Keiser University Bachelor of Science in Nursing Course Prefix & Number: NUR3829 Course Title: Ethical and Legal Issues in Healthcare Course Format: Face to Face Credit Hours: 3.0 Semester Credit Hours Lecture Hours: 45 hours Course Schedule: Friday 8:30 am – 11:30 am Prerequisites: ABSN/ FBSN: Successful completion of first semester Nursing major courses. Traditional: Successful completion of all Nursing major courses from semesters one through four. Faculty: Professor Nayades Rios Office Hours: By appointment Course Description: The course introduces contemporary bioethical and legal issues confronting healthcare providers in a variety of settings. Topics focus on identification of legal and ethical principles underlying the decisionmaking process in nursing and healthcare. Program Philosophy & Mission: The philosophy and mission of the Bachelor of Science in Nursing (Prelicensure) Program is congruent with that of Keiser University. The Keiser University mission statement and philosophy maintain that the University is a two-year, four-year, and graduate-level institution that prepare students of diverse backgrounds for career entry, advancement, or degree completion. One of the primary goals of the University is to continually NUR 3829 Master Syllabus08-01-18; RR: 03-20-19; 08-05-19;04-14-20; 10-15-2020; 112420 Page 1 change, improve, and ensure the effectiveness of the University’s programs in preparing students for successful careers. These statements are testimony to the integral relationship of the Bachelor of Science in Nursing (Pre-licensure). Program to the mission of Keiser University and the commitment of the University to the Program’s implementation and success. Educating registered nurses at the baccalaureate level and thereby enhancing their ability to achieve growth and success in their careers meets the criteria of one of the major goals of the University. This framework includes the broad competency areas of knowledge, critical thinking, skills performance, collaboration, caring, and professionalism. Each of these areas are reflected in program outcomes that build upon prior learning and incorporate competencies at the baccalaureate level as articulated in American Nurses Association (ANA)’s Scope and Standards of Nursing Practice. Keiser University’s Bachelor of Science in Nursing program enables students to provide evidence-based collaborative care to diverse patient populations in varied settings. At the conclusion of the program, BSN graduates will be able to: 1. Enact leadership, clinical decision-making, and effective communications skills to provide and evaluate safe high quality nursing services. 2. Creatively engage in rational inquiry utilizing evidence-based nursing knowledge in both well-defined, relatively common clinical situations, and in complex clinical situations. 3. Employ information management and patient care technology knowledge and skills to enhance the delivery of quality patient care. 4. Maintain an understanding of system and organizational level policy in order to provide appropriate direct and indirect nursing care for ethnically, culturally, and/or spiritually diverse patients and their families within varied healthcare systems and settings. 5. Participate in and lead interprofessional healthcare efforts to design and manage the care of individuals and their families. 6. Practice nursing within ethical, legal, and humanistic frameworks, promoting nursing’s values of altruism, autonomy, human dignity, integrity, and social justice to provide quality, cost-effective care founded on health promotion and disease prevention principles to individuals, families, groups, communities, and populations across the lifespan and across the continuum of healthcare environments Program Student Learning Outcomes: Program Goal(s): Keiser University’s Bachelor of Science in nursing program enables students to provide evidence-based collaborative care to diverse patient populations in varied settings. The Programmatic Student Learning Outcomes are a culmination of measurable competencies, consistent with the American Association of Colleges of Nursing (2008) Essentials of Baccalaureate Education for Professional Nursing Practice (2008), which enable graduates to practice within a complex healthcare system. NUR 3829 Master Syllabus08-01-18; RR: 03-20-19; 08-05-19;04-14-20; 10-15-2020; 112420 Page 2 The Programmatic Student Learning Outcomes and their applicable Essentials are: 1. CARE COORDINATION o Utilizes effective leadership, communication and collaboration for shared decision making with the patient and multidisciplinary healthcare providers in the deliberate organization, design and management of safe, high quality and high value care for culturally and spiritually diverse patients across the continuum of healthcare environments. Essential I: Liberal Education for Baccalaureate Generalist Nursing Practice. Essential II: Basic Organizational and System Leadership for Quality Care and Patient Safety. Essential VI: Interprofessional Communication and Collaboration for Improving Patient Health Outcomes. Essential IX: Baccalaureate Generalist Nursing Practice. 2. RESEARCH AND TRANSLATION o Engages in scientific inquiry with a spirit of creativity, utilizes evidence-based nursing knowledge, and translates data and information into nursing practice to address common clinical scenarios. Essential III: Scholarship for Evidence Based Practice. Essential VI: Interprofessional Communication and Collaboration for Improving Patient Health Outcomes. 3. INFORMATION MANAGEMENT o Utilizes patient care technology and information systems to communicate, collaborate and support clinical decision-making in the delivery of quality patient care in a variety of healthcare settings. Essential IV: Information Management and Application of Patient Care Technology. Essential VI: Interprofessional Communication and Collaboration for Improving Patient Health Outcomes. 4. ADVOCACY AND POLICY o Integrates professional nursing values, ethical, legal, and theoretical practice frameworks fundamental to the discipline of nursing to influence health promotion, disease prevention, healthcare policy, and regulation across the lifespan and practice environments. Essential V: Health Care Policy, Finance, and Regulatory Environments. Essential VII: Clinical Prevention and Population Health Essential VIII: Professionalism and Professional Values AACN: The Essentials of Baccalaureate Education for Professional Nursing Practice Essential I: Liberal Education for Baccalaureate Generalist Nursing Practice A solid base in liberal education provides the cornerstone for the practice and education of nurses. NUR 3829 Master Syllabus08-01-18; RR: 03-20-19; 08-05-19;04-14-20; 10-15-2020; 112420 Page 3 Essential II: Basic Organizational and System Leadership for Quality Care and Patient Safety Essential III: Scholarship for Evidence Based Practice Essential IV: Information Management and Application of Patient Care Technology Essential V: Health Care Policy, Finance, and Regulatory Environments Essential VI: Interprofessional Communication and Collaboration for Improving Patient Health Outcomes Essential VII: Clinical Prevention and Population Health Essential VIII: Professionalism and Professional Values Essential IX: Baccalaureate Generalist Nursing Practice Knowledge and skills in leadership, quality improvement, and patient safety are necessary to provide high quality health care. Professional nursing practice is grounded in the translation of current evidence into one’s practice Knowledge and skills in information management and patient care technology are critical in the delivery of quality patient care. Healthcare policies, including financial and regulatory, directly and indirectly influence the nature and functioning of the healthcare system and thereby are important considerations in professional nursing practice. Communication and collaboration among healthcare professionals are critical to delivering high quality and safe patient care. Health promotion and disease prevention at the individual and population level are necessary to improve population health and are important components of baccalaureate generalist nursing practice. Professionalism and the inherent values of altruism, autonomy, human dignity, integrity, and social justice are fundamental to the discipline of nursing. The baccalaureate-graduate nurse is prepared to practice with patients, including individuals, families, groups, communities, and populations across the lifespan and across the continuum of healthcare environments. The baccalaureate graduate understands and respects the variations of care, the increased complexity, and the increased use of healthcare resources inherent in caring for patients. American Association of Colleges of Nursing (AACN). (2008). The Essentials of baccalaureate education for professional nursing practice. Retrieved from http://www.aacn.nche.edu/publications/order-form/baccalaureate-essentials Course Objectives/Outcomes: Upon completion of NUR 3829, the student will: 1. Demonstrate the professional standards of moral, ethical, and legal conduct (Advocacy and Policy, Essential VIII). 2. Analyze the major ethical theories and ethical principles influencing ethical decision-making.(Research and Translation, Advocacy and Policy, Essentials III, VIII) 3. Act to prevent unsafe, illegal and unethical care practices (Advocacy and Policy, Essential VIII). 4. Demonstrate tolerance and cultural understanding for the ambiguity and unpredictability of the world and its effect on the healthcare system and nursing practice (Care Coordination, Essential IX). NUR 3829 Master Syllabus08-01-18; RR: 03-20-19; 08-05-19;04-14-20; 10-15-2020; 112420 Page 4 5. Describe mechanisms to resolve identified practice discrepancies between identified standards and practice that may adversely impact patient outcomes (Research and Translation, Essential III). 6. Describe state and national statutes, rules, and regulations that authorize and define professional nursing practice (Advocacy and Policy, Essential V). 7. Analyze legal principles that must be considered when making health care decisions (Advocacy and Policy, Essential V). 8. Compare and contrast actual landmark ethical cases and dissect actual outcomes (Care Coordination, Essential IX). 9. Access inter-professional and intra-professional resources to resolve ethical and other practice dilemmas. (Information Management, Essential IV) 10. Use an ethical framework to evaluate the impact of social policies on health care, especially for vulnerable populations (Advocacy and Policy, Essential V) Grading and Evaluation Methods: Percent of Total Grade Exams 40% Projects & Assignments 20% Quizzes 10% Final Exam 25% Post Test 5% Total Percentage: 100% Evaluation • • • • To advance in the nursing core of the program students are required to: Earn a minimum course grade of “B” with a 80.00% Earn a minimum score of 92% on each dosage calculation test (when applicable & within two attempts) Pass each critical skills performance for each core course (when applicable & within two attempts) Pass each clinical component for each core course (when applicable) Grading Scale Letter Grade Numeric Grade A 90.00-100.00% B 80.00-89.99% C 70.00-79.99% D 60.00-69.9% F 0-59.99% Required Textbook and Web Sites Burkhardt, M.A., Nathaniel, A.K. (2020). Ethics and Issues in Contemporary Nursing. (4th ed). Elsevier, St. Louis, MO. ISBN: 9780323697330. NUR 3829 Master Syllabus08-01-18; RR: 03-20-19; 08-05-19;04-14-20; 10-15-2020; 112420 Page 5 American Nurses Association. (2015). Guide to Nursing’s Social Policy Statement: The Essence of the Profession. Silver Spring, MD: ANA. ISBN: 9781558106192 American Nurses Association. (2015). Nursing: Scope and Standards of Practice. (3rd ed). Silver Spring, MD: ANA. ISBN: 9781558106154 American Nurses Association. (2015). Code of Ethics for Nurses with Interpretive Statements. (2nd ed). Silver Spring, MD: ANA. ISBN: 9781558105997 American Psychological Association (2019) Publication Manual of the American Psychological Association. (7th ed). Washington, DC Other Required Course Material: Scholarly, peer reviewed nursing journal articles as applicable Topical Outline/Course Assignments/Calendar: NUR3829: Ethical and Legal Issues in Healthcare Outline (covered content is subject to change) WEEK Instructor: Prof Nayades Rios MSN, NP TOPICS COURSE OBJECTIVE(S) 1 Dates: Summer 2022 SLO’s Assignments 1,2,4 Theory of Healthcare Ethics 1. Discuss the relationship between social need and the origin of the profession of nursing. 2. Discuss the relationship between moral reasoning and the origin of nursing. 3. Describe the mutually beneficial relationship between the broader society and its professions. 4. Explain the effect of a culture’s prevailing belief system on the practice of nursing. 5. Identify how historic spiritual beliefs and religious practices influenced evolutionary changes in nursing. 6. Discuss how the historical background of the status of women in various cultures is related to the practice of nursing. Course Introductions Review of Syllabus Pre-Test *Textbook: Read Ch. 1 -2 Other: _ANA Nurses’ Code of Ethics Classroom discussion Ethics and Law NUR 3829 Master Syllabus08-01-18; RR: 03-20-19; 08-05-19;04-14-20; 10-15-2020; 112420 Page 6 7. Examine the effect of philosophy on beliefs and practices within society. 8. Make plausible inferences relating the evolution of the practice of nursing to the current state of the profession. 9. Discuss the purpose of philosophy. 10. Define the terms moral philosophy and ethics. 11. Discuss the importance of a systematic study of ethics to nursing. 12. Discuss the importance of ethical theory. 13. Describe utilitarianism. 14. Describe deontological ethics, defining the terms categorical imperative and practical imperative. 15. Define the terms virtue and virtue ethics. 16. Discuss moral particularism. 2 3 Ethical Principles Values Clarification and Development 1. Discuss the principle of respect for autonomy in terms of patients’ rights, informed consent, advocacy, and noncompliance. 2. Discuss the principle of beneficence as it relates to nursing practice. 3. Define the principle of nonmaleficence, and weigh actions in terms of harm and benefit. 4. Relate the principle of veracity to nursing practice. 5. Examine the principle of confidentiality in nursing practice, recognizing legal implications and reasonable limits to confidentiality. 6. Discuss the principle of justice as it relates to the delivery of health care goods and services. 7. Relate the principle of fidelity to nursing’s promise to society. 8. Discuss situations in which there is a conflict between two or more ethical principles. 1. Define and differentiate personal values, societal values, professional values, organizational values, and moral values. 2. Discuss how values are acquired. 3. Discuss self-awareness as a tool for living an ethical life. Quiz 1 *Textbook: Read Ch. 3 Classroom Discussion: What are ethical principles Review of upcoming ANA Paper *Textbook: Read Ch. 4-5 Assignment #1 Due: ANA Paper NUR 3829 Master Syllabus08-01-18; RR: 03-20-19; 08-05-19;04-14-20; 10-15-2020; 112420 Page 7 4. Explain the place of values clarification in nursing. 5. Describe values conflict and its implications for nursing care. 6. Describe the interaction between personal and institutional values. 7. Discuss the importance of attending to both personal values and patient values. 4 Ethical Decision Making and Professional Nursing 1. Describe the evolution of professional nursing ethics. 2. Discuss the meaning of the term professional, including traits commonly associated with professional status and the historical debate regarding the professional status of nursing. 3. Discuss contemporary codes of nursing ethics. 4. Discuss the importance of caring to the profession of nursing. 5. Discuss the relationships among the concepts of expertise, ethics, and professional status. 6. Discuss autonomy in terms of both the individual nurse and the profession of nursing. 7. Discuss the relationship between professional autonomy and ethics. 8. Discuss the concept of accountability, including various mechanisms of nursing accountability. 9. Explain the relationship between accountability and professional status. 10. Define the concept of authority, differentiating between professional and personal authority. 11. Discuss the concept of unity and its relationship to professional status in nursing. 12. Describe and differentiate ethical dilemmas, moral uncertainty, practical dilemmas, moral distress, moral outrage, and moral reckoning. 13. Describe the process of making thoughtful decisions. 14. Discuss similarities between the nursing process and ethical decision making. 15. Describe the role of emotions in ethical decisions. Classroom discussion: willow Brook *Textbook: Read Ch. 6-7 Quiz #2 – Discussion Due Classroom discussion: Moral injury and moral courage NUR 3829 Master Syllabus08-01-18; RR: 03-20-19; 08-05-19;04-14-20; 10-15-2020; 112420 Page 8 16. Recognize the moral elements of everyday nursing practice. 17. Examine the process of ethical decision making. 18. Apply the ethical decision-making process to clinical cases. 5 Legal & Professional Relationship Issues 6 Practice Issues Related to Technology 1. Recognize the difference between ethics and the law and discuss the relationship of each to the other. 2. Describe sources of law. 3. Distinguish between constitutional law, statutory law, administrative law, and common law. 4. Describe the difference between public and private law. 5. Discuss instances in which nurses might be accused of breaches of public law. 6. Define tort and distinguish between unintentional and intentional torts. 7. Discuss methods that nurses can use to limit liability. 8. Describe the role of the expert nurse witness. 9. Identify relationships and potential conflicts that nurses face in the professional realm. 10.Characterize the nature of various conflicts. 11.Examine beliefs about the relative strengths of various obligations. 12.Identify nurses’ primary obligation. 13.Discuss issues related to nurses’ relationships with other nurses, institutions, physicians, and subordinates. 14.Discuss issues related to racial discrimination, sexual harassment, and discrimination against persons with disabilities 1. Discuss the impact of technology on nursing and health care. 2. Apply beneficence and nonmaleficence to decisions about technology. 3. Discuss issues and dilemmas related to current technology and to life-sustaining interventions. 4. Relate the concept of medical futility to health care decisions. 5. Relate economics to decisions regarding health technology. *Textbook: Read Ch. 8-9 Assignment #2 Due: Moral Courage Classroom Discussion: Themes of Ethics – standard of practice and legal requirements *Textbook: Read Ch. 10 Classroom discussion: Electronic Health records and issues pertaining to documentation – Nurses responsibility NUR 3829 Master Syllabus08-01-18; RR: 03-20-19; 08-05-19;04-14-20; 10-15-2020; 112420 Page 9 6. Discuss considerations in decisions about cardiopulmonary resuscitation and artificial sources of nutrition for patients. 7. Describe legal issues associated with health care technology. 8. Discuss issues and dilemmas associated with technologies affecting reproduction, genetics, and organ transplantation. 9. Identify issues and dilemmas associated with research into controversial technologies. 10. Discuss issues related use of health care information technology and social media in nursing and health care. 11. Describe nursing considerations for patient care in the midst of technology. 7 Practice Issues Related to Patient Self-Determination Scholarship Issues 1. Discuss issues related to autonomy and patient self-determination. 2. Describe factors that may threaten autonomy in health care settings and situations in which autonomy may be limited. 3. Examine the interaction of justice and autonomy. 4. Discuss informed consent as it relates to patient self-determination. 5. Examine legal and ethical elements of informed consent. 6. Describe the nursing role and responsibilities related to informed consent. 7. Discuss the place of advance directives in health care decisions. 8. Discuss patient autonomy related to choices for life and health. 9. Describe nursing role and responsibilities related to patient lifestyle and health choices. 10. Discuss the nursing role regarding complementary therapies. 11. Describe ethical concerns related to controversial choices that affect personal and public health. 12. Describe scholarship issues encountered by nurses in academic and clinical settings. *Textbook: Read Ch. 11-12 Exam #1 (CH 3-9) Classroom Discussion: Review the Tuskagee link below and be prepared to discuss in class. Review the website below for the Electronic Code of Federal Regulations and the section on Protection of Human Subjects and be prepared to discuss what you learned during Keiser Live this week. NUR 3829 Master Syllabus08-01-18; RR: 03-20-19; 08-05-19;04-14-20; 10-15-2020; 112420 Page 10 13. Discuss principles basic to academic honesty and the ethical treatment of research data. 14. Describe principles and nursing standards undergirding the protection of human rights in research. 15. Explain why informed consent is mandated for research involving human subjects, and describe the elements required for this consent. 16. Discuss the nursing role regarding protection of human rights in research. 17. Describe principles guiding personal response to dilemmas regarding nursing scholarship. 8 9 Global Consciousness in the 21st Century Health Policy Issues 1. Discuss the relationship between Earth health and human health. 2. Describe the role and ethical responsibility of nursing in addressing local, national, and global environmental issues. 3. Discuss health issues related to local, national, and global issues such as climate change, disaster, displaced persons, immigrants, war and violence, epidemics and pandemics, toxic chemicals and other pollutants. 4. Describe the impact on vulnerable populations of global humanitarian and health crises. 5. Discuss nursing role, responsibility, and ethical stance in addressing local, national, and global health care needs of people and communities affected by these global issues. 6. Describe challenges of accessibility and financing facing health care delivery systems around the globe. 7. Identify how traditional healing systems worldwide can be resources for health care worldwide. 8. Briefly describe factors affecting health care delivery for rural and urban aggregates. *Textbook: Read Ch. 13 Classroom Discussion: Create a chart comparing American healthcare options to those of two other countries and then be prepared to summarize your findings in class. Upcoming Assignments: Week 10 Mid-Term Exam (Chapters 1-12) 1. Describe the process by which issues become “political issues.” NUR 3829 Master Syllabus08-01-18; RR: 03-20-19; 08-05-19;04-14-20; 10-15-2020; 112420 *Textbook: Read Ch. 14 Page 11 10 11 Economic Issues Social Issues Gender Issues 2. Distinguish between the terms political and partisan. 3. Give examples of specific political issues related to health care. 4. Discuss your personal stand on various political issues in relation to ethics. 5. Describe the health policy process. 6. Discuss the role of ethics in policy making. 7. Explain the role of nurses in the policymaking process. 8. Describe various methods of influencing public policy. Classroom Discussion: Visit the link below to the ANA Issue Action Center and consider taking action. Be prepared to discuss the issues you read about in Keiser Live. RNAction Center (p2a.co) 1. Describe the role of economics in health care. 2. Explain the concept of distributive justice. 3. Discuss utilitarian, libertarian, communitarian, and egalitarian theories. 4. Discuss basic questions related to the distribution of health care resources. 5. Describe recent trends in health care economics and the relationship of economic trends to the delivery of health care. 6. Discuss ethics in relation to managed care systems of health care delivery. Mid-Term (CH 1-12) 1. Explain how social conditions such as poverty, homelessness, food insecurity, sexual violence, human trafficking, an increasing elderly population, and racism, and ethnic inequities affect health. 2. Apply the concept of justice to vulnerable populations, elaborating on the implications for society and the health care system. 3. Discuss the application of beneficence and nonmaleficence to vulnerable groups in light of today’s health care system. 4. Identify considerations related to promoting autonomy for health care decision making among vulnerable populations. 5. Analyze evidence of victim blaming within the health care system. 6. Illustrate application of the concepts of advocacy and nonviolence to care of vulnerable populations. Upcoming Assignments: Assignment #3 due in week 10 *Textbook: Read Ch. 15 Assignment #3 Due IRB *Textbook: Read Ch. 16-17 Classroom Discussion: Disparities and health inequalities – Social determinants of Health Promotion NUR 3829 Master Syllabus08-01-18; RR: 03-20-19; 08-05-19;04-14-20; 10-15-2020; 112420 Page 12 7. Discuss ethical considerations for nurses in caring and advocating for people affected by these social issues. 8. Discuss how ethics relates to gender issues in nursing. 9. Explore how the title nurse contributes to gender stereotyping and gender bias in nursing. 10. Discuss how stereotyping and gender bias affect the nursing workforce. 11. Compare issues found in women’s and men’s health care. 12. Examine issues in the health care of LGBT+ individuals. 12 13 Transcultural and Spiritual Issues Empowerment for Nurses 1. Describe factors associated with cultural sensitivity within nursing. 2. Discuss the influence of culture on health and health care decisions. 3. Identify approaches for dealing with transcultural issues in nursing. 4. Discuss issues related to the use of complementary therapies by patients. 5. Identify legal considerations related to transcultural issues. 6. Discuss the relationship between spirituality and health. 7. Describe issues associated with spirituality and religion. 8. Identify the nursing role in addressing patients’ spiritual concerns. 9. Discuss considerations regarding nurturing one’s spirit. 1. Discuss the effect of mind-set on expectations regarding nursing practice and ethical stances. 2. Describe metaphors for nursing and discuss their impact on nursing ethics. 3. Explain the impact on nursing practice of perceptions about nursing from within and from outside the profession. 4. Describe the concepts of power and empowerment. 5. Discuss personal empowerment and its importance within nursing. 6. Discuss the relationship among professional empowerment, principled behavior, and nursing practice. Quiz #3 *Textbook: Read Ch. 18 Exam 2 (CH 13-17) NUR 3829 Master Syllabus08-01-18; RR: 03-20-19; 08-05-19;04-14-20; 10-15-2020; 112420 *Textbook: Read Ch. 19 Page 13 14 Facilitating Patient Empowerment 7. Describe important nursing considerations regarding speaking up about unethical practice and behavior. 8. Discuss the influence on professional practice of nursing’s vision of nursing. 1. Discuss the meaning of patient empowerment. 2. Discuss the nursing role in empowerment of patients. 3. Describe nurse attitudes that facilitate empowerment. 4. Identify nursing knowledge and skills basic to empowerment. 5. Describe factors that enhance or block patient empowerment. 6. Discuss approaches to fostering empowerment with patients. *Textbook: Read Ch. 20 15 Post-Test Classroom Assignment: Mock Debate 16 Final Exam Course Guidelines and Policies Academic Integrity Students are expected to maintain the highest standards of academic conduct, professional honesty, and personal integrity. Plagiarism, cheating and other misconduct are serious violations and will not be tolerated, and may result in academic penalties, including suspension or dismissal. Attendance Students are expected to contact the instructor or leave a phone message with the Keiser University receptionist before the start of the class if they will not be able to attend or will be arriving late. The message should include the reason (e.g., illness, family emergency). Students who leave class early will be responsible and accountable for all materials missed. Prior to class the student must inform the instructor of the time they will be leaving. Students are expected to notify their clinical instructor at least 60 minutes in advance of the clinical start time if they will not be able to attend clinical or anticipate a late arrival. A documented emergency will be taken under consideration by the Program. Note: Both the clinical instructor and/or preceptor (if applicable) must be notified. NUR 3829 Master Syllabus08-01-18; RR: 03-20-19; 08-05-19;04-14-20; 10-15-2020; 112420 Page 14 Participation Participation is a basic requirement for an effective learning community. Class participation is demonstrated by: arriving to class early; paying attention during lectures and discussions; respectful listening when someone else is speaking; being engaged in the class and in your learning without distractions. Testing Policy Quizzes: students will not be able to makeup quizzes. Exams: makeup exams will be allowed only with preapproval of the instructor or with an acceptable, documented reason and Director approval. Acceptable reasons for makeup exams include severe illness, family emergency or other unavoidable events. Exam format for makeup exams may be different than the original exam but the content for the exam will not change. Once an exam has begun; the student will not be allowed to leave the classroom for any undocumented reason. Should the student leave the testing environment, the exam must be turned in, will be considered complete, and will be graded as such. No additional time will be given due to tardiness. Exam reviews will be conducted at the discretion of the instructor or by appointment only. Performance check off: An unsuccessful first attempt at a skills lab competency requires individual remediation during open lab hours prior to a second and final attempt. Missed skills lab competency appointments will equate to an unsuccessful attempt. Late Assignments Assignments are due at the start of class on the day noted. Late assignments will not be accepted. Students with extenuating circumstances should discuss turning in work with their instructor in advance of the due date whenever possible. Grades Grades will be posted on blackboard in accordance with Keiser University policies and procedures. Students are expected to monitor their grades and progress. For questions regarding grades, students are to make an appointment with their instructor within a reasonable time frame of the grade posting. Civility/Professionalism This class is a community of learners, which means we will depend upon each other for support and information. In order to learn, we must be open to the views of people different than ourselves. Please honor the uniqueness of your classmates and appreciate the opportunity we have to learn from one another. Please respect each other’s’ opinions and refrain from personal attacks or demeaning comments of any kind. It is of the utmost importance to communicate with courtesy and professionalism. Professional courtesy includes respecting other’s opinions, being courteous and respectful, and working together in the spirit of cooperation. Professional behavior is defined by the instructor. Cell phones or electronic devices are not permitted during class time and should be off/ or on vibrate. It is up to the individual instructor whether they will allow recording of their instruction or not. Each student is entitled to a positive learning environment. Dress Code Adherence to the dress code is expected at all times. Should a student choose not to be dressed as stated in the Nursing Student Handbook, they may be asked to leave the classroom and be directed to the Nursing Program Director for further instruction and advisement. Communication Blackboard will be utilized for course materials, resources and updates. Students are also encouraged to check their Keiser E-mail accounts on a regular basis. This will be the only E-mail utilized in accordance with Keiser University policy. NUR 3829 Master Syllabus08-01-18; RR: 03-20-19; 08-05-19;04-14-20; 10-15-2020; 112420 Page 15 University and Program Policies Students are expected to abide by the policies set forth in the University Catalog and the Student Program Handbook/Manual. The University Catalog is available electronically at http://www.keiseruniversity.edu/catalog/. The Program Student Handbook/Manual is available electronically at the direction of your instructor. Disability Accommodations: In compliance with the Americans with Disabilities Act (ADA), students who require reasonable accommodations due to a disability to properly execute coursework must complete the application process and receive approval from the review committee. The first step is to consult with the Campus President or Dean of Academic Affairs. NUR 3829 Master Syllabus08-01-18; RR: 03-20-19; 08-05-19;04-14-20; 10-15-2020; 112420 Page 16