KCTCS ONLINE LPN-ADN PROGRAM STUDENT HANDBOOK Jefferson Community and Technical College KCTCS Online: Learn on Demand LPN to Associate Degree Nursing Program 109 East Broadway Louisville, Kentucky 40202 Dr. Margie Charasika Academic Program Coordinator/Master Advisor Margie.Charasika@kctcs.edu 502-213-2292 (Office) 502-213-2491 (Fax) JEFFERSON COMMUNITY & TECHNICAL COLLEGE LPN-ADN STUDENT HANDBOOK TABLE OF CONTENTS Welcome Letter ............................................................................................................ 3 KCTCS Vision, Mission and Values ................................................................................ 4 The Philosophy .............................................................................................................. 5 The Conceptual Framework .......................................................................................... 7 Operational Definitions ................................................................................................. 9 Program Competencies............................................................................................... 12 Curriculum Guide, Course Descriptions, & Competencies ....................................... 13 Program Policies & Procedures................................................................................... 25 Guidelines for Admission, Re-admission, and Transfer .................................. 25 Grades, Exams, and Grading Scale .................................................................. 26 KBN Regulations. ............................................................................................. 26 Cellular Phones ............................................................................................... 26 Dress Code ...................................................................................................... 26 Clinical Assignments, Nursing Labs ................................................................. 27 Sexual Harassment Policy .............................................................................. 27 Student Code of Conduct ............................................................................... 28 Learning Contract, Financial Aid, Dropping a Course, Required Documents…28 Required Documentation ............................................................................... 29 Technical Standards ........................................................................................ 30 Immunization/Health Record ......................................................................... 31 Liability Insurance ........................................................................................... 34 CPR .................................................................................................................. 34 Kentucky Licensed Practical Nurse Registry ................................................... 34 College Transcripts .......................................................................................... 34 Background Check and Drug Screening. ......................................................... 35 Typhon Nursing School Student Tracking System (NSST) ............................... 38 Additional Supplies Needed ............................................................................ 38 KCTCS Resources Available For Students………………………………………………………39 REV. 4/2011 2 JEFFERSON COMMUNITY & TECHNICAL COLLEGE LPN-ADN STUDENT HANDBOOK Dear Student: Welcome to the KCTCS Online: Learn on Demand LPN-ADN Program. We hope that you will have a rewarding educational experience as you navigate your way through each modularized course. Time management and commitment are critical to success in any online course. I think you will find, in each course a group of highly motivated students like yourself, who are self-directed, enthusiastic and willing to do whatever it takes to be successful. Therefore, as you embark on this journey to complete your Associate in Applied Science Degree through completion of the Associate Degree Nursing Program, it will be essential that you complete the assignments and take advantage of all online resources as well as any supplemental resources that might be suggested. The facilitator for each course will provide timely feedback and pose questions to guide your deeper understanding and completion of coursework. Because the LPN-ADN Program Team wants this to be a positive learning experience for you, we have prepared this resource handbook for your reference throughout the program ; however, please do not hesitate to contact the Program Coordinator regarding any additional questions or concerns that you might have. I look forward to your successful completion of the program and achievement of your personal and/or professional career goals. Sincerely, Margie Charasika, EdD, MSN, MSCM, RN, CNE Academic Program Coordinator/Master Advisor KCTCS Online: Learn on Demand LPN-ADN Program Jefferson Community and Technical College 109 East Broadway Louisville, Kentucky 40202 Tele: 502-213-2292 REV. 4/2011 3 JEFFERSON COMMUNITY & TECHNICAL COLLEGE LPN-ADN STUDENT HANDBOOK KCTCS: OUR VISION, MISSION, AND VALUES Our Vision At KCTCS, our vision is to create a comprehensive community and technical college system recognized as the nation's best. Our Mission In everything we do, our mission is to improve the quality of life and employability of the citizens of the Commonwealth by serving as the primary provider of: Certificate, diploma, associate degree, and transfer programs Workforce training to meet the needs of existing and new businesses and industries Remedial and continuing education Short-term, customized training for business and industry Adult education Associated services Our Values When we say "Higher Education Begins Here," we take it seriously. KCTCS has been given great responsibility for the prosperity and well-being of all Kentuckians. Our values reflect that, and include: Mission driven goals Quality Programs and excellence in teaching Student success and lifelong learning Open access with responsive delivery Positive culture with trust, respect, and open communication REV. 4/2011 4 JEFFERSON COMMUNITY & TECHNICAL COLLEGE LPN-ADN STUDENT HANDBOOK KCTCS ONLINE: LEARN ON DEMAND LPN-ADN PROGRAM PHILOSOPHY The philosophy of the KCTCS Online LPN to ADN program is congruent with the Kentucky Community and Technical College System (KCTCS) mission statement and is supported by the works of Marjory Gordon and the National League for Nursing. The faculty believes that: Each individual is a unique, holistic being with bio-psychosocial, cultural and spiritual dimensions in constant interaction with the environment. All human beings have in common certain functional patterns that contribute to their health, quality of life and achievement of human potential. Health is an optimal level of functioning that allows individuals, families or communities, to develop their potential to the fullest. Health is measured by parameters and norms combined with a client’s perception and includes multi-dimensional states of health and illness. Ideally, health is consistent with individual potential and allows nursing intervention to be individualized. The environment is an aggregate of all the conditions and socio-cultural influences affecting the life and development of a person. Interaction between the client and the environment is an essential common thread running through all functional patterns. The environment impacts the individual’s functional and dysfunctional patterns. Nursing is the art and science of applying a specialized body of knowledge and skills in providing evidencedbased clinically competent care. The nursing process is used as a basis for nursing care decisions and client interaction. The goals of nursing include promoting independence, maintaining and restoring health or supporting a peaceful death. Nursing education belongs within institutions of higher learning and supports educational mobility. The affordability and accessibility of the community college provides an ideal setting for Associate Degree Nursing education. The curriculum combines study in nursing and related disciplines. Associate Degree Nursing education is responsive to current economic, social, demographic and political forces and to technological changes in transforming healthcare delivery. Learning is an individual and lifelong process evidenced by changed behavior resulting from the acquisition of knowledge, skills, understanding and attitudes. Learning in an educational setting is enhanced by a teacher/student relationship in which the teacher’s responsibility is to structure and facilitate optimal conditions for critical thinking and learning through clearly defined educational competencies. The student brings to this relationship the willingness to learn and is accountable for his/her education. Recognizing that both the rate and style of learning differ with individuals, various strategies are utilized to facilitate the student’s achievement of program competencies, attainment of maximum potential and promotion of continued learning. The A.D.N. graduate, having achieved the program competencies, is prepared to practice in a variety of settings within the parameters of individual knowledge and experience according to the standards of practice. The role of the A.D.N. graduate includes provider of care, manager of care and member of the discipline. REV. 4/2011 5 JEFFERSON COMMUNITY & TECHNICAL COLLEGE LPN-ADN STUDENT HANDBOOK Encompassed within these roles are the core components of professional behaviors, communication, nursing process, clinical decision-making, caring interventions, teaching and learning, collaboration and managing care. References: Council of A. D.N. Competencies Task Force National League for Nursing (2000). Competencies for graduates of A.D.N. programs. Sudbury, MA: Jones & Bartlett Publisher. Gordon, M. (1994). Nursing diagnosis: Process and application. 3rd edition, St. Louis: Mosby. Henderson, V. (1966). The nature of nursing: A definition and its implications, practice, research and education. New York: MacMillen. Adopted: Summer 2002 REV. 4/2011 6 JEFFERSON COMMUNITY & TECHNICAL COLLEGE LPN-ADN STUDENT HANDBOOK CONCEPTUAL FRAMEWORK The conceptual framework of the Associate Degree Nursing (A.D.N.) program as developed and valued by the faculty is based upon constructs of the nursing paradigm and related concepts. The framework relates the philosophy to the curriculum and provides focus for the program. It organizes and explains the relationships between the concepts of the philosophy and depicts the eight core components of nursing practice and eleven functional health patterns. The faculty’s beliefs about the paradigm: person, health, environment and nursing are based on the National League for Nursing educational competencies for A.D.N. graduates and Marjory Gordon’s functional health pattern framework and related works. Intrinsic to the three roles of the nurse, provider of care, manager of care and member of the discipline, are the core components of nursing practice. The eight core components of nursing practice are: professional behaviors, communication, nursing process, clinical decision making, caring interventions, teaching and learning, collaboration and managing care. These core components are introduced, developed, and built upon throughout the curriculum. The client’s functional health patterns are: health perception/health management, nutrition/metabolic, elimination, activity/exercise, sleep-rest, cognitive-perceptual, self-perception/self-concept, role/relationship, sexuality/reproductive, coping/stress tolerance and value/belief. These patterns are influenced by the client’s culture, age/development, state of health/illness and serve as a unifying structure for the organization of the curriculum. The nurse-client interaction takes place in and is influenced by the environment. The goals of this interaction include: promoting independence, maintaining and restoring health and supporting a peaceful death. The conceptual model is a visual representation of the relationships among the concepts of the philosophy. It depicts the eight core components inherent in nursing practice and the eleven functional patterns inherent in the client. References: Council of A.D.N. Competencies Task Force National League for Nursing (2000). Competencies for graduates of A.D.N. programs. Sudbury, MA: Jones & Bartlett Publisher. Gordon, M. (1994). Nursing diagnosis: Process and application. 3rd edition, St. Louis: Mosby. Henderson, V. (1966). The nature of nursing: A definition and its implications, practice, research and education. New York: MacMillen. Adopted: REV. 4/2011 Summer 2002 7 JEFFERSON COMMUNITY & TECHNICAL COLLEGE LPN-ADN STUDENT HANDBOOK REV. 4/2011 8 JEFFERSON COMMUNITY & TECHNICAL COLLEGE LPN-ADN STUDENT HANDBOOK OPERATIONAL DEFINITIONS Core Components are those elements of Associate Degree Nursing that are essential to entry level registered nursing practice and are inherent in the three roles of nursing practice: provider of care, manager of care and member of the discipline. These include professional behaviors, communication, nursing process, clinical decision-making, caring interventions, teaching and learning, collaboration and managing care. These core components are defined as: Professional Behaviors of nursing practice are characterized by a commitment to the profession of nursing and an adherence to standards of professional practice, accountability for her/his own actions, and behaviors and practices within legal, ethical and regulatory frameworks. Professional behaviors also include concern for others, as demonstrated by caring, valuing the profession of nursing and participation in ongoing professional development. Communication is an interactive process in which an exchange of verbal, nonverbal, written and technological information occurs. This process includes the nurse, client, significant others, members of the healthcare team and community agencies. Effective communication demonstrates caring, compassion and cultural awareness. It is directed toward promoting positive outcomes and establishing trusting relationships. Therapeutic communication is an interactive verbal and non-verbal process between the nurse and the client that assists the client to cope with change, develop more satisfying interpersonal relationships and integrate new knowledge and skills. Nursing Process is the critical thinking framework that is the essential and lasting skill characteristic of the nursing profession. This framework is ongoing and is divided into five steps: assessment, diagnosis, planning, implementation and evaluation. Clinical decision-making encompasses the use of the nursing process, access of information through multiple mechanisms and the analysis and integration of knowledge and information to formulate clinical judgments. Effective clinical decision-making results in determining solutions, individualizing and assuring safe accurate care and positive outcomes. The use of evidence based practice and critical thinking provides the basis for appropriate clinical decision-making. Caring Interventions are nursing behaviors and actions that assist clients in maintaining functional patterns that contribute to their health, quality of life and achievement of human potential. These interventions are based on nursing knowledge and skills, nursing research and past nursing experiences. Caring is the “being with” and “doing for” that assists clients to achieve desired outcomes and includes nurturing, protective, compassionate and person-centered behaviors. Caring creates an environment of hope and trust, where client choices related to cultural values, beliefs and lifestyle are respected. Teaching and Learning processes promote and maintain health and are implemented through collaboration with the client, significant others and members of the healthcare team. Teaching encompasses health education to facilitate informed decision-making, achieve positive outcomes and support optimal health. Important components of the teaching process include the transmission of REV. 4/2011 9 JEFFERSON COMMUNITY & TECHNICAL COLLEGE LPN-ADN STUDENT HANDBOOK information, evaluation of the response to teaching and the modification of teaching based on client outcomes. Learning involves the assimilation of information to increase knowledge and change behavior. Collaboration shares planning, decision-making, problem solving, goal setting and assumption of responsibilities by those who work cooperatively using open professional communication. Collaboration occurs with the client, significant others, peers, other members of the healthcare team and community agencies. The nurse is an advocate, liaison, coordinator, and colleague who functions within the team to support holistic, client-centered care across healthcare settings. Collaboration requires consideration of client needs, priorities, preferences, available resources and services shared accountability and mutual respect. Managing Care is the efficient, effective use of human, physical, financial and technological resources to assure that the right care is given at the right time, in the right setting and at the right cost to achieve desired outcomes. It involves planning, organizing, directing, and controlling. In managing care, the nurse collaborates with the healthcare team to assist the client to achieve positive outcomes in a cost effective manner, to transition within and across healthcare settings and to access resources. Functional Health Patterns are ways of living that include a configuration of behaviors that occur across time. The patterns are interrelated, interactive and independent. Functional and dysfunctional patterns determine client strengths and/or nursing diagnoses. There are eleven (11) functional health patterns that include: health perception/health management, nutrition/metabolic, elimination, activity/exercise, sleep-rest, cognitive-perceptual, self-perception/self-concept, role/relationships, sexuality/reproductive, coping/stress tolerance and value/belief. They are defined as: Health Perception-Health Management describes the client’s perceived pattern of health and well-being and how health is managed. It includes the client’s perception of his/her own health status, the general level of health care behaviors and adherence to health practices. Nutritional-Metabolic describes the client’s pattern of food and fluid consumption relative to metabolic need and pattern indicators of nutrient supply. It includes skin integrity, nutritional intake, nutrient supply to tissues and metabolic needs, Elimination describes patterns of excretory function (bowel, bladder, and skin). It includes the client’s perceived excretory functions, changes or disturbances in function, devices used to control excretion and family/community disposal patterns. Activity-Exercise describes patterns of exercise, activity, leisure and recreation. It includes activities of daily living requiring energy expenditure, type and quality of exercise and factors that interfere with the expected pattern (neuromuscular deficits, musculoskeletal abnormalities, and cardio-pulmonary insufficiencies). Sleep-Rest describes patterns of sleep, rest, and relaxation. It includes the perception of quality and quantity of sleep, rest-relaxation and energy levels. Cognitive-Perceptual describes sensory-perceptual and cognitive. It includes adequacy of vision, hearing, taste, touch, smell, language, memory, judgment and decision-making. Self-Perception-Self-Concept describes the client’s self-concept pattern and perception of self (selfREV. 4/2011 10 JEFFERSON COMMUNITY & TECHNICAL COLLEGE LPN-ADN STUDENT HANDBOOK conception/worth, body image. It includes attitudes of self, perception of abilities (cognitive, affective or physical), image, identity, worth and emotional patterns. Role-Relationship describes the client’s pattern of role engagements and relationships. It includes the client’s perception of his/her major roles, responsibilities and relationships in current life situations. Sexuality-Reproductive describes the client’s patterns of satisfaction and dissatisfaction with sexuality. It includes reproductive patterns and satisfaction with sexual relationships. Coping-Stress-Intolerance describes the client’s general coping pattern and effectiveness in terms of stress - tolerance. It includes the capacity to resist challenges to self-integrity, modes of handling stress, support systems and ability to control or manage situations. Value-Belief describes patterns of values, beliefs (including spiritual) and goals that guide the client’s choice of decisions. It includes perceptions of what is important in life, and conflicts in values, beliefs or expectations that are health related. References: Council of A.D.N. Competencies Task Force National League for Nursing (2000). Competencies for graduates of A.D.N. programs. Sudbury, MA: Jones & Bartlett Publisher. Gordon, M. (1994). Nursing diagnosis: Process and application. 3rd edition, St. Louis: Mosby. Adopted: REV. 4/2011 Spring 2002 11 JEFFERSON COMMUNITY & TECHNICAL COLLEGE LPN-ADN STUDENT HANDBOOK PROGRAM COMPETENCIES Program Competencies: Upon completion of this program, the Associate Degree Nursing graduate can: 1. Utilize the nursing process incorporating Gordon’s functional health patterns as a basis for clinical decisionmaking in providing client, family and community care; 2. Develop, implement and evaluate individualized plans of care focusing on services and activities that promote independence, maintain or restore health or support a peaceful death; 3. Practice in a variety of settings within the parameters of individual knowledge and experience according to the standards of practice; 4. Demonstrate competency in the performance of all essential nursing skills as identified by the Associate Degree Nursing faculty; 5. Recognize situations beyond one’s knowledge and experience, and seek consultation from appropriate resources in a changing healthcare environment; 6. Provide evidence-based clinically competent care; 7. Collaborate with the client, family, significant others and members of the health care team in the management of care; 8. Establish and maintain effective/therapeutic communication with clients, families, significant others and members of the health care team; 9. Integrate caring behaviors into all aspects of nursing practice; 10. Delegate aspects of nursing care to other members of the health care team commensurate with educational preparation and experience; 11. Establish priorities and organize nursing care in a timely, efficient and cost effective manner; 12. Serve as a client advocate; 13. Assume responsibility for professional development; 14. Manage care that demonstrates respect for diverse clients; 15. Practice within the ethical, legal and regulatory frameworks of nursing and; 16. Use teaching/learning processes to facilitate clients informed decision-making to achieve positive outcomes and support functional patterns. General Education Competencies: Upon completion of this program the Associate Degree Nursing graduate can: 1. Communicate effectively using standard written English; 2. Communicate in a clear oral and non-verbal fashion and employ active listening skills; 3. Demonstrate basic skills in computer operations and/or software applications; 4. Organize, analyze, and make information useful by employing mathematics; 5. Demonstrate an awareness of one’s interaction with the biological/physical environment; 6. Demonstrate an awareness of self as an individual, as a member of a multicultural society, and/or as a member of the world community; 7. Recognize the impact of decisive ideas and events in human heritage; 8. Develop and perform basic search strategies and access information in a variety of formats, print and non-print. 9. Analyze, summarize and interpret a variety of reading materials; 10. Think critically and make connections in learning across the disciplines; 11. Elaborate upon knowledge to create new thoughts, processes and/or products; and, 12. Demonstrate an awareness of ethical considerations in making value choices. Adopted: Spring 2002 REV. 4/2011 12 JEFFERSON COMMUNITY & TECHNICAL COLLEGE LPN-ADN STUDENT HANDBOOK CURRICULUM GUIDE, COURSE DESCRIPTIONS, & COMPETENCIES A student who has passed the National Council Licensure Examination—PN (NCLEX-PN) and holds an active unrestricted license for practical/vocational nursing will be awarded credit for the first semester nursing course in a KCTCS Associate Degree Nursing Program. Licensed Practical/Vocational Nurses who graduated more than three (3) years prior to admission to a KCTCS Associate Degree Nursing Program shall provide verification of current employment. Current employment is defined as one (1) full year full-time employment as an LPN/LVN within the last three years. The employment in nursing shall be defined as patient/client contact and shall be verified by the employing agency/agencies using the standardized verification of employment form. The student must meet nursing admissions criteria as stated in the Rules of the Senate, Section IV.3.7.1 & 3.7.2.2, and be accepted into the nursing program for credit to be awarded. A student who has passed the National Council Licensure Examination—PN (NCLEX-PN) and holds an active unrestricted license for practical/vocational nursing and successfully completes Nursing LPN Summer Bridge Course (NSG TBA) will be awarded credit for the second semester nursing course in a KCTCS Associate Degree Nursing Program. Upon successful completion of all components of the course, the student will be admitted to Nursing Three and will have earned five (5) credit hours for Nursing LPN Summer Bridge Course (NSG TBA) and four (4) credit hours for Nursing Two, for a total of nine (9) credit hours. COURSE AND PRE-REQUISITE(S) NSG 106 Completion of Pre-Requisites: Admission to Associate Degree Program and BIO 137 (within ten years) with a grade of “C” or better and (MT 110 or MT 150) with a grade of “C” or better and PY 110 or PSY 100. Prior to or concurrent: BIO 139 with a grade of C or better (within 10 years)] and ENG 101. NSG 206 Completion of Pre-Requisites: NSG One and BIO 139 (within 10 years old) with a grade of “C” or better , ENG 101 Prior to or concurrent: PSY 223 and Oral Communications Concurrent with: Nursing Pharmacology I REV. 4/2011 TITLE Nursing One 9 credit hours Lecture: 5 hours/week Laboratory: 12 hours/week DESCRIPTION Introduces and applies Gordon’s Functional Health Patterns (FHP) within the context of the contemporary health care system. Emphasizes foundation knowledge of nursing practice, skills acquisition, and care of clients with risk for or actual common chronic health pattern dysfunctions. Nursing Two 9 credit hours Lecture: 5 hours/week Laboratory: 12 hours/week Includes the application of core components of nursing to clients experiencing alterations in health. Focuses on the nursing care for the client with mental health dysfunctions and the client experiencing acute and/or chronic health pattern dysfunctions 13 JEFFERSON COMMUNITY & TECHNICAL COLLEGE LPN-ADN STUDENT HANDBOOK NURSING PRACTICE I (NSG 106) DESCRIPTION: Introduces and applies Gordon’s Functional Health Patterns (FHP) within the context of the contemporary health care system Emphasizes foundation knowledge of nursing practice, skills acquisition, and care of clients with risk for or actual common chronic health pattern dysfunctions COMPETENCIES: Upon completion of this course the student can: 1. Apply Gordon’s Functional Health Patterns (FHP) as a basis for assessment with emphasis on the adult and gerontologic client. 2. Perform identified foundation nursing skills according to critical criteria. 3. Identify and apply, at a beginning level, the nursing process to clinical decision making and the management of care for one client experiencing dysfunctional health patterns. 4. Demonstrate basic communication techniques with clients and members of the health care team. 5. Recognize and demonstrate caring behaviors in self and others. 6. Demonstrate a beginning knowledge of professional behaviors as identified by the American Nurses Association (ANA) Standards of Nursing Practice. 7. Identify and respond to situations that require basic knowledge of teaching and learning strategies. 8. Identify and report situations that require collaboration with the client and other members of the health care team. Essential Skills – Nursing 106 Demonstration, supervised practice, and evaluation by faculty of competency in performing essential skills: Safety Practices Standard Precautions Protective Barriers Physical Assessment according to Gordon’s FHP Administration of Medications Medication Administration exam Teaching – Learning Surgical Asepsis Sterile Dressing Catheterization I.V. Maintenance Management of Care of One Patient Individualized Nursing Care Plan REV. 4/2011 14 JEFFERSON COMMUNITY & TECHNICAL COLLEGE LPN-ADN STUDENT HANDBOOK NURSING PRACTICE II (NSG 206) DESCRIPTIONS: Includes the application of core components of nursing to clients experiencing alterations in health. Focuses on nursing care for the client with mental health dysfunctions and the client experiencing acute and/or chronic health pattern dysfunctions. COMPETENCIES: Upon completion of this course the student can: 1. Implement Gordon’s Functional Health Patterns (FHP) as a basis for assessment with emphasis on adult clients with multiple dysfunctional health patterns. 2. Provide safe nursing care while maintaining previously learned skills and acquiring additional essential skills that adhere to critical criteria. 3. Apply the nursing process to clinical decision making and the management of care for a minimum of two clients with multiple dysfunctional health patterns. 4. Demonstrate therapeutic communication techniques with clients, families, significant others and members of the health care team. 5. Demonstrate caring behaviors in nursing practice. 6. Demonstrate professional behaviors according to the ANA Standards of Nursing Practice in the delivery of client care and self development. 7. Implement teaching-learning processes in the management of client care. 8. Participate in a collaborative team approach to provide holistic client-centered care. Essential Skills – Nursing 206 Previously acquired essential skills from nursing one Interactional process analysis journal Management of care for 2 or more clients Medication administration exam Care plan Nasogastric intubation Gavage Lavage Suctioning (oropharyngeal, nasotracheal, nasopharyngeal, tracheobronchial) Central line care Blood and blood product administration Tracheostomy care Intravenous piggyback administration Intravenous push medications REV. 4/2011 15 JEFFERSON COMMUNITY & TECHNICAL COLLEGE LPN-ADN STUDENT HANDBOOK PARENT COURSE COURSE AND PRE-REQUISITE(S) *NSG 196 (LPN ONLY) Completion of Pre-Requisites: Admission to Associate Degree Program and [(BIO 137 & BIO 139 (within ten years) with a grade of “C” or better) and (MT 110 or MT 150) with a grade of “ C” or better)] and (PY 110 or PSY 100) and ENG 101 Prior to: PSY 223 and Oral Communication Course Concurrent with: Nursing Pharmacology I TITLE Nursing LPN Bridge 5 credit hours Lecture: 4 hours/week Laboratory: 1 hours/week Contact: 105 hours total DESCRIPTION Builds upon the LVN/LPN experiences in application of core components of nursing. Focuses on the nursing care for the client with mental health dysfunctions and the client experiencing acute and/or chronic health pattern dysfunctions. Covers selected content and skills from Nursing One and Nursing Two. Includes the role of the Associated Degree Nurse and application of the core components of nursing practice to client’s experience. MODULAR COURSES Course # NSG 1961 NSG 1962 NSG 1963 NSG 1964 NSG 1965 NSG 1966 Title and Description Validation of Essential Skills: Review of essential skills set Role Transition - Level I (co or prerequisite NSG 2161): Provides transitions from the Licensed Practical Nurse to the role of Associate Degree Nurse Behavioral Health: Focuses on the nursing care for the client with mental health dysfunctions Introduction to ADN Skills I (co or prerequisite NSG 2162): Allows students to demonstrate competencies for the care of the mental health Medical–Surgical Dysfunctions: Covers the implementation of nursing care for the client experiencing acute and/or chronic dysfunction in Gordon’s Functional Health Patterns. Introduction to ADN Skills II (co or prerequisite NSG 2163) : Allows students to demonstrate skills competencies for the care of patients. Module Totals: Credit Hours & Weeks Contact Hours .4 = 3 weeks 18 1 = 5 weeks 15 1 = 5 weeks 15 .3 = 3 weeks 13.5 2 = 10 weeks 30 .3 = 3 weeks 13.5 5 105 *KCTCS requirements to meet computer literacy include: Scoring a passing score on the IC3 computer exam or successful completion of IT100, CIS 100, OST 105 or documentation of successful completion of certification exams as approved by KCTCS. REV. 4/2011 16 JEFFERSON COMMUNITY & TECHNICAL COLLEGE LPN-ADN STUDENT HANDBOOK LPN TO ADN BRIDGE (NSG 196) DESCRIPTION: Builds upon the LVN/LPN experiences in application of core components of nursing. Focuses on the nursing care for the client with mental health dysfunctions and the client experiencing acute and/or chronic health pattern dysfunctions. Covers selected content and skills from Nursing One and Nursing Two. Includes the role of the Associated Degree Nurse and application of the core components of nursing practice to client’s experience. COMPETENCIES: Upon completion of this course the graduate will be able to: 1. Implement Gordon’s Functional Health Patterns (FHP) as a basis for assessment with emphasis on adult clients with multiple dysfunctional health patterns. 2. Provide safe nursing care while maintaining previously learned skills and acquiring additional essential skills that adhere to critical criteria. 3. Identify and apply, at a beginning level, the nursing process to clinical decision making and the management of care for one client experiencing dysfunctional health patterns. 4. Demonstrate therapeutic communication techniques with clients, families, significant others and members of the health care team. 5. Demonstrate caring behaviors in nursing practice. 6. Demonstrate professional behaviors according to the ANA Standards of Nursing Practice in the delivery of client care and self development. 7. Implement teaching/learning processes into the management of client care. 8. Participate in a collaborative team approach to provide holistic client-centered care. Essential Skills – Nursing 196 (LPN to AND Bridge) All essential skills indicated in the first nursing course Interactional process analysis journal Medication administration exam Care plan Nasogastric intubation Gavage Lavage Suctioning (oropharyngeal, nasotracheal, nasopharyngeal, tracheobronchial) Central line care Blood or blood product administration Tracheostomy care Intravenous piggyback administration Intravenous push medications Safety Practices (overriding) Standard Precautions (overriding) REV. 4/2011 17 JEFFERSON COMMUNITY & TECHNICAL COLLEGE LPN-ADN STUDENT HANDBOOK PARENT COURSE COURSE AND PRE-REQUISITE(S) NSG 236 Completion of Pre-Requisites: NSG Two and Nursing Pharmacology I with a grade of “C” or better; or Completion of Nursing LPN Bridge (NSG TBA) and Nursing Pharmacology I with a grade of “C” or better. Oral Communication and PSY 223 Prior to or concurrent: BIO 225 (within 10 years) with a grade of “C” or better and English 102 Concurrent with: Nursing Pharmacology II TITLE Nursing Three 9 credit hours Lecture: 5 hours/week Laboratory: 12 hours/week Contact: 255 hours total DESCRIPTION Includes application of the core components of nursing to the care of child-bearing and child-rearing families experiencing functional and dysfunctional health patterns. MODULAR COURSES Course # Title and Description Credit Hours & Weeks Contact Hours NSG 2361 Childbearing Family: Applies core components of nursing in the care of child-bearing families experiencing functional and dysfunctional health patterns 2.5 = 13 weeks 37.5 2 = 10 weeks 90 2 = 10 weeks 30 .5 = 3 weeks 7.5 2 = 10 weeks 90 9 255 NSG 2362 NSG 2363 NSG 2364 NSG 2365 REV. 4/2011 Maternal-Newborn Clinical (co or prerequisite NSG 2261): Applies core components of nursing in the care of child-bearing families experiencing functional and dysfunctional health patterns The Pediatric Client (co or prerequisite NSG 2262): Applies core components of nursing in the care of child-bearing families experiencing functional and dysfunctional health patterns Role Transition - Level II: Provides overview of competencies required for entry into practice Pediatric Clinical: Applies core components of nursing in the care of child-bearing families experiencing functional and dysfunctional health patterns Module Totals: 18 JEFFERSON COMMUNITY & TECHNICAL COLLEGE LPN-ADN STUDENT HANDBOOK NURSING PRACTICE III (NSG 236) DESCRIPTION: Includes application of the core components of nursing to the care of child-bearing and child-rearing families experiencing functional and dysfunctional health patterns. COMPETENCIES: Upon completion of this course, the student can: 1. Use Gordon’s Functional Health Patterns (FHP) as a basis for assessment of childbearing and childrearing families. 2. Provide safe nursing care while demonstrating competency according to critical criteria in performance of essential skills unique to childbearing and childrearing families. 3. Apply the nursing process to clinical decision making and the management of care for childbearing and childrearing families. 4. Employ and adapt therapeutic communication techniques in the care of childbearing and child-rearing families. 5. Demonstrate caring behaviors in the care of childbearing and childrearing families. 6. Incorporate professional behaviors according to the ANA Standards of Nursing Practice into the care of childbearing and childrearing families. 7. Evaluate and adapt the teaching-learning process in the care of childbearing and childrearing families. 8. Participate in a collaborative team approach to provide holistic client-centered care with an emphasis on childbearing and childrearing families. REV. 4/2011 19 JEFFERSON COMMUNITY & TECHNICAL COLLEGE LPN-ADN STUDENT HANDBOOK PARENT COURSE COURSE AND PRE REQUISITE(S) NSG 246 Completion of: NSG Three and Nursing Pharmacology II with a grade of ‘C” or better and BIO 225 (within 10 years old) with a grade of “C” or better, and ENG 102 Prior to or concurrent: Heritage/Humanities/Foreign Language TITLE Nursing Four 9 credit hours Lecture: 5 hours/week Laboratory: 12 hours/week Contact: 255 hours total DESCRIPTION Emphasizes the development of the nurse as a provider of care, manager of care, and member of the nursing profession. Provides for the application of critical thinking skills in the care of diverse clients/families across the lifespan with actual or potential alteration in health due to complex acute and chronic health problems. Includes an integrated practicum with an emphasis on leadership, management, clinical decision-making, collaboration, knowledge, judgment, skills, and professional values within the legal/ethical framework to facilitate the transition of the student to Registered Nurse practice. MODULAR COURSES Course # Title and Description Medical Surgical Nursing II A: Emphasizes the development of the nurse as a provider of care, manager of care, and member of the nursing profession. Provides for the application of critical thinking skills in the care of diverse clients/families across the lifespan with actual or potential alteration NSG 2461 in health due to complex acute and chronic health problems. Emphasizes leadership, management, clinical decision-making, collaboration, knowledge, judgment, skills, and professional values within the legal/ethical framework to facilitate the transition of the student to Registered Nurse practice. Medical Surgical Nursing II B: Emphasizes the development of the nurse as a provider of care, manager of care, and member of the nursing profession. Provides for the application of critical thinking skills in the care of diverse clients/families across the lifespan with actual or potential alteration NSG 2462 in health due to complex acute and chronic health problems. Emphasizes leadership, management, clinical decision-making, collaboration, knowledge, judgment, skills, and professional values within the legal/ethical framework to facilitate the transition of the student to Registered Nurse practice. NSG 2463 Medical Surgical Nursing II C: REV. 4/2011 Credit Hours & Weeks Contact Hours 2 = 10 weeks 30 2 = 10 weeks 30 1 = 5 weeks 15 20 JEFFERSON COMMUNITY & TECHNICAL COLLEGE LPN-ADN STUDENT HANDBOOK Promotes an integrated practicum with an emphasis on leadership, management, clinical decision-making, collaboration, knowledge, judgment, skills, and professional values within the legal/ethical framework to facilitate the transition of the student to Registered Nurse practice. Integrated Clinical Practicum: Includes an integrated practicum with an emphasis on leadership, management, clinical decision-making, collaboration, knowledge, NSG 2464 judgment, skills, and professional values within the legal/ethical framework to facilitate the transition of the student to Registered Nurse practice. Module Totals: 4 = 15 weeks 180 9 255 NURSING PRACTICE IV (NSG 246) DESCRIPTION: Emphasizes the development of the nurse as a provider of care, manager of care, and member of the nursing profession. Provides for the application of critical thinking skills in the care of diverse clients/families across the lifespan with actual or potential alteration in health due to complex acute and chronic health problems. Includes an integrated practicum with an emphasis on leadership, management, clinical decision-making, collaboration, knowledge, judgment, skills, and professional values within the legal/ethical framework to facilitate the transition of the student to Registered Nurse practice. COMPETENCIES: Upon completion of this course, the student can: 1. Apply Gordon’s Functional Health Patterns (FHP) as a basis for assessment in the management of care for a group of clients. 2. Synthesize client data in the management and prioritization of nursing care. 3. Demonstrate competency of all essential skills that adhere to critical criteria. 4. Apply the nursing process to clinical decision making and the management of care for a group of clients. 5. Employ therapeutic communication techniques with a group of clients or significant others, and members of the health care team. 6. Integrate caring behaviors into the management of care for a group of clients. 7. Demonstrate professional behaviors when making decisions and taking actions that are consistent with the ANA Standards of Nursing Practice. 8. Recognize the importance of self-development and a commitment to lifelong learning in professional nursing. 9. Evaluate and modify teaching/learning processes to assure achievement of positive client outcomes. 10. Participate in a collaborative team approach with appropriate delegation to provide holistic clientcentered care while managing a group of clients. REV. 4/2011 21 JEFFERSON COMMUNITY & TECHNICAL COLLEGE LPN-ADN STUDENT HANDBOOK PARENT COURSE COURSE AND PRE REQUISITE(S) NSG 216 Concurrent with Nursing Two or Nursing LPN Bridge Course (see above). TITLE Nursing Pharmacology I 1 credit hour Contact: 15 hours total DESCRIPTION Focuses on common drugs: classifications, indications, and effects. Emphasizes nursing implications and the use of the nursing process in medication administration with emphasis on content introduced in Nursing One and Nursing Two. MODULAR COURSES Course # NSG 2161 NSG 2162 NSG 2163 REV. 4/2011 Title and Description Principles of Pharmacology: Emphasizes nursing implications and the use of the nursing process in medication administration. Nurse’s Role in Drug Therapy: Focuses on classifications, indications, and effects of common drugs. Emphasizes nursing implications and the use of the nursing process in medication administration. Pharmacology Agents 1.0: Focuses on classifications, indications, and effects of common drugs. Emphasizes nursing implications and the use of the nursing process in medication administration. Module Totals: Credit Hours & Weeks Contact Hours 0.2 = 3 weeks 3 0.2 = 3 weeks 3 0.6 = 5 weeks 9 1 15 22 JEFFERSON COMMUNITY & TECHNICAL COLLEGE LPN-ADN STUDENT HANDBOOK NURSING PHARMACOLOGY (NSG 216) DESCRIPTION: Focuses on common drugs: classifications, indications, and effects. Emphasizes nursing implications and the use of the nursing process in medication administration with emphasis on content introduced in Nursing One and Nursing Two. COMPETENCIES: Upon completion of this course the student can: 1. Identify Nursing One and Nursing Two drug classifications and common representative drugs. 2. Identify the indications, modes of action, and effects of drugs. 3. Identify nursing implications related to drug therapy. 4. Describe legal and ethical parameters of drug therapy as related to nursing practice. 5. Identify the influence of cultural and psychosocial factors affecting drug therapy compliance. PARENT COURSE COURSE AND PREREQUISITE(S) NSG 226 Concurrent with Nursing Three (See above) TITLE Nursing Pharmacology II 1 credit hour Contact: 15 hours total DESCRIPTION Focuses on common drugs: classifications, indications, and effect s. Emphasizes nursing implications and the use of the nursing process in medication administration with emphasis on content introduced in Nursing Three and Nursing Four. MODULAR COURSES Course # NSG 2261 NSG 2262 REV. 4/2011 Title and Description Nursing Pharmacology 2.0: Focuses on classifications, indications, and effects of common drugs. Emphasizes nursing implications and the use of the nursing process in medication administration. Nursing Pharmacology 2.1: Focuses on classifications, indications, and effects of common drugs. Emphasizes nursing implications and the use of the nursing process in medication administration. Module Totals: Credit Hours & Weeks Contact Hours 0.1 = 3 weeks 1.5 0.9 = 5 weeks 13.5 1 15 23 JEFFERSON COMMUNITY & TECHNICAL COLLEGE LPN-ADN STUDENT HANDBOOK NURSING PHARMACOLOGY II (NSG 226) DESCRIPTION: Focuses on common drugs: classifications, indications, and effects. Emphasizes nursing implications and the use of the nursing process in medication administration with emphasis on content introduced in Nursing Three and Nursing Four. COMPETENCIES: Upon completion of this course, the student can: 1. Identify drug classifications and common representative drugs associated with content in Nursing Three and Nursing Four. 2. Identify the indications, modes of action, and effects of drugs. 3. Identify nursing implications related to drug therapy. 4. Describe legal and ethical parameters of drug therapy as related to nursing practice. 5. Identify cultural and psychosocial factors affecting drug therapy compliance. REV. 4/2011 24 JEFFERSON COMMUNITY & TECHNICAL COLLEGE LPN-ADN STUDENT HANDBOOK PROGRAM POLICIES & PROCEDURES Guidelines for Admission and Re-admission Achievement of the Computer Literacy requirement as defined by the Kentucky Community and Technical College System- Not included in the 2.75 GPA calculation Completion of all pre-requisites: BIO 137 (with a grade of “C” or better and within a period of 10 years); PY 110 or PSY 100 and Math: MT 110 or MT 150 (with a grade of “C” or better). Kentucky Licensure as a Practical Nurse Must have GPA of 2.75 or above in the 12 or more college hours in the approved nursing curriculum. Students interested in re-admission should contact the Associate Degree Nursing Program Coordinator. Transfer 1. Applicants who wish to transfer from one KCTCS Nursing Program or other nursing programs must meet all admission requirements of the LPN-ADN Nursing Program. In addition the following rules apply: a. Acceptance of any transfer student will be dependent upon available resources, comparability of previous nursing courses, and results of a nursing pre-admission exam. b. Applicants will be considered for admission only if a vacancy exists. c. Applicants previously admitted to another nursing program, and who have earned a failing grade in a nursing course or program will not be accepted for admission to the Online LPN-ADN program. d. Notify the project leader, in writing, stating the anticipated entry date and reason for transfer at least three months prior to the expected date of enrollment. e. From the previously attended nursing program, applicants should provide letters of recommendation indicating the student is in good standing from the Nursing Program Administrator and a clinical instructor. Letters should be written on School letterhead. f. Submit a copy of course objectives, course outlines, class schedule, and skills lists from all nursing courses taken at the previous college. 2. If more than three years have elapsed since initial enrollment in any registered Nursing Program, an applicant must repeat all nursing courses. Grades in Prerequisite and Required Courses A grade of “C” is required to pass all nursing and required math and science courses. Nursing course grades consist of two parts: theory and clinical experience. Clinical experience is evaluated as satisfactory or unsatisfactory. See the respective course syllabus for an explanation of clinical grading. An unsatisfactory clinical evaluation results in a failure for the course. Conferences may be scheduled at the request of the student or the instructor. All students who have below a “C”, in a nursing course at mid-term, will be notified in writing/e-mail. Exam grades will be posted online on Blackboard. Course grades will only be received from the college. No grades will be given over the phone. If all concurrent courses are not completed at the end of the required semester, the student will be dropped from the Nursing Program. The student may choose to apply for readmission to the Nursing Program after successful completion of the required course. Readmission is not guaranteed. REV. 4/2011 25 JEFFERSON COMMUNITY & TECHNICAL COLLEGE LPN-ADN STUDENT HANDBOOK Exams and Grading Scale Throughout the program there will be proctored and non-proctored quizzes and/or exams. Details are provided in each course syllabus. Students are expected to follow instructions since some scheduling will require additional steps such as registering with the Prometric testing centers or scheduling skills check-offs with the designated clinical coordinator. 1. Course Grades are based on the following scale: A = 91 – 100% B = 83 – 90% C = 75 – 82% D = 67 – 74% E = 66% and below 2. A grade <75% is considered failure in the all nursing courses. The lowest passing final grade is 74.46%. Kentucky Board of Nursing Regulations The KBN regulations states that the Integrated Clinical Practicum is 120 hours completed over a seven week period of time, within the last semester of the program. If a student has been granted extended time to take the last course, such as NSG 2464, the student will have to repeat the course and repeat the 120 hours required by Kentucky Board of Nursing prior to seeking application for licensure. Cellular Phones/Pagers/Electronic Devices Cellular Phones are not to be used in the nursing lab and are not permitted in the clinical area. Only the approved calculators purchased through Barnes and Noble Bookstore are allowed during testing. Student Uniform Dress Code Policy (Students are expected to adhere to the program Dress Code Policy) 1. Shoes, Socks, Hose Shoes - Athletic or plain, white leather Socks - White socks may be worn only with pants. Hose - plain white hose 2. Sweaters: A plain, light-weight cardigan in either white or navy may be worn in the clinical area. 3. Jewelry: Watch with ability to calculate seconds; small post style, non-dangling, gold, silver, or pearl earrings; no necklaces; wedding band only. 4. Fingernails: Clear polish; no longer than tips of fingers; clean; no artificial nails. 5. Tattoos/Body Piercing: No visible tattoos or body piercing will be permitted. 6. Hair: Simple styles with no adornments. Clasp or plain barrette, same color as the hair may be worn. Length not to exceed collar; wear pinned up if longer; clean. Male facial hair trimmed, neat and clean. Males without beards must have clean-shaven appearance. 7. Make-up: Should be worn with moderation. All colors "lightly" applied. 8. Uniform Guidelines: Uniforms must be teal and purchased through the Barnes and Noble Bookstore (Jefferson Campus). Name tags are also to be purchased at the Barnes and Noble Bookstore. Male and REV. 4/2011 26 JEFFERSON COMMUNITY & TECHNICAL COLLEGE LPN-ADN STUDENT HANDBOOK female pantsuits must have tunic top that come down to the thigh. No overalls, jumpsuits or T-shirt materials are permitted. Size and length of uniform must be loose to permit easy movement and modesty. 9. Lab Coats (optional): If worn, lab coats should be long, white and accompanied by a patch on the left sleeve and an identifying name pin. 10. Personal Hygiene: Clean, wear deodorant, oral hygiene, no bodily odors, no perfumes, no musk scents, no scented after shave lotion, no chewing gum. Undergarments are to be worn but not visible under the uniform, preferably white, beige, or skin tone. 11. Student ID: Identification badges will be required for all KCTCS Online LPN-ADN Program students in order to participate in all nursing program functions. It must include the student’s name and the designation “Nursing Student”. It may be obtained through the online or local Jefferson Community and Technical College’s Barnes and Noble Bookstore. 12. Substance Abuse: Student suspected of substance abuse will be dismissed from clinicals. Please refer to the Student Code of Conduct for the KCTCS policy. NOTE: When picking up patient assignments, students are expected to follow the dress code, wearing a lab coat and name tag before they will be permitted to retrieve assignments. Clinical Assignments (NSG 2362, NSG 2365, NSG 2463, NSG 2464) Assignments to clinical agencies will be made by the clinical coordinator at the college of student’s enrollment, using available resources and learning areas. Transportation to clinical agencies is the responsibility of the student. Students need to be prepared to attend clinicals during day, evening, and weekend time frames. Occasionally, clinicals may be on the weekdays; however, the majority will be during the weekends. The time frame for clinical days is dependent on the number of course credits. Nursing Laboratory (NSG 1961, 1964 and NSG 1966) The Nursing Laboratory is located at the college the student is enrolled; however, it may be necessary for students to travel to Jefferson Community and Technical College for evaluations related to the High Fidelity Patient Simulations Skills Lab. The focus of the lab is to assist students in learning the required skills needed to practice nursing. If the student desires to practice skills in the lab, it is necessary to make arrangements through the designated clinical coordinator or the LPN-ADN Program Coordinator. End of Course Surveys Students evaluate each nursing course at the end of each course. Students evaluate each clinical agency to which they are assigned for clinical experience. Sexual Harassment Policy Discrimination in the form of harassment based upon color, religion, national origin, sexual orientation, disability, or age will not be tolerated by KCTCS. REV. 4/2011 27 JEFFERSON COMMUNITY & TECHNICAL COLLEGE LPN-ADN STUDENT HANDBOOK Student Code of Conduct The KCTCS Student Code of Conduct explains the rights and responsibilities of both students and faculty and covers such matters as classroom and campus conduct, students’ academic rights, and procedures for dealing with academic dishonesty. It can be found at http://www.kctcs.edu/student/code.htm Learning Contract It is extremely important that you review the information you agreed to in the Learning Contract as it outlines important information you need to be aware of as a student regarding your timeframe to complete this course, financial obligations, and your responsibilities as a student. Financial Aid Financial aid for the Learn on Demand program functions differently than financial aid for courses on campus or online through Learn by Term. Please contact the KCTCS Online Student Services Help Desk at telephone number: 1-866-321-7406 for more information. Dropping a Course The student can receive an A, B, C, D, E, or W in this module. For information about how dropping this course will affect your grade and future financial aid, please view your academic calendar in Student Self-Service or contact the KCTCS Online Student Services Help Desk for more information. REV. 4/2011 28 JEFFERSON COMMUNITY & TECHNICAL COLLEGE LPN-ADN STUDENT HANDBOOK REQUIRED DOCUMENTATION Technical Standards Immunization/Health Record o PPD o Tetanus (Td) o Varicella (Chicken Pox) o Pertussis (Whooping Cough) o MMR (Measles, Mumps, Rubella) o Hepatitis B Vaccine o Influenza Vaccine o Physician’s Medical Release Liability Insurance CPR Kentucky Licensed Practical Nurse Registry College Transcripts Background Check and Drug Screening Typhon Nursing School Student Tracking System (NSST) Tutorial Additional Supplies Needed These forms and required documentation can be found in the LPN-ADN Program Application Packet. REV. 4/2011 29 JEFFERSON COMMUNITY & TECHNICAL COLLEGE LPN-ADN STUDENT HANDBOOK TECHNICAL STANDARDS The degree of Associate in Applied Science in Nursing is awarded upon completion of the program. The graduate is then eligible to take the state licensing examination to become a registered nurse. Admission to the program is open to all qualified students. Jefferson Community and Technical College does not discriminate on the basis of race, color, national origin, age, marital status, sex or handicap in employment, educational programs or activities as set forth in Title IX of the Educational Amendment of 1972, Title VI of the Civil Right Act of 1964 and Section 504 of the Rehabilitation Act of 1973. Nursing at the technical level involves the provision of direct care for individuals and is characterized by the application of admission verified knowledge in the skillful performance of nursing functions. Therefore, in order to be considered for admission or to be retained in the program after admission, all applicants should possess: 1. 2. 3. 4. 5. REV. 4/2011 Sufficient visual acuity such as needed in the accurate preparation and administration of medications, and for the observation necessary for client assessment and nursing care. Sufficient auditory perception to receive verbal communication from patients and members of the health team and to assess health needs of people through the use of monitoring devices such as cardiac monitor, stethoscope, IV infusion pumps, Doppler, fire alarms etc. Sufficient gross and fine motor coordination to respond promptly and to implement the skills, including the manipulation of equipment, required in meeting health needs. Sufficient communication skills (speech, reading, writing) to interact with individuals and to communicate their needs promptly and effectively, as may be necessary in the individuals' interest. Sufficient intellectual and emotional function to plan and implement care for individuals. 30 JEFFERSON COMMUNITY & TECHNICAL COLLEGE LPN-ADN STUDENT HANDBOOK IMMUNIZATION VERIFICATION & HEALTH RECORD Acceptable documentation includes one of the following: 1. A copy of the medical record documenting diagnosis of the illness. This is only acceptable for those conditions whereby having the illness can result in natural immunity. 2. A physician or nurse's signature verifying that the student received the appropriate vaccination(s). The signature must be placed on the appropriate space on the immunization form in the LPN-ADN Application Packet. 3. Xeroxed copies of any lab test(s), chest x-ray report, etc. 4. Copy of your High School diploma (i.e. Jefferson County Public Schools) will prove that you had childhood immunization. You will still need to provide documentation of a Measles, Mumps, and Rubella (MMR) after age 12, Tetanus (Td) within the past 10 years, and a PPD that is current throughout the academic year. Unacceptable documentation: Except for Pertussis and Varicella, personal statements by anyone including a parent or guardian that the student has had the illness as a child or adult will be unacceptable and will not be accepted as documentation. PPD (Tuberculosis Test) We will accept results of the tine, Mantoux or a chest x-ray as verification of tuberculin status. This test will be required upon entry to the NSG Program and annually thereafter. Note: If you submit a tine or Mantoux result, you must provide the date the test was done, the date the result was read and the signature of the nurse or physician documenting the result. If you have a chest x-ray, submit a copy of the radiology report. If either the PPD or chest x-ray result is a positive reading, you must document medical follow up. A doctor's written statement is required. TETANUS (Td) Submit documentation of a Td within the last 10 years. If the student has never had a Td, he/she must provide documentation of a primary DPT series (as infant), or an adult series of Td. The primary childhood series consist of 3 doses of DPT and a booster. After the age of 7, the DPT is no longer given. The Td (DT) is REV. 4/2011 31 JEFFERSON COMMUNITY & TECHNICAL COLLEGE LPN-ADN STUDENT HANDBOOK the adult form of this immunization. If you are not able to document the childhood series, then you MUST complete the adult Td series. The adult series of the Td must include 3 doses of Td, the first two given 6 to 8 weeks apart and the third, six months after the second dose. The third dose, however, must have been received within the last 10 years. A Td booster is required every 10 years, except if an injury occurs, then 5 years. VARICELLA (Chicken Pox) Personal history of an active case of Varicella, or documentation of a physician - diagnosed case of Varicella will be accepted. The parent, guardian, or health care professional providing the information must sign the Personal History Verification form. A Varicella titer showing immunity will also be accepted. Non-immune individuals will not be allowed to care for patients with Varicella. If a non-immune individual sustains an exposure to Varicella, he/she will be restricted from clinical rotations from day ten post-exposure through day twenty-one post exposure. PERTUSSIS (Whooping Cough) Personal history of an active case of Pertussis will be accepted. The parent or guardian providing the historical information must sign the Personal History Verification form. A copy of the medical record verifying the diagnosis of the illness or receipt of the vaccination series will also be accepted. MMR (Measles - Mumps - Rubella) MMR trivalent vaccine is the vaccine of choice, and as such is recommended for use by the Centers for Disease Control (CDC). The student must provide appropriate documentation of one of the following: two Measles (Rubeola), one Rubella and one mumps; or two doses of MMR given after the age of twelve months. 1. Two Measles, one Rubella, and one mumps immunization, Or 2. Two doses of MMR given after the age of 12 months, Or 3. Even though CDC Guidelines states that persons born before 1957 should be considered immune, health care workers (e.g. nursing students) are a high exposure group; therefore, CDC recommends one dose of MMR for those born before 1957 that cannot provide proof of immunity to this disease by documentation of a physician diagnosed case of measles, mumps, rubella, Or 4. A copy of the medical records documenting diagnosed measles, mumps, or rubella as proof of immunity, Or 5. Results of the following titers: Measles IgG, Mumps IgG and Rubella Titer. 6. A Physician's Medical Release will be required if you are pregnant, have back problems or have Diabetes Mellitus. The release should describe specific limitations, if any, which the student needs to adhere to. REV. 4/2011 32 JEFFERSON COMMUNITY & TECHNICAL COLLEGE LPN-ADN STUDENT HANDBOOK EXPLANATION OF VACCINE REQUIREMENTS The Hepatitis B Vaccine series is strongly encouraged. The Influenza vaccine is recommended for persons with chronic, debilitative conditions or prone to the flu. Explanation of Vaccine Requirements Addendum Hepatitis B Two doses IM, 4-weeks apart; 3rd dose if 5 months after 2nd dose. No booster required Varicella Any health care worker who does not have a reliable history of varicella infection or laboratory evidence of a positive titer. If none of the above-Two 0.5 mL doses SQ 4-8 weeks apart if older than 13 years of age. Tuberculosis PPD using Mantoux method performed yearly. Must be read in 48-72 hours after test is Screening placed. If you have had a positive test in the past, you must have documentation of a clear chest Xray and no signs & symptoms of disease evaluated yearly. Influenza Vaccine Strongly recommended for health care workers. Annual vaccine IM LIABILITY Neither Jefferson Community and Technical College, associated partner colleges for LPN to ADN option nor the clinical agency assumes financial responsibility for injuries sustained by a nursing student while in a clinical facility. REV. 4/2011 33 JEFFERSON COMMUNITY & TECHNICAL COLLEGE LPN-ADN STUDENT HANDBOOK CLINICAL LIABILITY INSURANCE APPLICATION The Liability Insurance form needs to be turned in with your application. You will be a $20.00 fee charged to your online account which can be paid along with your tuition. You will be accessed this fee when you register for your first LPN-ADN course. You will be asked to sign the same form for each additional term covered by the insurance. The Liability Insurance Form is maintained in the Nursing Program Office. However neither Jefferson Community and Technical College nor the clinical agency assumes financial responsibility for injuries sustained by a nursing student while in a clinical facility. CPR CERTIFICATION Certification in CPR (Cardiopulmonary Resuscitation) is required for all nursing students. A copy of a CPR card verifying certification through at least May of the following year (or proof of registration in a CPR class that will be held in August must be submitted) is needed. Certification may be obtained through the American Heart Association, American Red Cross, or at area hospitals and churches. Be sure that you take CPR classes designed for health care providers and include: one-man and two-man CPR and obstructed airway. The CPR & Obstructed Airway instruction must include variations for infants, children & adults. KENTUCKY LICENSED PRACTICAL NURSE REGISTRY Prior to acceptance in the program, your entry on the Kentucky Licensed Practical Nurse Registry will be referenced to ensure that you hold a current license and are in good standing. This requires no action on the part of the student. COLLEGE TRANSCRIPTS Prior to acceptance in the program, you will need to provide your official transcripts to the Jefferson Registrar/Records Office and submit an unofficial copy with your LPN-ADN Application Packet. Please mail your official transcript to: Jefferson Community and Technical College Registrar/Records Office 109 East Broadway Louisville, KY 40202 To be considered for acceptance into the program, your transcript will need to reflect a combined GPA of 2.75 in nursing required general education courses and demonstrate completion of the following prerequisite courses: Computer Literacy (IT 100 or OST 105 or CIS 100 or IC3 exam passing score) - Not included in the 2.75 GPA calculation BIO 137 and BIO 139(with a grade of "C" or better and within a period of 10 years) PY 110 or PSY 100 and PSY 223 REV. 4/2011 34 JEFFERSON COMMUNITY & TECHNICAL COLLEGE LPN-ADN STUDENT HANDBOOK Oral Communication Course ENG 101 MT 110 or MT 150 (with a grade of "C" or better) BACKGROUND CHECK & DRUG SCREENING REQUIREMENT The KCTCS Online LPN-ADN Program with Jefferson Community and Technical College as the lead college requires background checks for all students enrolling in Nursing Programs. This process is designed to meet requirements for students’ assignment to clinical practice in affiliating healthcare agencies. Jefferson Community and Technical College has worked with Verified Credentials, Inc. to establish an acceptable screening procedure as follows: $43.00 – National Background Check $37.00 – Drug Screening Students who fail to submit a background check & drug screening prior to the first day of class, may not be eligible for clinical placement. Browser access must be through Internet Explorer or Foxfire. Access website: www.myvci.com/jctc Select the “Order Now” button Select KCTCS Online LPN-AND Program from the drop down menu. Complete and sign disclosure. Complete information/application page. Print or write down your tracking information (this allows you to edit and track the progress of your report). An email with your tracking information will also be delivered to the email address provided on your application. You may also visit the website above, select TRACK MY ORDER and enter the tracking number ad order information to access the status or the results of your background check. Review information, make payment selection and submit order. Additional Payment Choices Once payment is received and the report is in progress, you will receive an email with a confirmation number that you will need to print and take to a LabCorp collection site to complete the drug screen. LabCorp locations nearest your address will be included in the email with your confirmation number. You must complete the drug screen within 5 business days of receiving your confirmation number. Failure to do so may result in additional costs for a retest. Upon completion, the results of the background check and drug screening will be sent to you via email and to Jefferson Community and Technical College. If any information is found that would negatively affect your eligibility for clinical placement in the Allied Health or Nursing Program, you will be given an opportunity to challenge the information through the Adverse Action process associated with Verified Credentials. If you have any questions on the background screening process or results, please contact Client Services at 800.938.6090. It is very important that you submit information in a timely fashion. REV. 4/2011 35 JEFFERSON COMMUNITY & TECHNICAL COLLEGE LPN-ADN STUDENT HANDBOOK ALLIED HEALTH AND NURSING POLICY AND PROCEDURE MANUAL EFFECTIVE DATE: SUBJECT: SECTION: APRIL 8, 2008 CRIMINAL BACKGROUND CHECKS OPERATIONAL POLICIES ALLIED HEALTH AND NURSING POLICY To assist students in meeting requirements for placement in clinical health care facilities through documentation of a satisfactory criminal background check. Effective June 1, 2008 students in all Allied Health and Nursing majors must submit to and demonstrate a satisfactory criminal background check as a prerequisite for clinical practice. Students who fail to submit to a background check or to allow the College access to the report will be ineligible for clinical placement. Those who do not pass the background check are afforded the opportunity to explain the circumstances surrounding the situation, but if the student is ineligible for clinical placement he/she will be given the opportunity to withdraw from the Program. The criminal background check will include but is not limited to: Social Security Fraud; Criminal Background; Sex Offender Search; Abuse Registry; OIG Medicare Sanctioned List; Licensure, Certification and Designation. Situations in which a person does not have a satisfactory background check will be reviewed by the Dean of Allied Health and Nursing on a case-by-case basis. Convictions involving the following crimes, but not limited to these crimes may serve to disqualify a person from participating in required clinical learning experiences. Any felony, whether listed below or not Crimes involving drugs, including but not limited to unlawful possession or distribution Crimes of physical violence to include any type of abuse (child, spousal, or of the elderly), abduction such as kidnapping, manslaughter, murder, robbery, sexual crimes, possession of a restricted fire arm or any related weapons offenses, assault and battery Conviction of a misdemeanor related to abuse, neglect or exploitation A private company approved to perform Criminal Background Checks will conduct the background check. The cost of the background check will be borne by the student. REV. 4/2011 36 JEFFERSON COMMUNITY & TECHNICAL COLLEGE LPN-ADN STUDENT HANDBOOK ALLIED HEALTH AND NURSING POLICY AND PROCEDURE MANUAL EFFECTIVE DATE: SUBJECT: SECTION: 12/3/09 DRUG SCREEN OPERATIONAL POLICIES ALLIED HEALTH AND NURSING POLICY In order to prepare safe and competent health care workers, protect vulnerable patient populations and comply with clinical agency requirements, Jefferson Community and Technical College’s allied health and nursing programs require pre-clinical drug screening. Nursing and allied health students are strictly prohibited from being under the influence of alcohol or any drug/medication which appears to impair the student’s ability to perform essential functioning while engaged in any portion of their formal educational experience. Students will be required to submit to a 10-panel drug screening according to the procedures attached to this policy, and for producing the drug screen report if and when requested by an official of the clinical facility. Programs are responsible for informing students of these requirements in sufficient time for testing results to be available before clinical placement. Drug screening may be required of a student at any time throughout the course of study if there is reasonable suspicion on the part of the program faculty that the student may be using a controlled substance not prescribed by a health care provider. Conditions which may warrant reasonable suspicion include: Contributing to a clinical or lab accident Possession of drug paraphernalia Unexplained, abnormal, or erratic behavior Arrest or conviction for drug-related offenses Observance of drug or alcohol use Odor of alcohol or marijuana Other behavior to suggest reasonable suspicion. Positive findings on a drug screen or refusal to submit to a requested drug screen will result in immediate administrative withdrawal of the student from the program. Students removed from any program for drug-related issues are not eligible to apply for readmission to that program for 12 months. After 12 months, applicants to a program must include documentation of substance abuse rehabilitation before being considered for admission/readmission, and must pass another drug screen. REV. 4/2011 37 JEFFERSON COMMUNITY & TECHNICAL COLLEGE LPN-ADN STUDENT HANDBOOK TYPHON NURSING SCHOOL STUDENT TRACKING SYSTEM (NSST) The LPN-ADN Program utilizes an internet-based electronic student tracking system as an integrated evaluation tool and to maintain a log of a student's competencies and skills achieved during clinical rotations. Other attributes of this system includes: electronic student portfolios, external document management, customized evaluation and surveys, student biographical information, clinical site/clinical faculty databases and student scheduling. Students can access this site at http://www.typhongroup.net/nsst/videos/students.htm. All students are required to complete the NSST tutorial prior to the beginning of coursework. After completing the tutorials, students must complete the LPNADN application packet, indicating that they have completed the Typhon Nursing School Student Tracking System (NSST) tutorial. A login and password will be sent after enrollment in the first LPN-ADN course. ADDITIONAL SUPPLIES NEED Students will need the following list of supplies for the Learn on Demand LPN-ADN program. They should be purchased in advance of starting your first course. Some of these supplies may be purchased at the online Barnes and Noble bookstore. Required Materials: Elsevier DVD for the Virtual Clinical Excursions used extensively in our Medical Surgical courses DVD Player or computer with capability of reading a DVD LPN-ADN Program name badge must be worn at all times in lab, clinical or other learning experiences ANA Standards and Scope of Practice Book ANA Code of Ethics Book Nutrition for Health and Health Care- Whitney, E., DeBruyne, L., Pinna, K., Rolfes, S. (2007) Laboratory and Diagnostic Tests with Nursing Implications- Belmont, CA: Thomas Learning Inc. Kee, J. (2010) New Jersey: Pearson Prentice Hall. (ISBN 0135074053—8th Edition) Taber's Medical Dictionary Lippincott's Drug Reference Guide (current) Dimensional Analysis for Meds- Curren, A. (2010). Long Beach, CA: Delmar Doenges, M. & Moorhouse, M. (2008). Application of nursing process and nursing diagnosis: an interactive text for diagnostic reasoning. Philadelphia: F.A. Davis Stethoscope Watch with a second hand Proper uniform (white shoes, hose) Headphones and/or computer speakers Simple Calculator –for calculating drug dosages Bandage Scissors Nursing Skills Lab Kit: The purchase of a skills kit is REQUIRED. The price of the NSG 1961 Transition Skills Lab Kit is $100.00 (This price includes shipping). To have supplies available for the first lab, it is strongly recommended you purchase your kit at the time of registration in the Nursing modules. You MUST allow 5-7 days to receive your materials. REV. 4/2011 38 JEFFERSON COMMUNITY & TECHNICAL COLLEGE LPN-ADN STUDENT HANDBOOK Optional Materials: Optional reference books are available for student purchase in the campus bookstores or online. These are strictly optional and have been selected by the nursing faculty as representative examples of the best reference books currently available to meet the additional learning needs of some students. Fluids & Electrolytes Made Incredibly Easy, 2004: Springhouse -- ISBN# 1582553572 LeMone, P & Burke, K (2008). Clinical Handbook for Medical-Surgical Nursing: Critical Thinking in Client Care, (4th edition). Upper Saddle River, NJ: Prentice-Hall. Mosby's Dictionary Medical, Nursing and Allied Health (2005) St. Louis: Mosby. ISBN#0-23-37364. Nugent, P. M. & Vital, B.A. (2008).Test Success: Test Taking Strategies for Beginning Nursing Students, 5th edition, F.A. Davis Company, Philadelphia, PA Nugent, P.M. & Vital, B.A. (2008). Fundamentals Success: A Course Review of Applying Critical Thinking to Test Taking, 2nd edition. F. A. Davis Company, Philadelphia, PA Saxton Comprehensive NCLEX Review (2008). RN Examination, Mosby/Elsevier ISBN 978-1-4160-4775-9 KCTCS RESOURCES AVAILABLE FOR STUDENTS Please note that if you have any questions related to advising, admissions, registration, financial aid, student financials, student services, etc. to please contact the 24/7 Student Services Help Desk at 1-866-321-7406. 1. Library/Learning Resource Center The Learning Resource Center (LRC) on each community and technical college campus provides nursing books and periodicals in the open stacks, on microfilm and on reserve. Students are encouraged to use the library; however, each student must acquire a library ID card in order to check out books, audio visual materials, articles, etc. 2. Remediation Most courses will provide opportunities for remediation as well as enhanced learning. Students are encouraged to utilize additional resources to gain greater depth or understanding of course material. It is highly recommended that students review at least 5,000 Nursing Licensure Exam questions as they progress through the program. In preparation for the HESI exit exam, the prep book is available through Barnes and Noble Bookstore. REV. 4/2011 39