TEST TAKING (Assessments)
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3231 North Decatur, Suite 201 Las Vegas, Nevada 89130 Practical Nursing (PN) Program Student Handbook Effective June 23, 2015 TABLE OF CONTENTS Welcome Page 3 Terminology Page 4-5 Program Overview and Curriculum Concepts Course Descriptions NCLEX-PN® Application Program Mission Program Philosophy Program Student Learning Outcomes Student Responsibilities Faculty Responsibilities Student Representatives Page 6 Page 7 Page 7 Page 8 Page 8 Page 8 Page 9 Page 9 Page 9 Library Resources NCI Gmail Email Address How To Create a G-Mail Account Access to Program Materials: MOODLE Page 10 Page 10 Pages 10-12 Page 12 Grading Group Project and Presentation Grading Skills Laboratory (Lab) Grading Clinical Grading Student Success Contract Tutoring Student Advising Retention / Progression Policy Grievance Procedure Program Re-Entry Campus Code of Conduct Grounds for Disciplinary Action Page 13 Page 13 Page 14 Page 14 Page 14 Page 15 Page 15 Page 15 Page 15 Page 16 Page 16 Page 17 Continued on next page 2/12/14, 10/15/14, 03/01/15, 06/23/15 Page 1 of 41 TABLE OF CONTENTS Continued Social Media Policy Dress Code Page 17 Page 17 Page 18 Page 18 Page 18 Page 19 Attendance Medical Release Criteria Page 20 Page 20 Pregnancy Immunocompromised Students Accidents/ Incidents Blood or Body Fluid Exposure Clinical Practice Requirements Page 21 Page 21 Page 21 Page 22 Page 23 Plagiarism Test Taking (Assessments) Drug Free Learning and Practice Environment Health Insurance Portability and Accountability Act (HIPAA) APPENDIX Academic Advisor Blood-Borne Pathogens Exposure Report Essential Functions of Nursing Students Medical Release Form Pregnancy Release and Documentation of Pregnancy Form Skills Laboratory Student Representative Student Success Contract Tardiness, Attendance and Conduct: Classroom Tardiness, Attendance and Conduct: Lab & Clinical & Simulation Settings Test Taking (Assessments) 2/12/14, 10/15/14, 03/01/15, 06/23/15 Page 2 of 41 Page 25 Page 26 Pages 27-28 Page 29 Page 30 Pages 31-33 Page 34 Page 35 Pages 36-37 Pages 38-40 Page 41 Dear Nursing Student, Welcome to the Nevada Career Institute (NCI) Practical Nursing Program! Nursing is a dynamic and challenging profession where you will be able to make a difference in people’s lives and they in turn will make a difference in yours. You will be with people when they are at their worst and at their best, and be inspired. You are on a journey that will open many doors for you personally and professionally. This Nursing Student Handbook contains valuable information about policies and procedures of the NCI Practical Nurse (PN) program and is an important resource for your academic success. Refer to this handbook often since you will be held accountable to meet the expectations provided in this handbook. Any changes to this handbook will be provided to you by your instructor or me, the Director of Nursing (DON). In addition to the Nursing Student Handbook, you also have ready access to the online NCI Course Catalog that contains the campus policies and procedures. This catalog is posted on the public website for NCI. Nursing students are responsible to know and comply with the general policies and procedures of the campus. This PN Student Handbook serves as a supplement to the Course Catalog. The PN program staff and faculty join me in wishing you every success in the program. Please let us know if there is anything we can do to help you along the way. Sincerely, Katherine Cylke DNP, RN Director of Nursing (DON) Nevada Career Institute 2/12/14, 10/15/14, 03/01/15, 06/23/15 Page 3 of 41 TERMINOLOGY ACCOUNTABILITY: To be answerable to one’s self and others for one’s own actions. Nurses are accountable for judgments made and actions taken in the course of nursing practice (ANA, 2001). ASSOCIATE DEGREE OF SCIENCE IN NURSING (ADN) (also known as ASN): Registered nurse level education AMERICAN NURSES ASSOCIATION (ANA): (www.nursingworld.org) Professional organization for nurses BACHELOR OF SCIENCE IN NURSING (BSN): Generic BSN programs prepare non-nurses with an RN level education and the coursework required for a baccalaureate degree. Completion BSN programs prepare RNs that are already licensed with the coursework required for a baccalaureate degree. CLINICAL: Component of the educational program offered in a health care setting in which training and education is provided. The school must have an affiliation agreement with a health care setting in order for students and faculty to use the setting for clinical activities. CLINICAL FACULTY: Instructors who teach the clinical portion of courses. CLINICAL JUDGMENT: An application of clinical reasoning, using in-depth analysis and evaluation of knowledge and skills, whereby the nurse knows why an intervention is needed, how to perform the intervention competently, and can justify clinical decision-making; allowing the clinician to fit his or her knowledge and experience to an individual patient (IOM, 2009). CLINICAL REASONING: An in-depth mental process of analysis and evaluation of knowledge and skills; the process of arriving at problem identification (IOM, 2009). COMPETENCY: “An expected and measurable level of nursing performance that integrates knowledge, skills, and abilities and judgment based on established scientific knowledge and expectations for nursing practice” (ANA, 2010a, p. 64). CRITICAL THINKING: The deliberate nonlinear process of collecting, interpreting, analyzing, drawing conclusions about, presenting, and evaluating information that is both factually and belief based (NLNAC, 2002). DIDACTIC FACULTY: Instructors who teach the didactic/lecture portion of courses. EVIDENCE-BASED PRACTICE (EBP): A scholarly and systematic problem-solving paradigm that results in the delivery of high-quality healthcare (ANA, 2010a) 2/12/14, 10/15/14, 03/01/15, 06/23/15 Page 4 of 41 INTERPROFESSIONAL: Working across healthcare professions to cooperate, collaborate, communicate, and integrate care in teams to ensure that care is continuous and reliable. The team consists of the client, the nurse, and other healthcare providers as appropriate. LAB: Component of the education program offered in the skills laboratory on campus. NCLEX-PN®: National Council Licensure Examination is a national examination required in order to pursue licensure as a practical/vocational nurse (PN or VN). NCLEX-RN®: National Council Licensure Examination is a national examination required in order to pursue licensure as a professional registered nurse (RN). NATIONAL COUNCIL OF STATE BOARDS OF NURSING (NCSBN): (www.ncsbn.org): Organization for the state boards of nursing. Provides valuable information for students regarding the NCLEX-PN ® and NCLEX-RN ®. NATIONAL STUDENT NURSES ASSOCIATION (NSNA): (www.nsna.org). NEVADA STATE BOARD OF NURSING (NSBN): State organization that protects the public's health, safety, and welfare through effective nursing regulation such as granting nursing licenses. NURSING PROCESS: A critical thinking model that encompasses all significant actions taken by registered nurses and forms the foundation of the nurses’ decision-making. It includes the components of assessment, diagnosis, outcomes, identification, planning, implementation, and evaluation (ANA, 2010a). PRACTICAL NURSE (PN): One must pass the NCLEX-PN® exam to become eligible to obtain a license as a practical nurse (LPN.) The term “LPN” applies to all states except California and Texas where the title Vocational Nurse (VN) or Licensed Vocational Nurse (LVN) is used. PROFESSIONALISM: Professionalism involves the consistent demonstration of core values evidenced by nurses working with other professionals to achieve optimal health and wellness outcomes in patients, families, and communities by wisely applying principles of altruism, excellence, caring, ethics, respect, communication, and accountability (AACN, 2008). REGISTERED NURSE (RN): To be an RN, one must successfully graduate from an approved program and pass the NLCEX-RN® exam and obtain a license from a state board of nursing. Only fully licensed registered nurses may practice nursing and identify themselves as registered nurses. SAFETY: Safety minimizes risk of harm to patients through both system effectiveness and individual performance (QSEN, 2007). STANDARDS OF PRACTICE: Authoritative statements that describe a level of care or performance common to the profession of nursing by which the quality of nursing practice can be judged (ANA, 2010a) 2/12/14, 10/15/14, 03/01/15, 06/23/15 Page 5 of 41 PN Program Overview - Cohort 10 Lecture Hours Lab Hours Clinical Hours Total Clock Hours Semester Credit Hours Additional Outside Clock Hours Seminar for Success 80 0 0 117.5 5.0 37.5 NURS 110 Concepts of Nursing Across the Lifespan; Health/Health Promotion 90 120 135 442.5 13.0 97.5 NURS 130 Concepts of Nursing Across the Lifespan; Acute Illness 90 120 180 495.0 14.0 105.0 NURS 150 Concepts of Nursing Across the Lifespan; Chronic Illness/End of Life Care 105 30 225 457.5 13.0 97.5 365 270 540 1175 45.0 337.5 Course SOS Course Title TOTAL Curriculum Concepts – Cohort 10 NURS 110 1. Professional Behaviors 2. Self 3. Clinical Decision Making 4. Communication 5. Caring Interventions 6. Data Collection 7. Health/Illness/Wellness 8. Mobility 9. Comfort 10. Stress & Coping 11. Thermoregulation 12. Culture & Diversity 13. Reproduction NURS 130 NURS 150 1. Acid-Base / Fluids & Electrolytes 1. Leadership 2. Homeostasis 2. Role Transition 3. Thermoregulation 3. Psychosocial Integrity 4. Sensory perception 4. Sexuality 5. Inflammation 5. Violence 6. Infection 6. Spirituality 7. Metabolism & Immunity 7. Grief & Loss/End of Life 8. Cellular Regulation & Tissue Integrity 8. Cognition 9. Oxygenation 9. Health Promotion 10. Perfusion 10. Community 11. Intracranial Regulation 11. Informatics 12. Elimination 12. EBP / QI 13. Human Development/Pediatrics 13. Healthcare Systems 14. Stress & Coping 14. Legal/Ethical/Advocacy 2/12/14, 10/15/14, 03/01/15, 06/23/15 Page 6 of 41 COURSE DESCRIPTIONS Semester 1 NUR 110 – Concepts of Nursing Across the Lifespan: Health/ Health Promotion Credit Hours: 13 Course Description: This course focuses on acquisition of basic nursing knowledge and skills. Focus is on providing care to healthy individuals across the lifespan. The course also explores historical issues impacting nursing. Emphasis is placed on providing safe, competent, effective health care based on individual needs for health promotion. Clinical emphasis may include senior centers, day care centers, schools, health promotion classes and clinics. Safety, patient-centered care, pharmacology, adult nursing, gerontology, pediatrics, maternal-child, and mental health concepts are integrated throughout this course. Semester 2 NURS 130 – Concepts of Nursing Across the Lifespan: Acute Illness Credit Hours: 14 Course Description: This course continues to develop students’ knowledge of pathophysiology over the lifespan of individuals and families. Emphasis is placed on responsibility and accountability for nursing care. Concepts of the nursing process related to pathophysiology, caring, diversity, ethics, integrity, safety, patient-centered care and evidence-based practice are discussed. Clinical emphasis may include support groups, long term care, rehabilitation centers, hospitals, and home health care. Safety, patientcentered care, pharmacology, adult nursing, gerontology, pediatrics, maternal-child, and mental health concepts are integrated throughout this course. Semester 3 NURS 150 – Concepts of Nursing Across the Lifespan: Chronic Illness/End of Life Care Credit Hours: 13 Course Description: Class is designed to focus on multidisciplinary complex care of diverse individuals, families and groups throughout the lifespan. Students will utilize the nursing process in the care and management of patients with complex health care needs and disorders. Initial exposure in nursing management and delegation techniques for the new LPN is provided. The clinical experience continues the development of nursing knowledge and skills in the care of individuals, families, and groups culminating in a team leading experience. Clinical emphasis may include hospice, home health care, long term care, hospitals, and rehabilitation centers. Safety, patient-centered care, pharmacology, adult nursing, gerontology, pediatrics, maternal-child, and mental health concepts are integrated throughout this course NCLEX APPLICATION NCLEX applications are sent to the Nevada State Board of Nursing (NSBN) by the Director of Nursing (DON) after the student has successfully completed the nursing program. The sooner graduates take the NCLEX exam, the higher the chance of passing. NCI makes this possible by paying your $90 NSBN application fee and your $200 NCLEX test-taking fee for graduates who test within 6 weeks of graduation. Your post-graduation plan MUST be to keep studying, reviewing, and practicing NCLEXbased questions until the date of your exam! 2/12/14, 10/15/14, 03/01/15, 06/23/15 Page 7 of 41 PN PROGRAM MISSION The mission of the NCI PN nursing program is twofold. A primary objective is to effectively educate students in order for them to provide safe, compassionate, and competent care at the entry to practice level for diverse patients/clients across the lifespan in a variety of healthcare settings. The other primary objective is to effectively educate students in order for them to pass the NCLEX – PN licensing test on the first attempt. PN PROGRAM PHILOSOPHY The Practical Nurse is an integral member of the multidisciplinary health care team. The Practical Nurse provides care in uncomplicated and relatively stable situations with a minimum of supervision and direction from the RN and/or a person licensed in this state to prescribe medications and treatments. The goal of the Practical Nursing program is to provide students with the opportunity to develop cognitive, affective and psychomotor skills sufficient to provide optimum client care across the illnesswellness continuum, across the lifespan, and across cultures. Health is on a continuum with high level wellness and death as the extremes. The position on the illness-wellness continuum depends upon the individual's ability to adapt to a changing environment and the availability of supportive assistance. Culture impacts the way individuals think about health and illness and influences health related behaviors. The individual's optimal level of health will vary throughout life. The Practical Nursing program prepares students to use the nursing process to collect client data, identify client problems, implement appropriate interventions that are individualized to each client’s unique circumstances, and evaluate the effectiveness of care provided. The Practical Nursing program prepares students to assist clients in meeting their physical and psychosocial needs, thereby helping them to maintain and/or restore an optimal level of health or support in death. The Practical Nursing program encourages lifelong learning in order for graduates to meet the new demands of nursing in the rapidly changing world of health care. The PN program promotes nursing’s leadership role in creating healthy communities by promoting health and healing, preventing disease, and influencing healthcare policy by utilizing evidence-based knowledge and science. The Practical Nursing program’s faculty view teaching and learning an interactive process between teacher and learner. The responsibility of the faculty is to facilitate the student’s understanding and ability to meet the competencies for nursing practice through the design and evaluation of learning experiences. The nursing student is responsible for actively participating in learning experiences and developing the knowledge, skills, and attitudes necessary to provide quality client centered nursing care. (Revised July 2015) 2/12/14, 10/15/14, 03/01/15, 06/23/15 Page 8 of 41 PN PROGRAM STUDENT LEARNING OUTCOMES At the completion of the program, the student will: 1. Provide safe, quality, evidence-based, client-centered nursing care to diverse clients across the lifespan in a variety of healthcare settings. 2. Engage in clinical judgment to make client-centered care decisions within the scope of practice of the Practical Nurse. 3. Integrate quality improvement activities to improve client care. 4. Participate in collaboration and teamwork with the interprofessional team, the client, and the client's support persons to provide and improve client care. 5. Use technology to support and communicate the provision of client care. 6. Incorporate leadership principles, legal, and ethical guidelines within the scope of practice of a Practical Nurse. (Developed January 5, 2014, Revised July 2015) 2/12/14, 10/15/14, 03/01/15, 06/23/15 Page 9 of 41 Education is a collaborative relationship between the student and faculty. The Student is responsible to: Place client safety as the first priority. Take responsibility for his/her learning. Seek learning experiences that will increase his/her effectiveness through collaboration with the faculty. Manage time and energy effectively. Gain an understanding of his/her personal strengths and areas for development in order to achieve academic and professional goals. Master assigned nursing skills through the learning activities and practice and demonstrate competence of the skills. Develop the skills to work effectively independently, as well as within a team. Demonstrate awareness and respect for the unique characteristics, culture, and values of the clients, families, caregivers and members of the healthcare team or community he/she encounters during the program. Initiate communication with faculty and nursing staff regarding any questions or concerns related to the student’s experience or program. The Faculty are responsible to: Be prepared for all student sessions in the classroom, lab, and clinical setting. Track student attendance and tardiness in classroom, lab and clinical sessions. Establish clear expectations regarding the students’ role in client safety and comply with the program’s policies and clinical sites’ requirements. Teach new skills, information, and techniques and assist students in applying newly learned concepts to multiple client populations in various environments. Provide clear, objective and timely feedback to students and engage the students in active participation toward achieving their academic performance goals and competency in clinical performance. Serve as role models for professional behavior and safety-focused client care. Facilitate learning by relating the course objectives to the learning opportunities. Stimulate students’ development of critical thinking and clinical judgment skills, including presenting students with specific activities that foster these skills. Assist students in developing strategies to improve their academic and/or clinical performance. STUDENT REPRESENTATIVES A component of the collaborative relationship between this program’s students and faculty is to have students participate and contribute to the governance activities of the program. In other words, we want students to be involved in academic decision-making. Therefore, each cohort will elect two (2) representatives to present student concerns or recommendations at the faculty meetings on behalf of the students in their cohort. * See the Student Representative policy & procedure in the Appendix for further details 2/12/14, 10/15/14, 03/01/15, 06/23/15 Page 10 of 41 LIBRARY RESOURCES NCI uses the Library and Information Resources Network, Inc. (LIRN) to provide a virtual library. The LIRN databases in the Library provide access to students and faculty, on or off campus, 24 hours a day, 7 days a week. To gain access to the LIRN from any computer with Internet capability, do the following: Open the Internet Browser Type in the browser search window: www.lirn.net On the LIRN homepage, go to link: login Type in this number: 91363 You now have access to all LIRN resources To connect to Wi-Fi on campus, do the following: Server is: NCI_Student Password is: 1ncistudent1 NCI GMAIL EMAIL ADDRESS Students are required to set up an NCI Gmail.com account to receive official communication from NCI nursing administration and nursing faculty. The format for the Gmail address is: NCIPN.firstname.lastname@gmail.com The Gmail password is not recorded at NCI, students must remember their own logon and password. HOW TO CREATE A G-MAIL ACCOUNT 1. Place the following information into the search line of your internet browser https://support.google.com/mail/answer/56256?hl=en Once the page opens up, you will see a small red box in the upper right hand corner labeled as Sign Up. 2/12/14, 10/15/14, 03/01/15, 06/23/15 Page 11 of 41 2. Click on the Sign Up box to open the next window. You should now see a screen that looks like this: The user name you will create for your G-Mail account for NCI MUST conform to the following pattern: NCIPN.firstname.lastname@gmail.com Be certain you create a password that you will recall. No one at NCI will have access to your G-mail password. Fill in the information about your gender, birth date, cell phone number and alternative email address. G-Mail will use this information to send you the activation link for your new G-Mail Account. Be certain you click on the “I agree” policy box before you select the Next Step link in the lower right hand corner of the page. 2/12/14, 10/15/14, 03/01/15, 06/23/15 Page 12 of 41 3. You may next see a page that looks like this one. If you want to upload your picture you may do so but it is not required. 4. Once you see this page, you have a valid G-Mail account. Please provide this email address to the Nursing Administrative Assistant along with all other necessary completed forms. Access to Program Materials: MOODLE While the NCI PN program is an on-ground program delivered face-to-face, technology is used to augment the on-campus experience. The Moodle™ platform is used by faculty and students as an electronic filing cabinet to store and access course materials such as course syllabi, PowerPoint lecture notes, student grade-books, and for online testing in the computer lab. To gain access to Moodle from any computer with Internet capability, do the following: Open the Internet Browser Type in the browser search window: moodle.nevadacareerinstitute.com Enter your password: A password for Moodle is issued during orientation 2/12/14, 10/15/14, 03/01/15, 06/23/15 Page 13 of 41 GRADING The PN program uses the following grading system to evaluate the student’s academic performance. Didactic Courses A 90-100% B 80-89% (Pass) F 79% and below (Fail) Medication Calculation Tests A score of 100% is required on this test in order to continue in the NURS 150 course. There is a maximum of (3) attempts to pass this test with a 100% score. If there is a failed 3rd attempt the student will NOT be allowed to administer medications in the clinical setting. Administering medications is a required competency to pass the clinical rotation in this course. Therefore, the student may not be allowed to continue in the program. Lab Competency Check-Offs Pass/Fail Clinical Experience Pass/Fail A final course score of 80% (“B”) is required to pass each nursing course. 79.99% or less will be failure of the course and posted as an F. There is NO Rounding of scores/grades. There are NO extra credit points allowed. A Pass is required in lab performance to pass a course, regardless of classroom grade. A Pass is required in clinical performance to pass a course, regardless of classroom grade. Any failed component (lecture/lab/clinical) will require that the entire course be repeated. GROUP PROJECT AND PRESENTATION GRADING 1. For group projects, ALL group members are responsible to work together and all members must participate in the oral presentation. 2. Any participant not present on the day of the oral presentation will receive a zero (“0”) score for the assignment. (Make-up assignments will be considered on a case-by-case by the Director of Nursing) 3. If required by instructor, each group member will complete a ‘Learning Team Evaluation’ to be submitted to the instructor after the presentation. Students are expected to complete the evaluation tool in a fair and objective manner. 2/12/14, 10/15/14, 03/01/15, 06/23/15 Page 14 of 41 SKILLS LABORATORY (Lab) GRADING The PN program skills laboratory is where students will practice nursing skills in a simulated healthcare environment. The goal of skills lab is to practice a skill/procedure to the point of competency. Competency is achieved when the student demonstrates the ability to perform a skill/procedure safely, effectively, and WITHOUT PROMPTING. Inability to do so will result in a failing grade for each attempt to demonstrate competency. During skill competency testing, if a student is unsuccessful, the instructor will give the student feedback for improvement and will document the failure on the checklist. Only one (1) competency attempt is allowed per day for the same skill. The student is to practice the skill and then make appointment for remediation check-off with same instructor that failed them. Students have a maximum of 1 week to make arrangements for a remediation check-off. Students have maximum of 3 attempts to successfully demonstrate competency for each skill. Failure of 3rd attempt at any skill may result in failure of the course and the student will not be able to progress. Grading for skills lab is Pass/Fail. * See the Skills Laboratory policy & procedure in the Appendix for further details CLINICAL GRADING Clinical Evaluation forms describe the clinical objectives and grading criteria. They are provided to students at the beginning of each clinical rotation. Clinical evaluations are completed daily, at mid-term of the clinical rotation (unless less than 5 shifts in rotation), and at the end of each clinical rotation. This feedback is the basis for instructional guidance and support. Students review and sign their evaluations as acknowledgement of having received the information and having had the opportunity to comment on their evaluation form. Student written assignments in clinical must be submitted on time and completed satisfactorily or the final clinical grade may be Fail. Grading for clinical is Pass/Fail. STUDENT SUCCESS CONTRACT 1. A Student Success Contract may be initiated by a faculty member when a student demonstrates difficulty meeting course learning outcomes or for behavioral concerns. 2. The Student Success Contract requires the student’s active participation. Students will meet with his/her instructor to complete a Student Success Contract. 3. A Student Success Contract is mandatory for a failed mid-term test or mid-term clinical evaluation indicating the student is a risk of failing clinical. * See the Student Success Contract policy & procedure in the Appendix for further details 2/12/14, 10/15/14, 03/01/15, 06/23/15 Page 15 of 41 TUTORING 1. Free tutoring by faculty is available for individual students or groups of students upon request. 2. Students are to request tutoring that is topic specific. Tutoring is intended to provide supplemental assistance; it is not intended as the primary means for providing course instruction. 3. Students are responsible for being on time and being prepared to participate. 4. Students are required to sign-in and out when attending tutoring. 5. Student study groups are encouraged. The commitment to review new and/or difficult material with at least one other student is very important and successful students make this effort. STUDENT ADVISING 1. All students are assigned a nursing faculty advisor during the first term of the nursing program. 2. The faculty advisor’s role encompasses assisting students in understanding themselves, the school and institution, and connecting students to appropriate resources. 3. Faculty members are available for advising, by appointment, either before or after class hours. * See the Academic Advisor policy & procedure in the Appendix for further details RETENTION / PROGRESSION POLICY To be eligible to progress within the nursing program, the student must: Achieve a passing grade in the didactic, laboratory, and clinical components of each course, in order to progress to the next course. Pass each nursing course with no less than a “B” grade, which is an overall average of 80%. Demonstrate safe clinical practice. Maintain current immunization requirements. Maintain current CPR certification. Maintain a clear criminal background. Students must notify the Director of Nursing (DON) after a criminal or drug violation offense/arrest that occurs during the program. A student may not attend a clinical session BEFORE notifying the DON. If the DON is advised that the violation is severe enough to change the student’s ability to pass a criminal background re-check the student may be dismissed from the program. Remain in good standing with Nevada Career Institute and the Practical Nursing program policies. GRIEVANCE PROCEDURE The grievance procedure outlined in the NCI online catalog applies to and is followed by students in the nursing program. 2/12/14, 10/15/14, 03/01/15, 06/23/15 Page 16 of 41 PROGRAM RE-ENTRY Students who voluntarily withdraw from up to two (2) courses may return to a subsequent cohort if there is a seat available and they are in good standing with Nevada Career Institute and the Practical Nursing program policies. Students who fail one (1) course may return to a subsequent cohort if there is a seat available and they are in good standing with Nevada Career Institute and the Practical Nursing program policies. To be considered for re-entry, former students must request re-entry through the Campus Director’s office and provide the Director of Nursing a written letter describing how the condition(s) which caused the original withdrawal or termination have been resolved. Students who fail two (2) courses within the program may NOT return for a third attempt. CAMPUS CODE OF CONDUCT Nevada Career Institute is a professional environment. It is expected that students will conduct themselves in a professional manner consistent with the standards of the Institution and the general workplace. Nevada Career Institute does not tolerate unprofessional behavior or the use of profane language towards fellow students or staff. Any student whose actions interfere with the right of others to gain an education or generally cause disruption will be disciplined, up to and including termination from the Institution. Nevada Career Institute has a zero tolerance policy with regards to any acts of abuse, violence, harassment or retaliatory behavior. Those purposefully and willfully involved in such criminal acts are subject to immediate termination from enrollment. Students who are dismissed for conduct violations may not be eligible for re-admission. All students are expected to adhere to the general rules pertaining to personal appearance and standards of conduct in addition to compliance with specific dress codes as required by each academic department. In the event there is a question as to what is appropriate regarding dress code, conduct, appearance, and behavior, the program director or other staff will clarify the policy and make the final determination. Should the student find this unsatisfactory, the appeals procedure as stated in the NCI institutional catalog will be followed. Inappropriate conduct includes, but is not limited to: • Academic dishonesty; • Interfering with the right of others to an education; • Being disruptive and disrespectful to fellow students, faculty, and staff; • Malicious and intentional actions deemed unacceptable by the Institution or general workplace standards; • Theft; • Violation of drug and alcohol policies; • Violation of current Institution rules, policies and procedures; • Disparagement of fellow students, staff or faculty; • Violation of safety and security rules on campus or any affiliated or sponsoring entity; and • Improper use of the Internet. 2/12/14, 10/15/14, 03/01/15, 06/23/15 Page 17 of 41 GROUNDS FOR DISCIPLINARY ACTION Grounds for disciplinary action include, but are not limited to: • Unsatisfactory academic performance; • Unsatisfactory attendance; • Violation of Code of Conduct; and • Non-compliance with policies and regulations. PLAGIARISM Plagiarism will NOT BE TOLERATED under any circumstances. 1. A student found responsible for involvement in plagiarism will be sanctioned with penalties ranging from a written letter of reprimand up to immediate dismissal from the program. 2. All of the following are considered plagiarism (plagiarism.org, 2012): a. Turning in someone else's work as your own. b. Copying words or ideas from someone else without giving credit. c. Failing to put a quotation (using another’s exact words) in quotation marks. d. Giving incorrect information about the source of a quotation. e. Changing words but copying the sentence structure of a source without giving credit. f. Copying so many words or ideas from a source that it makes up the majority of your work, whether you give credit or not. g. Providing statistical data without citing source 3. Plagiarism of any kind will result in an automatic zero (“0”) grade for the assignment. TEST TAKING (ASSESSMENTS) It is in the student’s best interest to ensure that results of any quiz or test is an accurate assessment of individual student learning. Accordingly, there is a policy and procedure to ensure the integrity of student quizzes and tests, and the test taking process. * See the Test Taking policy & procedure in the Appendix for further details 2/12/14, 10/15/14, 03/01/15, 06/23/15 Page 18 of 41 DRUG FREE LEARNING AND PRACTICE ENVIRONMENT The faculty of NCI’s PN program is committed to maintaining a learning environment free from the abuse or unauthorized use of drugs and/or alcohol. Nursing students must be capable of performing without impairment during their classroom instruction, laboratory and clinical practice. Many clinical agencies now require drug screening prior to student affiliation. In addition, the Nurse Practice Act prohibits the use of illicit drugs by nurses and specifically addresses the consequences for violating the defined professional standards. NCI reserves the right to require a drug screen for cause. Students may be required to be drug screened based on an assessment of behavior that reflects possible drug use and/or impairment. The student who refuses drug screening is considered to be using unauthorized drugs /alcohol, which is a breach of the Student Conduct Policy found in NCI’s catalog. A student may be immediately terminated from the nursing program when: 1. His/her drug screen is positive, and the student does not have a valid, verifiable current prescription for medications he/she is presently taking 2. The request for drug screening is not completed on the date required 3. There is credible evidence that a student is using or is in possession of illegal drugs, alcohol or controlled substances in the classroom, lab or clinical setting. HEALTH INSURANCE PORTABILITY AND ACCOUNTABILITY ACT (HIPAA) Federal rules adopted as part of the client confidentiality of the Health Insurance Portability and Accountability Act (HIPAA) mandate requirements designed to enhance client privacy. Client information may not be removed from the clinical facility, no photocopying of client records is permitted, and any student assignment identifying a client MUST use only the client’s initials. Do not discuss a client’s diagnosis or prognosis with anyone who is not involved in the direct care of the client, either in the hospital, at the school, or in your home or social environment. The client’s rights cannot be violated during the process of your learning experiences. You are liable for any information you give out verbally, in writing or on social media. For example: discussion of client information in an elevator or cafeteria is a violation of client’s rights. SOCIAL MEDIA POLICY HIPAA regulations apply to comments made on social networking sites and violators are subject to the same prosecution as with other HIPAA violations. Nursing students are NOT to post any material (text or photographs) about clients or their experiences at any clinical site, even if all identifying information is excluded. Students will be subject to disciplinary action by the school, clinical agency, and government agencies for comments that are either unprofessional or violate client privacy. Faculty and students are NOT allowed to interact with each other on Facebook or other social media sites. Students will be subject to disciplinary action by the school for comments that are either unprofessional or violate student privacy. 2/12/14, 10/15/14, 03/01/15, 06/23/15 Page 19 of 41 DRESS CODE Students represent the NCI PN program whenever they are in the NCI uniform, on or off campus and are expected to dress appropriately. Students are responsible for observing the basic standards of appropriate dress, personal cleanliness/hygiene, modesty, and good grooming. Students are required to comply with the dress code or they will be dismissed from the classroom, laboratory or clinical facility and marked absent. Do’s 1. An NCI - ID badge is required whenever on campus or in the clinical setting. It is to be worn near the neck area to be readily visible and not on a lanyard (for safety). 2. Clothing must be clean, wrinkle free, non-stained, and in good repair. 3. The total uniform as designated must be worn. All uniform attire must be approved by nursing program administration. 4. T-shirts or other clothing worn under the uniform for warmth or to cover tattoos must be all white. Otherwise any type of clothing or covering used to cover tattoos must be flesh colored. 5. Lab coats must be all white. 6. All-white, enclosed, nursing or leather shoes with rubber soles must be worn. Clogs/Crocs are not acceptable at any time. 7. Neutral colored underwear with complete coverage of the buttocks is required. 8. Female students must wear white hose or plain white socks that cover the ankle. 9. Male students must wear plain white socks that cover the ankle. 10. Minimal face make-up is allowed. 11. Nails must be no more than ¼ inch in length. 12. Student MUST wear a watch with a second sweep hand or digital counter for taking a pulse. 13. Hair is to be neatly groomed. Long hair is to be pulled up or back away from the face and contained. Only elastic bands or small clips that match hair or uniform color may be worn. Hair must not touch the clavicle when leaning forward. 14. Students may wear a wedding band. 15. Students may wear one set of small post earrings in the ear lobes. 16. Male hair, mustaches, and/or beards are neatly trimmed. An unshaven appearance is not acceptable. Don’ts 17. No fragrance (perfume, aftershave, etc.) permitted. 18. No necklaces or bracelets, except Medic-Alerts. 19. No visible piercing jewelry except ear studs. 20. No tongue studs including spacers. 21. No ear gauges. 22. No nail polish. 23. No artificial nails. 24. No visible tattoos (cover them). 25. No extreme/unnatural hair color. 26. No hoodies. 27. No hairbands unless same color as hair. 2/12/14, 10/15/14, 03/01/15, 06/23/15 Page 20 of 41 ATTENDANCE Students enrolled in the nursing program are expected to place the highest priority on attending all scheduled class, laboratory and clinical practice shifts. Personal commitments are to be scheduled at times that do not conflict with these academic requirements of the nursing program. Students are expected to be on time and prepared for each class, laboratory and clinical practice shift. Student absences jeopardize the student’s ability to achieve student learning outcomes and complete the program successfully. When absent from any didactic/laboratory/clinical, it is the student’s responsibility to obtain the information missed. Students must notify the clinical instructor as soon as possible BEFORE the start of a clinical shift if they are going to be absent. Students are responsible for making arrangements for a make-up shift with the clinical coordinator as soon as possible. Students must complete all required clinical hours in the program in order to graduate. Due to the limited availability of clinical settings for healthcare students in Southern Nevada, there is no guarantee that make-up clinical shifts will be available. Failure to attend a scheduled clinical make-up will result in a clinical failure. Students are responsible for maintaining accurate contact information for the faculty and nursing program staff. * See Tardiness, Attendance and Conduct: Classroom policy & procedures in the Appendix for further details. * See Tardiness, Attendance & Conduct: Lab & Clinical & Simulation Settings policy & procedures in the Appendix for further details. MEDICAL RELEASE CRITERIA The nursing program is concerned for the health and well-being of students, faculty and clients. Any nursing student who wishes to return to clinical after an injury, and/or illness, and/or peri-natal event resulting in an absence, is to provide a medical release signed by a healthcare practitioner. With a medical release the student will be expected to be safe to perform all the activities outlined in the as defined by the National Council of State Boards of Nursing document “Essential Functions of Nursing Students”. * See the Essential Functions of Nursing Students policy & procedure in the Appendix for further details Students who no longer are able to perform the “Essential Functions for Nursing Students” may not be permitted to attend clinical practice and/or continue in the course, at the discretion of the Director of Nursing. Any financial responsibility for this medical release belongs to the student. 2/12/14, 10/15/14, 03/01/15, 06/23/15 Page 21 of 41 PREGNANCY Nursing students will be practicing in health care settings where there is an increased risk of exposure to strenuous activity, communicable diseases, radiation and toxic substances. Neither Nevada Career Institute nor its affiliating clinical agencies assume responsibility for any harm that might occur to a pregnant student or her fetus. A pregnant student in the PN program is required to make her condition known to the Director of Nursing, and to her clinical instructor, and must sign a Pregnancy Release Form. Students who are pregnant during their nursing studies may continue in the program with the approval of their attending physician or health care provider. It is the nursing student’s responsibility to avoid caring for chemotherapy client, radiation treatment clients, clients in isolation, and to avoid areas providing radiology service. * See the Pregnancy Release and Documentation of Pregnancy Form in the Appendix Documenting the pregnancy and obtaining permission from the student’s health care provider is the responsibility of the student and must be done as soon as the student realizes that she is pregnant. Students must be able to meet all program requirements; pregnant students are to be held to the same standards as other students. IMMUNOCOMPROMISED STUDENTS An immunocompromised student is an individual who does not have the ability to respond normally to an infection due to an impaired or weakened immune system. Immunocompromised students are susceptible to bacterial, fungal, and viral infections that healthy immune systems usually conquer. They are also susceptible to common infections of childhood. An immunocompromised student in the PN program is required to make his/her condition known to the Director of Nursing and to his/her clinical instructor. The student may continue in the program with the written approval of their attending physician or health care provider. It is the nursing student’s responsibility to avoid caring for clients in isolation. Immunocompromised students must be able to meet all program requirements and are to be held to the same standards as other students. ACCIDENTS/ INCIDENTS Whenever an adverse event occurs involving a student, client or resident at a clinical instruction site, the student must follow these steps: 1. Immediately notify the faculty of the incident whether or not there was actual injury to the student or client/resident. 2. The nursing faculty will work with the student to: a. Seek appropriate medical attention, if required b. Complete a facility incident report and retain a copy for the school c. Complete an NCI Incident Report Form d. Inform the Director of Nursing as soon as possible of the accident/incident 2/12/14, 10/15/14, 03/01/15, 06/23/15 Page 22 of 41 BLOOD OR BODY FLUID EXPOSURE The Center for Disease Control (CDC) defines blood or body fluid exposure as: 1. A needle stick or cut caused by a needle or sharp that was actually or potentially contaminated with blood or body fluids (urine, saliva, sputum, vomit, feces) 2. A contaminant splash to mucous membranes (e.g. eyes, nose, mouth) with blood or body fluids 3. Prolonged skin contact or exposure to blood or body fluids – especially when the skin is chapped, abraded, or afflicted with dermatitis or somehow otherwise not intact NOTE: If the exposure takes place at a clinical site, the site’s policy for exposure incidents supersedes this action plan. It is the responsibility of the students to learn the clinical site’s policy and emergency plan as part of their clinical orientation. Should an adverse event involving blood or body fluids occur, the student must follow these steps: 1. Immediately notify the faculty member of the incident. Prompt reporting of exposures is crucial to ensure proper medical evaluation and treatment, if necessary. 2. Unless extraordinary circumstances are present, the faculty member will assist the student in removing contaminated clothing, wiping/washing off visible blood and/or body fluids, and disinfecting the area exposed using warm water and a skin-approved bactericidal. Care should be taken not to use abrasive cleaners that will damage the skin. If blood or fluids get into the eye or come in contact with the mucous membranes, flush the area vigorously with running water. 3. The faculty member will assist student in making arrangements for evaluation, testing and prophylactic treatment at the clinical site. If the site is unable or unwilling to assist, the student will be treated and tested at a designated healthcare facility or the nearest emergency medical facility. 4. The faculty member also will work with the clinical site to provide information that facilitates the obtaining of consent and make arrangements to test the source individual for HIV, HBV, and HCV infection. A Blood-Borne Pathogens Exposure Report is to be completed. * See the Blood-Borne Pathogens Exposure Report policy & procedure in the Appendix for further details 5. If warranted after initial prophylactic treatment, the student will be provided information regarding arrangements for continued prophylactic treatment, follow-up testing and counseling. 6. In addition to the resources provided by the nursing program, students or faculty members also may call the 24 hour national Needle Stick hotline 1-888-HIV-4911 if there are any questions or concerns. 2/12/14, 10/15/14, 03/01/15, 06/23/15 Page 23 of 41 CLINICAL PRACTICE REQUIREMENTS 1. Documentation of the following requirements must be received by the program no later than DUE DATE provided upon admission and BEFORE start of any clinical practice rotation. 2. Students will NOT be allowed to do clinical practice unless all the requirements listed below are complete. 3. Failure to complete and keep current all clinical requirements may result in the student’s dismissal from the program. 4. Students, who are allergic to any of the immunizations and/or pregnant students who are prohibited from immunizations, must provide written verification from a primary care provider stipulating the medical circumstances for immunization non-compliance. 5. Occasionally clinical facilities may require additional immunizations or documentation not listed below. Students will be required to comply with the clinical facility requirements. Students that fail to comply with facility requirements will not be permitted to attend clinical activities. 6. The delivery of care by healthcare providers is associated with exposure to health risks. The nursing program is NOT responsible if a student acquires health problems as a result of his/her providing client care. The American Heart Association – Health Care 1. CPR Card Provider Card / BLS Physical Exam 2. (signed by medical doctor, physician assistant, Done within the past 90 days doctor of osteopathy, or nurse practitioner) A 2-step PPD is required if more than 365 days have elapsed since the last PPD skin test If Mantoux/PPD is positive, then official results of Chest X-Ray is required along with proof of positive PPD TB Mantoux/PPD 2 - Step 3. Chest X-Ray TB QuantiFeron Gold lab results Acceptable in place of 2-step PPD Rubella IgG Ab Titer and 4. Rubeola IgG Ab Titer or If MMR titer is negative, then the MMR vaccination series dates are needed. MMR Vaccine #1 MMR Vaccine #2 Varicella Zoster IgG Ab Titer or 5. Chicken Pox: If Varicella titer is negative, then the Varicella vaccination series dates are needed Varicella Vaccine #1 Varicella Vaccine #2 Hepatitis B Screen Qualitative Titer or 6. Hepatitis B Vaccine #1 Hepatitis B Vaccine #2 Hepatitis B Vaccine #3 If Hepatitis B Titer is negative, then the Hepatitis B vaccination series dates are needed or A declination waiver must be signed 7. Tetanus Diphtheria & Pertussis (Tdap) Good for 10 years 8. Influenza Vaccine Flu shots come out every fall and are good until the following fall 9. Proof of Health Insurance 2/12/14, 10/15/14, 03/01/15, 06/23/15 Page 24 of 41 APPENDIX 2/12/14, 10/15/14, 03/01/15, 06/23/15 Page 25 of 41 Nursing Program - Policy and Procedure ACADEMIC ADVISOR Originating Date 09/23/14 Revised Date Page 1 of 1 PURPOSE: 1. The nursing program faculty advisor’s role encompasses assisting students in understanding themselves, the school and institution and connecting students to needed resources POLICY/PROCEDURE: 1. Upon admittance into the PN program, each student is appointed a faculty academic advisor 2. A current listing of faculty academic advisors will be posted in the classroom and laboratory 3. Generally, the assigned faculty member remains consistent over the time the student is in the nursing program 4. Students or faculty may request a change in advisor assignment 5. It is the student’s responsibility to seek out their advisor as needed 6. Faculty Advising Responsibilities include but are not limited to: - Assistance with goal setting - Assistance with academic progression (e.g. Discussion of study habits and study tips) - Assistance with personal growth and career development (e.g. Advice on furthering of education and problem-solving strategies, chain of command) - Clarification of academic and institutional policies (e.g. Potential consequences of failing or dropping the nursing program) - Navigation within the campus environment - Assistance with campus resource identification & utilization - Informing students that course issues should first be addressed with course faculty * Personal counseling is NOT a component of the academic advisor role 2/12/14, 10/15/14, 03/01/15, 06/23/15 Page 26 of 41 3231 North Decatur, Suite 201 Las Vegas, Nevada 89130 BLOOD-BORNE PATHOGENS EXPOSURE REPORT Name of Person Exposed_______________________________________________ Student or Faculty (circle one) Name of Source Individual ________________________________________________________ Source’s Diagnosis ________________________________________________________________ Date of Incident/Exposure___________________________ _______________________________ Exact Location of Incident/Exposure __________________________________________________ Was there a witness to the incident/exposure? Yes _______ No _______ Is yes, print name, title/position _________________________________________________________ Describe the circumstances in which the incident/exposure occurred including protective precautions (specialized clothing, gloves, etc.) being observed at the time of exposure. Include type of contaminated or potentially infectious material(s) to which the student/faculty was exposed: ____________________________________________________________________________________ ____________________________________________________________________________________ ____________________________________________________________________________________ ____________________________________________________________________________________ Describe follow-up care (decontamination, clean-up, referral, etc.): ____________________________________________________________________________________ ____________________________________________________________________________________ ____________________________________________________________________________________ 1. Exposure reported to ______________________________ Time: ______Date:__________________ 2. Exposure reported to ______________________________ Time: ______Date:__________________ 3. Exposure reported to ______________________________ Time: ______Date:__________________ Agency exposure protocol implemented? Yes _______ No _______ Describe (If no, explain why) ____________________________________________________________________________________ ____________________________________________________________________________________ ____________________________________________________________________________________ Faculty Signature ______________________________________ Date _____________________ Printed Name _____________________________________________________ 2/12/14, 10/15/14, 03/01/15, 06/23/15 Page 27 of 41 ESSENTIAL FUNCTIONS OF NURSING STUDENTS As required for admission to the PN program, students must be able to safely perform the following activities to be allowed in the clinical practice setting. FUNCTION ABILITY CATEGORY GROSS MOTOR SKILLS FINE MOTOR SKILLS PHYSICAL ENDURANCE PHYSICAL STRENGTH MOBILITY HEARING FUNCTION ABILITY CATEGORY VISUAL REPRESENTATIVE ACTIVITY/ATTRIBUTE Move within confined spaces Sit and maintain balance Stand and maintain balance Reach above shoulders (e.g., IV poles) Reach below waist (e.g., plug electrical appliance into wall outlets) Pick up objects with hands Grasp small objects with hands (e.g., IV tubing, pencil) Write with pen or pencil Key/type (e.g., use a computer) Pinch/pick or otherwise work with fingers (e.g., manipulate a syringe) Twist (e.g., turn objects/knobs using hands) Squeeze with finger (e.g., eye dropper) Stand (e.g., at client side during surgical or therapeutic procedure) Sustain repetitive movements (e.g., CPR) Maintain physical tolerance (e.g., work entire shift) Push and pull 25 pounds (e.g., position clients) Support 25 pounds (e.g., ambulate client) Lift 25 pounds (e.g., pick up a child, transfer client) Move light object weighing up to 10 pounds (e.g., IV poles) Move heavy objects weighing from 11 to 50 pounds) Defend self against combative client. Carry equipment/supplies Use upper body strength (e.g., perform CPR, physically restrain a client) Squeeze with hands (e.g., operate fire extinguisher) Twist Bend Stoop/squat Move quickly (e.g., response to an emergency) Climb (e.g., ladders/stools/stairs) Walk Hear normal speaking level sounds (e.g., person-to-person report) Hear faint voices Hear faint body sounds (e.g., blood pressure sounds, assess placement of tubes) Hear in situations when not able to see lips (e.g., when masks are used) Hear auditory alarms (e.g., monitors, fire alarms, call bells) REPRESENTATIVE ACTIVITY/ATTRIBUTE See objects up to 20 inches away (e.g., information on a computer screen, skin conditions) See objects up to 20 feet away (e.g., client in a room) See object more than 20 feet away (e.g., client at end of hall) Use depth perception Use peripheral vision Distinguish color (e.g., color codes on supplies, charts, bed) Distinguish color intensity (e.g., flushed skin, skin paleness) 2/12/14, 10/15/14, 03/01/15, 06/23/15 Page 28 of 41 TACTILE SMELL READING ARITHMETIC COMPETENCE EMOTIONAL STABILITY ANALYTICAL THINKING FUNCTION ABILITY CATEGORY Feel vibrations (e.g., palpate pulses) Detect temperature (e.g., skin solutions) Feel differences in surface characteristics (e.g., skin turgor, rashes) Feel differences in sizes, shapes (e.g., palpate vein, identify body landmarks) Detect environment temperature (e.g., check for drafts) Detect odors from client (e.g., foul smelling drainage, alcohol breath, etc.) Detect smoke Detect gases or noxious smells Read and understand written documents (e.g., policies, protocols) Read and understand columns of writing (flow sheet, charts) Read digital displays Read graphic printouts (e.g., EKG) Calibrate equipment Convert numbers to and/or from the Metric System Read graphs (e.g., vital sign sheets) Tell time Measure time (e.g., count duration of contractions, etc.) Count rates (e.g., drips/minute, pulse) Use measuring tools (e.g., thermometer) Read measurement marks (e.g., measurement tapes, scales, etc.) Add, subtract, multiply, and/or divide whole numbers Compute fractions (e.g., medication dosages) Use a calculator Write number in records Establish therapeutic boundaries Provide client with emotional support Adapt to changing environment/stress Deal with the unexpected (e.g., client condition deteriorating, crisis) Focus attention on task Monitor own emotions Perform multiple responsibilities concurrently Handle strong emotions (e.g., grief) Transfer knowledge from one situation to another Process information Evaluate outcomes Problem solve Prioritize tasks Use long term memory / Use short term memory REPRESENTATIVE ACTIVITY/ATTRIBUTE INTERPERSONAL SKILLS Negotiate interpersonal conflict Respect differences in clients Establish rapport with clients Establish rapport with co-workers COMMUNICATION SKILLS Teach (e.g., client/family about health care) Explain procedures Give oral reports (e.g., report on client’s condition to others) Interact with others (e.g., health care workers) Speak on the telephone Influence people Direct activities of others Convey information through writing (e.g., progress notes) *Adapted from Validation Study: “Functional Abilities Essential for Nursing Practice”, National Council of State Boards of Nursing, Inc. 1996. 2/12/14, 10/15/14, 03/01/15, 06/23/15 Page 29 of 41 3231 North Decatur, Suite 201 Las Vegas, Nevada 89130 MEDICAL RELEASE FORM Based on my findings, _____________________________________ (Student Name) may return to clinical practice for the Practical Nursing Program WITHOUT any restrictions. ______________________________________________________________________ ______________________________________________________________________ ______________________________________________________________________ ______________________________________________________________________ Printed Student Name __________________________ Student Signature ______________________________ Date ________________________ Printed Healthcare Provider Name __________________________ Healthcare Provider Signature _____________________________ License number: _________________________________________ Date ________________________ 2/12/14, 10/15/14, 03/01/15, 06/23/15 Page 30 of 41 3231 North Decatur, Suite 201 Las Vegas, Nevada 89130 Pregnancy Release and Documentation of Pregnancy Form I. Pregnancy Release Form: To be completed by all female nursing students. A pregnant student in the nursing program is required to make her condition known to the Director of Nursing and her clinical instructor and to submit appropriate documentation from her attending physician or health care provider. As a result of learning activities, students may be exposed to risk factors such as but not limited to communicable diseases, strenuous activity, toxic substances and radiation. Neither NEVADA CAREER INSTITUTE nor its affiliating clinical agencies assume responsibility to any harm that might occur to a fetus or a pregnant student. My signature below indicates that I have read and I understand the Pregnancy Release Form. Student Signature: _______________________________________________ Print Name: ____________________________________________________ Date: ______________________ SS#: _____________________ Part I of this release must be signed by all female nursing students. If pregnant, student must have Part II completed by her healthcare provider. II. Documentation of Pregnancy: To be completed at the time when a female student learns that she is pregnant. Student: __________________________________is_____________ months pregnant and currently under my care. She may continue to participate in the laboratory and clinical experience to meet the objectives of the nursing courses.* Date ______________________ Signature _____________________________________________________ Print Name ____________________________________________________ Address ______________________________________________________ Telephone ______________________ *The student will provide a copy of the course objectives. 2/12/14, 10/15/14, 03/01/15, 06/23/15 Page 31 of 41 Nursing Program - Policy and Procedure SKILLS LABORATORY Originating Date 09/23/14 Revised Date 03/01/15, 06/22/15 Page 1 of 3 PURPOSE 1. To ensure the safety of students and faculty in the laboratory setting. 2. To provide an effective environment for students to learn, practice, and demonstrate proficiency in technical procedures utilized in nursing practice. 3. Ensure client safety by having student clinical skills assessed for competency. PROCEDURE (Students and Faculty) 1. Security: - Lab is to be locked unless faculty is present - Only students actively enrolled in the nursing program are to be allowed in the lab - Students are to be allowed in the lab ONLY if supervised by faculty - All drawers/cabinets with needles are to be kept locked - Supply room is off limits to students - Anyone removing equipment or supplies will be disciplined up to and including dismissal from the program 2. Availability of Lab: - Individual or group practice times can be scheduled with an instructor - Open lab practice is regularly scheduled 3. Conduct: - All electronic devices must be in the “off” position while in lab - Any form of recording classroom activities by students in NOT allowed - Coming and going from the lab is NOT acceptable except at breaks - The student will notify the faculty if unable to keep a scheduled appointment - Anyone disturbing other students will be asked to leave 4. Safety: - The lab will NOT be used as health center for ill students, staff, or faculty - No eating or drinking in the lab - Dress code is strictly enforced - Hand washing / hand antiseptic required upon entry and exit from the lab - If allergic to latex or Betadine notify faculty immediately - Placebos (commercially prepared PRACTI-med and water) are to be used for simulation of medications. - Students are NOT allowed to practice invasive procedures on each other - Wheels of all equipment (wheelchairs, stretchers and beds) are to be locked during practice and return demonstration - Needles provided for the practice of injection are used in skills labs only when are faculty present - Lab equipment and supplies must remain in the lab - Equipment is to be utilized for its intended purpose 2/12/14, 10/15/14, 03/01/15, 06/23/15 Page 32 of 41 - Any problems with supplies are to be reported immediately to faculty - Any faulty or broken equipment are to be reported immediately to faculty - Any frayed electrical cords, cracked plugs, missing outlet covers, or other problems encountered while using electrical equipment are to be reported to immediately to faculty - Equipment is to be put away after use - Wipe up all spills, including spills on floors - Wet materials are NOT to be used around electrical outlets or equipment - If injured in any way notify faculty immediately o In the event of an injury, faculty will assess the student/staff and administer first aid as needed o Depending upon the nature and severity of the injury, faculty/staff/student are to be assisted to the appropriate agency, or personal healthcare provider, or a call will be made to 911 o If a 911 call is made, the Director of Nursing (DON) is to be notified ASAP o An incident report is to be completed and submitted to the DON 5. Infection Control: - Standard Precautions are to be followed in the lab setting - Needles and other sharp objects are to be discarded in Sharps containers - If accidentally stuck with a non-sterile needle, notify faculty immediately - Universal Precautions are to be followed at all times when there is exposure or potential exposure to blood or body fluids - IV fluids with expired dates may be used for practice and demonstration unless obviously contaminated. These fluids are not for internal or actual use, they are ONLY for practice with manikins - Unless authorized by faculty, students are to practice injections only on devices/manikins provided in skills lab - When breaking glass ampules, students should protect their fingers by using a gauze covering or alcohol wipe and should break the ampule in the opposite direction of their body - Coats, backpacks and other personal belongings are not to be placed on the lab beds. - Biohazard contaminated supplies used during competency labs are collected and stored in designated biohazard containers in the skills lab - Laundry should be placed in the provided hampers after use. SKILLS CHECK-OFF BOOKLET Those skills not requiring passing of a competency will be signed-off during the lab in which demonstration and practice occur Those skills requiring a competency test will be signed-off after student demonstration of competency Students are to keep/safeguard their booklets If a student does not bring their booklet prior to a skill testing they will NOT be tested or signed off. They will have to test during a scheduled check-off remediation time If student’s don’t have their booklets for clinical post-conference then they are to LOSE points for that clinical shift 2/12/14, 10/15/14, 03/01/15, 06/23/15 Page 33 of 41 COMPETENCY TESTING (SKILLS CHECK-OFFS) Competency testing will be performed on selected skills Only the instructor and student being tested are to be at the bedside, unless another student is the client Instructors will objectively observe the performance of the skills for accuracy and safety No notes permitted Students are expected to come prepared to “test off” on the skill; therefore instructors will not serve as a resource during testing Some competencies will be timed; maximum time allowed for skills varies depending on the skill Each skill will be scored according to the evaluation key (rubric) Failure to complete a skill in the time allotted results in failure of the attempt If a student is unsuccessful in testing, the instructor will give the student feedback for improvement and will document the failure on the checklist Only one (1) competency attempt is allowed per day for the same skill The student is to practice the skill and then make appointment for remediation check-off with same instructor that failed them Students have a maximum of 1 week to make arrangements for a remediation check-off. Students have maximum of 3 attempts to successfully demonstrate competency for each skill. Failure of 3rd attempt at any or all skills may result in failure of the course and the student will not be able to progress 2/12/14, 10/15/14, 03/01/15, 06/23/15 Page 34 of 41 Nursing Program - Policy and Procedure STUDENT REPRESENTATIVE Originating Date 09/23/14 Revised Date Page 1 of 1 PURPOSE 1. To ensure student participation and contribution to the governance activities of the PN program PROCEDURE 1. Within the second month of each new cohort, the Director of Nursing/designee shall discuss the Student Representative’s role and responsibilities with the student body. These may include but are not limited to: o Providing input regarding student concerns or recommendations at the faculty meetings on behalf of the students in their cohort o Providing input regarding student concerns or recommendations related to the Pinning Ceremony o Providing input regarding student concerns or recommendations related to the campus Commencement Ceremony o Reporting back faculty responses to student concerns or recommendations to their cohort 2. Students will be encouraged to nominate individuals who show integrity, commitment to the program, emotional intelligence and an effective communication style to be their cohort’s student representatives 3. Written nominations will be collected 4. The two nominated individuals with the most votes will be contacted by the Director of Nursing/designee and informed of their nomination status 5. Students may accept or decline representative role 6. Accepting students are informed of the next faculty meeting date and invited to attend 7. The cohort group is notified of the names of their student representatives 8. The Faculty Council shall actively listen to student presentations 9. Responses to student information presented at the faculty meeting may be immediate or given at a later date 10. Student discussion and follow-up shall be documented in the Faculty Meeting minutes 2/12/14, 10/15/14, 03/01/15, 06/23/15 Page 35 of 41 3231 North Decatur, Suite 201 Las Vegas, Nevada 89130 NURSING PROGRAM STUDENT SUCCESS CONTRACT Student’s Name _________________________________ Cohort _________ Term/Semester ______________________ Instructor __________________________ Goal: To attain an overall passing grade for the nursing course At Risk for Course Failure Related To: (check those that apply) ____Disruptive to the learning environment ____Unprofessional conduct ____Lack of participation in learning activities ____Repeated absences ____Repeated lateness ____Multiple failed quizzes or tests (difficulty with test items, e.g. reading into the question, not reading all of the options, missing the key or qualifying word(s), difficulty discriminating the best answer, using personal experience versus standard nursing practice). ____Difficulty applying theory information to lab/clinical situations ____Unsafe nursing practice/behaviors ____Unprepared for lab/clinical experiences ____Failure to follow directions ____Not adhering to scope of practice ____Non-academic concerns/issues resulting in decreased academic performance ____Other: ______________________________________________________ Student’s Perception: _______________________________________________________________________ Plan for Success: (student to identify strategies such as tutoring, time management, priority setting, behavior changes, developing flashcards, using workbooks for assigned texts, seeking outside agency resources, etc.) Printed Student Name __________________________ Student Signature ______________________________ Date ________________________ Printed Faculty Name __________________________ Faculty Signature ______________________________ Date Revised Sept 23/14 KC, April 19, 2015 KC 2/12/14, 10/15/14, 03/01/15, 06/23/15 Page 36 of 41 ________________________ Nursing Program - Policy and Procedure TARDINESS, ATTENDANCE and CONDUCT: CLASSROOM Originating Date 09/23/14 Revised Date 03/01/15, 06/22/15 Page 1 of 2 PURPOSE: 1. To maximize students achieving the program’s student learning outcomes (SLOs) by the completion of the program 2. To establish procedures that reinforce policies identified in the Nevada Career Institute Campus Catalog 3. To prepare students for compliance with the standard policies and procedures and professional expectations of a nurse in the healthcare workplace POLICY/PROCEDURE: 1. AN NCI Student nurse identification badge MUST be worn at all times. 2. Students are expected to consistently attend, be on time, and be prepared for each class session. 3. Any tardy student will be required to prepare a two page paper, double spaced, with APA formatted references, on the topic of the day. At the beginning of the next class, the student will provide a 5 minute presentation on that topic to the class. 4. Repeated tardiness, leaving early and absences from the class will result in disciplinary action. 5. There is NO make-up for missed quizzes or assessments due to tardiness: - At the time that class starts the doors to the room are to be closed The instructor will ensure that all students present have signed in Any student who arrives after the start of class/late will NOT allowed into the class until the test is finished by all students 6. Quiz/exams must be taken on the day scheduled. The opportunity to “make-up” a missed quiz/exam will not routinely be given: - In the case of an unforeseen event, make-up of a missed quiz/exam may be approved on a case by case basis by the Director of Nursing or Designee. Related documentation may be required. If a make-up quiz/exam is approved, an automatic 20% deduction shall be applied. The make-up exam must be taken on the first day back to the class. The instructor has the right to administer an essay exam for any missed exam or quiz - In the case of a catastrophic event, a make-up of a missed quiz/exam may be approved on a case by case basis by the Director of Nursing or Designee. Documentation of the catastrophic event (i.e. copy of death certificate, copy of police report, hospitalization record, etc.) may be required. If a make-up quiz/exam is approved, there will be no grade deduction. The make-up exam must be taken on the first day back to the class. The instructor has the right to administer an essay exam for any missed exam or quiz. 2/12/14, 10/15/14, 03/01/15, 06/23/15 Page 37 of 41 7. Tests will not be written by any student before the rest of the class. 8. There are NO RETAKES of a failed quiz or exam unless approved by the Director of Nursing or Designee. 9. All assignments are due at the beginning of class on the due date unless specified otherwise by the instructor. Assignments may be modified at the instructor’s discretion. It is up to the student to make sure they have this information in time to complete the assignment. Any assignment received after the assigned date and time will receive a score of “0”. 10. Once class has started interruptions to the learning session are to be avoided: - - 10 minute breaks are allocated approximately every 50 minutes Coming and going from the class is NOT acceptable except at breaks Students can come and go from the classroom ONLY during breaks More frequent bathroom breaks due to an ongoing medical condition are to be accommodated upon provision of documentation and approval by the Director of Nursing. These students are to sit at the back of the class and come and go quietly More frequent bathroom breaks due to an acute medical condition are to be accommodated upon notification of class instructor. These students are to sit at the back of the class/lab and come and go quietly 11. All electronic devices must be turned off while in class, unless approved for use during class by instructor. 12. Phones can only be checked during designated break times. 13. Any form of recording classroom activities by students in NOT allowed. 14. ONLY drinks with a screw-type top are allowed in the classroom. 15. NO cell phones or other electronic equipment allowed in the classroom during any NCLEX Review Class by an outside vendor. Noncompliance will result in a 2% deduction from the final course grade. 2/12/14, 10/15/14, 03/01/15, 06/23/15 Page 38 of 41 Nursing Program - Policy and Procedure TARDINESS, ATTENDANCE & CONDUCT: LAB & CLINICAL & SIMULATION SETTINGS Originating Date 09/23/14 Revised Date 03/01/15, 06/22/15 Page 1 of 3 PURPOSE: 1. To maximize students achieving the program’s student learning outcomes (SLOs) by the completion of the program 2. To establish procedures that reinforce policies identified in the Nevada Career Institute Campus Catalog 3. To prepare students for compliance with the standard policies and procedures and professional expectations of a nurse in the healthcare workplace LAB - POLICY/PROCEDURE 1. Lab Attendance is Mandatory. 2. Students are expected to consistently be on time. 3. Any tardy student will be required to prepare a two page paper, double spaced, with APA formatted references, on the topic of the day. At the beginning of the next lab, the student will provide a 5 minute presentation on that topic to the class. 4. Students are expected to be prepared for each lab: - Bring stethoscope, BP kit, pens, paper, texts and other items to be used in lab * Students who do not bring the appropriate supplies/equipment to participate in lab will be required to go home to get the items and then return to lab. Make-up lab time will be scheduled to compensate for time away for this reason. 5. Repeated tardiness, leaving early, and absences from the lab will result in disciplinary action. 6. NO drinks No food allowed in the computer or skills lab. CLINICAL - POLICY/PROCEDURE 1. Clinical Attendance is Mandatory. 2. An NCI Student nurse identification badge MUST be worn at all times. 3. Students are expected to be prepared for clinical: - Bring stethoscope, BP kit, pen light, pens, paper, texts and other items to be used in clinical setting 4. Students MUST do all clinical time as scheduled in the program. If there is an absence, no matter the reason, make-up of the clinical shift is required to pass the course. 5. A “No Show / No Call” for clinical is when a student does not show up for clinical and does NOT notify the clinical instructor before the start of the shift. Only direct communication by the student involved and the instructor is acceptable notification. A student who is a “No Show / No Call” for clinical will be required to complete a make-up shift and will receive a 2% grade deduction from their final course grade. A student who is a “No Show/No Call” for a second time will be dismissed from the program. 2/12/14, 10/15/14, 03/01/15, 06/23/15 Page 39 of 41 6. Clinical Absence: Each clinical shift absence will result in a 1% deduction from the student’s final course grade. Student loses all daily clinical points for the missed clinical Student required to do a make-up clinical shift and ONLY if approved by DON has opportunity to earn daily clinical points * In the case of a verified catastrophic event the penalty will be waived by the Director of Nursing (DON). Documentation such as a copy of death certificate, copy of police report, hospitalization record, etc. will be required. 7. The student is responsible to make arrangements for make-up clinical shifts with the Clinical Coordinator as soon as possible (ASAP). Students who do not schedule make-up clinical shifts prior to the end of the semester will not receive a passing grade for clinical. 8. Students are responsible for reporting to the clinical facility in a timely manner in order to begin assignment promptly and avoid disruptions to client care. Tardy 15 minutes or less 1) Notation on the attendance sheet indicating time of arrival 2) Deduction of ALL points from the daily CLINICAL EVALUATION RECORD 3) Deduction of 0.3% from final course grade for each tardy Tardy more than 15 minutes 1) Notation on the attendance sheet indicating time of arrival 2) Deduction of ALL points from the daily CLINICAL PERFORMANCE EVALUATION RECORD 3) Sent home and counted as a clinical absence 4) Deduction of 1% from final course grade 9. Leaving Clinical Early: Leaving the clinical site before completion of the shift is NOT acceptable, unless due to illness or an emergency. 10. In the clinical setting ALL invasive nursing skills are to be directly supervised by Nevada Career Institute (NCI) faculty. These include, but are not limited to, medication administration, blood glucose monitoring, venipuncture and urinary catheter insertion. Student’s MUST have permission of their NCI clinical instructor to perform an invasive nursing skill with the supervision of a staff nurse. 11. MED ADMINISTRATION is allowed ONLY with an NCI instructor supervising. 12. Students must adhere to all the policies and guidelines of the clinical agency and the NCI - PN program. 13. Endangering the program’s partnership with a clinical site may result in dismissal from the program. 2/12/14, 10/15/14, 03/01/15, 06/23/15 Page 40 of 41 14. All electronic devices must be approved for use in the clinical setting. 15. Cell phones must be OFF during clinical, except during faculty designated breaks. Students with cell phones that are on (even on vibrate) during clinical will be sent home and receive a 1% deduction from their final course grade. 16. Any form of audiovisual recording of lab or clinical activities by students is NOT allowed. 17. The taking of pictures in the laboratory setting MUST be approved by the instructor beforehand. 18. The taking of pictures in the clinical setting with any type of device is absolutely prohibited. 19. Students are allowed at the clinical site ONLY when accompanied by faculty. 20. Students are allowed to provide client/resident care ONLY when faculty is present on the unit. 21. Students must seek permission from the faculty to leave the UNIT. 22. Students are not allowed to leave the facility without instructor permission. 23. Students are not allowed to leave the clinical facility for meal or rest breaks. 24. NO Smoking during clinical shifts. This includes all alternative forms of smoking such as chewing tobacco and electronic cigarettes. Smoking during clinical will result in dismissal from clinical, completion of a make-up shift, and a 1 % deduction from final course grade. 25. Students are advised NOT to bring valuables such as credit cards or large amounts of money to the clinical site. 26. Students are not allowed to bring children to the clinical site. 2/12/14, 10/15/14, 03/01/15, 06/23/15 Page 41 of 41 Nursing Program - Policy and Procedure TEST TAKING (Assessments) Originating Date 09/23/14 Revised Date 03/01/15 Page 1 of 1 PURPOSE 1. To ensure that results of any form of testing are accurate assessments of individual student learning. 2. To ensure the integrity of program quizzes and tests PROCEDURE Before Assessment - Students to be on time (Late students will NOT be allowed into test-taking room once the testing period has started) - No hats, coats, scarves, sweaters, lab coats to be worn during tests - All bags, books, etc. on the floor at front/back of room - Cell phones to off or on vibrate and left with belongings at front/back of room - ONLY NCI calculators to be used for paper and pencil assessments - Only pens/pencils, blank scrap paper and NCI calculator allowed on desk during assessments - Students are to go to the bathroom before assessment (No bathroom trips allowed during assessment) - Faculty may re-arrange student seating for assessments Specific to ONLINE Assessment in Computer Lab - All belongings, including cell phones, are to be locked in the PN library for safekeeping During Assessment - For paper and pencil assessments: o All tests are to be face DOWN until instructor directs students can begin test o Keep papers flat and protect your work o Any mismarked Scantrons will stand as marked o When finished hand in paper and then quietly leave the classroom After Assessment - A review of the assessment will be done as soon as all students have completed the test - Students are NEVER to be given back the document on which they put their answers (Scantron, bubble sheet or hard copy if used) - Review of an assessment is NOT a time for debate. Instead, meet with instructor after the review 2/12/14, 10/15/14, 03/01/15, 06/23/15 Page 42 of 41
