ethics. Students who undertake their nursing education in Chabot's RN program must make a commitment to abide by this Code of Ethics. 26 | P a g e Chabot College Nursing Program Class 2017-Student Handbook Policy for Student Sign Up For Group Study Rooms (Library rooms 109, 107A, 107B) 1. 2. 3. 4. The rooms are for group study only. A group is 2 or more students. Sign up is for a maximum of 2 HOURS throughout the day and evening. Advance sign ups may be made for up to a week in advance. SIGN UPS MUST BE DONE ON THE Library web page “Reserve a room for your your study group” Policy for Electronic Devices Policy • • Cell Phones: All cell phones must be off during class and clinical unless cleared with your instructor. Most hospitals post a sign instructing cell phones to be turned off in the hospital. They may interfere with monitors or other electronic equipment. If you need to give out an emergency phone number, talk to your individual instructor. Laptops or tablets are not allowed in the clinical area. Policy on Sexual Harassment The Chabot College policy relating to sexual harassment will be upheld by the Nursing Program at all times. The policy and standard are in the Chabot College Catalog, as well as on the Board of Trustees webpage. Policy on Educational Rights and Privacy Act The Chabot College Policy on “The Family Educational Rights and Privacy Act” will be upheld by the Nursing Program at all times. This policy can be found on the Chabot College Admission and Records website. www.chabotcollege.edu/admissions/ferpa.cfm Skills Lab Policies and Procedures Skills Lab is located in Building 3100, Room 3116 Connie Gerton, RN (cgerton@chabotcollege.edu) Phone: (510) 723-6953 Hours: Will be posted on bulletin board in Building 3100. It will be open approx. 30 hours per week. Contact cgerton@chabotcollege.edu for additional information. • • • • • The Skills Lab provides a simulated hospital setting at the various stations. You are expected to act professionally while in the Lab. All of the manikins/equipment in the Skills Lab are very expensive. Do not misuse them. Dress: Lab coats are required for all check-offs. No food or drink are allowed in the Skills Labs. Children are not permitted in the Skills Labs. 27 | P a g e Chabot College Nursing Program Class 2017-Student Handbook • • • • • • • • Chabot is a “smoke free” campus. Smoking is only allowed in the parking lots. Please do not enter the Skills Labs when class is in session. Cell phones should be turned off while in the Skills Lab; do not leave class or checkoffs to answer a phone. Do not remove equipment, video tapes, CD’s or books without checking with skills lab personnel. If you are ill and are unable to attend class or clinical, you may not come to the Skills Lab for practice/check-off on the day you are ill. It is the responsibility of every student to ensure that the area and all equipment is picked up and put away after practice and/or check-offs. Please do not interrupt the skills lab instructors and faculty members when they are in meetings in the Skills Labs Please do not wear your uniform/uniform shoes to the Skills Lab after clinical. There is an assumption that they may be potentially contaminate. Sign-up Sheets: Located on Nursing Bulletin Board outside the skills lab in Building 3100. • Only sign up for “check off” time. • Do not sign up for practice time. • Sign up with pencil only. (You need to be able to erase, change your time, etc. See cancellation policy.) • Check-off time is limited. Make every attempt to keep your check-off appointment. If unable to keep your appointment you must notify the Skills Lab personnel 24 hours in advance of the scheduled check-off. If notice of cancellation is not provided, the student will receive a Statement of Due Process (see Student Handbook). If you cancel by phone or email and must leave a message, please leave name, appointment time and reason for cancellation. If you suddenly become ill or have a family emergency you must make every effort to notify the lab. • It is the students responsibility to sign up for skills check-offs and to cancel appointments should that be necessary. Students may not have friends/classmates sign them up for skills check-offs or erase their names from the sign-up sheet. • Students are encouraged to use the Skills Lab as much as possible for unassisted practice. Plan on spending at least 1-2 hours per week in the Skills Lab. • All skills which require a check-off with an instructor/clinical assistant must be passed within two weeks of the presentation of the skill. Sign In: Chabot Skills Lab: Sign in on the computer in the hallway (building 3100) using your W#. Sign in when using the Skills Lab for practice or check off. Remember to sign out when you leave the lab. Check offs: • • • All new skills should be checked off within two weeks of learning the skill. See each course syllabus for listing of skills. Check off are to be completed when you are absolutely ready to demonstrate the skill; this is not the time to practice. Students must sign up for check offs for specific skills. Availability will be posted 3 28 | P a g e Chabot College Nursing Program Class 2017-Student Handbook • • • • • • • • • • weeks ahead. Students should come to the lab before the scheduled check off time to set up and organize supplies. Students will have the allotted time (usually one-half hour unless otherwise indicated) to do the skill. A timer will be used. The check-off will be terminated when time is up. If a student is 10 minutes late, the check off will be cancelled and the student will receive a Statement of Due Process. Skills Performance Evaluation Sheets (Check-Off Sheets) will be available on Blackboard. It is your responsibility to print them out prior to the presentation of the skill and bring them to Skills Lab. All skills which require a check-off will be evaluated according to the check off sheets. Bring them to the check off with your name on all sheets including the scoring sheet. If a student does not pass the skill check-off, s/he will have to come into the lab and practice and then reschedule the check off. If you are unsuccessful in passing a check off, you must wait 24 hours before you can “redo” it. Students have 3 attempts to pass a check off. A Statement of Due Process will be issued in the event that a student does not pass a skills check-off on the second attempt, and a third attempt is necessary. Your instructor will be notified if a student does not pass the check off. Skills check-offs should not be interrupted by other students. Check offs are a performance examination. Students may not receive help of any kind during the check off. Computer Labs: • • • • Personal work should not be saved on the desktop. Internet searches should be to professional sites only. Misuse of internet is strictly forbidden. Misuse of computers or internet will result in termination of use. Computer area is a quiet area and absolutely no food or drink is allowed. Injection and IV Therapy in the Skills Lab Students will be expected to perform -- and to have performed on them by classmates -- certain invasive procedures including injections, finger sticks, and venipunctures. The Nursing 55 Release Authorization for this procedure is found in Appendix G. Medication Calculation Test Students enrolled in Nursing 55 must pass a quiz on calculations for medication administration by the 5th week of the course. This quiz must be passed at a level of 90%. The score earned on this quiz will not be figured into the final grade for the course. • Students may have no more than three (3) attempts to successfully complete this requirement. • Should a student not be successful by the 2nd attempt a Statement of Concern will be issued. It is the responsibility of the student to seek tutoring prior to the third test. • If unable to pass the 3rd attempt the student will not be able to 29 | P a g e Chabot College Nursing Program Class 2017-Student Handbook continue in the program. Medication Check-Off In Nursing 55 each student will be required to successfully complete a medication check-off in the Skills Lab before s/he is able to administer medications in the hospital. Check your course syllabus for completion dates. • Students may have no more than three (3) attempts to successfully complete this check-off. The final check off will be completed with a full-time instructor. • If the student is not successful by the third attempt, s/he will be unable to progress in the Nursing Program. This check-off is a valuable, yet challenging experience. It is strongly recommended that every student spend time in the Skills Lab prior to their scheduled check-off practicing with the medication cart and check-off procedures. Textbooks A list of required textbooks may be found in Appendix J. 30 | P a g e Chabot College Nursing Program Class 2017-Student Handbook PROGRAM STANDARDS AND STUDENT DUE PROCESS 31 | P a g e Chabot College Nursing Program Class 2017-Student Handbook 32 | P a g e Chabot College Nursing Program Class 2017-Student Handbook Program Policy Progress from one course to another in the entire Nursing Program is contingent upon satisfactory completion of each course in the nursing major, both in theory and clinical. Priority Commitment The two-year Chabot College nursing sequence is very intensive and makes vigorous demands on its students to (l) maintain the schedule and sequential courses and assignments and (2) meet the academic and clinical performance standards. Each student is expected to give first priority and commitment to the program. Failure to be able to keep this commitment may severely compromise progress in the program and may result in nonprogression. STANDARDS Academic (Theory) Standards Students must complete each course in the nursing major with a "C" (satisfactory) or better in the sequence for which the student has been programmed. The California Board of Registered Nursing rules and regulations state that all courses in the nursing major must be satisfactorily completed in order to be eligible to take the NCLEX (licensing examination); a “D” grade cannot be used as evidence of “Satisfactory.” This differs from the college standards which will accept a "D" grade as having met college requirements for graduation. Most courses in the Nursing Program are presented in a special sequence, and the knowledge and skills are therefore cumulative. It is not possible to take most nursing courses out of sequence (see prerequisites in college catalog and nursing course outlines). Once you have enrolled in the nursing program the student must have permission from theory instructor to take any nursing program courses outside of Chabot College. The same grading standards apply to all nursing courses and must be verified with transcripts from the institution. If student earns a “C” in courses outside of Chabot College; the student must submit a final percentage grade from the instructor (73% is passing). Grading Standards: (Course and Clinical) A = 90% - l00% B = 80% - 89% C = 73% - 79% A performance level of "C" or better must be earned in all courses in the nursing major. In those courses with a theory AND a clinical component, the student MUST receive a passing score (73%) in theory and pass the clinical objectives at a satisfactory level regardless of whether or not the two scores are combined for a composite grade. In the case of courses in which a “Pass/ No Pass” is awarded, the student MUST receive a "Pass" in order to progress. The minimum standard for "Pass" is 73%. 33 | P a g e Chabot College Nursing Program Class 2017-Student Handbook Process for Review of Academic Standards: In the event that the student is not successful in passing of any class with 73% the student will be unable to progress in the nursing program. If the student wishes to appeal this process, he/she may avail him/herself of the academic review Student Conduct and Due Process policy in the Chabot College Catalog 2015-2017. Please consult the Division Dean and/or VP of Academic Services. Clinical Experience Standards Students receive clinical experience in a variety of health care settings within the area. HIPAA standards apply to students and are taken very seriously. The hours of attendance in clinical may vary depending upon the particular course in which the student is enrolled. Students may be assigned several weeks of evening or weekend experience during both years of the Nursing Program. You will be notified in advance of any time changes. Students in most instances should expect to spend the evening before the clinical experience preparing Nursing Care Plans after having visited the hospital to obtain client assignment. Attire for appearing in the health care facility includes dress pants (no jeans), closed toed shoes and the Chabot College polo shirt with a lab coat. Students are NOT to be in clinical areas unless preparing for client experience OR for actual client care. Students may not have any contact with patients unless the instructor is present in the clinical facility. See Section 2 - Grooming and Uniforms for additional information. You are reminded that as a Chabot nursing student, you are a representative of the college when in clinical facilities. Expected behaviors include: cooperation with hospital staff, courteous communication, respect for institutional policies, and proper attire. Confidential Information: ALL INFORMATION which comes to you whether from patient conversation, health team member conversation, or the patient's chart is considered confidential. Students may not access any patient charts that they are not assigned to. Information which is discussed in post-conference is also considered to be confidential and should not be discussed outside the confines of that group. It is unethical to print, email or photocopy any information from a patient's record. No paperwork with identifying patient/hospital information (i.e. patient name, room number or physician name) can be removed from the hospital or clinical areas. All worksheets/patient notes/sample documentation must be shredded prior to leaving the facility. Lap tops are not allowed in the clinical/hospital areas. Som e exam ples of characteristics of the student w ho is passing in the nursing program and/ or clinical area, include but are not lim ited to: 1. demonstrates consistency in accomplishment of the clinical objectives identified in the course; 2. shows evidence of in-depth theoretical preparation and ability to integrate and apply this content to patient care in the practice (clinical) area; 3. actively seeks out new experiences in the practice (clinical) area; 4. demonstrates improvement in behavior change in the practice (clinical) area as a 34 | P a g e Chabot College Nursing Program Class 2017-Student Handbook 5. 6. 7. 8. result of instructor suggestions/recommendations. consistently provides a safe environment for self and patient in the clinical area; demonstrates continued improvement and growth in the organization and prioritization of care; functions in a professional manner in the clinical, classroom, and campus settings at all times; consistently scores with a minimum grade of 73% in all nursing courses. Som e exam ples of characteristics of the non-passing student in the nursing program and/ or clinical area, include, but are not lim ited to: 1. student who is unable to explain the client diagnosis, labs or medications to the instructor; 2. unable to integrate information and skills from previous courses into the current course; 3. may be able to demonstrate the ability to accomplish most of the objectives that the passing student can, but lacks depth and/or does not consider as many variables in the practice (clinical) area; 4. may show improvement in practice (clinical skills), but is inconsistent; 5. requires repeated assistance to accomplish the same practice (clinical) objective; 6. demonstrates actions that appear highly questionable and unrelated to theoretical knowledge; 7. continues to need instructor supervision and help to accomplish safe care in the practice (clinical) area; 8. requires multiple statements of “due process” for either similar or dissimilar practice (clinical) behaviors; 9. unable to explain the rationale underlying the course of medical therapy; 10. does not meet standards of safe practice in client care; 11. violation of patient confidentiality (HIPAA); 12. photocopies or downloads any information from patient records; 13. violation of ethical standards; 14. unprofessional behavior to students, staff and clients; 15. dishonesty in the preparation for clinical (i.e. plagiarism in the Pathophysiology write-up, using another student’s medication cards, falsification of chart data). Clinical P erform ance The clinical categories of safety and professional behavior are critical behaviors and are required from the very first day in the clinical setting. In the event deficits in these areas are noted, a “statement of due process” will be issued to the student. It is REQUIRED that each student be able to demonstrate satisfactory competence in all clinical skills. Should a student be unsuccessful in the clinical area the student will be unable to progress in the nursing program. Unsatisfactory clinical performance will override the theory grade. 35 | P a g e Chabot College Nursing Program Class 2017-Student Handbook Failure in clinical area will result in failure in the course. Failure to complete a nursing course with a "C" or better, or receipt of a "W," constitutes dismissal from the Nursing Program. If this occurs, the student will have one opportunity to re-apply to the Nursing Program as an advanced standing student on a space-available basis. Student Grievance Policy Please refer to the current edition of the Chabot College Catalog that states, “Under this section, a grievance may be initiated by a student alleging violation of college/district policies and procedures. The grievance may be against another student, an instructor, an administrator or a member of the classified staff. See the Chabot College 2014-2016 Catalog pages 71- 74. Standards of Punctuality and Attendance Students are referred to Attendance Requirements in the college catalog: Reporting Absence: Absence should be cleared directly with instructors. Excessive Absence: A student absent for a total of four consecutive or six cumulative instructional hours and/or two consecutive weeks of instruction may be dropped from that class by the instructor. This action constitutes an official termination of class enrollment and will be recorded. Total Absences: Absences reflect negatively as all clinical hours are required by the BRN and may be used to assess overall performance. Students that miss more than 2 clinical days for any reason will meet with the faculty and may be in jeopardy of failing the course. Students will receive a Statement of Due Process for clinical absences and these will be counted in relationship to total number of Due Process Concerns. Punctual attendance at all theory and clinical classes is mandatory. Punctuality is also expected in the submission of all course work, both in academic and clinical assignments. Failure to meet the standards of punctuality and attendance shall be considered in the evaluation and grading of student performance. Excessive absences or tardiness may result in non-progression in the program. Standards of Punctuality and Attendance will override the College policy. Hour of Instruction: One hour of lecture class time is defined as 50 minutes of instruction and 10 minutes of break time. Clinical: Students may not miss more than 2 days of clinical during a semester or more than 5 total clinical days over the course of the entire program, irrespective of the reason. Any missed clinical time will need to be made up. This may include a written research paper or completion of additional simulation time. Check your syllabus for specific course requirements. Arriving more than 30 minutes late for clinical will be counted as an absence. If the clinical instructor is not notified of the absence a “Statement of Due Process” will be 36 | P a g e Chabot College Nursing Program Class 2017-Student Handbook given. Extenuating circumstances will be reviewed by the faculty. Skills lab, seminars and simulation lab days follow the same guidelines as clinical. Absences: Students who are ill are expected to seek appropriate medical care. Absence due to illness or for any other reason requires notification to the instructor, and when appropriate, the clinical agency at least one hour prior to scheduled class or clinical assignment. • If instructor is not available student should contact the program office 510.723.6896. Absences lasting more than one day require daily instructor notification unless other arrangements have been made. • It is the responsibility of the student to make arrangements with the instructor for return to clinical assignment and for make-up work. The instructor may request written medical approval and/or verification before allowing return to the clinical area. Make-up work of clinical time is at the convenience of the instructor and/or clinical agency. • All absences, regardless of instructor notifications, will be counted in the total number of absences a student has during a course and may be used to determine “excessive absences.” P roportionality: The concept of proportionality shall be applied to courses that are less than one semester long (i.e. Nursing 73 IV Therapy). For college policy details, see catalog. Bereavement: The Chabot College Nursing Program recognizes and is empathic with the impact that loss of a family member has on the nursing student. Often these factors influence the student's meeting classroom and clinical requirements. It is the nursing student's responsibility to inform his/her instructor or instructors of the circumstances or impending circumstances in a timely manner. The instructor and student will then develop a mutually agreed upon plan to assist the student in meeting course (clinical and classroom) objectives. Behavior Standards The Chabot College Catalog states that students are subject to disciplinary action for any of the following reasons, including, but not limited to: incivility to fellow students and/or faculty and staff, dishonesty, such as cheating, plagiarism, or furnishing false information to the college, forgery, alteration or misuse of college documents, records or identification, physical abuse or threat of physical abuse of any person on college owned or controlled properly or at college sponsored or supervised functions, or conduct which threatens or endangers the health or safety of such person, theft of, or damage to, or threat of damage to property of the college or a member of the college community or campus visitor. Students that violate these standards are subject to disciplinary action including program probation and/or dismissal from the program. 37 | P a g e Chabot College Nursing Program Class 2017-Student Handbook The Nursing Program places great importance on these behavioral standards. High moral and ethical standards are required of those in the health care professions. Nursing students who violate the Chabot College Policy will be subject to the sanctions as outlined in the current edition of the College Catalog. Progression and Promotion As previously noted, progress from one course to another during the entire program is contingent upon satisfactory completion of each course in the nursing major, both in clinical practice and theory, independently. Satisfactory completion is attained by receiving a "C" or higher in both areas. Inability to maintain this level of achievement will constitute grounds for dismissal from the program. Students admitted into the Chabot College Nursing Program assume both the right and responsibility to learn in accordance with the standards set for the program. A student who does not meet the standards of the Chabot College Nursing Program shall be unable to progress. Each of the following is an example of a deviation from the acceptable standards of the program and may constitute grounds for disciplinary procedure and/or non-progression. However, this is not an exhaustive list: 1. misrepresentation in securing appointment to the Nursing Program; 2. failure to meet clinical course objectives; 3. unsatisfactory academic performance (score below 73%); 4. impairment from alcoholism, drug abuse, and/or emotional illness; 5. excessive and/or unexcused absences from class or clinical assignment; 6. unexcused lateness to class or submission of assignments; 7. discourteous/unprofessional treatment of the general public, patients/clients, agency staff, instructor or fellow students; 8. dishonesty; 9. inability to demonstrate safe patient care at the course level required; 10. inability to remediate identified deficits in a timely fashion; 11. sexual harassment; 12. disruption of class or hindering classmates from profiting from instruction. The above stated deviations from accepted standards are based on recommendations from the Board of Registered Nursing. The Board of Registered Nursing requires that students be separately evaluated for promotion from first year curriculum to second year curriculum. The first year faculty promotes the student to second year status with a "clear" status, or may make specific recommendations for the student. The evaluation will be written and given to the student at the end of the first year (Appendix E). The student will be asked to sign one copy and return it to the Nursing Program files. 38 | P a g e Chabot College Nursing Program Class 2017-Student Handbook Assignment of Students to Second, Third and Fourth Semesters in the Nursing Curriculum 1. The faculty places the students into equally distributed clinical groups. The decision for placement will be based on: (a) characteristics of the students; (b) facility requirements; (c) student needs. 2. During Spring Semester of the second year, students in the Adult Health III (Nursing 60C) course will be placed with a nursing preceptor who has been selected by the instructor. Under no circumstances will the student arrange for his or her own preceptor. Except in unusual circumstances, each student will remain with his or her fourth semester Medical-Surgical Nursing instructor in the same facility he or she was in for that course. Any changes will be reviewed and approved by the entire MedicalSurgical Nursing faculty teaching in the fourth semester. 3. Students should note the following: a. The final decision of assignment rests with the Nursing faculty; b. There will be no guarantee that a student will receive his/her choice for placement in a particular facility; c. The times of clinical assignment and/or the place of clinical assignment may change with short notice, according to program and clinical needs. d. Students may be assigned to work any shift (days, evenings, or nights) during their preceptorships (Nursing 60C) as well as weekends. Statement of Due Process Students are advised that the Chabot College Catalog articulates appropriate student conduct and student grievance procedures. A sample of the Due Process notification form is contained in Appendix B of this Handbook and is titled the “Statement of Due Process.” Statements may be issued for clinical performance, and/or academic (theory) performance. The following principles related to due process apply: • • • • Statements of Due Process for academic performance not meeting the 73% program level will be issued. Clinical Statements of Due Process may be grounds for dismissal. Depending on the infraction, the student may be dismissed with the first Statement of Due Process. Multiple ‘Statements of Due Process” throughout the program may be grounds for dismissal, regardless of the reason for the notice. Any “Statement of Due Process” form remains in effect in the student’s file for the duration of the student’s enrollment in the program. The “Statement of Due Process” form is categorized according to the following: 1. ACADEMIC CONCERN: This constitutes a “Statement of Due Process” from deficit behaviors in theory, where the student is scoring less than 73%. 39 | P a g e Chabot College Nursing Program Class 2017-Student Handbook 2. SAFETY CONCERN: This constitutes a statement of concern about special deficit behaviors related to unsafe delivery of patient care in a particular course. "Unsafe patient care", for the purpose of this statement, is very broadly defined. It can include such unsafe practices as leaving a side-rail down, medication errors, and any student behavior which potentially jeopardizes the safety and well-being of patients. However, a “Statement of Due Process” for safety, if serious enough, could result in immediate dismissal from the program. A second statement of due process for a safety issue may result in program probation or dismissal from the program. 3. PROFESSIONAL CONDUCT: A “Statement of Due Process” may be issued for violation of standards of professional conduct or other indentified behavior standards. Violations include but are not limited to: dishonesty, furnishing false information, incivility, violation of nursing Social Media Policy, misuse of equipment in the skills lab, failure to notify the Skills Lab coordinator/assistant or instructor for missed clinical or skills lab appointments, and/or disruption of the class. 4. SKILLS CHECK-OFF PROBATION: a. If a student does not pass a check-off demonstration after the second attempt the student will receive a “Statement of Due Process” and placed on program probation. If the student does not complete the check-off after the 3rd attempt the student will be dismissed from the program. b. Program probation for not passing a skills check-off after 2 attempts is only in place for that course. These forms are cumulative and may be considered in the decision to dismiss a student from the program. 5. PROGRAM PROBATION: A student is placed on program probation for a variety of circumstances. These circumstances include, but are not limited to: a. an accumulation of “Statements of Due Process”, even if the student has remediated the deficits identified on the individual “Statements of Due Process” (may be either theory or clinical); b. a second deficit behavior of any kind in clinical performance that would jeopardize safety, even if the behavior is not identical to the first “Statement of Due Process”; c. a single deficit behavior in ethical/professional standards or one that is issued for serious deficit in clinical performance. d. a serious deficit may be defined as, cheating, plagiarism, incivility, or any other unprofessional/unethical conduct or behavior. Other issues related to program probation are: 1. The student will remain on probation for the duration of the Nursing Program; 2. Commission of subsequent deficit behavior, which relates to deficits outlined in the due process statement of program probation or different behavior, but equally serious, may result in immediate dismissal. 3. The student may be asked to meet with the full time faculty to discuss the behavior and provide an education plan for improvement. Dismissal of a student is based on faculty review and recommendation. 40 | P a g e Chabot College Nursing Program Class 2017-Student Handbook Procedure for Due Process Notification: “Statement of Due Process” A “Statement of Due Process” will be issued when a student has deficits in the academic or clinical area, or related to ethical or professional behaviors. At the time that any deficiencies in either theory or clinical are identified, the student will be given his/her "due process" notice. The deficiency (ies) will be noted in writing, as well as the expected standard, a recommendation for correction, together with a plan and timetable for improvement. The “Statement of Due Process” constitutes a contract for continuation in the program and requires removal of the deficiencies within the specified time. In the event that the student is unable to correct the deficiencies, the dismissal process will be instituted. Failure to maintain the corrected standard in future nursing course work (theory and/or clinical) may constitute grounds for placement on program probation and/or dismissal. A student will receive a “Statement of Due Process” for behaviors such as: 1. 2. 3. 4. 5. 6. 7. 8. not identifying the client prior to initiating any care; medication errors or near misses; unsafe clinical practice; failure to follow instructions given by instructors; tardiness in the clinical area; excessive absences in class/clinical; unprofessional conduct at all times while a nursing student; lack of preparation for clinical and inability to present plan of care/description of client diagnosis and requirements for care; 9. inability to provide organized care with medications and treatments administered in a timely manner. P lease note: This is not a com prehensive list. The instructor will meet with the student to provide a “Statement of Due Process”. Another instructor may be present at this meeting as well. The “Statement of Due Process” will be explained to the student. The student will be asked to sign the form. In the event that the student elects not to sign the form and wishes to write a rebuttal, the “Statement of Due Process” will still remain in the student’s file with the rebuttal attached for the duration of the nursing program. Grounds for Immediate Dismissal The faculty, in compliance with the appropriate college officials, reserves the right to immediately dismiss a student. The Nursing Program includes, but does not limit, such deficit behaviors to the following: 1. impairment due to drug or alcohol abuse; 2. inappropriate physical contact with clients, hospital staff or nursing faculty; 3. verbally abusing clients, peers, hospital staff or nursing faculty; 4. ethical/professional violation; 5. Any other egregious infraction. Under these circumstances, the student will be given notice of the deficiency and will have the opportunity to meet with the program director and college administrators. 41 | P a g e Chabot College Nursing Program Class 2017-Student Handbook Academic Honesty Honesty and integrity are expected and required of all students in the Nursing Program. Academic misconduct is considered to be any violation in the program, classroom or clinical setting that is untrustworthy, fraudulent, or lacks integrity. Examples of this misconduct includes (but is not limited to) cheating on examinations, letting others copy from one’s own examinations or written papers, submitting written work done by another and passing it off as one’s own work, copying from any electronic or other written source without citing the source and passing it off as one’s own work, handing in the same assignment from two different courses, taking credit for someone else’s work on assignments, falsifying clinical documentation or documenting care or procedures that were not actually performed, attempting to deceive another relating to patient data, violating HIPAA principles, and/or failing to report errors made in the course of delivery of patient care. Blackboard (on-line) testing is used throughout the program. Opening of more than one window is strictly prohibited. If it is determined the student has opened multiple windows or the calculator, it will be considered cheating and grounds for dismissal. Cell phones are never allowed during an examination or a review. Calculators may also not be used during any exam. Students are referred to the following documents for information on academic dishonesty. a. Course syllabus; b. Chabot College Catalog: “Student Conduct and Due Process Policy.” A copy of the catalog may be obtained on www.chabotcollege.edu, or in the College Bookstore. Subsequent sanctions are described in this section. c. The District’s Board of Trustees policy regarding the action that may be taken with those who cheat. For more severe disciplinary action, a formal complaint will be filed with the Vice President of Student Services. Nursing P rogram P olicy R egarding Cheating: Other actions which may be instituted for the purpose of discouraging cheating, violation may result in dismissal from the program: a. No cell phones or other electronic devices may be on the student’s person during testing or reviewing of tests; discovery of such devices will result in a zero for the exam b. All backpacks are to be stored at the front of the room during testing or reviewing of tests; c. There will be no student talking during the test or test review; d. If a student has a question about the exam the instructor will answer only nonsubstantive questions. The information given to the individual student will then be made available to the entire class if it is deemed relevant by the instructor; e. Any student who is found to have plagiarized information or dishonest behavior will receive a ZERO for the assignment or test involved, and will receive a Statement of Program Probation; f. Students may not bring any recording device, pencils or paper to write on during test question review; g. Faculty may choose to re-seat students during testing procedures; 42 | P a g e Chabot College Nursing Program Class 2017-Student Handbook h. Other appropriate methods or actions to discourage cheating as seem necessary by the individual instructor(s). See course syllabus for additional parameters. i. Instructors may also require that baseball hats, long sleeves, and water bottles be removed during the exam. j. Students are required to remain in the room during BlackBoard testing until dismissed by the instructor. Dismissal from the Nursing Program An accumulation of statements of due process, even if unrelated i.e.; absences, theory grades or clinical performance may result in dismissal. In the event that a student is being considered for dismissal from the nursing program, the nursing faculty will meet to discuss the student deficits and explore all possible alternatives. The student will be given the option of attending the nursing faculty meeting to discuss the issue. The student may elect to bring a classmate, friend or relative to the meeting for support. It is advised that the student bring a written statement to present to the faculty. This additional person will not be able to speak during the meeting. The student should bring a prepared statement to this meeting to facilitate the discussion. The student will be informed of the nursing faculty decision regarding his/her continuation in, or dismissal from the Nursing Program. Re-Admission Policy and Procedures Failure to complete any nursing course with a "C" or better, or receipt of a "W," constitutes dismissal from the Nursing Program. If this occurs, the student will need to re-apply to the Nursing Program as an advanced standing student on a space-available basis. Advanced Standing The Chabot College Nursing Program has a two-admission policy regardless of path of entry into the Nursing Program. Admission to the Nursing Program was merit based for the Class 2017. Students must complete their first semester to be considered for readmission. If a second admission to the program is required, it will be through the advanced standing process. A student, who has been re-admitted to the program and then fails to meet the requirement of any course in the Nursing Program, is not eligible to again apply for readmission to the nursing program. Failure or withdrawal from any of the nursing courses in the AA or LVN to RN curriculum will constitute one admission to the Nursing Program. Applicants are considered for admission to the fulltime program courses other than Nursing 55 according to the following priorities. All applicants must have taken and passed the TEAS version V with an Adjusted Individual score of 62%. Re-entry to the program may be initiated by the former student using the appropriate application channels based on college policy. Student must re-enter the program within two 43 | P a g e Chabot College Nursing Program Class 2017-Student Handbook years of dismissal or withdrawal. After that, the student is no longer eligible to return to the nursing program. Readmission will be on a space-available basis and as established using the priorities described below. Every student seeking readmission will be evaluated on an individual basis after having completed the Advanced Standing Application available in the nursing program office or from the nursing program website. Some courses in the Nursing Program have a prerequisite nursing course, which must be satisfactorily completed. Thus, there may only be certain times during the year when reentry into the program will be possible. Each former student will receive clarification as to appropriate entry time. Upon re-entering the program, the student shall be subject to the standards for progression. The re-entry student will be subject to the requirements set forth in the Student Handbook in effect on the date of re-admission. If non-progression in the program resulted from circumstances impacting academic or practice problems, evidence substantiating that these circumstances are no longer a factor will be required of the student. A contract may be established (if determined in a case by case review) by the student and the Nursing Program outlining any further steps needed to maintain satisfactory progress in the remaining nursing courses. Advanced Standing Applicants include: All former Chabot College nursing students who withdrew or were unable to progress in the nursing program and who are eligible for re-admission to the program (two year limit);LVN-RN applicants whose education goal at Chabot College is either A.A. or “non-degree” or “LVN thirty-unit option” (two year limit starting with N70). Ranking: Advanced Standing Order of Program Acceptance 1 – 5 (Advanced standing method of ranking can be modified at any time. Please refer to the current standards) 1. Waitlist from previous semester – Student must have completed all ATI testing, all skills testing. All nursing program classes noted on evaluation letters with ‘C’ or better. All students must be enrolled in N84 Clinical Skills to practice and test skills at the beginning of the semester. All students in current progression for: Fall Program Admission must have basic skills and all ATI testing completed by April 1st; Final skills exam by May 15th. Incoming students will be evaluated in January of each year to set ranking and again on April 15th of each year to determine if standards have been met and re-ranked if necessary. 44 | P a g e Chabot College Nursing Program Class 2017-Student Handbook Spring Program Admission must have basic skills and ATI testing completed by November 15th; Final Skills exam by December 15th. If space is limited, students will be ranked by November 15th. In December the list will be evaluated to determine if standards have been met and re-ranked if necessary. 2. Re-admission Chabot program students that left the program in good standing (for issues not related to academics). Additional ranking will be done by GPA. 3. LVN Students (Degree) completed N70 and N70L and basic skills by April 1st, final skills exam by May 1st. a. b. c. d. TEAS Score GPA from N70 and N70L Completion of ATI testing on first attempt or second attempt. GPA for N88 and N88L and N81, N82 if taken 4. Re-admission Chabot program students not in good standing (failing nursing course grade or “W”-withdrew due to failing theory, or clinical, or other circumstances.) a. Student will be ranked by TEAS and their GPA from program course grades only. b. ‘Ties’ may be resolved with skills exam scores and/or TEAS scores. 5. LVN Students Non-Degree or 30 Unit Option will complete N70, Basic Skills by April 1st, and final skills exam by May 15th. Transfers from other Nursing Program – at this time we are not accepting any transfers from other nursing programs. Clinical Validation: Students applying to Chabot College's Nursing Program on an advanced standing basis (with the exception of those who are eligible for placement in Nursing 55) shall be required to validate clinical competence commensurate with placement in the program through a clinical examination. Advanced Standing students will enrolled in Nursing 84 (Prescriptive Clinical Skills) at the beginning of the semester prior to admission in order to practice and take skills exams. A booklet detailing specifics of this Chabot process (Nursing 84 Syllabus) is available through Nursing 84 Blackboard site. Students should contact the skills lab coordinator at (510) 723-6953 to review Nursing 84 orientation dates and times. The clinical examination consists of: 1. Math for Medications written examination which must be passed with a score of 90% or higher, limit 3 attempts; 2. HIPAA/Standard Precautions validated yearly by HealthStream Modules; 45 | P a g e Chabot College Nursing Program Class 2017-Student Handbook 3. Therapeutic Communications written examination passed with a score of 90%. Limit at 3 attempts; 4. IV module – Check off on IV#1(all students), #2, #3 (for re-entering in the second year). 5. Skills Exam: a three hour skills lab exam which must be passed with a score of 80%. Limit at 2 attempts. The purpose of the testing package is to validate minimal theoretical core information and a minimal level of safe clinical behaviors considered by the nursing faculty to be pre-requisite for the course or program level in which the advanced standing applicant is to be placed. Clinical Examination Policies and Procedures: 1. The applicant must consult with the Nursing Program Director prior to being admitted to any nursing major course which includes a clinical component. The Director will advise the applicant regarding prerequisite skills in the clinical course or program level for which the applicant will be required to demonstrate competency. 2. The applicant must enroll in Nursing 84 and read the syllabus for this course titled “Advance Standing Clinical Performance Guidelines”. The syllabus delineates clinical skills expectations for various advanced standing points of entry. It also details the requirements of the clinical performance examination. 3. Students must be enrolled in Nursing 84 in order to practice skills and otherwise prepare for the examination. Skills Lab instructor is available for questions and guidance during this course. 4. All exams must be scheduled in advance with the Clinical Coordinator. Cancellations must give a twenty-four hour advance notice except in extenuating circumstances. If the exam is canceled, regardless of the circumstances, the applicant will be rescheduled (upon request) after all other applicants who are awaiting appointments have been accommodated. 5. Students are strongly encouraged to complete their skills performance early in the semester. If the exam is not successfully completed, this could affect their ranking level for admission to the program. 6. All theory validation (including math calculations), as well as the IV module, must be satisfactorily completed before scheduling the skills performance examination. 46 | P a g e Chabot College Nursing Program Class 2017-Student Handbook 7. All examinations given in the Skills Lab must be completed satisfactorily. If any examination or part of the examination is failed, the entire examination must be repeated. 8. If a student fails the clinical examination in the Skills Lab, the student may repeat the exam. Only two attempts will be allowed for the examination in the Skills Lab. This may not carry over to the next semester as testing is only valid for 6 months. If the student is unable to pass the exam on the second attempt, no further attempts will be permitted and the student’s name will be removed from Advanced Standing consideration. 9. When both the theory and the skills have been satisfactorily completed and validated by the Clinical Coordinator, the Director of the Nursing Program will be notified in writing. 10. The testing process (written and skills lab) is considered valid for 6 months. 47 | P a g e Chabot College Nursing Program Class 2017-Student Handbook 48 | P a g e Chabot College Nursing Program Class 2017-Student Handbook OTHER INFORMATION 49 | P a g e Chabot College Nursing Program Class 2017-Student Handbook 50 | P a g e Chabot College Nursing Program Class 2017-Student Handbook Skills Laboratory and Use The skills lab is maintained in Building 3100 for your use. A Clinical Coordinator (Registered Nurse) is present during non-class hours to assist you in learning technical skills. The hours are posted outside the door and will be announced at the beginning of each semester. Students who arrive for clinical check-offs and/or clinical exams are expected to be proficient in the content and clinical application of the scheduled check-off or exam. Students have 3 opportunities to successfully pass a check-off. In the event the student is unsuccessful on the third attempt they will be dismissed form the program. The skills lab has been developed for you as a "hands on" area for clinical readiness and application of theory. Occasionally you may be asked to work with the Clinical Coordinator as a referral from your Clinical Instructor for remediation of clinical skills. A white lab coat should be worn over street clothes while in the skills lab for check-offs. Every effort is made to uphold standards of hospital asepsis; therefore, students should refrain from sitting on beds or eating in the skills lab. Reference materials are available for study and research. Chabot Library The Chabot College Library has extensive on-line resources for the nursing students. Handouts are available regarding the use of the Publication Manual of the American Psychological Association (APA) style format for writing papers. The APA style is used for papers in the nursing program. http://www.chabotcollege.edu/library/documents/ChabotAPAWorksCited.pdf Students are encouraged to use the library (Learning Resource Center) and the many services which it offers. A library orientation to online resources will be provided during the program orientation in June and July. Many of the clinical facilities, in which students affiliate, have excellent medical libraries. You are encouraged to take advantage of their facilities in accordance with that institution's policy. Support Services The college is in full compliance with the American Disabilities Act. The college offers a number of support services. Information about them may be found in the college catalog and the college web page. They include, among others: counseling services, financial aid (scholarships, loans, and grants), tutorials (for academic assistance), writing guidance (for term papers, etc.), Disabled Student Center and child care services. 51 | P a g e Chabot College Nursing Program Class 2017-Student Handbook Counselor, Nursing Program Jane Church, M.S. is currently providing counseling services to students in the Nursing Program. She is on campus on Thursdays (9-3), however appointments can be scheduled for other days. Please contact Ms. Church directly to make an appointment. She can be reached via e-mail at: jchurch@chabotcollege.edu. Some of the services provided by Ms. Church include: • Personal Counseling • Strategies for success in the Nursing program • Transfer assistance (ADN to BSN programs) • Academic advising: Completing Chabot GE and Graduation Requirements • Referral to other campus or community services and programs Financial Aid/Employment Information and applications concerning student financial aid are available through the Financial Aid Office, Building 700. Determination of need is based upon current filing of the Financial Aid Form. Students are expected to comply with the requirements to receive financial aid. Failure to meet these requirements may result in disqualification for further financial aid. Some nursing loans and scholarships are available for students who meet criteria established by the agency, group or individuals sponsoring the scholarship or loan. For further information about available scholarships, please check with the Scholarship Chairperson of the Nursing Faculty. Information regarding on and off campus employment opportunities may be obtained through the Office of Student Life. Scholarship Nursing scholarships are offered throughout the program; Delores Jones Kaiser Foundation, Eden Township, Healthcare Professionals etc. Information is posted on the nursing website, bulletin boards and via email to all students. The nursing program may also have scholarship funds available to students. See website for information. Student Participation Student Nursing Association (SNA): Students are invited and encouraged to participate in activities and organizations across the campus whenever possible. Over the past several years, nursing students developed and organized a Student Nurses Association. This organization addresses social and other issues which affect nursing students throughout the program. A faculty advisor assists and facilitates students in their endeavors. 1. The Associated Students of Chabot College (ASCC) bylaws can be viewed at http://www.chabotcollege.edu/ascc/governance/bylaws.cfm 2. Officers will include the following 52 | P a g e Chabot College Nursing Program Class 2017-Student Handbook a. b. c. d. e. f. One President One Vice-President One Secretary One Treasurer One Project Chairperson One Newsletter/Web Site Editor 3. Duties and responsibilities of these officer positions are available in Appendix L. 4. Chabot College follows the National Student Nurse Association (NSNA bylaws). The Chabot College SNA is not currently a member of this group but may choose in the future to join this national organization of student nurses. http://www.nsna.org/Activities/Bylaws.aspx Liaison Committee: Student representatives also sit on the Student-Faculty Liaison Committee. This committee consists of a student representative from each clinical group in each year of the nursing program and nursing faculty members. The committee serves as a link between student and faculty and deals with concerns regarding policy, curriculum, rules and regulations and program implementation. The committee meets regularly. Liaison committee minutes will be typed and results of faculty discussion posted and/or emailed to program students. Faculty Meetings: Students are encouraged to attend regularly scheduled nursing faculty meetings. The date and time are posted on a calendar on the nursing webpage. Please inform the Nursing Program Administrative Assistant one week in advance if you wish to attend a meeting so that sufficient meeting materials will be available. Student Input: Input from students is routinely solicited in areas of curriculum change, scheduling, policy and procedure development and textbook selection and evaluation. If you wish to participate in any of these topic areas, please make your desires known to your current instructor, the liaison-faculty member or the program director. Meeting with the Nursing Program Director: There will be scheduled mandatory meetings with the program director once a semester during a pre-arranged college hour. These meetings are important and provide an opportunity to clarify issues and share information. You are free to add any item for discussion to the agenda on the day of the meeting. Communications: The Chabot College Nursing webpage is regularly updated source of communication for the students. It contains announcements, calendars, Student Handbook and other valuable information. It can be accessed at www.chabotcollege.edu/nurs . There are bulletin boards in the hallway of the 2nd floor in building 2200 and outside the Skills Lab in Building 3100 designated for use by the Nursing Program. They include class notices, information on 53 | P a g e Chabot College Nursing Program Class 2017-Student Handbook loans, scholarships and job opportunities. Students are encouraged to check them regularly. Instructors also communicate information via Blackboard, emails and text messages. Throughout the year, many scholarship are made available to nursing students. Student should check their email, bulletin boards and Blackboard sites regularly for information. Estimated Expenses A package of supplies for the skills lab will be required for purchase in the Bookstore. In addition, the following are estimated expenses. In general, books will be your largest expense. The approximate cost of books and other fees for the program are as follows: Semester Semester Semester Semester Total per Category One Two Three Four Books Fee/Tuition Lab Supplies Exam Fees Uniforms $800 $650 $500 $350 $2,300 $651 $651 $651 $651 $2,604 $150 $285 $200 $40 $285 $190 $570 $200 NCLEX Fees $400 $400 Total per Term $2,086 $1,301 $1,441 $1,051 Total per Year $3,387 $2,877 $6,264 This includes only those texts which are required. Other texts will be recommended or supplemental but are not mandatory. The bookstore will have a variety of books available for purchase. Tuition is calculated at current rate of $46 per unit x 13.5 units each semester. The preceding price quotes do not reflect any assessments that may be determined by your nursing class (such as dues, fund-raisers for the pinning ceremony, etc.). The following items are mandatory. In order to maintain a clean and neat appearance, a minimum of two uniforms will be needed. In an attempt to keep costs down, and in cooperation with the Student Liaison Committee, efforts are made to purchase uniforms as inexpensively as possible. Considering the maximum cost for the minimum number of items, the following ESTIMATES are given: Package of skills lab supplies....... $150 Uniforms....................................... $200 School patch (3)............................. $ 20 Lab coat (l)................................... $ 40 Shoes (l pair)................................ $ 65 Stethoscope/goggles...................... $100 Scissors/pocket pack....... $ 25 Watch with a "sweep" second hand $ 40 Name tag (2)................................. $ 30 TOTAL $600 – $700 range Other items for which you should budget include: (approximately $700) medical examinations, immunizations, fees for Assessment Technologies Institute (ATI) testing service, NCLEX-RN registration and testing fee, and dues for participation in student organizations. All costs are subject to change. 54 | P a g e Chabot College Nursing Program Class 2017-Student Handbook Transportation: Each student is expected to provide his/her own transportation to and from school and clinical facilities in a reliable and timely manner. Although students are encouraged to car pool this may not always be possible depending on clinical assignments. All students who are driving between clinical sites must maintain their own automobile insurance. Student Data Change Address/phone/name In the event that a nursing student changes his/her name, email, address or phone number during the nursing program, the Nursing Program Office must be notified. A change of information form for the official Chabot College Records is located on the website: www.chabotcollege.edu/admissions/forms/personaldatachange.pdf . Please complete the form as soon as possible after the change occurs and return to the nursing program office, Room 2273. We will submit the form to Admission and Records to update your school information. It is the student’s responsibility to notify the program office of changes in email or contact numbers 55 | P a g e Chabot College Nursing Program Class 2017-Student Handbook 56 | P a g e Chabot College Nursing Program Class 2017-Student Handbook 57 | P a g e Chabot College Nursing Program Class 2017-Student Handbook 58 | P a g e Chabot College Nursing Program Class 2017-Student Handbook Social Networking Policy Chabot Nursing Program Definitions: Social Networking: As used in this policy, means communicating with others over the Internet for social purposes. This includes but is not limited to the following: Networking sites such as: Linkedin, Facebook, Twitter, File hosting/sharing sites: such as DropBox, MediaFire, Wiki Video/ Audio sharing sites: YouTube, Vlogs, Podcasts Photo sharing sites: Snapfish, Flickr, Photobucket, Instagram Blogs and personal websites: Twitter, Blogspot, Wordpress Media sites that are offered by television networks, newspapers, and magazines Purpose: The purpose of this policy is to provide guidelines to students, faculty, and staff who engage in online social networking. Information published on social media sites must comply with Chabot College Nursing Program’s Social Networking Policy as well as HIPPA and the policies of the clinical sites used by Chabot College. While this policy may need to be modified as new technologies and social networking tools emerge, the guiding principle of the policy is to ensure that the reputation of clinical sites, the Chabot College Nursing Program, and that of individual persons is protected. As students, you will want to represent the College in a fair, accurate and legal manner while protecting the brand and reputation of the institution. When publishing information on social media sites, students should remain cognizant that information may be public for anyone to see and can be traced back to you as an individual. Since social media typically enables two way communications with your audience, you have less control about how material you post will be used by others. Guidelines: 1. Anything that bears the Chabot name or references the Chabot nursing program needs to be available for instructors to review. 2. Written permission needs to be received for recording all lectures. Lectures are not to be posted by students to any Internet sites. 3. No student shall videotape professors or fellow students for personal or social media use, without the permission of the faculty or fellow student. 4. Patients/clients should never be videotaped or photographed, discussed or referred to, on any social media sites. 5. Events and/or situations which occur in the clinical site can never be discussed on social media sites. 6. No personal phone conversations or texting are allowed at any time while in patient/client areas or in the classroom. 7. Use of computers (iPad, Notebooks, etc.) during class shall be restricted to note taking and classroom activities. Use otherwise is distracting for not only the student involved in the activity but those in the immediate area/vicinity. 59 | P a g e Chabot College Nursing Program Class 2017-Student Handbook 8. It is expected that during clinical, use of Smartphones (iPhones, iPads) and similar devices as authorized by faculty. If a device is combined with a cell phone, it is expected that the cell phone aspect of the device is silenced. 9. Posts/comments by students should not reflect Chabot College in any manner. When posting on social networking site, post/comments should reflect the personal views of the social networking member only. This includes by not limited to, tagging, checkins, or any comments reflecting Chabot College or clinical sites. 10. Posts/comments should be respectful and in good taste. Negative or unprofessional posts/comments are unacceptable. 11. Posts/comments/photos should never directly or indirectly reflect patients, diagnosis, or any content related to patient care or clinical experience. 12. Should a student post a photo of themselves on a social media site where s/he can be identified as a Chabot College Nursing Program student, the photo must not portray the student or Program in a negative/unprofessional manner. 13. Social online interaction between current students and faculty/staff is prohibited. 14. Student questions/concerns are only to be addressed in proper, approved channels of communication set forth by the school, and never through social networking. 15. Students are to refrain from accessing social networking sites during clinical or classroom time/lecture. Violations of Policy: Chabot College’s Nursing Program will not tolerate violations of the social networking policy. All reports of such behavior will be investigated. If the activity on a social networking site is considered an infraction of school policy, it will be handled according to the disciplinary process. Violation of this policy can result in disciplinary action ranging from program probation or dismissal from the Program. For Additional reference: www.NursingWorld.org – Six Tips for Nurses Using Social Media 60 | P a g e Chabot College Nursing Program Class 2017-Student Handbook 61 | P a g e Chabot College Nursing Program Class 2017-Student Handbook 62 | P a g e Chabot College Nursing Program Class 2017-Student Handbook 63 | P a g e Chabot College Nursing Program Class 2017-Student Handbook 64 | P a g e Chabot College Nursing Program Class 2017-Student Handbook 65 | P a g e Chabot College Nursing Program Class 2017-Student Handbook 66 | P a g e Chabot College Nursing Program Class 2017-Student Handbook ASSISTANCE REFERRAL FORM The Chabot Nursing Faculty is committed to assisting students with special needs to obtain needed services. The following referral is being made to facilitate this process. Student Name:____________________________________Referred by:_______________ Reason for referral_________________________________________ Counseling Services - College OR Nursing Counselor Bldg. 700 – Rm 755 (510) 723-7013 Contact person:_Jane Church Short-term Personal Counseling______ jchurch@chabotcollege.edu Student Support Room 2265_ email for appointment Group_____________ Financial Aid Services Katherine Lintzmeyer - Director Bldg. 700, Rm. 702 – (510) 723-6748 Learning Skills Services Bldg. 2400 – (510) 723-6725 _____Learning Disability Eligibility Assessment _____Academic Accommodation Health Center – Mental Health Counseling Bldg 100 (510) 723-7625 ValJean Dale – Mental Health Clinical Supervisor ESL Laboratory Bldg. 2300, Rm. 2351 (510) 723-6825 Tutorials/Learning Center Student Center, Bldg. 2300 - Rm. 2351 (510) 723-6920 _____Test Anxiety Workshop _____Test-taking Strategies _____Study Skills _____Time Management _____Tutoring Skills Laboratory Bldg. 3100 Rm 3116 - (510)723-6953 Skills Lab Coordinator Skills:__________________________ Disable Student Resource Center (DSRC) Bldg. 2400 (510) 723-6725 Kathleen Allen Counselor/Coordinator/Instructor kallen@chabotcollege.edu (510) 723-6725 (510) 723-7199 TDD (510) 733-7065 Voice Mail (510) 723-7200 Fax I have been informed about the services(s) available to me as indicated above. I understand that a copy of this referral will be placed in my student file. Student:______________________________________________________Date:_________ ___ Distribution: original: Student, copy to” Referral” service copy to: Student file AsstReferralForm_2015.doc 67 | P a g e Chabot College Nursing Program Class 2017-Student Handbook 68 | P a g e Chabot College Nursing Program Class 2017-Student Handbook 69 | P a g e Chabot College Nursing Program Class 2017-Student Handbook 70 | P a g e Chabot College Nursing Program Class 2017-Student Handbook Chabot College Simulation Center CLINICAL SIMULATION EXPERIENCE PROGRAM GENERAL GUIDELINES Introduction Chabot College Nursing Program has adopted an educational innovation using simulation technology for enhancement of nursing education within the Associate Degree Program. High-fidelity adult, pediatric, infant, and birthing mother simulators are used to simulate a realistic safe clinical environment. The simulation center offers students the opportunity to experience and care for “high-risk” patients in a safe environment. Patient Simulators High-fidelity patient simulators are manikins that have computers as internal organs that can allow them to have a heartbeat, breathe, talk and even deliver a baby. The purpose of the simulation experience is to allow the student(s) to participate in a realistic scenario of patient care that involves critical thinking, delegation, teamwork, coordination, and collaboration. Confidentiality Statements Realism of the scenarios is vital to learning for each student within the simulation lab. Providing an equitable learning experience for each student is just as important. All persons using the lab will be required to sign a Confidentiality Agreement that applies to the simulations. Because simulations may be recorded and/or videotaped, each student will sign a Release to be Videotaped and Recorded. All new nursing students will complete these forms in the first semester nursing course. • • No participant or instructor is allowed to tape or video (including use of a smart phone) a simulation and post it on any social media site. Violation of this confidentiality statement will be considered a violation of the Chabot College Program policy, and may be grounds for dismissal. Simulation and Skills Lab • Simulation equipment should only be operated by personnel who have been trained by the Clinical Simulation Lab Staff. • The Clinical Simulation Lab is operated by the Chabot Nursing Program faculty. The Simulation Lab Coordinator is responsible for coordinating and maintaining the Lab. • Only Clinical Simulation Lab staff and course faculty trained in the use of the simulation equipment are permitted to run the computer and simulators. • Tours may be scheduled as needed with Clinical Simulation Lab staff. • Computers for the Manikins should be used only to operate the simulators and run audiovisual debriefing equipment. These computers should not be used for Internet access. Software should not be loaded onto these computers due to the risk of incompatibilities with simulator or AV equipment software. 71 | P a g e Chabot College Nursing Program Class 2017-Student Handbook • Students should come prepared for the Clinical Simulation Experience (CSE) as they would for any clinical day. Students should be dressed in their uniforms, and have their stethoscope, etc. with them. • Safety of all participants and patients must be ensured just as in a real patient clinical setting. • All participants must wash their hands before touching the simulator Manikins. • No Betadine, ink pen, or felt tip marker is to be used on or near the Manikin simulators. Ink will permanently stain the simulator Manikins’ skin. Do not write notes on gloves as ink may transfer to the Manikins’ skin. • Iodine or other staining medications should not come into contact with the Manikins. • All Manikins must be kept dry; care should be used when simulation involves fluid (i.e. blood, urine, etc). • Do not spill fluids over any component inside simulator Manikin torsos. This could damage the unit and present a possible hazard for the operator. • Do not place artificial blood or other materials on the Manikins’ skin without first verifying with the Simulation Lab Staff that the materials will not cause damage. • Once the clinical simulation day is completed, students must help restore the simulator and environment to baseline status. • Assessment in the simulation lab is a clinical day, and preparation is required. Lab Etiquette • All students will wear uniforms/scrubs and standard white clinic closed-toed shoes when participating in learning activities. Instructors will wear lab coats or scrubs when conducting or observing. College dress code applies. • Cellular phones and similar electronic devices are not allowed in the simulation lab. They interfere with the wireless connections between the manikins and the computers. • Food, drink and gum are not permitted at the bedside of the simulator or near the computer components. • Facility users are expected to leave the Clinical Simulation Lab in order. Please dispose of any trash in appropriate containers and ensure insure all equipment is shut down and turned off. • Facility users are responsible for following standard precautions. Sharps and syringes are to be disposed in appropriate containers. Anyone sustaining a needle-stick or any other type of injury must complete an injury report. Student Orientation • • • All first semester students will have a 30 minute orientation to simulation, tour of the simulation lab, and demonstration of the high-fidelity simulator prior to a scenario. This will be with the Lab Team (Simulation Coordinator and Simulation Technician). Students will receive instruction in the location of supplies and equipment. Orientation will include where to auscultate lung sounds, heart sounds, bowel sounds, palpate pulses, BP and injection sites on the simulator. Assessment of Learner Development Observation and formative feedback will be part of the scenario for each individual student. Simulation scenarios are to support the core content of the curriculum. A student’s performance in the simulation lab may be used in the overall clinical evaluation. This is particularly important in the 72 | P a g e Chabot College Nursing Program Class 2017-Student Handbook those situations where a student is not performing well in the clinical area. Only unsafe practice will be communicated to the lead instructor by the instructor and/or lab team conducting the scenario. Evaluations An evaluation of the Clinical Simulation Experience will be completed by the students to provide feedback regarding their experience. This will guide the Lab Staff to make improvements. INTRAVENOUS ACCESS AND DRUG ADMINISTRATION – All Manikins No IVs are to be started on the Manikins. An IV will be inserted on the manikin if needed for the scenario. You can push or administer IV solutions. INTRAMUSCULAR/SUBCUTANEOUS INJECTIONS – All Manikins The medication should be prepared as if the medication is to be administered, but the actual injection should just be simulated. No fluids should ever be injected into the Manikin. URINARY CATHETERIZATION – All Manikins Urinary catheterization should be performed with a size 14 French catheter or smaller to preserve the integrity of the simulator. MANIKIN LUBRICANT • Do not introduce any fluids into the esophagus or trachea of the manikin. • Only silicon airway lubricant in small amounts should be used to lubricate the airway for tubes • Prior to using airway adjuncts, spray the inside of the pharynx, nostrils and all airway management devices to be inserted with a liberal amount of the provided airway lubricant. Thank you for maintaining our simulation lab policy. 73 | P a g e Chabot College Nursing Program Class 2017-Student Handbook 74 | P a g e Chabot College Nursing Program Class 2017-Student Handbook 75 | P a g e Chabot College Nursing Program Class 2017-Student Handbook 76 | P a g e Chabot College Nursing Program Class 2017-Student Handbook Chabot College Division of Health, Kinesiology and Athletics Nursing Program To: Student Name Student ID: WXXXXXXXXX From: Nursing Program Director RE: Nursing Program Promotion to Second Year Level Status Date: May, 2016 In compliance with the Board of Registered Nursing requirement on promotion to the Second Level Status, your work to date has been reviewed by the nursing faculty. Their decision is: Advanced to Second Year with the following recommendations: o Take Nursing 54 Clinical Topes in August o Advance to the Second year on Statement of Due Process notification o o Program Probation General Education evaluation requirements: See attachment for requirements not met. These course(s) must be completed prior to graduation in May. All Students: Students will not be allowed to enter their clinical experience if the following items are not completed by August 1st and uploaded to Certified Background. 1. Re-certification on Standard Precautions: Option to complete this in Nursing 54. 2. PPD Positive a. Negative chest x-ray must be demonstrated in writing in the last two years. If your results do not meet this requirement you must update by August 1st. b. Symptom Review form must be completed by the student and submitted that you are free from infection. 3. PPD Negative: Annual PPD skin test after July 1st (one step only) or annual Quantiferon blood test. 4. Re-certification of American Heart Association Basic Life Support (BLS). If you current card expires on or before December 1st you must renew by August 1st. 5. Annual HealthStream Modules: Rapid Regulatory I & II, Hazard Communications and HIPAA Certification. Signatures: Students Instructor Director Date: Date: Date: Please sign, date and return white copy to the Nursing Program office, room 2273. 77 | P a g e Chabot College Nursing Program Class 2017-Student Handbook 78 | P a g e Chabot College Nursing Program Class 2017-Student Handbook 79 | P a g e Chabot College Nursing Program Class 2017-Student Handbook 80 | P a g e Chabot College Nursing Program Class 2017-Student Handbook PINNING CEREMONY GUIDELINES Nursing Program Policy: The nursing program pinning ceremony, if held at Chabot College, must follow College Policy and the following procedures: Guidelines: 1. A committee of students should be formed for planning the ceremony. The Assistant Director (or his/her designee) will be appointed to assist students with planning. 2. The dress code will be as follows: a. Females will wear a white uniform, white uniform shoes, and hose. If the graduate elects to wear a uniform dress, it should be at least knee length. b. Males will wear a white uniform top and white pants, white shoes and socks. c. Appearance should be neat and professional 3. Reservation of an appropriate event center needs to be made approximately one year in advance so that the date the students will want will be available. If videotaping of the ceremony is planned, it must be cleared with the Reed L. Buffington Visual and Performing Arts Theatre staff and the rights of privacy of all members of the class must be discussed and resolved. 4. Any speaker would be selected and notified at least eight weeks prior to the ceremony. 5. Invitations need to be sent to the following: 6. All members of the Board of Trustees a. Chancellor, President, Vice President of Academic Services, Vice President of Student Services, Dean of Health and Natural Sciences, Dean of Student Services b. All members of the Nursing Advisory Committee c. All full time and adjunct nursing faculty 7. No invocation or benediction in the traditional sense will be permitted. 8. The number of invitations may be limited. Style, format, and number of invitations needs to be decided two months in advance of mailing. 9. Chabot College Nursing pins must be ordered four months in advance of the pinning. Pins are to be ordered and paid for through the Bookstore. 10. The actual pinning may be done by family members or friends, if desired by the entire nursing class. However, if this alternative is taken, it must be limited to family members or friends. a. No more than three people should be on the stage to pin the graduate. 11. Graduates may elect to write a statement and have it read at the time their name is called to be pinned. The statements should be 50 words or less, and should be typed in no smaller than 16 point font and placed on an index card. This needs to be completed the week prior to the pinning ceremony. 12. The pinning ceremony must be conducted in a timely fashion. In no case should the entire ceremony exceed one hour. 13. No helium balloons are allowed in the auditorium. Specifically no arches. Towers maybe used but a method of deflating the removal must be discussed prior to ceremony. Revised: July, 2015 81 | P a g e Chabot College Nursing Program Class 2017-Student Handbook 14. Flowers: live flowers may be used for stage decoration but a method of disbursement after the ceremony must be discussed with first year students or stage staff working the event. 15. Gifts: If the class would like to present faculty/staff with gifts this should be completed at the last faculty meeting not at pinning. 16. The graduates should consult with the students in the first year prior to the actual pinning ceremony in order to arrange adequate numbers of students to assist with rehearsal, set-up, serving of refreshments and clean-up after the event. [Rev: 2015] 82 | P a g e Chabot College Nursing Program Class 2017-Student Handbook 83 | P a g e Chabot College Nursing Program Class 2017-Student Handbook 84 | P a g e Chabot College Nursing Program Class 2017-Student Handbook Nursing 55 Release Authorization The undersigned has enrolled as a student in Fundamentals of Nursing course (Nursing 55) at Chabot College Nursing Program, Hayward, CA. The undersigned understands that it is highly recommended that each participant in this class perform injections and do skin punctures on classmates. The undersigned can thus expect to perform invasive procedures on other classmates and to have these classmates perform these invasive procedures on the undersigned. Prior to performing these procedures, each class member will have received information on injection therapy and skin punctures, including the potential dangers inherent in such procedures. The undersigned understands that all reasonable care and precautions will be taken by the instructor, other participants in the course, and the undersigned in practicing and demonstrating the above stated procedures. Accordingly, the undersigned does hereby: 1. Consent to the application of injections and / or skin punctures to the undersigned by other participants in this course; 2. Agree to release from all liability Chabot College and each of its employees for any and all acts performed in good faith and without malice in connection with the performance of injection and finger puncture techniques to the undersigned; and 3. Agree to release from all liability all other participants in the Fundamentals of Nursing course for any and all acts performed in good faith and without malice in connection with the performance of injection and finger puncture techniques to the undersigned. 4. Pictures may be taken throughout the program. I agree to allow my picture to be used for program promotional purposes; brochures, posted to web page or bulletin boards. The undersigned has read the foregoing provisions, understands them, and agrees that they shall become terms and conditions under which the undersigned will be provided the opportunity to participate in the injection and skin puncture component of the Fundamentals of Nursing course, and to perform injections and skin punctures. Student Signature Student Name ( PRINT) Date Decline: I respectfully decline to participate in application of injections and/or skin punctures. I understand that this will not affect my progress in the Nursing Program. Student Signature Student Name ( PRINT) Date 85 | P a g e Chabot College Nursing Program Class 2017-Student Handbook 86 | P a g e Chabot College Nursing Program Class 2017-Student Handbook 87 | P a g e Chabot College Nursing Program Class 2017-Student Handbook 88 | P a g e Chabot College Nursing Program Class 2017-Student Handbook Chabot College Nursing SIMULATION CENTER CONFIDENTIALITY AGREEMENT During your participation in a simulated clinical experience (SCE) at the Chabot College Simulation Center (CSC), you will be both an active participant in simulated scenarios and an observer. The objective of the SCE program is to educate pre-licensed and licensed health care practitioners to better assess and improve their performance in evolving health care crisis situations. A SCE is designed to challenge a healthcare professional’s response and judgment in a high stress environment. By signing this agreement, you agree to maintain strict confidentiality regarding both yours and others performance, whether seen in real time, on video or otherwise communicated to you. Failure to maintain confidentiality may result in unwarranted and unfair defamation of character of the participants. You will be discussing the scenarios during debriefing, but we believe that “All that takes place in the simulation environment – stays in the simulation environment!” Due to copyrights, intellectually property rights, and to maintain optimal simulation experiences for the other learners who will be following you in the center, you are to maintain strict confidentiality regarding the specific scenarios, and what happened during the simulation experience. A breach of confidentiality may result in loss of privileges at CSC. I agree to maintain strict confidentiality about the details of the scenarios, participants, and performance of any participant(s). RELEASE TO BE VIDEOTAPED AND RECORDED I understand that the Chabot College Simulation Center will record my performance in the simulation scenario for teaching purposes only, and that it may be shown while other participants are present during the debriefing portion of this learning activity. I understand that the recording may be reviewed with me for learning purposes. Signature Agency Print Name Date 89 | P a g e Chabot College Nursing Program Class 2017-Student Handbook 90 | P a g e Chabot College Nursing Program Class 2017-Student Handbook 91 | P a g e Chabot College Nursing Program Class 2017-Student Handbook 92 | P a g e Chabot College Nursing Program Class 2017-Student Handbook 93 | P a g e Chabot College Nursing Program Class 2017-Student Handbook 94 | P a g e Chabot College Nursing Program Class 2017-Student Handbook 95 | P a g e Chabot College Nursing Program Class 2017-Student Handbook 96 | P a g e Chabot College Nursing Program Class 2017-Student Handbook 97 | P a g e Chabot College Nursing Program Class 2017-Student Handbook 98 | P a g e Chabot College Nursing Program Class 2017-Student Handbook 99 | P a g e Chabot College Nursing Program Class 2017-Student Handbook ARTICLE I - NAME OF ORGANIZATION Section 1. The name of this organization shall be the Chabot Student Nurses Association. ARTICLE II - purpose and function Section 1. Purpose A. To assume responsibility for contributing to nursing education in order to provide for the highest quality of health care. B. To provide programs representative of fundamental interests and concerns to nursing students. C. To aid in the development of the whole person, including his/her professional role, his/her responsibility for health care of people in all walks of life. Section 2. Function A. To have direct input into standards of nursing education and influence the education process. B. To influence health care, nursing education and practice through legislative activities as appropriate. C. o promote and encourage participation in community affairs and activities towards health care and the resolution of related social issues. D. To represent nursing students to the consumer, to institutions, and other organizations. E. To promote and encourage students' participation in interdisciplinary activities. F. To promote and encourage recruitment efforts, participation in student activities, and educational opportunities regardless of a person's race, color, creed, national origin, ethnicity, age, gender, marital status, lifestyle, disability or economic status. G. To promote and encourage collaborative relationships with nursing and health related organizations. ARTICLE III - MEMBERS Section 1. Members shall be: A. Students enrolled in state approved programs leading to licensure as a registered nurse. B. Registered nurses enrolled in programs leading an associate degree with a major in nursing. C. Active members shall have all the privileges of membership. 100 | P a g e Chabot College Nursing Program Class 2017-Student Handbook ARTICLE IV – GRADUATION PINNING CEREMONY FUNDRAISING Section 1. Fundraising A. Club/Organization is required to meet all Chabot College standards for fundraising as issued by the office of Student Life. B. Clubs/organizations are able to sell food on campus. Food that is served or sold to the public must be prepared in or purchased from an approved food facility. An approved food facility is a restaurant, market, or other retail food establishment licensed by the Alameda County Health Department or from Chabot College Fresh & Natural. Prior to selling, club must submit Temporary Food Permit Form to the Student Life Office. C. Clubs/organizations are able to sell (2 times per semester) in our Chabot College Flea Market at no cost. Visit the Flea Market office located in Room 2355. D. All money collected from fundraising, no matter the amount, must be deposited to the club account via the Chabot College Business Office located in room 206. A receipt will be provided for your accounting records, and should be kept by the club treasurer. Please submit a copy of your deposit to the Student Life Office after each fundraiser. No money is to be kept in the private accounts of individuals at any time. Section 2: Dues A. Each class will determine through class discussion, the amount, if any for class dues, collected solely for the purpose of paying for graduation ceremony and any other event attended by the entire class. B. A Class vote shall have the authority to change membership dues, providing such dues do not exceed the amounts set in these bylaws. C. Any member who fails to pay current dues shall forfeit all privileges of membership. Section 3: Payment of Bills A. No bills are to be paid for by cash. All bills are to be processed by Request for Disbursement (RFD) which requires the signature of the club Treasurer and Advisor. RFD’s may be obtained from the office of Student Life (RM 2355) invoice s(bills) must be attached to completed RFD’s and returned to the Student life Office for processing through the College. B. In certain cases, club members may choose to personally pay for minor expenses of your club and request reimbursement from the club account at a later time (provided the 101 | P a g e Chabot College Nursing Program Class 2017-Student Handbook club account has sufficient funds.) This may be done by completing an Request for Disbursement (RFD), attached the original receipts for the merchandise or services, acquiring the signature of the club Treasurer and Advisor , and returning the form to the Student Life Office (Rm. 2355). It takes approximately 1-2 weeks to process the reimbursement. Please note that by choosing to personally pay for expense you accept full responsibility for any subsequent fees/interest incurred. C. Advance Check: If required to pay for merchandise or services at time of delivery a student should complete a Request for Disbursement Form, ensuring the CASH ADVANCE is marked. Club must provide *2) quote before submitting your disbursement form. Obtain the required signature, attach invoice and expected costs, and return to Student Life Office. D. Matching Funds: The Student Senate (SSCC) offers Fund matching to clubs who do Fundraiser. The ICC will match dollar-for-dollar fund raised by any recognized oncampus club/organization for up to four hundred dollars per semester. Section 4: Faculties Request During the course of the academic year, clubs/organization often requires use of College rooms or location in order to hold event or club meetings. Club/organization is required to complete “Facilities Request” form and sign the Facility Board Policies. The Reed Buffington Theatre will be reserved each year on the last Thursday of the semester for the Pinning Ceremony through the nursing program office. On the form, please indicate the time, date, location you are requesting, and if need any A/V equipment. For large more complex event, pleas attach a map indicated the desired set-up as well as a detailed descript of the vent so that your needs can be accommodated. A copy of the vent flyer must be submitted with the facility form when hosting an event. Section 1. Composition ARTICLE V. - OFFICERS The class officers will consist of: one President, one Vice President, one Secretary, two Treasurer’s (one on each campus), and one Projects Chairperson. Section 2. Responsibilities A. The Class Officers shall be responsible for: 1. Transacting business of the association between membership meetings and shall report such transactions at the next regularly scheduled membership meeting. 2. Filling vacancies in any office by two-thirds majority vote of Class Officers except the office of President. 3. Reviewing monetary disbursements, acquisitions and fund raising activities and shall be responsible for procuring persons for audit of all accounts on an annual basis. Section 3. Quorum. A quorum for the board meetings shall be the president, vice president, three other board members and one faculty advisor. Section 4. Duties of the Class Officers shall consist of: 102 | P a g e Chabot College Nursing Program Class 2017-Student Handbook A. President 1. Shall preside at all meetings of this association, appoint special committee as needed, perform all other duties pertaining to the office and represent this association in all matters to the local state nurses association, the local league for nursing, state nursing student association, National Student Nurses' Association, and other professional and student organizations. 2. Shall serve as chairperson of the Board of Directors B. Vice President 1. Shall assume responsibility of the office of President in the event of the vacancy occurring in the office until the next regular election. 2. Shall preside at meetings in the absence of the President. 3. Shall assist the President as delegated and act as advisor to the President. C. Secretary 1. Shall record and distribute the minutes of all meetings of this association as directed by the President. 2. Shall keep on file as a permanent record all reports, pape and documents submitted to the Secretary. 3. Refer to dully appointed committees the necessary records for the completion of business. 4. Forward minutes to the state nursing student association board as well as the names and addresses of all officers and committee chairpersons after their election or appointment. 5. Deliver to the newly elected Secretary all association papers. D. Treasurer 1. Shall serve as chairperson of the budget/finance committee. 2. Submit financial reports to the membership as directed by President. 3. Prepare financial reports submitted at the monthly Class OfficersMeeting. 4. Keep a permanent record of all dues received from members and any other income and expenses. 5. Remit payment for approved debits according to the following: a) Disbursement of Funds 1. Requests for disbursement of funds shall be made in writing to the Board of Directors. 2. Upon approval the treasurer will issue checks for those requests approved. 3. No funds will be disbursed without prior approval. E. Projects Chairperson 1. Serves as chairperson of Projects committee. 2. Attend student activities council meetings. 3. Be accountable to the membership for notification of pending student activities. 4. Keep bulletin board up-to-date. 103 | P a g e Chabot College Nursing Program Class 2017-Student Handbook ARTICLE VI - ELECTIONS Section 1. Election of Class Officers A. Elections shall be held at the end of the first semester in December. B. All elections shall be by secret ballot. C. A plurality vote of the members present and entitled to vote and voting shall constitute an official election. D. In the event of a tie, a revote shall be held. E. All nominations shall be made from the floor or via email through the program office. ARTICLE VII - MEETINGS Section 1. Membership Meetings A. Meeting dates shall be set on the third Thursday of each month during college hour and will be telecast to each campus. C. The President shall have the authority to convene a special meeting as such time as is deemed necessary and shall notify the general membership of such meeting, location, and time. ARTICLE VII - AMENDMENTS Amendments to the Bylaws may be made with a 2/3 vote of those present and voting at a membership meeting provided that notice of proposed amendments has been sent to members at least four weeks prior to the meeting. Only proper amendments submitted in writing and carrying the proponent's signature will be considered. ARTICLE VIII - PARLIAMENTARY AUTHORITY All meetings of this association shall be conducted according to the parliamentary law as set forth in Robert's Rules of Order Newly Revised where the rules apply and are not in conflict with these bylaws. 104 | P a g e Chabot College Nursing Program Class 2017-Student Handbook 105 | P a g e Chabot College Nursing Program Class 2017-Student Handbook 106 | P a g e Chabot College Nursing Program Class 2017-Student Handbook Chabot College Division of Health, Kinesiology and Athletics Nursing Program – Room 2273 25555 Hesperian Blvd. Hayward, CA 94545 (510) 723-6896 - Office CERTIFICATE OF UNDERSTANDING AND AGREEMENT I (Student Name- please print) have read and understand the foregoing statements in the Nursing Student Handbook. • I understand the program is full-time, and requires completion of all courses each semester with 73% or better to continue in the program. • I understand this book maybe amended, revised or updated via email and/or hardcopy throughout the program. • I agree to abide by all of the conditions therein. Signature: Name (please print): Date: 107 | P a g e Chabot College Nursing Program Class 2017-Student Handbook 108 | P a g e