Handbook 2013-2014 SECTION I GENERAL INFORMATION Mission Statement ............................................................................................................................ 4 Philosophy and Objectives ............................................................................................................... 4 Program Philosophy ......................................................................................................................... 4 Objectives ......................................................................................................................................... 5 Short Term Goals ............................................................................................................................. 5 Equipment and Facilities .................................................................................................................. 6 Accreditation ..................................................................................................................................... 6 Equal Education Opportunity ............................................................................................................ 6 Individuals with Disabilities ............................................................................................................... 6 Control of Casual Contact Communicable Diseases ....................................................................... 7 Notification Regarding Blood-Borne Pathogens .............................................................................. 7 Visitors .............................................................................................................................................. 7 Observation Cameras ....................................................................................................................... 8 Use of School Facilities .................................................................................................................... 8 Student Sales ................................................................................................................................... 8 Telephone Calls ................................................................................................................................ 8 Use of Electronic Communication Devices/Cell Phone Policy ......................................................... 8 Advertising Outside Activities ........................................................................................................... 8 SECTION II ADMISSION AND FINANCIAL AID INFORMATION Assessment ...................................................................................................................................... 9 Student Status .................................................................................................................................. 9 Registration....................................................................................................................................... 9 Admission Requirements and Procedures ....................................................................................... 9 Admission by Transfer ....................................................................................................................10 Ohio Articulation and Transfer Policy .............................................................................................11 Class Cancellation ..........................................................................................................................11 Tuition and Fees .............................................................................................................................11 Refund Policy..................................................................................................................................11 Textbooks .......................................................................................................................................12 Tool/Lab Kits ...................................................................................................................................12 Protective Equipment and Safety Regulations ...............................................................................12 Financial Aid ...................................................................................................................................12 Change of Circumstances ..............................................................................................................12 Fraud ..............................................................................................................................................12 Verification ......................................................................................................................................13 Special Conditions ..........................................................................................................................13 Types of Financial Assistance ........................................................................................................13 Consumer Information ....................................................................................................................13 SECTION III ACADEMIC AND CLINICAL PEFORMANCE Satisfactory Progress .....................................................................................................................14 1 Academic Progress ........................................................................................................................14 Student Evaluation .........................................................................................................................14 Promotion, Continuation, and Completion ......................................................................................14 Test Policy ......................................................................................................................................15 Lab Guidelines ................................................................................................................................15 Attendance......................................................................................................................................16 Student Illness in the Classroom and Clinical Setting ....................................................................17 Appeals/Reinstatement ..................................................................................................................18 Academic Probation .......................................................................................................................18 Extenuating Circumstances ............................................................................................................19 Withdrawal Procedure ....................................................................................................................19 Readmission ...................................................................................................................................19 Maximum Time Frame ....................................................................................................................19 SECTION IV CLINICAL REQUIREMENTS Preparation for Clinical Practice .....................................................................................................20 Clinical Evaluation ..........................................................................................................................20 Clinical Evaluation Grading Scale ..................................................................................................21 Clinical Attendance Requirements .................................................................................................21 Clinical Assignments ......................................................................................................................23 Clinical Supervision and Responsibilities .......................................................................................23 Clinical Suspension ........................................................................................................................24 SECTION V SCHOOL AND PROGRAM POLICIES Cheating and Plagiarism ................................................................................................................25 Criminal Background Record Check ..............................................................................................25 Maternity Policy ..............................................................................................................................25 Health and Insurance Policies ........................................................................................................25 Chemical Dependency Policy .........................................................................................................25 HIPPA Policy ..................................................................................................................................29 No Smoking Policy..........................................................................................................................30 Food and Breaks ............................................................................................................................30 Emergency Closings and Delays....................................................................................................30 Address/Phone Changes ................................................................................................................31 Fire Drill and Tornado Procedures .................................................................................................31 Falsification of Documents .............................................................................................................31 Chain of Command .........................................................................................................................31 SECTION VI STUDENT SERVICES Employability Skills .........................................................................................................................32 Placement and Follow-Up ..............................................................................................................32 Personal Transportation to School-Driving Privileges ....................................................................32 Lost and Found ...............................................................................................................................32 2 Student Fund Raising .....................................................................................................................33 Student Guidance and Counseling/Advising .................................................................................33 Medication ......................................................................................................................................33 Privacy of Student Records ............................................................................................................34 Student Notification of Changes in Program Policies……………...………………………………….34 SECTION VII GRADUATION INFORMATION Certificate of Completion ................................................................................................................35 Career Passports ............................................................................................................................35 HESI Testing and Scale .................................................................................................................35 Graduation ......................................................................................................................................36 State Licensure ...............................................................................................................................36 Transcript ........................................................................................................................................37 Records Retention ..........................................................................................................................37 SECTION VIII ADULT STUDENT RESPONSIBILITIES Student Code of Conduct and Code of Conduct for Nursing Students ..........................................38 Student Conduct While Providing Nursing Care ............................................................................39 Reporting Harassment ....................................................................................................................42 Aiding and Abetting ........................................................................................................................42 Repeated Violations of School Rules .............................................................................................42 Butler Tech Honor Pledge ..............................................................................................................42 Computer Access ...........................................................................................................................43 Dress Code .....................................................................................................................................43 Administration of Student Disciplinary Code ..................................................................................45 Student Suspension or Dismissal from Program ............................................................................45 Emergency Removal of Students ...................................................................................................46 Discipline of Students with Disabilities ...........................................................................................46 Search and Seizure ........................................................................................................................46 Student Rights of Expression .........................................................................................................47 Student Concerns, Suggestions and Grievances ...........................................................................47 SECTION IX COURSE DESCRIPTIONS Course Descriptions .......................................................................................................................49 Curriculum Outline ..........................................................................................................................50 Theory and Clinical Objectives .......................................................................................................51 Practical Nurse Program History ....................................................................................................56 Faculty Listing .................................................................................................................................57 3 SECTION I GENERAL INFORMATION The following information supersedes all prior guides and other written material on the same subjects and will remain in force until such time as new guides or materials are approved. Any revision to this handbook will be distributed via an addendum. MISSION STATEMENT “Butler Tech will develop lifelong learners with marketable skills and knowledge by providing exceptional educational experiences and workforce services.” PHILOSOPHY AND OBJECTIVES The Butler Technology and Career Development Schools (Butler Tech), is dedicated to the delivery of a variety of career technical and academic programs which provide students with the specialized knowledge and skills needed to enter the job market, participate in further educational programs, recognize their rights and responsibilities as productive citizens of society, and meet the changing needs of business, labor, and industry. PROGRAM PHILOSOPHY The philosophy of the Butler Tech Program of Practical Nurse Education is congruent with the philosophy and objectives of the Butler Technology Career and Development Schools. Education The faculty believes that this is a process by which the individual, through organized sequential experiences, will acquire knowledge, skills, attitudes, accountability, and responsibility to assist him/her to become an effective member of the health care team. Health Health care is the shared responsibility of professionals and clients. The Licensed Practical Nurse is a necessary and effective member of the health care team prepared to implement the nursing process in the practice of nursing and promoting wellness throughout the lifespan. Humanity The faculty believes human beings are unique individuals with many needs from infancy through adulthood, accountable for their own actions and decisions, with an equal right to be treated with dignity and respect. Nursing The faculty believes nursing is both an art and science based on scientific and humanistic concepts. It is a person-oriented profession directed at guiding human beings toward health by promoting adaptation between the individual and environment. Environment A holistic approach allows the practical nurse to consider not only physical problems but also other needs: emotional, social, community, economic, intellectual, psychological, cultural and spiritual. The curriculum is based on the application and use of ethical, legal and scientific principles, technical skills and knowledge. The Licensed Practical Nurse will accept the responsibility and obligation to use nursing knowledge, principles and skills in the safe performance of patient care. 4 The faculty believes that the Licensed Practical Nurse must recognize and pursue opportunities for learning, continued self assessment and development, and acceptance of the responsibilities of his/her vocation. The Butler Tech Program of Practical Nurse Education recognizes the Licensed Practical Nurse as a valuable, contributing member of the health care delivery system and will prepare the graduates to understand and assume the responsibilities of their vocations. OBJECTIVES The Butler Tech Program of Practical Nurse Education will provide each student, through a continuing education process, the knowledge and skills to exhibit appropriate and professional behavior. Upon program completion, the student will: 1. Recognize the worth and dignity of the individual across the life continuum. 2. Utilize the nursing process while providing effective holistic care for the health-care client/significant others. 3. Perform safely the principles of holistic nursing care by use of nursing knowledge and skill. 4. Accept accountability for the legal and ethical responsibilities of his/her nursing actions. 5. Communicate effectively with others, both verbally and non-verbally. 6. Exhibit personal growth and development by identification and documentation of identified competencies. 7. Recognize and pursue opportunities for learning, continued self-assessment and development, and assumption of vocational responsibilities. 8. Demonstrate knowledge of the scope of the Licensed Practical Nurse as defined by the Nurse Practice Act as instituted and monitored by the State of Ohio Board of Nursing. SHORT TERM GOALS A student in the Butler Tech Program of Practical Nurse Education will: 1. Recognize the potential worth and dignity of the individual by the utilization of knowledge of the cycles of life. 2. Recognize his/her individual strengths and weaknesses through continuous evaluation (both classroom and clinical) 3. Implement the nursing process to provide care by utilization and application of the knowledge, techniques and skills learned in the classroom. 4. Effectively communicate, both written and orally, information gathered during patient care assignments. 5. Demonstrate knowledge of an understanding of nursing ethics, medical legality, cultural diversity, and the legal ramifications of nursing practice(s). 6. Satisfactorily complete all classroom and clinical assignments. 5 7. Be aware of the nursing parameters of their profession through oral and written information provided throughout the curriculum. EQUIPMENT AND FACILITIES D. Russel Lee Career~Technology Center (DRLCTC) and the Regional Public Safety Educational Complex (RPSEC) are the primary Adult Education facilities for Butler Tech. Selected programs and classes are also offered at facilities in Hamilton and Cincinnati. Classrooms and labs provide a comfortable, safe, spacious environment conducive to learning. Labs are furnished with up-todate equipment. Hands-on learning is the focus of all programs. Ample parking is available for students. ACCREDITATION Butler Tech is approved and operated in cooperation with the Division of Career Technical and Adult Workforce Education of the Ohio Board of Regents. Butler Tech is a Candidate for Accreditation by the Commission of the Council on Occupational Education (COE), located at 7840 Roswell Road; Building 300, Suite 325; Atlanta GA 30350; www.council.org. Telephone: 770-396-3898. Prior to our current candidacy status with COE, Butler Tech was accredited by NCA. The Butler Tech Program of Practical Nurse Education is approved by the State of Ohio Board of Nursing and meets the requirements of that agency. EQUAL EDUCATION OPPORTUNITY It is the policy of this District to provide an equal education opportunity for all students, regardless of race, color, creed, disability, religion, gender, ancestry, national origin, social, or economic background. Any person who believes that the school or any staff person has discriminated against a student on the basis of race, color, creed, disability, religion, gender, ancestry, national origin, social or economic background, has the right to file a complaint. To file a formal written complaint, individuals should request Form 2260 F1 and return to the District’s Compliance Officer: Executive Director of Human Resources Butler Technology and Career Development Schools 3603 Hamilton-Middletown Rd. Hamilton, Ohio 45011 (513) 645-8240 The complaint will be investigated and a written response will be given to the concerned person within five business days. The Compliance Officer can provide additional information concerning access to equal education opportunities. Under no circumstances will the District threaten or retaliate against anyone who files a complaint. INDIVIDUALS WITH DISABILITIES The Americans with Disabilities Act (ADA) and section 504 of the Rehabilitation Act provide that no individual will be discriminated against on the basis of a disability. This protection applies not just to the student but also to all individuals who have access to the District’s programs and facilities. The Office of Special Education Programs is the designated campus office to determine appropriate accommodations for students who have requested them. The determination is based on the disability documentation provided by the student and the functional limitations presented by the disability. It is the student’s responsibility to disclose the scope and nature of his/her disability. Any student who has a disability and would like to request academic accommodations must register with the Supervisor of Special Education Programs and submit documentation 6 supporting the disability. The registration and request for accommodation must be on file before any accommodations are considered. Butler Tech does not assume responsibility for providing accommodations for students who have not identified themselves as having a disability or who have not provided current documentation from a qualified evaluator. CONTROL OF CASUAL CONTACT COMMUNICABLE DISEASES Because a school has a high concentration of people, it is necessary to take specific measures when the health or safety of the group is at risk. The school’s professional staff has the authority to remove or isolate a student who has been ill or has been exposed to a communicable disease or highly transient pests, such as lice. Any removal will be only for the contagious period as specified in the school’s administrative guidelines. NOTIFICATION REGARDING BLOOD-BORNE PATHOGENS The District is subject to Federal and State regulations to restrict the spread of hepatitis B virus (HBV) and human immunodeficiency virus (HIV) in the workplace. These regulations are designed to protect employees and students of the District who are, or could be, exposed to blood or other contaminated bodily fluids. Because of the very serious consequences of contracting HBV or HIV, the District is committed to taking the necessary precautions to protect both students and staff from its spread in the school environment. Because nursing students and faculty are at risk of exposure to bodily fluids, infection control procedures will be taught and implemented in campus laboratories and clinical agencies. Specific policies will be distributed in the classroom at time of instruction. Part of the mandated procedures includes a requirement that the District request the person who was the source of the potentially contaminated fluids to consent to be tested for HBV and HIV. Individuals have the right to refuse such consent. Students who choose to be tested will do so at their own expense. Although incidents of exposure will be few, the District has provided this advanced notification. This policy is in place to protect students, faculty and staff. Every effort will be made to protect the privacy of all individuals. Federal OSHA occupational health standard is intended to eliminate or reduce the health risks associated with exposure to Hepatitis B Virus, Human Immunodeficiency Virus and other bloodborne pathogens that can be transmitted through exposure to blood and other potentially infectious material. The occupational health standard addresses employees who could come in contact with blood or bodily fluids as part of their work. In 2001, nursing students were addressed in the OSHA standard. The Butler Tech Department of Practical Nursing recognizes that nursing students and faculty are at risk of exposure to bodily fluid. Due to the exposure risk, the Nursing Faculty will teach and implement infection control procedures in campus laboratories and clinical agencies. VISITORS Any person not on an official class roster is considered a visitor. In order to properly monitor the safety of students and staff, all visitors who wish to enter classrooms must report to the office, sign in, and obtain a visitor’s pass from the customer service window. No adult student may have visitors at school without first obtaining written permission from the Program Supervisor or designee. Students may not bring their children to class. 7 OBSERVATION CAMERAS Observation cameras are in place to monitor the property and facilities of the Butler Technology and Career Development Schools. However, Butler Tech is not responsible for monitoring personal property or personal conduct with observation technology. USE OF SCHOOL FACILITIES Those wishing to use school facilities must receive prior approval from the Facilities Department or Building Administrator and will be held responsible for the proper use and safekeeping of the facility approved for their use. STUDENT SALES No student is permitted to sell any item or service in school for personal gain. Violation of this policy may lead to disciplinary action. TELEPHONE CALLS Except in an emergency situation, classes will not be disrupted for students to receive telephone calls. USE OF ELECTRONIC COMMUNICATION DEVICES/CELL PHONE POLICY The unethical use of electronic communication devices of any kind is strictly prohibited. Use of cell phone/electronic communication devices is not permitted during class time, except as directed by an instructor in an instructional exercise, including but not limited to text and voice communication, and is subject to disciplinary action. Cell phones and other communications devices must be carried in a book bag, backpack, or handbag. Cell phones must be on vibrate or quiet at all times. If a cell phone rings during class time, the student must leave the room for the remainder of the class period and will be counted absent for the remainder of that class period. If a cell phone rings during a test, the test will be collected and graded at the time of the offense. Cell phone usage by students is not permitted in the building, except as directed by an instructor in an instructional exercise. Students must either go outside the building or go to their cars to use their phones. If a student knows that he/she has an extenuating circumstance (illness in the family, child care issues), the student should notify the instructor at the beginning of the class period. If the student needs to return a call, he/she may be allowed to leave the classroom to return a call. Public telephones are available for student use in D. Russel Lee and at the Regional Public Safety Education Complex for local use only. The phones are for use only during non-class time for a maximum of three minutes. ADVERTISING OUTSIDE ACTIVITIES Announcements or postings of outside activities must have the approval of the Building Administrator from either D. Russell Lee or the Regional Public Safety Education Complex. A minimum of 72 hours’ notice is required to ensure that the Building Administrator has the opportunity to review the announcement or posting. The buildings have central bulletin board located in the Student Commons/Break Area which may be used for posting notices only after receiving permission from the appropriate Building Administrator. 8 SECTION II ADMISSION AND FINANCIAL AID INFORMATION ASSESSMENT Students desiring to be in full-time training programs are required to complete and pass the ACT WorkKeys tests in 1) Locating Information; 2) Reading for Information, and 3) Applied Math prior to admission. Students who do not meet benchmark scores prior to admission will be given referrals for additional help before retesting. The final test results for both WorkKeys and required industry credential testing are included in the graduate’s Career Passport. If industry credential test scores are not available at graduation, the graduate will be instructed to add them when they become available. A school-identified industry credential assessment will be required of all completing full-time students. STUDENT STATUS Regular Student A regular student must meet one of the following requirements: 1. Completed high school and received a high school diploma OR 2. Acquired an equivalency diploma (G.E.D.) NOTE: Online GED sites must be accredited by either the United States Department of Education or the Council for Higher Education. For more information on G.E.D. study and testing, contact the Hamilton or Middletown City School Districts. The school does not admit “ability to benefit” (non high school/GED graduates) students as regular students. Students wishing to enroll as non-certificate seeking students will be considered on a case by case basis and will not be eligible for Title IV financial assistance. REGISTRATION Registration for full-time adult education classes must be done in person in the Adult Workforce Education Office at the D. Russel Lee Career Center per posted office hours. After passing the WorkKeys assessment, a non-refundable application fee is due at the time the student applies to become a student at Butler Tech. When the student has completed all necessary procedures to be admitted to a particular program, the student must then pay a non-refundable deposit to hold the student’s place in the program. This fee is credited toward first term tuition. ADMISSION REQUIREMENTS AND PROCEDURES An application may be obtained by writing, calling the school or by visiting the web site at www.butlertech.org. Requirements are as follows: Applicant must be seventeen years of age or older. Applicant must submit an official high school transcript or G.E.D. certificate. Applicant must submit an official college transcript, if applicable. 9 Applicant must successfully pass the Work Keys pre-entrance test. Students must achieve at least the Ohio Department of Education benchmark on the pre-entrance test for admission. Information on remediation may be obtained by contacting the Career Counselor at 513-645-8200. Applicants must provide documentation of successful completion of a 60 hour medical terminology course and a 30 hour medical math course offered at Butler Tech or Warren County Career Center. If an applicant provides documentation of successful completion of a 60 hour medical terminology course other than above, the applicant will be required to successfully pass a medical terminology test out exam with a grade of 80% or higher. Students may take this exam only one time. No other medical math course other than the offering at Butler Tech or Warren County Career Center is accepted at this time. Applicants must provide documentation of successful completion of the state tested nursing assistant exam. Prior to the Clinical Site Rotation: Applicant is required to have a physical exam by a licensed physician and must submit a form with proof of rubella, rubeolla and mumps immunity, and negative 2 step PPD or chest x-ray, hepatitis B vaccine series, updated tetanus vaccine, and chicken pox verification. Applicant must provide documentation of a current American Heart Association cardiopulmonary resuscitation (CPR) for the Healthcare Provider and First Aid card valid through period of enrollment in training. Applicants must be able to physically complete all program competencies with no restrictions. ADMISSION BY TRANSFER The faculty and supervisor of the Butler Tech Program of Practical Nurse Education will evaluate transfer students on an individual basis upon written request from the student. The student must provide/complete the following before the request will be considered: An application form to the Butler Tech Program of Practical Nurse Education. An official transcript from previous school of nursing An official high school or G.E.D. transcript Three (3) references from previous instructors (preferably Medical-Surgical Nursing, Pediatrics, or Obstetrics Course outlines for each course, including number of hours Written evaluations of previous clinical experience A letter of explanation of reason(s) why the applicant withdrew from previous school. Interview with the program supervisor. If the transfer student has had previous course work and feels knowledgeable of the theory course, the student may challenge the course by completing all required proficiency testing with a minimum score of 80 percent on each test. After reviewing identified nursing skill procedures in the basic nursing text, the applicant must competently perform the procedures in the nursing skills laboratory test/demonstration prior to being assigned to a clinical rotation group. Students accepted by transfer may be asked to repeat course work if demonstrated performance in clinical or theory is unsatisfactory. The school reserves the right to charge the student a fee for all required proficiency and competency tests. Attendance must be within the standards outlined in the Attendance Policy. Transfer must occur within a one (1) year period of leaving the previous school. After admission criteria have been met, a recommendation will be made to accept the credentials and place the student in the program or deny transfer credit. The transfer student denied admission will be notified in writing. Transfer students must meet all prerequisites listed under the admission requirements. 10 Students who wish to transfer from one Butler Tech program to another must meet with the Registrar and with a financial aid officer to determine course options, space availability, and financial responsibility. OHIO ARTICULATION AND TRANSFER POLICY Students who successfully complete specified technical programs are eligible to have technical credit transfer to public colleges and universities. The Career Technical Credit Transfer (CT2) program allows adult career-technical completers the opportunity to transition to Ohio public institutions of higher education. For a complete list of eligible programs and certifications, as well as instructions on beginning the transfer process, please visit the Ohio Higher Ed/University System of Ohio website at https://www.ohiohighered.org/transfer/ct2. CLASS CANCELLATION The school reserves the right to cancel a class due to insufficient enrollment. If a class is cancelled for any reason, students will be notified prior to the scheduled class by mail or telephone. TUITION AND FEES Tuition for each term is due prior to the first class of each term. A student may opt to pay the full tuition for all terms at the beginning of the first term. Students who have not paid their tuition by the first day of class or made arrangements with the designated business manager for payment will not be allowed to attend class. Individuals who are eligible for financial aid will be allowed to continue in the program. The student is required to pay any amount not covered by financial assistance at the beginning of each term. All tuition and fees must be paid before graduation from any program. Students completing a program with tuition and fees unpaid will not be eligible to receive a transcript, Certificate of Completion or Career Passport. REFUND POLICY Students are charged tuition and fees on a term-by-term basis. If a student withdraws during a term, tuition and fees owed are based on the following percentages: Withdrawal Date (last date of attendance) After the first 50% of the enrollment period On or before 50% of the enrollment period On or before 25% of the enrollment period On or before 10% of the enrollment period On or before the first day of class *(excludes $100.00 of deposit) Refund No refund 25% 50% 90% 100%* Butler Technology and Career Development Schools complies with the Federal Return of Funds policy for all full-time students. This policy is based upon clock hours completed divided by (1) the clock hours in the payment period; and/or (2) the clock hours scheduled to be completed in the payment period. The resulting percentage determines the amount of funds to be returned, if any. Any cash balance owed to the school becomes the responsibility of the student. Refunds will be processed within 30 days of the date the school determines that the student has withdrawn. Refunds are made in the following order to the following programs: 11 1.) Unsubsidized Direct Loans 2.) Subsidized Direct Loans 3.) PLUS Loans 4.) Federal Pell Grant Programs 5.) Other (WIA/BVR, etc.) 6.) Student TEXTBOOKS Textbooks, workbooks, and manuals are not included in the tuition but are included in the total program costs and are to be purchased from the school. Purchased books cannot be returned. TOOL/LAB KITS Tool kits and/or lab supplies are required in most programs. If the student already has tools, (s)he should bring them to be evaluated by the instructor. If students choose to leave personal items on the school premises they do so at their own risk. Only unopened lab kits may be returned for a refund. PROTECTIVE EQUIPMENT AND SAFETY REGULATIONS In certain instructional areas where potentially dangerous machines and/or materials are used, all students, instructors, and visitors must wear appropriate protective equipment. Appropriate shoes must be worn in all shop areas. The District promotes and enforces safety rules and regulations according to standards set up by the Occupational Safety and Health Administration (OSHA). Safety rules will be reviewed by instructor(s) at the beginning of and throughout the program. It is the student’s responsibility to follow the safety regulations set forth for his/her career-technical program. Students are to report ALL accidents/injuries to their instructor immediately on the Student Accident Report (form 5340 F1). Failure to abide by all safety regulations will result in disciplinary action The school does not carry any type of primary accident/medical insurance on students. FINANCIAL AID The primary goal of the Federal financial aid programs is to provide financial assistance to students who, without such aid, would be unable to enroll in Butler Technology and Career Development Schools programs. No student interested in attending full-time programs should fail to apply because of an inability to meet the expenses. The financial aid office attempts to provide assistance to students whose personal and family resources are not sufficient for educational costs. Financial assistance should be considered as supplemental to the individual and family effort. Application for financial aid should begin at least two months before the student’s classes begin. CHANGE OF CIRCUMSTANCES Students are responsible to report any significant changes of circumstances to the financial aid officer, including enrollment status, satisfactory progress, and permanent address and phone numbers. FRAUD There are severe penalties for falsification of financial aid documents or enrollment documents. Misrepresentation will be reported to the proper authorities and may result in immediate dismissal. 12 VERIFICATION Students may be required to provide documents that verify statements made on the Free Application for Federal Student Aid (FAFSA). A student whose application is selected for verification must complete verification no later than sixty days from the student’s last day of enrollment or August 30, whichever is earlier. If an applicant fails to complete verification by the applicable deadline, s/he forfeits eligibility for Federal student aid. SPECIAL CONDITIONS Financial aid eligibility is usually based on income figures for the calendar year previous to the current school year. If a student’s income for the current year is significantly lower than the base year’s income for reasons such as unemployment, illness, etc., (s)he may request that eligibility be calculated using the “current” year’s income rather than the “base” year. For more information on meeting “special conditions,” see the financial aid officer. TYPES OF FINANCIAL ASSISTANCE Federal Pell Grant: The Pell Grant is money available through the Federal government and does not have to be repaid. This grant is based upon the student’s financial need. The amount of the award is determined by the student’s expected family contribution and the cost of attendance. To apply for a Pell grant, the student must complete a Free Application for Federal Student Aid (FAFSA) form or apply on-line at www.fafsa.ed.gov. Federal Stafford Loan Program: Low-interest Stafford loans are available through the Direct Loan ((DL) program. The student must complete a FAFSA form before estimated eligibility for loan assistance can be determined. A student loan is a debt which must be repaid. PLUS Loans: PLUS loans are low-interest loans which enable parents with good credit histories to borrow to pay the educational expenses of a dependent child who is enrolled at least half-time in an undergraduate program. ENTRANCE and EXIT interviews are mandatory for all students receiving loans and may be accessed at www.studentloans.gov. A PIN (personal identification number) is required. Veterans Benefits: Many programs offered by Butler Tech are approved to accept and train veterans who qualify. Our counselors are available to work with veterans and provide information regarding government reimbursement. Workforce Investment Act (WIA): Eligible residents of Butler County and several neighboring counties have received training at Butler through this federally funded program. For more information contact the W.I.A. office in your area or the financial aid counselor at the school. In Butler County, the Butler County One Stop administers W.I.A. funds. Butler Tech also works with Ohio Rehabilitation Services (BVR) to assist qualified individuals with funding. Additional information and frequently asked questions about the financial aid process may be viewed at www.butlertech.org. CONSUMER INFORMATION Information concerning campus security, percentage of program completers, and job placement is updated annually and is posted at the district’s website (www. butlertech.org). 13 SECTION III ACADEMIC AND CLINICAL PERFORMANCE SATISFACTORY PROGRESS To successfully complete a full-time program at Butler Tech, students must maintain satisfactory progress requirements. Satisfactory progress is measured by two criteria: 1) academic progress and technical/skill performance in the clinical area, and 2) attendance. ACADEMIC PROGRESS The instructor evaluates academic progress on a regular basis. Periodic student/instructor conferences and/or timely grade reports keep the student informed of his/her progress. The following grade scale is applicable for the Butler Tech Program of Practical Nurse Education: 94 – 100% = 87 - 93% = 80 - 86% = Below 80% = A Excellent B Good C Satisfactory F Unsatisfactory All ANGEL classroom assignments for the student will be posted by 1700 for the expectation of completion for the following school calendar day. STUDENT EVALUATION In assessing the progress of the individual practical nurse student during the course of learning, various teaching methods are used, including but not limited to: Quizzes, unit examinations and final evaluations. Anecdotal records, clinical behavioral, objectives, competencies, and attendance at the hospital or clinical care facility PROMOTION, CONTINUATION AND COMPLETION Progress Policies and Grading System The student’s progress is reviewed by the supervisor/faculty at periodic intervals. Students must meet the requirements of scholarship, health and acceptable clinical performance. Students are encouraged to seek the assistance of instructor(s) in identified area(s) of concern. Every effort will be made to provide assistance and guidance to help the student succeed in the program. A grade of 80 per cent is a passing grade. A student must maintain a minimum grade average at the end of each term in each course to remain in the nursing program and progress from one level to another. Students who are unsuccessful in three or more courses must repeat the entire term regardless of the grades achieved in the non-failing courses. Courses with a clinical component contain a theory and a clinical grade. If a student withdraws failing a course, the student may repeat the course one (1) time. TEST POLICY Attendance for all testing (quiz, exam, final) is encouraged. Absences during scheduled testing for any event (to include illness, hospitalization, or mandatory court appearances) from class will 14 result in a ZERO (“0”) until the make-up is taken on the first designated “make-up” day. It is the responsibility of the student to make arrangements for make-up with the instructors. If the designated make-up day falls when class is not in session, the make-up will be the first day when class resumes. If a student arrives after any testing on the designated make-up day, the student must take the missed exam on that day during the make-up time. (For example, if a student misses a test in the morning but is present for the remainder of a day designated as make-up day, he/she is expected to take the missed test that same day.) No more than two make-up tests will be permitted on any designated make-up day. If the student has more than two make-up tests, the remaining tests will be given two at a time the days following the designated make up day. A student may take a make-up test (quiz, unit exam, etc.) twice within each course without penalty. If any further tests are missed within that course, the student will receive a 10 point deduction on the overall test score. Tardies to class during any scheduled testing will be addressed as follows: if the student arrives tardy to class but the testing has not been administered to any student, the student will be able to sit for the testing. If a student arrives after the testing has begun, classroom attendance is recorded at the point the student is permitted to return to class. A make-up test time must be scheduled. Once scheduled testing has begun the student cannot leave the testing area and re-enter. From Use of Electronic Communication Devices/Cell Phone Policy: Cell phones and other communications devices must be carried in a book bag, backpack, or handbag. Cell phones must be on vibrate or quiet at all times. If a cell phone rings during class time, the student must leave the room for the remainder of the class period and will be counted absent for the remainder of that class period. If a cell phone rings during a test, the test will be collected and graded at the time of the offense. During a test, no personal items are allowed on the desk or table. Students may review tests only in supervised sessions set up by the instructor. Instructors will make every effort to give timely feedback on all exams after the testing is completed to review correct answers. After any testing, students are not to discuss the test topics or questions with students. Doing so will result in dismissal from the program. No writing material will be permitted in the test or the test review. No books will be permitted on the desk during testing unless it is an open book format. LAB GUIDELINES Students must bring skills checklists and correct lab supplies to each lab. Students who do not bring their checklists and/or the appropriate supplies will not be permitted to participate in the lab. Student must complete all of the required lab return demonstrations, with a grade of “S” within one week of the skill being taught, or as assigned by the instructor. If a student makes a “U” on a lab return demonstration, it may be repeated twice to obtain a grade of “S”. Prior to the third check-off attempt the student is required to compose a one page written paper discussing what they he/she performed incorrectly and how this incorrect action could negatively affect a client. Failure to obtain a grade of “S” on the third attempt will result in a “U” and failure of the course. 15 Students are expected to use audio-visual resources and to practice independently before doing check off performances. Students are not to obtain lab supplies from classroom cabinets or drawers unless specifically instructed to do so by a faculty member. Supplies and equipment will be placed on counters for student practice. All lab space is to be left clean and neat once the lab is completed. It is the student’s responsibility to seek assistance from instructors for lab skill accomplishment. ATTENDANCE Each student has primary responsibility for tracking individual absences and tardiness. Every student is expected to establish an excellent attendance record that will be an asset when applying for a job. Students are expected to arrive on time and stay until the end of the class. NOTE: See additional requirements for clinical attendance. Students must maintain a 95% attendance average in both classroom hours and clinical hours. Doctors’ visits and other appointments should be scheduled outside of class time. All arrivals after the designated starting time will be classified as a partial absence. Leaving class early will also be considered a partial absence. Partial absences will be computed in real time on the quarter hour, and are factored into the attendance requirement. Any student who is away from class for more than 15 minutes will be charged the accumulated time absent from the classroom. The faculty reserves the right to dismiss a student from class or clinical if the student’s illness jeopardizes the health of others. The student’s absence(s) will accrue per the stated attendance policy. Attendance is reviewed on a regular basis. 1. The minimum attendance requirement to maintain satisfactory progress is 95% for the term and for the overall program. A student may miss no more than 5% of the scheduled clock hours per term. 2. A student whose absences exceed 5% of the scheduled term hours at the first evaluation point (mid-point of each term) will receive an attendance notice for the remainder of that term. 3. If the student’s absences continue to exceed 5% of the scheduled term hours at the second evaluation point (the end of each term, which coincides with the first payment period) he/she will receive a Standards of Progress Warning. This Warning will serve as a pre-dismissal notice. 4. Subsequent attendance evaluations will then occur at the mid-point and end of each successive term. 5. Students who do not meet satisfactory standards of progress for two successive evaluation points will be dismissed from the program and must file an appeal for reinstatement (see Appeals/Reinstatement below). NOTE: Butler Tech reserves the right to deviate from the above policy in cases where student absences are so excessive at any evaluation point that the student cannot mathematically achieve a 95% attendance average for the term or for the program. Students who are absent from school for a two-week period without notifying the school will be dismissed. Students who miss all or a portion of the first day of class without notice to the program supervisor will forfeit their seat in the class. Students who are not meeting minimum attendance/grade requirements at the time financial aid is scheduled for disbursement will not be eligible for those disbursements until satisfactory progress requirements have been met. If the student does not reestablish satisfactory progress 16 within his/her probationary period, financial aid will not be disbursed and the student will be responsible for payment of all tuition and fees for the applicable term(s). STUDENT ILLNESS IN THE CLASSROOM AND CLINICAL SETTING Students are personally responsible for seeking medical assistance when ill. A faculty member may determine that a student should not remain in class or the clinical areas due to illness. Faculty may dismiss the student if the health and welfare of others, both peers and patients, are in question. The attendance policy shall apply in such instances. The student who, in the opinion of the faculty, has a physical, emotional, or behavioral health problem that interferes with safe practice will be removed from learning experiences until the problem is resolved to the satisfaction of the school. A health problem is defined to include behavior that is injurious or potentially injurious to either the student, her/his clients, or other persons, or that results in conduct detrimental to a classroom, seminar, clinical, or laboratory experience. Professional ethics require a nurse to protect clients from unsafe practice. Thus, the nursing student is obligated to reveal to nursing faculty her/his own or others’ questionable conduct that might interfere with safe practice. The faculty believes that most health problems are responsive to treatment and will not necessarily end a student’s professional future when an evaluation and treatment program have been completed. Removal from a Learning Experience If the problem is detrimental to a classroom, seminar, clinical, or laboratory experience, the student will be removed from that learning experience. At such time a conference will be scheduled between the faculty and student as soon as practical to discuss the behavior problem and possible alternative experiences that will guarantee both safe practice and accomplishment of course objectives. A written record of the conference will be placed in the student’s file and the student will be given oppportiuniuty to make written comments of her/his own. The student may be required to obtain professional help for any health problem that is not temporary. The entire cost of such help shall be the student’s responsibility. The students must be give the person providing help permission to report to the Director of Nursing that the student is receiving help. Dismissal from the Nursing Program Due to a Health Problem Dismissal from the nursing problem due to a health problem may occur in the following situations: 1. If the conduct persists and the student does not get the required professional help. 2. If the health problem is so long-term that missed experiences cannot reasonably be made up before the end of the session. The student may in this situation withdraw from the course. 3. If the health problem is not responsive to treatment, or the student continues to demonstrate insufficient improvement, or safe practice cannot be demonstrated by the student, she/he will be dismissed from the program and remain ineligible for readmission until safe practice can be demonstrated. Before the student is dismissed, a conference should be scheduled between the faculty and student to discuss the health problem. A written record of this conference will be placed in the student’s file, and the student will be given opportunity to make written comments of her/his own. Student Illness/Injury Responsibility Butler Tech or the affiliating clinical agency will not be responsible for any illness or injury to the student which may incur during the schedule of clinical experiences. Students are encouraged to maintain health insurance while in the Nursing Program If a student becomes ill while attending a didactic class, the student is to report illness to the didactic instructor for recommendation. 17 If a student becomes ill during a clinical training they should report immediately to the clinical instructor. The student may elect to be dismissed from the clinical to see a physician. Any clinical time missed will need to be made up (please see clinical attendance policy). Make up activities are at the discretion of the instructor. If an injury has occurred during clinical training the student will report directly to the clinical instructor. An incident report will be completed by the clinical instructor and the student. Copies of the report will be sent to the department director and appropriate hospital risk management committee if required. Infectious Disease Policy Students with Infectious Disease: Students are required to refrain from any patient contact if they have or suspect they have any condition which is transmissible, by skin or droplet transmission. Students must acquire a Hepatitis B vaccination. NOTE: A tuberculin skin test is required yearly by the clinical sites APPEALS/REINSTATEMENT Students who have been dismissed for failure to maintain satisfactory progress may appeal the dismissal. Appeals must be in writing to the designated Supervisor and must include documentation of extenuating circumstances as well as an explanation of how the issues that lead to dismissal have been resolved. Note: lack of transportation and/or child-care are not acceptable as extenuating circumstances.) Students will be notified in writing of the Supervisor’s decision within five business days of the appeal hearing. If the appeal is accepted, the student may be readmitted for a probationary period and financial aid will be reinstated, if applicable. The requirements which the student must meet will be stipulated in the acceptance notification. If the student meets or exceeds standards during the probationary period, (s)he will be considered to be in good standing. If the student does not achieve minimum standards, (s)he will be dismissed with no additional opportunities for appeal. ACADEMIC PROBATION A student may be placed on probation due to unsatisfactory academic progress, failure to meet attendance requirements, or for disciplinary reasons. A student will be notified in writing that (s)he is being placed on probation and that notice will include the reason for probation, the length of the probationary period, and the conditions for removal from probation, if removal is applicable. If the student does not meet the conditions of the probation period, (s)he is subject to dismissal. Examples of reasons for probation include, but are not limited to the following: unsatisfactory clinical performance, i.e. failure to consistently meet expected clinical objectives failure to maintain standards set by the school and/or clinical institutions incomplete uniform in the clinical area clinical tardiness and/or failure to report clinical tardy in timely manner unauthorized soliciting, collecting or distribution of literature unauthorized posting or removal of bulletins or signs unprofessional language and behavior disregard for school or clinical facility policies disregarding safety rules and practices in the classroom and/or clinical environment Students on probation may choose to withdraw from the program. Tuition and fees will be charged for the subsequent readmission. 18 EXTENUATING CIRCUMSTANCES When documented extenuating circumstances exist, the school reserves the right to deviate from the stated attendance policy. WITHDRAWAL PROCEDURE When withdrawing from a training program prior to the official graduation date, it is important for the student to complete appropriate paperwork with the Adult Workforce Education office and any sponsoring agency. Students must also have an exit interview with the program supervisor. This procedure is to insure credit for billing adjustments if they are required. Any refund due to the student will be processed within 30 days of a request. READMISSION Students previously enrolled in the Butler Tech Program of Practical Nurse Education will be considered for readmission upon receipt of a written request, and as space is available. The request will be forwarded to the Supervisor of the Practical Nurse Program. After the request is received, a review will be completed by the Supervisor and the faculty. The decision for readmission will be made by the Practical Nursing Supervisor. A candidate may apply for re-admission to the program one (1) time. Entrance into the program will be limited to two (2) times. Any readmission is subject to meeting entrance requirements in effect at the time of reenrollment. The ten (10) month program in Practical Nursing must be completed within a two (2) year period. Beyond two (2) years, admission will be as a new student. Students who have been enrolled in other practical nurse programs will be considered on an individual basis for readmission. After absences of more than six (6) months, competency may be tested at the student’s expense. Students must attend hospital orientation if applicable. Students who have been dismissed for academic or clinical issues must provide evidence of having accomplished the recommendations/requirements outlined on the dismissal form. Those students granted readmission after having withdrawn due to academic/clinical probation may return to the program as space is available. Students who are unsuccessful in three (3) or more courses must repeat the entire term, regardless of the grades made in the non-failing courses. Students requesting readmission to the program after withdrawal for health related issues will be asked to submit a physician’s statement attesting that the student is physically capable of returning to school. Additional information may be requested by the supervisor of the practical nursing program. Students who have been out of the program for one (1) year or longer must submit a new physical examination form, proof of up-to-date immunizations, a current C.P.R. card, and other documents as required by the program supervisor and/or approval agencies. MAXIMUM TIME FRAME Federal regulations stipulate that a student must complete his/her program in a maximum time frame equal to one and one-half (1-1/2) times the standard length of the program as expressed in calendar time (weeks to complete the program) 19 SECTION IV CLINICAL REQUIREMENTS PREPARATION FOR CLINICAL PRACTICE In preparation for clinical practice, all students will be instructed in the use of universal precautions and precautions applicable to individuals with infectious diseases. These precautions will be reviewed with students at the beginning of each clinical rotation. Any specific infectious disease policies of the clinical site will be reviewed with the student prior to assignment in the facility. Faculty members will notify students of each facility policy and the course of action to be taken if an incident occurs. CLINICAL EVALUATION The evaluation of student clinical performance is based upon the student’s ability to effectively perform the behavioral objectives which proceed from the simple to the complex throughout each quarter of the program. Evaluation includes: Conferences between faculty member(s) and/or the supervisor to review individual student progress. Quarterly cumulative progress records filed in the individual student folders. A transcript of grades is available to each student quarterly and at the completion of the program. Individual conferences between faculty members and students, as needed, and prior to or after class and/or clinical times as scheduled by the faculty. Arrival at a final summary evaluation is based on the student’s performance in the classroom and clinical area with consideration as to whether or not the objectives of the individual courses of the program have been met. This final summary will be developed through collaboration by faculty and made a part of the graduate’s permanent record. General areas that will be considered in student evaluations include: A positive attitude, the ability to adjust to changing circumstances, and the ability to work with different people at various cycles of life and situations. The emotional stability to meet the demand of nursing. The practice of safety and comfort in all care given to a patient. The ability to utilize basic nursing care to meet the needs of the patient. Confidence in their abilities and display of this confidence to the patient, personnel, and instructors. Manual dexterity while caring for the patient. The ability to carry out the nursing process, collect data on the patient, plan and implement care, and evaluate the care given. The ability to correlate classroom knowledge with clinical situations. The recording/reporting and documentation of pertinent information. The effective use of time. Dress and appearance that is appropriate for the class and clinical areas. Clinical and class attendance. 20 Clinical Evaluation Grading Scale SATISFACTORY: The student has performed at the accepted level and has met the clinical objectives for that particular clinical rotation. Examples include but are not limited to: Consistency of performance Progression of independence of the student in giving nursing care Ability to perform procedures and make judgments when caring for patients with increasingly complex health problems An increase in the number of patients and patient acuity PROBATION: The student is not performing at the accepted satisfactory level for that clinical rotation due to: (1) excessive tardiness/absences (2) late and/or incomplete clinical assignments and/or (3) inability to meet the clinical objectives. The student may be placed on clinical probation at any time during the clinical rotation. The student placed on probation will be given criteria from the clinical instructor, which must be met in order to be removed from probation. Students must earn a satisfactory evaluation by the end of the clinical rotation. UNSATISFACTORY: The student has failed to perform at an acceptable level for that particular rotation and will not be allowed to proceed to the next rotation. The faculty reserves the right to recommend dismissal of a student who is evaluated as unsafe or unsatisfactory at any time during the program. Examples include but are not limited to: Inability to work as a team member Inability to adhere to the attendance policy Violation of the clinical settings confidentiality policy (HIPAA) Not notifying the clinical instructor of absences or tardiness Leaving the clinical site without the clinical instructor’s permission Violating the school’s dress code Not initiating care or initiating care inappropriately Inability to perform designed psychomotor safely Violates professional ethics Insensitivity to the needs of the patient Not utilizing appropriate communication skills Requiring an unreasonable length of time to plan, organize, or implement nursing Each student must SATISFACTORILY complete all theory and clinical areas to be a candidate for graduation. A STUDENT MAY BE RECOMMENDED FOR DISMISSAL AT ANY TIME WHEN IN THE JUDGEMENT OF THE FACULTY HE/SHE EXHIBITS BEHAVIOR THAT JEOPARDIZES THE WELFARE OF THE PATIENT EITHER BY COMMISSION OR OMISSION. CLINICAL ATTENDANCE REQUIREMENTS Students must achieve a 95% average for clinical attendance each term in order to graduate from the program. Clinical performance will be affected by attendance. Any student who misses more than one (1) day and/or a total of 7.5 hours of clinical attendance during second and third terms will be required to make-up that time before the end of the term in which the absence(s) occurred. It will be the student’s responsibility to work with his/her clinical instructor to 21 arrange make-up time. The cost for make-up time will be $35.00 per hour. Payment must be received before make-up time is allowed. All fourth term preceptorship hours (112) and clinical hours (28) are MANDATORY. Students MUST CALL the Clinical Instructor PRIOR TO 0645, the start of the designated clinical time, to report a tardy or absence. A student in any program of the Butler Tech Program of Practical Nurse Education is considered tardy when the student arrives 1 minute AFTER the assigned clinical time and/or leaves clinical 1 minute BEFORE the designated clinical dismissal time. If the student can arrive within 30 minutes after the designated start time of clinical the student will be be allowed to attend clinical and the tardiness will be addressed as follows: a. First Tardy of the Clinical Rotation (which is considered arriving 1 minute AFTER the assigned clinical time and/or leaving clinical 1 minute BEFORE the designated clinical dismissal time): Verbal warning which will be documented on a Cumulative Counseling Form. b. Second Tardy of the Clinical Rotation (which is considered arriving 1 minute AFTER the assigned clinical time and/or leaving clinical 1 minute BEFORE the designated clinical dismissal time): Written warning which will be documented on a Cumulative Counseling Form. c. Third Tardy of the Clinical Rotation (which is considered arriving 1 minute AFTER the assigned clinical time and/or leaving clinical 1 minute BEFORE the designated clinical dismissal time): Probation notification which will be documented as a second written warning on the Cumulative Counseling Form. The student will remain on probation for the remainder of the clinical rotation. d. Fourth Tardy Clinical Rotation (which is considered arriving 1 minute AFTER the assigned clinical time and/or leaving clinical 1 minute BEFORE the designated clinical dismissal time): Recommendation for dismissal documented on the Cumulative Counseling Form. If the student calls prior to 0645 of the start time to report a tardy but the student does not arrive within the 30 minute designated start time of clinical the student will not be allowed to stay and will be marked absent for the day. If the student leaves clinical prior to the designated clinical dismissal time the student will be counted tardy as described above A No Call No Show is a single one time event and is defined as the instructor receiving a call from the student 30 minutes after the clinical start time to report an absence .This is considered a No Call No Show and is Recommendation for Dismissal from the Butler Tech Program of Practical Nurse Education. The faculty reserves the right to recommend for dismissal a student who is evaluated as unsafe or unsatisfactory during any term of the program NO SMOKING IS PERMITTED AT ANY CLINICAL SITE 22 Clinical Assignments: Completion of clinical assignments is expected. Students in any program of the Butler Tech Program of Practical Nurse Education who turn in late clinical assignments (turned in 1 minute after the assigned clinical time) will be addressed as follows: a. In the event of the 1st Late Clinical Assignment of the Clinical 10 Week Rotation (which is considered turned in 1 minute after the assigned clinical time) the student will incur a documented Verbal Warning on a Cumulative Counseling Form. b. In the event of the 2nd Late Clinical Assignment of the Clinical10 Week Rotation (which is considered turned in 1 minute after the assigned clinical time) the student will incur a documented Written Warning on a Cumulative Counseling Form. c. In the event of the 3rd Late Clinical Assignment of the Clinical 10 Week Rotation (which is considered turned in 1 minute after the assigned clinical time) the student will incur a documented Written Warning on a Cumulative Counseling Form and be placed on PROBATION for the remainder of the clinical rotation. d. In the event of the 4th Late Clinical Assignment of the Clinical 10 Week Rotation (which is considered turned in 1 minute after the assigned clinical time) the student will incur a Written Warning on a Cumulative Counseling Form indicating Recommendation for Dismissal from the Butler Program of Practical Nurse Education. CLINICAL SUPERVISION RESPONSIBILITIES “Supervision of a nursing student” means that a faculty member, teaching assistant or preceptor shall be immediately available to the nursing student at all times to provide guidance and evaluation of the student’s performance. Supervision of a nursing student shall be provided for each clinical experience involving the delivery of nursing care to an individual or group of individuals. This supervision shall be provided only by a faculty member, teaching assistant, or preceptor who meets the qualifications set forth in rule 4723-5-11 of the Administrative Code for a practical nursing education program. All experiences for a nursing student in a clinical setting involving the delivery of nursing care to an individual or group of individuals shall be performed under the direction of a faculty member who functions only as a faculty member during the nursing student’s clinical experience. One instructor is assigned to each clinical area to provide clinical supervision. The instructor and students are provided a clinical rotation schedule and the name of the facility for each clinical group prior to each clinical rotation. Orientation is provided to each student to the clinical site and will include introduction to the staff. The instructor is available to the students and clinical department at all times during assigned clinical hours. The student receives the clinical objectives per the clinical syllabi for that rotation and for his/her individual assignment from the instructor during pre-clinical conference. The objectives will be communicated with the students and staff at the clinical site. The student and instructor review and/or discuss the assignment for any clarification which is required. A student may not perform any clinical skill without the instructor present or prior instructor verification of the competency. The skills performed are in direct relationship to the clinical objectives of each rotation. 23 The instructor completes a weekly anecdotal record of the student’s performance in relation to the clinical objectives/outcomes. This is shared with and signed by the student and maintained by the instructor. The clinical evaluation is based upon this record. Faculty will remain responsible for planning the student’s clinical experience and ongoing evaluation of the student. Faculty may assign an observational experience as appropriate to meet the clinical objectives. The faculty to student ratio for direct patient care shall be no greater a ratio than ten students to one faculty or teaching assistant, or a smaller ratio in clinical settings where necessary to ensure the safe delivery of nursing care. CLINICAL SUSPENSION The instructor may remove a student from the clinical setting immediately for any acts that jeopardize patient care and safety. The instructor will document the incident and present this information at a conference between the student, the instructor, and the program supervisor. A recommendation for discipline will be made no less than two (2) working days after the incident. Appropriate steps will follow as outlined in the probation and dismissal policies of the Practical Nursing Program. A student may not be suspended more than one (1) time. A second (2) suspension carries a recommendation for dismissal from the program. 24 SECTION V SCHOOL AND PROGRAM POLICIES CHEATING AND PLAGIARISM Cheating and plagiarism will not be tolerated. A student using these behaviors in either the classroom or clinical setting will be recommended for dismissal from the program. CRIMINAL BACKGROUND RECORD CHECK The Butler Tech Program of Practical Nurse Education requires clinical laboratory experiences in a variety of nursing settings where nursing students will give care to clients of all ages. The Ohio Revised Code (ORC) requires that those who care for children or older adults must pass a criminal background record check. Butler Tech practical nursing students are assigned care of the older adults in three (3) terms and children in at least one term. Therefore, all students enrolled in the nursing program will undergo a criminal background record check. The record check will be conducted as part of the nursing program. This check will consist of fingerprinting through the Ohio Bureau of Criminal Identification and Investigation and Federal Bureau of Investigation report. If the student has been convicted, or has pled guilty to a violation of a disqualifying offense as defined by the Ohio Revised Code under Senate Bills 38 and/or 160, that student will be unable to complete the clinical experiences in that area and will be unable to successfully complete the nursing program. MATERNITY POLICY If a student suspects that she might be in the first trimester of pregnancy, she should inform the supervisor and clinical instructor in order to protect the student and fetus. Upon confirmation of pregnancy, the student must provide a doctor’s statement, giving the due date of delivery and permission to continue in the program; this statement will be placed in the student’s file. If complications arise during the pregnancy a new physician’s statement will be required. All information regarding pregnancy is considered confidential. Students must be able to complete all physical requirements of the program. Students who must take maternity leave may use the number of days as outlined in Absence and Tardy Policy. If more days are necessary the student will be advised to withdraw and return at a later date. The student will be readmitted at the beginning of the unfinished quarter. HEALTH AND INSURANCE POLICIES Due to clinical site requirements, all practical nursing students must have personal liability insurance. It is strongly encouraged all students have current health insurance coverage as the school is not responsible for illness or injury. CHEMICAL DEPENDENCY POLICY Drug and Alcohol Testing Policy I. Purpose of Drug and Alcohol Testing Policy Butler Technology and Career Development Schools (“Butler Tech”) is committed to maintaining a drug and alcohol-free workplace and academic environment; therefore, the use of illegal drugs and the unauthorized use of alcohol by students of the Butler Tech Program of Practical Nurse 25 Education will not be tolerated. Accordingly, the following Drug and Alcohol Testing Policy will ensure that students enrolled in the Butler Tech Program of Practical Nurse Education will conduct health care and educational activities free from the influence of illegal drugs or alcohol. For obvious health and safety concerns, nurses must be in full control of their manual dexterity and skills, mental faculties, and judgment when conducting health care and educational activities. The presence or use of drugs or alcohol, lawful or otherwise, which interferes with the judgment or motor coordination of nursing students in a health care setting poses an unacceptable risk for clients, colleagues, Butler Tech and affiliated clinical agencies. Preventing and/or detecting substance abuse is critical in the Butler Tech Program of Practical Nurse Education where students spend a considerable amount of time learning patient care in a variety of clinical settings. The drug and alcohol screening policy is required in order to enable the nursing program to maintain an environment which ensures safe, high-quality care to all assigned clients. The client for whom the student is caring must be protected from any adverse consequences that could occur as a result of the student’s drug and/or alcohol usage. Students who are under the influence of drugs and/or alcohol may cause the Butler Tech Program of Practical Nurse Education to lose the privilege of gaining valuable nursing care experiences at the local hospitals and health care facilities. The student may suffer from adverse effects such as alteration in the normal functioning of the mind and body or a change in their perception of reality from these substances. II. Definition of terms used in policy Drug Testing means the scientific analysis of urine, blood, breath, saliva, hair, tissue and other specimens of the human body for the purpose of detecting the presence of an illegal drug or alcohol. Illegal Drug means any drug which is not legally obtainable; any drug which is legally obtainable but has not been legally obtained; any prescribed drug not legally obtained; any prescribed drug not being used for the prescribed purpose or by the person for whom it was prescribed; any overthe-counter drug being used at a dosage level other than that recommended by the manufacturer, or being used for a purpose other than the purpose intended by the manufacturer; and any drug being used for a purpose or by a person not in accordance with bona fide medical therapy. Examples of illegal drugs include but are not limited to: stimulants, depressants, narcotics, hallucinogens, cannabis, cocaine, heroin, methamphetamines, and phencyclidine (PCP). Reasonable Suspicion means evidence which forms a reasonable basis for concluding that it is more likely than not that a person is under the influence of drugs or alcohol. Facts which could give rise to a reasonable suspicion include, but are not limited to: the odor of alcohol or drugs; impaired behavior such as slurred speech, decreased motor coordination, difficulty in maintaining balance, marked changes in personality or job/educational performance; cognitive impairment; impaired judgment; and unexplained accidents. Such evidence may come from a professional or expert opinion, layperson opinion, scientific tests or other sources or methods. (Refer to the Procedures for Suspected Chemical and/or Drug Impaired Practical Nurse Education Students). III. Policy Requirements A. Illegal Drug and Alcohol Prescriptions and Duty to Notify Under no circumstance should a student enrolled in the Butler Tech Program of Practical Nurse Education participate in nursing-related courses or clinical activities while under the influence of illegal drugs or alcohol. 26 Nursing students determined by an instructor or program administrator to have violated these proscriptions may be subjected to a variety of academic-related sanctions, up to and including dismissal from the Butler Tech Program of Practical Nurse Education. A violation by any nursing student of any state or federal statute, or regulation established pursuant to such statute, pertaining to the manufacture, improper possession, sale, use or distribution of an illegal drug or alcohol is strictly prohibited. Such violation, if substantiated, will subject the student to dismissal from the Butler Tech Program of Practical Nurse Education. Furthermore, a nursing student who fails to notify Butler Tech within 5 days of an administrative action or legal conviction for any such violation will be subject to dismissal from the Program of Practical Nurse Education. B. Drug and Alcohol Testing Prior to admission into the Butler Tech Program of Practical Nurse Education, each student shall be required to sign a consent: (1) to abide by the illegal drug/alcohol policies and drug testing policies of the program; (2) to submit to any drug/alcohol testing required by Butler Tech or the affiliating clinical agencies, hospitals and health care providers; and (3) to release a copy of any drug/alcohol test results to Butler Tech. Failure to sign the consent form shall be grounds for nonadmittance into the program. All students, after entering the Butler Tech Program of Practical Nurse Education, will undergo a drug screen test. A positive drug test shall be grounds for denial of continued enrollment into the program. Butler Tech shall notify the prospective student of a positive drug test. If a student tests positive for a prescribed drug, he/she must obtain a written statement from a qualified physician stating that the drug level is within prescribed limits and that the level does not indicate abuse. The physician must indicate that the drug will not interfere with safe practice in the clinical area. A student’s failure to submit to a drug screen or a student’s attempt to tamper with, contaminate, or switch a sample will result in denial of continued enrollment into the program. C. Reasonable Suspicion Drug Testing Any nursing student who demonstrates behavioral changes reasonably suspected to be caused by the effects of drugs or alcohol, as defined in this policy, will be subjected to testing. A decision to drug test based upon a reasonable suspicion of substance abuse may be made by a Butler Tech faculty member and/or the clinical agency, hospital or health care provider. A decision to refer a student for drug testing will be based on, but not limited to: Observable phenomena such as direct observation of drug or alcohol use and/or physical symptoms or manifestations of being under the influence of drugs or alcohol Erratic behavior, slurred speech, staggered gait, flushed face, dilated/pinpoint pupils, wide mood swings, or deterioration of work or academic performance Information that a student has caused or contributed to an accident that resulted in injury requiring treatment by a licensed health care professional Conviction by a court or a finding of guilty in an administrative or quasi-legal proceeding of a drug, alcohol or other substance-abuse offense If a student is referred for drug or alcohol testing, the Butler Tech faculty member should confidentially instruct the student to report for testing immediately, if possible, or if this is not reasonable, provide a time frame for testing not to exceed 24 hours. When the student’s condition/behavior suggests there is impairment, the faculty member will immediately accompany the student to the closest testing facility. The faculty member should also complete the Faculty Report of Reasonable Suspicion of Drug/Alcohol Use Form and submit the form to the supervisor of the Butler Tech Program of Practical Nurse Education as soon as possible. 27 The student will be suspended from all class/clinical activity until the case has been reviewed by the administration of Butler Tech. If the drug/alcohol screen is negative, the supervisor of the Butler Tech Program of Practical Nurse Education or designee will notify the faculty to readmit the student to the course without penalty. If the test is positive, the student will be disciplined in a manner outlined in the section of this policy titled “Student Discipline”. The cost of a reasonable suspicion drug test will be borne by the nursing student. D. Testing Procedure The testing procedure set forth below will be followed for reasonable suspicion testing. Drug and alcohol tests will be conducted by a qualified laboratory using established methods and procedures. This test may be obtained by the following methods at the discretion of the qualified individual performing the drug test: urine sample, blood test, hair sample, breath test, saliva test, or tissue test. NOTE: It is the student’s responsibility to make known all medication, which may interfere with the test results before a specimen is obtained. Confidentiality of the student as well as the validity of the sample will be protected by the testing facility. The procedures for collection, as determined by the collection site, will involve witness to the voiding of urine or production of other type of sample, security of the sample in a container, and chain of custody procedures that ensure that the sample identified to a nursing student actually contains materials from that student, that the samples are protected from tampering, and that the analysis of them is done in accordance with reasonable and accepted medical standards. The test shall screen for the use of drugs whose use is either illegal, or which are prone to abuse (including alcohol), as determined at the discretion of the Medical Review Officer of the testing facility, or for the use of any drugs which are reasonably suspected of being abused or used by the student. Presumed positives will be confirmed by the best currently available techniques. If the test is positive, the entirety of the available evidence, including health history, will be used to determine the presence or absence of substance abuse. The testing laboratory will notify the supervisor of the Butler Tech Program of Practical Nurse Education of the test results. The results of this test must be documented on the Butler Tech Medical Form by the testing laboratory or a certified copy of the test results must be attached to the form. The results are confidential and become the property of Butler Tech by inclusion in the student’s file. E. Confidentiality All drug test results will be treated by Butler Tech as information that is received in confidence and shall not be disclosed to third parties unless disclosure is required by law, the information is needed by appropriate school officials to perform their job functions, disclosure is needed to override public health and safety concerns, or the student has consented in writing to the release of the information. Butler Tech shall have the right to use and disclose the results of the drug testing required by this policy in connection with internal academic purposes and in connection with the defense of any student grievance and any claims filed by a student, or by his/her personal representative, in any court of law or with any state or federal agency. F. Student Discipline Related to “Chemical Dependency Policy” A nursing student shall be subjected to discipline if the student refuses to submit to drug testing or if the student’s drug testing results are positive. A student subjected to discipline under this 28 policy will either be recommended for dismissal from the nursing program or be referred to a drug and alcohol treatment/intervention program selected by the program supervisor. Failure to comply with the terms of the intervention program will result in recommendation for dismissal from the Butler Tech Program of Practical Nurse Education. If a student refuses to submit to drug testing or if the student’s drug testing results are positive, and it is the student’s first violation of this policy, the student will be required to seek guidance and comply with the recommendations of a licensed substance abuse counselor. The student shall be reinstated into the program only if a follow-up drug test is negative. Butler Tech will maintain the confidentiality of all records and information related to chemical dependency issues. Referral will be made for assessment, intervention and evaluation. The student will be informed verbally and in writing that this policy has been violated. In order for the student to remain in the program, all interventions recommended must be followed. Failure to comply with the recommended interventions will result in further disciplinary action and may result in recommendation for dismissal from the nursing program. All incidents of suspected drug/alcohol abuse will be documented and placed in the student’s file. If a student refuses to submit to drug testing or if the student’s drug testing results are positive, and it is the student’s second violation of this policy, the student will be dismissed from the Butler Tech Program of Practical Nurse Education. In the event of a conviction by a court or a finding of guilty in an administrative or quasi-legal proceeding of a drug, alcohol or other substance-abuse offense, Butler Tech has the right to request that the student submit to a reasonable suspicion drug test. If the student refuses to comply with this request, the student will be dismissed from the Butler Tech Program of Practical Nurse Education. G. Appeal Procedure A nursing student may appeal Butler Tech’s decision to dismiss or deny admission to the student through the established grievance procedure. HIPAA POLICY HIPAA regulations have required a number of changes in work habits and in the accustomed culture of healthcare throughout this country. These HIPAA privacy requirements apply as much outside our institution, in parking lots, restaurants and homes. All students will complete a HIPAA training course before going to the clinical sites. Additional HIPAA guidelines may be required by clinical facilities of the student throughout the program. The HIPAA course will include, but is not limited to: a. b. c. d. e. f. Overview and course objectives HIPPA terminology Video presentation of HIPAA regulations HIPPA videotape content review Completion of the learning activity Completion of the post test A copy of the HIPAA course post test will be kept in the student’s file, along with a signed statement from the student attesting that he/she understands the HIPAA guidelines for healthcare workers. 29 In addition, no electronic devices are permitted in clinical settings. This includes, but is not limited to cell phones, tape recorders, cameras or equipment for text messaging. Failure to follow HIPAA guidelines is a serious event and will result in immediate dismissal from the program. SMOKING Adult students are not permitted to smoke on any Butler Tech campus or on properties adjoining Butler Tech. Smoking in any area will result in disciplinary action: First offense: Second offense: Third offense: Verbal warning Written warning One (1) day suspension After the third offense, students who continue to violate the smoking will be subject to dismissal. FOOD AND BREAKS Drinks will be allowed in the classroom when computers are not in use. Students are responsible for disposal of any bottles or cups. This is a privilege that will be revoked if trash is not disposed properly. No food is allowed in the classroom unless approval is given by administration. Faculty will assign clinical break and lunch/dinner times. Students are not to leave the clinical facility at any time unless faculty have been advised and given approval. EMERGENCY CLOSINGS AND DELAYS If the school must be closed or the opening delayed because of inclement weather or other conditions, the school will post a notice on the school’s website www.butlertech.org and notify the following radio and television stations: WMUB - 88.5 FM WINK - 94.1 FM WBTT - 94.5 FM WOXY - 97.7 FM WLQT - 99.9 FM WKRQ - 101.9 FM WXEG - 103.9 FM WTUE - 104.7 FM WMMX - 107.7 FM WPBF - 910 AM WMOH - 1450 AM WONE - 980 AM WCPO - CHANNEL 9 WLWT - CHANNEL 5 WKRC - CHANNEL 12 WDTN - CHANNEL 2 WKEF - CHANNEL 22 WHIO - CHANNEL 7 All announcements will be aired under the name of Butler Tech, D. Russel Lee Career~Technology Center or Butler Technology and Career Development Schools. Unless a specific announcement is made that states otherwise, Adult Workforce Education Division classes will be closed if the high school classes are closed. This includes evening programs, as communication with adult students becomes difficult-to-impossible concerning a change to “open” status. Delay announcements refer to a delay in relation to the school’s opening time of 8:00 a.m. Delay announcements for Adult Workforce Education will be calculated from that time. In other words, a “two hour delay” means that all classes after 10:00 a.m. will be OPEN. A class that normally begins at 8:00 a.m. will begin at 10: a.m.; a class that begins at 9:00 a.m. will also begin at 10:00 a.m. Clinical rotations that begin at 7:00 a.m. will begin at 9:00 a.m. If the weather should become sufficiently inclement to cancel afternoon or evening classes, an announcement will be made via the same media stations. In all cases, adult students should use discretion as to whether or not it is safe to drive. 30 Classes with required hours, including scheduled clinical days, must be made up and will be rescheduled by the program supervisor and instructor. The Practical Nursing program must make up any missed scheduled classroom hours after one calamity day. ADDRESS AND PHONE NUMBER CHANGES It is imperative that all students notify the Adult Workforce Education office staff of any changes in address, e-mail address, or phone number. FIRE DRILL AND TORNADO PROCEDURES The District has established fire and tornado drill procedures which will be explained by individual instructors. Emergency evacuation routes are posted in all classrooms. It is imperative that students remain with the class; no one is to leave until released by school personnel. FALSIFICATION OF DOCUMENTS Students who falsify any Butler Tech documents will be subject to immediate dismissal from his/her program. CHAIN OF COMMAND Step I: Student should deal personally and privately regarding concerns with the individual involved. Step II: Meet with instructor privately to resolve the problem. Step III: Meet with the Associate Director/Director of Nursing if concern is not resolved. NOTE: Steps outlined in the Grievance Policy, Section VIII of this handbook, may also be employed if necessary. 31 SECTION VI STUDENT SERVICES EMPLOYABILITY SKILLS All full time programs offer instruction in employability skills appropriate to the specific program of study. Each program offers at least résumé preparation and interviewing skills. All students will be encouraged and have the opportunity to prepare a résumé. PLACEMENT AND FOLLOW-UP When a student obtains employment, the student is requested to provide the following information to the career/technical instructor: employer name; employer address and phone number; immediate supervisor; job title, hourly wage and hours per week worked; job duties; and start date. During February or March each year, students who completed during the previous 12-month period are contacted to determine current employment status. State and Federal regulations require that placement information be recorded and made available. PERSONAL TRANSPORTATION TO SCHOOL-DRIVING PRIVILEGES Maximum speed on school property is ten miles per hour (10 MPH) at all times. Student drivers shall park in designated areas. Students driving to school should enter the building immediately upon their arrival. Loitering in the parking lot and in personal vehicles on school property is prohibited. Parking Permits are required for all full-time students (with the exception of Public Safety Students). Upon completion of the Student Application to Drive on School Property (5155 F1) students will be issued a parking permit (hanging tag). Students must have a displayed (visible) parking permit to park in the parking lot. Persistent parking violations or lack of parking permit will result in a loss of parking privileges or vehicles towed at the owner’s expense. Driving is a privilege and if abused, the driving privilege will be revoked. Illegal parking or reckless operation, failure to follow directions given by parking lot supervisors, or disregard to parking lot safety in general will result in disciplinary action and/or loss of driving privileges. NOTE: Per Ohio Revised Code Section 4509.101 Operation of motor vehicle without maintaining proof of financial responsibility is prohibited. “No person shall operate, or permit the operation of, a motor vehicle in this state, unless proof of financial responsibility is maintained with respect to that vehicle, or, in the case of a driver who is not the owner, with respect to is operation of that vehicle.” LOST AND FOUND The lost and found area is in the customer service offices. Students who have lost items should check there and may retrieve their items if they give a proper description. Unclaimed items will become the property of the Student Benevolent Fund. 32 STUDENT FUND-RAISING With the permission of the Building Administrator, students participating in school-sponsored groups and activities will be allowed to solicit funds from other students, staff members, and members of the community in accordance with school guidelines. The following general rules will apply to all fund-raisers: - Students involved in the fund-raiser will not interfere with class activities or students participating in other activities in order to solicit funds. - A student will not be allowed to participate in a fund-raising activity for a group in which (s)he is not a member. - No student may use the name Butler Tech for fund-raising activities without proper authorization and supervision by approved staff. - No house-to-house canvassing is allowed by any student for any school approved fundraising activity. - A staff member will monitor any fund-raisers that require students to exert themselves physically beyond their normal pattern of activity in order to prevent a student from overextending himself/herself to the point of potential harm. - No student may participate in a fund-raising activity conducted by a booster club or community organization on school property without the permission of the appropriate administrator. STUDENT COUNSELING AND ADVISING The Associate Director and the faculty serve as the student’s advisor in each program of study. Faculty members are available by appointment to discuss student performance or other classroom concerns and make appropriate referrals. Students are encouraged to make the advisor or counselor aware of any special circumstances that affect their educational progress. Students may seek counseling services through the office of the Student Support Services and/or the Career Counselor. The Assessment Center is available for student referral and assistance. A counselor and district nurse are available to provide referrals for students with problems such as substance abuse, divorce, domestic violence, or other counseling needs. In order to achieve maximum benefits from the educational experience students are advised to: Meet regularly with the faculty/counselor to discuss goals and options for meeting those goals. Accept responsibility for his/her education and seek counsel, not decisions, from the faculty/counselor. Read and stay aware of the program policies as stated in the catalog, student handbook, and nursing program student handbook. Make the faculty/counselor aware of any special circumstances which may affect educational outcomes such as job or family responsibilities. MEDICATION If a student is taking medication, that information should be made known to his/her instructor for health and safety reasons. 33 PRIVACY OF STUDENT RECORDS Student records shall be defined as any material concerning individual students maintained in any form by the Board of Education or its employees, except personal notes maintained by teachers and other school personnel solely for their individual use and not communicated to any other person. All permanent student records are maintained by the Adult Workforce Education office, Registrar’s office or official storage space. The consent of the student shall be required when any item in the student’s record is divulged to any person except authorized personnel employed by the Board of Education and having direct educational contact with the student, or representatives of the Ohio Board of Regents, Ohio Department of Education, or United States Department of Education. A student has the right to: I. Inspect and review his/her education records II. Request an amendment to his/her record III. Request a hearing (if the request for an amendment is denied) to challenge the contents of the education records, on the grounds that the records are inaccurate, misleading, or in violation of his/her rights STUDENT NOTIFICATION OF CHANGES IN PROGRAM POLICIES No program changes in the Practical Nursing Handbook policies or procedures will be implemented for student progression, or requirements for completion of the program regarding students enrolled at the time the changes are adopted. Changes involving these policies or procedures of this nature will be implemented at the start date of any future practical nursing program. Revisions or updates to the Practical Nursing Handbook will be addressed as follows: The policy will be revised/updated and an addendum will be distributed to all practical nursing students with two (2) copies to sign that acknowledge receipt of the changes and the effective date. One copy will be given to the student and the other copy will be kept in the students’ file. 34 SECTION VII GRADUATION INFORMATION CERTIFICATE OF COMPLETION A certificate of completion will be awarded to each student who has met all academic and attendance requirements or who has successfully maintained an advanced placement assignment through the scheduled completion date. Duplicate certificates will not be issued. In lieu of a duplicate certificate an official letter/transcript verifying dates attended and program completion will be issued to the student or the student’s designee upon written request. A fee of $5.00 will be assessed. CAREER PASSPORTS The Career Passport is a portfolio containing training-related documents and describes the marketable skills of the program completer. It is designed to assist students in job seeking and career planning by presenting skills and knowledge acquired while enrolled with the Butler Technology and Career Development Schools. To receive a Career Passport a student must: 1. 2. 3. 4.. 5. 6. Receive a grade of 80% or higher in each course. Receive a satisfactory clinical evaluation. Meet all attendance requirements. Fulfill all financial obligations (payment in full for tuition, fees, books, etc.) Return all materials to media center and/or pay fines Sit for the HESI exit exam: HESI TESTING AND SCALE All students will take the HESI Exit Exam during 3rd quarter and the score will be recorded as the student’s 1st attempt. All students will have approximately 8 weeks during the 4th quarter for the opportunity to remediate thru the Evolve Website. The Second HESI Exit Re-take Exam will be scheduled and scored as above during finals of 4th quarter. The higher of the two (2) HESI scores will be attached to the courses of Nursing of Principles IV, Nursing of Adults III, and Pharmacology IV with a weight of 10% applied to each of the courses’ FINAL EXAM Test Scores. Any HESI score that is achieved during third or fourth term will be in effect for any student who must return to repeat any classes. The HESI exam will be scored as follows: 35 900 or > 890-899 880-889 870-879 860-869 850-859 840-849 830-839 820-829 810-819 800-809 790-799 780-789 770-779 760-769 750-759 740-749 730-739 720-729 710-719 700-709 690-699 680-689 670-679 660-669 650-659 640-649 630-639 620-629 610-619 600-609 100% 99% 98% 97% 96% 95% 94% 93% 92% 91% 90% 89% 88% 87% 86% 85% 84% 83% 82% 81% 80% 79% 78% 77% 76% 75% 74% 73% 72% 71% 70% 590-599 580-589 570-579 560-569 550-559 540-549 530-539 520-529 510-519 500-509 490-499 480-489 470-479 460-469 450-459 440-449 430-439 420-429 410-419 400-409 390-399 380-389 370-379 360-369 350-359 340-349 330-339 320-329 310-319 300-309 69% 68% 67% 66% 65% 64% 63% 62% 61% 60% 59% 58% 57% 56% 55% 54% 53% 52% 51% 50% 49% 48% 47% 46% 45% 44% 43% 42% 41% 40% GRADUATION Graduation will be scheduled on or near the end of the program year. All diplomas will be dated to correspond to the program completion day. All students are expected to attend both the rehearsal and graduation ceremony. Family and friends may be invited (the number will be determined yearly based on space available). Dress: caps and gowns or as required by the program administrator. STATE LICENSURE In order to practice practical nursing in Ohio, a graduate practical nurse is required to pass an examination given by the National Council of State Boards Nursing, Inc. A graduate practical nurse of the Butler Tech Program of Practical Nurse Education is eligible to apply for State Board Examination on the successful completion of the program. The Ohio Board of Nursing has the authority to refuse permission to take the examination if the individual has a previous felony conviction. The National Council may wish to schedule an interview with the graduate prior to the examination. 36 TRANSCRIPT Each graduate will be given one (1) transcript. All subsequent transcripts requested will cost $5.00. All requests for transcripts must be accompanied by a signed request from the graduate. RECORDS RETENTION Student and graduate records are retained in the following manner: Current students: Files maintained in a secured office of the nursing faculty or nursing office. Enrolled Students/Graduates: Files retained intact for a period of one year from the date of completion; after this period of time all contents will be destroyed with the exception of the following documents: High school transcripts/GED Nursing Program transcripts Final clinical evaluation IV Checklist & clinical check-off list Other required records, as established by the Registrar’s office. Prospective students: Files maintained in the adult education office for a period of one (1) year, and then destroyed. 37 SECTION VIII ADULT STUDENT RESPONSIBILITIES STUDENT CODE OF CONDUCT Students learn best in an atmosphere of mutual acceptance and trust. Rules and regulations are necessary and, when applied, shall be reasonable and appropriate to the nature of the behavior and in accordance with the holdings of Ohio courts of law. In maintaining the student’s right to equal educational opportunity, it is reasonable and necessary to maintain order in the career/technical center. The Student Code of Conduct sets forth a student discipline code which outlines the conduct for which a student may be removed from an activity, be suspended, or dismissed from school. In the event that an adult student’s conduct is disruptive to the educational process, destructive to property in either the classroom or clinical setting, and/or deprives others of their basic rights, the school will take appropriate action for immediate removal and possible dismissal. Students are expected to demonstrate the following: 1. A desire to learn and develop their professional skills 2. Preparation for each class 3. Attendance and punctuality for each class 4. Positive classroom participation 5. A courteous, respectful, and non-judgmental attitude towards staff and other students 6. A willingness to receive constructive feedback 7. The desire to take responsibility for their own values, attitudes, interpersonal relationships, and academic performance Students are expected to refrain from the following: 1. Insubordination: A student shall not disregard or refuse to obey directions or instructions given by school personnel during any period of time when the student is properly under the authority of school personnel. 2. Disruption: A student shall not by use of violence, force, coercion, threat, harassment, unnecessary noise or talking or other behavior deemed undesirable, cause disruption or obstruction to the educational process. 3. Use of tobacco: Butler Tech is a smoke-free, tobacco-free campus 4. Theft 5. Possession of weapons or any item which can be construed as a weapon or destructive device. 6. Possession or consumption of alcohol, illegal drugs, or counterfeit controlled substances 7. Inappropriate dress (see Dress Code) 8. Frightening, degrading, lewd, or disgraceful acts 9. Hazing 10. Harassment of any type 11. Cheating on any classroom assignments, quizzes, tests, or other assessments 12. Plagiarism or misrepresentation of another student’s work as his/her own. 13. Falsification of any documents used in the enrollment or financial aid processes. Violation of the Student Code of Conduct will result in temporary removal, written reprimand, and/or dismissal from the program. A Code of Conduct for Nursing Students Students of nursing have a responsibility to society in learning the academic theory and clinical skills needed to provide nursing care. The clinical setting presents unique challenges and responsibilities while caring for human beings in a variety of health care environments. 38 The Code of Academic and Clinical Conduct is based on an understanding that to practice nursing as a student is an agreement to uphold the trust which society has placed in us. The statements of the Code provide guidance for the nursing student in the personal development of an ethical foundation and need not be limited strictly to the academic or clinical environment but can assist in the holistic development of the person. As students are involved in the clinical and academic environments we believe that ethical principles are a necessary guide to professional development. Therefore within these environments we: 1. Advocate for the rights of all clients 2. Maintain client confidentiality 3. Take appropriate action to ensure the safety of clients, self, and others 4. Provide care for the client in a timely, compassionate, and professional manner 5. Communicate client care in a truthful, timely, and accurate manner 6. Actively promote the highest level of moral and ethical principles and accept responsibility for our actions 7. Promote excellence in nursing by encouraging lifelong learning and professional development 8. Treat others with respect and promote an environment that respects human rights, values, and choice of cultural and spiritual beliefs 9. Collaborate in every reasonable manner with the academic faculty and clinical staff to ensure the highest quality of client care 10. Use every opportunity to improve faculty and clinical staff understanding of the learning needs of nursing students 11. Encourage faculty, clinical staff, and peers to mentor nursing students 12. Refrain from performing any technique or procedure for which the student has not been adequately trained 13. Refrain from any deliberate action or omission of care in the academic or clinical setting that creates unnecessary risk of injury to the client, self, or others 14. Assist the staff nurse or preceptor in ensuring that there is full disclosure and that proper authorizations are obtained from clients regarding any form of treatment or research 15. Abstain from the use of alcoholic beverages or any substances in the academic and clinical setting the impair judgment 16. Strive to achieve and maintain and optimal level of personal health 17. Support access to treatment and rehabilitation for students who are experiencing impairments related to substance abuse and mental or physical health issues 18. Uphold school policies and regulations related to academic and clinical performance, reserving the right to challenge and critique rules and regulations as per school grievance policy . STUDENT CONDUCT WHILE PROVIDING NURSING CARE A. In addition to the policies required in paragraph (A) of this rule, the program administrator and faculty shall implement policies related to student conduct that incorporate the standards for safe nursing care set forth in Chapter 4723 of the Revised Code and the rules adopted there under, including, but not limited to the following: 1) A student shall, in a complete, accurate, and timely manner, report and document nursing data collections or observations, the care provided by the student for the client and the client’s response to that care. 2) A student shall, in an accurate and timely manner, report to the appropriate practitioner errors in or deviations from the current valid order. 3) A student shall not falsify any client record or any other document prepared or utilized in the course of, or in conjunction with, nursing practice. This includes, 39 but is not limited to, case management documents or reports or time records, and other documents related to billing for nursing services. 4) A student shall implement measures to promote a safe environment for each client. 5) A student shall delineate, establish, and maintain professional boundaries with each client. 6) At all times when a student is providing direct nursing care to a client the student shall: a. Provide privacy during examination or treatment and in the care of personal or bodily needs; and b. Treat each client with courtesy, respect, and with full recognition of dignity and individuality. 7) A student shall practice within the appropriate scope of practice as set forth in division (B) of section 4723.01 and division (B) (20) of section 4723.28 of the Revised Code for a registered nurse and division (F) of section 4723.01 and division (B) (21) of section 4723.28 of the Revised Code for a practical nurse; 8) A student shall use universal blood and body fluid precautions established by Chapter 4723-20 of the Administrative Code; 9) A student shall not: a. Engage in behavior that causes or may cause physical, verbal, mental, or emotional abuse to a client; b. Engage in behavior toward a client that may reasonably be interpreted as physical, verbal, mental, or emotional abuse. 10) A student shall not misappropriate a client’s property or: a. Engage in behavior to seek or obtain personal gain at the client’s expense; b. Engage in behavior that may reasonably be interpreted as behavior to seek or obtain personal gain at the client’s expense; c. Engage in behavior that constitutes inappropriate involvement in the client’s personal relationships; or d. Engage in behavior that may reasonably be interpreted inappropriate involvement in the client’s personal relationships. as For the purpose of this paragraph, the client is always presumed incapable of giving free, full, or informed consent to the behaviors by the student set forth in this paragraph. 11) A student shall not: a. Engage in sexual conduct with a client; b. Engage in conduct in the course of practice that may reasonably be interpreted as sexual; 40 c. Engage in any verbal behavior that is seductive or sexually demeaning to a client; d. Engage in verbal behavior that may reasonably be interpreted as seductive, or sexually demeaning to a client. For the purpose of this paragraph, the client is always presumed incapable of giving fee, full, or informed consent to sexual activity with the student. 12) A student shall not, regardless of whether the contact or verbal behavior is consensual, engage with a patient other than the spouse of the student in any of the following: a. Sexual contact, as defined in section 2907.01 of the Revised Code; b. Verbal behavior that is sexually demeaning to the patient or may be reasonably interpreted by the patient as sexually demeaning. 13) A student shall not self-administer or otherwise take into the body any dangerous drug, as defined in section 4729.01 of the Revised Code, in any way not in accordance with a legal, valid prescription issued for the student. 14) A student shall not habitually indulge in the use of controlled substances, other habit-forming drugs, or alcohol or other chemical substances to an extent that impairs ability to practice. 15) A student shall not have impairment of the ability to practice according to acceptable and prevailing standards of safe nursing care because of habitual or excessive use of drugs, alcohol, or other chemical substances that impair the ability to practice. 16) A student shall not have impairment of the ability to practice according to acceptable and prevailing standards of safe nursing care because of a physical or mental disability; 17) A student shall not assault or cause harm to a patient or deprive a patient of the means to summon assistance; 18) A student shall not obtain or attempt to obtain money or anything or anything of value by intentional misrepresentation or material deception in the course of practice; 19) A student shall not have been adjudicated by a probate court of being mentally ill or mentally incompetent, unless restored to competency by the court. 20) A student shall not aid and abet a person in that person’s practice of nursing without a license, practice as a dialysis technician without a certificate issued by the board, or administration of medication aide without a certificate issued by the board. 21) A student shall not prescribe any drug or device to perform or induce an abortion, or otherwise perform or induce an abortion; 22) A student shall not assist suicide as defined in section 3795.01 of the Revised Code. 41 23) A student shall not submit or cause to be submitted any false, misleading or deceptive statements, information, or document to the nursing program, its faculty or preceptors, or the board. Failure to comply with the above standards while providing nursing care will not be in compliance with the Conduct and Behavior Policy. REPORTING HARASSMENT Butler Tech enforces a zero tolerance policy for any type of harassment, including but not limited to physical, mental, and/or sexual harassment, coercion, interference, or intimidation. Any student who is a victim of harassment, or who witnesses harassment of another student, should report the incident to an instructor, guidance counselor, and/or program supervisor. The informed employee will document the incident in writing and begin an appropriate investigation of the accusations of harassment. Investigation techniques may include interviews with the accuser and the accused, interviews with witnesses, and counsel from local law enforcement. Retaliation against a student who reports harassment will not be tolerated and is also subject to disciplinary actions. AIDING AND ABETTING A student shall not in any way aid or abet another student in violating the Student Code of Conduct. A student behaving in this manner will be disciplined according to the consequences given for the rule being violated by the other student. REPEATED VIOLATIONS OF SCHOOL RULES Repeated violations of school rules may result in suspension and/or dismissal from the program. BUTLER TECH HONOR PLEDGE All Butler Tech adult students are members of a diverse academic and social community. The educational value of our programs is critically dependent upon academic integrity. Students are asked to commit themselves to the following Butler Tech Honor pledge: Understanding that students of Butler Tech are members of an academic and social community, I recognize the importance of my education and the value of experiencing learning in such an integrated community. Because I understand that the value of my education and training is critically dependent upon academic integrity, I pledge to: 1. Complete all assignments and examinations by the guidelines given to me by my instructors 2. Avoid plagiarism and any other form of misrepresenting someone else’s work as my own 3. Respect my instructors, administrators, peers, and others with whom I engage 4. Adhere to the policies and procedures in the Student Handbook as well as specific policies for the program in which I am enrolled In doing this, I hold myself and my community to a higher standard of excellence and set an example for my peers to follow. 42 COMPUTER ACCESS In order to have access to any district computer the student must sign an Acceptable Use Policy. It is illegal to access another student’s account without permission. Such permission must be in writing and must include the instructor’s signature as authorization. Entering and/or reproducing any information that is not directly related to the instructional assignment is strictly prohibited. It is the policy of the District that a student cannot interfere with the operation of school business. Unauthorized access, entering unauthorized information, and/or reproducing unauthorized information/material falls under this policy. Students are not permitted to bring, install, or use unauthorized software in any classroom or on any district computer. DRESS CODE The Practical Nursing Student is expected to be neat, clean and well groomed at all times as outlined below: Student photo ID must be worn at all times (in or out of uniform). Nails are to be manicured and not to extend beyond finger pads when fingers are extended. Only clear polish is to be worn with the uniform. No acrylic nails permitted. Mustaches and beards must be neat and well trimmed both in class and clinical areas. Cosmetics must be in good taste and contribute to a professional appearance. Perfume and after shave lotion are not to be worn in clinical areas. Students are not permitted to wear class rings or other jewelry with the exception of the wedding/engagement rings while in uniform. The hair style must be professional in appearance and worn so as to avoid touching the collar in the clinical setting. Hair ornaments are not permitted. Only one pair of small silver or gold ball shaped earrings are allowed in pierced earlobes; otherwise, no earrings are permitted, i.e. no nose rings, lip rings, eyebrow rings, multiple pairs in each ear(s), tongue studs, etc. Only acceptable necklace allowed is the medic alert. Also, a necklace religious in nature will be allowed but the student will be asked to place the necklace on a chain that is not visible. No visible tattoos at any time (Butler Tech policy). In the case of exposed areas, the student is to cover a tattoo with a bandage or by some means while at school and at the clinical setting. If the clinical facility policy is more restrictive the student must comply with that policy. 43 Student Uniform ONLY the approved program uniform that is supplied by the school is allowed to be worn: White shoes (that are supplied with the uniform package), white socks (above the ankle), white hose, name badge worn on the upper left side of the lab jacket and photo ID worn on right side, and watch with a second hand. Plain white/navy blue sweater or class sweatshirt for classroom and lab coat for clinical area. All uniforms are to be ordered from approved uniform supplier and conform to design selected by the program (to include the white clinical uniform, navy classroom scrubs, lab jacket, and shoes). All students are to be in complete program uniform at all times. Students should use professional discretion as to where they wear their uniform other than at required times. Any student found in incomplete or out of uniform during any random classroom uniform check performed by the faculty will accrue a 2 hour classroom absence. Any student arriving in the clinical area in incomplete or out of uniform will be dismissed and counted absent for that day or until returning in the approved complete program uniform. No undergarment sleeves should extend beyond uniform sleeves and any foundation garments are not to be obvious. At any clinical site the only lab coat that may be worn is the lab coat supplied with the uniform package. Dress and Grooming When Out of Uniform On “out of uniform days” (as deemed by authorized personnel) student will abide by the dress and grooming Adult Workforce Education code as follows: Lower body articles of clothing must be hemmed. Students will not wear short shorts, spandex type clothing, athletic shorts, or miniskirts. Lower garments are to be worn at waist level at all times. Upper body articles of clothing should cover the body from shoulders to waist; shirts exposing the midriff at any time will not be acceptable. The shirt must be hemmed. The armholes should not expose more than the underarm area. (Tank tops and spaghetti straps are not allowed.) Clothing that bears statements, slogans, images, or insignia that are indecent, obscene, profane, lewd, or vulgar is not permitted. Clothing that bears statements, slogans, images, or insignia that harass, threaten, intimidate, demean, discriminate or suggests violence, and that creates a reasonable risk of substantial interference of the educational process, is not permitted. Clothing that bears statements, slogans, images or insignia advertising, promoting, or depicting alcoholic beverages, tobacco products, or illegal drugs, and that creates a reasonable risk of substantial interference of the educational process, is not permitted. 44 Tattoos, slogans, insignia, buttons, and other paraphernalia may not be worn or displayed if the message may reasonably be anticipated to create a disruption in the educational process. In the case of exposed areas, the staff may require the student to cover a tattoo with a bandage, or by some other means, while at school. Visible body, facial, or tongue piercing, extreme makeup, and extreme hair color may be restricted, based on what may be acceptable in a typical work environment. Hats, head coverings, (except in lab work) headgear, scarves, headbands, bandanas, gloves or mittens, and/or sun-glasses (unless directed by a doctor) are not to be worn. Heavy chains, studded bracelets, dog collars, and other articles which may be judged to be potentially harmful to the students and/or could be used as a weapon will not be permitted. Torn, shredded, or threadbare clothing shall not be worn. Students must wear shoes to school that are safe and appropriate for their program of study. ADMINISTRATION OF STUDENT DISCIPLINARY CODE While the primary responsibility rests with the program supervisor, the Building Director or designee shall also administer the student disciplinary code and shall use his/her professional judgment in determining the most appropriate disciplinary action to be taken in each individual case. STUDENT SUSPENSION OR DISMISSAL FROM PROGRAM A student may be suspended temporarily from a program for up to ten (10) days or dismissed from a program for violations of the Student Code of Conduct. At all levels of disciplinary hearings, the student may have one (1) representative present. The supervisor may elect, at his/her own discretion, to tape the proceedings or have a school employee present to take official notes of the proceedings. If a supervisor intends to consider either the suspension or dismissal of a student from a program, (s)he will provide written notification to the student of his/her intended action(s) and the reason(s) why the action is being considered. The student will be given the opportunity to meet with the supervisor and present his/her information. After this meeting, if the supervisor elects to suspend or dismiss the student, the supervisor will notify the student in writing of his/her final decision and provide the reasoning for the basis of the decision. If the student wishes to appeal the decision of the supervisor, the student must file a written notice of his/her intention to do so with the Executive Director of Adult Workforce Education not later than five (5) days after receipt of the written decision of the supervisor. If an appeal is filed within that time, the student will meet with the Executive Director of Adult Workforce Education and be given the opportunity to present any evidence the student wishes as to why the student should not be suspended or dismissed from the program. The Executive Director of Adult Workforce Education will consider the evidence and provide the student with his/her decision in writing. The decision of the Executive Director of Adult Workforce Education may be appealed to the Chief Executive Officer in writing within five (5) days of receipt of the Executive Director’s decision. If the suspension or recommended dismissal of a student is not upheld by the Executive Director of Adult Workforce Education or the Chief Executive Officer and the student missed class work because of the supervisor’s decision, the student will be permitted to make up all work missed and receive credit for it. Students who are suspended or recommended for dismissal for breach of the Student Code of Conduct or for poor attendance may, at the discretion of the supervisor of the program, be allowed to continue to attend class pending appeal. 45 EMERGENCY REMOVAL OF STUDENTS If a student's presence poses a continuing danger to persons or property, or an ongoing threat of disrupting the academic process taking place either in a classroom or elsewhere on school premises, the Executive Director of Adult Workforce Education or appropriate administrator may remove the student from curricular activities or from the school premises. A teacher may remove the student from curricular activities under the teacher's supervision, but not from the premises. If a teacher makes an emergency removal, the teacher will notify an administrator of the circumstances surrounding the removal in writing as soon as practical. No prior notice or hearing is required for any removal under this policy. In all cases of normal disciplinary procedures where a student is removed from a curricular activity for less than one (1) school day and is not subject to further suspension or expulsion, the following due process requirements do not apply. If the emergency removal exceeds one (1) school day, then a due process hearing will be held within three (3) school days after the removal is ordered. Written notice of the hearing and the reason for the removal and any intended disciplinary action will be given to the student as soon as practical prior to the hearing. If the student is subject to out-of-school suspension, the student will have the opportunity to appear at an informal hearing before the appropriate administrator, Executive Director of Adult Workforce Education or designee and has the right to challenge the reasons for the intended suspension or otherwise explain his/her actions. Within one (1) school day of the decision to suspend, written notification will be given to the student. This notice will include the reasons for the suspension, the right of the student to appeal to the Chief Executive Officer or his/her designee and the student's right to be represented in all appeal proceedings. If it is probable that the student may be subject to dismissal, the hearing will take place within three (3) school days. The person who ordered or requested the removal will be present at the hearing. If the Executive Director of Adult Workforce Education or administrator reinstates a student prior to the hearing for emergency removal, the teacher may request and will be given written reasons for the reinstatement. The teacher cannot refuse to reinstate the student. In an emergency removal, a student can be kept from class until the matter of the misconduct is disposed of either by reinstatement, suspension or expulsion. DISCIPLINE OF STUDENTS WITH DISABILITIES Students with disabilities will be entitled to the rights and procedures afforded by the Individuals with Disabilities Education Act (IDEA) and the Americans with Disabilities Act (ADA.), or Section 504 of the Rehabilitation Act of 1973. SEARCH AND SEIZURE Search of a student and his/her possessions, including vehicles, may be conducted at any time the student is under the jurisdiction of the Board of Education, if there is a reasonable suspicion that the student is in violation of law or school rules. A search may also be conducted to protect the safety of others. All searches may be conducted with or without a student’s consent. Students are provided lockers, desks or other equipment in which to store materials. It should be clearly understood that this equipment is the property of the school and may be searched at any time if there is reasonable suspicion that a student has violated the law or school rules. Locks are to prevent theft, not to prevent searches. 46 Anything that is found in the course of a search that may be evidence of a violation of school rules or the law may be taken and held or turned over to the police. The School reserves the right not to return items which have been confiscated. STUDENT RIGHTS OF EXPRESSION The school recognizes the rights of students to express themselves. With the right of expression comes the responsibility to do it appropriately. Students may distribute or display, at appropriate times: non-sponsored, noncommercial written material and petitions; buttons, badges, or other insignia; clothing, insignia, and banners; and audio and video materials. All items must meet school guidelines. A. Material cannot be displayed if it: 1. 2. 3. 4. is obscene, libelous, indecent or vulgar advertises any product or service not permitted to minors by law intends to be insulting or harassing intends to initiate fighting or presents a likelihood of disrupting school or a school event B. Materials may not be displayed or distributed during class periods, or during passing times between classes. Permission may be granted for display or distribution during lunch periods and after school in designated locations, as long as exits are not blocked and there is proper access and egress to the building. STUDENT CONCERNS, SUGGESTIONS AND GRIEVANCES Butler Tech is here for the benefit of the students. If a student has suggestions that could improve the school, (s)he should feel free to offer them. Written suggestions may be presented to instructors or office personnel. When concerns or grievances arise, the best way to resolve the issue is through communication. No student will be harassed by any staff member or need fear reprisal for the proper expression of a legitimate concern. Suggestions, concerns, and grievances may be directed to the program supervisor. A student has the right to a hearing if the student believes (s)he has been improperly denied participation in a school activity or has been subject to an illegal rule or standard. A student may not petition to have a grade changed. Any student having a grievance shall first discuss such grievance with his/her instructor within five (5) working days following the act or condition which is the basis of the grievance. If the discussion does not resolve the issue, the aggrieved may: a. Lodge a written grievance with the program supervisor within five (5) working days following the discussion with the instructor. A standard form shall be supplied by the office of Adult Workforce Education. A copy of the form shall be filed with the program supervisor. A hearing shall be held by the program supervisor within five (5) business days of receipt of the grievance. The aggrieved shall have the right to be accompanied by one (1) representative. b. If the action taken by the program supervisor does not resolve the grievance, the aggrieved shall have a right to request a hearing before the Building Administrator or Designated Administrator. The request must be made in writing within five (5) working days following the decision of the program supervisor. The aggrieved shall be advised in writing of the time, place, and date of the hearing. The hearing shall be held within five (5) 47 business days of receipt of the written request for the hearing. The aggrieved shall have the right to be accompanied by one (1) representative. c. The Building Administrator or Designated Administrator shall take action on the written grievance within five (5) working days after the conclusion of the hearing. The action taken and the reasons for the action shall be written and copies sent to the aggrieved and the program supervisor. d. If the action taken by the Building Administrator or Designated Administrator does not resolve the grievance, the aggrieved shall have a right to request a hearing before the Executive Director of Adult Workforce Education. The request must be made in writing within five (5) working days following the decision of the program supervisor. The aggrieved shall be advised in writing of the time, place, and date of the hearing. The hearing shall be held within five (5) business days of receipt of the written request for the hearing. The aggrieved shall have the right to be accompanied by one (1) representative. e. The Executive Director of Adult Workforce Education shall take action on the written grievance within five (5) working days after the conclusion of the hearing. The action taken and the reasons for the action shall be written and copies sent to the aggrieved and the program supervisor f. If the action taken by the Executive Director of Adult Workforce Education does not resolve the grievance, the aggrieved may appeal in writing to the Chief Executive Officer within five (5) working days from the receipt of the written decision. The aggrieved shall be advised in writing of the time, place, and date of the hearing with the. Chief Executive Officer. The aggrieved shall have the right to be accompanied by one (1) representative. The Chief Executive Officer shall take action on the appeal within five (5) working days after the conclusion of the hearing. The action taken and the reasons for the action shall be written and copies sent to the aggrieved and the Executive Director of Adult Workforce Education. The decision of the Chief Executive Officer is final. If the student wishes to take further action after the final appeal has been made, he/she may contact Butler Tech’s accrediting agency. The Council on Occupational Education will require all documentation that the student has followed the stated grievance policy of the institution. Council on Occupational Education 7840 Roswell Road Building 300, Suite 325 Atlanta GA 30350 Telephone: 770-396-3898/ FAX:770-396-3790 www.council.org Revised July 2013 48 SECTION IX COURSE DESCRIPTIONS BODY STRUCTURE AND FUNCTION 70 hours Body Structure and Function introduces the student to the normal structures of the human body and how each system of the body functions separately and collectively. It provides the foundation for subsequent courses that deal with body structures and function within the life cycle. NURSING PRINCIPLES I, II, III, and IV 290 hours Principles of Nursing has both theory and campus laboratory experiences. The theory portion introduces the student to the patient’s environment, the basic and complex needs of the patient during the life cycle and the basic nursing interventions that can be used to meet these needs The student is given the opportunity to learn and to practice nursing skills and procedures in the campus laboratory initially and then to transfer these skills and practices to their nursing care assignments in the clinical facilities. NURSING CONSIDERATIONS IN NUTRITION 30 hours Nursing Considerations in Nutrition introduces the student to information pertinent to nutrition and its relationships to wellness throughout the life continuum. Principles of food as a basic need, functions of nutrients, nutritive value of foods, the body’s requirements for nutrients, role of nutrition in determining wellness, role of the practical nurse in the nutrition team, as well as the psychological and socio-cultural variables that influence nutrition are included. NURSING OF ADULTS I, II, and III 255 hours Nursing of Adults includes the basic medical-surgical problems that interfere with fundamental human needs and wellness. Emphasis is placed on the nursing care needs of the patient throughout the life cycle. Nursing Considerations of Medication Administration, Home Health Care, Diet and Mental Health concepts are integrated throughout each unit of study. PHARMACOLOGY l, II, III and IV 120 hours Nursing Consideration of Medication Administration includes basic math, the metric system, and the equivalents that are necessary to calculate medications. Pharmacology, drug classification and terminology, techniques of safety, dispensing oral and injectable medications are studied and practiced in the classroom and skills laboratory. Supervised clinical experiences are provided so that each student has the opportunity to dispense medication as part of total patient care and to selected patients. Emphasis is placed on the needs of patient during various cycles of life. The student will also have 50+ hours of clinical pharmacology experience. PERSONAL VOCATIONAL RELATIONSHIPS I and II 50 hours Personal Vocational Relationship offers the students an opportunity to adjust to and to learn about their role as students and to plan their future as a licensed practical nurse. They are introduced to the concept of the health care team, the role and function of each team member and the working relationship between the members of the team. Included in the courses are career opportunities, legal and ethical responsibilities, rules and regulations of the Ohio Board of Nursing, economics, social rights and problems that occur within the various cycles of life and nursing organizations. HUMAN LIFE CYCLES I, II, III, and IV 145 hours Human Life Cycles introduce the student to the unique characteristics of individuals at each cycle of life. Wellness is emphasized throughout each of the units of study: obstetrics, growth and development, pediatrics, adolescence, adulthood, and geriatrics. The five domains of development: physical, cognitive, social, emotional and moral provide the continuity from one stage to the other. Mental health concepts are addressed and integrated into each of the other units of study. 49 IV THERAPY 20 hours IV Therapy course is designed to assist students with learning the techniques necessary to provide IV therapy. Theory introduces the student to the law in accordance to IV therapy, fluid and electrolyte/acid base balance as related to IV therapy, calculating drip rates, equipment, appropriate techniques and skills for basic venipuncture in all health care settings, maintenance and administration techniques, as well , as local and systemic complications. CLINICAL EXPERIENCE 420 hours Students are assigned to clinical patient care two (2) days each week beginning quarter II. Student assignments will reflect the concept of care throughout the cycles of life. All clinical experiences are supervised by a faculty member/preceptor and are correlated as closely as possible with classroom content. All clinical days include a pre- and post- clinical conference. Curriculum Outline Title of Course Level I Body Structure Human Life Cycles I Nursing Principles I Personal-Vocational Relationships I Pharmacology I Nutrition Subtotal Level II Human Life Cycles II Pharmacology II Nursing Principles II Nursing of Adults I Clinical Subtotal Level III Human Life Cycles III Pharmacology III Nursing Principles III Nursing of Adults II IV Therapy Clinical Subtotal Hours Theory 70 40 80 30 30 30 280 35 30 30 85 180 Hours Lab Clinical Hours 70 40 150 30 30 30 350 70 70 30 30 35 30 35 85 15 5 200 10 Total 140 140 28 5 112 140 35 30 60 85 140 350 63 30 40 85 20 112 350 Level IV Human Life Cycles IV Pharmacology IV Personal Vocational Relationships II Nursing Principles IV Nursing of Adults III Clinical Subtotal 190 20 112 140 63 30 20 152 85 112 350 Grand Totals 850 130 420 1400 35 30 20 20 85 50 28 20 Level I Theory Objectives At the completion of Level I, the student will be able to: 1. Identify how law, ethics, morals and values impact the role of the nurse and professionalism 2. Identify the importance of the Nurse Practice Act and the responsibilities and limitations of the Licensed Practical Nurse. 3. Identify the components of the Nursing Process and the role of the LPN 4. Relate the teaching/ learning process to the nursing process. 5. Identify and how critical thinking and problem solving are related to the nursing process. 6. Identify the individuality of clients and the significance of culture on nursing care. 7. Explain how basic nursing skills and interventions will impact client wellness. 8. Identify basic scientific principles that explain the human body in a state of wellness. 9. Identify the importance of effective communication techniques with clients and others to establish and maintain purposeful and caring relationships. 10. Identify scientific and medical terminology in communication and documentation. 11. Identify pharmacokinetics and drug absorption, distribution, metabolism, and excretion. 12. Identify computation skills to accurately calculate drug dosages 13. Describe the relationship between nutrition and wellness. Level II Theory Objectives Students will build upon the competencies learned in Level I objectives, and at the completion of Level II, the student will be able to: 1. Apply critical thinking and problem solving skills to implement the components of the Nursing Process and the role of the LPN. 2. Relate the teaching/ learning process to the nursing process. 3. Identify the individuality of clients and the significance of culture on nursing care. 4. Identify basic scientific principles that explain how the human body can deviate from a state of wellness. 5. Identify the principles of systematic observation and effective data collection techniques. 6. Differentiate the nursing needs of clients with a variety of medical and/or surgical problems. 7. Understand how to use scientific and medical terminology in communication and documentation. 51 8. Explain the importance of providing safe care that meets specific client needs to promote, maintain or restore the adult client's level of wellness. 9. Recognize the use of common tests related to the diagnosis and treatment of specific disorders and diseases 10. Describe the actions, effects and indications of drugs discussed in the treatment of various medical/surgical conditions. 11. Apply computation skills to accurately calculate drug dosages. 12. Explain how nutritional or diet therapy can impact health and maintain or restore wellness. 13. Identify unique characteristic and needs of geriatric clients and apply scientific principles of nursing according to an individual clients needs. Level II Clinical Objectives At the completion of Level II, the student will be able to: 1. Demonstrate professional behaviors with clients and others that are consistent with the Nurse Practice Act and the role of the student PN. 2. Apply the concepts learned about the basic scientific principles of the human body in a state of wellness to selected clients in the long term care setting. 3. Use critical thinking and problem solving skills at the bedside. 4. Verbalize how Maslow’s Hierarchy of Needs applies to clients across the lifespan. 5. Identify client problems and appropriate nursing interventions. 6. Practice the basic concepts of the nurses professional responsibilities related to the teaching/ learning process as a student PN. 7. Apply theory and principles of safety to clients in the long term care setting. 8. Use effective communication techniques with clients and others to establish and maintain purposeful and caring relationships. 9. Use scientific and medical terminology in verbal and written communication. 10. Use computation skills to accurately calculate safe drug dosages. 11. Explain the effect of nutrition and selected medications on client. 12. Apply critical thinking and problem solving skills to implement the components of the Nursing Process and the role of the SPN in long term care facilities. 13. Practice the basic concepts of the nurses professional responsibilities related to the teaching/ learning process as a student PN. 14. Demonstrate an individualized approach to the nursing care provided that recognizes the significance of culture on nursing care. 52 15. Demonstrate the use systematic observation and effective data collection techniques to identify deviations from a state of wellness in adult clients. 16. Demonstrate the use safe nursing interventions that apply to the needs of clients with a variety of health problems to promote, maintain, or restore the adult client's level of wellness. 17. Identify the use of common tests related to the diagnosis and treatment of specific disorders and diseases 18. Administer medications safely to clients in the treatment of various medical/surgical conditions using the “five rights”. 19. Identify the use of diets or nutritional therapies used to impact health and wellness. 20. Use scientific and medical terminology in all written and verbal communication. 21. Demonstrate professional behavior in the role of an SPN to function as a member of the health care team. Level III Theory Objectives Students will build upon the competencies learned in Level I & II objectives, so that at the completion of Level III, the student will be able to: 1. Describe disorders seen in clients ranging in age from the neonate to the adult. 2. Explain the basic concepts of the nurses professional responsibilities related to the teaching/ learning process. 3. Identify the role of the LPN to promote wellness in clients ranging in age from neonate to adult. 4. Identify the individuality of clients and the significance of culture on nursing care for clients across the lifespan. 5. Differentiate the nursing needs of clients with a variety of medical and/or surgical problems. 6. Explain the importance of providing safe care that meets specific client needs to promote, maintain or restore wellness across the life span. 7. Describe the actions, effects and indications of drugs discussed in the treatment of various medical/surgical conditions in neonatal and adult clients. 8. Apply computation skills to accurately calculate drug dosages for neonatal and adult clients 9. Identify the role of the LPN and the scope of practice for intravenous therapy according to legal statutes and standards set forth by the Ohio Nurse Practice Act and the Board of Nursing. 10. Apply computation skills to accurately calculate IV drip rates 53 11. Identify how nutritional needs and selected diet therapies will impact health, wellness, and identified diseases and disorders across the lifespan. 12. Identify the impact of hospitalization and long-term medical care needs on the family structure. Level III Clinical Objectives Students will build upon the competencies learned in Level I & II Objectives, so that at the completion of Level III, the student will be able to: 1. Apply the Nursing Process to solve more complex problems of those clients ranging in age from the neonate to adult. 2. Practice the basic concepts of the nurses professional responsibilities related to the teaching/ learning process as a student PN. 3. Demonstrate the ability to provide safe care that meets specific client needs to promote, maintain or restore wellness across the life span 4. Demonstrate the use systematic observation and effective data collection techniques to identify deviations from a state of wellness in neonatal and adult clients. 5. Demonstrate the use safe nursing interventions that apply to the needs of clients with a variety of medical and/or surgical problems to promote, maintain, or restore the adult and neonatal client's level of wellness. 6. Describe the actions, effects and indications of drugs discussed in the treatment of various medical/surgical conditions in pediatric and adult client populations. 7. Demonstrate the ability to accurately calculate and administer safe drug dosages, including intravenous therapy drip rates for pediatric and adult clients. 8. Consistently demonstrate professional behavior for the SPN in all actions in the clinical setting. 9. Consistently demonstrate the use of scientific and medical terminology in all written and verbal communication. 10. Demonstrate the ability to successfully perform selected nursing skills, including monitoring, maintaining intravenous therapy sites. 11. Initiate a peripheral intravenous therapy site according to the policy and procedure of the clinical facility and standards set forth by the Ohio Board of Nursing. Level IV Theory Objectives Students will build upon the competencies learned in Level I, II & III objectives, so that at the completion of Level IV, the student will be able to: 1. Identify the leadership roles and management skills needed as a Licensed Practical Nurse. 2. Identify how to prepare for and the techniques used to secure a desired nursing position for employment. 54 3. Identify with the responsibilities and accountability associated with the role of the Licensed Practical Nurse. 4. Explain the basic concepts of the nurses professional responsibilities related to the teaching/ learning process. 5. Differentiate the nursing needs of adult and pediatric clients with a variety of medical and/or surgical problems. 6. Recognize the individual care needs of the client on a multidisciplinary level with emphasis on nursing care. 7. Identify the proper medical terminology used regarding clients with a variety of medical/surgical problems. 8. Identify with a holistic approach to nursing care which focuses on the physical care needs of adult and pediatric clients as well as the emotional, cultural, social, economic, intellectual, and spiritual. 9. Explain the importance of providing safe care that meets specific client needs to promote, maintain or restore wellness across the life span. Level IV Clinical Objectives Students will build upon the competencies learned in Level I, II & III objectives, so that at the completion of Level IV, the student will be able to: 1. Recognize how to implement beginning leadership and management skills as a student Practical Nurse in the clinical setting. 2. Demonstrate the skills needed to aid in successfully securing a desired nursing position upon graduation from the Practical Nursing program. 3. Demonstrate professional behavior as a student Practical Nurse that is consistent with the responsibilities and accountability associated with the role of the Licensed Practical Nurse. 4. Practice the basic concepts of the nurses professional responsibilities related to the teaching/ learning process as a student PN. 5. Apply scientific principles of nursing care according to the unique characteristics and individual needs of clients on the lifespan continuum. 6. Demonstrate the use of proper medical terminology in all verbal and written communication when caring for adult and pediatric clients with a variety of medical/surgical problems. 7. Demonstrate a holistic approach to nursing care for all clients to include a focus on physical care needs as well as the emotional, cultural, social, economic, intellectual, and spiritual. 8. Provide safe care that meets specific client needs to promote, maintain or restore wellness across the life span. 55 PRACTICAL NURSING PROGRAM HISTORY In 1958, the Hamilton Program of Practical Nurse Education was organized as an integral part of the Hamilton City School District, under the Division of Vocational and Adult Education. Its local government was vested in the Hamilton Board of Education. In November of 1958, twelve women were selected as the first class of this program and began their learning experiences in Coolidge School on Grand Boulevard. The facilities of Fort HamiltonHughes Hospital in Hamilton, and the McCullough-Hyde Hospital in Oxford provided learning experiences in medical-surgical nursing and obstetrical-pediatric nursing. These clinical experiences were focused on promoting the vocational education of practical nurses through scientific applications of nursing principles. This one year, four month long program was devoted to pre-clinical and eight months in clinical areas. In July of 1961, the school facility was moved from Coolidge School to the fourth floor of Fort Hamilton-Hughes Hospital, improving access to a clinical setting. Eventually, the nursing care experience at McCullough-Hyde Hospital ceased, and the program was reorganized into a six-month pre-clinical and six-month clinical year. The expanding need for hospital facilities in the Hamilton community necessitated the use of the fourth floor of Fort Hamilton, and the school was transferred to the nurses’ residence on Cereal Avenue. The school enjoyed a long and beneficial association with Fort Hamilton-Hughes Hospital. In 1970, members of the community met to discuss the possibility of increasing the school’s enrollment. It was felt that an increased number of students would necessitate more adequate facilities. Arrangements were made to move the school to Gonzaga Hall (recently been vacated by the Mercy Hospital School of Registered Nursing) in March of 1971. Clinical experience was provided at Mercy Hospital, Fort Hamilton-Hughes Hospital, and four nursing homes (Garden Manor, Powell’s, Logsdon’s, and Westover). In September of 1973, the length of the training program was shortened and a 10-month curriculum was instituted. The hospitals reduced formal support for the 1974-75 school year and then withdrew. At that time, the school was faced with extinction and a task force was appointed to: 1) establish community need for such a program and 2) find funds to support the continued operation of the program. After establishing a community need, the task force charged the Hamilton Board of Education with the task of finding available funds. The Hamilton Board of Education accepted the challenge and began to explore financing possibilities by appointing another task force. After much investigation, this committee began to explore the possibility of joining the Butler County Joint Vocational School District and locating the program at D. Russel Lee Vocational School, which was under construction at the time. On February 12, 1975, the decision was made to transfer the administration and the school’s equipment and supplies to the D. Russel Lee Vocational School; thus the program became an integral part of the Butler County Joint Vocational School District. In September of 1975, thirty-five adult students enrolled in the first class of L.P.N. candidates in the new program. At this time, the practical nurse program name changed to the Butler County Program of Practical Nurse Education and was funded by state vocational funding units and student tuition. The students currently utilize clinical facilities throughout Butler and Hamilton County for their practicum. In 1989, it became apparent that enrollment should be increased due to a rapidly expanding job market and growth in the number of qualified applicants. Students were admitted to an afternoon-evening section in the Fall of 1989. In 1993, a third section was created with students being admitted in January of 1994. Due to a high demand in 2001 a part-time evening section was incorporated into the program. In 2002 a new wing was added which now houses the 56 expanded Nursing Program with state of the art classrooms, skills laboratories, and laptop computers. On January 1, 2003 the Butler County Program of Practical Nurse Education was renamed the Butler Tech Program of Practical Nurse Education to more closely align itself with the renamed Butler Technology and Career Development Schools. Presently, the program continues to be funded by the state and student tuition. Students are accepted each year after meeting entrance requirements and screening by the Admissions Committee. The graduates of the program continue to perform on their State Board Exams (NCLEX) and maintain an excellent reputation with the Health Care Community. The program philosophy, objectives and curriculum are reviewed and updated annually by the faculty to reflect the rapid changes occurring within the health care industry. . FACULTY Last Name First Name Degree Institution FULL TIME FACULTY Walden University Credentials (if applicable) 5 years experience and Anness Brenda Master RN Kollstedt Maurice High School Neanover Sharon Bachelor Pruett Anna Associate Miami University RN Shaw Donna Master Walden University RN Youngstrom Lisa Master RN Akemon Fidel Aker Tracy Bowles Russ Bowling Bryan Carhartt Carol High School High School High School High School Bachelor American College of Health Care Science PART TIME FACULTY Winton Woods Hamilton Catholic High Licensed State of Ohio-Electrician, School HVAC, Instrumentation and Certified RES Miami University RN Butler Tech Certified Firefighter/Paramedic Certified Firefighter Instructor Certified EKG Technician Carlisle High School Journeyman Hamilton High School Certified Firefighter/Paramedic Certified Firefighter Instructor RN Indiana Wesleyan 57 Dawley Todd Swanton High School Certified Welder William High School Bachelor Dunkman Wilmington College OPOTC Eitel Jeff Associate Ferguson John OPOTC Gillenwater Rick Hopewell High School Universal Certified HVAC Technician Gross Juliana High School High School Associate Sinclair Community College Aiken High School Brown Mackie College Certified Pharmacy Technician Hughes Scott Lolli Fairfield High School OPOTC Paul High School Bachelor University of Dayton Lyttle Kristina Associate Southern Ohio College Certified Firefighter/Paramedic Certified Firefighter/ EMS Instructor Certified Phlebotomy Technician Massey Susan Associate Miami University Certified Phlebotomy Technician Miller Sylvia Master Walden University RN Otto Robert Bachelor Xavier OPOTC Robertson Preble Shawnee Wentz Nathaniel High School Lawrence High School Wayne High School Suzette Associate Cincinnati State Certified Paramedic Certified EMS Instructor MSSC, Certified Advanced Manufacturing Technology Certified Paramedic Certified EMS Instructor Certified Phlebotomy Technician Willis Terry Associate Miami University RN Ziegler Leigh Master University of Phoenix Certified Professional Coder Tuckosh Turner Jewitt Scio High School Fairfield High School Revised July 2013 58