Practical Nursing Diploma Program
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1 SENECA COLLEGE OF APPLIED ARTS AND TECHNOLOGY SCHOOL OF HEALTH SCIENCES PRACTICAL NURSING DIPLOMA PROGRAM PND NURSING HANDBOOK GENERAL INFORMATION AND GUIDELINES Academic Year 2013-2014 2 Table of Contents Welcome To Seneca College Practical Nursing Program ..................................................................... 6 Seneca College ..................................................................................................................................... 7 Mission Statement .............................................................................................................................................. 7 Our Purpose ........................................................................................................................................................ 7 Our Commitment ................................................................................................................................................ 7 Practical Nursing Diploma Program ..................................................................................................... 8 PND Mission Statement ...................................................................................................................................... 8 PND Program Goals ............................................................................................................................................. 8 PND Philosophy ................................................................................................................................................... 9 Program Outline................................................................................................................................. 10 General Education Courses ............................................................................................................................... 11 Course Subject Descriptions.............................................................................................................................. 11 Graduation Requirements ................................................................................................................................. 14 Pre-Requisites & Co-Requisites ......................................................................................................................... 15 Seneca Academic Policy Manual ....................................................................................................................... 16 Code Of Conduct ............................................................................................................................................... 16 Accountability.................................................................................................................................................... 16 Faculty Availability............................................................................................................................................. 16 Onecard - Picture Identification ........................................................................................................................ 17 Textbooks .......................................................................................................................................................... 17 Supplies ............................................................................................................................................................. 17 Computer Requirements ................................................................................................................................... 17 Seneca Mobile App............................................................................................................................................ 18 Counseling Services ........................................................................................................................................... 18 Student Services ................................................................................................................................................ 18 Learning Centre ................................................................................................................................................. 18 Study Tips .......................................................................................................................................................... 18 Seneca Test Centre ............................................................................................................................................ 18 Examination And Test Review ........................................................................................................................... 18 Seneca College of Applied Arts and Technology Practical Nursing Diploma Program PND Nursing Handbook: General Information and Guidelines 133 - 142 3 Examination Policy ............................................................................................................................................ 19 Written Assignments ......................................................................................................................................... 20 Reflective Writing .............................................................................................................................................. 20 Assignment Calculator....................................................................................................................................... 21 Late Assignments .............................................................................................................................................. 21 Negotiated Extensions Prior To Written Assignment Due Date ....................................................................... 21 Promotion Committee ...................................................................................................................................... 21 Promotion Policy ............................................................................................................................................... 22 Supplemental Privilege...................................................................................................................................... 22 Deferred Testing Privileges ............................................................................................................................... 22 Request For Deferred Evaluation Form ............................................................................................................ 24 Non-Standard Program ..................................................................................................................................... 25 Discontinuing A Subject .................................................................................................................................... 25 Reasons For Discontinuing A Subject ................................................................................................................ 25 Calendar Date For Discontinuing A Subject ...................................................................................................... 25 Implications Of Discontinuing Subjects ............................................................................................................. 26 Program Interruptions....................................................................................................................................... 26 Withdrawal From The Program......................................................................................................................... 26 Appeals .............................................................................................................................................................. 26 Informal Appeal Process ................................................................................................................................... 27 Full-Time Program Guidelines For Readmission ................................................................................ 28 Professional Associations................................................................................................................... 29 Entry To Practice Requirements........................................................................................................................ 29 College Of Nurses Entry To Practice Examinations ........................................................................................... 30 Registration Examination .................................................................................................................................. 30 Jurisprudence Examination ............................................................................................................................... 30 Registered Practical Nursing Association Of Ontario ........................................................................................ 30 Assumptions ...................................................................................................................................................... 30 The Entry-Level RPN Is Accountable For: .......................................................................................................... 31 Clinical Practicum Documents ........................................................................................................... 32 Seneca College of Applied Arts and Technology Practical Nursing Diploma Program PND Nursing Handbook: General Information and Guidelines 133 - 142 4 Overview Of Practicum Placements .................................................................................................................. 33 Practicum Hours ................................................................................................................................................ 33 Practicum Locations .......................................................................................................................................... 33 Transportation................................................................................................................................................... 33 Additional Requirements For Entry Into Clinical Practicum ............................................................................. 33 Personal Appearance And Professional Conduct:... ...................................................................... 34 Appropriate Use Of Hand Held Devices In Clinical ............................................................................................ 34 Practicum Attendance Guidelines ..................................................................................................................... 35 Memo Of Concern ............................................................................................................................................. 36 Memo Of Concern Process ................................................................................................................................ 36 Unsafe Clinical Practice ..................................................................................................................................... 37 Unsafe Clinical Practice Process ........................................................................................................................ 38 Possible Outcomes Of An Unsafe Hearing ........................................................................................................ 38 Supporting Clinical Documents .......................................................................................................... 39 Practical Nursing Diploma Program Confidentiality Guideline And Statement ................................ 40 Confidentiality Statement ................................................................................................................................. 40 Concept Map Example 1: .................................................................................................................................. 41 Concept Map Example 2: .................................................................................................................................. 42 Nursing Data ...................................................................................................................................................... 44 Physical Assessment .......................................................................................................................................... 45 Diagnosis Research ........................................................................................................................................... 46 Diagnosis Record ............................................................................................................................................... 47 Medication Research......................................................................................................................................... 48 Medication Record ............................................................................................................................................ 49 Medication Record ............................................................................................................................. 49 Sample Progress Note ....................................................................................................................................... 50 Memo Of Concern ............................................................................................................................................. 51 Student Collaborative Success Plan .................................................................................................................. 52 Supporting Student Learning ............................................................................................................................ 53 Practical Nursing Diploma Program Medication Administration Guidelines For Clinical.................. 55 Seneca College of Applied Arts and Technology Practical Nursing Diploma Program PND Nursing Handbook: General Information and Guidelines 133 - 142 5 Clinical/Practicum Guidelines For Requesting Shift Changes ............................................................ 56 NOTE: Please see the Seneca College Academic Policy for further information regarding College Policies. Seneca College of Applied Arts and Technology Practical Nursing Diploma Program PND Nursing Handbook: General Information and Guidelines 133 - 142 6 Welcome to Seneca College Practical Nursing Program Welcome to year one of Seneca Practical Nursing Program. We anticipate that the next two and half years will be enriching for you and we look forward to supporting you in whatever way we can. Seneca College Nursing Program Contact Information: Seneca College, King Campus Phone: (416) 491 5050 or (905) 833 3333 Fax: (905) 833 2085 Tina Di Simone, Dean, King Campus, ext. 55000 or tina.disimone@senecacollege.ca Maria May, Chair, School of Health Sciences, ext. 55143 or maria.may@senecacollege.ca Seneca College Full Time PND Faculty: John Andreucci Judith Barnaby Deborah Bradford Nancy Caprara Lori Carre Sharon Cassar Loraine Christie Janet Domingues Betty Durst Sharon McCleave Judith Minsky Annette Pejic Susan Price Brenda C. Tapp During your two and a half years at Seneca College, the faculty and staff are here to help you learn, grow and develop as a nurse. Your program contacts are: Lori Carre, RN, MN Academic Coordinator, Seneca College, 13990 Dufferin Street North, King City, ON, L7B 1B3 Email: lori.carre@senecacollege.ca Tel: (416) 491-5050 ext. 55437 Seneca College of Applied Arts and Technology Practical Nursing Diploma Program PND Nursing Handbook: General Information and Guidelines Sharon Cassar RN, ADN, CCRN Clinical Coordinator, Seneca College, 13990 Dufferin Street North, King City, ON, L7B 1B3 Email: sharon.cassar@senecacollege.ca Tel: (416) 491-5050 ext. 55185 133 - 142 7 Seneca College Mission Statement To provide career-related education and training that will enable our students to succeed in the global economy. Our Purpose To develop and provide programs and educational services that are: relevant and enriching to our students work and lives focused on the workplace opportunities of the future practical, interactive and flexible in time and place supported by challenging academic standards integrated with information technology designed to combine technical and transferable skills reinforced by opportunities for ongoing education and retraining enhanced by supportive student services Our Commitment First and foremost, our commitment is to our students, who are the central focus of our mission. We value and respond to our diverse and multicultural community. We work and learn together with cooperation, honesty, mutual respect and equity. We act both locally and globally, building strategic partnerships and international initiatives. We provide quality service and strive to do things right the first time. We foster an entrepreneurial, innovative, empowering and creative work environment. We embrace change, adapt effectively and rapidly to new circumstances and actively pursue new opportunities. We are competent, qualified, knowledgeable and accountable for our assigned responsibilities. We take responsibility for our continuing professional development and employability. We assure our financial viability through the effective and efficient use of our resources. Seneca College of Applied Arts and Technology Practical Nursing Diploma Program PND Nursing Handbook: General Information and Guidelines 133 - 142 8 Practical Nursing Diploma Program PND Mission Statement The mission of the Seneca College Practical Nursing Diploma Program is to create an environment that emulates the caring foundations of nursing. We aspire to promote learning, creativity and innovation so that our students will have the knowledge, skill and attitude necessary to provide excellent, client-centered nursing care. We aspire to prepare graduates that respect the lived experience of people in diverse settings and use the caring relationship to assist clients to achieve their physical, emotional and spiritual health goals. We expect that students and faculty will be partners in the education process, continually developing as healers, independent critical thinkers, responsible and supportive team members, and effective leaders. PND Program Goals The graduate of the program will: 1. Use nursing practice to promote the health and healing processes of individuals and families and establish caring relationships that foster trust, respect, collaboration and innovation. 2. Use multiple ways of knowing and multiple sources of knowledge to inform decision-making in nursing practice. 3. Be self-reflective, self-directed, accountable, creative and inquiring as a Practical Nurse and life-long learner while striving to improve the quality of her or his dimension of practice. 4. Establish caring relationships with colleagues and demonstrate the team and leadership skills required to work effectively wherever Practical Nursing is practicing. 5. Support, advocate and promote the ethical standards of the nursing profession 6. Advance public policies that will promote the health of all people. 7. Know and be prepared to meet the legislative requirements and the standards of the profession and be accountable to the public. Seneca College of Applied Arts and Technology Practical Nursing Diploma Program PND Nursing Handbook: General Information and Guidelines 133 - 142 9 PND Philosophy We believe that people are holistic beings, who experience life in unique ways and this influences their relationships with others and the environment in which they live. We believe that people have the capacity and right to make choices about their ways of living, learning and health as well as the responsibility for the consequences of those choices. We believe internal and external factors impact on people’s physical, socio-cultural, psycho-spiritual, political and economic health, influencing the quality life of the individual, their significant others and the community around them. We believe that nurses are responsible for development of helping relationships, and provision of competent, holistic, patient centered care. Nurses assist people, in all stages and transitions, to enhance healing, make their own choices for health, and change or cope with the environment in which they live. We believe that the practical nurse must be prepared to participate in many roles and settings. The roles include, but are not limited to, those of multi-disciplinary team member, primary care giver, educator, manager, consultant, advocate or political activist. Practical Nursing is practiced in a limitless number of settings including communities, homes, institutions, or wherever there is a potential for influencing the health of people. We believe that the Practical Nurse is individually responsible and accountable for their practice. The Practical Nurse is professionally responsibility to continuously seek to improve practice through critical selfreflection and study, and add to the growing knowledge base of the profession. Practical Nurses have a social responsibility to influence and advance public policy that will contribute to the health of people now and in the future. We believe that nursing education is a partnership between teacher and student and that both bear responsibility for creation of an environment in which learning, creativity and innovation are promoted. We value and acknowledge the diversity between people and the variety of ways of knowing. Both teacher and student must participate holistically in the education process and work to create an environment of mutual respect and trust. We believe that learning is a life-long process that is aimed at personal and professional growth. Learners bring valuable prior knowledge and past experiences to the learning situation and are capable of and have the right to be self-directing, to participate in and share responsibility for determining their learning needs, learning methods and for evaluating learning. Nursing knowledge is derived from an understanding of self, practice, theory and research, all of which merge together in the generation of that knowledge and in the application of that knowledge to practice. Seneca College of Applied Arts and Technology Practical Nursing Diploma Program PND Nursing Handbook: General Information and Guidelines 133 - 142 10 Program Outline Semester 1 MDM101 PNA100 PNC121 PNH100 PNL110 PNR100 EAC150* PSY100 Course Mathematics for Medication Anatomy and Physiology for the Practical Nurse Practical Nursing Clinical - Preparation Healing Practices for the Practical Nurse Practical Nursing Skills Lab Role Development for the Practical Nurse College English Introduction to Psychology (General Education) Hours/Week 2 4 4 4 4 3 3 3 *Based on English placement testing, may need to take a series of English courses prior to taking the required EAC150 Semester 2 PNA200 PNC220 PNE203 PNH201 PNL210 xxxxxx Course Anatomy and Physiology for the Practical Nurse Practical Nursing Clinical Health Assessment for the Practical Nurse Healing Practices for the Practical Nurse Practical Nursing Skills Lab General Education (see required categories) Hours/Week 3 10 4 3 3 3 Semester 3 ** EAC150 must be complete before the start of PNC320 PNC320 PNH301 PNM300 PNR300 PNP301 xxxxxx Course Practical Nursing Clinical Healing Practices for the Practical Nurse Practical Nursing Pharmacology Role Development for the Practical Nurse Pathophysiology for Practical Nurses General Education (see required categories) Hours/Week 12 4 4 3 3 3 Course Practical Nursing Clinical Healing Practices for the Practical Nurse Role Development for the Practical Nurse Pathophysiology for the Practical Nurse General Education (see required categories) Hours/Week 12 4 3 3 3 Semester 4 PNC420 PNH401 PNR400 PNP401 xxxxxx Semester 5 **All courses must be complete prior to beginning consolidation PNC520 Course Practical Nursing Clinical Consolidation Seneca College of Applied Arts and Technology Practical Nursing Diploma Program PND Nursing Handbook: General Information and Guidelines Hours/Week ~ 40 133 - 142 11 General Education Courses These courses are required for a student to graduate from the PND program. All Gen Eds must be completed prior to entering consolidation. EAC 150 PSY 100 2 Liberal studies options 1 English literature option (EAC150 is a pre requisite) Liberal studies options are from any of these categories Cultural Studies Canadian Studies Social Science Natural Science English Literature courses are identified through EAC or SES course codes. Course Subject Descriptions MDM101 - Mathematics for Medication - This course explores drug classifications, modes of administration and dosage calculations. The student will prepare for safe administration of medication in the practice setting. Topics studied will focus on the implications for, and application to, the role of the Registered Practical Nurse. PNA100 - Anatomy and Physiology for the Practical Nurse – This course is the study of normal anatomy and physiology. Study includes organization of the body, the cell, tissue, organs and four of the major body systems. An introduction to microbiology is included. PNC121 - Practical Nursing Clinical – Preparation - Clinical 1 gives the student the opportunity to prepare for clinical practice through applied theoretical concepts. In the classroom, the student will rehearse thinking like a nurse, communicating, organization, evaluating and engaging in other activities that are essential to the care of the individuals and their families in the community and Health Care Agency. PNH101 - Healing Practices for the Practical Nurse – The course provides the foundation for understanding the well client from infant to older adult. PNH101 begins with concepts of health and illness in the context of social determinants of health and outlines the major components of health for each stage of growth and development. Emphasis will be on anticipated transitions, health promotion and relevant nursing considerations. Recognition of diversity in regards to age, gender, race and culture is given. PNL110 - Practical Nursing Skills Lab – This course gives the student the opportunity to apply theoretical concepts and practice skills that maintain and promote health and healing. Students will demonstrate a safe level of performance in the lab before implementing the skills in nursing practice settings. PNR100 - Role Development for the Practical Nurse – This course is an introduction to Practical Nursing as a profession. Students will examine professional behavior in themselves and others. The history of nursing and the role of the Practical Nurse will be explored. Seneca College of Applied Arts and Technology Practical Nursing Diploma Program PND Nursing Handbook: General Information and Guidelines 133 - 142 12 EAC150 - College English – College English is an introductory college writing and reading subject fundamental to successful college studies. Through a variety of assignments and classroom activities, students will strive to develop the rhetorical and analytical skills essential to their success as communicators in college and upon graduation. Fiction and non-fiction will be a central vehicle for teaching writing. PSY100 - Introduction to Psychology - the discipline of psychology is the study of human behavior. It is concerned with the observation behavior of an individual and its relationship to unseen mental and physical processes, as well as of external events. Introduction to Psychology will provide a framework within which the student can begin to explore the human personality. PNA200 - Anatomy and Physiology for the Practical Nurse - This course continues with the study of normal anatomy and physiology begun in PNA100. Additional body systems will be studied. PNC220 - Practical Nursing Clinical - Students will apply theoretical concepts in a nursing practice setting. Working with health care professionals and clients they will make a positive contribution to the health and healing of individuals and families. Students will work in Long-term-care or Alternate Level of Care settings for a twelve-week period, 10 hours per week. Variations in the schedule may be necessary. Students will be working with individuals and their families in the Alternate Level of Care or Long Term Care setting and considering resources in the community and Health Care Agency. Students will provide holistic nursing care for individuals and their families. Under the direction of the Seneca College Professor/instructor, students will collaborate with agency staff, the patients/residents and their families to promote health and provide safe and effective nursing care. PNE203 - Health Assessment for the Practical Nurse - This course is designed to assist the Practical Nursing student in performing a complete physical and health assessment across the lifespan. The course focuses on learning physical assessment techniques using a systems approach, skills on interviewing techniques and collection of subjective and objective data. Students will consolidate assessment theory in the classroom and practice holistic nursing assessment in the skills lab. PNH201 - Healing Practices for the Practical Nurse – This course explores the nursing practices and interventions that support health and enhance healing for clients and families experiencing various health challenges. A specific focus is placed on the topics of maternal newborn health and child health challenges. PNL210 - Practical Nursing Skills Lab - This subject is a continuation of PNL110. Students will continue to apply theoretical concepts and practice skills that maintain and promote health and healing. Students will demonstrate competence in the lab before implementing the skills in the clinical setting. PNC320 - Practical Nursing Clinical - Students will continue to apply theoretical concepts in a nursing practice setting. Students will be assigned to work in health care agencies on medical/surgical units. They will work with health care professionals while making a positive contribution to the health of individuals and families. The emphasis of third semester clinical will be on medication administration, nursing care plans, developing an understanding of community resources and patient/family health teaching. The students will practice in Seneca College of Applied Arts and Technology Practical Nursing Diploma Program PND Nursing Handbook: General Information and Guidelines 133 - 142 13 hospital and other appropriate health care settings in the community and will gain insight in to community services. PNH 301 - Healing Practices for the Practical Nurse - This course continues from PNH200. The focus will be on practices that support health and enhance healing for clients and families experiencing various health challenges. PNM300 - Practical Nursing Pharmacology - This course explores drug classifications, modes of administration and dosage calculations. The student will prepare for safe administration of medication in the practice setting. Topics studied will focus on the implications for, and application to, the role of the Registered Practical Nurse. PNR300 - Role Development for the Practical Nurse - The student will study concepts related to legal, moral and ethical behaviors in the health care professions. PNP301 - Pathophysiology for Practical Nurses - This course will be an introduction to human disease and will focus on the fundamental principles of homeostatic mechanisms. The student will explore how alterations in homeostatic mechanisms will disrupt the integrity of human function. Overall, the mechanisms of disease will be studied in a systems format and will be considered for the effect that they produce on the structure and function of the body. Common diseases will be used to illustrate the biological concepts of pathology. PNC420 - Practical Nursing Clinical - The application will take place in hospital settings. Students will engage in praxis with individuals and families. Students will work in cooperation and collaboration with the health care team. Students will experience an increased clinical workload, have leadership opportunities and prepare for the consolidation experience. Students will experience day and evening clinical hours as permitted in the specific clinical setting. PNH401 - Healing Practices for the Practical Nurse - This course continues from PNH300. The focus will be on practices that support health and enhance healing for clients and families experiencing various health challenges. PNR400 - Role Development for the Practical Nurse - This course explores the transition from student to health care professional with an emphasis on leadership competencies, career planning, legislation, and the organization of health care. Topics studied will focus on the implications for, and application to, the role of the Registered Practical Nurse. PNP401 - Pathophysiology for the Practical Nurse - This course continues from PNH300. The focus will be on practices that support health and enhance healing for clients and families experiencing various health challenges. PNC520 - Practical Nursing Clinical Consolidation - Having completed all professional and general education subjects, students will concentrate on clinical practice to consolidate skills while providing client centered care. A Registered Practical Nurse functions as preceptor, acting as a resource person for the consolidation student. The student assigned to the preceptor shares the preceptor's clinical assignment and will work full Seneca College of Applied Arts and Technology Practical Nursing Diploma Program PND Nursing Handbook: General Information and Guidelines 133 - 142 14 time hours following the preceptor’s schedule. Under the preceptor's guidance, the student meets the learning outcomes of this experience. Graduation Requirements The following requirements must be met in order for a Practical Nursing Program student to be considered for graduation: All the requirements of the program, theory, lab and clinical practice components of the program, have been completed in a satisfactory and timely manner All required continuing education courses completed Students must submit “request to Graduate” form to admissions office by designated date. http://www.senecac.on.ca/registrar/forms/GradLetter.html The student has been recommended to graduate by the Promotion Committee The recommendation for graduate status has been approved by the President and the Board of Governors of Seneca College To meet program conditions and graduate, students who interrupt their studies for an extended period of time, or who take significantly longer than the normally prescribed program duration to complete their studies, may be required to take additional subjects and/or repeat subjects which have gone through significant change. Seneca College of Applied Arts and Technology Practical Nursing Diploma Program PND Nursing Handbook: General Information and Guidelines 133 - 142 15 Pre-requisites & Co-requisites Students are required to take courses in the PND nursing program in the prescribed order. The following chart indicates the courses to be taken in each semester. Students cannot register for a course without having a passing grade in the pre-requisite course(s). Some courses have co-requisite courses, meaning courses that must be taken at the same time. If a student chooses to drop a course, all co-requisite courses must be dropped as well. Semester 1 Subject MDM101 PNA100 PNC121 PNH101 PNL110 PNR100 Pre-requisite Co-requisites Semester 2 PNA200 PNC220 PNE203 PNH201 PNL210 PNA100 PNA100, PNH101, PNL110, PNC121, MDM101 PNA100 PNH101, PNA100 PNL110, MDM101, PNA100 PNA200, PNE203, PNL210, PNH 201 Semester 3 PNC320 PNH301 PNM300 PNP301 PNR300 PNA200, PNH201, PNE203, PNL210, PNC220, EAC150 PNH201, PNA200 MDM101, PNA200, PNE203, PNL210 PNA200 PNR100 PNP301, PNH301, PNR300, PNM300 PNP301, PNH301, PNR300, PNM300, PNC320 PNH301, PNC320 PNP301 PNR300 PNH401, PNP401, PNR400 Semester 4 PNC420 PNH401 PNP401 PNR400 Semester PNC520 Consolidation All nursing theory courses, PSY100 and all general education courses must be completed prior to starting PNC520 Seneca College of Applied Arts and Technology Practical Nursing Diploma Program PND Nursing Handbook: General Information and Guidelines 133 - 142 16 Seneca Academic Policy Manual Students are responsible for knowing the content of the Seneca College Academic Policy Manual. In this document you will find information about admissions, fees, curriculum, libraries, attendance, participation, grades and examinations. You can also find information on Seneca’s Academic Honesty Policies and College Copyright Policies. It is VERY important that you review these. You are accountable to meeting these standards and consequences can be severe if neglected. Students are expected to abide by the zerotolerance standard for discrimination and harassment. http://www.senecac.on.ca/academic-policy/ Code of Conduct All students are required to adhere to Seneca College policies on Student Conduct http://www.senecac.on.ca/studentconduct/ Accountability Students in the PND program are accountable for their own learning and for facilitating the learning of your classmates. Important ways to maximize valuable learning opportunities and to ensure the students’ accountability include: being on time for class and practicum; being consistently prepared; seeking assistance when needed; being truthful; completing assigned tasks as negotiated; giving prior notice of intended absences; informing the group of absences prior to class time; supporting classmates and guests during presentations; attendance is expected and participation is required; students are responsible to obtain all information that was covered during their absence, including information regarding assignments, changes in schedules and deadline dates.; a full-time student absent from the program for ten successive school days and who have not contacted the faculty and/or the Admission office, will be deemed to have withdrawn from the Practical Nursing Program as of the last day in attendance; Students who are unable to meet course outcomes due to absence for any reason will receive an unsatisfactory grade. Faculty Availability It is the student's responsibility to raise Program concerns with the appropriate professors/ coordinators/chair. Students are encouraged to make appointments in advance. Students are encouraged to communicate with professors using the Seneca College E-mail system, Starfish system or by leaving a voice mail message. Students can expect to receive a response within 48 hours (business days only). Office hours are posted outside faculty offices. Some faculty will also post virtual office hours through Blackboard or Starfish. Seneca College of Applied Arts and Technology Practical Nursing Diploma Program PND Nursing Handbook: General Information and Guidelines 133 - 142 17 OneCard - Picture Identification OneCard can be obtained at King Campus. This can also function for parking, printing and photocopying, with more capabilities coming soon. Please let the OneCard office know that you are a nursing student and they will provide an additional card to be worn as part of the uniform for clinical. When having the ID picture taken, students should pay careful attention to their appearance, and ensure a conservative, professional look. Pictures are also made available to faculty for identification of students in the classroom. Student must have Seneca ID visible during clinical Textbooks Students are expected to purchase the texts and printed materials designated as “required”. Required textbooks will be extensively used in all classes. Texts and printed materials designated as “recommended,” are valuable resources, but purchase is optional. Please note that the syllabi will have the most recent edition of a text book. Please consult your professor if you have access to a previous edition. If you are purchasing a used text book, please consider that some textbooks are bundled with REQUIRED access codes that are only good for one use. Supplies The following is a list of required supplies needed for the Practical Nursing Diploma program. Many of these supplies will be used in all semesters. First Semester Watch with sweep second hand or second counter Stethoscope White leather running shoes 1 OR 2 Nursing Uniforms o May be any plain solid coloured uniforms for semester one skills lab OR o Official Seneca Scrubs available from any Mark’s Work Wear House with embroidery on them (purchase invoices available via the clinical office) Note: 2 sets of Official Seneca Scrubs are required for second semester clinical. Recommended: Blood Pressure Cuff for at home practice. Second Semester 1 or 2 Official Seneca Scrubs available from Mark’s Work Wear House with ‘Seneca’ embroidered on them (purchase invoice available via the clinical office) **Remember that you will typically have clinical 2 days in a row, so if you have 1 set of Official Seneca Scrubs, you will need to wash them for the following day. o If purchased in semester one, Official Seneca Scrubs do not need to be repurchased. Medical pen light (preferably with pupil gauge sizes on outside) Lab Kit – Information will be given to all semester 1 students nearing the end of their first semester. Computer Requirements Students are required to have access to a computer and online communications. Students should check their Seneca E-mail daily. All E-mail communications between faculty and students must be through the Seneca Email system ONLY. Students are required to access Blackboard course materials designated by the professor for all subject areas. Seneca College has an open computer commons for student use. Seneca College of Applied Arts and Technology Practical Nursing Diploma Program PND Nursing Handbook: General Information and Guidelines 133 - 142 18 Seneca Mobile App Stay connected with Seneca College wherever you are with the Seneca College Mobile App. Access courses through your mobile device, stay up-to date with the latest campus news and more. It is Seneca College in the palm of your hand. This is available for iPhone, blackberry and Android users. Features include instant access to blackboard, campus maps, faculty directory, Seneca Library, Seneca News and Social Media. Counseling Services At Seneca we believe that students' health and wellness is a critical component to their academic success. We recognize that our students may encounter difficulties which can interfere with their well-being and academic goals. Counseling Services can assist students through confidential, supportive counseling to address and resolve the wide range of issues that students can experience. http://www.senecac.on.ca/students/personalacademic.html Student Services Student Services are your bridge to life at Seneca. They have the resources and support system to help you succeed during your Seneca career. Explore your options and get involved in the Seneca community. Whether you are looking for success strategies, want to become a student ambassador or be a Seneca Student Federation representative, Student Services has information you need, and the opportunities you want. http://www.senecac.on.ca/student/ Learning Centre Engage, Learn, and Succeed is the focus of the learning center. The tutors are your peers. They have taken the courses, done the work, and written the exams. They are present to help you to understand concepts, show you the best way to study for your courses. They can explain those things that you have learned in the classroom, but may not have understood the first time around. They will show how to write your own essay and do your own homework so that one day you will not need a tutor anymore! They offer free one-on-one tutoring, free group tutoring and free workshops and seminars. At King Campus, the learning center is located inside the library. Cheryl Bain is the Learning Center Support Officer. https://inside.senecac.on.ca/learningcentres/ Study Tips The learning center has a great number of learning tip sheets to assist you with your classes, test, grammar, math, oral communication, reading and writing skills. Please consider reviewing these to assist you to be the most successful that you can be. https://inside.senecac.on.ca/learningcentres/tips.html Seneca Test Centre The test centre provides various testing services including invigilation for ‘students with accommodations’, skills assessment testing, and a location for students to write missed tests and exams. http://www.senecac.on.ca/registrar/testcentre/testcentre.html Examination and Test Review Students should contact their professor via e-mail or phone to make an appointment to review tests or final examinations. Requests to review tests should be made within 2 weeks of receiving test results. Faculty will Seneca College of Applied Arts and Technology Practical Nursing Diploma Program PND Nursing Handbook: General Information and Guidelines 133 - 142 19 be available to review final examinations during Academic Advisement. Faculty will notify students of availability during Academic Advisement week for final review. Examination Policy 1. Students are encouraged to leave all personal belongings in their locker. All personal belongings that are brought to the exam room must be placed in a designated area. 2. Students must display picture identification in plain view on the desk for the duration of all tests and examinations. 3. Students suspected of violating academic honesty will be reported to the Chair of Health Sciences for investigation. Students are referred to the Seneca College Academic Policy on Cheating and/or Plagiarism; see Seneca Academic Policy section 9. 4. Students may not bring any bilingual word lists, dictionaries, or electronic translators into the examination room. 5. When completing essay or short answer test questions and other hand-written work, students must write with a non-erasable pen. Students may not use whiteout on examinations. Any of the above done in pencil will not be graded. 6. All answers must be transcribed onto a scantron (if applicable) for electronic grading. If a scantron is supplied, only answers on the scantron will be graded. Answers on the test paper will not be graded. 7. Students may not bring extra paper or any electronic communication devices including MP3 players, cell phones, iPod, scientific calculators, and video pen, etcetera into the exam room. All alarms, vibrations, and ring tones must be turned off prior to entering exam room. 8. Students must not talk when entering the exam room, during the examination or while handing in their test papers. 9. Students must not enter the examination room until invited by the invigilator. 10. A late student can enter an exam room up to 30 minutes after the exam has started. Students are not permitted to leave the examination room within the first 30 minutes. 11. Students who arrive to the exam room after the exam has started will not have extended writing time. 12. Students will not be permitted to write the examination or test prior to the scheduled date. 13. No student is permitted to write an examination without invigilation. 14. Students who are not registered for a course are not permitted to write examination(s) in that course. 15. Students must not leave the examination room during the last 15 minutes of the examination period 16. At the end of the examination, all remaining students must stop writing and must remain seated until the examination papers of all students are collected by an invigilator Seneca College of Applied Arts and Technology Practical Nursing Diploma Program PND Nursing Handbook: General Information and Guidelines 133 - 142 20 Written Assignments The format for papers in the Practical Nursing Program at Seneca is the use the American Psychological Association (APA) Style as outlined in the most current issue. American Psychological Association. (2009). Publication manual of the American Psychological Association. (6th Ed.). Washington D. C.: Author. The text provides detailed explanations and examples of the required format. It can be overwhelming initially, but using the text, or resources from Seneca Library web site and librarians can assist you. Manuals are available in the Resource Centre and in the Seneca Bookstore, King Campus. Students must attend to the written requirements and expectations related to such things as: Spelling Punctuation Presentation of names Titles of works Quotations Physical format of the paper including margins, spacing, title page format, list of sources, resources, and references, etc. Suitable abbreviations Assignments may be returned ungraded if there are numerous spelling and grammatical errors Library There are a number of resources in the library and websites are available to assist you, for example. www.senecac.on.ca/library Click on: Subject Guides Nursing Here you will find information on APA Citation information, Nursing Databases, eBooks, Nursing Websites, Nursing Videos and Tutorials. Reflective Writing In many courses in the Practical Nursing Diploma Program, you will be asked to demonstrate reflective writing or a reflective journal. Reflective writing is one of the components of reflective practice mandated by the College of Nurses (CNO). The following provides the rationale and essential outcomes from the student practicing reflective writing: Reflective writing is a professional requirement for all practicing nurses. Writing enhances learning Writing helps the student clarify ideas through reflection Writing allows the student to demonstrate the connections between readings, classroom work and other experiences in an organized way. Writing demonstrates student ability to focus, think, and attend to detail. Writing assists the student to self-evaluate. Seneca College of Applied Arts and Technology Practical Nursing Diploma Program PND Nursing Handbook: General Information and Guidelines 133 - 142 21 You will be requested to hand in reflective journals and or reflective notes at specific times. In some courses these documents will be part of the course grade. Seneca College Practical Nursing Program acknowledges that every patient has the legal and moral right to confidentiality of all information concerning attendance, condition, and/or treatment as it relates to personal and health matters. Therefore, all documents and writing submitted by the student will not include any information that will identify their patients. Assignment Calculator The purpose of this calculator is to help you break down your assignment or project into manageable steps and direct you to useful guides & services, available from the Library and Learning Centre. Research and writing rarely progress in a linear way. You will undoubtedly go back and forth between the steps and not just progress through them. Follow the guidelines for the Assignment as discussed in class and consult with your Professor/Instructor if you have any specific questions about the Assignment dates. https://sparc4.senecac.on.ca/assignmentcalculator/ Negotiated Extensions Prior to Written Assignment Due Date The goal is for student(s) to negotiate extensions for assignments with the facilitator/professor prior to the date that the assignment is due. This responsibility is part of professional behavior. The facilitator/professor may require documentation to support the reasons for the extension (e.g., letter from physician). It is the student’s responsibility to initiate discussion about the nature of the extension. Late Assignments Students who do not take the initiative to arrange for an extension will receive an academic penalty for the late submission. Any assignment that is not handed in by date and time specified AND any assignment for which an extension is granted that is not handed in by the negotiated date and time is subjected to the following penalty(s): For 1 day late (any time up to 24 hours after time due): penalty is 5% which means 5% is deducted from the grade for the assignment (e.g., a mark of 75 would be reduced to 70%) For each subsequent day late (each 24 hour period: 5% will be deducted. For 2 days late deduction of 10% (e.g., a mark of 75 would be reduced to 65%) For 3 days late deduction of 15% (e.g., a mark of 75 would be reduced to 60%) For 4 days late deduction of 20% (e.g., a mark of 75 would be reduced to 55%) For 5 days late deduction of 25% (e.g., a mark of 75 would be reduced to 50%) Note: The day count is for business days only Promotion Committee Decisions concerning promotion are made at the discretion of the Promotion Committee. Students who have been out of the program for more than one year may be required to repeat credits previously attained. There are no partial credits. Students are allowed to retake a professional course once. Students should note that course availability varies. Seneca College of Applied Arts and Technology Practical Nursing Diploma Program PND Nursing Handbook: General Information and Guidelines 133 - 142 22 To calculate the GPA, use the following values: A+ or A = 4; B+ = 3.5; B = 3.0; C+ = 2.5; C = 2.0; D+ = 1.5, D = 1 and F = 0. Add values of the courses and divide by the number of courses. Courses with Sat/ Unsat evaluation are not included in the GPA calculation. Promotion Policy In the Seneca College Practical Nursing Diploma Program, a minimum of C (60%) grade in is required for all professional Nursing Courses, with the exception of the following: MDM101 - A minimum grade, of 80% is required which will be graded as a Satisfactory or Unsatisfactory grade. A Satisfactory grade in MDM101 is required for promotion to second semester. PNC220, PNC320, PNC420 & PNC520 - A satisfactory or unsatisfactory grade will be issued. English and General Education subjects - A minimum of D+ (55%) grade is required. Supplemental Privilege In semester one, a student who, due to exceptional circumstances, who fails to meet the minimum requirement in one Professional Course, may be granted a “Supplemental Privilege”. The student must be successful in all other courses and must have a final grade within 5% of the minimum grade. That means obtaining a grade of D (55%) in the one unsuccessful professional nursing subject or a minimum of B + (75%) in MDM101. Supplemental examinations will take the form of a comprehensive examination of the full semester in the subject area. This privilege enables the student, on payment of a fee, to potentially be successful in the course. If successful on the supplemental examination, a grade of ‘C` or `Satisfactory, will be attained. There are no supplemental exams or assignments in semesters two, three, four or five. Deferred Testing Privileges It is expected that all testing modalities be completed when scheduled. Deferred testing privileges may be granted for students with extenuating circumstances. The request must be submitted to their professor as soon as reasonably possible. The professor must be notified via Seneca email or phone extension. Please Note: Deferred test privileges may be considered in advance. In order for a student to receive deferred privileges, appropriate documentation must be presented to their professor within one week of missing the test or exam due to extenuating circumstances. The student must fill out a Request for Deferred Evaluation Form on the following page and present it to their professor with supporting documentation. Supporting documentation will be required such as a doctor’s note. o If granted, the deferred evaluation will be written in week 13 in the test center o The student should be cautioned that deferred evaluation privileges are for extenuating circumstances only. o In situations where deferred evaluation privileges are denied, the test or examination that was not completed by the student will be assigned a grade of zero (0). Seneca College of Applied Arts and Technology Practical Nursing Diploma Program PND Nursing Handbook: General Information and Guidelines 133 - 142 23 Seneca College of Applied Arts and Technology Practical Nursing Diploma Program PND Nursing Handbook: General Information and Guidelines 133 - 142 24 Request for Deferred Evaluation Form Students must notify the instructor as soon as possible of the evaluation that will be missed. Students must submit the Request for Deferred Evaluation form and required documentation to the subject Professor on the first day back at the college following the missed evaluation Student Name: ______________________________________________________________ Course: _____________________________________________________________________ Course Professor: _____________________________________________________________ Evaluation Missed: ____________________________________________________________ Date of Originally Scheduled Evaluation: __________________________________________ Date & Time of Faculty Notification:______________________________________________ Student notified professor of missed evaluation: In Person: By Phone By Seneca Email Extenuating circumstances resulting in missed evaluation: __________________________________ __________________________________________________________________________________________ __________________________________________________________________________________________ __________________________________________________________________________________________ __________________________________________________________________________________________ __________________________________________________________________________________________ Supporting documentation provided: ______________________________________________________ __________________________________________________________________________________________ __________________________________________________________________________________________ __________________________________________________________________________________________ Faculty Portion DECISION: Granted o Test or Assignment will be in week 13 in Test center. o Other _______________________________________________________________________ Not Granted – grade for assignment or test will result in a 0. Decision Deferred - will be brought to promotions committee to determine. Faculty Signature: _________________________________________________________________________ Seneca College of Applied Arts and Technology Practical Nursing Diploma Program PND Nursing Handbook: General Information and Guidelines 133 - 142 25 Non-Standard Program Students who do not have a clear promotion to the next semester (due to being unsuccessful in a course or dropping a course after the DNC date) may be able to take some courses in the next semester, depending on the pre and co-requisites for that professional nursing course and course availability. This program path is called a Non-standard Program. Please Note: Students may repeat a professional nursing subject once. A student who has been unsuccessful in a professional nursing subject twice will be withdrawn from the PND program. Students who have been unsuccessful in any two clinical courses will be withdrawn from the PND program. Students who have been offered progression in a non-standard program must follow the outlined process for registration. 1. See Academic Advisor: You will receive an “Authorization to Register” form identifying each eligible subject from the Academic Advisor prior to commencement of the next semester 2. Students must present the signed "Authorization to Register" form to the admissions department in order to proceed in the PND program and have a timetable issued. ** Seneca College Critical Dates apply for students in a non-standard program and students must be sure to complete the above process prior to the College Add Course deadline (Day 5). Discontinuing a Subject Students who are considering discontinuing or dropping a subject from their current timetable are advised to study this guideline and Seneca Academic Policy 11.2 prior to making the request. Please see an academic advisor for assistance. http://www.senecacollege.ca/academic-policy Reasons for Discontinuing a Subject If a student finds that they would benefit by reducing their workload they may decide to discontinue a subject. This may be done to improve the opportunity for success in the remaining subjects or to provide time to deal with personal (health/work/family) issues. Calendar Date for Discontinuing a Subject Students must refer to the academic calendar for course drop dates. All forms must be submitted before this date in order to avoid academic penalty on the transcript. Day 10 (week 2) - Subjects dropped by this date will not appear on the transcript. Day 45 (Week 9) - Subjects dropped by this date will receive a Did Not Complete (DNC) code placed on their transcript next to the discontinued subject. This does not affect the Grade Point Average (GPA). Beyond Week 9`s DNC date - After the DNC period ends, students will receive a failing grade on their transcripts, even if subjects are discontinued. This will affect Grade Point Averages. Seneca College of Applied Arts and Technology Practical Nursing Diploma Program PND Nursing Handbook: General Information and Guidelines 133 - 142 26 Implications of Discontinuing Subjects Students who want to discontinue a subject(s) need to consider how this choice will affect their progression through the program. Students who choose to drop a professional nursing course will also be required to drop any professional courses that are co-requisite. Students may only drop a professional nursing subject and clinical course once. The subject must be successfully completed the next semester or the student will be withdrawn from the program. Students can apply to retake the dropped subject in the part-time PND program at Newnham campus, but availability and admission is not guaranteed. Discontinuing a subject may have an impact on OSAP for the current and following semesters. Students should consult the Financial Aid office prior to discontinuing the subject. Discontinuing a subject may not result in registration fee rebate or reduction. Students in a full-time program do not pay fees based on individual courses but are given a package rate for the full semester course load. Program Interruptions Students who have been out of the Program for longer than one year may be required to repeat credits previously attained. There are no partial credits. Students who have been out of clinical for two consecutive semesters will be required to repeat the most recent clinical practicum and professional nursing courses that pertain to patient safety. Students who withdraw from a course or semester for medical reasons must provide proof of medical clearance before resuming studies Withdrawal from the Program Students who fail to maintain adequate standing in the PND program may be withdrawn from the program. A student who does not maintain this standing may be required to withdrawn from the program. A student may be withdrawn from the PND program should she or he: Fail 2 or more professional courses in any given semester Fail the same professional course more than once Unsuccessful in any two clinical courses Appeals A student enrolled in a Seneca College program may appeal any final grade in a subject or any decision by the College, following the recommendation of a Promotion Committee with respect to the student’s academic standing, continuation or status in a program, School, Faculty of the College. You may appeal any academic decision made by the College, including but not limited to, final grades, academic honesty decisions, continuation or status in a program, School, Faculty or the College. It is College policy that you will be given a fair hearing when you proceed with an academic appeal. Seneca College of Applied Arts and Technology Practical Nursing Diploma Program PND Nursing Handbook: General Information and Guidelines 133 - 142 27 Informal Appeal Process It is best for both you and the College to resolve differences quickly and informally. Therefore, if you disagree with any College academic decision you must discuss the matter with your faculty member(s) and Advisor, Program Coordinator or Chair as soon as possible to see if a mutually satisfactory solution can be reached. Students who want to appeal a grade should adhere to the following protocol: Review the grade with the subject professor. If the issue is unresolved, review the grade with the Coordinator If the issue is unresolved, review the grade with the Chair of Health Sciences See Section 13 Seneca College Academic Policy Handbook. http://www.senecac.on.ca/academicpolicy/appc.html NOTE: When a student appeals, permission must be received from the Chair to audit his/her classes until the Appeals Committee has made a decision. Students will not be allowed to attend clinical or community placements during the appeal process. Seneca College of Applied Arts and Technology Practical Nursing Diploma Program PND Nursing Handbook: General Information and Guidelines 133 - 142 28 Full-time Program Guidelines for Readmission Students who have been withdrawn from the Seneca Practical Nursing Diploma Program (PND) and are considering applying for re-admission should note the following Applications for readmission will be based on course availability Successful applicants will be placed on academic probation Applicants must meet all published reapplication criteria The following students will not be considered for readmission. Students who have been: withdrawn from the PND program twice unsuccessful in two clinical courses been deemed unsafe in any clinical Reapplication Criteria Applicants for readmission must have a passing grade for the following courses on their transcript: All Applicants Passing grade for all previously unsuccessful professional courses PRIOR to reapplication Semester 1 Semester 2 Semester 3 Semester 4 EAC150 & PSY100 EAC150 & PSY100 + 2 General Education credits EAC150 & PSY100 + 3 General Education credits EAC150 & PSY100 + 4 General Education credits Current clinical preparedness permit (CPP) must be shown The student must submit a Letter of Consideration. This letter must address the reapplication criteria, any extenuating circumstances that contributed to the withdrawal and most importantly, the strategies that you have and will continue to implement for ongoing success. Last clinical evaluation is required. It is STRONGLY recommended that applicants make an appointment in the Seneca Counseling Department to discuss strategies for success. These strategies will aid and can be used in the Letter of Consideration. King Campus, (416) 491-5050 ext. 55157 Students that have been withdrawn as a result of language comprehension and proficiency must demonstrate they have been actively working on their language skills. Other criteria may be required based on the reason for student withdrawal Reapplication Process The following steps must be taken before the application will be considered: Step One Apply through OCAS for the appropriate semester – you may have to contact the admissions officer for special permission. Step Two **Please note that we require transcripts for consideration Submit a Letter of Consideration, Last Clinical Evaluation, and any additional information to the Academic Coordinator for review by the PND admissions committee. ***Complete application needs to be submitted by the following dates: June 1 st for fall admission; By October 1st for winter admission ; By March 1st for spring admission Seneca College of Applied Arts and Technology Practical Nursing Diploma Program PND Nursing Handbook: General Information and Guidelines 133 - 142 29 Please Note: Only complete applications will be considered for application Step Three Students will be notified by letter of the final decision of the admissions committee. Professional Associations Health Science Programs are areas of study in which competency is defined by provincially administered legislatively supported standards of practice. Determination of safe practice is a standard established by the profession. Clinical professionals and/or faculty ensure that these standards are met. Entry to Practice Requirements The College of Nurses of Ontario (CNO), the body responsible for regulating nursing in Ontario, sets entry to practice requirements that nurses and practical nurses must meet to become registered in Ontario. CNO’s mission is to regulate nursing in the public interest. Among CNO’s entry to practice requirements are provisions specifically intended to enhance public safety. These provisions require that applicants for registration in Ontario must: not have been found guilty of a criminal offence or an offence under the Narcotic Control Act (Canada) or the Food and Drugs Act (Canada); not have been the subject of a finding of professional misconduct, incompetence or incapacity, whether in Ontario or in another jurisdiction and whether in relation to the nursing profession or another health profession; not currently be the subject of proceedings for professional misconduct, incompetence or incapacity, whether in Ontario or in another jurisdiction and whether in relation to the nursing profession or another health profession; and not suffer from a physical or mental condition or disorder that makes it desirable in the public interest that he or she not practice nursing. be a Canadian citizen or a permanent resident of Canada or authorized under the Immigration Act (Canada) An applicant for registration who does not meet one or more of these requirements must inform CNO and provide details about the incident or situation. The applicant will not necessarily be refused registration because CNO’s Registration Committee will review information about the incident or situation to determine if an exemption from the requirement(s) will be granted. An applicant for registration, who does not inform CNO, may have their application for registration cancelled, or any certificate of registration, which may be issued, revoked. If you have any questions about these registration requirements, please contact CNO: Toronto: 416-928-0900; Toll Free: 1-800-387-5526 ext. 249; www.cno.org Seneca College of Applied Arts and Technology Practical Nursing Diploma Program PND Nursing Handbook: General Information and Guidelines 133 - 142 30 College of Nurses Entry to Practice Examinations Nursing graduates are registered by the College of Nurses of Ontario, the organizational body that sets out professional standards and guidelines for practice. Violation of these regulations, such as falsification of documentation, lack of respect of the client’s autonomy, deception, cheating during written and practical examinations, breach of client confidence, misappropriation of property, and misuse of drugs, may prevent an offending student from continuing in the Nursing Program. Website: www.cno.org Registration Examination The registration examinations assess whether applicants possess the competencies required of nurses upon entry into the profession. Jurisprudence examination The College’s jurisprudence examination assesses an applicant’s knowledge and understanding of the laws, regulations, by-laws, practice standards and guidelines that govern the nursing profession in Ontario. Registered Practical Nursing Association of Ontario All Health Sciences programs promote the benefits of personal involvement with professional associations. Students should discuss association membership with faculty. Practical Nursing students are eligible for student membership in the Registered Practical Nurses Association of Ontario (RPNAO) on payment of an annual fee to the association. Students can join for $20 and reap the benefits. Website: www.rpnao.org College of Nurses: Entry to practice competencies: For Ontario registered practical Nurses Assumptions In developing the competency statements the following assumptions were made: 1. Entry-level RPNs possess the knowledge required to demonstrate the wide range of competencies in this document. 2. Entry-level RPNs are beginning practitioners whose level of autonomy and proficiency will grow through collaboration and support from the interprofessional health care team. 3. Entry-level RPNs are prepared to practice safely, competently and ethically in situations of health and illness with individuals across the lifespan. 4. Entry-level RPNs are prepared to practice safely, competently and ethically with individual clients, families, groups and communities. 5. Entry-level RPNs’ practice decisions are client-specific and must take into account the environment, the client’s circumstances and whether the client’s needs can be met by the entry-level RPN. 6. Entry-level RPNs enter into practice with competencies that are transferable across diverse practice settings. 7. Entry-level RPNs have a knowledge base in nursing, health and social sciences, ethics, leadership and research. Seneca College of Applied Arts and Technology Practical Nursing Diploma Program PND Nursing Handbook: General Information and Guidelines 133 - 142 31 8. Entry-level RPNs are committed to engaging in quality assurance practices, including Reflective Practice. 9. Entry-level RPNs use critical thinking skills to support clinical decision-making and reflect upon practice experiences. The entry-level RPN is accountable for: All client care she or he provides. All decisions about assigning care to other care providers. Knowing and recognizing her or his competence level (knowledge, skill and judgment) when making decisions and providing care to clients. This includes making decisions to collaborate or alter assignments when her or his competence level does not meet the client’s care needs. Knowing and meeting the College’s standards of practice and entry-to-practice competencies. Understanding the scope of practice/controlled acts model as documented in the Nursing Act, 1991 and the Regulated Health Professions Act, 1991 (RHPA). Understanding the roles and responsibilities as documented in the practice setting in which she or he is employed. Actively identifying and asking questions of self, colleagues (including members of the interprofessional health care team) and clients. Applying a consistent framework to practice decision-making. The application of theory to practice via the use of critical thinking and problem-solving skills consistent with the RPN’s educational preparation. Providing safe, competent and ethical nursing care. College of Nurses (2011). Entry to practice competencies: For Ontario registered practical nurses. Retrieved from http://www.cno.org/Global/docs/reg/41042_EntryPracRPN.pdf Seneca College of Applied Arts and Technology Practical Nursing Diploma Program PND Nursing Handbook: General Information and Guidelines 133 - 142 32 Clinical Practicum Documents Seneca College of Applied Arts and Technology Practical Nursing Diploma Program PND Nursing Handbook: General Information and Guidelines 133 - 142 33 Clinical Practicum Experience Welcome to the practicum portion of your nursing education. Clinical placement provides the necessary learning environment for students to apply their theoretical knowledge and skills to actual patient care situations. The clinical practicum experience enables the student to develop their competence in a variety of health care settings. Over the course of your clinical education you will be building your knowledge base and learning how to think like a nurse. Our faculty instructors and preceptors, along with the interprofessional health care team, facilitate the learning of our nursing students in professional nursing practice. Overview of Practicum Placements Clinical days are Thursday/Friday each week. PNC220 practicum = 10 hours per week for 12 weeks. PNC320 practicum = 12 hours per week for 12 weeks. PNC420 practicum = 12 hours per week for 12 weeks. PNC520 Consolidation Experience is 460 hours over 13 weeks. (Shifts vary) Practicum Hours Clinical practicum hours may vary. Generally day shift starts at 0700 and ends at either 1200 or 1300. On occasion, practicum placements may be scheduled for the afternoon, or consolidated into one 10-hour or 12hour day per week. Students are placed in groups of 8 with one faculty instructor. Practicum Locations Practicum placements are located throughout the greater Toronto area (GTA). Travel is required. Seneca College has entered into affiliation agreements with a large number of clinical partners. The high demand for clinical placements means that clinical locations are not guaranteed from semester to semester. Students are not permitted to negotiate their own clinical placements. Transportation Students are responsible for adequate transportation and parking to and from all clinical placements. The clinical office is not responsible to arrange for or accommodate student transportation needs. Additional Requirements for Entry into Clinical Practicum To be eligible for clinical practice, each student is required to provide documentation of the following items. Clear Police Records Check with Vulnerable Sector Screening: Valid for 1 year. Cardiopulmonary Resuscitation – Health Care Provider (CPR-HCP): Valid for 1 year. Standard First Aid (SFA): Valid for 3 years. Mask Fit Testing: Valid for 2 years, if no significant change in weight or face structure. Completed Health Form, includes immunizations, titers, TB testing and Influenza vaccine Clinical Clearance for all above documents is completed by Concise Health and valid for 1 year. Health Form and Clinical Clearance information will be provided at Semester One orientation. Seneca College of Applied Arts and Technology Practical Nursing Diploma Program PND Nursing Handbook: General Information and Guidelines 133 - 142 34 All documents are to be organized and brought to clinical each day. (Photocopies are recommended) Personal Appearance and Professional Conduct: The College of Nurses of Ontario has developed Professional Standards for all nurses to follow. The Seneca College nursing faculty affirms these standards and expects all nursing students follow these standards to guide their professional conduct. General Guidelines Hair must be neat and above the collar, or tied back at all times. Unscented hygiene products only. (No perfume/cologne). Nails should be trimmed short and clean. No artificial nails permitted. Jewelry is limited to a plain wedding band, a watch with a second hand and one pair of small single posts earrings. For safety reasons, earrings that dangle are inappropriate. OneCard Seneca ID/clinical placement ID must be visible at all times Shoes must be flat with closed toe and heel. Official Seneca Uniform is available at Mark’s Work Wearhouse, with a requisition Uniform must be clean, pressed and well fitting. Purchase requisition for the Seneca College Uniform is available in the clinical office. Appropriate use of Hand Held Devices in Clinical The device will be concealed at all times when not being used for research or calculations The device will not be used in the presence of any client or family member The camera will not be accessed at any time while in the clinical agency No texting, email, or communication of any type while in the practicum setting Students must sanitize their device with an antibacterial wipe in accordance with basic universal precaution standards Use of hand held devices is regulated by agency policies and overrides Seneca College Guidelines Seneca College of Applied Arts and Technology Practical Nursing Diploma Program PND Nursing Handbook: General Information and Guidelines 133 - 142 35 Practicum Attendance Guidelines Attendance in clinical is an expectation of Seneca College’s Nursing programs. Missed clinical/practicum time may jeopardize the student’s ability to successfully achieve the learning outcomes in the clinical course. Clinical/practicum faculty are encouraged to seek advice and support from the Clinical Coordinator when addressing student absenteeism. The following process provides guidance for dealing with student and faculty absences from the clinical/practicum setting. Student Absences Students are responsible to inform the clinical faculty and hospital/agency unit of any absences in a timely manner. In cases of illness, students will provide a doctor’s certificate or other appropriate documentation to ensure a healthy return to the clinical setting. Missed clinical/practicum hours cannot be made up on the hospital/agency unit. Collaboration between the clinical faculty and student is required to address missed clinical/practicum hours. This includes discussions on plans and strategies to address the absence. Examples of plans and strategies to address missed hours include referral to the Skills Practice Lab, the Student Resource Centre, and/or additional assignments or research. Clinical instructors are encouraged to contact the Clinical Coordinator to develop these plans as appropriate. A Memo of Concern will be issued after two missed clinical/practicum days. This includes a Collaborative Success Plan prepared by the student and faculty to address the issue. Copies of the Memo of Concern and Collaborative Success Plan will be forwarded to the Clinical Coordinator. Faculty Absences Clinical instructors are responsible to inform the students, hospital/agency unit, and the College (Clinical Coordinator, Program Manager, and School of Health Sciences Chair) of any absences from the clinical/practicum setting in a timely manner. Seneca encourages clinical faculty to contact the Clinical Coordinator to discuss strategies to address any missed hours. Seneca College of Applied Arts and Technology Practical Nursing Diploma Program PND Nursing Handbook: General Information and Guidelines 133 - 142 36 Memo of Concern A memo of concern may be issued if behaviour has been identified that places a student at risk of not being successful in the clinical course. The behaviours that may result in a Memo of Concern may include, but are not limited to the following: Unable to correlate theoretical knowledge to clinical practice Unable to provide rationale for patient care Inaccurate or incomplete documentation Inability to organize and provide care in a reasonable time frame Failure to report assessment/intervention data to instructor/staff nurse Unaware of own limitations Not accepting responsibility for own actions Language comprehension that may jeopardize patient care Ineffective communication with patient/staff or instructor Lacks professionalism and understanding of what is appropriate workplace behaviour Absenteeism/lateness Memo of Concern Process When a memo of concern is issued, the faculty instructor will complete the instructor’s portion and the student will complete the student section. The student will develop a collaborative success plan with the assistance of the faculty instructor/clinical student advisor and/or clinical coordinator as required. A copy will be forwarded to the clinical coordinator. Seneca College of Applied Arts and Technology Practical Nursing Diploma Program PND Nursing Handbook: General Information and Guidelines 133 - 142 37 Unsafe Clinical Practice If a student demonstrates unsafe and/or unprofessional behavior, the student will be removed immediately from the clinical setting when this unsafe and/or unprofessional behavior causes a potential or actual threat to the client’s physical or emotional well-being. Unsafe clinical practice can be one substantive event or a pattern of recurring behaviours. The behaviours that may result in Unsafe Clinical Practice may include, but are not limited to the following: Caring and Competency Caring and Connectedness Caring and Critical Thinking Caring and Professionalism Inadequate or incomplete documentation and record keeping Inability to recognize situations where own competency level is lacking and seek assistance Inadequate preparation for client care Inadequate knowledge base Inconsistent/inaccurate client assessment and care Failure to report client information (condition/status) to instructor and agency staff in a time sensitive manner Failure to establish effective working relationships with peers, faculty, and/or health team members in providing client care Language comprehension concerns that may jeopardize client care/safety. Demonstrates poor clinical judgment: performs outside scope of practice; poor clinical decision-making Inability to apply concepts/theory in practice Inability to set priorities/organize care at level of complexity expected for semester level Evidence of impaired judgment due to drugs, alcohol, or lack of sleep Abusive conduct: willful or unintentional acts toward clients, peers, staff, or faculty that cause or may cause physical or emotional harm. Abusive conduct may include physical/non-physical, verbal/non-verbal behaviors and neglect. Such behaviors or remarks include but are not limited to sarcasm, swearing, racial slurs, teasing and the use of inappropriate tone of voice (CNO, 2005) Theft: from clinical agency, client, colleagues; (misappropriation of drugs/equipment/supplies) Dishonesty: failure to accept responsibility for one’s own actions, withholds information/conceals errors or acts of omission in client care; falsification of client records, patient experiences, or nursing actions Failure to maintain confidentiality of client information Misrepresentation: it is the responsibility of the individual student to represent the truth about his/her qualifications and abilities to clients and staff. Performing a procedure or providing care without the required knowledge, competence, or supervision (i.e. instructor or designate) jeopardizes client safety. Failure to comply with institutional policy Failure to comply with instructor directions Failure to change practice/behaviors in response to feedback Seneca College of Applied Arts and Technology Practical Nursing Diploma Program PND Nursing Handbook: General Information and Guidelines 133 - 142 38 Unsafe Clinical Practice Process The faculty instructor will identify and discuss potentially unsafe practice with student. The faculty instructor will remove student from clinical setting. The student will remain out of the clinical setting until the completion and determination of the unsafe hearing. Notify the clinical coordinator on the date the student is identified as potentially unsafe. Discuss with the clinical coordinator the behavior(s) of concern and prepare specific and relevant documentation/evidence to support the identified unsafe practice. Date and sign the document. Provide the student and clinical coordinator with a copy of the documentation/unsafe report. The clinical coordinator will provide a copy to the Program Chair. Following receipt of the unsafe report, the student will have 48 hours in which to respond in writing to the Program Chair regarding the unsafe incident. An ad hoc committee will be appointed by the Program Chair and will include (a) the Clinical Coordinator (Resource Member), (b) the Clinical Instructor (Resource Member), and (c) three Voting Members (faculty who were not involved with the student). At least one voting faculty member of the committee will be from an outside discipline. The Program Chair will inform the student of the right to attend the scheduled unsafe hearing. The student will be notified of the committee’s decision within 48 hours of the hearing. Possible Outcomes of an Unsafe Hearing Return to the clinical setting within the parameters of a signed performance contract as outlined by the review committee. Removal of the student from the clinical placement for the duration of the semester. The student will receive an unsatisfactory grade and be placed on academic probation. The student may be required to attend counseling, complete specific remediation and demonstrate behaviors that address the issues identified before they will be permitted to repeat the course. If the student has a previous unsatisfactory grade in any clinical course and is found to have demonstrated unsafe clinical practice in the current clinical course, the student will be withdrawn from the program. Pursuant to academic policy section 13.2, the student may be withdrawn from the program. The basis for mandatory withdrawal may be student behavior, absenteeism, and/or performance issues where one or all of these concerns are detrimental to the learning process, or disruptive to the aims and objectives of the College. Withdrawal may also result if the behavior(s) constitute professional misconduct as identified by the College of Nurses of Ontario. In the event a student withdraws from the clinical course and/or program, the unsafe hearing will proceed. Students may not be eligible for readmission to the program if an unsafe clinical practice is determined. Seneca College of Applied Arts and Technology Practical Nursing Diploma Program PND Nursing Handbook: General Information and Guidelines 133 - 142 39 Supporting Clinical Documents The following pages include resources, documents and forms to facilitate the clinical practicum experience. Confidentiality Agreement Concept Map Example 1 Concept Map Example 2 Nursing Data Physical Assessment Diagnosis Research Diagnosis Record Medication Research Medication Record Sample Progress Note Memo of Concern Student Collaborative Success Plan Supporting Student Learning Giving Constructive Feedback Medication Administration Guidelines Request for Shift Change Seneca College of Applied Arts and Technology Practical Nursing Diploma Program PND Nursing Handbook: General Information and Guidelines 133 - 142 40 Practical Nursing Diploma Program Confidentiality Guideline and Statement ________________________________________________________________________ It is the philosophy of the Seneca College Nursing Program that every patient has the legal and moral right to confidentiality of all information concerning their, condition, and/or treatment as it relates to their personal and health matters. It is the responsibility of each healthcare professional to ensure that confidentiality is maintained at all times. The patient has the right to expect that individuals who have access to their information will use it only when necessary in the context of their work and under conditions that will guarantee confidentiality. ________________________________________________________________________ CONFIDENTIALITY STATEMENT I have read the above guidelines and acknowledge that any information that I may gain concerning patients and/or their families while enrolled in the Seneca College Nursing Program, will be held confidential. ________________________________ Signature of Student Seneca College of Applied Arts and Technology Practical Nursing Diploma Program PND Nursing Handbook: General Information and Guidelines ___________________________ Date 133 - 142 41 Concept Map Example 1: Seneca College of Applied Arts and Technology Practical Nursing Diploma Program PND Nursing Handbook: General Information and Guidelines 133 - 142 42 Concept Map Example 2: Seneca College of Applied Arts and Technology Practical Nursing Diploma Program PND Nursing Handbook: General Information and Guidelines 133 - 142 43 Seneca College of Applied Arts and Technology Practical Nursing Diploma Program PND Nursing Handbook: General Information and Guidelines 133 - 142 44 Nursing Data Student: _________________________ Client’s Initial: _______ D.O.B. _________ Age:_________ Marital Status:________ Discharge Date (for CCP Clients): _______________ Admission Date: _____________Physician: _______________________ Allergies: ________________________________ Admitting/Main Diagnosis:________________________________ Past Medical History/Surgeries: ________________________________________________________________________________ (information from chart, computer and Kardex) Day 1 Day 2 Vital Signs (schedule e.g. BID, Daily) IV Therapy (soln, rate, tubing/site change), central line site Diet/Fluid Intake (type, g-feed, schedule), Dietary involvement Output (cont, brief, catheter, ostomy) Hygiene/ADL’s (total, assist) Mobility/Activity (bed rest, w/c, walker, Hoyer, mech. lift, Physio/OT) Other Treatments: (Trach, diagnostic tests, CPAP, drains, wounds, dressings) Lab (tests/trends/interventions and rationale for abnormal results) Doctors Orders (Since last checked) Date/time checked (list): Date/time checked: Previous nursing shift report Report to nurse at end of shift Seneca College of Applied Arts and Technology Practical Nursing Diploma Program PND Nursing Handbook: General Information and Guidelines 133 - 142 45 Physical Assessment Day 1 Neurological Alert & oriented X3, coordination, sensation to limbs, able to communicate verbally, vision & hearing. Pain Status, Sleep and Rest 0-10, quality, quantity, radiates, severity, timing, onset, alleviating/aggravating factors, last pain medication and effect, sleep pattern Cardiovascular Auscultate apical pulse for rate & rhythm, auscultate over heart valves with diaphragm & bell, capillary refill, peripheral edema, peripheral pulses - strong and regular Respiratory Easy & non-laboured, auscultate all lung fields - breath sounds? Adventitious sounds? O2 Saturation Gastrointestinal Diet, ability to eat, skin conditions, umbilicus, abdominal pulsations?, auscultate abd - bowel sounds (5 – 30/m), light palpation – soft & non-tender, last BM & describe Genitourinary Ability to void, continence/incontinence, urine assessment (clear, pale, odourless, discomfort, amount) Musculoskeletal Full ROM (describe specifics of anything less than full ROM), strength in all limbs, any weakness, paralysis or joint stiffness, able to ambulate independently Integumentary Colour, temp, moisture, diaphoretic, lesions, wounds, scar Skin Turgor, Braden scale (sensory perception, moisture, activity, mobility, nutrition, friction & shear) Psychosocial Social Work, Hobbies, family involvement, other activities, their life prior to admission, developmental history, current support systems, grief issues, evidence of emotional distress or concerns. Charting (DAR or SOAP; identify one key issue/area): Day 2 46 Diagnosis Research Student Name____________________________ Diagnosis____________________________________ Overview of disease and cause: Clinical Manifestations (signs & symptoms): Associated lab values and diagnostic tests: Interventions prescribed by the physician: Nursing assessments: Common Nursing Diagnosis: Nursing Interventions: References Seneca College of Applied Arts and Technology Practical Nursing Diploma Program PND Nursing Handbook: General Information and Guidelines 133 - 142 Diagnosis Record Diagnosis Overview of Disease & Cause Diabetes Lack of or poor insulin production, two types (#1 Insulin or oral hypoglycemic’s, has early onset, no identified risk factors; #2 adult low dose ASA, beta blocker, ACEonset, related to lifestyle); significant I, statin medication; regular BS complications include kidney, heart, brain, eye checks; HgA1C disease Rapid decline in mental status, over several stages Medications to slow the beginning with mild confusion, to final stage progression of Alzheimer’s where clients are not able to provide (Remeron), MMSE care/eat/think independently ~ possible bedridden Alzheimer’s Seneca College of Applied Arts and Technology Practical Nursing Diploma Program PND Nursing Handbook: General Information and Guidelines Expected Meds/Treatments Nursing Implications Low sugar diet, lose weight, keep risk factors managed (low cholesterol, low BP etc), observe for high/low BS (list signs), poor wound healing Provide care as required, keep patient safe, assess family for coping, monitor changes in cognition (MMSE), maintain routines 133 - 142 Medication Research Drug – Generic Name, Trade Name, Classification Action: Dosage and Routes: Side Effects: Contraindications and Precautions: Pharmacokinetics: Interactions: Nursing Considerations/ Teaching: Seneca College of Applied Arts and Technology Practical Nursing Diploma Program PND Nursing Handbook: General Information and Guidelines 133 - 142 Medication Record Medication Record Drug name, Classification Standard Dose, Route & Frequency Standard Why the Patient Pt.’s Dose, Uses is Taking this Route and Medication Frequency Seneca College of Applied Arts and Technology Practical Nursing Diploma Program PND Nursing Handbook: General Information and Guidelines Most Common Side Effects Nursing Considerations Patient Teaching 133 - 142 Sample Progress Note Date Time Seneca College of Applied Arts and Technology Practical Nursing Diploma Program PND Nursing Handbook: General Information and Guidelines 133 - 142 Memo of Concern Student: __________________________________PNC220/320/420/520 (circle one) Faculty Instructor__________________________ Agency______________________ Date:____________________________________ Unit________________________ Faculty Instructors perception of the current behaviour/situation: Students perception of the current behaviour/situation: Seneca College of Applied Arts and Technology Practical Nursing Diploma Program PND Nursing Handbook: General Information and Guidelines 133 - 142 Student Collaborative Success Plan Goals Strategies Student signature: _____________________________________________ Faculty signature: _____________________________________________ Progress Review Date Please forward to the clinical coordinator. Seneca College of Applied Arts and Technology Practical Nursing Diploma Program PND Nursing Handbook: General Information and Guidelines 133 - 142 Supporting Student Learning Encourage students to be proactive in identifying and maximizing valuable learning opportunities that are in the clinical setting. What do I want to learn (objective)? Why do I want to learn it (rationale)? How am I going to learn it (strategy)? Developing objectives for clinical experiences allows for focus and provides structure and direction for learning. Main goal in clinical is to link theory to practice which will develop the student’s knowledge and skills as it applies to clinically relevant situations. A briefing session (pre conference) with students at the beginning of the clinical day provides the opportunity to discuss expectations and plan of care. Planned debriefing sessions (post conference) provide an opportunity for students to reflect and share their clinical learning. As learners, students are not expected to be competent in nursing practice. It is important that they are carefully monitored and supervised. In order to develop the competencies expected of them as a practical nurse, students require opportunities to make judgments and decisions with your support. Student Assessment Student assessment is the responsibility of the clinical faculty. Clinical faculty completes Midterm and Final evaluations. Seneca College of Applied Arts and Technology Practical Nursing Diploma Program PND Nursing Handbook: General Information and Guidelines 133 - 142 Giving Constructive Feedback Offer your feedback with care. Begin by asking the student if you can provide some feedback. Make sure it is an appropriate time. Make your feedback specific. The student cannot learn from your feedback if you just label them, for example, ‘inconsiderate.’ Instead provide an example such as, ‘When you took Mr. Jones to the bathroom and his gown was not tied up properly, I noticed the other patients looking very uncomfortable. Would you be able to make sure the patients are covered next time?’ Ensure your feedback is given at the right time. Do not delay giving the feedback, as the event is not always remembered. For example, if a student was on their final week of placement and you wanted to offer feedback on an event that took place in their first week, you have probably missed your chance to give effective feedback. Advice must be easy to put into practice. Feedback is most useful when behaviour is modifiable. It would not be helpful to hear from the preceptor that the student was too small in stature to carry out the task Instead it would be helpful to say, ‘When you performed that clinical skill, it looked like you couldn’t reach the patient easily. Have you thought about lowering the bed to a more suitable height?’ Always prepare what you want to say. Giving constructive feedback is not easy so make sure you take the time to be clear with what you want to say making sure it is specific and given at the right time. Choose your location wisely. Receiving feedback in front of other team members can be embarrassing and the receiver will often shut out the advice you are trying to give them. Take the time to think about where it would be appropriate to offer your feedback as you may wish for some privacy. Always allow the student to respond to your feedback. To ensure that the student has understood what you are saying, would like further comments from you or if they wish to explain themselves allow them the opportunity to respond. Adapted from Attitude Works http://www.attitudeworks.com.au/AW_downloads/resources/tools/tool_feedback.pdf) Seneca College of Applied Arts and Technology Practical Nursing Diploma Program PND Nursing Handbook: General Information and Guidelines 133 - 142 Practical Nursing Diploma Program Medication Administration Guidelines for Clinical Introduction The following guidelines are recommended to promote safety in medication administration. Instructors and students must be fully aware of agency polices regarding medication administration. Clinical instructors will determine the number of students that they can safely supervise for medication administration. They will also ensure an appropriate environment to administer medications safely. This includes allowing sufficient time for the designated students to review and research the medications prior to administration. Medication administration is not an expectation of PNC220 Recommended Guidelines for Students Administering Medications Students are supervised and supported by the clinical instructor during all phases of medication administration. (preparation to administration) The student must demonstrate knowledge of the patient’s medication(s), and the nursing considerations before, during and after medication administration The student will obtain consent from the client. The student will demonstrate infection control practices during medication administration. The student will evaluate required patient information, such as pertinent lab results, and any diagnostic tests that may affect medication administration. The student will assess relevant vital signs before and after medication administration. The student will document the medication administration and any health teaching completed The student will assess the patient's response to the medications; report and document any abnormal observations. 1. Instructor and student will review patient’s Medication Administration Record and prescriber’s orders prior to medication administration. 2. Instructor and student discuss medications to be given/not given with the staff nurse. This includes the ongoing communication between the student and the staff nurse. 3. Instructor and student complete independent double checks on high alert medications with staff nurse and as per agency policies. (heparin/insulin/narcotics) 4. Students are not to take responsibility for the narcotic keys, PCA pumps, Femoral Blocks, PICC lines, central venous lines or TPN. 5. Students are not to perform any procedure that requires advanced training that is not covered in the curriculum and/or requires training of nursing staff, such as IV Bolus and Chemotherapeutic agents. 6. Students are not to sign for blood products; however, they can assist with the administration and monitoring of the patient during the transfusion. 7. In the event of a medication error, immediate notification, agency policies and procedures are followed. Required Hospital/College documentation is completed. This includes notification to the Clinical Coordinator. Additional Resources College of Nurses of Ontario (2011) Practice standard: Medication, Revised 2008. Retrieved from http://www.cno.org/docs/prac/41007 medication.pdf Seneca College of Applied Arts and Technology Practical Nursing Diploma Program PND Nursing Handbook: General Information and Guidelines 133 - 142 Clinical/Practicum Guidelines for Requesting Shift Changes Introduction Seneca College has an established communication process with our clinical/practicum partners/agencies. To facilitate this process, Seneca’s Clinical Placement Office is responsible for requesting changes to shifts directly with our partners/agencies. It is important that instructors do not independently negotiate shift changes to the confirmed schedule. The confirmed schedule is based on many considerations from Seneca and our agency partners including, safety, legal liability, WSIB, professional accountability and pedagogical appropriateness. Requests for shift changes will be reviewed on an individual basis, and decisions will be made regarding the appropriateness of the proposed change. The following process should be followed if/when requesting a shift change: Process for Requesting Shift Changes 1. Instructors requesting shift changes must first contact Seneca’s Clinical Placement Office regarding the request. Please provide a rationale for the request. 2. The students should be consulted prior to making any scheduling requests. 3. All students must be in agreement of the change in shift. 4. The Clinical Placement Office will contact the instructor if the change is approved by the college and the partner/agency. 5. The instructor is responsible for communicating the change to the students (after receiving confirmation from Seneca and the partner/agency). Seneca College of Applied Arts and Technology Practical Nursing Diploma Program PND Nursing Handbook: General Information and Guidelines 133 - 142
