. WEGMANS SCHOOL OF NURSING GRADUATE NURSING STUDENT HANDBOOK 2015– 2016 1 ATTENTION: GRADUATE STUDENTS This handbook and designated links review policies and procedures relevant to the Wegmans School of Nursing (WSON) and the College. It is the responsibility of every student to know and observe the guidelines, policies and procedures published in this Graduate Nursing Handbook available on the WSON website and the relevant college-wide policies available on the SJFC website and/or college catalog. The College Catalog from the year you matriculated into the WSON should be kept in your permanent records, even after you graduate. The St. John Fisher College Graduate Catalog contains information regarding academic programs and policies. This also contains information on student life for the campus community and policies regarding conduct. Important details about parking, dining, and campus safety/security are also included. This information is updated annually. Resources & Policies: The SJFC Graduate Catalog: not yet posted Academic Calendar: http://www.sjfc.edu/academics/calendar/ The Student Code of Conduct and College Policies: http://www.sjfc.edu/student-life/conduct/code.dot The Academic Integrity Policy: http://catalog.sjfc.edu/undergraduate/academic-information/honesty.dot Departments and Contacts: http://home.sjfc.edu/directory/ Personal Safety Information: http://www.sjfc.edu/campusservices/safety/personal-safety.dot The Campus Posting Policy: http://www.sjfc.edu/studentlife/conduct/college-policies.dot#posting Student Lab Printing Policy http://www.sjfc.edu/dotAsset/5d7ae86e-464e4807-ba9c-afbd5535a064.pdf Guidelines for Accommodating Students with Disabilities College: http://www.sjfc.edu/campus-services/academic-affairs/disability/ 2 Table of Contents 1. WSON Structure 6 2. Program Overview a. WSON Mission b. WSON Goals WSON Mission and Goals: http://www.sjfc.edu/academics/nursing/about/mission.dot c. WSON Graduate Program Outcomes http://www.sjfc.edu/academics/nursing/departments/advancedpractice/outcomes.dot d. WSON Curricular Elements 3. Organizing Frameworks for the SJFC Graduate Nursing Programs 7 7 7 7 8 10 4. Master of Science Nursing Program Requirements a. Post- masters certificate with MS in nursing b. Post- masters certificate with non-nursing MS 15 15 5. Academic Policies a. Admission Policies b. Reasonable Accommodation c. Advising d. Course Planning: Long-Range Academic Plan (LRP) e. Course Registration f. General Attendance/Participation Policies g. Graduate Writing h. Policy on Written Assignments i. Plagiarism j. Academic Honesty k. WSON Test Taking Policy l. Missed Examination Policy m. Grievance Procedure a. Independent Study Protocol for Nursing 16 16 18 19 19 20 21 21 23 24 24 24 25 26 26 6. Progression a. Graduate Grading Scale and Progression b. Testing Policy c. Direct Care & Clinical Core Course Progression d. Clinical Seminar Progression e. Course Withdrawal f. Grade Appeal Process g. Repeating a Nursing Course h. Dismissal 27 27 28 28 28 29 29 30 30 3 7. Professional Conduct & Behavior Standards a. Essential Behaviors for Continuation & Graduation of all WSON Nursing Students b. Professional Conduct & Behavior Implementation Guidelines 8. Social Media Policy 9. Professional Standards a. Professional Conduct Hearing Procedures b. Readmission or Reactivation of WSON Student Status 10. Master’s Clinical Practicum/Preceptorship a. Clinical Attestation Form b. Malpractice Insurance c. Clinical Identification d. Clinical Application e. Compliance for Clinical Assignment f. Student Responsibilities g. Preceptor Responsibilities h. Program Coordinator Responsibilities i. Clinical Experience Attendance j. Clinical Faculty, Site/Student Visit Responsibilities k. Preceptor Evaluation of Student Performance l. Evaluation of Master’s Clinical Practicum/Preceptorship m. Satisfactory/Unsatisfactory Grading n. Clinical Summary Form 31 31 11. Typhon 46 12. Clinical Performance Policies and Guidelines 47 13. Application for Graduation 47 14. Application for NYS and National Certification Information a. State b. National 48 52 15. Student Activity Opportunities a. Sigma Theta Tau International Honor Society for Nursing b. Student Involvement in Wegmans School of Nursing 53 53 16. General Information a. Cancelation of Classes & Clinical Due to Weather Conditions b. Medical Clearance for Missed Clinical Days for Health Reasons c. Transportation of Clients d. Policy on Universal Precautions 31 32 33 34 39 39 39 39 40 40 40 41 42 42 43 43 45 45 45 46 46 53 54 54 54 4 17. Accreditation 55 5 1. WSON STRUCTURE Assessment Coordinator: Caroline Critchlow Assistant to the Dean: Carolyn Martin LRC Coordinator: K. Shea; Sim Lab Director: J. Weinschreider; LRC Director: Teresa O’Connor Dean Dr. Dianne Cooney Miner Associate Dean Dr. Marilyn Dollinger UG CoChairs Dr. C. Smith (Jr) Dr. C. Nelson-Tuttle (Sr) AA Judy Martz UG Clinical Coordinator: Julie Vilinsky Nursing Grad Program Director Dr. Colleen Donegan Nursing Faculty Track Coordinators FNP: Dr. N. Masco CNS: L. Dambaugh PMHNP: Dr. Kathy Plum ANP: Dr. C. Donegan DNP Program Director Dr. John Kirchgessner Director RN/BS Online Dr. Pam White MHC Grad Program Director Dr. Rachel Jordan AA Mary Haley Grad Clinical Coordinator: Sarah Denis MCH Faculty 6 2. Program Overview a. WSON Mission Professional nursing education at the undergraduate, graduate, and doctorate of nursing practice level requires discipline to meet and exceed professional standards; knowledge of liberal arts and sciences as well as theories and models that guide scholarly practice; and goodness in the sense of commitment to meeting societal nursing needs for diverse populations through accountable practice. The Wegmans School of Nursing is dedicated to graduating baccalaureate, advanced practice nurses, and doctoral-level clinicians, who will provide expert, compassionate, ethical care, and be leaders in nursing and healthcare environments. To promote an internalized standard of excellence in nursing practice, the School of Nursing fosters academic and clinical practice environments for students that provide the opportunity for students and faculty to engage in: active involvement in the quest for knowledge professional competence collaborative relationships ongoing personal growth flexibility and openness to change effective communication modeling of professional behaviors community involvement 1. 2. 3. 4. 5. b. WSON Goals To prepare baccalaureate, advanced practice, and doctoral-level clinicians. To provide educational models which are sensitive to the needs of a diverse student body. To participate in local, state, national, and global healthcare and nursing education policy development and implementation in professional and civic venues. To provide a supportive, collegial environment that encourages excellence in teaching-learning, professional development, and faculty/student scholarship. To improve clinical practice outcomes, health policy, and care delivery methodologies. c. Program Outcomes Upon completion of the Master of Science in Advanced Practice Nursing program, the graduate is prepared to: 1. Synthesize knowledge from nursing and related disciplines to design, implement, and evaluate health services, educational offerings, program resources, and research. (Knowledge) 2. Engage in multidisciplinary communication to facilitate intervention systems, scientific inquiry, education, and collaboration/negotiation that will positively influence healthcare outcomes. (Communication) 3. Provide and advocate for compassionate, high quality, cost-effective, holistic advanced practice nursing care in diverse settings within communities and health systems. (Holism) 7 4. Use evidence-based intervention and educational strategies to promote, maintain, restore health or provide end-of-life care. (Praxis) 5. Integrate into role implementation the legal principles, professional, and ethical values essential to advanced practice nursing. (Professional Values) 6. Serve as a leader in advancing health care by promoting expert nursing practice, and education through collegial relationships. (Role) 7. Promote practice and education models that are respectful of diversity and pluralism, and are based on knowledge of the policies and political issues that influence outcomes of care. (Diversity) 8. Develop a personal advanced practice model which incorporates a commitment to lifelong learning and the advancement of the art and science of nursing. (Lifelong Learning) 9. Engage in the development of contemporary nursing strategies and models which reflect emerging nursing practice. (Praxis) d. WSON Curricular Elements The WSON eight curricular elements, developed by the faculty, in concert with the College-wide Learning Goals, shape the curricula and evaluation methods and establish the desired outcomes for the undergraduate and graduate programs. The following table provides examples of how the curricular elements have influenced the programs of study. Element Definition Building upon a liberal arts and science base, an understanding and internalization of the Knowledge discipline of nursing acquired through Carper’s (1978) four patterns of knowing; empirics, the science of nursing; aesthetic, the art of nursing; personal knowledge or self-knowledge; and ethics the component of moral knowledge. Use of evidence-based practice; measurement of outcomes. Appreciation for patterns of knowing, capacity for evaluating, synthesizing or mental manipulation of ideas across disciplines; awareness of what one knows and what one does not know. Compassionate, therapeutic, interdisciplinary, essence of nursing. Foundation for Communication nurse/client (individual, families, groups and populations) therapeutic relationship; Writing skills, computer skills, information access and evaluation. Understanding the interactive aspects within and among humans; understanding Holism continua of processes. The whole is greater than the sum of the parts – appreciating this; recognition of humans and environments as complex, dynamic entities. The actualization of knowledge in systematic nursing practice. Scholarly practice. Praxis Practice of nursing which is informed (influenced, directed, impacted) by four patterns of knowing; a creative process that evolves in interaction with client and environment. Affectively held beliefs and understandings about professional nursing Professional Values practice. Give definition to the character, responsibilities and moral obligations pertaining to accountable nursing practice. Defined in part by professional organizations but reside in individuals and actualized in practice and role function. 8 Use of nursing knowledge, scholarly practice, laws and guidelines; Personal or Role acquired skills in delivery of nursing professional skills (teaching, therapeutics, measurement) to populations. Awareness of self and others as nurse; vehicle for actualizing professional values and commitment An appreciation, respect, and acceptance for cultural influences in all aspects of life, Diversity including health, illness and death. An understanding of global interrelatedness of individuals and health care systems. Embracing and celebrating difference. A passion for continual expansion of self as a member of society, and as a Life-Long Learning member of a profession. Self-directed behaviors, reflection, goal-setting, setting boundaries. Commitment to growth. 9 3. Organizing Framework for the SJFC Graduate Nursing Programs Scholarship Core: 21 credits for all MS programs 13 Credits for all PostBS DNP Programs Direct Care Core: 9 credits for all MS & DNP programs Clinical Core by Program: Credits vary by program AACN: The Essentials of Master’s Education for Advanced Practice Nursing ANA: Scope and Standards for Advanced Practice Registered Nursing NYSED: WSON Regulations & Quality Indicators for Nursing Education AACN: The Essentials of Master’s Education for Advanced Practice Nursing ANA: Scope and Standards for Advanced Practice Registered Nursing NYSED: WSON Regulations & Quality Indicators for Nursing Education Consensus Model for APRN Regulation: Licensure, Accreditation, Certification & Education Adult/Gero Clinical Nurse Specialist (AGCNS): 13 credits In addition to AACN, ANA, NYSED & LACE: National Association of Clinical Nurse Specialists, AACN: The Essentials of Master’s Education for Advanced Practice Nursing Eligible for NYSED and national professional certifications Primary Care Family Nurse Practitioner (FNP): 16-19 credits In addition to AACN, ANA, NYSED & LACE: National Organization of Nurse Practitioner Faculty Criteria for Evaluation of Nurse Practitioner Programs (National Task Force on Quality Nurse Practitioner Education)(NTF Criteria) Eligible for NYSED and national professional certifications Adult/Gero Acute Care Nurse Practitioner (AGACNP): 16 credits In addition to AACN, ANA, NYSED & LACE: National Organization of Nurse Practitioner Faculty Criteria for Evaluation of Nurse Practitioner Programs (National Task Force on Quality Nurse Practitioner Education)(NTF Criteria) Eligible for NYSED and national professional certifications 10 Adult/Gero Primary Care Nurse Practitioner (AGPCNP): 16 credits In addition to AACN, ANA, NYSED & LACE: National Organization of Nurse Practitioner Faculty Criteria for Evaluation of Nurse Practitioner Programs (National Task Force on Quality Nurse Practitioner Education)(NTF Criteria) Eligible for NYSED and national professional certifications In addition to AACN, ANA, NYSED & LACE: Psychiatric Mental Health Nurse Practitioner (PMHNP): National Organization of Nurse Practitioner Faculty 23 credits Criteria for Evaluation of Nurse Practitioner Programs (National Task Force on Quality Nurse Practitioner Education)(NTF Criteria) Eligible for NYSED and national professional certifications Post-BS DNP: 48 credits plus Scholarship & Direct Care Core Specific to programs above AACN: The Essentials of Doctoral Education for Advanced Practice Nursing Eligible for NYSED and national professional certifications 11 4. 2015-2016 Program Requirements: All MS & DNP Programs Scholarship Core for all Programs Course Number and Title Old Credit Required/Elec tive GNUR 503 Foundations in Nursing Research GNUR 501 (4) 3 R GNUR 504 Evidenced-based Research in Nursing GNUR 502 (4) 3 R GNUR 505 Family Health for Advance Practice Nurses GNUR 518 (3) 2 R GNUR 506 Population Health and Epidemiology (Not required for DNP) new 2 R GNUR 507 Health Policy GNUR 512 (4) 2 R GNUR 508 Healthcare Delivery Systems (Not required for DNP) GNUR 512 (4) 2 R GNUR 509 Professional & Systems Leadership GNUR 529 (2) 3 R GNUR 696 (3) 2 NP option; R for CNS GNUR 697 (1) 2 NP option; R for CNS GNUR 694 Comprehensive Exam I and same 2 NP option GNUR 695 Comprehensive Exam II same 2 NP option Choice of GNUR 558 & 559 OR GNUR 694 & 695 for all NP Programs; GNUR 558/559 required for CNS; None required for DNP GNUR 558 Capstone I and GNUR 559 Capstone II OR Scholarship Core for all MS Programs 21 Scholarship Core for all Post-BS DNP Programs 13 Direct Care Core for all Programs GNUR543 Pathophysiology GNUR570 Pharmacology GNUR571 Diagnostic Reasoning same same same 3 3 3 9 R R R R Clinical Core by Program 12 Adult/Gero Clinical Nurse Specialist Program GNUR 566 Advanced Concepts in the Care of the Older Adult same 3 R GNUR 639 Older Adult Applications of the Spheres of Influence CNS Seminar GNUR 684 1 R GNUR 567 Advanced Concepts in the Care of the Adult same 3 R GNUR 685 1 R GNUR 688 Synthesis CNS Practicum same 1 R GNUR 699 Issues in Acute Care: Management of the Acutely ill Adult for the Advanced Practice Nurse new 3 R GNUR 689 Synthesis of the Spheres of Influence CNS Seminar new 1 R CNS Clinical Core Credit Total: 13 R CNS Program Credit Total 43 GNUR 632 Adult Applications of the Spheres of Influence CNS Seminar Primary Care Family Nurse Practitioner Program GNUR 566 Advanced Concepts in the Care of the Older Adult same 3 R GNUR 683 1 R GNUR 567 Advanced Concepts in the Care of the Adult same 3 R GNUR 584 Diagnosis and Management for Adults- FNP Seminar GNUR 680 1 R same 3 R GNUR 681 1 R same 3 R GNUR 682 1 R new 3 E Primary Care FNP Clinical Core Credit Total: 16/19 R/E Primary Care FNP Program Total 46-49 (600) GNUR 585 Diagnosis and Management for Older AdultsFNP Seminar GNUR 576 Advanced Concepts in the Care of Women GNUR 586 Diagnosis and Management for Women - FNP Seminar GNUR 577 Advanced Concepts in the Care of Children GNUR 587 Diagnosis and Management for Pediatric Patients- FNP Seminar GNUR 699 Issues in Acute Care: Management of the Acutely ill Adult for the Advanced Practice Nurse – new elective 13 Adult/Gero Acute Care NP Program GNUR 566 Advanced Concepts in the Care of the Older Adult same 3 R GNUR 643 AGNP Acute Care Diagnosis & Management Seminar II new 1 R GNUR 567 Advanced Concepts in the Care of the Adult same 3 R GNUR 641 AGNP Acute Care Diagnosis & Management Seminar II new 1 R GNUR 699 Issues in Acute Care same 3 R GNUR 645 AGNP Acute Care Diagnosis & Management Seminar III new 1 R GNUR 669 Complex Care of Chronically Ill Adult same 3 R GNUR 647 AGNP Acute Care Diagnosis & Management Seminar IV new 1 R AGACNP Clinical Core Credit Total: 16 R AGACNP Program Total 46 (600) Adult/Gero Primary Care NP Program New GNUR 566 Advanced Concepts in the Care of the Older Adult same 3 R GNUR 644 AGNP Primary Care Diagnosis & Management Seminar II new 1 R GNUR 567 Advanced Concepts in the Care of the Adult same 3 R GNUR 642 AGNP Primary Care Diagnosis & Management Seminar II new 1 R GNUR 699 Issues in Acute Care new 3 R GNUR 646 AGNP Primary Care Diagnosis & Management Seminar III new 1 R GNUR 669 Complex Care of Chronically Ill Adult new 3 R GNUR 648 AGNP Primary Care Diagnosis & Management Seminar IV new 1 R AGPCNP Clinical Core Credit Total: 16 R AGPCNP Program Total 46 14 Psychiatric Mental Health NP Program All New GNUR 520 Foundations of Advanced Psychiatric-Mental Health Nursing Practice GNUR 521 Advanced Neuropsychiatric Assessment & Intervention GNUR 522 Advanced Psychopharmacology GNUR 523 Advanced Concepts in Psychotherapy with Individuals, Groups & Families GNUR 524 Advanced Concepts in Health Integration GNUR 544/GMHC 525 Psychopathology & Differential Diagnosis GNUR 545/GMHC 590 Advanced Concepts in Child & Adolescent Mental Health GNUR 513 PMHNP Clinical Practicum I: Trauma-Informed Assessment & Intervention GNUR 514 PMHNP Clinical Practicum II: Evidence-based Treatment Modalities GNUR 515 PMHNP Clinical Practicum III: Integrative Management of Complex Co-Morbidities GNUR 516 PMHNP Clinical Practicum IV: Advanced Strategies for AtRisk Populations PMHNP Clinical Core Credit Total: PMHNP Program Total: DNP Courses (Post-BS & Post-MS) No Changes GNUR 701 Foundations of Nursing Science GNUR 703 Philosophy & Foundations of Evidence-based Practice GNUR 705 Foundations of Nursing leadership GNUR 707 Biostatistics & Epidemiology GNUR 709 Nursing Practice Role Development GNUR 711 Advanced Health Care Delivery Systems GNUR 713 Clinical Program Development GNUR 715 Multiple Research Methods GNUR 721 Clinical Practice Development GNUR 723 Health Policy Implementation GNUR 725 Improving the Health of Populations GNUR 740 Advanced Technology in Support of Clinical Management GNUR 741 Clinical Scholarship/Residency/Professional Seminar Cognates: Choice of 2 (each 3 credits) GNUR 732 International Nursing Practice GNUR 734 The Nurse Educator Role GNUR 738 Health Law for Health Professionals GNUR 744 Grantsmanship for Health Professions GNUR 751 Advanced Clinical Practicum GNUR 796 Independent Study DNP Courses Credit Total (Post-MS Program Total) 3 R 2 2 3 R R R 3 3 3 R R R 1 R 1 R 1 R 1 R 23 53 (600) R 3 3 3 3 3 3 3 3 3 3 3 3 6 6 R R R R R R R R R R R R R R/E 48 R/E 15 DNP Post-BS: All Scholarship Core EXCEPT GNUR 506/508/558/559 or 695/695 All Direct Care Core Clinical Core: AGCNS PCFNP AGACNP AGPCNP PMHNP 13 9 13 16/19 16 16 23 Post-BS DNP Total 83 (1000) 86-89 (1000) 86 (1000) 86 (1000) 93 (1000) a. Post Masters Certificate for All Programs Individual transcript analysis of the student’s MS degree in nursing will be done to determine that students have the direct care core courses and a leadership course completed. Students selecting the FNP Program will also need a course in family theory. Required Courses: Direct Care Core: GNUR 543 Pathophysiology, GNUR 570 Pharmacology and GNUR 571 Diagnostic Reasoning and Health Assessment GNUR 509 Professional & Systems Leadership For FNP: GNUR 505 Family Health for APN The required clinical courses for the selected program. b. Post Masters Certificate Plan of Study for nurses whose master’s degree is not in nursing Transcript from the Non-Nursing Master’s program will be evaluated individually for evidence of Master of Science Scholarship Core Courses or the equivalent: GNUR 503 Foundations in Nursing Research 3 credits GNUR 504 Evidenced-based Research in Nursing 3 credits GNUR 505 Family Health for Advanced Practice Nurses 2 credits GNUR 506 Population Health & Epidemiology 2 credits GNUR 507 Health Policy 2 credits GNUR 508 Health Care Delivery Systems 2 credits GNUR 509 Professional & Systems Leadership 3 credits 17 credits Students with a non-nursing master’s degree (leadership, administration) who wish to earn a Master’s in nursing will need to take: GNUR 543 Pathophysiology 3 credits GNUR 570 Pharmacology 3 credits GNUR 571 Diagnostic Reasoning & Health Assessment 3 credits 9 credits 16 Non-Nursing Master’s degree students seeking the MS in nursing will need all of the required clinical courses and clinical seminars for the selected program—see p. 12-14. 5. Academic Policies The faculty members in the Wegmans School of Nursing view the teaching learning process to be a shared process in which both the faculty and student are accountable for achieving educational outcomes which lead to professional entry into practice for graduates who successfully matriculate in the nursing curriculum. Graduate nursing students are viewed as selfdirected adult learners who are vitally interested in achieving their professional goals, and therefore are active participants in the learning processes associated with course work. The faculty is committed to fostering a mutually satisfactory learning environment that stimulates initiative, critical-thinking, curiosity, responsibility/accountability, and an ethical frame of reference. The policies that follow are designed to communicate basic parameters that are operative in the Wegmans School of Nursing at St. John Fisher College. a. Admission Policies Application to the Wegmans School of Nursing is required to enter the graduate program. Application criteria are fairly applied to all students. Upon acceptance to the Wegmans School of Nursing, all students must have a current history and physical exam by a licensed health care provider documenting physical, emotional, and psychological stability sufficient to meet the demands of a professional nursing program. “The ability to function independently in a clinical practice setting is essential to the role of professional nursing” (AACN, 2001). Competencies necessary for the professional practice of nursing include the functions listed below. The functions, with or without reasonable accommodation include, but are not restricted to the specific examples listed. 1. Sensory: ability to see, hear, touch, smell and distinguish colors (NCSBN, 1999). Examples: Visual acuity must be sufficient to observe and assess client behavior, prepare and administer medications and accurately read monitors; accurately read gauges and calibrated equipment having fine lines; and read client records including graphs. Auditory acuity must be sufficient to hear instructions, requests, and monitor alarms at a distance of 30 feet and to auscultate heart tones, breath sounds and bowel sounds. 2. Interactive: interpersonal and communications skills (NCSBN, 1999). Examples: The ability to speak, write and comprehend the English language proficiently. Communicate orally and by telephone. Speak and write with accuracy, clarity and efficiency. 3. Physical: gross and fine motor skills, physical endurance, strength and mobility (NCSBN, 1999). 17 Examples: The ability to lift weights of up to 35% of recommended body weight independently. The motor ability necessary to manipulate equipment and supplies and to utilize palpation and percussion in client assessment. Sufficient manual dexterity to open doors, perform CPR, maneuver in client areas such as multiple occupancy rooms, access storage at heights of six feet, move a medication cart or emergency cart along a hall, manipulate sphygmomanometers and stethoscopes, electric and manual beds and electronic fluid pumps and thermometers. Be at a correct height to perform physical care activities such as bed bath, positioning, transferring, dressing changes, sterile technique, IV administration, placing a bedpan, emptying a urine drainage bag and applying protective clothing. Perform isolation techniques in a client’s room. Dispose of sharps in a client’s room. Operate client-lifting devices. 4. Cognitive: reading, arithmetic, analytic, and critical thinking (NCSBN, 1999). Examples: Ability to learn, think critically, analyze, assess, and solve problems. Set priorities and reach judgments. Communicate in a professional manner. Establish rapport with clients and colleagues. 5. Emotional stability and ability to accept responsibility and accountability and function effectively under stress (AACN, 2001). NOTE: Students who will require special accommodation or services must document the requirements as outlined in the college catalog, Office of Academic Affairs’ website at http://www.sjfc.edu/campus-services/academic-affairs/disability/academicaccommodations.dot and contact the Office of Academic Affairs, Kearney Hall Room 202, (585) 385-8034. Students are also required to contact the Senior Level Undergraduate Chair of the Wegmans School of Nursing and each course faculty with the appropriate paperwork from the Office of Academic Affairs to discuss reasonable accommodations requested to perform activities for the professional nursing role and the clinical setting. b. WSON Guidelines for Reasonable Accommodation These policies are specific to students who are seeking admission or who have been admitted to the Wegmans School of Nursing (WSON). The WSON policies support the college policies related to students with disabilities in the college catalog, Office of Academic Affairs website (http://www.sjfc.edu/campus-services/academic-affairs/disability/academicaccommodations.dot), and clarify unique situations related to professional nursing practice. The ability of the WSON to reasonably meet the student’s learning needs and accommodations is dependent on the contractual requirements of clinical agencies used for clinical and community learning experiences. 18 The faculty in the Wegmans School of Nursing at St. John Fisher College values the process by which individuals achieve their highest level of healthy functioning. The faculty also is “interested in attracting the widest possible group of talented individuals who can successfully enter the profession if appropriately supported.” These values are balanced by the responsibility to the public to prepare only those professional nurses who will provide safe and effective care. The Americans with Disabilities Act (ADA) provides the legal framework to guide these responsibilities (American Association of Colleges of Nursing [AACN], 2001). Students with documented special needs may require reasonable accommodation in the clinical setting. However, “there are some impairments that preclude participation in professional nursing. An individual may be able to master content and pass classroom examinations but possess certain limitations or conditions that cannot be surmounted with present technology” (AACN, 2001). All requests for reasonable accommodation are handled on an individual caseby-case basis. Once admitted to the Wegmans School of Nursing, all students are measured by the same academic standards (AACN, 2001). Regardless of disability and reasonable accommodation, a student must maintain a B average and achieve a grade of B or better in the research courses in order to progress to the capstone sequence, pass clinical pre-requisite courses with a grade of “B” or higher and achieve a satisfactory and/or passing grade (B) in all required clinical courses and demonstrate APRN competencies noted on clinical evaluation tool ( as reflected in earning an S grade in the clinical seminar courses) in order to progress in the nursing curriculum. The Wegmans School of Nursing will review each case on an individual basis for students who experience a change in health status affecting their physical, mental and/or emotional status while in the Wegmans School of Nursing. During this review, faculty in the Wegmans School of Nursing will determine the student’s ability to continue in the program and progress in nursing courses. For this review, students must resubmit a health form completed by a licensed health care provider, which documents the changes in status, certifying their ability/lack of ability to meet the demands of the professional nursing roles documented in this policy. References American Association of Colleges of Nursing. (2001, January). Guidelines for accommodating students with disabilities in nursing. [On-line]. Retrieved from, www.aacn.nche.edu/education/ada.htm. National Council of State Boards of Nursing. (1999, July). Uniform core licensure requirements: A supporting paper. [On-line]. Retrieved from, https://www.ncsbn.org/667.htm 19 c. Advising All SJFC graduate students are assigned a graduate nursing faculty advisor. Academic advisors are assigned upon admission to the program. Students are encouraged to establish a relationship with their advisor so that the advisor can assist the student in negotiating the College academic experience. The faculty advisor is available to the student for: Planning coursework for the entire curriculum, with projected graduation date Advice/direction on how to manage problems that a student may encounter in course work related to studying, seeking tutoring, etc. Maintaining contact with faculty and the School of Nursing It is strongly recommended that a student set up an appointment with the assigned advisor within one month of admission to the WSON Graduate Nursing Program by one of the following methods: Calling the faculty advisor’s office and talking with the advisor; or if the faculty is not in the office, leave a message where the student can be reached on a return call. Contacting the faculty advisor through e-mail to set up an appointment. Stopping by the faculty advisor’s office during scheduled office hours Once admitted to the Wegmans School of Nursing, all students are measured by the same academic standards (AACN, 2001). Regardless of disability and reasonable accommodation, a student must maintain a B average and achieve a grade of B or better in all of the GNUR courses, with the following exceptions: GNUR 505, 506, 507, 508 or 509. Students must achieve a grade of S (satisfactory) in their choice of either the capstone courses (GNUR 558/559) or the comprehensive exam courses (GNUR 694/695). Students must also demonstrate APRN competencies noted on clinical evaluation tool as reflected in achieving a grade of S (satisfactory) for the clinical seminar courses), in order to progress in the nursing curriculum. d. Course Planning: Long Range Academic Plan (LRP) The purpose of the long range academic plan is to guide the student’s selection of courses in a sequence that best fits the student’s goals and the curriculum plan of courses for each clinical concentration. Additionally the LRP helps faculty to forecast student numbers in courses and clinical placements. Nursing faculty serve as academic advisors for matriculated students. Usually at the initial advisor meeting, the student and academic advisor develop a long-range academic plan for progression through the curriculum. Students are required to fill out the attestation form annually, which informs the student of clinical requirements and restrictions, and the need to keep the LRP up to date. Access the 2015-2016 attestation from the WSON website under Students resources, Documents and Forms or here: http://www.sjfc.edu/dotAsset/8cf53ad4-4623-45b3-a134-a352d6b8e05e.pdf Each student should meet with either the Graduate Program Director or his/her academic advisor to develop a long-range plan early (first month) in the first semester of graduate work, well before registration for the next semester. 20 Once a student has completed their long range plan with their advisor, it is expected that the student will follow that plan. If the student changes the long range plan, the student needs to meet with the advisor and file a new plan. Students who do not follow the agreed upon plan of study may be removed from registered courses. Once the plan has been developed and signed, the student may register for courses, according to the plan, without obtaining the academic advisor's signature on the registration. At this time there is no secondary PIN number required for Master’s level students. Reimbursement for graduate courses is available to students from a variety of sources. Students should contact the Human Resources Office at their institution to determine the institution policy regarding reimbursement. e. Course Registration Students should note the dates of the Registration for each semester. This information is found on the academic calendar, available on the intranet page. All matriculated students may register on FishRNet. Continuing students should register during the College registration period to facilitate course placement. If the student waits to register for the next semester, it is possible that the course will be full and the student may not be able to take the scheduled course, even if it is on the LRP. The student is responsible to complete the course selection according to the long-range academic plan. If the student deviates from the plan, s/he must obtain approval of the academic advisor. Failure to follow this procedure may result in the student not being able to register for a course in the desired semester. As noted above, graduate students do not need a PIN number to register. With few exceptions, students are not allowed to take more than one clinical course in a semester. This is primarily due to the demand for preceptors and the intensity of the specialty clinical courses. While progress through the curricula is facilitated by clinical courses offered in the summer, it is unusual for a student to complete the program in 2 academic years. It is recommended that CNS and NP students progress from 571 to the GNUR 567 Care of the Adult course and the corresponding clinical course. Exceptions include students with grant funding, military veterans, and students in the post-baccalaureate doctoral program. f. General Attendance/Participation Policies The following general guidelines/policies provide the student with expectations that reflect participative, responsible student learning behaviors: 1. Prompt attendance is required for classes, clinical, simulation and/or skills lab experiences. Excessive absences, including leaving early or arriving late, may result in a faculty member assigning a grade of “failure due to absence” (FA) as indicated in the graduate grading policy and College catalog. 2. Students will prepare as designated in the course syllabus for class, lab experiences, simulation experiences, and clinical. Students will actively participate in ALL teaching learning activities. 21 3. Students will be proactive in seeking faculty assistance in order to be successful in achieving course objectives. 4. Students will organize and manage their time to utilize the skills laboratory, simulation, course, library and Internet resources for self-directed learning. 5. If an absence from a class, clinical, simulation, and/or skills lab experience is anticipated, the student should notify the faculty in the course as soon as the student realizes there is a conflict that cannot be avoided. 6. For any absence from class, clinical, simulation, and/or skills lab experiences, it is the student’s responsibility to initiate a meeting with the appropriate course faculty, so a plan for meeting the requirements for the course can be reviewed and approved by faculty. The faculty establishes expectations and the deadline for makeup work. All assigned work for each course must be completed to pass the course. 7. The student is accountable for communicating with course faculty in the case of any absence. The faculty may request documentation to verify the need for an absence (e.g., a note from a healthcare provider clearing the student for return to class/clinical). The Wellness Center at St. John Fisher College does not provide documentation of illness/injury unless the student was originally seen in the Wellness Center for the illness/injury. The student is responsible for the consequences of the absence. 8. It is expected that examinations will be taken by the student as scheduled in the syllabus, and that assignments will be submitted on the date indicated in the syllabus. It is at the discretion of course faculty to decide if extraordinary circumstances presented by the student will merit any exceptions to this policy. g. Graduate Writing Competencies Across the Graduate Nursing Curriculum: Research Sequence and Masters Project/Thesis/Capstone seminars. The core courses in which critical thinking and written communication abilities are promoted, and the student learning activities used to evaluate these outcomes. The student's abilities in communication, critical thinking, and therapeutic interventions are measured at various points throughout the curriculum. The following identifies selected student activities by course. GNUR 503 Foundations for Nursing Research and GNUR 504 Evidence-based research in Nursing Theory Critique and Application: Apply published standards/criteria for analysis and evaluation of nursing or other discipline's theory relevant to human health and behavior and to create an application of the theory to a specific clinical scenario. Problem Statement: Identify a nursing research question and create a testable hypothesis or answerable question. Demonstrate understanding of significance of problem to nursing knowledge and practice reality. 22 Literature Review and Critique: Select at least twelve research articles for critique related to one of the variables stated in a specific research questions or problems statement. Review the state of the research knowledge to make substantive recommendations for clinical application. Be able to apply a matrix method for abstracting relevant data for each chosen research article. Be able to prepare a well-written summary of pertinent information for each chosen research article. Statistics review: Use SPSS (or other software) program to analyze a clinical data set, suggest and test hypotheses, and create graphs and charts to summarize findings. Expand abilities to read and understand clinical nursing and health-related research studies: Analyze published research for scientific merit and decide if the knowledge is practice ready. Plan, conduct and evaluate a clinical program or intervention. Formulate an evaluation question, design a Systematic inquiry process, collect and analyze data, and prepare/deliver written and oral report of the program evaluation project. Faculty in the GNUR 503 and GNUR 504 courses will critically review the problem statements, literature reviews and proposed methodologies with proposed analysis that will become the initial portion of the student’s final project/thesis. Introduction to the IRB process Write proposal Write an abstract of the project/thesis Students should have a draft of a project/thesis proposal by the end of 504 A Capstone handbook has been developed by the WSON faculty and provides further detail on student completion of the capstone option. Capstone handbook: http://www.sjfc.edu/academics/nursing/resources/documents.dot Institutional Review Board (IRB) The student is responsible for knowing the College’s Policy and Procedures for Protection of Human Subjects of Research. A copy of the IRB policy and procedures is available on the College Intranet page using the following link: http://www.sjfc.edu/academics/irb Since most graduate nursing student’s projects involve human subjects, the student must consult with faculty regarding the IRB policies and procedures in relation to her/his selected topic. Students should have an IRB packet when they begin to write their capstone proposal. Students should review the packet and determine which level of review their capstone project: exempt from review, expedited, or full review (Capstone advisors can assist with this determination). 23 Depending upon the student’s proposal, more than one IRB approval may be needed. This occurs if students will be collecting data from another site. Consider the need for external IRB review when planning your capstone, as some external IRB committees have a lengthy process that may be incompatible with the student timeline. Review & approval from IRB must be obtained prior to data collection from human subjects. h. Policy on Written Assignments The Wegmans School of Nursing has the following policies regarding written assignments: 1. The most current edition of the Publication Manual of the American Psychological Association is the required style manual that must be used in writing papers in the Wegmans School of Nursing. 2. Written work will be submitted on time and to the designated faculty member in person, unless otherwise arranged, and will be congruent with faculty guidelines for the specific assignment. 3. One electronic copy and one printed copy of each student paper are required, unless faculty directs students to submit to an electronic assignment site for grading. 4. Plagiarism in a paper will make the paper unacceptable and will result in actions described in the section on “Academic Honesty” 5. All written work submitted should be original and done for the specific course that semester. When students are repeating a course, they must do original work and not submit previously written papers or other assignments. 6. Faculty may require students to submit papers to TurnItIn or other designated website to determine plagiarism. i. Plagiarism Faculty will adhere to College Guidelines as found in The Academic Honesty Policy: http://catalog.sjfc.edu/undergraduate/academic-information/honesty.dot j. Academic Honesty All students are expected to be familiar with the details of the SJFC Policy on Academic Honesty found at: http://catalog.sjfc.edu/undergraduate/academic-information/honesty.dot portions of which are quoted in the following: 24 Definition of Terms Cheating in a test situation: Use of resources other than those allowed by the instructor(s). Plagiarism: handing in academic work in any format which is not the original work of the student and which is not properly documented as the work of another (e.g., word-for word copying; patching together various sections of others’ work; or paraphrasing the work of another) Academic Dishonesty: When completing any assignment, the use of any resource by the student without proper acknowledgment, or the use of any assistance from another person without authorization by the instructor (the use of College-provided tutorial services, such as the Writing Center, without prior authorization from an instructor is acceptable unless an instructor specifically states that tutorial services are not to be used in completing the assignment). Also refer to the St. John Fisher College Undergraduate Catalog. The faculty in the Wegmans School of Nursing are committed to fostering student professional ethical behaviors and to this end will adhere to and enforce the SJFC Academic Honesty Policy. Because professional nursing practice is also guided by the Code of Ethics for Nurses (ANA, 2010), the Code is adapted in specific clinical evaluation tools that will be utilized in all clinical coursework. Any student charged with behavior that constitutes professional misconduct will have the case adjudicated by the Associate Dean and nursing faculty designated by the WSON Associate Dean. k. WSON Testing Taking Policy The following policies pertain to all testing situations in the WSON. These are posted in WSON classrooms and computer labs, available to students in the Graduate Nursing Student Handbook and enforced by all exam proctors. The WSON has a zero tolerance policy for cheating on tests. Cheating or compromising test security is an ethical concern and a sign of professional misconduct. The college-wide Academic Honesty Policy is found at: http://www.sjfc.edu/dotAsset/109895.pdf The consequences for cheating or altering test security, as determined by the course faculty, may include: a grade of zero for the test, failure of the course, or dismissal from the nursing program. The college-wide Academic Honesty Policy is found at: http://www.sjfc.edu/dotAsset/109895.pdf For Blackboard or Web-based Testing: 1. Computer test questions are randomized; therefore, tests are not the same. 2. The only program to be open for computerized tests is the test itself on Blackboard or other testing site, with the exception of the Microsoft calculator program if permitted by the proctor/faculty. 25 3. The test can only be opened once and submitted. Students will lose answers if they leave the test for any reason or do not submit the test when finished. 4. Students may not electronically copy, print, duplicate, or send any exam or part of an exam. l. Missed Examination Policy Students are expected to take course examinations on the date indicated in the course syllabus. 1. If an exam is missed, it is at the discretion of the course faculty to decide if extraordinary circumstances presented by the student will merit any exceptions to this policy. Prior notification by the student to the faculty is required if an exam will be missed in order for exceptions to be considered. 2. The range of possible extraordinary circumstances include but are not limited to: a. Death in family b. Hospitalization c. Personal illness d. Family illness e. Serious injury 3. If an exception is made due to extraordinary circumstances, it is the expectation that the student is prepared to take the exam within 24 hours of the original exam date/time as indicated in the course syllabus. In the event that the student is unable to take the exam within 24 hours of the original date/time the exam is scheduled, documentation of the illness/injury from a healthcare provider may be required and it is up to the discretion of the course faculty whether that exam is offered after 24 hours. 4. Exams missed due to scheduled vacations, appointments, oversleeping, interviews, shadowing, or work-related commitments will result in a grade of zero for the test. 5. All communication related to a missed exam and plans for make-up must be documented in an email to/from the faculty and student; and will be placed in the student’s file. m. Grievance Procedure The SJFC faculty members are committed to assisting you in achieving your academic goals. Faculty members in the Wegmans School of Nursing at SJFC believe that teaching and learning occur as a dynamic process involving the student, the teacher, and the environment. Faculty members strive to create a personal and professional environment conducive to student achievement and growth. Basic to this is a sense of respect and openness in the sharing of ideas, and in role modeling. If a student discerns that there has been any instance of unfair treatment, a lack of communication, or a breach of School of Nursing or College policy, the student should follow the administrative "chain of command" (see WSON Structure) in order to seek a resolution: 26 1. Make an appointment with the faculty member that is involved, in order to discuss your perception of the issue or problem. It is a good idea to put this in writing in order to make you more comfortable, and to be concise and accurate in your presentation. This also allows the faculty member to respond to your concerns in an organized, pertinent manner and allows both of you to arrive at consensus and an action plan. 2. If your issue cannot be resolved with the faculty person, make an appointment with the Program Coordinator. Present your case in the same manner as advised in #1. Design an action plan. If the issue is not resolved, you can then make an appointment with the Graduate Program Director or Associate Dean. 3. If your issue cannot be resolved with Graduate Program Director or Associate Dean, then make an appointment with the Dean of the WSON. Present your case in the same manner as advised in #1. Meet with the Dean to discuss your issue. It is important to write out your thoughts and why the problem has not been solved. An action plan will be developed after conferencing with the Dean. n. Independent Study Protocol for Nursing A student may elect to pursue an independent study course for 1-3 credits. Each credit requires three clock hours per week throughout the 15-week semester. Therefore a 1-credit course = 45 hours; a 2-credit course = 90 hours; and, 3-credit course 135 hours. Types of Study Programs: 1. In-depth library research with a focus in nursing theory or practice. 2. Independent study of a clinical experience in a nursing role. 3. Individual or group project designed to meet specific objectives. The student selects an area of interest, discusses it with their advisor or the Graduate Program Director who will suggest an appropriate nursing faculty member (based on interest, specialty, etc.). If the faculty agrees to work with the student, the student writes the proposal, following the College Proposal for Independent Study Guidelines on the Registrar’s Office website: http://www.sjfc.edu/dotAsset/874514.pdf . The faculty member and Graduate Program Director and Dean must approve the project and sign the required form before the students starts the course. 6. Progression Students should meet with their assigned academic advisor within one month of beginning the program. There are certain pre-requisites that must be followed: GNUR 503, 504, 505, 506, 507 & 508 should be completed before the Comprehensive exam 1. GNUR 543, 570 and 571 are required before the clinical courses are taken. GNUR 509, 543, 570, 571 and the specialty courses and clinical seminars should be completed before taking GNUR 695, comprehensive 27 exam II.* (Students may choose to take their last clinical course and seminar in the same semester they take GNUR 695). a. Grading Scale for the Graduate Programs at St. John Fisher College A 95 – 100 B- 80-83 FA- failure due to absence A- 90 - 94 C+ 77-79 B+ 87 - 89 C 74-76 B 84 - 86 * F 73 and below *Students please note that graduate students are expected to maintain a “B” average overall. Failure to do so will result in academic probation and monitoring by the Graduate Academic Standing Committee. The master’s curriculum is organized in different categories of courses: Scholarship core courses: GNUR 503, 504, 505, 506, 507, 508 & 509 Direct care courses: GNUR 543, 570 & 571 Clinical Core courses: see Program Requirements p.12-14 Fast track students must earn a B grade in the first graduate course taken in order to take the second graduate course. Students must maintain a B average and achieve a grade of B or better in all of the GNUR courses, with the following exceptions: GNUR 505, 506, 507, 508 & 509. Students must achieve a grade of S (satisfactory) in their choice of either the capstone courses (GNUR 558/559) or the comprehensive exam courses (GNUR 694/695). Students must also demonstrate APRN competencies noted on clinical evaluation tool as reflected in achieving a grade of S (satisfactory) for the clinical seminar courses), in order to progress in the nursing curriculum. b. Testing Policy The WSON graduate curriculum has policy on testing: The amount of testing within each course increases as the student progresses from Scholarship Core courses: 15% (GNUR 503, 504, 505, 506, 507, 508 & 509) Direct Care Core courses: 30% (GNUR 543, 570 and 571) Clinical Core courses: 70% (see Program Requirements p. 12-14). The required B grade in direct care courses and clinical core courses includes the requirement of achieving a test average of 80 % or greater on tests included in the courses. o If a student earns a course grade of 84% or higher and a test average < 80%, the student’s final course grade will be a B-. 28 o If the student’s course grade is <84% and the test average is >80%. The final course grade will be the earned grade for the course. c. Direct Care Core and Clinical Core Course Progression Students in to the WSON Nursing program must achieve a course grade of B (84-86) or higher in direct care courses (GNUR 543, GNUR 570, GNUR 571). If a student does not achieve a grade of B on the first attempt, the student may re-take the course once. If the student does not achieve a grade of B on the second attempt, the student will not be allowed to progress in to the clinical core courses. The student will not be allowed to progress in the program. Students in to the WSON Nursing program must achieve a course grade of B (84-86) or higher in the clinical core courses (Program Requirements for each program p.12-14) in order to progress to the next course in the sequence. If a student does not achieve a grade of B on the first attempt, the student may re-take the course once. If the student does not achieve a grade of B on the second attempt, the student will not be allowed to progress in the program. d. Clinical Seminar progression Clinical Seminars are graded S/U. For clinical seminar courses, students must earn a satisfactory grade (S) as a result of preceptor and faculty site visitor input in order to be successful in the course (see clinical course section). The S grade in the clinical seminar courses reflects the demonstration of APRN competencies noted on clinical evaluation tool and is required in order to progress in the nursing curriculum. A grade of U or unsatisfactory is considered an “F” or failure in the course. Clinical failure can be due to unsatisfactory professional behavior or lack of clinical competence. Earning a grade of “F” in more than one graduate course will result in dismissal of the student from the graduate program. If a student earns one “F” grade, he or she must repeat the course in which it was earned. If a student does not pass the clinical core courses with a grade of B or better, but earns an S grade in the corresponding clinical seminar course, the student does not need to repeat the clinical hours, but must repeat the clinical core course and earn a grade of B or better in order to progress to the next clinical course or clinical seminar course. e. Course withdrawal If a student withdraws from the same nursing course twice, the second withdrawal will be treated as a failure in the course for progression purposes. If the student withdraws or fails the course again, the student will not be allowed to register for additional nursing courses and will be dismissed from the Wegmans School of Nursing. 29 a. This policy applies to nursing students in all programs—BS, RN/BS, MS, & DNP. b. This pertains to withdrawals in two different semesters. If a student withdraws from multiple courses in the same semester, it counts as one withdrawal semester. c. If a student withdraws from a course a second time because of at-risk academic or clinical performance, the second withdrawal will be treated as a failure. If the student fails or withdraws from the course again, the student will not be allowed to register for additional nursing courses and will be dismissed from the program. d. At-risk academic or clinical performance is determined by the Dean and/or Associate Dean of the Wegmans School of Nursing. e. The student will be notified via certified mail of their dismissal from the program. f. There is no appeal to dismissal from the Wegmans School of Nursing. There is no appeal for students who have been dismissed from the nursing program. Students who remain in good academic standing may consider transferring to another major at the College and should immediately meet with the program chair or director to discuss options. f. Grade Appeal Process Students who choose to appeal the grade they have earned in a nursing course should: 1. Discuss the grade and the concerns with the course faculty immediately when a problem is identified after the grade is posted. 2. If the student is not satisfied with the outcome of the meeting with the faculty member, the concerns should be put in writing, forwarded to the Associate Dean within five business days of the grade posting or the appeal will not be considered, and the student should make an appointment in this timeframe to meet with the Associate Dean to discuss the concerns. 3. If the student is not satisfied with the resolution of the grade concern after meeting with the Associate Dean, the student should meet with the Dean of the WSON. The student will submit the specific concerns in writing to the Dean before the scheduled meeting. g. Repeating a Nursing Course Graduate Students who wish to repeat a nursing course in order to complete the curriculum should: 30 1. Confer with the advisor or the Graduate Program Director to establish a plan of study for completing nursing course work, core courses. 2. Meet with course faculty in which the student was unsuccessful to determine a plan for future remediation. 3. Any student who wishes to take a nursing course at another accredited master’s nursing program must receive written permission from the Graduate Program Director (GPD). Students must provide the GPD with a course description/syllabus in order for a decision to be made. The WSON reserves the right to decide if a course exhibits appropriate content, outcomes, and credit allotment to substitute for a course in the WSON graduate curriculum. Students may only transfer in a nursing course with a grade of B or better that has been approved by the GPD. No more than 9 credits may be transferred into the graduate program from another institution. h. Dismissal Consistent with the WSON Progression Policy, any student who fails any GNUR course twice or two GNUR courses will be dismissed from the graduate nursing program. Students who do not maintain the required B average, or who do not achieve the required grades in more than one course of the courses noted above, will be dismissed from the program. Student progression through an academic plan of study may be interrupted because of unprofessional behavior, as noted below in the section on Professional Conduct and Behavior Standards Please refer to the Graduate Bulletin for further details regarding academic standards, academic standing, progression and dismissal. The Graduate Bulletin also has information on leave of absence and transfer credits. 31 7. Professional Conduct and Behavior Standards a. Essential Behaviors for Continuation & Graduation of All WSON Nursing Students The following behaviors reflect the professional conduct and accountability competencies expected of all students. Failure to comply with these essential behaviors will affect progression and may result in student dismissal from the program. 1. Emotional Stability Students must: Possess the emotional health required for the full utilization of intellectual abilities, the exercise of sound judgment, and the timely completion of responsibilities in their programs/areas of study. Maintain mature, sensitive, and effective relationships with patients, students, faculty, staff, other professionals, and agency personnel under all circumstances including highly stressful situations. Possess emotional stability to function effectively under stress and adapt to environments that may change rapidly without warning and/or in unpredictable ways as relevant to their programs or areas of study. Demonstrate empathy for the situations and circumstances of others and appropriately communicate that empathy. Acknowledge that values, attitudes, beliefs, emotions, and experiences effect their perceptions and relationships with others. Willingly examine and change their behaviors when they interfere with productive individual or team relationships. Demonstrate effective and harmonious relationships with the diverse academic, professional, and community environments relevant to their chosen programs of study. 2. Professional Conduct Students must: Possess the ability to reason morally and practice nursing in an ethical manner. Willingly learn and abide by professional standards of practice as well as regulations for professional licensure. Students must demonstrate the attributes of compassion, integrity, honesty, responsibility, and tolerance. b. Professional Conduct and Behavior Implementation Guidelines All students are advised of the Essential Behaviors for Continuation and Graduation during program orientation, and via the Graduate Handbook. If and when a student does not meet these expectations for essential behaviors, the following steps occur: Problematic behavior is documented: Problematic behavior will be documented by faculty in the student’s record. 32 Problematic behavior results in a contract: If a pattern of problematic behavior or a single, very serious lapse in the essential behaviors becomes evident, the steps below should be followed so the student is informed that the student’s continuation in the program is in jeopardy. Composing the contract: The student’s instructor and/or academic advisor, in consultation with the Graduate Program Director, will prepare an individual student contract identifying what needs to be demonstrated in order to meet the essential behaviors and thus remain in the program. A Nursing Faculty Committee (composed of the Graduate Program Director, Academic Advisor and the course faculty) approves the contract: The individual student contract is reviewed and approved by the Nursing Faculty Committee. The documentation of lapses in the essential behaviors must accompany the contract. Student/Faculty Conference: The Graduate Program Director, instructor and/or academic advisor meet with the student to present the individual student contract. After the student reads and signs the contract (signature indicates that the student has read it), the contract is placed in the student’s academic file. Contract is monitored each semester by Nursing Faculty Committee: If the stipulations in the contract are not upheld by the student, the student will be subject to dismissal from the nursing program. Campus Resources: Students may access campus resources including: Fisher Counseling Resources: Fisher recognizes that personal or academic issues may impede a student’s progress in school. Short-term personal counseling is offered in a supportive and confidential environment. For more information or to make an appointment contact the Wellness Center office: (585) 385-8280. http://www.sjfc.edu/campus-services/wellness/about/ Academic Skills Enhancement: Student support is available through the: Writing Center (385-8151) http://www.sjfc.edu/campusservices/writingcenter/ , the Math Center (385-8407) http://www.sjfc.edu/campus-services/mathcenter/, and online tutoring through Smarthinking at https://services.smarthinking.com/student/services/ 8. Social Media Policy Nursing students may not post any material or information that could potentially violate patient confidentiality or professional behavior guidelines on social media sites. Although Blackboard and other online tools used in a nursing course are not considered social media sites, students are expected to observe professional standards for communication in all interactions. Students may be subject to disciplinary action by the school and the clinical agency for comments that are either unprofessional or violate patient privacy. HIPAA 33 regulations apply to comments made on social networking sites and Blackboard or other online tools, and violators are subject to the same prosecution as with other HIPAA violations. Social Media Guidelines: 1. Social media includes but are not limited to blogs, podcasts, discussion forums, online collaborative information, and publishing systems that are accessible to internal and external audiences (e.g., Wikis) through RSS feeds, video sharing, and social networks like Myspace, Twitter, YouTube, and Facebook. 2. Postings on social networking sites are subject to the same professional standards as any other personal interactions. The permanence, worldwide access, and written and visual nature of these postings make them even more subject to scrutiny than most other forms of communication. 3. Restricted postings include but are not limited to protected health information – individually identifiable information (oral, written, or electronic) about a patient’s physical or mental health, the receipt of health care, or payment for that care. 4. Online postings or discussions of specific patients should be avoided, even if all identifying information is excluded. It is possible that someone could recognize the patient to which you are referring based on the context. 5. Under no circumstances should photos or videos of patients or photos depicting the body parts of patients be taken or displayed online. 6. Statements made by you within online networks will be treated as if you verbally made the statement in a public place. Remember, you would not want YOUR health information being posted to the Internet, therefore do not post that of anyone else. Refer to the American Nurses Association’s Social Networking Principles Toolkit at http://www.nursingworld.org/FunctionalMenuCategories/AboutANA/Social-Media/SocialNetworking-Principles-Toolkit and the National Council of State Boards of Nursing’s Social Media Guidelines website at https://www.ncsbn.org/2930.htm 9. Professional Standards: The graduate programs adhere to the standards and guidelines associated with the following organizations: the AACN Essentials of Master’s Education, the National Association of Clinical Nurse Specialists (NACNS), the Statement on CNS Practice and Education (Section III), the National Organization of Nurse Practitioner Faculty (NONPF), the American Nurses Association Standards of Clinical Practice, the American Nurses Association Code of Ethics, the American Nurses Association and Social Policy Statement. 34 The nursing faculty is responsible for upholding the standards of the Wegmans School of Nursing, the New York State Board of Nursing, and the discipline of nursing. Therefore, the faculty reserves the right to deny progression at any point in the curriculum to a student, who in the faculty’s judgment, fails to meet professional nursing standards. The New York State Education Department Office of Professions Nursing Handbook specifies the determination of applicants for authorization to practice a profession. Rules of the Board of Regents, such as those defining good moral character and unprofessional conduct, are followed by the School of Nursing for all undergraduate and graduate nursing students at St. John Fisher College. Professional standards and state rules acknowledge the nurse’s responsibility to society and mechanisms for accountability. Personal or professional conduct that is inconsistent with these standards, rules, and codes, as well as with those of St. John Fisher College, may prohibit an applicant from being admitted to the nursing program or result in course failure or dismissal from the program. In addition, health care agencies offering clinical learning experiences for students have specific expectations and policies regarding student behaviors in practice. These agencies may also have specific policies regarding the reciprocal obligations among students, faculty, and clinical preceptors. Updated immunizations, current CPR, R.N. license, medication administration competency, and hospital competency packets must be submitted by students as part of the clinical application. (See Graduate Clinical Application form for details). Students will not be assigned a preceptor until they are in compliance with all of these clinical documentation expectations. These policies are described in the Nursing Graduate Student Handbook. Any student enrolled in any nursing program who exhibits personal or professional conduct that violates the standards, rules, codes, and/or policies of the School of Nursing, St. John Fisher College, cooperating health care agencies, the State of New York, or the nursing profession will face investigation, review, and appropriate action, including possible dismissal from the program and/or College. a. Professional Standards Conduct Hearing Procedures. General Procedures: The following is a general description of the Professional Standards Conduct Hearing Procedures. These procedures may vary as appropriate for specific hearings. 1. The Associate Dean chairs the Professional Standards Conduct Hearing Procedures and convenes a Professional Standards Conduct Hearing Committee consisting of the Associate Dean (Chair) and two faculty members with practice experience relevant to the situation. 35 2. The Professional Standards Conduct Hearing Committee will read statements on confidentiality and procedures for fairness, the alleged violations and any associated incident report(s). 3. The complainant(s) and respondent(s) will be asked to present their accounts of the incident or behavior in question, including presenting relevant evidence and responding to any information provided by any witnesses. This can be done in writing or in person or both. 4. The Professional Standards Hearing Committee will have the opportunity to ask the complainant(s), respondent(s), and any witnesses who attend the hearing relevant questions in regard to the incident. 5. The Associate Dean will summarize to the complainant(s) and respondent(s) their understanding of the incident or behavior in question. 6. The complainant(s) and respondent(s) will be offered an opportunity to make a summary statement to the Professional Standards Conduct Hearing Committee at the conclusion of the hearing. 7. All other persons, besides the Professional Standards Conduct Hearing Committee, will then be excused from the hearing room while the Professional Standards Conduct Hearing Committee considers the information presented and determines responsibility for the violation, and any sanctions to be applied in the event the respondent is found responsible for the violation. 8. The student will be informed of the outcome of the hearing verbally at the closing of the hearing or may be told that more information is needed before making a decision. a. If a student is found not responsible, no further action will be taken. b. If a student is found responsible, any sanctions will be effective immediately. c. If more information is needed, the student will be provided with a date by which the decision will be made. If the Associate Dean or other Professional Standards Conduct Hearing Committee members determine that a witness or complainant may be emotionally harmed by giving evidence or information in the presence of the respondent during a Professional Standards Conduct Hearing, arrangements may be made to allow witness participation while not depriving the respondent of access to the evidence or information. As appropriate and requested, College personnel will provide support to students in those cases involving sexual or physical assaults. Please Note: No audio or other recording of a Professional Standards Conduct Committee Hearing or Administrative Hearing is permitted by any person. 36 Witnesses: The respondent may request that a witness(es) with firsthand knowledge submit a notarized statement. Statements must be received at least 48 hours before the scheduled hearing. In a Professional Standards Conduct Committee Hearing, and at his/her discretion, the WSON Associate Dean may request that witnesses who have submitted statements attend the hearing. The respondent may choose one person to act as a character witness who will submit a statement to the Associate Dean no later than 24 hours prior to the scheduled hearing. Please note that all Professional Standards Conduct Hearings are private and closed to everyone except the involved persons (i.e., the Complainant, the Respondent, and those witnesses invited by the Associate Dean). A student may not be accompanied by legal counsel (whether a practicing attorney or not) unless criminal charges are pending or foreseeable, in which case an attorney may accompany the student for the sole purpose of advising the student during the hearing. The ability to have legal counsel present is restricted to the Professional Standards Conduct Hearing. Legal counsel may not be present during subsequent appeal hearings, if any. Procedure for Determining Responsibility: In order to make a decision regarding any alleged violations, the Professional Standards Conduct Hearing Committee reviews all information presented through the report(s), complainant, respondent, and any witnesses. The determination will be made on the basis of whether there is sufficient evidence, in the judgment of the Professional Standards Conduct Hearing Committee, that the respondent violated any Professional Standards policies/regulations. The Professional Standards Conduct Hearing Committee will review the relevant information presented to determine the outcome that is best supported by that information. Types of Sanctions: If a student is found responsible for a violation, the Professional Standards Conduct Hearing Committee will determine the appropriate sanction(s). Prior violations for which a student was held responsible and subject to previous sanctions are taken into consideration when sanctioning decisions are made in all cases. The sanction(s) designated by the Committee may include the following (or modifications or combinations of them): a. No action. b. Written Warning: An official written statement that documents the finding of responsibility for violation(s) of Professional Standards policy. 37 c. Disciplinary Probation: A period of time specified for observing and evaluating a student's conduct, with or without special conditions. The student shall automatically be removed from probation when the imposed period expires. d. Suspension: A suspension from the Wegmans School of Nursing may be by term, in which case the student is eligible to re-enroll at the end of the stated period of time. Readmission to the School after a suspension requires an interview with the Dean of the Wegmans School of Nursing or his/her designee. e. Expulsion: Permanent termination of student status. Notification of Outcome: Respondent: In addition to any verbal communication, students will receive written notification of the outcome of their Student Conduct Hearing, Appeal Hearing, or Probationary Status Review by mail or USPS sent to their mailing address of record, or through their College e-mail address. It is the student’s responsibility to check their mail and College e-mail address for such notifications. Appeals: After the conclusion of a Professional Standards Conduct Hearing, the student may choose to submit a letter or an email from his/her SJFC email account requesting an appeal hearing to the Dean of the Wegmans School of Nursing. This letter must be received by the Office of the Dean (WSON 201) within five (5) business days after the student has received written notification of the original hearing decision. Grounds for Appeal: For an appeal hearing to be considered the student must demonstrate in writing that one or more of the following applies to his/her situation: 1. The original hearing was inconsistent with the established Professional Standards Conduct Hearing procedures. 2. The sanction imposed was not in keeping with the gravity of the violation. 3. Evidence is now available that could not have been obtained at the time of the hearing. An appeal hearing will be considered only on the ground(s) alleged by the student. The WSON Dean will consider the information contained in the appeal request and relevant information contained in the student’s Professional Standards Conduct Hearing file. The Dean may also consult with the Associate Dean for background information regarding the original Professional Standards Conduct Hearing. The student will be notified of the status of his/her appeal request within five business days of the receipt of the written appeal request. 38 Appeal Hearing Procedures: If an appeal hearing is granted, the WSON Dean, at his/her discretion, may meet with the appellant individually. The appeal decision made by the WSON Dean or his/her designee is final. There is no further opportunity beyond this appeal for a student to dispute or further appeal the decision(s) made. Interim Action/Interim Suspension: Any time following the submission of an incident report, verbal or written, the Associate Dean of the Wegmans School of Nursing or his/her designee may modify or suspend the rights of a student to be present at a clinical site or to attend classes for an interim period prior to resolution of the Professional Standards Conduct Hearing proceeding, including any appeal. The decision will be based on whether the allegation of misconduct is apparently reliable and whether the continued presence of the student at the clinical site or in class reasonably poses a threat to the physical or emotional condition and well-being of any individual, including the student, for reasons relating to the safety and welfare of any person, College property, or any College function. The decision to modify or suspend the rights of a student for an interim period will be communicated in writing to the student, and will become effective immediately. Notification will either be handdelivered or sent by certified mail. Failure or refusal to take receipt of notification will not negate or postpone said action. A student who is suspended or has had their privileges modified for an interim period will be provided an opportunity to respond to the allegations of misconduct through a Professional Standards Conduct Hearing scheduled as soon as is practical following the effective date of the interim suspension or action. The interim suspension or modified privileges will remain in effect until a final decision has been made on the pending complaint or until the WSON Associate Dean determines that the reason for imposing the interim suspension or modification of privileges no longer exists and the student receives written notice that the interim action is no longer applicable. Student Professional Standards Conduct Hearing Records: All documentation of Professional Standards Conduct Hearings become part of the student’s file maintained by the Wegmans School of Nursing, and as such is part of the student’s educational record, which is maintained in the Office of the WSON Dean. Records may be released to College officials on a “need-to-know” basis. Student Professional Standards Conduct records may be released to persons and agencies external to the College with the student’s permission, or in compliance with the law. Records subpoenaed or ordered by a judge may be released without the student’s permission. A record may also be released if it is in the College’s legal interest to do so. 39 All student Professional Standards Conduct files will be maintained for seven (7) years after the most recent recorded incident. Records pertaining to students suspended will be maintained until seven (7) years after the suspension is completed. Records pertaining to students who are expelled will be maintained permanently. b. Readmission or Reactivation of WSON Student Status Students seeking readmission or reactivation of student status in the WSON must meet the current GPA admission requirement for the WSON and submit an application per WSON and college procedures. These students take the curriculum in place at the time of the readmission. Readmitted students may progress in the nursing program on a space available basis after a letter of intent to reactivate in the program is received and approved. 10. Master’s Clinical Practicum / Preceptorship a. Clinical Attestation Form: The Attestation form is available on line and is distributed in classes to students annually. Students must read and abide by the deadlines and expectations detailed in the attestation sheet or are at risk for not being placed in a planned clinical experience. The attestation from includes essential clinical policies that affect graduate student clinical placement. A few of these are: Master level graduate students are allowed to take only one clinical each semester. This pertains to both WSON and student secured sites. Students who have concerns about this policy should meet with the Graduate Program Director and Program Coordinator. All students taking masters level clinical courses (including post- baccalaureate DNP students) will be required to travel a significant distance at least once during their clinical sequences i.e.: Oswego, Syracuse, Buffalo, Southern Tier etc. This applies to students who live and work a distance from campus- these students may have to travel to Rochester for their clinical hours. Students are required to maintain an updated long range plan. Proposed changes are to be facilitated by meeting with your graduate advisor as soon as possible. A signed copy is placed in the student folder. b. Malpractice Insurance Students taking any clinical course have malpractice insurance that is provided by the College. The cost is included in the course tuition. Students must be registered for the course to meet this requirement. Students may participate in assigned clinical experiences as long as they are registered in the course associated with the clinical hours and are a matriculated student in good standing with the College and the WSON. 40 c. Identification Students should be identified as a WSON student by wearing the WSON ID badge holder and ID card. Graduate students purchase the WSON ID badge holder in GNUR 571 prior to the first clinical course from the AA in the Dean’s Suite. There is a $10 fee. All students must have a signed copy of the attestation form in their student file with annual updates. The form posted to the website. Due date: last week of September. They are to be returned to the Graduate Administrative Assistant so she can keep track of those returned and then filed by the work study http://www.sjfc.edu/dotAsset/8cf53ad4-4623-45b3-a134a352d6b8e05e.pdf d. Clinical Application Students must submit the clinical application no later than the due date noted on the clinical application in order to start the process of identifying and securing a clinical preceptor, which is often one semester prior to the clinical course start. Students are required to be in compliance with the required documentation of health status, immunizations, CPR and hospital orientation packet before they are placed into a clinical site. The clinical practicum/preceptorship provides the student with an opportunity to apply theory and principles learned in the classroom setting to clinical practice. The student develops the skills essential for integrating theory and practice related to their area of concentration. The student’s personal learning objectives are used to guide the selection of the preceptor and clinical site for development of clinical skills. The Master’s clinical practicum/preceptorship is an activity in which the student, the agency/setting, and the faculty have a shared interest and responsibility. The WSON is committed to securing qualified preceptors for graduate students. However, there is a significant demand for preceptors. The WSON cannot guarantee preceptor availability. Preceptors are assigned on a first come-first served basis. Students who submit a clinical application after the published deadlines risk not having a preceptor assigned. Furthermore, students who choose to take more than one clinical course per semester cannot be guaranteed the assignment of two preceptors. It is essential that students assist the clinical coordinator in securing qualified preceptors by: Submitting the clinical application by the deadline; Clinical Applications will not be accepted after the published deadlines. Suggesting/referring names of qualified preceptors Submitting any additional paperwork required by affiliating agencies ASAP 41 The student should refer to the graduate bulletin and/or their Long Range Plan to determine the clinical course registration. The WSON Administrative Assistant must receive the application and required documents no later than September 1 for the spring semester, no later than January 1st for summer and no later than February 1 for the fall semester. All of the forms and clinical requirements are found on line at this web address: http://www.sjfc.edu/academics/nursing/resources/documents.dot e. Compliance for Clinical Assignment – Graduate Students It is critical that students submit the required health history form, immunization history, CPR certification, etc., in a timely manner so plans can be completed for clinical assignments. This may require moving up yearly physicals or PPDs, etc., in order to be compliant before the start of clinical. You will not be informed of your clinical placement until the required information is received in the Wegmans School of Nursing. Anything that expires during the clinical semester must be renewed prior to expiration and documentation sent to the WSON, or you may be removed from clinical. If you are starting clinical in the fall semester, compliance items must be turned in by July 1st, for the summer semester by April 1st; and for the spring semester by December 1st. Required documents for Graduate Students: CPR Certification: Contact the American Heart Association (course: BLS for Health Care Providers) or American Red Cross (course: Professional Rescuer) for this requirement. Students with Advanced Cardiac Life Support (ACLS) must still complete Basic Life Support (BLS) to meet this requirement. Your CPR is good for two years if from AHA; one or two years from ARC. Submit a copy of your card and keep the original. Physical Examination: Students entering a clinical course must have an annual physical examination. If a student has a physical exam on file at the college, then an annual health update is acceptable (form is available on nursing website). You may also use a health update form completed by your health care provider or employer to indicate you continue to meet health requirements for clinical work. Tuberculin Skin test (PPD) – must be done annually. Documentation must include the date given and the date the results were read (must be 48 – 72 hours later). For students with a positive PPD, a chest x-ray report must be submitted. Seasonal flu shot – must be done annually. Documentation must include the date given. Immunizations: Students must submit proof of immunity against measles, mumps, rubella, polio, tetanus, and Hepatitis B. If a student has not received the full course of the Hepatitis B vaccine, then proof of the first administration or a positive titer must be provided. Current resume – submit a copy. Current New York State RN license – submit a copy. 42 Medication Administration Competency Score needed (i.e. CNET, NLN). Copy of scores for any medication administration competency test (from your employer). If you do not have this from your employer, you can take the CNET test here for a fee of $10. Hospital orientation packet – packet must be reviewed and post-test completed annually. This is a mandatory review packet created by area hospitals for students. It is available online at http://www.sjfc.edu/academics/nursing/resources/documents.dot and under “Clinical Orientation Information” click on post-test. The review packet is about 60 pages, so students should print the post-test and complete the post-test as you review the packet on-line. Send a copy of the post-test to the WSON. Keep a copy of the post-test for review in class. You will not be informed of your clinical placement until the required information is received in the Wegmans School of Nursing. Documentation must be sent directly to: St. John Fisher College Wegmans School of Nursing 3690 East Avenue Rochester, NY 14618 f. Student Responsibilities 1. Start a compliance folder and keep copies of this for your own records. 2. Contact the assigned preceptor as soon as you have been notified of your match. Waiting may result in loss of preceptor! 3. Learn as much as possible about the agency/setting before beginning the clinical. 4. Bring a copy of student CV/Resume, Course learning Outcomes, and required texts, personal learning objectives for the clinical experience and copies of all clinical forms to review with the preceptor on the first clinical day (patient log, clinical evaluation tool, skills checklist). 5. Seek out information regarding the policies, procedures, and practices of the agency/setting and adhere to them. 6. Seek the advice and assistance of the agency preceptor when uncertain about assigned tasks. 7. Contact assigned site visitor at least two weeks in advance of half-way point of clinical hours to set up site visit. 8. Confer regularly with the agency preceptor regarding achievement of learning objectives. 9. Perform tasks assigned as efficiently and effectively as possible, contributing to the programs and activities of the agency / setting. 10. Complete written reports / documentation in accord with the timelines of the agency /setting in collaboration with the agency preceptor. 11. Participate in evaluation of the clinical performance with the agency preceptor and faculty. 12. Maintain confidentiality of client and agency information, including assurance of anonymity of clients / agency in written or oral reports outside of the agency / setting. 13. Demonstrate professional behavior in the clinical setting. Professional behavior includes wearing business clothes to clinical with identification of student status, attendance at each scheduled clinical day, and thorough communication with preceptors and course faculty. g. Preceptor Responsibilities 1. Review the student's learning objectives. 2. Provide orientation to the agency / setting, including provision of information regarding policies, procedures, and practices of the agency / setting. 43 3. Plan specific activities with the student that will provide maximum opportunity for the student to meet her/his learning objectives. 4. Assist the student to identify additional opportunities for learning and / or career development. 5. Confer with student throughout clinical experience regarding progress and provide feedback to him/her to improve competencies appropriate to anticipated role. 6. Contact faculty with concerns / feedback about students throughout semester, as needed. 7. Meet with site visitor to discuss student progress 8. Complete "Master's Clinical Practicum / Preceptorship" evaluation form and return to faculty, using the Typhon system. Preceptor Website: http://www.sjfc.edu/academics/nursing/clinical/graduate.dot h. Program Coordinator Responsibilities 1. Work with Graduate Clinical Coordinator to identify potential preceptors in agencies / settings consistent with the learning needs of students for selected clinical course. 2. Work with Graduate Clinical Coordinator to follow up with contacts of potential preceptors in the agency / setting who is able to assist in meeting the student's learning objectives. 3. Work with Graduate Clinical Coordinator and Administrative Assistant to verify preceptor's credentials in accord with Wegmans School of Nursing guidelines for selection of preceptors and place current vitae on file in Wegmans School of Nursing office. 4. Work with Graduate Clinical Coordinator to direct Wegmans School of Nursing Graduate Administrative Assistant to send Letter of Agreement to preceptor with a copy of "Master's Clinical Practicum/Preceptorship", the student's learning objectives, a copy of “Preceptor Evaluation of Students", and the student's vitae. 5. Work with Graduate Clinical Coordinator to communicate with preceptor about student placement during semester and conduct site visits as necessary. 6. Work with Clinical seminar Faculty to evaluate student performance with input from student and agency preceptor. i. Clinical Experience Attendance Graduate Nursing Students are responsible to complete the allotted number of clinical hours/ course (NP clinical courses: 150 clinical hours/course; CNS clinical courses: 125 clinical hours/course). Students need to document these hours and complete the clinical summary sheet, signed by the preceptor for preceptor verification. Failure to maintain an accurate and timely record of the clinical hours may be considered professional misconduct. Attendance is necessary to successfully meet the objectives of the clinical and laboratory components of the nursing course. A. Laboratory Attendance 1. Students are expected to attend all scheduled on-campus labs. 2. Absence from the lab component of any course must be made up. 3. Students must coordinate the make-up lab after consulting with the Course Faculty within 48 hours of the missed lab. 4. Make-up lab must occur within one week of the missed lab. 5. Students reporting to lab more than ½ hour late or leaving ½ hour early are considered absent. 44 B. Clinical Attendance 1. Passing of clinical objectives is not possible if faculty determine that student absence resulted in failure to meet the learning objectives including socialization into the professional role and demonstration of professional collaboration and accountability. 2. Policies governing clinical attendance are as follows: a. Students are expected to attend all clinical and laboratory experiences. b. Students are responsible to contact their clinical site visitor at least 2 weeks in advance of the midterm clinical site visit. Clinical site visitors are discussed an assigned at the first clinical seminar of the semester c. If a student is ill on a clinical day, he/she should telephone the clinical preceptor and make arrangements to make up the missed clinical hours. d. Graduate students are expected to complete the required clinical hours based on preceptor schedules. Preceptors will sign off to verify the completion of the clinical hours/course. The preceptor may decide not to allow a student to participate in the clinical for the following reasons: a. Student is unprepared for patient care. b. Student appears to be either physically or psychologically ill. c. Student is unaware of his/her own limitations or fails to seek help when he/she recognizes his/her limitations. d. Student's appearance is unprofessional. e. Student appears to be under the influence of alcohol or drugs. e. Students are responsible and accountable for making up time and meeting learning objectives from missed clinical experiences. Clinical learning is done concurrent with, or following classroom learning. The clinical learning builds from, and on, learning of the theoretical concepts. f. The student is accountable for communicating with the faculty in the case of any absence. The student is responsible for the consequences of the absence. a. Excused absences (extenuating circumstances) include: significant student illness with MD/NP note, significant family illness with MD/NP note, hospitalization, and death in immediate family (this includes spouse, children, siblings, parent, grandparent), and jury duty. b. Clinical make-up time must be completed prior to the end of the respective semester, unless permitted by the clinical course faculty. g. Students who do not demonstrate competency in the clinical or course objectives at the conclusion of the course will receive an unsatisfactory grade for the course. h. If the clinical faculty evaluating the student deems that the student will be unable to meet the course or clinical objectives because of the length or timing of the absence, the student will receive an “Unsatisfactory” in the clinical component of the course. 45 NOTE: Students who do not demonstrate competency in the clinical or course objectives at the conclusion of the make-up rotation will fail the course. If faculty evaluating the student deems that the student will be unable to meet the course or clinical objectives because of the length or timing of the absence, the student will receive an “Unsatisfactory” in the clinical component of the course. j. Clinical Faculty: Site/Student Visit Responsibilities 1. If adjunct status, send in C.V., social security number and copies of RN license, NP certification and CPR certificate to Wegmans School of Nursing Administrative Assistant and forward health form with PPD date to the college Wellness Center. 2. Obtain student list and clinical preceptor assignments (6 students/clinical group) from the track coordinator or clinical seminar leader. 3. Coordinate date and time of the clinical visit(s) with each student, before midterm of the clinical hours. 4. Conduct the site visit and complete the following evaluations: Student competency evaluation (one/visit) Preceptor evaluation (one/preceptor) Clinical site evaluation (one/site) Document via the Typhon system 5. Thank the preceptor for their service to the student and the college. 6. Notify the course faculty and track coordinator of any problems in the clinical area noted during the site visit related to: suitability of the site to support student learning ability of the preceptor to work effectively with the student, or concerns about the student’s performance, skills, professional behavior or ability to progress in the course k. Preceptor Evaluation of Student Performance In addition to the adjunct clinical faculty visit and evaluation of student competency, the advanced practice nursing student is evaluated by their preceptor at midterm and the end of the semester for all of the clinical courses. The evaluation is reviewed with the student and the course coordinator and is maintained in the student's file. All preceptors complete a rating form for the student’s progress. Course coordinators may schedule an evaluation conference with the student if progress is not satisfactory. l. Evaluation of Master's Clinical Practicum / Preceptorship Clinical Seminar Faculty are responsible for the evaluation of the student's performance after a review of different data sources. The clinical evaluation tool is completed by the clinical preceptor and reviewed with the student at midterm and at the completion of the clinical rotation. The clinical evaluation 46 tool must be signed by both the clinical preceptor and student to indicate that the information was reviewed. Written reports, oral presentation, conduct and behaviors in clinical seminar classes The agency preceptor input in collaboration with the student and site visitor faculty evaluates written and verbal communication skills throughout the clinical experience. The student's ability to master the required skills is incorporated into the clinical evaluation. Written report by the student of her/his experience, if indicated in the course objectives. After a review of the input from preceptor's evaluation, student self-evaluation, and faculty evaluation, the Clinical Seminar Faculty posts the final grade for the seminar course Forms are available at: http://www.sjfc.edu/academics/nursing/resources/documents.dot m. Satisfactory /Unsatisfactory Grading Clinical evaluation instruments are designed to give student very specific behaviors that are expected of students enrolled in the clinical courses. Students use the evaluation instrument to engage in self-evaluation at mid-term and again at the end of each clinical course. Clinical faculty will also discuss student progress toward achieving the clinical competencies at mid-term and at the end of the course, and will meet with the student to discuss student achievement in relation to clinical goals. A grade of Satisfactory or Unsatisfactory is posted based on the guidelines included in the evaluation instrument. n. Clinical Summary Form One clinical summary form signed by all of the student’s clinical preceptors in each clinical course must be submitted to document fulfillment of the required clinical hours. This form generates the thank-you note and honorarium for preceptors. Additionally, this form is utilized to verify clinical hours for student applications for national certification exams and credentialing processes by institutions. Students should keep a copy of the form in their files. 11. Typhon Typhon is an electronic student tracking software that is used by the Wegmans School of Nursing in the graduate level courses. It allows the student to log their clinical hours and preceptor evaluations, the preceptors and site visitors to complete the clinical evaluations, and the seminar faculty to monitor the student's progress. It also provides centralized tracking of compliance issues, such as health evaluation form, PPD, CPR, etc. As this is a web-based program, it can be accessed from any device that has internet access. Students will be oriented to this system during the end of the GNUR 571 course, prior to the beginning of clinical. Each individual will be assigned to a user ID and password after their orientation to the program. There are numerous self-tutorials, as well, to aid in successful 47 utilization of this tool. Reports will be generated by both the seminar faculty as well as the FNP Track Coordinator each semester. The link to Typhon is http://typhongroup.com/ 12. Clinical Performance Policies and Guidelines Clinical Course policies At least 50 percent of the clinical hours for Primary Care Nurse Practitioner students must be in primary care settings Students are evaluated in each clinical course, using an evaluation tool based on the Wegmans School of Nursing philosophy, the American Associate of Colleges of Nursing’s Essentials of Masters Education, the American Nurses Association’s Standards of Practice, the American Nurses Association’s Code of Ethics for Nurses, National Organization of Nurse Practitioner Faculties National Task Force document – competencies; NACNS competencies, Quality & Safety Education for Nurses’ KSAs, and the SJFC Wegmans School of Nursing Graduate Program Outcomes. Effective clinical evaluation is an ongoing process-- both formative and summative. This process requires open communication between the faculty and student. o Clinical faculty evaluates progress in learning and achievement of clinical objectives throughout the semester. Expected level of performance for any one behavior, differs as the student advances in the curriculum. At the site visits for graduate students, clinical faculty notify/counsel students about any observed lack of progress or about a specific behavior, and assist the student in formulating a plan to reach learning or competency goals. (See section on critical behaviors below). The site visitor also confers with the preceptor and reports back to the clinical seminar faculty who determines if the clinical outcomes have been met. a. American Nurses Association (ANA) Code of Ethics for Nurses (2015) American Nurses Association (2015), Code of Ethics for Nurses with Interpretive Statements, Washington, DC: American Nurses Publishing. http://nursingworld.org/MainMenuCategories/EthicsStandards 13. Application for Graduation Students completing their graduate program of study should complete the application to graduate on FishRNet. Information about this process is available at: http://www.screencast.com/t/NwQgoScBt Deadlines: December 1 for May graduation April 1 for August graduation September 1 for December graduation 48 This process will generate a graduation audit from the Registrar’s office to make sure that all requirements for graduation have been verified. It is the student’s responsibility to check their online audit during the program (generate a degree evaluation in FishRNet) and the senior audit to make sure that the student is on track to meet requirements for the planned graduation date. 14. Application for NYS Certification and National Certification a. State Certification For NP program Graduates 1. Application for NY State certification required 2. For national professional certification do ONE of: Application to American Academy of Nurse Practitioners (AANP) American Nurses Credentialing Center (ANCC) For CNS program graduates 1. Application for NY State certification required 2. For national professional certification American Nurses Credentialing Center (ANCC) Application for New York State Certification of Nurse Practitioners The student should go to http://www.op.nysed.gov/nurseformsnp.htm . There you will find “Form 1” which is a four page document. This needs to be filled out and notarized. Fees: Do not send cash. Make a check or money order payable to the New York State Education Department (NYSED). Mail appropriate forms (found on-line) & fee to: New York State Education Department Office of the Professions PO Box 22063 Albany, NY 12201 Read the on-line NYS education manual, ‘Certification of Nurse Practitioners’, before beginning this process. The following summary outlines the procedure and forms required to help facilitate this process should guide the Primary Care of Families students. This procedural outline is not a replacement for reading the manual. Any student that has completed a graduate pharmacology course elsewhere should discuss additional requirements with their advisor or the Primary Care of Families Coordinator. When the NYSED approves eligible candidates for certification, a certificate number and an effective date are issued. Approved candidates will become credentialed and entitled to practice in NYS as of that date. Written confirmation of certification by the Department of Education (the registration certificate) is mailed to the candidate within two to three weeks following the effective date. Candidates who have reason to believe they have fully met the requirements for certification are welcome to use the Division’s telephone verification service by calling (518) 474-3817. The certificate number, once issued, and the effective date will be confirmed by telephone. 49 Procedure: Application for New York State Certification of Nurse Practitioners Note: this procedure applies to graduate students who have completed pharmacology (GNUR 570) at St. John Fisher College. General Provisions: It is advisable that any correspondence that is of importance be sent return receipt or registered mail. In addition, always make a copy of all forms for your records and future reference. This process may be initiated the last semester of your graduate program. The Wegmans School of Nursing cannot send the completed verification of Form 2 until all your course work is completed and grades are submitted. Lastly, the Registrar must enter in the computer that the student has graduated. The Registrar requires two weeks to finalize the form after the semester is completed. Please allow four weeks for the entire process. St. John Fisher College Process: Form 2-This form is completed by graduates of NYS NP programs or their equivalent. Complete Section 1 (Verification of Program) & submit to the relevant NP Program Coordinator the last semester of your graduate program. Include a check made out to St. John Fisher College & a completed transcript request form for an official transcript. The FNP Coordinator at the Wegmans School of Nursing will forward Form 2 for the official college seal, the transcript request, and check to the Registrar after she has received your complete packet. The student then sends the completed Form 2 & your transcript to the NYSED after your completion of the program has been verified by the Registrar and entered into the computer. From the Office of Professions website: Always check the website for updates Form 1 - Application for Certification & First Registration - (np1.pdf; 42K; 4 pages) All applicants must complete this form and submit it with the $80 certification fee directly to the Office of the Professions at the mailing address on Form 1. Make checks payable to the New York State Education Department. NOTE: Your cancelled check is your receipt. You must answer all questions and provide all information requested unless otherwise indicated. Failure to complete all parts of the application will delay its review. Your signature on Form 1 must be notarized by a Notary Public. Upon receipt of your completed certification application, we will send you an acknowledgement letter. Address/Name Change Form - Optional (anchange.pdf; 16K; 2 pages) You are required to notify us within 30 days of any name or address changes. Please read the instructions and complete the appropriate sections of this form. 50 Form 2 - Certification of Professional Education - (np2.pdf; 23K; 2 pages) ALL WSON NP GRADUATES MUST FILL OUT THIS FORM For applicants who have completed a licensure qualifying program registered by the State Education Department or a program determined by the Department to be equivalent. This form must be submitted directly to the Office of the Professions from the professional school you attended. Section I: Complete this section of the form before sending it to your school. Section II: The Registrar must complete this section and return the form directly to the Office of the Professions at the mailing address on the form. Form 2B - Verification of Instruction in New York State and Federal Laws Related to Prescriptions and Record Keeping - (np2b.pdf; 22K; 2 pages) For applicants who have completed a program other than a New York State registered, licensure qualifying program. IF YOU TOOK GNUR 570 YOU DO NOT NEED TO FILL OUT THIS FORM. Section I: Complete this section of the form before sending it to the academic institution or professional association where you completed instruction in New York State and federal laws relating to prescriptions and record keeping. Section II: The Registrar or appropriate official must complete this section and return the form directly to the Office of the Professions at the mailing address on the form. Form 2C - Verification of Pharmacotherapeutics Course - (np2c.pdf; 21K; 2 pages) For applicants who have completed a program other than a New York State registered, licensure qualifying program. (took course outside of NYS) IF YOU TOOK GNUR 570 YOU DO NOT NEED TO FILL OUT THIS FORM. Section I: Complete this section of the form before sending it to the academic institution or professional association where you completed the required pharmacotherapeutics course. Section II: The Registrar or appropriate official must complete this section and return the form directly to the Office of the Professions at the mailing address on the form. 51 Form 4NP - Verification of Practice Protocol - (np4np.pdf; 21K; 2 pages) For all applicants- once hired Section I: Complete this section of the form. Section II: You and the collaborating physician with whom you have a practice agreement and practice protocol must complete this section and return the form to the Office of the Professions at the mailing address at the end of the form. NYSED Process: The following forms may be sent to the NYSED with the fee listed above the last semester of your graduate program. The four forms should be sent as a complete package. It is recommended that you wait until the last month prior to graduation. Form 1, 1CS, 1D, 1SL are to be completed by ALL NP candidates. Form 1 - Application for Certification & Registration. Submit this form with the $80.00 fee to the NYSED to the address listed above. If you are certified by a national association, attach a copy of your most current certification which shows the expiration date. Form 1CS -Child Support Obligation. Form 1D -Candidate Data Record. Form 1SL - Student Loan Disclosure. Please note: you do not need to complete any other forms for NYS certification if you have completed your entire Advanced Practice Nursing master’s degree at St. John Fisher College. Miscellaneous Forms: Form 1A -Name & address change. This form is to be sent to the NYSED whenever your name or address changes. *Make multiple copies for future use. 52 Form 4NP -Verification of Practice. You & your collaborating physician must complete this form before you can practice. Protocols must be filed with the NYSED within 90 days of the commencement of practice. You may utilize a standard published protocol(s), provide the title, publisher, & publication date. A list of approved protocol texts can be found on page 19 & 20 of the NYS certification manual. Whenever you change practice, collaborating physician, and/or dissolve your current collaborative agreement, a new Form 4NP must be re-submitted. If the collaborative agreement is dissolved, the NP may not practice until a new practice agreement has been executed. To remove a collaborating physician from your NYSED file, you must send a written request to do so. If currently practicing in more than one setting, you must submit a Form 4NP for each setting. Make multiple copies for future use. b. Application for National Certification as a FNP, AGACNP, AGPCNP, PMHNP or CNS Becoming nationally certified is one of the most important career advances you can make. National certification indicates that you meet standards set by your peers in your area of practice, and it demonstrates your commitment to yourself and to your career and competence in your profession. New York State does not currently require national certification for NYS certification as a nurse practitioner. However, Medicare and Medicaid reimbursement and most employers require national professional certification. Most state boards of nursing require a national certifying exam for state certification. National certification is reserved for those nurses who have met requirements for clinical or functional practice in a specialized field, pursued education beyond basic nursing preparation, and received the endorsement of their peers. After meeting these criteria, nurses take certification examinations based on nationally recognized standards of nursing practice to demonstrate their knowledge, skills, and abilities within the defined specialty. The certification examinations are objective tests that cover knowledge, skills and abilities of specialty nursing practice. All NP & CNS students should apply for national certification as soon as possible after graduation. Reimbursement for NP & CNS services is often linked to national certification. This credential can provide an effective edge during interviews and is required by many employers. The organizations that currently offer these national competency based certification examinations are For NP & CNS: The American Nurses Credentialing Center (ANCC) a. ANCC at 1 (800) 284-2378 or at the ANCC website : http://www.nursecredentialing.org/ The American Association of Nurse Practitioners (AANP). a. The AANP at 1 (512) 442-4262, ext. 14. or www.aanp.org 53 b. The American Association of Nurse Practitioners Certification Program (AANPCP) now has a dedicated email address for receipt of transcripts from your Registrar’s office and from NP students: transcripts@aanpcert.org For any questions regarding national certification, contact your program coordinator. 15. Student Activity Opportunities a. Sigma Theta Tau International Honor Society for Nursing Delta Sigma, a chapter of Sigma Theta Tau International Honor Society of Nursing, recognizes superior achievement, leadership potential, high professional standards, excellence, and creativity. Students who have reached the mid-point of their nursing program may be invited to join for a fall semester induction based on their achievement of a cumulative grade point average of a minimum of 3.0 and a rank in the top 35% of their class. Membership in this society is an honor and offers students an opportunity to strengthen their commitment to the ideals and goals of the nursing profession. The Delta Sigma chapter sponsors annual workshops and publishes a newsletter. It sponsors awards that recognize excellence in undergraduate and graduate student chapter members. Sigma Theta Tau International Honor Society of Nursing sponsors conferences at the regional and national level, which provide a stimulating exchange of information with nurse leaders. Two publications, Reflections on Nursing Leadership and Journal of Nursing Scholarship, are benefits of membership. b. Student Involvement in the Wegmans School of Nursing The faculty welcomes student participation in the functions of the Wegmans School of Nursing. To help the Wegmans School of Nursing gather data for decisions, faculty encourages students to share problems, needs concerns, and suggestions. Numerous mechanisms have been implemented to obtain student input, information, ideas, and opinions prior to making decisions. These include student participation on Wegmans School of Nursing committees, direct interaction with faculty, and written evaluations. The Graduate Committee invites student representation. The Wegmans School of Nursing holds regular School of Nursing and committee meetings. Students are welcome to attend open portions of these meetings. 16. General Information a. Cancelation of Classes & Clinical Due to Weather Conditions When it is necessary to cancel classes on campus because of storm conditions, announcements will be made on local radio and television stations. Graduate students will notify their preceptor if they are unable to travel to the clinical site d/t weather conditions. It is the student’s responsibility to 54 make up the clinical hours so that the total number of required clinical hours are completed during the semester. b. Medical Clearance for Missed Clinical Days for Health Reasons Students who have a health care need that develops after enrollment in the nursing program, prior to, or during the clinical experience, which results in absences from a clinical course for more than one week, the student will be required to obtain written medical clearance from her/his health care provider in order to return to clinical practice. The written medical clearance must document the student's ability to function as a student nurse, at full capacity physically and mentally, in the acute care or community health setting. c. Transportation of Clients Students and faculty are not permitted to transport clients in private vehicles. d. Policy on Universal Precautions The Wegmans School of Nursing is concerned about the safety of its students, faculty, and the client population in the clinical setting. Based on the mandatory Centers for Disease Control (CDC), NYSDOH, and Occupational Safety Health Administration (OSHA) guidelines, the Wegmans School of Nursing requires that both students and faculty observe blood and body fluid universal precautions when working with all clients in all settings (i.e., hospital, clinic, and home, outside agency). Proper use of personal protective equipment is required. Neglecting to use appropriate PPE can be grounds for professional misconduct. Gloves are to be worn during an existing or potential contact with blood and/or body fluids. Masks and goggles may also be worn when a threat of exposure to secretions exists (i.e., handling blood, drainage from wounds, discontinuing IVs, converting IVs to saline-locks, suctioning, emptying all drainage units or when there is a threat of splatter contamination). Used needles will not be recapped. Review agency policies for universal precautions, isolation precautions, and use of PPE. Universal precautions are a shared responsibility for both students and faculty. Faculty members act as role models for the student population, and it is expected that faculty will set an excellent example for students to follow. When a blood or body fluid exposure occurs, both faculty and students should know what procedures to follow for the facility and the necessary follow-up and medical care that is essential. 1. The faculty and student contact the department manager/nursing supervisor immediately to follow the procedure at the specific institution. 55 2. Complete agency and WSON incident reports. 3. Administer first aid as outlined in the facility Infection Control Manual. 4. Students and faculty are responsible for their own medical expenses, including the urgent/emergent care received at the facility and post-exposure follow-up care. 17. Accreditation The master’s programs in nursing at St. John Fisher College Wegmans School of Nursing are accredited by the Commission on Collegiate Nursing Education (CCNE), the accrediting body of the American Association of Colleges of Nursing. Commission on Collegiate Nursing Education One DuPont Circle, NW Suite 530 Washington, DC 20036-1120 (202) 887-6791 www.aacn.nche.edu. All St. John Fisher College nursing programs are also approved by the State Education Department. www.op.nysed.gov The State Education Department Office of the Professions Albany, N.Y. 12230 (518) 474-3817 Ext. 280 Revised 9/2015 56