HOUSTON COMMUNITY COLLEGE SYSTEM ASSOCIATE DEGREE NURSING PROGRAM Center of Excellence STUDENT NURSES HANDBOOK 2020-2021 A student handbook designed as a reference for information about official Associate Degree Nursing Program requirements, policies and procedures, and as a supplement to the Houston Community College Systems Student Handbook and the Houston Community College Catalog. Revised January 2020 2017 Houston Community College Board of Trustees Robert Glaser Eva L. Loredo Rhonda Skillern-Jones Monica Flores Richart Dr. Adriana Tamez Dr. Reagan Flowers Dr. John P. Hansen Dr. Cynthia Lenton- Gary Dr. Pretta VanDible Stallworth Chancellor Cesar Maldonado, Ph.D., P.E., PMP President Phillip Nicotera, MS. Ed., M.D. Dean of Health Sciences, Center of Excellence Jeff Gricar, Ed.D, M.Ed., CPhT, PhTR Dean of Nursing, Center of Excellence Donna Spivey, DNP, RN, CEN Program Director, A.D.N. Program Tyrone Sharp, Ph.D., RN Revised January 2020 2017 Accreditation Established in 1979, the Associate Degree in Nursing (A.D.N.) program offers a curriculum leading to an Associate of Applied Science Degree in Nursing. The A.D.N. Program is accredited by the following agencies: The Texas Higher Education Coordinating Board 1200 E Anderson Ln. Austin, TX 78752 Phone: (512) 427-6101 Website: http://www.thecb.state.tx.us/ Texas Board of Nursing 333 Guadalupe St. #3-460 Austin, TX 78701 Phone: (512) 305-7400 Website: http://www.bon.texas.gov/ Houston Community College Associate Degree Nursing Education program is fully approved. Revised January 2020 2017 WELCOME WELCOME to Houston Community College’s Department of Nursing! We are delighted that you have chosen to join the exciting and ever changing world of nursing. This handbook is designed to help guide you through the nursing program. Within this handbook you will find various policies and procedures followed to help you through the educational process. You will be expected to follow the policies and procedures contained in this handbook. Nurses are unique individuals who are an integral part of the healthcare team. Nurses have been one of the most trusted professionals for many years. Therefore, it is imperative that you learn to be the most educated, caring, safe practitioner possible. It is our hope and expectation that this is the first stepping stone in your career and that you will become a lifelong learner and continue your education both formally and informally. Again, welcome to the most exciting and demanding career you could ever want. It is our hope that you will avail yourself to every opportunity to learn all things offered in this program. WELCOME ABOARD! Revised January 2020 2017 Hardship Statement “Any student who faces challenges securing their food or housing and believes this may affect their performance in the course is urged to contact the Dean of Students for support. Furthermore, please notify the professor if you are comfortable in doing so. This will enable us to provide any resources that HCC may possess.” The A.D.N. program reserves the right to change the following: 1. Schedule adjustments in the RNSG (theory, skills, and clinical) courses currently in the curriculum 2. Instructional fees 3. Calendar schedules 4. Pinning ceremony procedures 5. Delivery of course content The A.D.N. Program also reserves the right to modify other existing student requirements and regulations without previous notice. Such changes will apply to both future students and to students who are currently enrolled in the A.D.N. Program. Houston Community College System does not discriminate on the basis of race, color, religion, national origin, sex, age, or handicap. Revised January 2020 2017 Table of Contents Revised January 2020 2017 INTRODUCTION Mission, Vision, and Philosophy Mission Statement The Associate Degree Nursing Faculty at Coleman College for Health Sciences is committed to upholding the mission of the Houston Community College by establishing a learning environment that promotes the development of nursing values, to provide excellence in nursing education, to foster preparation of students to work in a collaborative environment and to cultivate a life-long pursuit of learning. Vision Statement Our vision is congruent with the vision of Houston Community College Coleman College for Health Careers which is as follows: (The vision of HCC Coleman College is to be the preeminent health sciences community college in the nation, preparing students for today's health science careers, and a lifetime of learning.) Philosophy The philosophy of the Associate Degree Nursing Program represents the belief that nursing is an applied science using the principles of evidence based practice and patient-centered care to assist individuals and families to meet their health care needs as they progress through the life span. The faculty prepares the Associate Degree nursing student in the practice of nursing through a comprehensive educational curriculum. Experiences are planned in diverse health care settings. The nursing program strives to build on each student's prior experience. Learning becomes more effective when the learner is an active participant. The nursing role is characterized by the utilization of a systematic, problem-solving approach: a caring relationship; and commitment to continuing education and professionalism in practice. Throughout the curriculum, students are provided with experiences which prepare them to care for clients and families with common and complex well-defined health problems. The role of the Associate Degree nurse encompasses four areas: member of the profession, provider of patient-centered care, advocate of patient safety, and active member of the health care team. (www.bon.tx.gov.) Revised January 2020 2017 Program Goals The goal of the Associate Degree Nursing program is to prepare graduates who are eligible to take the licensure exam and are able to work collectively and collaboratively with other members of the health care team to provide safe, competent patient centered care in a variety of health care settings. Program Outcomes 1. Associate Degree Nursing Graduate first time NCLEX pass rates will be at or above the required 80% per the TBON rule 215.4 ( c )(2). 2. Program completion rate: Student retention will be 80% or higher within 150% of the time from entry into the program. 3. Program Satisfaction: 80% of the Graduates will report satisfaction (3.0 or above mean rating on Associate Degree Graduate exit survey) with the preparation for nursing practice provided by the program. 4. Employer satisfaction: 80% of employers of graduates will report satisfaction (3.0 or above mean rating on employer survey) with the competency of graduates as defined by the student learning outcomes and graduate competencies. 5. Job Placements: 80% or more of graduates will be employed within six months of the program completion as Registered Nurse. Student Learning Outcomes Upon graduation, students will be able to: 1. Communicate effectively with patients, families, and members of the health-care team. 2. Utilize a systematic problem-solving approach in caring for patients with common and complex needs. 3. Demonstrate appropriate entry level Associate Degree Nursing Program didactic competencies to pass the NCLEX-RN licensure exam. 4. Demonstrate safe entry level nursing practice as defined by the four roles of the Differentiated Essential Competencies of Graduate of Texas Nursing Programs (DECs). Revised January 2020 2017 Faculty-Student Responsibilities Faculty: Provide course content information, requirements, and grading procedures in writing. Maintain availability to meet with you by appointment. Discuss your course related concerns. Treat you with courtesy and respect. Arrive on time prepared for class. Conduct self in a professional manner at all times. Student: Attend all scheduled classes. If you are absent more than 12.5% of the course, you may be dropped from the class. (Hybrid course students should see the course syllabus for specific attendance requirements.) Meet the requirements for course and clinical content even in the event of inclement weather or emergencies. Arrive on time prepared for class. Arrange to make up missed work if possible or if permitted. Review course syllabus. Check Canvas and college email daily for updates and before class or clinical. Treat the instructor, staff, and peers with courtesy and respect. Maintain professional behavior at all times. Professional behavior includes, but is not limited to the following: During lecture, there should be no disruptive behaviors to the instructor and other students. Arrive for class on time In the event of unforeseen emergencies, notify faculty. Working on other class work during class lecture or discussion time is not acceptable. Children are not allowed in class, clinical or skills. Cell Phones or other electronic devices must be on silent during class. Bringing food or drink into classroom is forbidden. Using derogatory or vulgar language is not permitted. Have required textbook and other equipment for each course. Discuss with the instructor concerns that you are having with the class. The student needs to go to the course instructor and subsequently follow the proper chain of command; schedule an appointment with the A.D.N counselor and/or Retention specialist to discuss the situation and strategize about possible solutions to the problem. Follow chain of command: course instructor, team lead, program director, dean of nursing for the program. Check grades often and discuss concerns early. Do not wait until the last week of semester. Seek the assistance of available tutoring services. Revised January 2020 2017 Revised January 2020 2017 Revised January 2020 2017 GENERAL INFORMATION Instructional Site Nursing courses, lab, and simulation are offered at Health Science Center of Excellence located at 1900 Pressler and the Coleman Tower 1919 Pressler St, Houston, TX 77030. Licensure When awarded an Associate of Applied Science Degree in Nursing, the A.D.N. program graduate is eligible to apply for licensure. Degree Plan Once accepted into the A.D.N. program, a student must complete the required degree plan. The degree plan, a contract between the student, the A.D.N. program, and HCC, outlines all of the courses that will be necessary to obtain a degree in nursing. The student is encouraged to seek assistance from a counselor, available at the HCC instructional site, to develop their degree plan. It is the student’s responsibility to seek counseling so that courses are completed in the required order. Failure to do so will result in being dropped from the program due to the lack of a pre-requisite course. Clinical Affiliations Students gain clinical experience in both privately and publicly owned hospitals and outpatient clinics and facilities in The Texas Medical Center and throughout Houston and the surrounding areas. It is imperative that students and faculty follow the policies set by all the clinical affiliations regarding nursing students and clinical rotations. Learning Resources/Library The Houston Academy of Medicine-Texas Medical Center (HAM-TMC), located in The Texas Medical Center, is available to A.D.N. program students. Location for the Library is 1133 John Freeman Blvd., Houston, TX 77030. Phone # (713) 795-4200. As a student of HCC A.D.N. Program, the student can register to become a member of the TMC Library. The Coleman Electronic Resource Center (ERC) Library is located in the Coleman Tower Room 111. HCCS offers computer resources for use by currently enrolled students and employees for educational research and administrative purposes. Access to this equipment, supplies and labs is a privilege granted to students and faculty to facilitate instruction, learning, research, and administration. All students have the responsibility to make use of these resources in an efficient, ethical, and legal manner. Anyone under 17 yrs. of age is not allowed to use computers, except for Student Services events. Visitors (non-students) may use computers on college campus according to the computer policies. Revised January 2020 2017 The Health Science Computer Center reserves the right to monitor print jobs and manage instructional supplies with quotas and a fee system. Printing accounts are issued from course rosters submitted by faculty. No food or drink containers are permitted inside the computer labs. Students will be respectful to staff and other students at all times. Abuse of equipment, facilities, and computer lab policies will result in disciplinary action. Disruptive behavior may result in Security being called. Disruptive students will be removed from class and may be dismissed from the class or program. Textbooks and Printed Materials The bookstore at HCCS West Loop College, located at 5601 West South Loop, offers a variety of textbooks and printed materials required for a student enrolled in the A.D.N. program. Additionally, various HCC campus bookstores carry a selection of the required A.D.N. textbooks and materials. Additional Expenses Incurred by Health Science Students Students in Health Science programs incur a variety of expenses in addition to college tuition and fees. These include, but are not limited to, the cost of uniforms, parking, accessories, lab supplies, publisher resources and travel to clinical assignments. Students are also responsible for state licensure and national accreditation application and testing fees. Student Safety Students are expected to assume responsibility for their own safety by adhering to the guidelines listed below, and discussing with the faculty situations which the student believes to be unsafe prior to exposing him/herself to risk. 1. Student leaving clinical experiences after dark should travel in groups or obtain escort services from security guards in the agency. 2. Students who use cars should lock their doors at all times and park in well-lighted areas. Valuables including health-screening equipment, e.g., stethoscopes should always be secured out of sight. 3. Students should carry a minimum amount of money and valuables. Be sure to have correct change for a phone call and know emergency numbers. 4. Students should be alert and observant for risks so that suspicious situations can be avoided. Do not enter a suspicious area – for example, where loitering, fighting or drunkenness is occurring or in a dark hallway or basement. If the student observes a suspicious situation, the student should leave immediately. 5. Student experiencing any injury must be reported to the instructor using the incident report form attached in Section VIII. Revised January 2020 2017 Transportation Students must provide their own transportation to clinical assignments and costs incurred during their clinical experiences, including all off-campus expenses. Students are responsible for appropriate automobile insurance coverage. Students are not required to produce evidence of automobile insurance. However, students are reminded that mandatory auto insurance is a requirement of the State of Texas. Weather Emergencies In case of weather conditions that render traveling hazardous, students and faculty members are urged to exercise their best judgment in determining whether to attend clinical assignment. The clinical area must be notified promptly by the appropriate person, if students or faculty members are going to be absent or late. Faculty members will notify students if they are unable to make it to clinical practice areas. Information about changes in College schedules in case of a natural disaster or environmental accident can be obtained by listening to radio and television news reports. Please review the official hccs.edu website for school closures. Revised January 2020 2017 Pre-Admission & Admission Essential Functions of Nursing for the Associate Degree Nursing Program All individuals who apply for admission to the Nursing Program must be able to perform essential functions included in this document either with or without accommodations. These essential functions are congruent with the State of Texas Board of Nursing expectations of any individual seeking initial licensure as a registered nurse. Texas does not have a limited licensure for the practice of nursing. Essential functions are the basic activities that a student must be able to complete. Any student applicant who has met the necessary prerequisites and who can perform the essential functions of the nursing program, either with or without reasonable accommodations, will be considered for admission. A candidate must be able to perform the identified essential functions in a reasonable independent manner. The use of trained intermediaries is not permitted, in that the candidate’s judgment would be mediated by someone else’s power of observation and selection. The essential functions are the basic physical, cognitive, psychomotor, social and affective activities that are necessary to successfully complete the HCC-Coleman College Nursing curriculum leading to initial licensure as a registered nurse. Basic functions included are: gross motor skills, fine motor skills, physical endurance, physical strength, mobility, hearing, visual, tactile, smell, reading, arithmetic competence, emotional stability, analytical thinking, critical thinking, interpersonal skills, and communication. Communication in this program is based on English. A student who has been accepted into the Nursing Program and plans to matriculate will: • Read the “Essential Functions” of the Nursing Program. Return the signed and dated document related to Essential Functions to the Nursing Office. If qualified under the American with Disabilities Act (ADA), provide a letter of accommodations from the Disability Support Service Counselor (DSSC) at Coleman College for Health Sciences. (For more information, go to www.hccs.edu; click on For Students; click on Counseling; then click on Disability Resources). All Houston Community College System A.D.N program exams will be computer based to prepare the student for and meet the NCLEX testing requirements. PSYCHOMOTOR FUNCTIONS Gross motor skills: sufficient to provide the full range of safe and effective nursing care Fine motor skills: sufficient to perform manual psychomotor skills Revised January 2019 TASKS EXAMPLES Move within confined spaces Sit and maintain balance Stand and maintain balance Reach above shoulders and below waist Stoop and squat Squeeze with hands Squeeze with fingers. Write with pen or pencil Pick-up and grasp small object with hands Hang solution on IV poles Connect electrical appliance into wall outlets Operate fire extinguisher Assist patients with activities of daily living Calibrate equipment Withdraw solution using a syringe Twist objects with fingers Physical endurance: sufficient physical tolerance Sustain repetitive movement Complete an entire assigned shift Push/pull over 50 pounds Lift 25 pounds Maneuver in small spaces Move independently Respond rapidly to emergency Walk, without a cane, walker, wheelchair or crutches Mobility: ability to carry out physical activities without jeopardizing client safety OBSERVATION/SENSORY FUNCTIONS Tactile abilities: sufficient for physical monitoring and assessment TASKS Insertion of catheters Performing CPR Positioning and transferring clients Providing physical assistance when ambulating clients Perform CPR and physical assessment Execute movements required to provide nursing care in all health care settings EXAMPLES Feel vibrations Feel differences in sizes, shapes Detect temperature changes Feel differences in surface characteristics Palpate pulses Palpate veins Identify body landmarks Assess skin temperature Visual abilities: sufficient for accurate observation and performance of nursing care Visual acuity (corrected) within normal range of eye chart Use of depth perception Use of peripheral Color distinction Hearing abilities: sufficient for physical monitoring and assessment of client health care needs Hear faint body sounds Hear a range of tones Hear normal speaking level sounds Olfactory abilities: sufficient to Revised January 2019 detect significant environment Detect and distinguish odors from client and environment Distinguishing changes in skin integrity, breathing patterns , and color intensity such as the ability to identify cyanosis Identification of allergic responses Access patient information from electronic health records Read fine print on medication labels, monitor strips, equipment calibrations, syringes Prepare correct quantities of medication Participate in Handoff Report Prepare correct quantity of medication Assess faint voices Assess blood pressure sounds, assessment placement of tubes Hear in situations when not able to see lips (masks are used) Hear auditory alarms (e.g., monitors, fire alarms, call bells) Detect foul smells Detect smoke and client odors INTELLECTUAL & COGNITIVE FUNCTIONS Reading ability: sufficient to comprehend Arithmetic abilities: sufficient to do computations Analytical Thinking: sufficient to perform deductive and inductive reasoning Communication: sufficient to communicate effectively and efficiently Revised January 2019 Detect gases or noxious smells TASKS EXAMPLES Read and understand English printed documents Read measurement marks and graphs Use measurement tools recognized as central to care Perform dosage calculations in a timely manner Convert numbers to and/from metric system Evaluate outcomes Transfer knowledge from one situation to another Prioritize tasks Use long and short term memory Teach (e.g. client/family about health care) Explain procedures Give oral reports (e.g. report on client’s condition to others) Interact with others (e.g. health care worker Speak on the telephone Influence people Direct activities of others Convey information through writing (e.g., progress notes) Read and understand English printed documents (e.g., policies, protocols, standards of care) Comprehend measurement marks Read digital displays Read measurements marks (e.g., measurement tapes, scales, thermometer, etc.) Add, subtract, multiply, and/or divide whole numbers Compute fractions (e.g., medication dosages Use a calculator Record numbers in health records Handle multiple tasks and problem solve simultaneously Assimilate and apply knowledge acquired from multiple learning experiences Seek supervision and consultation in a timely manner Communicate with patients/clients, family members and health care providers regarding the individual’s plan of care. Read and comprehend printed materials and documents. Document clearly and correctly on patient’s medical record for legal documentation. Transmit information through written documents that use good grammar, syntax, spelling, and punctuation. Access laboratory data via automated information system. Clarify the meaning of non-verbal communication. Present oral reports. Use physical touch as a therapeutic nonverbal intervention. Critical thinking abilities: sufficient to exercise sound nursing judgment PROFESSIONAL & SOCIAL ATTRIBUTES Interpersonal Skills Synthesize knowledge and skills Identify cause and effect relationships Sequence information TASKS Negotiate interpersonal conflict Respect differences in clients Establish rapport with clients Establish rapport with co-workers Demonstrate cultural sensitivity Emotional Stability Establish therapeutic boundaries Adapt to changing environment/stress Deal with the unexpected Focus attention on tasks Computer Skills Utilize computer programs for testing purposes and electronic medical records. Revised January 2019 Clarify physician orders. Analyze assessment data in determining nursing diagnoses Prioritize tasks Comprehend and apply abstract concepts Recall recent and remote information including steps of a task/skill. EXAMPLES Consult, negotiate, share, etc as a member of an interdisciplinary team. Participate in partnered and group efforts in classroom and clinical learning activities Practice in a manner that is non-judgmental and non-discriminatory Interact with individuals, families, and groups from a variety of social, intellectual and cultural backgrounds Provide client with emotional support Monitor own emotions Perform multiple responsibilities concurrently Handle strong emotions Adapt effectively to changing environments and increasing tension levels in a variety of situations Computer based Unit exams, Quizzes etc. Standardized tests (HESI, NLN, ATI etc.) will be computer based. ACADEMIC AND CLINICAL STANDARDS To prepare students for the high ethical standards of the health professions, Coleman College for Health Sciences expects absolute academic professional integrity, both in the classroom and in the clinical/lab/simulation settings. Students are expected to demonstrate professional and ethical behaviors consistent with standards associated with health science professions. Students shall comply with all Coleman College, health science program-specific, and HCCS policies and procedures. 1. A mandatory criminal background check and drug screen done through college-approved providers is required. A minor or major adverse criminal background check will require a positive Declaratory Statement reply from the Texas Board of Nursing, and will require the student to get a clearance from the Board before being accepted into the Program. 2. From the first time enrollment in RNSG 1413 (Foundations of Nursing Practice), a student has four years to complete the program. Proof of all academic requirements must be presented to the A.D.N. counselor at the time of requirement completion. Failure to present proof of degree plan compliance will result in not being allowed to progress in a nursing course. 3. A grade of “W” is assigned by the college if you decide to withdraw from a course before the official drop date listed on the HCC calendar. Withdrawals are not official until the withdrawal form is completed and turned in by you to the Registrar’s office. If you decide to withdraw, please discuss your situation with faculty or counselor. The associated co-requisite course will also be dropped. The Exit Interview form will indicate if the student dropped while passing or failing the courses. A grade of “W” counts as one attempt. The Admission Committee will make a final decision on re-admission status. 4. A student receiving an unsatisfactory grade in any required non- nursing co-requisite course must successfully repeat it before taking any subsequent nursing course. Completing non-nursing academic courses in advance of prescribed sequence is allowed. 5. You are required to maintain competence in Pharmacology/Math. Faculty in each course will measure your continued competence. Failure to maintain this knowledge will result in a course failure. 6. Students will be required to take nationally normed tests throughout the curriculum. As part of RNSG 2130 Capstone course, students are required to take an Exit Exam and attain a satisfactory score as listed in the RNSG 2130 syllabus. Meeting HCCS requirements for graduation is described in the HCCS Catalog. https://www.hccs.edu/programs/catalog/ Revised January 2019 Graduation Requirements THE ASSOCIATE OF APPLIED SCIENCE DEGREE The Associate of Applied Science Degree is awarded to a student who successfully completes the prescribed curriculum for a two-year technology program, such as the A.D.N. program. To receive this degree, a student must: Be enrolled in at least one semester-hour course during the semester of graduation. Return all HCCS properties that are assigned to the student, including library books. Until return of such properties is made or satisfactory arrangements for payments of financial obligations to HCCS are made, the degree is withheld. As a transfer student to HCCS, the residency requirement of 18 semester hours of instruction toward their degree must be completed at HCCS. Grade Appeal Procedure: Any student who has a grade appeal should follow the Chain of Command. The student should first attempt to resolve the issue with the instructor involved. If not resolved at this level, the Program Director should be consulted. Please read page 13 of the HCC’s Student Handbook prior to completing a Grade Appeal form. (http://www.hccs.edu/hccs/current-students/student-handbook). Grade Appeal form for Coleman College is available in the Dean’s office (See sample copy in section VIII). Withdrawal from the Program A student electing to withdraw from a RNSG prefix course must do so no later than the date published in the current HCC Catalog to avoid receiving a failing grade in the course. The student is highly encouraged to notify the A.D.N. Program of plans to withdraw and receive counseling before withdrawing. DISMISSAL FROM THE NURSING PROGRAM Reasons for dismissal from the nursing program include any demonstration of the following during enrollment in the nursing program which include but not limited to: 1. Evidence of actual or potential harm to a patient, client, or to the public; 2. Criminal behavior whether violent or non-violent, directed against persons, property, or public order and decency; 3. Intemperate use, abuse of drugs or alcohol, or diagnosis of or treatment for chemical dependency, mental illness, or diminished mental capacity; 4. Lack of good professional character as evidenced by a single incident or an integrated pattern of personal, academic, and/or occupational behaviors which indicate that an individual is unable to consistently conform his or her conduct to the requirements set forth in the Texas Nursing Practice Act, The Texas Board of Nursing’s Rules and Regulations, and generally accepted standards of nursing Revised January 2019 practice including, but not limited to: behaviors indicating dishonesty, accountability, trustworthiness, reliability, and integrity. Dismissal from the Program Reasons for a student to be automatically dismissed from the A.D.N. Program are for violating the following: Academic Dishonesty Final course grades below 75% Violation of the absenteeism policy HIPAA violation Clinical Agency/Affiliation policy violation Violation of any applicable rules for the Texas Board of Nursing Grades Earned in RNSG Prefixed Courses An A.D.N. student receives one grade in each nursing course. The student’s letter grade will be based on the average of the student’s component work. The components required and their relative weights are specified in the syllabus provided at the beginning of each course. The grading system used for students admitted to the A.D.N. program is as follows: A = 100 - 90 B =89 - 80 C =79 -75 D =74 -60 F = 59 or below In order to pass a course with an RNGS prefix the student must achieve a grade of 75 in each course. Failure to achieve a grade of 75 in any skills, clinical or theory RNSG co-requisite course will result in the student being required to repeat both theory and clinical corequisite courses. The following policies are used for informing A.D.N. program students of their grades and are in keeping with the HCC policies regarding grade information dissemination: The student may initially learn of the grade earned in an RNSG prefix class in private and/or in individual counseling sessions scheduled with the class instructor. A student receives electronic notification, via the Internet, of the final grade at the time HCC posts electronic grade reports to all students. The grade an A.D.N. student earns in a course identified with an RNSG prefix will not be posted and will not be given to anyone other than the student. A telephone inquiry to the A.D.N. program faculty or staff, concerning a student Revised January 2019 grade, even if by the student, will not be honored. PROGRESSION AND RE-ADMISSION Curriculum Progression At the student’s expense, a mandatory criminal background check, drug screen and the physical examination form must be completed. Failure to complete or an adverse report on any of them is grounds for revocation of admission. Failure to complete academics, as listed below, is grounds for administrative drop. The curriculum progression must be followed. Failure to do so will result in an administrative drop. Once a student is unsuccessful in any RNSG course, except for RNSG 2130 (Capstone), this places the student in a different progression and readmission to the Program is based on recommendations from the Admissions/Progression Committee and available faculty and clinical resources, readmission to the Program is NOT automatic. Revised January 2019 Curriculum for all A.D.N Students FALL ADMISSION First Semester (Fall) RNSG 1413 Foundations for Nursing Practices RNSG 1360 Nursing Clinical RNSG 1105 Nursing Skills RNSG 1201 Pharmacology BIOL 2402 Anatomy and Physiology II SPRING ADMISSION First Semester (Spring) RNSG 1413 Foundations for Nursing Practices RNSG 1360 Nursing Clinical RNSG 1105 Nursing Skills RNSG 1201 Pharmacology BIOL 2402 Anatomy and Physiology II TRANSITION First Semester (Spring) RNSG 1215 Health Assessment RNSG 1327 Transitional from Voc Nursing to Prof Nursing theory RNSG 1163 Transitional clinical RNSG 2213 Mental Health theory RNSG 2160 Clinical Registered Nursing Second Semester (Spring) RNSG 1341 Common Concepts Adult Health RNSG 2360 Clinical/Registered Nursing RNSG 2201 Care of Children and Families RNSG 2261 Clinical/Registered Nursing PSYCH 2314 Human GD/ Life Span Second Semester (Summer) RNSG 1341 Common Concepts Adult Health RNSG 2360 Clinical/Registered Nursing RNSG 2201 Care of Children and Families RNSG 2261 Clinical/Registered Nursing PSYCH 2314 Human GD/ Life Span Second Semester (Summer) RNSG 2201 Care of Children and Families RNSG 2261 Clinical/Registered Nursing RNSG 1144 Nursing Skills II RNSG 1251 Care of the Childbearing Family RNSG 1161 Clinical- Registered Nursing/Registered Nurse Third Semester (Summer) RNSG 2213 Mental Health theory RNSG 2263 Mental Health clinical RNSG 1251 Care of the Childbearing Family RNSG 1160 Clinical Registered Nursing XX3X Approved/Humanities Fine Arts Third Semester (Fall) RNSG 2213 Mental Health theory RNSG 2263 Mental Health clinical RNSG 1251 Care of the Childbearing Family RNSG 1160 Clinical Registered Nursing XX3X Approved/Humanities Fine Arts Fourth Semester (Fall) Fourth Semester (Spring) Medical-Surgical II theory [RNSG Medical-Surgical II theory [RNSG 1343 & 1144] Medical-Surgical II clinical 1343 & 1144] [RNSG 2361] Medical-Surgical II clinical [RNSG 2361] Professional Nursing Review and Licensure Preparation Professional Nursing Review [RNSG 2130] and Licensure Preparation RNSG 2221 Professional [RNSG 2130] Nursing/Leadership RNSG 2221 Professional Nursing/Leadership Revised January 2019 Third Semester (Fall) RNSG 1343 Complex Concepts of Adult Health RNSG 2361 Medical-Surgical II clinical RNSG 2221 Professional Nursing/Leadership RNSG 2130 Professional Nursing Review and Licensure Preparation Re-admission Policy A student who has officially withdrawn or failed a required academic course or RNSG course must apply for re-admission into the A.D.N. program. Re-admission is contingent upon available space, faculty, and resources. 1) Failure or withdrawal from a course requires a written re-admission application into the program. Re-admission is NOT automatic. 2) Apply in writing to the A.D.N. Program Admissions Committee and complete the readmission application packet (re-admission application, exit interview, re-admission contract, readmission retention form, and transcripts) within 10 days before the start of the semester in which the student wishes to be re-admitted. 3) Complete all courses in the generic A.D.N. program curriculum within four years from the date the student registered for the first Foundation for Nursing Practice course. 3a) LVN-RN Transition students- Complete all courses in the LVN-RN Transition program curriculum within four years from the date the student registered for the first RNSG Nursing course. 4) No single course with a RNSG prefix may be repeated more than once. Failure of a second RNSG prefix course will constitute dismissal from the program. If a student withdraws or fails a second course with a RNSG prefix, he/she is not permitted to continue in the program nor will the student be eligible to apply to the A.D.N program again. 4a) The above statement also applies to students in the LVN-RN Transition program. 4b) Medical/Compassionate Withdrawal- A student who has completed a medical/compassionate withdrawal will have up to 2 years to re-apply to the A.D.N. program. If the student has been out of the program for a year or more, the student must re-apply in the generic track and start the program over. If the student wishes to return in the same year of the medical/compassionate withdrawal, the student can re-apply for the upcoming semester. The student must schedule an appointment with the abilities counselor and retention specialist prior to readmission into the program. Only ONE medical/compassionate withdrawal for the entire A.D.N program will be permitted. The student is required to follow the program progression as indicated in the re-admission policy. 5) RNSG 2130/Professional Nursing Review and Licensure Preparation must be repeated in the final semester regardless of previous passing grade for the course. If a student passes the capstone course and fails any of the other courses in the final semester, a grade of “IncompleteI” is submitted. The student will be required to repeat the failed course and the capstone course successfully provided this is not a second failure of a RNSG course. 6) Theory and clinical courses are co-requisite and must be taken together. Withdrawal from one requires withdrawal from the other. The withdrawal is considered one (1) attempt/failure. The specialty courses (Mental Health, OB, and Pedi) will only need to repeat the theory course due to limited clinical placements in these courses. However, if a student fails the specialty clinical course, the theory course will be repeated in addition to the failed clinical course. Revised January 2019 7) A failed or dropped concurrent course in a level may be repeated separately, if not in violation of failure policy. Concurrent courses include RNSG 1105, 1144, 2221, and 1201. 8) Re-admitted students will follow CURRENT program requirements as offered. Please note that if a student applies for a grade appeal, a space will not be reserved for re-admission until the grievance/grade appeal is resolved. 9) Any student who has been out of the program for a year or more, will need to repeat a background check and drug screening at the expense of the student, utilizing the HCC Nursing department vendor. Drug screening will not be accepted from ANY outside vendors. Re-Admission Procedure 1) Complete an exit interview with the course faculty 2) Complete the re-admission application packet and submit to the A.D.N office Suite 344 no later than 7 days after final grades are posted 3) Schedule an appointment with the retention specialist, Latrivia Guinn RN, 713.718.7393 or vial email latrivia.guinn@hccs.edu 4) Your application for re-admission will be reviewed and student will be notified within 10 days of the first scheduled class 5) If you have not been enrolled in a nursing course for more than a year, you must meet the current catalogue admission and progression requirements 6) All remediation requirements must be met prior to re-acceptance into the program. The retention specialist and the student will develop a remediation plan. The student must complete the plan by the due date provided by the retention specialist. 7) A re-admission contract must be completed by the advisor and the student prior to enrollment in the A.D.N program. 8) A grade of incomplete will delay the re-admission process. Remediation for Unsatisfactory Progress A student not progressing at a satisfactory level will be referred to the retention specialist or designate. The student will also be required to attend remediation before the next course test. Revised January 2019 Remediation Policy and Procedure Policy: Any student who fails an exam with a score of less than 75% shall be required to participate in remediation before taking the next exam. To remediate is to remedy the deficiencies. Remediation procedure is as follows; Remediation/Retention Procedure: 1. Upon the initial failure the instructor shall submit an early alert notification 2. It is mandatory that student meets with the instructor to remediate the failed test (or this can be done by the retention specialist or designate). Remediation must be completed 48 hours prior to the next exam 3. The student will schedule and attend a meeting with the Advisor/Counselor if recommended by the instructor 4. The student will meet with the retention specialist or designate for study skills, time management, test-taking strategies, and/or content-specific tutorials for the next exam as appropriate. 5. If a remediation is not done, the student will be required to complete a waiver form acknowledging that opportunity was given and it was declined. The student will be required to sign the waiver form 48 hours prior to the next exam. 6. Student shall be required to repeat the above steps for each exam failure. 7. Faculty/peer tutoring will be provided if requested by the student or if deemed necessary by the retention specialist. CLASSROOM Pets and Children Under no cirmcustances will children or pets be allowed in class. Animals, except for animals trained to assist the disabled, are not allowed on the premises or property of HCC. Revised January 2019 Classroom Attendance • A student is expected to attend all classes and skills laboratory experiences in order to meet course objectives. In RNSG prefix courses, absences will not exceed the designated number as listed in the course syllabus. The A.D.N. program follows the policy that a student may be administratively dropped after absences exceeding 12.5% of scheduled class time. This is in accordance with the HCCS policy. The instructor will monitor attendance. • Attendance will be taken at the beginning of each class. A student, in order to be counted as present, must sign the attendance sheet or indicate presence when roll is called. The student may be marked absent if not present after the first thirty minutes of class. An instructor may also elect to take attendance at any time during the class. Failure to sign the attendance roster or indicate presence when roll is called will result in being marked absent for the day. • A student signs only his/her own name and never signs the attendance sheet for another student. • Signing for another student is a form of academic dishonesty will result in dismissal from the Program. • The instructor controls the classroom. Students arriving late to the class in progress will refrain from walking across the front of the group. The instructor has the option of denying entrance until break- time. • Remain quiet during class. If there is a need to communicate with the instructor or to ask a question, the student is to raise his/her hand. • When speaking, address faculty and fellow students in a professional and respectful manner. • Refrain from interrupting when someone else is speaking. If a student is disruptive, the instructor is authorized to ask the student to leave the classroom. • Turn-off all personal communication devices (cell phones, pagers, etc) prior to start of class. • Have only water, if desired, in the classroom or lab. • Appropriate street clothing or the uniform of the A.D.N. program should be worn in class. details No children are permitted in the classroom. Children should not be left unattended on any part of the campus. TESTING PROTOCOL An HCC picture ID is required for entrance into all exams, which are administered in assigned computer labs on the first floor. Books, papers, notes, book-bags, laptops, nor other personal belongings, should not be brought into the testing area. Cell phones, hats of any kind, electronic watches and jackets/coats are prohibited in the testing area. Students may wear the approved HCC uniform jacket, which can be subject to Revised January 2019 search as deemed by the instructor. The instructor controls multiple areas related to the exam, including the seating arrangement and movement into and out of the room. Students should remain seated and raise their hand if they need to communicate with the instructor. Each UNIT EXAM consists of 50 questions. Students will have one hour and 15 minutes to answer the 50 items. Students will also have 15 to 20 minutes immediately after the exam for a post-test review of missed items. If any student has missed the exam, the exam will not be reviewed until everyone has taken the exam. The instructor may stop the exam for acts of scholastic dishonesty. Any verbal or nonverbal communication between students, after testing has begun, is grounds for the termination of the exam for the involved parties. Any act of scholastic dishonesty is grounds for dismissal from the ADN program. ACADEMIC DISHONESTY CHEATING refers to ANY academic dishonesty on examinations, written papers, and assigned projects and is defined by deliberate, deceitful intention to obtain or give information. The person(s) deliberately giving information and the person(s) deliberately receiving information are both “CHEATING”. During testing, faculty shall ask students to follow the ‘testing policy’. Faculty will assign a grade of “0” for work found to be associated with cheating. If a “0” grade is received due to academic dishonesty, there will be no opportunity to make up for missed work. Academic Cheating and Plagiarism 1. Academic cheating includes but is not limited to, the accomplishment or attempted accomplishment of the following: a. Copying or obtaining information from someone else’s paper or test, b. Using, during a test, materials not authorized by faculty giving the test, c. Collaborating, conspiring, or cooperating during a test with any person by giving or receiving information without authority, d. Stealing, buying, or otherwise obtaining ALL or PART of an un-administered test, e. Selling or giving away ALL of Part of an un-administered test or ANY information concerning specific questions and items on an un-administered test, f. Requesting, demanding, bribing, blackmailing, or in any way causing any other person to obtain an unadministered test (written or electronic) or information about an un-administered test in the process of being administered, g. Substituting for another student, or permitting any other person to substitute for oneself to take an examination or write a paper or do a project, h. Submitting as one’s own, in fulfillment of academic requirements, any theme, report, term paper, essay, reflective journal, or other required work prepared totally or in part by another person or computer, i. Any selling, giving, or otherwise supplying to another student for use in fulfilling academic requirements, j. Submitting artificially produced data or information in place of descriptive, experimental or survey results, Revised January 2019 Academic Integrity In order to ensure quality education and equality to all students, special conditions will apply when a student takes a test or examination including clinical paperwork, nursing care plans, class, and clinical assignments. Any form of abuse of the honesty policy will be grounds for dismissal from the A.D.N. program. The instructor is responsible for seating arrangements and for controlling movement in and out of the classroom during an examination; and is authorized to prohibit a student who is being dishonest from taking the examination. (See HCC Student Handbook). A student must place all books, papers, notebooks, and personal belongings away from the desk before testing begins. Cell phones, pagers, PDAs, etc are not allowed during the test Tardiness will not be tolerated. Students arriving 15 minutes after the testing starts are not allowed to test. Any communication regarding tests, test content, questions or answers between students, verbal or nonverbal, will be grounds for dismissing the student's testing process. A failing grade of “0” will be recorded and averaged into the final grade. A student who needs to communicate with the instructor should remain seated and raise his/her hand. "Outbursts" of any kind while testing remains in progress will result in discipline up to recording a zero for the student having the "outburst". The instructing faculty shall determine discipline. Make Up Exams Make-up exams are not acceptable except in the most extenuating circumstances and at the Instructor’s discretion. It is an expectation that exams will be taken at the scheduled date and time. If an exam is missed or taken at a time other than the student’s scheduled class/testing time, one and only one makeup or rescheduled exam will be considered on an emergency basis. If a second exam is missed a zero will be recorded. The missed exam must be made up within 5 business days of the scheduled exam in the testing center or during finals week at the instructor’s discretion. Appropriate documentation will be required for the missed exam, and must be submitted to the instructor of record and the Dean of the ADN Program within two days of the missed exam. Emergencies will be defined by The Nursing Program. Testing Guidelines 1. A graded unit exam may only be reviewed up to the day before the next exam. All students have the option to review exams regardless of the results. 2. If “scratch paper” is requested during an exam, the paper must be returned to the proctor after finishing the exam or the test review. The scratch paper will be shredded. All questions or concerns about the test must be formally submitted in writing/email to the instructor(s) prior to the next exam. 3. Grades will not be available until the faculty/teaching team has reviewed the exam and analysis. The official exam grade will be available to students within a working week. Revised January 2019 4. Final exams are not reviewed. They are for evaluation purpose only. CLINICAL Critical Requirements for Entry into Clinical Courses All health profession students must present evidence of having met specific health and legal requirements prior to engaging in clinical experiences. The evidence must be submitted by the date published. Failure to comply with the requirements by the defined deadline may result in prevention of enrollment or administrative withdrawal from clinical courses. The requirements are mandated by the clinical agencies used by Coleman College for clinical experiences. All requirements apply unless medically contraindicated by physician documentation. Additional testing, evaluation, and documentation may be required in individual cases. All records are considered confidential material and will not be released to anyone without a student’s written permission. Satisfactory physical and mental health must be maintained for continuance in the program. Applicants must be free of any physical and/or mental condition that might adversely affect their acceptance or performance in the program. The HCCS reserves the right to require medical examinations to verify continuing compliance. Students with existing physical and/or mental conditions which adversely affect performance in the program, who do not selfdisclose this information, are subject to dismissal from the program. Clinical Policies Clinical Attendanc e Attendance and Tardiness Strict attendance is required for all clinical experiences. The clinical hours established in the syllabus must be completed in totality per Texas Board of Nursing requirement. In addition, orientation to the clinical facility is mandatory. This orientation is established by the facility and failure to attend when scheduled will constitute you not being able to attend clinical, which will constitute grounds for clinical withdrawal and clinical failure. Revised January 2019 Clinical hours requirements are listed as follows: RNSG 1360, Foundations 144 hours RNSG 2360 Common Concepts Medical Surgical nursing 144 hours RNSG 1160 OB nursing 96 hours RNSG 2261 Pediatric nursing 96 hours RNSG 2160 Mental health nursing 96 hours RNSG 2361 Complex Concepts Medical surgical nursing 144 hours RNSG 2701 Transition Nursing 48 hours Failure to complete the required hours in any clinical course will result in a failure for that clinical. However, in the event a clinical is missed, the following grading policy will be followed: 1st absence, with appropriate documentation (illness, personal or family emergency, death), no grade changes 2nd absence with or without appropriate documentation will constitute a 10% grade reduction off the final grade. Please note: Regardless of an excused or unexcused absence, clinical hours must be made up by end of semester or the student will receive a 0 for the clinical course. Students are responsible for notifying faculty of absences from the required clinical prior to the scheduled clinical time. Please refer to syllabus for faculty contact info. Please note that simulation is equivalent to a clinical day and the same rules for attendance and tardies apply. Students who are pregnant, or become pregnant during their clinical rotation, must see the ability counselor. While Title IX accommodations are available, all clinical hours must still be completed. A student who does not arrive at the assigned clinical facility or activity (including simulation) at the time designated by the instructor will be considered tardy. After two clinical "tardies", the student will receive a contact action for unprofessional conduct. A student who is thirty (30) or more minutes late will be given a 0 for the clinical day, and may be sent home. A student who arrives in inappropriate clinical uniform will be given a 0 for the day and will be sent home. An approved tardy must be accompanied by valid documentation. (Picture, etc.) A student, who has more than the noted 12.5% absences may be administratively dropped from the course. Any absence related to illness requires documentation from a licensed physician or certified health care professional. The note must state the student is released to return to clinical. . Clinical Remediation Any student requiring remediation for a clinical skill or activity shall be referred to open lab to practice the skill and must show competence in the nursing lab within 2weeks of the referral or as indicated by the instructor. Need to add form Revised January 2019 Optional Practical Training for Non-citizens/F-1/Student Visa Holder Optimal Practical Training (OPT) is available to F-1 students who are currently in legal status and have applied for graduation in an associated degreed program. OPT allows you to work up to 12 months anywhere in the United States in a field related to your major, and it does not require proof of an offer of employment. The application has to be made within your graduating semester. It can be made as soon as the student files for graduation. You need to allow for one hundred (100) days that it may take to process the application. The employment authorization is granted by the federal government for a certain period of time only, regardless of being employed or not. If you cannot find employment during this period, the training time will be lost. Contact the International Students’ office at (713) 718-8520, Administrative Building at 3100 Main Street for complete information. Physical Examination form, CPR, Hepatitis B immunization, current TB test and criminal background check must be completed and submitted prior to registration. All immunizations, health testing and other requirements must be complete. No clinical experience will be allowed without completion of these requirements. During clinical experiences, a student may be assigned rotations at any of the affiliating hospitals or facilities. The student: Is responsible for personal transportation and child-care. No children in the clinical setting. Is responsible for following the administrative policies of the affiliating hospital or facility. Must remain at the assigned clinical area unless instructed to assist in transferring a patient from one area to another or to assist in obtaining needed supplies or equipment. Must be adequately prepared, daily, for the clinical practicum. Minimum preparation for practicum includes written evidence of preparation as indicated in the requirements for each course. Must also maintain a portfolio of all graded material returned to them. The portfolio may be requested, at any time, by faculty for review. In the Clinical Area: Revised January 2019 Limit break to 15 minutes, reporting to the instructor or precepting nurse when the break begins and ends. Lunch is 30 minutes and will not be combined with the 15 minute break. No personal telephone calls are allowed in the clinical area except for emergency. Use of Cell phones or other electronic devices with camera or video recording capability are prohibited in the clinical areas. If a student violates a HIPPA violation occurs, the student will be withdrawn from the Program. Chewing gum, or eating food and drinking beverages are not permitted in the presence of patients. Follow hospital policy regarding smoking. A student is not permitted to: Take verbal orders from a physician. Give information about a patient’s condition over the telephone. Discuss a patient’s condition in the presence of the patient unless authorized. Discuss a patient’s history or information contained in the medical chart with another patient, friend or photocopy any part of the chart. Accept payment for services provided to a patient, or to family members, or friends of the patient. Do not use clinical affiliate’s computer/printer for personal use. Immunization Requirements *All immunizations must be current by the end of each semester to progress to the next level. Any student not meeting the immunization requirements will be automatically dropped from that course and any corequisite aligned with that course. Please note ALL immunizations must be up to date during the course of the semester. If any immunization will expire during the semester, the student will have to bring that immunization current prior to the start of the semester* 1. Tuberculosis Testing (TB Testing): Students are required to present evidence of a negative skin test (TST), blood test, or chest x-ray as part of the admission physical. The TB test should be updated annually. The chest xray is current for 2 years. It is the student’s responsibility to update the TB status and provide proof of evidence to the A.D.N. Office. 2. Hepatitis B Immunization: The Texas Department of Health has rules that all health professions students “shall receive a complete series of hepatitis B vaccine prior to the start of direct patient care or show serologic confirmation of immunity to hepatitis B virus”. Document the dates for the series of 3 injections or the date of the titer and immunity status If the student has conversion issues with the titer and needs to repeat the series, the student must have completed at least 2 vaccines within the repeat series. (NOTE: The nursing department requires evidence of a positive Hep B titer) 3. MMR Titer: The student must have a titer result or completed vaccine series if unable to convert. We do not accept the vaccine only. Please document the date that the student had the titer and indicate the immunity status. Revised January 2019 4. Varicella: The student must have a titer result. History of having the disease is no longer accepted. Please document the date of the titer and indicate the immunity status or document the date of each vaccine. 5. Tdap Vaccine: Please note that the only acceptable vaccine is the Tdap which was a new vaccine in 2005. 6. Seasonal Influenza Vaccine: The seasonal vaccine is an annual requirement. The vaccine is new every year. Once the new seasonal influenza vaccine becomes available in late summer or early fall, students will be required to receive it. DEADLINE: October 15th 7. Meningococcal MCV4 is now a state requirement for all college students under the age of 30 years of age. (NOTE: Various clinical affiliates are requiring evidence of Meningococcal vaccine at any age). NOTE: If the CDC makes any further vaccine recommendations or a government entity determines that other vaccines are required, those recommendations / requirements will be adopted by HCC Coleman A.D.N. Program in order to comply and stay current with clinical affiliation requirements. Dress Code and Uniform A strict dress code is required in the clinical, skills lab, and simulation lab settings. The school uniform must be worn to all clinical facilities orientation sessions. Each student assumes the cost for his/her uniform. Uniforms are worn to protect the patient and student. Students who appear for a clinical experience without the proper uniform or in violation of the dress code guidelines, will be sent home from the clinical or skills lab, or simulation lab with an unsatisfactory grade for the day. The instructor will document the offending incident in the student’s record. Your standards of personal care and dress represent you as an individual, Coleman College, and the profession of nursing. Professional persons set examples for others, and students are expected to be neat, clean, and well groomed with proper hygiene. This includes the following: 1. Nails are clean with no nail polish, short and smooth to ensure patient and student safety. Acrylic/Gel nails are not accepted. 2. Hair is controlled so that asepsis is maintained for both the student and patient/client. Plain barrettes, bobby pins or elastic bands may be used for this purpose. Hair should not touch the collar or fall forward into the face. No floppy ponytails. 3. For asepsis and safety, jewelry is limited to only one wedding or engagement ring; and one pair of small-studded earrings per ear lobe. No necklaces or bracelets of any type are permitted. 4. Shoes must provide good support. Shoes and shoestrings must be clean and in good repair. Students are to wear solid white, leather shoes with an enclosed heel. Cloth shoes are not acceptable. 5. Clothing must be loose enough to provide ease of movement in clinical activities. 6. Beards and/or mustache are close trimmed (1 inch only) or faces are clean-shaved. 7. Wear undergarments that are white or flesh-colored and a clean, full student uniform Revised January 2019 showing no signs of wear, such as tears or rips. All undershirts are to be solid white and crew neck. 8. Wear a watch with a second hand, attached to a plain band. A digital watch without a second hand is unacceptable. 9. Students must wear a loose fitting uniform as authorized by the Associate Degree Nursing Department with white socks and white shoes. Only the approved uniform is allowed, no substitutions. 10. The student’s school nametag/ID must be worn at all times while on campus and in clinical or the student will be sent home. 11. You must bring a stethoscope, a pair of bandage scissors, a small notepad, a black pen, a red pen, penlight, watch with a second hand, a pencil, and a basic calculator to the clinical setting. 12. Borrowing clinical items (see number 10 above) is prohibited. 13. A scrub jacket may be worn. The scrub jacket must be white for the clinical setting and simulation lab and black for the skills lab. A student is to avoid: Application of perfume, cologne, and after-shave lotion Wearing jewelry in excess to that previously stated. Visible body-piercing [outside of one pair of studded earrings in the ear lobes only] Unacceptable jewelry, including bracelets, nose loop rings, large earlobe rings, and dangling or highly visible necklaces. All body art (tattoos) is to be covered at all times during clinical rotations, skills lab, and Simulation lab. Students are prohibited from wearing their HCC A.D.N. uniform to social gatherings after clinical rotations. ID Badges All students must wear their HCC identification badges in all clinical agencies and on campus. Protective Eye Gear (Goggles) OSHA mandates that all hospital personnel, students, and faculty are required to wear protective eye gear. Students must adhere to clinical agency policies. All students are recommended to purchase, and have available for each clinical experience, a pair of eye goggles with side panels for performance of tasks/activities, e.g., suctioningactivities that may expose the nurse to patient’s body fluids, hazardly exposing the nurse’s eyes. Liability Insurance HCCS Group Malpractice insurance, the cost of which is covered by student fees, applies only when the student is performing in a student’s capacity. A student is required to carry a personal health insurance policy. In the event an A.D.N. student is involved in an injury or accident occurring in a clinical setting, medical care expenses are incurred, such expenses are the responsibility of the Revised January 2019 student, not HCC. Accident Insurance Students may utilize the Accident Insurance policy for injuries that may occur during the time when students are assigned to clinical education. The clinical instructor/preceptor must be notified immediately of any/all injuries. The student is responsible for a deductible when using the accident insurance policy. The instructor will compile a written summary of the occurrence including documentation of the care rendered to the student and a written report submitted to the director of the A.D.N. program. Criminal Background Check Requirement The purpose of this policy is to: 1. Comply with clinical affiliates who may require a student background check as a condition of their contract 2. Provide early identification of students who may have difficulty meeting Texas Board of Nurse Examiners (BON) eligibility for licensure requirements 3. Promote early submission by students of petition for a declaratory order by the BON 4. Promote and protect patient/client safety See section on Declaratory Orders from Texas Board of Nursing. Students must obtain clearance from the Board of Nursing (BON) prior to admission in the nursing program, and once they are in the Program, at any point they break the law will require additional BON clearance. In the event of a notification from the BON of a student’s criminal offense, the student will be immediately withdrawn from the Program. Student Rights: If the student believes his or her background information is incorrect, the student is responsible for providing the evidence of the inaccuracy of the information to the investigating agency. The student will not be able to enroll in the nursing program until the question is resolved. Background checks are conducted as a condition of full acceptance into the Associate Degree Nursing Program. One clear background check is required as a condition of full acceptance after your initial acceptance into the HCC A.D.N program and before you may enroll in an RNSG course with a clinical component: (1) A DPS/FBI background check conducted by the Texas Board of Nursing (BON); and (2) A student who has any criminal offense other than a minor traffic violation, has been diagnosed with mental illness, or has a history of substance abuse (i.e. the answer is “yes” to any of questions 1-5 below), is eligible for admission into the A.D.N program only if the student has: 1) Submitted a “Petition for Declaratory Order” to the Texas Board of Nursing (BON) 2) Received BON verification of eligibility for future licensure by the A.D.N application deadline 3) Meets the minimum standards set by clinical affiliates. Depending on the complexity of the student’s background and the BON's workload, it may take a minimum of 6 months to 2 years for the BON to process the student’s Petition for Declaratory Order. The BON determines eligibility for future licensure on a case-by-case basis. For criminal Revised January 2019 incidents, the BON considers severity of the offense, how long ago the offense was committed, and the behavior of the individual since the incident. Students with felonies are not eligible for admission to the HCCS A.D.N Program. Drug & Alcohol Abuse Guidelines Houston Community College (HCC) believes that it has a responsibility to maintain a safe and efficient academic environment for students and to assist in ensuring those served through clinical experiences are provided safe and effective care or services. Therefore, the unlawful use of legally prescribed or over the counter drugs, or being under the influence of such substances while in the classroom, on HCC property, grounds, parking lots, or any third party clinical sites, or any educational experience poses an unacceptable risk for students, faculty, patients, colleagues, HCC, and the affiliated agency and is strictly prohibited. Drug and Alcohol Testing Students should be aware that HCC and agencies with which HCC contracts for clinical experiences may require successful completion of drug/alcohol testing prior to commencement of the clinical experiences. The costs of all shall be incurred by the student. Reasonable Cause Testing Students in the healthcare occupation may be required to undergo testing if there is reasonable cause. Students in an HCC classroom, on HCC property, or engaged in a clinical experience may be requested to undergo a blood or urine screening test for drugs and alcohol if reasonable cause or suspicion exists to believe the student is under the influence which affects the safety of the patient, faculty, and other students. The student will be required to undergo testing within 24 hours of the suspected behavior. A result from the student will not be accepted and may be considered a failed test. Consent from the student must be obtained to utilize the school vendor and grant access of the results to the Program Director. Reasonable cause may include, but is not limited to: • direct observation of drug/alcohol use or the physical symptoms or manifestation of being under the influence is suspected • abnormal conduct or erratic behavior which could be caused by drug/alcohol use If the students presents any possible endangerment and cannot practice safely, the instructor is to remove them immediately from the clinical setting. The student must leave the facility with a designated driver and not return to clinical or classroom until the results have been received by the Program Director. The instructor is to provide detailed documentation of the incident utilizing the incident report form including the date, time, behavior, direct observations, and persons involved. Negative Screening Test If the results of the test indicate a negative test for alcohol or drugs, the student shall meet with the Program Director to discuss the circumstances for the impaired clinical/classroom behavior and the Program Director will make a decision on the Revised January 2019 students’ return to the clinical/classroom setting. Positive Screening Test Each student will be asked to disclose prescription and over the counter medications he/she is taking to the testing facility at the time of testing. If the results of the drug screening test are positive and the student provides documentation of prescription for the substance, the Program director and/or designee will consider the case in collaboration with the student and his/her health care provider. Such students will be permitted to return to class/clinical experiences with an action plan in place unless specifically prohibited by the clinical agency. If the test is positive for alcohol, illegal substances, or medications not prescribed for that student, an investigation will be conducted and the student will be dismissed from the program. Prior to dismissal, the student will be given a copy of the drug test. POLICY FOR DRUG SCREENING All Students may be required to re-test at the discretion of the program. drug screen will disqualify the student from admission to the Program. A positive PURPOSE: • Promote and Protect Patient/Client Safety • Comply With Clinical Affiliates Drug Screen Requirements • Detect Illegal Drug Use DEFINITIONS: • Positive Drug Test: A positive drug test means a medically acceptable drug test, approved by Houston Community College, the results of which indicate the use of illegal drugs. • Illegal Drugs: Illegal drugs include those drugs made illegal to possess, consume, or sell by Texas and Federal statutes. An illegal drug also includes those drugs taken by an individual which exceed the prescribed limits of a lawful prescription or the taking of a prescription drug without a valid prescription. Policy and Procedure for Clinical Math Testing Policy: Safe administration of medications is a cornerstone of safe patient care. In an effort to assure students are prepared to calculate medication dosages, there will be a math test prior to each clinical rotation Procedure: Each student will be given a math packet to review prior to the new semester Foundation students will be given the packet during orientation. On the first day of theory for the designated term (Foundations, Transition, Medical/Surgical Nursing, Pediatrics, and Obstetrics), the instructor for the theory class will present an overview of the math for the upcoming clinical. Revised January 2019 The math test will be given the second week of classes by the theory instructor. Students will be required to pass the exam with 90% or better. The student who is not able to successfully pass the math test with 90% or better on the first attempt will have the weekly formative grade reduced by 30 points. Students who do not pass the exam will be given a second test the following week after remediation with a faculty tutor. A third and final test will be given the following week. Any student unable to pass the exam by the third attempt will not be allowed to continue in the clinical and therefore will be counted as failing the clinical rotation. The student will also have to withdraw from the co-requisite theory course. Cardio-Pulmonary Resuscitation Requirement Students must maintain a current certification during the program from the American Heart Association only. Absence of a current card will result in being denied admission to a clinical and possible failure of the course. CLINICAL CODE OF CONDUCT Student shall: 1. 2. Provide safe and professional patient/client care at all times and implement measures to promote a safe environment for each patient/client. Comply with HCC, Coleman College, A.D.N. program, and clinical agency policies and procedures related to academic and clinical performance, reserving the right to challenge and critique rules and regulations as per school grievance policy. Not commit acts of omission or commission that cause or are likely to cause harm to patients/clients. Not attempt care/activities without adequate orientation, theoretical preparation, assistance, or supervision. Maintain patient/client confidentiality at ALL times. Take appropriate action to assure the safety of patients/clients, self, and others. Provide care for the patient/client in a timely, compassionate, and professional manner. Communicate patient/client care in a truthful, timely, and accurate manner. Actively promote the highest level of moral and ethical principles, and accept responsibility for his/her actions. Treat others with respect and promote an environment that respects human rights, values, and choice of cultural and spiritual beliefs. Collaborate and cooperate in every reasonable manner with the academic faculty and clinical staff to assure the highest quality of client care. Abstain from the use of substances that impair judgment. Report and document all patient/client assessments or observations, the care/practice provided by the student for the patient/client, and the patient’s/client’s response to that care/practice. 3. 4. 5. 6. 7. 8. 9. 10. 11. 12. 13. Revised January 2019 14. Accurately and timely report to the appropriate practitioner errors in or deviations from the prescribed regimen of care/practice. 15. Not falsify any patient/client record or any other document prepared or utilized in the course of, or in conjunction with patient/client care/practice. 16. Delineate, establish, and maintain professional boundaries with each patient/client. When providing direct patient/client care the student shall provide privacy during treatment and care/practice; and treat each patient/client with courtesy, respect, and with full recognition of dignity and individuality. 17. Not engage in behavior that causes or may cause physical, verbal, mental or emotional abuse to a patient/client; or engage in behavior toward patient/client that may reasonably be interpreted as physical, verbal, mental or emotional abuse. 18. Not misappropriate a patient’s/client’s property or; engage in behavior that may reasonably be interpreted as behavior to seek or obtain personal gain at the patient’s/client’s expense; engage in behavior that constitutes inappropriate involvement in the patient’s/client’s personal relationships; or engage in behavior that may reasonably be interpreted as inappropriate involvement in the patient’s/client’s personal relationships. For the purpose of this paragraph, the patient/client is always presumed incapable of giving free, full, or informed consent to the behaviors by the student set forth in this paragraph. 19. Not engage in sexual conduct with a patient/client; engage in conduct that may reasonably interpreted as sexual; engage in any verbal behavior that is seductive or sexually demeaning to a patient/client; or engage in verbal behavior that may reasonably be interpreted as seductive or sexually demeaning to a patient/client. For the purpose of this paragraph, the patient/client is always presumed incapable of giving free, full or informed consent to sexual activity with the student. Health Records Requirement Accidents, Major Illnesses, and Surgery: An A.D.N. student who is involved in an accident, who has a major illness, who has recently given birth, or who has had surgery, must provide written documentation from his/her physician that the student is ready, medically, to return to the classroom and to resume clinical activities. Such evidence shall be presented upon request of the faculty or A.D.N. department chair. See abilities counselor upon return PROFESSIONALISM Code of Ethics Unsafe, Unprofessional, or Weak Practice with Potential for Unsafe, Unprofessional Practice A student whose clinical care/practice is judged unsafe and/or unprofessional may be removed from the clinical experience. In order to be eligible to resume the clinical experience, the student who has been removed must comply with stipulations prescribed by the faculty for readmission to the clinical experience. Revised January 2019 The faculty responsible for the clinical will review the clinical care/practice of a student who exhibits weaknesses that may lead to unsafe practice and/or unprofessional practice. The faculty, with appropriate input from the student, will develop a set of expectations that the student is to attain to remedy those weaknesses in the current and/or subsequent semester. Rationale: Faculty have a legal and professional responsibility to assure for the public, other students, Coleman College, and the Texas Board of Nursing that students can practice safely and professionally in their various clinical care/practice. A student shall provide safe and professional patient/client care practice at all times. Unsafe care/practice, unprofessional care/practice, or weak care/practice with potential for unsafe and/or unprofessional care/practice that occurs with the student’s behavior in providing care/practice/client violates the current: • • • • • • Standards of care/practice in professional nursing; State of Texas Board of Nursing practice act; Code of ethics for professional nursing; HCCS and clinical agency policies and procedures; Associate Degree Nursing program goals and /or course objectives; or/and Call into question the professional accountability of the student. The student’s practice should demonstrate continuity in the responsible preparation, documentation, and promotion of continuity in the care of the patients/clients. Depending upon the degree of actual or potential harm a patient/client may suffer, a onetime deviation from safe care/practice may be sufficient to judge a student unsafe. Students with criminal convictions while enrolled in the A.D.N. Program who do not self-disclose this information may be dismissed from the program. The BON reports to the Program students who have committed a DUI, this will result in dismissal from the Program until the student is cleared by the Board again. As required by the Board of nursing for the State of Texas and Texas Administrative Code Rule 215.8, students may be dismissed for demonstration of the following, including, but not limited to: a. evidence of actual or potential harm to patients, clients, or the public; b. criminal behavior whether violent or non-violent, directed against persons, property or public order and decency; c. intemperate use, abuse of drugs or alcohol, or diagnosis of or treatment for chemical dependency, mental illness, or diminished mental capacity; and d. the lack of good professional character as evidenced by a single incident or an integrated pattern of personal, academic and/or occupational behaviors which, in the judgment of the Board, indicates that an individual is unable to consistently conform his or her conduct to the requirements of the Nursing Practice Act, the Board's rules and regulations, and generally accepted standards of nursing practice including, but not limited to, behaviors indicating honesty, accountability, trustworthiness, reliability, and integrity. Falsification of Revised January 2019 Information Falsification, which includes misrepresentation and omission of information is a serious offense. Students who are suspected of any form of falsification will be investigated. If the nursing department determines that students have falsified, misrepresented, or omitted information, they will be disciplined up to and including dismissal from the program. Falsifying or altering for the purpose of reflecting incorrect or incomplete information any organization’s records, including student records or patient records, is a violation of the Nurse Practice Act. Students who are suspected of documenting incorrect or incomplete information on any organization’s records will be investigated. If the nursing department determines that students have documented incorrect or incomplete information of any organization’s records, they will be dismissed from the nursing program. Addendum: Code of Ethics Professional Accountability Fails to accept moral and legal responsibility for one’s own actions, thereby violating professional integrity as expressed in the CODE FOR NURSES. Examples include but are not limited to the following: 1. Failure to conduct self in a professional manner, in word or deed; 2. Sharing confidential information; 3. Falsifying information or medical records; 4. Failure to report information to nursing staff or instructor. 5. Indulging in theft, or functioning under the influence of sleep deprivation, alcohol, or chemical substances; 6. Not following hospital policies and procedures; 7. Failure to follow proper chain of command; and 8. Arriving late to clinical. 9. Using cell phones in the clinical setting for personal calls/texts. Taking pictures of patients. Revised January 2019 Disciplinary Action Due process will be implemented as follows: 1. Upon the first violation of any of the criteria for unprofessional conduct, the student will be counseled verbally. 2. Upon the second violation of any of the criteria for unprofessional conduct or other violations, the student will be counseled both verbally and in writing. Additional faculty members may be included in the counseling session. 3. Upon the third violation (non-compliance) of any of the criteria for unprofessional conduct, the student will be dismissed from the nursing program. The students’ file will be reviewed prior to the final dismissal decision. Employment in a Hospital or Health Agency The A.D.N. program, supportive of the State of Texas Nurse Practice Act, is committed to excellence in nursing. Coinciding with this commitment is the A.D.N. program’s position on an individual accepting employment and payment for providing patient care services in a hospital or health agency while a student in the Program. Before considering employment in a hospital or a health agency setting, the A.D.N. student is encouraged to: Weigh the demands of employment upon his/her time and energy against the impact employment may have on maintaining a grade point average (GPA) required in the program. Become familiar with the State of Texas Nurse Practice Act that recognizes the responsibilities of a professional nurse as well as the full scope and responsibility of nursing profession as more than a collection of skills. Remember that the employed student is performing patient care services as an unlicensed individual, not as a student in the A.D.N. program. In so doing, the student must be aware that uniforms, lab coats and insignia that identify the A.D.N. program are never to be worn while on duty as a hospital or health agency employee. Disclose if they work at the facility with the instructor of record. When working for pay, the student is NOT to identify themselves, in any way, as a HCC student nurse. The student who accepts a paid position as a Nurse Aide or as a Professional Student Nurse must: Recognize that he/she may be held legally liable for on-duty actions and that the required malpractice insurance covering his/her clinical setting experiences, as an A.D.N. student, is not applicable. Accept only patient care responsibilities or perform nursing actions that are within his/her skill level. Student Officers Revised January 2019 Each class in the A.D.N. program has the option to elect student class officers annually. Students Nurses Association There is an active National Student Nurses Association (NSNA) Chapter on this campus, Coleman Student Nurses’ Organization. A student in the A.D.N. program is eligible for membership. Its goal is the promotion and support of student nursing education. Please visit the website for activities and upcoming events. www.nsna.org All NSNA fees are the responsibility of the student. $90.00 for two years. It is recommended that the student joins upon entry into the program. Student Representation in A.D.N Committees Each class in the A.D.N. program will have student representation on the following committees: Curriculum Program Evaluation Student Affairs Faculty Meetings-Designated times for student concerns (Others committees as needed) Scholarships Various scholarships exist for student nurses. The following are some currently available through HCCS for students: LOOK UP Mary E. Stephenson Scholarship Award Application deadline is mid to late spring The George Foundation Scholarship Award for residents of Fort Bend County Application deadline is mid to late spring The Fondren Award The Good Samaritan Foundation The Chancellors Scholarship The Lewis Levitt Award HCC Foundation Scholarship COMMUNICATION Name Address phone number changes Line of Communication Social Networking Policy Purpose: The purpose of this policy is to provide guidelines to students who engage in online social networking. Information published on social media networks that has to do with any Revised January 2019 aspect of the School/Hospital must comply with HCC policies, HIPPA compliance, and the Associate Degree Nursing Program’s Code of Conduct. This applies to posts/comments on any social networking site. Philosophy: The HCC Associate Degree Nursing Program maintains that social networking is strictly a personal activity and any participation in such will be consistent with The American Nurses Association’s (ANA) Code of Ethics as well as college’s core values. According to the ANA, “nurses have a duty to remain consistent with both their personal and professional values and to accept compromise only to the degree that it remains an integrity-preserving compromise” (ANA, 2001, p.19). HCC “believes that nursing utilizes judgment and skill in providing service to individuals, families, and society and is guided by current legal, ethical, and professional standards” (ref our mission/philosophy). Definition: As used in this policy, “social networking” means communicating with others over the Internet for social purposes. This includes, but is not limited to, Facebook, Twitter, LinkedIn, YouTube, MySpace or “blogs”; and can also include media sites that are offered by television networks, newspapers, and magazines. Guidelines: Please remember that social networking sites are in fact public forums. This means that the information that is posted or shared can be viewed by others. Please keep in mind these guidelines and consider carefully when posting. 1. Posts/comments by students should not reflect HCC Associate Degree Program or any of our inpatient or outpatient affiliates in any manner. When posting on any social networking site posts/comments should reflect the personal views of the social networking member only. 2. Posts/comments should be respectful and in good taste. Negative or unprofessional posts/comments are unacceptable. 3. Posts/comments should never directly or indirectly reflect patients, diagnoses or any content related to patient care or clinical experiences. 4. Photos posted of the social networking member should be tasteful. 5. Photos in which patients are identified or patient privacy and confidentiality are breached are unacceptable. 6. Interaction between current students and faculty/staff is prohibited. Student questions/concerns are only to be addressed in proper, approved channels of communication set forth by the School (office hours, academic advisement) and never through social networking. 7. Students are to refrain from accessing social networking sites during clinical or classroom time/lecture. Violation of Policy: HCC Associate Degree Nursing Program will not tolerate violations of the social networking policy. All reports of such behavior will be investigated. If 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 written Revised January 2019 reprimand to dismissal from the program. Electronic Media Policy (Health Records) Protected Health Information (PHI): Students are allowed to access electronic medical records only for gathering information. The information obtained must be handwritten; it cannot be photographed or electronically transmitted. Auxiliary drives (USB drives, portable drives, discs, data storage cards, etc.) are not to be inserted into any facilities EMR system. Do Not access any medical records that are not related to your assigned patient. Access to any medical record data that is not related to your assigned patient is considered a breach in patient information and privacy and may result in consequences up to failing your clinical rotation, fines, and dismissal from the program. Hospitals consider PHI violations as critical errors in judgment resulting in grounds for immediate dismissal. Password Security: Do not share any facility password or your username with anyone. Please be advised that facility staff members are not allowed to share their password or username with any student or faculty member. COLLEGE SYSTEM POLICIES Office of Institutional Equity Discrimination, Sexual Harassment, Sexual Misconduct, Pregnancy and Parental Status HCC prohibits discrimination in its educational programs or activities on the basis of race, color, national origin, age, religion, disability, sex or genderincluding pregnancy or parental status, gender identity, gender expression, sexual orientation, Veteran status or genetic information. Furthermore, HCC prohibits all forms of sexual misconduct, including but not limited to, sexual harassment, rape, sexual assault, sexual exploitation, domestic violence, interpersonal violence, dating violence and stalking. Use the link below to access the HCC Office of Institutional Equity (http://www.hccs.edu/departments/institutional-equity/) Title IX HCC will comply with state and federal laws such as Title IX of the Education Amendments of 1972, Title VI and Title VII of the Civil Rights Act, the Americans with Disabilities Act, Section 504 of the Rehabilitation Act of 1973, the Vietnam Era Veterans Readjustment and Rights Act, and other similar laws that prohibit discrimination. Houston Community College is committed to cultivating an environment free from inappropriate conduct of a sexual or gender-based nature including sex discrimination, sexual assault, sexual harassment, and sexual violence. Sex discrimination includes all forms of sexual and gender-based misconduct and violates an individual’s fundamental rights and personal dignity. Title IX prohibits discrimination on the basis of sex-including pregnancy and parental status in Revised January 2019 educational programs and activities. If you require an accommodation due to pregnancy please contact an Abilities Services Counselor. The Director of EEO/Compliance is designated as the Title IX Coordinator and Section 504 Coordinator. All inquiries concerning HCC policies, compliance with applicable laws, statutes, and regulations (such as Title VI, Title IX, and Section 504), and complaints may be directed to: David Cross Director EEO/Compliance Office of Institutional Equity & Diversity 3100 Main Houston, TX 77266-7517 Phone: (713) 718-8271 Institutional.Equity@hccs.edu http://www.hccs.edu/departments/institutional-equity/title-ix-knowyour-rights/ Pregnancy: A pregnant student must submit written documentation from her physician that, medically, she can continue participating in classroom and clinical activities. In the event a student is pregnant while enrolled in the A.D.N. Program, documentation must be submitted from the student’s health care provider that states the student’s health status will not be in jeopardy by enrollment in the program. Although the faculty will attempt to make clinical assignments to avoid potentially hazardous situations, it remains the student’s responsibility to maintain her own well-being and demonstrate responsible behavior with respect to her fetus. HCC Coleman College assumes no responsibility for problems or exposures that may occur during pregnancy or delivery. Faculty will not limit how long the pregnant student may be enrolled provided it is understood that she is expected to meet the same standards of clinical and classroom performance as are all students enrolled in the A.D.N. Program. All pregnant students must see the counselor in the ability services office. Compliance with Americans with Disabilities Act (ADA) Any student with a documented disability (e.g. physical, learning, psychiatric, vision hearing, etc.) who needs to arrange for reasonable accommodations must be contact the Disability Services Office at the respective college at the beginning of each semester. Faculty is authorized to provide only the accommodations requested by the Disability Support Services Office. The Coleman College of Health Sciences ADA counselor is located in the Student Services Department. The information concerning the ADA Act will be made available in large print, taped or computer-based format upon request to the office of Disability Support Services. Seek ADA services if necessary at the beginning of the semester, prior to the first course exam is recommended. Revised January 2019 Family Educational Rights and Privacy Act of 1974 (FERPA): In accordance with the Family Educational Rights and Privacy Act of 1974 (FERPA), the undersigned student hereby permits Houston Community College to disclose the information specified below to the following individual(s) or agency (ies): The student authorizing the release of his/her educational records must sign & present this form to the appropriate office with a photo ID to verify authenticity of this release. HCC FERPA Form: http://www.hccs.edu/media/houston-community-college/district/pdf/FERPA.pdf Revised January 2019 Campus Carry "At HCC the safety of our students, staff, and faculty is our first priority. As of August 1, 2017, Houston Community College is subject to the Campus Carry Law (SB11 2015). For more information, visit the HCC Campus Carry web page at http://www.hccs.edu/district/departments/police/campus-carry/.” House Bill 1508 Texas HB 1508 requires the following information be given to students. If you are applying for admission to a program that prepares an individual for an initial occupational license or certification and/or if you later decide to change to a program that prepares you for an initial occupational license or certification, in accordance with state law, please be advised of the following: 1. An individual who has been charged or convicted of an offense or who is on probation may not be eligible for issuance of an occupational license or certification upon completion of the educational program. 2. It is the responsibility of the individual to immediately report to the program any change in status that would affect that individual’s eligibility to apply for a license or certification. 3. Local, state or national licensing and certification authorities may issue additional guidelines related to criminal history. Applicants should contact their respective licensing or certification authority for more details. Most health care programs require all students, admitted to the program, to submit to a national background check which may include fingerprinting. Applicants are encouraged to review all applicable eligibility requirements related to the respective occupational license or certification. Questions related to eligibility requirements should be directed to the individual program and applicable licensing or certification authority. Revised January 2019 APPENDIX THE BOARD OF NURSING FOR THE STATE OF TEXAS DECLARATORY ORDERS The Board of Nursing for the State of Texas requires nursing schools and nursing programs to inform students as early as possible of declaratory orders, as described in the Texas Nursing Practice Act (2000) Sec. 301.257. Declaratory Order of License Eligibility: (a) A person may petition the board for a declaratory order as to the person's eligibility for a license under this chapter if the person: (1) Is enrolled or planning to enroll in an educational program that prepares a person for an initial license as a registered nurse; and (2) has reason to believe that the person is ineligible for the license. (b) The petition must state the basis for the person's potential ineligibility. (c) The Board has the same powers to investigate the petition and the person's eligibility that it has to investigate a person applying for a license. (d) The petitioner or the board may amend the petition to include additional grounds for potential ineligibility at any time before a final determination is made. (e) If the board proposes to find the petitioner is ineligible for a license, the petitioner is entitled to a hearing before the State Office of Administrative Hearings. (f) The Board’s order must set out each basis for potential ineligibility and the Board’s determination as to eligibility. In the absence of new evidence known to but not disclosed by the petitioner or not reasonably available to the Board at the time the order is issued, the Board’s ruling on the petition determines the person's eligibility with respect to the grounds for potential ineligibility set out in the order. (g) The Board may require an individual accepted for enrollment or enrolled in an educational program preparing a student for initial licensure as a registered nurse to submit information to the board to permit the board to determine whether the person is aware of the conditions that may disqualify the person from licensure as a registered nurse on graduation and of the person's right to petition the board for a declaratory order under this section. Declaratory Orders Summarized A. Any individual enrolled or planning to enroll in a nursing program who has reason to believe that he/she has been involved in any of the following: 1. 2. 3. 4. 5. 6. previous denial of licensure or certificate of registration felony convictions misdemeanor convictions (other than minor traffic violations) any physical or mental disability/illness that might affect client safety chemical dependency intemperate use of drugs or alcohol He/she may petition the Board of Nursing for a Declaratory Order as to eligibility. B. An individual may be: 1. excluded from taking the licensure examination 2. refused a license or certificate of registration Revised January 2019 3. refused a temporary permit to practice nursing An individual who thinks that he/she may be ineligible for licensure should contact the Texas Board of Nursing What is a Declaratory Order? It is a decision of the Board of Nursing for the State of Texas. It provides a declaration regarding eligibility for licensure; hence it’s called a Declaratory Order. It is specifically meant for those individuals with potentially disqualifying factors in their histories. Who should apply for a Declaratory Order? If you answer “yes” to any one of the six questions found under section A on this page of the handbook. If I need to, when should I apply for a Declaratory Order? You should apply as soon as possible before enrollment into this nursing program. The Board requires that you also apply no later than the fall semester of your last or senior year. What happens if I need to apply and don’t? You may be ineligible to take the NCLEX-RN with your classmates. You may be delayed in getting your permit to practice, following graduation from nursing school. More importantly, you may be declared ineligible for licensure after spending a lot of time and money on an educational program. How can I apply? You can download a “Petition For Declaratory Order” packet. You can also email the Texas Board of Nursing if you have any questions. B.O.N. Education Department P.O. Box 140466 Austin, Texas 78714 (512) 305-7400 www.bon.state.tx.us The Petition for Declaratory Order form and other information regarding eligibility for licensure is available from the Texas BON website at http://www.bon.state.tx.us/olv/pdfs/DOapp.pdf If you answer "NO" to all questions below, you are not required to submit a Petition for Declaratory Order to the BON. Texas Board of Nursing (BON) Licensure Eligibility Questions: 1) For any criminal offense (adult or juvenile), including those pending appeal, have you: A. been convicted of a misdemeanor? (You may only exclude Class C misdemeanor traffic violations.) B. been convicted of a felony? C. pled nolo contendere, no contest, or guilty? D. received deferred adjudication? E. been placed on community supervisor or court-ordered probation, whether or not adjudicated guilty? F. been sentenced to serve jail or prison time? Court- ordered confinement? G. been granted pre-trial diversion? H been arrested or any pending criminal charges? Revised January 2019 I. been cited or charged with any violation of the law? J. been subject of a court-martial; Article 15 violation; or received any form of military judgment/punishment/action? NOTE: Expunged and Sealed Offenses: While expunged or sealed offenses, arrests, tickets, or citations need to be disclosed, it is your responsibility to ensure the offense, arrest, ticket or citation has, in fact, been expunged or sealed. It is recommended that you submit a copy of the Court Order expunging or sealing the record in question to our office with your application. Failure to reveal an offense, arrest, ticket, or citation that is not in fact expunged or sealed, will at a minimum, subject your license to a disciplinary fine. Non-disclosure of relevant offenses raises questions related to truthfulness and character. NOTE: Orders of Non-disclosure: Pursuant to Tex. Gov’t Code § 552.142(b), if you have criminal matters that are the subject of an order of nondisclosure you are not required to reveal those criminal matters on this form. However, a criminal matter that is the subject of an order of nondisclosure may become a character and fitness issue. Pursuant to other sections of the Gov’t Code chapter 411, the Texas Nursing Board is entitled to access criminal history record information that is the subject of an order of non-disclosure. If the Board discovers a criminal matter that is the subject of an order of non-disclosure, even if you properly did not reveal that matter, the Board may require you to provide information about that criminal matter. 2) Are you currently the target or subject of a grand jury or governmental agency investigation? 3) Has any licensing authority refused to issue you a license or ever revoked, annulled, cancelled, accepted surrender of, suspended, placed on probation, refused to renew a professional license, certificate or multi-state privilege held by you now or previously, or ever fined, censured, reprimanded or otherwise disciplined you? 4) Within the past five (5) years have you been addicted to and/or treated for the use of alcohol or any other drug? 5) Within the past five (5) years have you been diagnosed with, treated, or hospitalized for any of the following: schizophrenia and/or psychotic disorder, bipolar disorder, paranoid personality disorder, antisocial personality disorder, or borderline personality disorder? If you are licensed as an LVN in the State of Texas and are currently participating in the Texas Peer Assistance Program for Nurses you may answer NO to questions #4 & #5. Revised January 2019 Revised January 2019 HANDBOOK ACKNOWLEDGMENT FORM HOUSTON COMMUNITY COLLEGE SYSTEM A.D.N. PROGRAM PLEASE READ, SIGN & RETURN THIS FORM TO YOUR INSTRUCTOR I acknowledge that I have received a copy of the Houston Community College Associate Degree Nursing Student Handbook. I know that I am required to read this handbook in its entirety within seven days of receipt. I am aware that, after seven days, the A.D.N. Program will presume that I have read the handbook. If this is not the case, I will notify the Department Chair of the A.D.N. Program in writing. I am aware that entry into the program establishes a contract governed by the policies and procedures discussed in this handbook. Student’s Signature Printed Name Date of Receipt Revised January 2019 Clinical Contract Associate Degree Nursing Program o I understand that Clinical Placement takes precedence over employment commitments, and that my current employment or any academic scheduling cannot interfere with my clinical assignment. o I understand that a pre-clinical experience may be necessary according to the clinical facility guidelines and if not permitted by the facility a pre-clinical assignment may be assigned by faculty. o I understand that I must be flexible and adapt to frequent changes that may take place during the clinical placements. o I understand that clinical placement is contingent upon the facility requirements and availability of clinical faculty. o I understand that orientation to the clinical facility is mandatory; failure to attend a scheduled clinical facility orientation is a violation of the clinical affiliation agreement and will result in immediate withdrawal from the clinical course. Students are not allowed to change clinical assignments with other students or to attend a clinical to which they are not assigned. o If a student attends a clinical, to which they are not assigned, the student will not receive credit for that clinical day and is subject to withdrawal from the current clinical course. o I understand that clinical placements are final and fully agree to the above requirements and mandates. _________________________________________________________ _________________________________________________ Student Printed Name _________________________________________________ Student Signature Revised January 2019 Date STUDENT VERIFICATION of ESSENTIAL COMPETENCIES If an individual’s health changes during the program so that the essential competencies cannot be met with or without reasonable accommodations, the student will be withdrawn from the nursing program. The nursing faculty reserves the right at any time to require a medical release from a physician in order to assist with the evaluation of the student’s ability to perform the essential functions. Read the declarations below and initial only one (1) option. If you are unable to fully meet any criterion, you will need to direct your request to the DSSC at Coleman. I have reviewed the Essential Functions for this program and I certify that to the best of my knowledge, I currently have the ability to perform these functions. I understand that a further evaluation of my ability may be required and conducted by the nursing faculty if deemed necessary, to evaluate my ability prior to admission to the program; for retention in the program; and for retention and progression through the program. I have read the Essential Functions for this program and I currently am unable to fully meet the items indicated without accommodations. I understand that if I need accommodations, it is my responsibility to contact the DSSC. Applicant’s signature Printed Name Revised January 2019 Date Student HCC ID or SSN REPORTABLE NEGATIVE CRITICAL INCIDENT ON CLINICAL BEHAVIORS INTRODUCTION/ PURPOSE The A.D.N. clinical courses utilize a summative tool at the end of each clinical rotation. The purpose of the statement is to identify the procedure and consequences for unsatisfactory behaviors. These procedures should be initiated upon the occurrence of the unsatisfactory behavior or action rather than at the conclusion of the clinical rotation. A onetime violation of any starred (*) item on the clinical evaluation tool will result in clinical failure. There are three categories of unacceptable clinical behaviors that are normally considered. The first level identified as BNI (behaviors needing improvement) involve incidents such as uniform infractions and misunderstanding of careplan assignments. The second level, RNI (reportable negative incidents), is for more serious infractions that necessitate more serious recognition and remediation. An example might be failure to report vital signs not within the normal range or repeated failure to report to the clinical area with the appropriate preparation. The third level identified as RNCI (reportable negative critical incidents) indicates a very serious infraction that has endangered or impaired a life. These behaviors related to the Critical Elements that the faculty has identified as Safety, Accountability, and Confidentiality. An example might be a medication error that impaired a life or a side rail left down resulting in a patient injury. Student behaviors related to the Critical Elements are starred on the Clinical Evaluation Tools. Three RNI’s or the occurrence of 1 RNCI may result in a student being dismissed for the A.D.N. program upon recommendation of 3member faculty committee. Level I – BNI (Behaviors Needing Improvement) 1. Identify the behavior to the student and counsel as needed. 2. Document behavior or action via the HCCS Contact Action form. 3. Observe and document correction of behavior or action Level II – RNI (Reportable Negative Incident) – May be a more serious offense as described above or repetition of a particular BNI. 1. Identify the behavior or action to the student. 2. Fill out a Contact Action Form and designate the incident as a RNI and submit it to the Department Chair. 3. The Department Chair will then activate a 3-member faculty hearing committee to determine if the offense warrants elements being one of the three RNI’s. Three RNI’s approved by a 3-member faculty hearing committee may result in the student being dismissed from the A.D.N. program at any point during the course of study. If the RNI was not approved, the incident is filed only as a BNI and the student will be required to do remediation designated by the committee. Level III – RNCI Reportable Negative Critical Incident – One in which life is impaired or endangered 1. Steps 1 and 2 as above, however, the behavior must be identified as a RNCI (reportable negative critical incident.) 2. Step # 3 as above, however, the Faculty Committee must now determine if this behavior warrants removal of the student form the program or decide if this is one of the three RNI’s. 3. If the committee accepts the Reportable Negative Critical Incident report, then institutional policy is followed to remove the student from the program. 4. If an RNI status is granted, then the student must perform assigned remediation. Student Printed Name/ Signature Revised February 8, 2019 _____________Date_ Procedure for Grade Appeal (Note: Grade Appeals can only be challenged after the final grade has been given) Have you spoken to the instructor? Yes No Date: If you have not spoken to the instructor, please contact the individual for a meeting. Have you spoken with the Program Director? (If the program director is the instructor of record please proceed to the Office of the Executive Dean) Yes No Date: If you have not spoken to the program director, please contact the Individual for a meeting. Office of the Executive Dean 1. Please read page 13 of the HCC’s Student Handbook prior to completing a Grade Appeal form. (http://www.hccs.edu/hccs/current-students/student-handbook)Find real link 2. Forms for Grade Appeal can be requested by phone at 713.718.7409 or Email shana.tatum@hccs.edu All paperwork must be submitted in person between the hours of 8:00am to 4:00pm Monday to Thursday and 8:00am to 2:00pm on Friday to suite 232. (Note: Documents cannot be placed under the office door). Paperwork must be filled out on computer. All supporting documentation must be submitted at the same time as the grade appeal. It is the responsibility of the student to make copies for their records. 3. After a grade appeal has been submitted, the program that is being appealed has three (3) business days to respond. 4. Once the department response has been received from the program your documents will be forwarded to the committee. 5. The committee has seven (7) business days to review the grade appeal then they will contact the student to set up a meeting time at the next standing committee date (Note: a student can request not to appear before the committee). 6. The committee has three (3) business days to submit their decision after the meeting. 7. The Office of the Executive Dean will notify the student of the decision by phone or by email and send a certified letter to the student within three (3) business days of receiving the committee’s decision. 8. If a student is not satisfied with the decision they can request to meet with the Executive Dean first and then proceed to the President. Note: The Grade Appeal Committee is a standing committee (members of the committee are faculty, staff & students) and your grade appeal will be heard on their next scheduled date. Office of the Executive Dean of Instruction & Student Services Revised February 8, 2019 Updated 9/08/2017 Incident Report Form Associate Degree Nursing Program NAME OF INVOLVED PERSON ______________________________________________ PHONE _____________________________ DATE: ___________________________________ TIME OF INCIDENT ________________________________________ LOCATION ________________________________________________________ WAS ILLNESS OR INJURY INVOLVED (if yes, describe below)? ______________________________________________________________________________________________ ______________________________________________________________________________________________ _______________________________ DESCRIPTION OF INCIDENT (Please include names of individuals involved, nature of the incident, if injury or illness give name of physician/hospital used, names & addresses of witnesses, and narrative of what occurred) RECOMMENDATIONS ______________________________________________________________________________________________ ______________________________________________________________________________________________ ______________________________________________ FINAL DISPOSITION (how you intend to handle the incident, any next steps required, or likely outcomes) ______________________________________________________________________________________________ ______________________________________________________________________________________________ ______________________________________________________________________________________________ ______________________________ NOTE: Immediately following the incident, notify the Program Director by telephone or email. Incident Report Forms MUST be completed and submitted in the student file. PRINT NAME OF PERSON SUBMITTING REPORT_________________________________________ SIGNATURE OF PERSON SUBMITTING REPORT_________________________________________ DATE OF REPORT ______________________________________ DATE FORWARDED TO PROGRAM DIRECTOR __________________________________________ Revised February 8, 2019 FACILITY REPRESENTATIVE SIGNATURE_____________________________________________ Revised February 8, 2019 REMEDIATION WAIVER FORM This is to acknowledge that I have been given the opportunity to complete remediation, but I decline the remediation opportunity that was provided to me. Course Name: _________________________________________________________________ Exam Name: __________________________________________________________________ Student Name (Print Name) and ID:_____________________________________________________________ Student Signature Faculty Signature Created 12/11/18 Revised February 8, 2019 Date Date