Hill College Health Science Application Procedure Vocational Nursing Spring 2014 Application Deadline: November 1, 2013 The Health Science departmental application packet will be available on the departmental website www.hillcollege.edu/student/healthscience/vocational_nursing or in the Health Science Department. After submission of the completed packet the applicant will be given the HESI A2 with Critical Thinking Referral form. The applicant must have the completed referral form at the time of their scheduled HESI A2 with Critical thinking test. Testing Center contact information: Hillsboro 254-659-7815, Cleburne 817-760-5815 **TESTING NOTES**: **You will not be able to test on Fridays, at a Hill College testing center beginning May 13, 2013 through August 9, 2013, as the campus is closed. ** The absolute last testing session for the HESI, for this testing block, will be noon October 30, 2013. **You may only take the HESI test 2 (two) times in an application block. Incomplete application files will not be evaluated. Documents and/or files will be purged after 1 year excluding the following: o Course evaluations o Course waivers o Transcripts Candidates who are enrolled in one or more of the pre-requisite courses and/or incomplete files will be considered for acceptance at a lower priority than candidates who have completed the application process as well as completed the pre-requisites with a “C” or better by the admission deadline date. It is the policy of Hill College, for any course re-taken, the most recent grade will stand. Submission of this application packet does not guarantee admission/selection in the Vocational Nursing program. Hill College Vocational Nursing Admission Information Spring 2014 entry Hillsboro Location Full Legal Name: _________________________________________________________________________________ Mailing Address: ____________________________________________City ___________________Zip ___________ Email Address: ___________________________________ Telephone Number(s) Home_____________________________ Other______________________________ Social Security Number _____________-___________-_________________ **If accepted, I would like my letter mailed or emailed (circle one) to the address above. I acknowledge it is my responsibility to notify the Nursing department if any of the above information changes. ** The name and state high school attended_______________________ Grade completed (circle only one) 1 2 3 4 GED List below any licenses/certifications or health-related credentials you currently hold. ____________________________________________________________________________________ List below other nursing or health-related programs attended, with locations and date. ____________________________________________________________________________________ List below the names/addresses/phone number of the last three employers (including present) and date of employment: 1. ___________________________________________________________________________________ 2. ___________________________________________________________________________________ 3. ___________________________________________________________________________________ Of the six (6) classes below please list the college attended, year, and grade received or note you are currently enrolled. 1. BIOL 2401 A & P I______________________________________________________________________________ 2. BIOL 2402 A & P II______________________________________________________________________________ 3. PSYC 2301 General Psychology ____________________________________________________________________ 4. Nutrition_______________________________________________________________________________________ 5. Pharmacology___________________________________________________________________________________ 6. Medical Terminology_____________________________________________________________________________ Please list other college hours you have completed with the name of the institution, and year attended. Use the back of this form if you need more room. 1. ___________________________________________________________________________________ 2. ___________________________________________________________________________________ Signature: ________________________________ Date: __________________________ Vocational Nursing I, _______________________________________________, acknowledge that I will be required to have a criminal background check and a drug test completed before I can register for the Hill College Vocational Nursing Program. 213.28 - Licensure of Persons with Criminal Convictions The Texas Board of Nursing (BON) may refuse to approve persons to take the licensure examination, may refuse to issue or renew a license or certificate of registration, or may refuse to issue a temporary permit to any individual that has been convicted of a felony, a misdemeanor involving moral turpitude or engage in conduct resulting in the revocation of probation imposed pursuant to such a conviction. The practice of nursing involves clients, their families, significant others and the public in diverse settings. The registered and vocational nurse practices in an autonomous role with individuals who are physically, emotionally and financially vulnerable. The nurse has access to personal information about all aspects of a person’s life, resources and relationships. Therefore, criminal behavior whether violent or non-violent, directed against persons, property or public order and decency is considered by the Board as highly relevant to an individual’s fitness to practice nursing. I acknowledge that clinical facilities have the right to refuse any student to attend clinical rotations at their facility for any issue related to an eligibility issue. If this occurs, the student will not be able to continue in the VN program. I further acknowledge that an approved declaratory order is not a guarantee that the student will be able to attend any clinical rotation if the facility refuses to allow the student access. I acknowledge that failure to disclose a potential eligibility issue not found by the Hill College VN program will be considered unethical behavior and will constitute dismissal from the program without cause. I acknowledge that any candidate with an eligibility issue (see BON rules and regulations) must provide an approved declaratory order prior to acceptance into the Vocational Nursing Program. “Hill College policy prohibits the unlawful manufacture, possession, use, sale, transfer, or purchase of a controlled substance or designer drug on campus. It is also a violation of College policy for anyone to unlawfully possess, use, or be under the influence of an alcoholic beverage or controlled substance on the campus or a College related activity off-campus” I further acknowledge that if my drug test comes back positive I will not be allowed to register for the Vocational Nursing program. I further acknowledge that at any point within the year I may be required to do further drug testing and/or background checks if the program director in consultation with the instructor(s) feel there is sufficient evidence to warrant further investigation. By my signature below I acknowledge that I have received a copy of this letter and understand what is required for entry into the vocational nursing program. ___________________________________________ Candidate Signature ____________________ Date Hill College Health Science Department Criminal background requirements The Hill College Vocational Nursing Program has implemented the following change to the application process related to the background check process. All applicants seeking entry in the Vocational Nursing program must complete the finger printing process through the MorphoTrust USA (formerly L1 Solutions). The cost of the fingerprinting is $41.45, non-refundable. The new process will be as follows: 1. Submit application 2. Once a month during application timeline, a roster with a list of all applicants will be sent to the Board of Nursing 3. Approximately 10 days after submission of the roster, applicants will be sent an email with Fast Pass application to make an appointment for fingerprints. 4. Fingerprints must be done with receipts submitted to the nursing department before deadline date of November 1, 2013. Please note that following Vocational Nursing application submission dates: *July 1- July 31, 2014 *August 1 – August 31, 2013 *September 1 - September 30, 2013 *October 1 – October 31, 2013 *Example: John Doe submitted his application postmarked August 1, 2013 Jane Doe submitted her application postmarked August 31, 2013. Approximately 10 business days after August 31 , 2013 Hill College Health Science will send email confirmation to John and Jane Doe that their application was received; the email will include the MorphoTrust USA (formerly L1 Solutions) Fast Pass fingerprint application. The student must begin the fingerprinting process as soon as they receive the Fast Pass. October 17 - October 31, 2013 Applicants who submit their application October 17-October 31 will be considered for selection but at a lower priority than those who have the L1 process is in progress. >>>Early submission of applications is not a guarantee of selection in to the program. All required application documents must in file by the November 1, 2013 deadline date. >>>Applicants who try to complete the MorphoTrust USA (formerly L1 Solutions) without the Hill College Vocational Nursing MorphoTrust USA (formerly L1 Solutions) FastPass email approval will risk having their background check process delayed and/or application denied by the Health Science Vocational Nursing program. Hill College Nursing Programs ANY candidate with eligibility issues related to criminal convictions seeking consideration for a Hill College Nursing Program must be aware of the following: *** Applicants with an eligibility issue must provide to the Hill College Health Science program documentation that they have completed the declaratory order process prior to the posted deadline date. Applicants with pending declaratory orders at the posted deadline date will be considered at a lower priority for selection. Texas Board of Nursing (BON) rules and regulations regarding eligibility issues can be found at http://www.bon.texas.gov/exam-eligibility.htm. Failure to disclose an eligibility issue prior to admission into the nursing program WILL result in AUTOMATIC DISMISSAL from the nursing program. Eligibility Issues Applicants who answer “YES” to any of the following questions must download and complete the Declaratory Order application using this link: http://www.bon.texas.gov/olv/pdfs/DOapp.pdf. The Board of Nursing Review of applicants with eligibility issues can take three (3) to six (6) month to complete. For any criminal offense, including those pending appeal, have you: A. been convicted of a misdemeanor? B. been convicted of a felony? C. pled nolo contendere, no contest, or guilty? D. received deferred adjudication? E. been placed on community supervision or court-ordered probation, whether or not adjudicated guilty? F. been sentenced to serve jail or prison time? court-ordered confinement? G. been granted pre-trial diversion? H. been arrested or have any pending criminal charges? I. been cited or charged with any violation of the law? J. been subject of a court-martial; Article 15 violation; or received any form of military judgment/punishment/action? (You may only exclude Class C misdemeanor traffic violations.) NOTE: Expunged and Sealed Offenses: While expunged or sealed offenses, arrests, tickets, or citations need not be disclosed, it is your responsibility to ensure the offense, arrest, ticket or citation has, in fact, been expunged or sealed. It is recommended that you submit a copy of the Court Order expunging or sealing the record in question to our office with your application. Failure to reveal an offense, arrest, ticket, or citation that is not in fact expunged or sealed, will at a minimum, subject your license to a disciplinary fine. Non-disclosure of relevant offenses raises questions related to truthfulness and character. NOTE: Orders of Non-Disclosure: Pursuant to Tex. Gov’t Code § 552.142(b), if you have criminal matters that are the subject of an order of non-disclosure you are not required to reveal those criminal matters on this form. However, a criminal matter that is the subject of an order of non-disclosure may become a character and fitness issue. Pursuant to other sections of the Gov’t Code chapter 411, the Texas Nursing Board is entitled to access criminal history record information that is the subject of an order of non-disclosure. If the Board discovers a criminal matter that is the subject of an order of non-disclosure, even if you properly did not reveal that matter, the Board may require you to provide information about any conduct that raises issues of character. Are you currently the target or subject of a grand jury or governmental agency investigation? Has any licensing authority refused to issue you a license or ever revoked, annulled, cancelled, accepted surrender of, suspended, placed on probation, refused to renew a license, certificate or multi-state privilege held by you now or previously, or ever fined, censured, reprimanded or otherwise disciplined you? *Within the past five (5) years have you been addicted to and/or treated for the use of alcohol or any other drug? *Within the past five (5) years have you been diagnosed with, treated, or hospitalized for schizophrenia and/or psychotic disorder, bipolar disorder, paranoid personality disorder, antisocial personality disorder, or borderline personality disorder? Health Science (Vocational Nursing, ADN, ADN Transition, Emergency Medical Technician, Echocardiography Technician, Diagnostic Medical Sonography) Student Information Data Sheet Please print the following information: Last Name Middle Name First Name Maiden Name Suffix (Jr. III) Please list other names you have been known by: _________________________________________ _________________________________________________________________________________________ _________________________________________________________________________ _________________________________________________________________________________________ _________________________________________________________________________________________ _________________________________________________________________ Date of Birth: ______\______\_______ Social Security #: _________\_______\_________ Texas Driver’s License #: ________________________ State Issued: __________________ Height: ________ Weight: __________ Gender (M or F): _______ Ethnic Group: __________ (1=White 2=African American 3=American Native/Aleutian 4=Asian/Filipino 5 = Hispanic 6=other) (Enter appropriate number) Color of Hair: _________________ Color of Eyes: ____________ Place of Birth: ____________________________ Vocational Nursing I, _______________________________________________, acknowledge that I will be required to have a criminal background check and a drug test completed before I can register for the Hill College Vocational Nursing Program. 213.28 - Licensure of Persons with Criminal Convictions The Texas Board of Nursing (BON) may refuse to approve persons to take the licensure examination, may refuse to issue or renew a license or certificate of registration, or may refuse to issue a temporary permit to any individual that has been convicted of a felony, a misdemeanor involving moral turpitude or engage in conduct resulting in the revocation of probation imposed pursuant to such a conviction. The practice of nursing involves clients, their families, significant others and the public in diverse settings. The registered and vocational nurse practices in an autonomous role with individuals who are physically, emotionally and financially vulnerable. The nurse has access to personal information about all aspects of a person’s life, resources and relationships. Therefore, criminal behavior whether violent or non-violent, directed against persons, property or public order and decency is considered by the Board as highly relevant to an individual’s fitness to practice nursing. I acknowledge that clinical facilities have the right to refuse any student to attend clinical rotations at their facility for any issue related to an eligibility issue. If this occurs, the student will not be able to continue in the VN program. I further acknowledge that an approved declaratory order is not a guarantee that the student will be able to attend any clinical rotation if the facility refuses to allow the student access. I acknowledge that failure to disclose a potential eligibility issue not found by the Hill College VN program will be considered unethical behavior and will constitute dismissal from the program without cause. I acknowledge that any candidate with an eligibility issue (see BON rules and regulations) must provide an approved declaratory order prior to acceptance into the Vocational Nursing Program. “Hill College policy prohibits the unlawful manufacture, possession, use, sale, transfer, or purchase of a controlled substance or designer drug on campus. It is also a violation of College policy for anyone to unlawfully possess, use, or be under the influence of an alcoholic beverage or controlled substance on the campus or a College related activity off-campus” I further acknowledge that if my drug test comes back positive I will not be allowed to register for the Vocational Nursing program. I further acknowledge that at any point within the year I may be required to do further drug testing and/or background checks if the program director in consultation with the instructor(s) feel there is sufficient evidence to warrant further investigation. By my signature below I acknowledge that I have received a copy of this letter and understand what is required for entry into the vocational nursing program. ___________________________________________ Candidate Signature ____________________ Date Explanation of the point system policy In addition to the general admission requirements to Hill College, the Hill College Vocational Nursing Department implemented (October 2000) a point system for possible acceptance in the Vocational Nursing Program. Required: 1. HESI A2 Reading 70%, Math 60%, A&P 60% 2. Preparation questionnaire: Completed during pre-testing, you will answer the following questions. A. Your strengths B. Your Weaknesses C. What preparations have you made? D. Your goals E. Why you are the best candidate F. Why you are interested in nursing as a career. 3. Reference form 1. Professional (current/former supervisor, co-worker Or instructor/counselor only, not from friends or family members) 2. No References no points will be given for references not received by deadline or received from unacceptable source or method of delivery **NOTE** All references must be mailed. The Nursing Department will not accept faxed or hand delivered references **NOTE** You must show that you have completed the required pre-requisites: BIOL 2401 Anatomy & Physiology I and BIOL 2402 Anatomy & Physiology II and General Psychology PRIOR to the deadline date. Candidates enrolled in the pre-requisites may be considered for acceptance at a lower priority than candidates who have completed the pre-requisites by the admission deadline date. If you need further clarification on this requirement please call 254-659-7920. . **NOTE** To receive points for each of the following you must submit an official transcript showing you have completed the course with a “C” or better. If employed as a CNA, CMA, etc. you must submit copy of your state certificate along with a letter (must be on letterhead) from your current employer stating you have worked > six months in your field of study. The following are not required but may be considered: 1. To receive 1/2 of the points you must submit a student copy of your transcript showing you are currently enrolled or a letter (on letterhead) from the institution you are attending detailing your status as a student. *Prior Medical Experience 2. *Nutrition w/ “C” 3. *Pharmacology w/ “C” 4. Medical Terminology w/ ”C” 5. Pretesting English passing score 60% General Explanation HESI Assessment Test The Math, Reading and A&P portions of the HESI A2 test will be used to determine the eligibility of the student to be initially qualified for possible selection into the Vocational Nursing Program. Reading Comprehension: 38-item exam- reading scenarios that are health related. The reading scenarios pop up on the screen, such as identifying the main idea, supporting details, meanings of words, purpose and tone, differentiating between fact and opinion, logical inferences and summarizing. Time allotment: 50 minutes. Math: 50-item exam. Focus on math needed for calculation of drugs and solutions. Such as: basic math, fractions/decibels, ratio/proportion, percentages, and basic algebraic equations. Time allotment: 50 minutes. A&P (Science): 25-item exam. Quick assessment of the students’ knowledge of the various sciences he/she will encounter in the course of their student nurse experience. Time allotment: 25 minutes. Note: The English portion of the test will be used in the calculation points system for possible selection. English: Grammar: 50-item exam. Contains basic grammar. Time allotment: 50 minutes Vocabulary and General Knowledge: 50-item test. Contains basic vocabulary that is often used in the health care fields. Time allotment: 50 minutes. The HESI Critical Thinking portion of the test will assess the student’s ability to critically thinking. HESI Critical Thinking The HESI Critical Thinking exam is a four-choice, multiple-choice test. All answers are correct. However, each choice reflects a different degree of critical thinking skills. Scores range from 0-1000. The higher your score is, the better your ability to think critically within the discipline of nursing. In addition to a total score on this exam you will receive scores on five sub-categories of critical thinking: Problem Solving: These questions refer to the process of inquiry in which the nurse seeks multiple facts to remove obstacles or resolve patient care problems. Resolution Biases/Ethical Dilemma: These questions address ethical, legal, and moral issues, as well as biases nurse may have about patients and others. Argument Analysis: These questions refer to situations in which the nurse seeks to resolve conflicts or disagreements by considering multiple points of view. Analysis of Data: These questions address the need to interpret patient data correctly, and decide if further nursing action is required. Prioritization of Care Thank you for your interest in the Hill College Vocational Nursing Program. The program is a one-year, 48 credit hour curriculum leading to a Certificate of Completion. The Vocational Nursing Program is accredited by the Texas Board of Nursing (BON) and is designed to provide the student with the skill and knowledge required to pass the NCLEX-PN (National Council Licensure Examination - Vocational Nursing). Disabilities/ADA In accordance with the requirements of the Americans with Disabilities Act (ADA) and the regulations published by the United States Department of Justice 28 C.F.R. 35.107(a), Hill College’s designated ADA coordinator, Melanie Betz, Director of Academic Advising & Student Success, shall be responsible for coordinating the College’s efforts to comply with and carry out its responsibilities under ADA. Students with disabilities requiring physical, classroom, or testing accommodations should contact the Director of Academic Advising & Student Success, Melanie Betz, at (254) 659-7651. Nondiscrimination on the Basis of Disability Federal law prohibits us from making preadmission inquiry about disabilities. Information regarding disabilities, voluntarily given or inadvertently received, will not adversely affect any admission decision. If you require special services because of disability, you may notify the Office of Student Development. This voluntary self-identification allows Hill College to prepare appropriate support services to facilitate your learning. This information will be kept in strict confidence and has no effect on your admission to the college. Hill College has designated the Vice President of Student Development as the Section 504 Coordinator. Also Hill College complies with state regulations that allow no illegal drugs on Campus. Students caught with such a drug may be suspended from the college for a specified period of time. General Admission Requirements to the College Applicants to the Vocational Nursing Program must meet the general admission requirements to the college as outlined in the college catalog. Admission Requirements for the Vocational Nursing Program In addition to the general admission requirements to Hill College, effective October 2000, the Hill College Nursing Program implemented a point system for possible acceptance in the Vocational Nursing Program as follows: 1. 2. Completion of the Pre-Requisites: Anatomy and Physiology I, Anatomy and Physiology II and General Psychology with a “C” or better prior to enrollment in the VN program. (See Explanation of Points Policy.) Acceptable Reading Score 70% or higher 3. Acceptable Math Score 60% or higher 4. Acceptable A&P (Science) 60% or higher 5. 6. Preparation questionnaire. Completed during pre-testing, the candidate will answer the following questions: A. Your strengths B. Your weakness C. What preparations have you made? D. Your goals E. Why you are the best candidate F. Why you are interested in nursing as a career Reference form a. Professional (current/former supervisor, co-workers Or instructor/counselor only, not from friends and family members or received from an unacceptable source and/or method of delivery) b. No References – no points for references not received by the deadline or received from an unacceptable source and or method of delivery) Note: All references must be mailed. The Nursing Department will not accept faxed or hand delivered references. Explanation of the Test of English as a Foreign Language Test (TOEFL) TOEFL Policy TOEFL Policy: Students must demonstrate English proficiency as an admission requirement. This may be demonstrated by one of the following: 1. Attended four years of high school in one of the 50 United States and receiving a diploma. 2. Attended two years of high school in one of the 50 United States and passed the GED. 3. Acceptable GED scores from one of the 50 United States and acceptable scores from the Test of English as a Foreign Language Test (TOEFL) within the two years of the posted deadline date of program application. TOEFL minimum passing score: Internet score of 80 or a computer-based TOEFL score of 250 or a paper/pencil test score of 600. Scores will not be considered if they are more than two years old. TOEFL Test score reports must be sent directly to the Health Science Department from the testing center. Information about the TOEFL may be obtained from the web site: www.ets.org/toefl or by calling 1-800-468-6335. TOEFL Waiver: The student can request a TOEFL waiver form from the Health Science department if they meet the following criteria: completion with a “C” or better of 4 different college level English courses and 1college level communication course; from an accredited US college/university. Hill College Admission Policy/State Board Limits Hill College maintains an open admission policy; however, the number of nursing students that can be accepted is limited by the Texas Board of Nursing (BON) and the availability of clinical instruction facilities. Hill College will take the top candidates who receive the highest total points. ** In the event of a tie the candidate with the highest points in the required areas will be given first priority (Reading and Math scores, Preparation Questionnaire and Reference form). Hill College reserves the right to refuse admission to the nursing program to any applicant whose application is deemed unsatisfactory. Texas Board of Nursing (BON) Criminal Conviction Policy 213.28 The Texas Board of Nursing (BON) may refuse to approve persons to take the licensure examination, may refuse to issue or renew a license or certificate of registration, or may refuse to issue a temporary permit to any individual that has been convicted of a felony, a misdemeanor involving moral turpitude or engage in conduct resulting in the revocation of probation imposed pursuant to such a conviction. The practice of nursing involves clients, their families, significant others and the public in diverse settings. The nurse has access to personal information. The Hill College Vocational Nursing Program requires any candidate with an eligibility issue (see BON rules and regulations) to provide the Vocational Program Director an approved declaratory order prior to acceptance into the Vocational Nursing Program. General College Information Hill College is an affirmative action/equal opportunity educator institution and employer. The College does not discriminate on the Basis of Disability. Please refer to the Hill College Catalog for further information on any of the following policies or general college information. 1. Affirmative Action/Equal Opportunity 2. Nondiscrimination on the Basis of Disability 3. General Admission Requirements to the College; 4. Overdue Financial Obligations 5. Financial Aid About the Hill College Vocational Nursing Program Johnson County Campus – Cleburne Hillsboro Campus- Hillsboro The Hill College Vocational Nursing Program Hillsboro entry class begins in January 2014 and will complete in December 2014. Semester I Weeks 1-6 to 8: Weeks 6-8 to 16: Class 8:00 - 5:00 p.m. Class 8:00 - 5:00 p.m. Clinical **varies by program** Monday through Friday 3 days per week 2 days per week Semester II and III Classes 2 days per week 8:00 am - 5:00 p.m. Clinical 2 days per week 7:30-5:00pm We do clinical in several different areas, as far north as Fort Worth, as far south as Temple. BE PREPARED TO TRAVEL. The travel and expenses to the class and clinical facilities is the responsibility of the STUDENT. VOCATIONAL NURSING Certificate of Completion Completion of the requirements listed below leads to the Certificate of Completion and is designed to provide the student with the skills and knowledge required to pass the licensure exam from the National Council of State Board of Nursing (Texas-VN) Prerequisites: Must be completed prior to entry in the Vocational Nursing Program BIOL 2401 Anatomy & Physiology I . .......................................................................... 4 BIOL 2402 Anatomy & Physiology II .......................................................................... 4 PSYC 2301 General Psychology ..................................................................................... 3 Total hours 11 VN Curriculum VNSG 1216 Nutrition or BIOL 1322 Diet & Nutrition.……………………………...2/3 VNSG 1500 Nursing in Health & Illness I...................................................................... 5 VNSG 1509 Nursing in Health & Illness II .................................................................... 5 VNSG 1510 Nursing in Health & Illness III ................................................................... 5 VSNG 1330 Maternal Neonatal Nurse ............................................................................ 3 VNSG 1334 Pediatrics .................................................................................................... 3 VSNG 1331 Pharmacology or RNSG 1301 Pharmacology ............................................ 3 VNSG 1360 Clinical I Practical Nurse............................................................................ 3 VNSG 1461 Clinical II Practical Nurse .......................................................................... 4 +VSNG 1462 Clinical III Practical Nurse ....................................................................... 4 Total Hours 37/38 Level II – TSI Liable + Capstone Experience Hill College Nursing Department Classroom and Clinical Grading Policy The grade of “C” is required to progress to the next semester. The nursing department grading system is as follows: A = 90-100 B = 80 - 89 C = 73 - 79 F = < 73 Academic Course Recommendations For all locations BIOL 2401, BIOL 2402, and PSYC 2301 are required before admission to the VN programs. Program (*Approximate Cost) Tuition and Fees ..........................................$ 3800.00 Books ..................................................$ 900.00 - 1000.00 Uniforms/accessories’ .................................$ 225.00 Supply Bag ..................................................$ 300.00 BON Background process ..........................$ 41.45 Achievement tests ......................................$ 375.00 $125.00 per semester (payable at registration) State Board Application Fees .....................$ 139.00 (includes FBI Fingerprint cards) NCLEX Application Fees ...........................$ 200.00 NCLEX Review Course ..............................$ 160.00 (3rd semester payable at registration) Total ..........................................$ 6140.45 - $6240.45 Tuition and Fees are divided by 3 semesters and the cost depends on how many hours you are enrolled in for that semester. The above tuition quote is for out-of-district, in-district will be slightly lower. The fees for the books, uniforms/accessories, picture ID; supply bags will be during the first semester. Prices will vary on the books and uniforms depending on your purchase of new or used. If you purchase a used uniform from a past student, you must have director approval. Supply bags must be bought new, and all vocational handbooks must be bought new. You will have a minimum of 4 achievement tests. The State Board and NCLEX application fees are due the third semester. The cost of classroom supplies bought throughout the year will vary depending on the amount you purchase. The NCLEX review course w/NCLEX - PN Study Guide is required, for the 3rd semester. Price is subject to change. *The above fees are approximate estimates for known costs only, the student needs to be aware that there will be other incidental costs that will occur during their year and he or she will be required to meet those costs as needed. Important Please Read Immunization requirements **The Pre-enrollment Health Screening form must be completed and turned in on the first day of VN Pre-Orientation. ** All prospective students must show proof that they are current and up to date with all required immunizations: (2) MMR’s (Measles, Mumps and Rubella) or titer showing immunity (1) Td (within the last 7 years). (1) Tdap (within lifetime) (2) Varicella (Chicken Pox) or titer showing immunity Seasonal Influenza vaccine Hepatitis B Series (Hep B #1, then one month later Hep B #2, Hep B #3 [4 – 6 months after the first shot]) must be completed or in progress (with proof of completion of the Hep B #1 and Hep B #2 of the series)at the time of enrollment in the Vocational Nursing Program. **The student must complete the Hepatitis B series prior to direct patient care. The student should expect to experience direct patient March 2013.* CPR Certification (American Heart Association/Basic Life Support with hands on skills component) **NOTE: THIS MUST BE IN FILE BY DEAD-LINE DATE!!!** Required AFTER selection: Negative TB (Tuberculosis) tine test (or chest x-ray if the prospective student shows a positive reaction to the TB skin test.) This should be done after acceptance into the program. Health Screening form (Physical) Hill College Vocational Nursing Program REFERENCE FORM Application Deadlines: November 1 for classes beginning in January June 1 for classes beginning in August APPLICANT INSTRUCTIONS: Three (3) references are required to complete the application process for possible entrance into the Hill College Vocational Nursing Program. The Hill College Vocational Nursing Program recommends you consider references from individuals who have known you either in a working or classroom setting for more than 6 weeks and can comment on your work/classroom ethics. The references must be from current/former employers, college/high school instructors or education counselors. NOTE: The Hill College Vocational Nursing Program WILL NOT accept references from friends, relatives, faxed or hand delivered. All Items marked by an * are required, if not completed will delay processing or void this reference form. Please complete the following information and furnish a copy of this form to your designated references. Provide a stamped envelope to each reference addressed to the HILL COLLEGE Nursing Program you are choosing to attend: Spring Entry Program Hillsboro Program: Hill College, Attention: Vocational Nursing, 112 Lamar Dr., Hillsboro, TX 76645 Fall Entry Program Cleburne Program: Hill College, Attention: Vocational Nursing, 2112 Mayfield Parkway, Cleburne, TX 76033 *Applicant (print or type):_______________________________________________________________________ Name References written in confidence are often of greater value in assessing an applicant's qualifications. Please read t he statement below and indicate your preference with regard to the confidentially of this evaluation. In accordance with the Family Education Rights and Privacy Acts of 1974 (Public Law 93-380), I understand that I have the right of access to this reference but may choose to waive that right. My preference is noted below: _____ I waive my right of access to this reference form. _____ I do not waive my right of access to this reference form. *Applicant's signature: _________________________________________Date: _________________________ EVALUATOR INSTRUCTIONS: Please complete Parts I, II of this reference form and return directly to the Hill College Vocational Nursing Program in the stamped envelope provided by the applicant. Evaluator please sign the envelope on the back across the sealing flap. All Items marked by an * are required, if not completed will delay processing or void this reference form. PART I *Evaluator Name: __________________________________________Occupation:___________________ *Business Name: __________________________________________ Address: ___________________________________________________________________________ Street City *Daytime Phone #: _________________________ State Zip Email address: ___________________________ *How long have you known the applicant? _______________________ *In what capacity? □ Employer □Supervisor □Co-worker □Student □ Other (specify): ___________ Applicant (print or type): ______________________________________________________________________ Name PART II Please indicate your evaluation of the applicant with a check mark. Always Usually Sometimes Rarely Learns new procedures or skills quickly Is dependable and trustworthy Cooperates with others Communicates well with others Accepts suggestions and criticism gracefully Asks for supervision or guidance when needed Assumes responsibility in his/her position when needed Is neat in dress and grooming habits Is punctual and regular in attendance Is punctual in response to deadlines and commitments Summary Evaluation: □ Recommend without reservation □ Recommend □ Recommend with reservation □ Do not recommend Signature: ______________________________________________ Date: _______________________________ Your candid evaluation of the applicant will be of significant value and is appreciated. Additional comments: ____________________________________________________________________________ ________________________________________________________________________________________________ ________________________________________________________________________________________________ ________________________________________________________________________________________________ ________________________________________________________________________________________________ Office use only Date received: ___________________________Received by: ________________________ Acceptable Yes _______________ No___________________ Texas Administrative Code <<Prev Rule TITLE 22 PART 11 CHAPTER 213 RULE §213.28 Next Rule>> EXAMINING BOARDS TEXAS BOARD OF NURSING PRACTICE AND PROCEDURE Licensure of Persons with Criminal Offenses (a) This section sets out the considerations and criteria in determining the effect of criminal offenses on the eligibility of a person to obtain a license and the consequences that criminal offenses may have on a person’s ability to retain or renew a license as a registered nurse or licensed vocational nurse. The Board may refuse to approve persons to take the licensure examination, may refuse to issue or renew a license or certificate of registration, or may refuse to issue a temporary permit to any individual that has been convicted of or received a deferred disposition for a felony, a misdemeanor involving moral turpitude, or engaged in conduct resulting in the revocation of probation. (b) The practice of nursing involves clients, their families, significant others and the public in diverse settings. The registered and vocational nurse practices in an autonomous role with individuals who are physically, emotionally and financially vulnerable. The nurse has access to personal information about all aspects of a person’s life, resources and relationships. Therefore, criminal behavior whether violent or non-violent, directed against persons, property or public order and decency is considered by the Board as highly relevant to an individual’s fitness to practice nursing. The Board considers the following categories of criminal conduct to relate to and affect the practice of nursing: (1) offenses against the person similar to those outlined in Title 5 of the Texas Penal Code. (A) These offenses include, but are not limited to, the following crimes, as well as any crime that contains substantially similar or equivalent elements under another state or federal law: (i) Abandonment/Endangerment of a Child {TPC §22.041} (ii) Agree to Abduct Child for Remuneration: Younger than Eighteen {TPC §25.031} (iii) Aiding Suicide: Serious Bodily Injury/Death {TPC §22.08} (iv) Assault, Aggravated {TPC §22.02} (v) Capital Murder {TPC §19.03} (vi) Child Pornography, Possession or Promotion {TPC §43.26(a), (e) (Texas Rules of Criminal Procedure Ch. 62)} (vii) Indecency with a Child {TPC §21.11 (TRCP Ch. 62)} (viii) Indecent exposure (2 or more counts and/or required to register as sex offender) {TPC §21.08 (TRCP Ch. 62)} (ix) Injury to Child, Elderly, Disabled {TPC §22.04} (x) Kidnapping {TPC §20.03, §20.04 (TRCP Ch. 62)} (xi) Manslaughter {TPC §19.04} (xii) Murder {TPC §19.02} (xiii) Online Solicitation of a Minor {TPC §33.021(b), (c), (f); (TRCP Ch. 62)} (xiv) Prostitution, Compelling {TPC §43.05 (TRCP Ch. 62)} (xv) Protective Order, Violation {TPC §25.07, §25.071} (xvi) Sale or Purchase of a Child {TPC §25.08} (xvii) Sexual Assault {TPC §22.011 (TRCP Ch. 62)} (xviii) Sexual Conduct, Prohibited {TPC §25.02 (TRCP Ch. 62)} (xix) Sexual Assault, Aggravated {TPC §22.021 (TRCP Ch. 62)} (xx) Sexual Performance by Child {TPC §43.24 (d), §43.25(b) (TRCP Ch. 62)} (xxi) Unlawful Restraint {TPC §0.02} (xxii) Assault {TPC §22.01(a)(1), (b), (c)} (xxiii) Criminally negligent homicide {TPC §19.05} (xxiv) Improper Relationship between Educator and Student {TPC §21.12} (xxv) Improper photography {TPC §21.15} (xxvi) Obscenity, Wholesale promotion {TPC §43.23(a), (h)} (xxvii) Prostitution (3 or more counts) or Aggravated Promotion {TPC §43.02, §43.04} (xxviii) Resisting Arrest, Use of Deadly Weapon {TPC §38.03(d)} (xxix) Stalking {TPC §42.072(b)} (xxx) Harassment {TPC §42.07} (xxxi) Prostitution or Promotion of {TPC §43.02} (xxxii) Protective Order, Violation {TPC §25.07, §38.112} (xxxiii) Resisting Arrest {TPC §38.03(a)} (xxxiv) Deadly conduct {TPC §22.05(a)} (xxxv) Obscenity, Participates {TPC §43.23(c), (h)} (xxxvi) Terroristic Threat {TPC §22.07} (xxxvii)Criminal Attempt or Conspiracy {TPC §15.01, §15.02} (B) These types of crimes relate to the practice of nursing because: (i) nurses have access to persons who are vulnerable by virtue of illness or injury and are frequently in a position to be exploited; (ii) nurses have access to persons who are especially vulnerable including the elderly, children, the mentally ill, sedated and anesthetized patients, those whose mental or cognitive ability is compromised and patients who are disabled or immobilized and may be subject to harm by similar criminal behavior; (iii) nurses are frequently in situations where they provide intimate care to patients or have contact with partially clothed or fully undressed patients who are vulnerable to exploitation both physically and emotionally; (iv) nurses are in the position to have access to privileged information and opportunity to exploit patient vulnerability; and (v) nurses who commit these crimes outside the workplace raise concern about the nurse’s propensity to repeat that same misconduct in the workplace and raises concerns regarding the individual’s ability to provide safe, competent care to patients. (2) offenses against property, e.g., robbery, burglary and theft, etc. (A) These offenses include, but are not limited to, the following crimes, as well as any crime that contains substantially similar or equivalent elements under another state or federal law: (i) Burglary (if punishable under Penal Code §30.02(d)) {TRCP Ch. 62 (§62.001(5)(D))} (ii) Robbery {TPC §29.02} (iii) Robbery, Aggravated {TPC §29.03} (iv) Arson {TPC §28.02(d)} (v) Burglary {TPC §30.02} (vi) Criminal Mischief {TPC §28.03} (vii) Money Laundering >= $1500 {TPC §34.02(e)(1) - (4)} (viii) Theft >= $1500 {TPC §31.03(e)(4) - (7)} (ix) Theft < 9 {TPC §31.03(e)(1) - (3)} (x) Vehicle, Unauthorized Use {TPC §31.07} (xi) Criminal Trespass {TPC §30.05(a),(d)} (xii) Cruelty to Animals {TPC §42.091} (xiii) Criminal Attempt or Conspiracy {TPC §15.01, §15.02} (B) These types of crimes relate to the practice of nursing because: (i) nurses have access to persons who are vulnerable by virtue of illness or injury and are frequently in a position to be exploited; (ii) nurses have access to persons who are especially vulnerable including the elderly, children, the mentally ill, sedated and anesthetized patients, those whose mental or cognitive ability is compromised and patients who are disabled or immobilized and may provide easy opportunity to be victimized; (iii) nurses have access to persons who frequently bring valuable (medications, money, jewelry, items of sentimental value, checkbook, or credit cards) with them to a health care facility with no security to prevent theft or exploitation; (iv) nurses frequently provide care in private homes and home-like settings where all of the patient’s property and valuables are accessible to the nurse; (v) nurses frequently provide care autonomously without direct supervision and may have access to and opportunity to misappropriate property; and (vi) nurses who commit these crimes outside the workplace raise concern about the nurse’s propensity to repeat that same misconduct in the workplace and, therefore, place patients’ property at risk. (vii) certain crimes involving property, such as cruelty to animals and criminal trespass, may also concern the safety of persons and, as such, raise concerns about the propensity of the nurse to repeat similar conduct in the workplace, placing patients at risk. (3) offenses involving fraud or deception. (A) These offenses include, but are not limited to, the following crimes, as well as any crime that contains substantially similar or equivalent elements under another state or federal law: (i) Attempt, Conspiracy, or Solicitation of Ch. 62 offense {TRCP Ch. 62} (ii) Tampering with a Government Record {TPC §37.10} (iii) Insurance Fraud: Intent to Defraud {TPC §35.02(a-1), (d)} (iv) Insurance Fraud: Claim > $500 {TPC §35.02(c)} (v) Insurance Fraud: Claim < 0 {TPC §35.02 (c)(1) - (3)} (vi) Medicaid Fraud > $1500 {TPC §35A.02(b)(4) - (7)} (vii) Medicaid Fraud < $1500 {TPC §35A.02(b)(2) - (3)} (viii) Criminal Attempt or Conspiracy {TPC §15.01, §15.02} (B) These types of crime relate to the practice of nursing because: (i) nurses have access to persons who are vulnerable by virtue of illness or injury and are frequently in a position to be exploited; (ii) nurses have access to persons who are especially vulnerable including the elderly, children, the mentally ill, sedated and anesthetized patients, those whose mental or cognitive ability is compromised and patients who are disabled or immobilized; (iii) nurses are in the position to have access to privileged information and opportunity to exploit patient vulnerability; (iv) nurses are frequently in situations where they must report patient condition, record objective/subjective information, provide patients with information, and report errors in the nurse’s own practice or conduct; (v) the nurse-patient relationship is of a dependent nature; and (vi) nurses who commit these crimes outside the workplace raise concern about the nurse’s propensity to repeat that same misconduct in the workplace and, therefore, place patients at risk. (4) offenses involving lying and falsification. (A) These offenses include, but are not limited to, the following crimes, as well as any crime that contains substantially similar or equivalent elements under another state or federal law: (i) False Report or Statement {TPC §32.32, §42.06} (ii) Forgery {TPC §32.21(c), (d), (e)} (iii) Tampering with a Governmental Record {TPC §37.10} (B) These crimes are related to nursing because: (i) nurses have access to persons who are vulnerable by virtue of illness or injury; (ii) nurses have access to persons who are especially vulnerable including the elderly, children, the mentally ill, sedated and anesthetized patients, those whose mental or cognitive ability is compromised and patients who are disabled or immobilized; (iii) nurses are frequently in situations where they must report patient condition, record objective/subjective information, provide patients with information, and report errors in the nurse’s own practice or conduct; (iv) honesty, accuracy and integrity are personal traits valued by the nursing profession, and considered imperative for the provision of safe and effective nursing care; (v) falsification of documents regarding patient care, incomplete or inaccurate documentation of patient care, failure to provide the care documented, or other acts of deception raise serious concerns whether the nurse will continue such behavior and jeopardize the effectiveness of patient care in the future; (vi) falsification of employment applications and failing to answer specific questions that would have affected the decision to employ, certify, or otherwise utilize a nurse raises concerns about a nurse’s propensity to lie and whether the nurse possesses the qualities of honesty and integrity; (vii) falsification of documents or deception/lying outside of the workplace, including falsification of an application for licensure to the Board, raises concerns about the person’s propensity to lie, and the likelihood that such conduct will continue in the practice of nursing; and (viii) a crime of lying or falsification raises concerns about the nurse’s propensity to engage in similar conduct while practicing nursing and place patients at risk. (5) offenses involving the delivery, possession, manufacture, or use of, or dispensing or prescribing a controlled substance, dangerous drug, or mood-altering substance. (A) These offenses include, but are not limited to, the following crimes, as well as any crime that contains substantially similar or equivalent elements under another state or federal law: (i) Drug Violations under Health and Safety Code Chs. 481, 482, 483; or (ii) Driving While Intoxicated (2 or more counts) {TPC §49.09} (B) These crimes relate to the practice of nursing because: (i) nurses have access to persons who are vulnerable by virtue of illness or injury; (ii) nurses have access to persons who are especially vulnerable including the elderly, children, the mentally ill, sedated and anesthetized patients, those whose mental or cognitive ability is compromised and patients who are disabled or immobilized; (iii) nurses provide care to critical care, geriatric, and pediatric patients who are particularly vulnerable given the level of vigilance demanded under the circumstances of their health condition; (iv) nurses are able to provide care in private homes and home-like setting without supervision; (v) nurses who are chemically dependent or who abuse drugs or alcohol may have impaired judgment while caring for patients and are at risk for harming patients; and (vi) an offense regarding delivery, possession, manufacture, or use of, or dispensing , or prescribing a controlled substance, dangerous drug or mood altering drug raises concern about the nurse’s propensity to repeat that same misconduct in the workplace. (vii) DWI offenses involve the use and/or abuse of mood altering drugs while performing a state licensed activity affecting public safety; repeated violations suggest a willingness to continue in reckless and dangerous conduct, or an unwillingness to take appropriate corrective measures, despite previous disciplinary action by the state. (c) In considering whether a criminal offense renders the individual ineligible for licensure or renewal of licensure as a registered or vocational nurse, the Board shall consider: (1) the knowing or intentional practice of nursing without a license issued under the NPA; (2) any felony or misdemeanor involving moral turpitude; (3) the nature and seriousness of the crime; (4) the relationship of the crime to the purposes for requiring a license to engage in nursing practice; (5) the extent to which a license might offer an opportunity to engage in further criminal activity of the same type as that in which the person previously had been involved; and (6) the relationship of the crime to the ability, capacity, or fitness required to perform the duties and discharge the responsibilities of nursing practice; (7) whether imprisonment followed a felony conviction, felony community supervision revocation, revocation of parole or revocation of mandatory supervision; and (8) conduct that results in the revocation of probation imposed because of conviction for a felony or for a misdemeanor involving moral turpitude. (d) Crimes listed under subsections (b)(1)(A)(i) - (xxi), (b)(2)(A)(i) - (iii), and (b)(3)(A)(i) of this section are offenses identified under §301.4535 of the NPA. As such, these offenses require the board to suspend a nurse’s license, revoke a license, or deny issuing a license to an applicant upon proof of initial conviction. (e) In addition to the factors that may be considered under subsection (c) of this section, the Board, in determining the present fitness of a person who has been convicted of or received a deferred order for a crime, shall consider: (1) the extent and nature of the person’s past criminal activity; (2) the age of the person when the crime was committed; (3) the amount of time that has elapsed since the person’s last criminal activity; (4) the conduct and work activity of the person before and after the criminal activity; (5) evidence of the person’s rehabilitation or rehabilitative effort while incarcerated or after release; and (6) other evidence of the person’s present fitness, including letters of recommendation from: prosecutors and law enforcement and correctional officers who prosecuted, arrested, or had custodial responsibility for the person; the sheriff or chief of police in the community where the person resides; and any other persons in contact with the convicted person. (f) It shall be the responsibility of the applicant, to the extent possible, to obtain and provide to the Board the Recommendations of the prosecution, law enforcement, and correctional authorities as required under this Act. The applicant shall also furnish proof in such form as may be required by the Board that he or she has maintained a record of steady employment and has supported his or her dependents and has otherwise maintained a record of good conduct and has paid all outstanding court costs, supervision fees, fines, and restitution as may have been ordered in all criminal cases in which he or she has been convicted or received a deferred order. (g) If requested by staff, it shall be the responsibility of the individual seeking licensure to ensure that staff is provided with legible, certified copies of all court and law enforcement documentation from all jurisdictions where the individual has resided or practiced as a licensed health care professional. Failure to provide complete, legible and accurate documentation will result in delays prior to licensure or renewal of licensure and possible grounds for ineligibility. (h) The fact that a person has been arrested will not be used as grounds for disciplinary action. If, however, evidence ascertained through the Board’s own investigation from information contained in the arrest record regarding the underlying conduct suggests actions violating the Nursing Practice Act or rules of the Board, the board may consider such evidence as a factor in its deliberations regarding any decision to grant a license, restrict a license, or impose licensure discipline. (i) Behavior that would otherwise bar or impede licensure may be deemed a “Youthful Indiscretion” as determined by an analysis of the behavior using the factors set out in §213.27 of this title (relating to Good Professional Character), subsections (a) - (f) of this section and at least the following criteria: (1) age of 22 years or less at the time of the behavior; (2) absence of criminal plan or premeditation; (3) presence of peer pressure or other contributing influences; (4) absence of adult supervision or guidance; (5) evidence of immature thought process/judgment at the time of the activity; (6) evidence of remorse; (7) evidence of restitution to both victim and community; (8) evidence of current maturity and personal accountability; (9) absence of subsequent undesirable conduct; (10) evidence of having learned from past mistakes; (11) evidence of current support structures that will prevent future criminal activity; and (12) evidence of current ability to practice nursing in accordance with the Nursing Practice Act, Board rules and generally accepted standards of nursing. (j) With respect to a request to obtain a license from a person who has a criminal history, the executive director is authorized to close an eligibility file when the applicant has failed to respond to a request for information or to a proposal for denial of eligibility within 60 days thereof. (k) The board shall revoke a license or authorization to practice as an advanced practice nurse upon the imprisonment of the licensee following a felony conviction or deferred adjudication, or revocation of felony community supervision, parole, or mandatory supervision. (l) The board shall revoke or deny a license or authorization to practice as an advanced practice nurse for the crimes listed in Texas Occupations Code §301.4535. (m) The following disciplinary and eligibility sanction policies and guidelines shall be used by the Executive Director, the State Office of Administrative Hearings (SOAH), or the Board in evaluating the impact of criminal conduct on nurse licensure in eligibility and disciplinary matters: (1) Disciplinary Sanctions for Fraud, Theft and Deception approved by the Board and published on February 22, 2008 in the Texas Register (33 TexReg 1646) and available on the Board’s website at http://www.bon.state.tx.us/disciplinaryaction/dsp.html. (2) Disciplinary Sanctions for Lying and Falsification approved by the Board and published on February 22, 2008 in the Texas Register (33 TexReg 1647) and available on the Board’s website at http://www.bon.state.tx.us/disciplinaryaction/dsp.html. (3) Disciplinary Sanctions for Sexual Misconduct approved by the Board and published on February 22,2008 in the Texas Register (33 TexReg 1649) and available on the Board’s website at http://www.bon.state.tx.us/disciplinaryaction/dsp.html. (4) Eligibility and Disciplinary Sanctions for Nurses with Substance Abuse, Misuse, Substance Dependency, or other Substance Use Disorder and published on February 22, 2008 in the Texas Register (33 TexReg 1651) and available on the Board’s website at http://www.bon.state.tx.us/disciplinaryaction/dsp.html. (5) Disciplinary Guidelines for Criminal Conduct approved by the Board and published on March 9, 2007 in the Texas Register (32 TexReg 1409) and available on the Board’s website at http://www.bon.state.tx.us/disciplinaryaction/discpguide.html. The provisions of this §213.28 adopted to be effective September 1, 1998, 23 TexReg 6444; amended to be effective July 20, 1999 , 24 TexReg 5473; amended to be effective November 14, 2002, 27 TexReg 10594; amended to be effective May 17, 2004, 29 TexReg 4884; amended to be effective March 14, 2007, 32 TexReg 1304; amended to be effective October 10, 2007, 32 TexReg 7058; amended to be effective July 2, 2008, 33 TexReg 5007