Hill College Health Science Application Procedure Associate Degree Nursing (ADN) Fall 2014 Application Deadline: June 1, 2014 The Health Science departmental application packet will be available on the departmental website: http://www.hillcollege.edu/academics/Technical/Health_Sciences/Nursing/RN.html or in the Health Science Department. After submission of the completed packet the applicant will be given the HESI A2 with Critical Thinking Referral form. The applicant must have the completed referral form at the time of their scheduled HESI A2 with Critical Thinking. Testing Center contact information: Hillsboro 254-659-7815, Cleburne 817-760-5815 **TESTING NOTES** ** Hill College will be closed for winter break from December 16-January 3, and open again January 6, 2014. ** The absolute last testing session for the HESI, for this testing block, will be noon May 28, 2014. **You may only take the HESI test 2 (two) times in an application block. Documents and/or files will be purged after 1 year excluding the following: o Course evaluations o Course waivers o Transcripts Candidates who are enrolled in one or more of the pre-requisite courses and/or incomplete files will be considered for acceptance at a lower priority than candidates who have completed the application process as well as completed the pre-requisites with a “C” or better by the admission deadline date. It is the policy of Hill College, for any course re-taken; the most recent grade will stand. Submission of this application packet does not guarantee admission/selection in the Associate Degree Nursing program. HILL COLLEGE Associate Degree Nursing Program Admission Criteria **This program has entry every two years currently, and is held at the Hillsboro Campus. ** To be considered for selection in the Fall 2014 Associate Degree Nursing Program, you must complete the following criteria for admission. Submission of materials and/or meeting all criteria in no way guarantees, suggests, or implies admission to the nursing program. A standardized point system based on required admission criteria guides the selection process. NOTE: The application process will begin October 15, 2013; deadline is June 1, 2014. All college transfer work needing evaluation must be submitted to the registrar before April 15, 2014. The decision made by the registrar must be received in the Health Science Department prior to the deadline date of June 1, 2014 A. Admission to Hill College. Refer to http://www.hillcollege.edu/admissions/application/ B. Submission of ADN application to Hill College Nursing Department. C. Complete the HESI A2 with CT (Critical Thinking); the student must contact Teresa Palinkas @ 254-659-7920 for a referral to test. Minimum passing: HESI. HESI A2: Math–60%, Reading–70%, A&P 60%, Critical Thinking: 800 D. Three (3) professional recommendations (1 from current employer or high school academic teacher, 1 from college/university academic faculty, 1 personal). **Faxed, hand delivered copies of or recommendations will not be accepted. E. All applicants will be required to have CPR certification. MUST BE through the American Heart Association, BLS for Healthcare Providers. NO OTHER CERTIFICATION WILL BE ACCEPTED. F. Submit all official college AND official high school transcripts or GED (scores). Transcripts must be mailed by the schools attended. G. TOEFL Policy: Students must demonstrate English proficiency as an admission requirement. This may be demonstrated by one of the following: 1. Attended four years of high school in one of the 50 United States and receiving a diploma 2. Attended two years of high school in one of the 50 United States and passed the GED 3. Acceptable GED scores from one of the 50 United States and acceptable scores from the Test of English as a Foreign Language Test (TOEFL) within the two years of the posted deadline date of program application. TOEFL Waiver: The student can request a TOEFL waiver form from the Health Science department if they meet the following criteria: completion with a “C” or better of 4 different college level English courses and 1 college level communication course; from an accredited US college/university. TOEFL minimum passing: Internet score of 80 or a computer-based TOEFL score of 250 or a paper/pencil test score of 600. Scores will not be considered if they are more than two years old. TOEFL Test score reports must be sent directly to the Health Science Department from the testing center. Information about the TOEFL may be obtained from the web site: www.ets.org/toefl or by calling 1-800-468-6335. H. The following are the program pre-requisite courses. These courses must be complete PRIOR to the deadline date. All courses must be passed with a “C” or better and with a cumulative GPA of 2.50 or better: *BIOL 2401 Anatomy & Physiology I (if older than 5 years contact the Health Science program) *BIOL 2402Anatomy & Physiology II (if older than 5 years contact the Health Science program) *ENGL 1301 English Comp I *BIOL 1322 Nutrition *RNSG 1301 Pharmacology I. Documentation that immunizations are current and up-to-date. Note: The student must show proof of 2 MMR’s, Tdap (documentation of 1 shot in lifetime), Tetanus (documentation of booster within the last 10 years), Varicella vaccine x2, flu vaccine, and Hepatitis B series. The student needs to be aware that the Hepatitis B series will take 4-6 months to complete. The student must either have the Hep B Series completed before direct patient care. (NOTE: all students must have the Hepatitis B series completed prior to performing direct patient care; there will be no exceptions; this is now mandated by the Department of State Health Services). J. Documentation of TSI status (exempt or complete) (determined by Hill College Academic Advising and Student Success Center). K. Complete the background check through Verified Credentials. Contact the Health Science office for the code needed to complete this process. L. The following are not required for the application process may be considered for selection: A. Documentation of medical experience such as CNA, EMS or other health care field that has patient centered care components. B. Completion of the following academic classes that relate to the Associate Degree Nursing curriculum with a “C” or better: 1. 2. 3. 4. 5. BIOL 2420 Microbiology (if older than 5 years contact the Health Science program) PSYC 2301General Psychology BCIS 1305 Business Computer Application PSCY 2314 Human Growth and Development Choose one of the following (prefer Algebra): i. CHEM 1406 Introductory Chemistry I (if older than 5 years contact the Health Science program) ii. MATH 1314 College Algebra (preferred) 6. SPCH 1311 Intro to Speech Communications or SPCH 1315 Public Speaking 7. Humanities/Fine Arts Elective Hill College Associate Degree Nursing Admission Information Fall 2014 entry Hillsboro Full Legal Name: _________________________________________________________________________________ Mailing Address: ____________________________________________City ___________________Zip ___________ Email Address: ___________________________________ Telephone Number(s) Home_____________________________ Other______________________________ Social Security Number _____________-___________-_________________ **If accepted, I would like my letter mailed or emailed (circle one) to the address above. I acknowledge it is my responsibility to notify the Nursing department if any of the above information changes. ** The name and state high school attended_______________________ Grade completed (circle only one) 1 2 3 4 GED List below any licenses/certifications or health-related credentials you currently hold. ____________________________________________________________________________________ List below other nursing or health-related programs attended, with locations and date. ____________________________________________________________________________________ List below the names/addresses/phone number of the last three employers (including present) and date of employment: 1. ___________________________________________________________________________________ 2. ___________________________________________________________________________________ 3. ___________________________________________________________________________________ Of the five (5) classes below please list the college attended, year, and grade received or note you are currently enrolled. 1. BIOL 2401 A & P I______________________________________________________________________________ 2. BIOL 2402 A & P II______________________________________________________________________________ 3. ENGL 1301 English Comp I ____________________________________________________________________ 4. RNSG 1301 Pharmacology _______________________________________________________________________ 5. BIOL 1322 Nutrition ____________________________________________________________________________ Please list other college hours you have completed with the name of the institution, and year attended. Use the back of this form if you need more room. 1. ___________________________________________________________________________________ 2. ___________________________________________________________________________________ 3. __________________________________________________________________________________ 4. ___________________________________________________________________________________ Signature: ________________________________ Date: __________________________ Hill College Nursing Programs ANY candidate with eligibility issues related to criminal convictions seeking consideration for a Hill College Nursing Program must be aware of the following: *** Applicants with an eligibility issue must provide to the Hill College Health Science program, documentation that they have completed the declaratory order process prior to the posted deadline date. Applicants with pending declaratory orders at the posted deadline date will be considered at a lower priority for selection. Failure to disclose an eligibility issue prior to admission into the nursing program WILL result in AUTOMATIC DISMISSAL from the nursing program. Texas Board of Nursing (BON) rules and regulations regarding eligibility issues can be found at http://www.bon.texas.gov/exameligibility.htm. Eligibility Issues Applicants who answer “YES” to any of the following questions must download and complete the Declaratory Order application using this link: http://www.bon.texas.gov/olv/pdfs/DOapp.pdf. The Board of Nursing Review of applicants with eligibility issues can take three (3) to six (6) month to complete. For any criminal offense, including those pending appeal, have you: A. been convicted of a misdemeanor? B. been convicted of a felony? C. pled nolo contendere, no contest, or guilty? D. received deferred adjudication? E. been placed on community supervision or court-ordered probation, whether or not adjudicated guilty? F. been sentenced to serve jail or prison time? court-ordered confinement? G. been granted pre-trial diversion? H. been arrested or have any pending criminal charges? I. been cited or charged with any violation of the law? J. been subject of a court-martial; Article 15 violation; or received any form of military judgment/punishment/action? (You may only exclude Class C misdemeanor traffic violations.) *NOTE: Expunged and Sealed Offenses: While expunged or sealed offenses, arrests, tickets, or citations need not be disclosed, it is your responsibility to ensure the offense, arrest, ticket or citation has, in fact, been expunged or sealed. It is recommended that you submit a copy of the Court Order expunging or sealing the record in question to our office with your application. Failure to reveal an offense, arrest, ticket, or citation that is not in fact expunged or sealed, will at a minimum, subject your license to a disciplinary fine. Non-disclosure of relevant offenses raises questions related to truthfulness and character. *NOTE: Orders of Non-Disclosure: Pursuant to Tex. Gov’t Code § 552.142(b), if you have criminal matters that are the subject of an order of non-disclosure you are not required to reveal those criminal matters on this form. However, a criminal matter that is the subject of an order of non-disclosure may become a character and fitness issue. Pursuant to other sections of the Gov’t Code chapter 411, the Texas Nursing Board is entitled to access criminal history record information that is the subject of an order of nondisclosure. If the Board discovers a criminal matter that is the subject of an order of non-disclosure, even if you properly did not reveal that matter, the Board may require you to provide information about any conduct that raises issues of character. A. Are you currently the target or subject of a grand jury or governmental agency investigation? B. Has any licensing authority refused to issue you a license or ever revoked, annulled, cancelled, accepted surrender of, suspended, placed on probation, refused to renew a license, certificate or multi-state privilege held by you now or previously, or ever fined, censured, reprimanded or otherwise disciplined you? C. Within the past five (5) years have you been addicted to and/or treated for the use of alcohol or any other drug? D. Within the past five (5) years have you been diagnosed with, treated, or hospitalized for schizophrenia and/or psychotic disorder, bipolar disorder, paranoid personality disorder, antisocial personality disorder, or borderline personality disorder? I, __________________________________________________________ have received and understand the above Hill College Nursing Program requirements concerning Eligibility Issues. _______________________________________________________ Signature ______________________________ Date Hill College Health Science Department Criminal background requirements The Hill College Nursing Programs have implemented the following change to the application process related to the background check process. All applicants seeking entry in the ADN program must complete the finger printing process through the Identogo.com (formerly L1 Solutions). The cost of the fingerprinting is $41.45, non-refundable. The new process will be as follows: 1. Submit application 2. Once a month during application timeline, a roster with a list of all applicants will be sent to the Board of Nursing 3. Approximately 10 days after submission of the roster, applicants will be sent an email with Fast Pass application to make an appointment for fingerprints. 4. Fingerprints must be done with receipts submitted to the nursing department before deadline date of June 1, 2014. Please note that following ADN application submission dates: -October 15- November 15, 2013 -February 15-March 15, 2014 **November 15 – December 15, 2013 -March 15-April 15, 2014 **December 15 – January 15, 2014 -April 15- May 31, 2014 -January 15 – February 15, 2014 **NOTE: School closure/Winter break Dec. 16-Jan. 6, 2014 *Example: John Doe submitted his application postmarked March 1, 2014. Jane Doe submitted her application postmarked March 31, 2014. Approximately 10 business days after March 31, 2014, Hill College Health Science will send email confirmation to John and Jane Doe that their application was received; the email will include the MorphoTrust USA (formerly L1 Solutions) Fast Pass fingerprint application. The student must begin the fingerprinting process as soon as they receive the Fast Pass. April 15- May 31, 2014 Applicants who submit their application April 15-May 31 will be considered for selection but at a lower priority than those who have the Identogo process is, in progress. >>>Early submission of applications is not a guarantee of selection in to the program. All required application documents must in file by the June 1, 2014 deadline date. >>>Applicants who try to complete the Identogo.com without the Hill College Associate Degree Nursing Identogo.com FastPass email approval will risk having their background check process delayed and/or application denied by the Health Science ADN program. Associate Degree Nursing I, _______________________________________________, acknowledge that I will be required to have a criminal background check and a drug test completed before I can register for the Hill College ADN Program. 213.28 - Licensure of Persons with Criminal Convictions The Texas Board of Nursing (BON) may refuse to approve persons to take the licensure examination, may refuse to issue or renew a license or certificate of registration, or may refuse to issue a temporary permit to any individual that has been convicted of a felony, a misdemeanor involving moral turpitude or engage in conduct resulting in the revocation of probation imposed pursuant to such a conviction. The practice of nursing involves clients, their families, significant others and the public in diverse settings. The registered and vocational nurse practices in an autonomous role with individuals who are physically, emotionally and financially vulnerable. The nurse has access to personal information about all aspects of a person’s life, resources and relationships. Therefore, criminal behavior whether violent or non-violent, directed against persons, property or public order and decency is considered by the Board as highly relevant to an individual’s fitness to practice nursing. I acknowledge that clinical facilities have the right to refuse any student to attend clinical rotations at their facility for any issue related to an eligibility issue. If this occurs, the student will not be able to continue in the ADN program. I further acknowledge that an approved declaratory order is not a guarantee that the student will be able to attend any clinical rotation if the facility refuses to allow the student access. I acknowledge that failure to disclose a potential eligibility issue not found by the Hill College ADN program will be considered unethical behavior and will constitute dismissal from the program without cause. I acknowledge that any candidate with an eligibility issue (see BON rules and regulations) must provide an approved declaratory order prior to acceptance into the ADN Program. “Hill College policy prohibits the unlawful manufacture, possession, use, sale, transfer, or purchase of a controlled substance or designer drug on campus. It is also a violation of College policy for anyone to unlawfully possess, use, or be under the influence of an alcoholic beverage or controlled substance on the campus or a College related activity off-campus” I further acknowledge that if my drug test comes back positive I will not be allowed to register for the ADN Program. I further acknowledge that at any point within the year I may be required to do further drug testing and/or background checks if the program director in consultation with the instructor(s) feel there is sufficient evidence to warrant further investigation. By my signature below I acknowledge that I have received a copy of this letter and understand what is required for entry into the ADN Program. ___________________________________________ Signature ____________________ Date Health Science (Vocational Nursing, ADN, ADN Transition, Emergency Medical Technician, Echocardiography Technician, Diagnostic Medical Sonography) Student Information Data Sheet Please print the following information: Last Name Middle Name First Name Maiden Name Suffix (Jr. III) Please list other names you have been known by: _________________________________________ _________________________________________________________________________________________ _________________________________________________________________________ _________________________________________________________________________________________ _________________________________________________________________________________________ _________________________________________________________________ Date of Birth: ______\______\_______ Social Security #: _________\_______\_________ Texas Driver’s License #: ________________________ State Issued: __________________ Height: ________ Weight: __________ Gender (M or F): _______ Ethnic Group: __________ (1=White 2=African American 3=American Native/Aleutian 4=Asian/Filipino 5 = Hispanic 6=other) (Enter appropriate number) Color of Hair: _________________ Color of Eyes: ____________ Place of Birth: ____________________________ Explanation of the point system policy In addition to the general admission requirements to Hill College, the Hill College Nursing Department implemented (October 2000) a point system for possible acceptance in the ADN Program. Required: 1. HESI A2 Reading 70%, Math 60%, A&P 60%, Critical Thinking 800 2. Reference form 1. Professional, instructor, personal, i.e.: current/former supervisor/co-worker, instructor/counselor only, friend or family member. No References: no points will be given for references not received by deadline or received from unacceptable source or method of delivery **NOTE** All references must be mailed. The Nursing Department will not accept faxed or hand delivered references **NOTE** You must show that you have completed the required pre-requisites: BIOL 2401 Anatomy & Physiology I, BIOL 2402 Anatomy & Physiology II , ENGL 1301 English Comp I, RNSG 1301 Pharmacology, and BIOL 1322 Nutrition PRIOR to the deadline date. Candidates enrolled in the pre-requisites may be considered for acceptance at a lower priority than candidates who have completed the pre-requisites by the admission deadline date. If you need further clarification on this requirement please call 254-659-7920. . The following are not required but may be considered, for points: 1. Prior Medical Experience: If employed as a CNA, CMA, etc. you must provide copy of state certification, with a letter (must be on company letterhead) from your current employer stating you have worked > six months in your field of study. To receive 1/2 of the points you must submit an official transcript showing you have completed the course with a “C” or better. 2. Following recommended courses, completed with a “C” or better: A. BIOL 2420 Microbiology (BIOL 2421 Microbiology acceptable) (if older than 5 years contact the Health Science program) M. PSYC 2301General Psychology N. BCIS 1305 Business Computer Application O. PSCY 2314 Human Growth and Development P. Choose one of the following (Algebra preferred): i. CHEM 1406 Introductory Chemistry I (if older than 5 years contact the Health Science program) ii. MATH 1314 College Algebra Q. SPCH 1311 Intro to Speech Communications or SPCH 1315 Public Speaking R. Humanities/Fine Arts Elective General Explanation HESI Assessment Test The Math, Reading and A&P portions of the HESI A2 test will be used to determine the eligibility of the student to be initially qualified for possible selection into the ADN Program. Reading Comprehension: 38-item exam- reading scenarios that are health related. The reading scenarios pop up on the screen, such as identifying the main idea, supporting details, meanings of words, purpose and tone, differentiating between fact and opinion, logical inferences and summarizing. Time allotment: 50 minutes. Math: 50-item exam. Focus on math needed for calculation of drugs and solutions. Such as: basic math, fractions/decibels, ratio/proportion, percentages, and basic algebraic equations. Time allotment: 50 minutes. A&P (Science): 25-item exam. Quick assessment of the students’ knowledge of the various sciences he/she will encounter in the course of their student nurse experience. Time allotment: 25 minutes. Note: The English portion of the test will be used in the calculation points system for possible selection. English: Grammar: 50-item exam. Contains basic grammar. Time allotment: 50 minutes Vocabulary and General Knowledge: 50-item test. Contains basic vocabulary that is often used in the health care fields. Time allotment: 50 minutes. The HESI Critical Thinking portion of the test will assess the student’s ability to critically thinking. HESI Critical Thinking The HESI Critical Thinking exam is a four-choice, multiple-choice test. All answers are correct. However, each choice reflects a different degree of critical thinking skills. Scores range from 0-1000. The higher your score is, the better your ability to think critically within the discipline of nursing. In addition to a total score on this exam you will receive scores on five sub-categories of critical thinking: Problem Solving: These questions refer to the process of inquiry in which the nurse seeks multiple facts to remove obstacles or resolve patient care problems. Resolution Biases/Ethical Dilemma: These questions address ethical, legal, and moral issues, as well as biases nurse may have about patients and others. Argument Analysis: These questions refer to situations in which the nurse seeks to resolve conflicts or disagreements by considering multiple points of view. Analysis of Data: These questions address the need to interpret patient data correctly, and decide if further nursing action is required. Prioritization of Care Thank you for your interest in the Hill College Associate Degree Nursing Program. The program is a two-year, 72 credit hour curriculum leading to an Associate in Applied Sciences. The ADN Program is accredited by the Texas Board of Nursing (BON) and is designed to provide the student with the skill and knowledge required to pass the NCLEX-PN (National Council Licensure Examination - Professional Nursing). Disabilities/ADA In accordance with the requirements of the Americans with Disabilities Act (ADA) and the regulations published by the United States Department of Justice 28 C.F.R. 35.107(a), Hill College’s designated ADA coordinator, Melanie Betz, Director of Academic Advising & Student Success, shall be responsible for coordinating the College’s efforts to comply with and carry out its responsibilities under ADA. Students with disabilities requiring physical, classroom, or testing accommodations should contact the Director of Academic Advising & Student Success, Melanie Betz, at (254) 659-7651. Nondiscrimination on the Basis of Disability Federal law prohibits us from making preadmission inquiry about disabilities. Information regarding disabilities, voluntarily given or inadvertently received, will not adversely affect any admission decision. If you require special services because of disability, you may notify the Office of Student Development. This voluntary self-identification allows Hill College to prepare appropriate support services to facilitate your learning. This information will be kept in strict confidence and has no effect on your admission to the college. Hill College has designated the Vice President of Student Development as the Section 504 Coordinator. Also Hill College complies with state regulations that allow no illegal drugs on Campus. Students caught with such a drug may be suspended from the college for a specified period of time. General College Information Hill College is an affirmative action/equal opportunity educator institution and employer. The College does not discriminate on the Basis of Disability. Please refer to the Hill College Catalog for further information on any of the following policies or general college information. 1. Affirmative Action/Equal Opportunity 1. Nondiscrimination on the Basis of Disability 2. General Admission Requirements to the College; 3. Overdue Financial Obligations 4. Financial Aid Hill College Admission Policy/State Board Limits Hill College maintains an open admission policy; however, the number of nursing students that can be accepted is limited by the Texas Board of Nursing (BON) and the availability of clinical instruction facilities. Hill College will take the top candidates who receive the highest total points. ** In the event of a tie the candidate with the highest points in the required areas will be given first priority (Reading, Math, A&P scores, Critical Thinking and Reference form). Hill College reserves the right to refuse admission to the nursing program to any applicant whose application is deemed unsatisfactory. Texas Board of Nursing (BON), Criminal Conviction Policy 213.28 The Texas Board of Nursing (BON) may refuse to approve persons to take the licensure examination, may refuse to issue or renew a license or certificate of registration, or may refuse to issue a temporary permit to any individual that has been convicted of a felony, a misdemeanor involving moral turpitude or engage in conduct resulting in the revocation of probation imposed pursuant to such a conviction. The practice of nursing involves clients, their families, significant others and the public in diverse settings. The nurse has access to personal information. The Hill College Associate Degree Nursing Program requires any candidate with an eligibility issue (see BON rules and regulations) to provide the ADN Program Director an approved declaratory order prior to acceptance into the ADN Program. Explanation of the Test of English as a Foreign Language Test (TOEFL) TOEFL Policy TOEFL Policy: Students must demonstrate English proficiency as an admission requirement. This may be demonstrated by one of the following: 1. Attended four years of high school in one of the 50 United States and receiving a diploma. 2. Attended two years of high school in one of the 50 United States and passed the GED. 3. Acceptable GED scores from one of the 50 United States and acceptable scores from the Test of English as a Foreign Language Test (TOEFL) within the two years of the posted deadline date of program application. TOEFL minimum passing score: Internet score of 80 or a computer-based TOEFL score of 250 or a paper/pencil test score of 600. Scores will not be considered if they are more than two years old. TOEFL Test score reports must be sent directly to the Health Science Department from the testing center. Information about the TOEFL may be obtained from the web site: www.ets.org/toefl or by calling 1-800-468-6335. TOEFL Waiver: The student can request a TOEFL waiver form from the Health Science department if they meet the following criteria: completion with a “C” or better of 4 different college level English courses and 1college level communication course; from an accredited US college/university. Hill College Associate Degree Nursing Program Fall entry classes will begin in August 2014, and will complete in May 2016. We do clinical in several different areas, as far north as Fort Worth, and as far south as Temple. BE PREPARED TO TRAVEL!! The travel and expenses to the class and clinical facilities is the responsibility of the STUDENT. ASSOCIATE DEGREE NURSING Completion of the requirements below, leads to the Associates in Applied Sciences and is designed to provide the student with the skills and knowledge required to pass the licensure exam from the National Council of State Board of Nursing (Texas-Professional Nursing). Pre-Requisites: Must be completed prior to entry into the ADN Program BIOL 2401 Anatomy & Physiology I…….……………………………………………………. BIOL 2402 Anatomy & Physiology II………………………………………………………… ENGL 1301 English Composition I……………………………………………………………. RNSG1301 Pharmacology……………………………………………………………………… BIOL1322 Nutrition………….………………………………………………………………… Total Hours… 4 4 3 3 3 17 ADN Curriculum LEVEL I: PSYC 2301 General Psychology……………………………………………………………..... 3 CHEM 1406 General Chemistry or MATH 1314 College Algebra………………………. 4/3 if Math BCIS 1301 Intro to Computers…………………………………………………………………. 3 RNSG 1513 Nursing Foundations……………………………………………………………… 5 RNSG 1160 Clinical (Foundations)…………………………………………………………….. 1 Total Hours… 16/17 LEVEL II: PSYC 2314 Human Growth and Development…………………………………………………. 3 RNSG 1441 Common Concepts of Adult Health……………………………………………….. 4 RNSG 1261 Clinical …………………………………………………………………………….. 2 RNSG 1412 Nursing Care of CB/CR Family……………………………………………………. 4 Total Hours… 13 LEVEL III: BIOL 2420 Microbiology………………………………………………………………………. 4 RNSG 2313 Mental Health Nursing……………………………………………………………. 3 RNSG 1343 Complex Concepts of Adult Health………………………………………………. 3 RNSG 2261 Clinical ………………………………….………………………………………… 2 Total Hours... 12 LEVEL IV: Humanities/Fine Arts Elective………………………………………………………………….. 3 SPCH 1311 Intro to Speech Communications or SPCH 1315 Public Speaking……………….. 3 RNSG 2331 Advanced Concepts of Adult Health……………………………………………… 3 RNSG 2361 Clinical ……………………………………………………………………………. 3 RNSG 2201 Care of Children and Families……………………………………………………... 2 Total Hours… 14 Total Program Hours… 72/71 Hill College Nursing Department Classroom and Clinical Grading Policy The grade of “C” is required to progress to the next semester. The nursing department grading system is as follows: A = 90-100 B = 80 - 89 C = 75 - 79 F = < 75 Academic Course Recommendations For all locations BIOL 2401, BIOL 2402, ENGL 1301, RNSG 1301, and BIOL 1322 are required before admission to the ADN program. Important Please Read Immunization requirements **The Pre-enrollment Health Screening form must be completed and turned in on the first day of ADN Pre-Orientation. ** All prospective students must show proof that they are current and up to date with all required immunizations: (2) MMR’s (Measles, Mumps and Rubella) or titer showing immunity (1) Td (within the last 7 years). (1) Tdap (within lifetime) (2) Varicella (Chicken Pox) or titer showing immunity Seasonal Influenza vaccine Hepatitis B Series (Hep B #1, then one month later Hep B #2, Hep B #3 [4 – 6 months after the first shot]) must be completed or in progress (with proof of completion of the Hep B #1 and Hep B #2 of the series)at the time of enrollment in the Vocational Nursing Program. **The student must complete the Hepatitis B series prior to direct patient care. The student should expect to experience direct patient March 2013.* CPR Certification (American Heart Association/Basic Life Support with hands on skills component) **NOTE: THIS MUST BE IN FILE BY DEAD-LINE DATE!!!** Required AFTER selection: Negative TB (Tuberculosis) tine test (or chest x-ray if the prospective student shows a positive reaction to the TB skin test.) This should be done after acceptance into the program. Health Screening form (Physical) Drug Test Hill College Associate Degree Nursing Program REFERENCE FORM Applicant Name: _________________________________________________________ I am applying for admission to the Hill College ADN Program. This evaluation will be considered confidential unless otherwise noted below: _______________ I (applicant) retain my right to review this recommendation. _______________ I (applicant) do not retain my right to review this recommendation. __________________________________________________ Applicant Signature _________________________ Date APPLICANT: Recommendations that are mailed directly from the evaluator will be the only recommendation considered acceptable. _______________________________________________________________________________________ Evaluator: Please mail directly to: Hill College, ATTN: ADN Nursing Program 112 Lamar Drive Hillsboro, TX 76645 How long have you known this applicant? _______________________ In what capacity do you know this applicant? Employer _________ Personal ________ Instructor _______ Please rate the above applicant in each of the categories below: Excellent= 5 Above Average= 4 Average= 3 Below Average= 2 Organization Writing Skills Oral Communications Analytic Skills Initiative Independence Maturity Perseverance Punctuality Overall Academic ability Character Professional Appearance 5 5 5 5 5 5 5 5 5 5 5 5 4 4 4 4 4 4 4 4 4 4 4 4 3 3 3 3 3 3 3 3 3 3 3 3 2 2 2 2 2 2 2 2 2 2 2 2 1 1 1 1 1 1 1 1 1 1 1 1 Poor= 1 No Comment= 0 ________________________________ Evaluator Name/Title ________________________________ Email _________________________________ Telephone number _________________________________ Signature Any further comments that you feel will better describe this candidate’s suitability for possible selection into the Hill College ADN program, are encouraged and can be included on the back of this form. THANK YOU for your time in the evaluation of this applicant. All information received will be part of the admission criteria for selection of all qualified applicants. Texas Administrative Code <<Prev Rule TITLE 22 PART 11 CHAPTER 213 RULE §213.28 Next Rule>> EXAMINING BOARDS TEXAS BOARD OF NURSING PRACTICE AND PROCEDURE Licensure of Persons with Criminal Offenses (a) This section sets out the considerations and criteria in determining the effect of criminal offenses on the eligibility of a person to obtain a license and the consequences that criminal offenses may have on a person’s ability to retain or renew a license as a registered nurse or licensed vocational nurse. The Board may refuse to approve persons to take the licensure examination, may refuse to issue or renew a license or certificate of registration, or may refuse to issue a temporary permit to any individual that has been convicted of or received a deferred disposition for a felony, a misdemeanor involving moral turpitude, or engaged in conduct resulting in the revocation of probation. (b) The practice of nursing involves clients, their families, significant others and the public in diverse settings. The registered and vocational nurse practices in an autonomous role with individuals who are physically, emotionally and financially vulnerable. The nurse has access to personal information about all aspects of a person’s life, resources and relationships. Therefore, criminal behavior whether violent or non-violent, directed against persons, property or public order and decency is considered by the Board as highly relevant to an individual’s fitness to practice nursing. The Board considers the following categories of criminal conduct to relate to and affect the practice of nursing: (1) offenses against the person similar to those outlined in Title 5 of the Texas Penal Code. (A) These offenses include, but are not limited to, the following crimes, as well as any crime that contains substantially similar or equivalent elements under another state or federal law: (i) Abandonment/Endangerment of a Child {TPC §22.041} (ii) Agree to Abduct Child for Remuneration: Younger than Eighteen {TPC §25.031} (iii) Aiding Suicide: Serious Bodily Injury/Death {TPC §22.08} (iv) Assault, Aggravated {TPC §22.02} (v) Capital Murder {TPC §19.03} (vi) Child Pornography, Possession or Promotion {TPC §43.26(a), (e) (Texas Rules of Criminal Procedure Ch. 62)} (vii) Indecency with a Child {TPC §21.11 (TRCP Ch. 62)} (viii) Indecent exposure (2 or more counts and/or required to register as sex offender) {TPC §21.08 (TRCP Ch. 62)} (ix) Injury to Child, Elderly, Disabled {TPC §22.04} (x) Kidnapping {TPC §20.03, §20.04 (TRCP Ch. 62)} (xi) Manslaughter {TPC §19.04} (xii) Murder {TPC §19.02} (xiii) Online Solicitation of a Minor {TPC §33.021(b), (c), (f); (TRCP Ch. 62)} (xiv) Prostitution, Compelling {TPC §43.05 (TRCP Ch. 62)} (xv) Protective Order, Violation {TPC §25.07, §25.071} (xvi) Sale or Purchase of a Child {TPC §25.08} (xvii) Sexual Assault {TPC §22.011 (TRCP Ch. 62)} (xviii) Sexual Conduct, Prohibited {TPC §25.02 (TRCP Ch. 62)} (xix) Sexual Assault, Aggravated {TPC §22.021 (TRCP Ch. 62)} (xx) Sexual Performance by Child {TPC §43.24 (d), §43.25(b) (TRCP Ch. 62)} (xxi) Unlawful Restraint {TPC §0.02} (xxii) Assault {TPC §22.01(a)(1), (b), (c)} (xxiii) Criminally negligent homicide {TPC §19.05} (xxiv) Improper Relationship between Educator and Student {TPC §21.12} (xxv) Improper photography {TPC §21.15} (xxvi) Obscenity, Wholesale promotion {TPC §43.23(a), (h)} (xxvii) Prostitution (3 or more counts) or Aggravated Promotion {TPC §43.02, §43.04} (xxviii) Resisting Arrest, Use of Deadly Weapon {TPC §38.03(d)} (xxix) Stalking {TPC §42.072(b)} (xxx) Harassment {TPC §42.07} (xxxi) Prostitution or Promotion of {TPC §43.02} (xxxii) Protective Order, Violation {TPC §25.07, §38.112} (xxxiii) Resisting Arrest {TPC §38.03(a)} (xxxiv) Deadly conduct {TPC §22.05(a)} (xxxv) Obscenity, Participates {TPC §43.23(c), (h)} (xxxvi) Terroristic Threat {TPC §22.07} (xxxvii)Criminal Attempt or Conspiracy {TPC §15.01, §15.02} (B) These types of crimes relate to the practice of nursing because: (i) nurses have access to persons who are vulnerable by virtue of illness or injury and are frequently in a position to be exploited; (ii) nurses have access to persons who are especially vulnerable including the elderly, children, the mentally ill, sedated and anesthetized patients, those whose mental or cognitive ability is compromised and patients who are disabled or immobilized and may be subject to harm by similar criminal behavior; (iii) nurses are frequently in situations where they provide intimate care to patients or have contact with partially clothed or fully undressed patients who are vulnerable to exploitation both physically and emotionally; (iv) nurses are in the position to have access to privileged information and opportunity to exploit patient vulnerability; and (v) nurses who commit these crimes outside the workplace raise concern about the nurse’s propensity to repeat that same misconduct in the workplace and raises concerns regarding the individual’s ability to provide safe, competent care to patients. (2) offenses against property, e.g., robbery, burglary and theft, etc. (A) These offenses include, but are not limited to, the following crimes, as well as any crime that contains substantially similar or equivalent elements under another state or federal law: (i) Burglary (if punishable under Penal Code §30.02(d)) {TRCP Ch. 62 (§62.001(5)(D))} (ii) Robbery {TPC §29.02} (iii) Robbery, Aggravated {TPC §29.03} (iv) Arson {TPC §28.02(d)} (v) Burglary {TPC §30.02} (vi) Criminal Mischief {TPC §28.03} (vii) Money Laundering >= $1500 {TPC §34.02(e)(1) - (4)} (viii) Theft >= $1500 {TPC §31.03(e)(4) - (7)} (ix) Theft < 9 {TPC §31.03(e)(1) - (3)} (x) Vehicle, Unauthorized Use {TPC §31.07} (xi) Criminal Trespass {TPC §30.05(a),(d)} (xii) Cruelty to Animals {TPC §42.091} (xiii) Criminal Attempt or Conspiracy {TPC §15.01, §15.02} (B) These types of crimes relate to the practice of nursing because: (i) nurses have access to persons who are vulnerable by virtue of illness or injury and are frequently in a position to be exploited; (ii) nurses have access to persons who are especially vulnerable including the elderly, children, the mentally ill, sedated and anesthetized patients, those whose mental or cognitive ability is compromised and patients who are disabled or immobilized and may provide easy opportunity to be victimized; (iii) nurses have access to persons who frequently bring valuable (medications, money, jewelry, items of sentimental value, checkbook, or credit cards) with them to a health care facility with no security to prevent theft or exploitation; (iv) nurses frequently provide care in private homes and home-like settings where all of the patient’s property and valuables are accessible to the nurse; (v) nurses frequently provide care autonomously without direct supervision and may have access to and opportunity to misappropriate property; and (vi) nurses who commit these crimes outside the workplace raise concern about the nurse’s propensity to repeat that same misconduct in the workplace and, therefore, place patients’ property at risk. (vii) certain crimes involving property, such as cruelty to animals and criminal trespass, may also concern the safety of persons and, as such, raise concerns about the propensity of the nurse to repeat similar conduct in the workplace, placing patients at risk. (3) offenses involving fraud or deception. (A) These offenses include, but are not limited to, the following crimes, as well as any crime that contains substantially similar or equivalent elements under another state or federal law: (i) Attempt, Conspiracy, or Solicitation of Ch. 62 offense {TRCP Ch. 62} (ii) Tampering with a Government Record {TPC §37.10} (iii) Insurance Fraud: Intent to Defraud {TPC §35.02(a-1), (d)} (iv) Insurance Fraud: Claim > $500 {TPC §35.02(c)} (v) Insurance Fraud: Claim < 0 {TPC §35.02 (c)(1) - (3)} (vi) Medicaid Fraud > $1500 {TPC §35A.02(b)(4) - (7)} (vii) Medicaid Fraud < $1500 {TPC §35A.02(b)(2) - (3)} (viii) Criminal Attempt or Conspiracy {TPC §15.01, §15.02} (B) These types of crime relate to the practice of nursing because: (i) nurses have access to persons who are vulnerable by virtue of illness or injury and are frequently in a position to be exploited; (ii) nurses have access to persons who are especially vulnerable including the elderly, children, the mentally ill, sedated and anesthetized patients, those whose mental or cognitive ability is compromised and patients who are disabled or immobilized; (iii) nurses are in the position to have access to privileged information and opportunity to exploit patient vulnerability; (iv) nurses are frequently in situations where they must report patient condition, record objective/subjective information, provide patients with information, and report errors in the nurse’s own practice or conduct; (v) the nurse-patient relationship is of a dependent nature; and (vi) nurses who commit these crimes outside the workplace raise concern about the nurse’s propensity to repeat that same misconduct in the workplace and, therefore, place patients at risk. (4) offenses involving lying and falsification. (A) These offenses include, but are not limited to, the following crimes, as well as any crime that contains substantially similar or equivalent elements under another state or federal law: (i) False Report or Statement {TPC §32.32, §42.06} (ii) Forgery {TPC §32.21(c), (d), (e)} (iii) Tampering with a Governmental Record {TPC §37.10} (B) These crimes are related to nursing because: (i) nurses have access to persons who are vulnerable by virtue of illness or injury; (ii) nurses have access to persons who are especially vulnerable including the elderly, children, the mentally ill, sedated and anesthetized patients, those whose mental or cognitive ability is compromised and patients who are disabled or immobilized; (iii) nurses are frequently in situations where they must report patient condition, record objective/subjective information, provide patients with information, and report errors in the nurse’s own practice or conduct; (iv) honesty, accuracy and integrity are personal traits valued by the nursing profession, and considered imperative for the provision of safe and effective nursing care; (v) falsification of documents regarding patient care, incomplete or inaccurate documentation of patient care, failure to provide the care documented, or other acts of deception raise serious concerns whether the nurse will continue such behavior and jeopardize the effectiveness of patient care in the future; (vi) falsification of employment applications and failing to answer specific questions that would have affected the decision to employ, certify, or otherwise utilize a nurse raises concerns about a nurse’s propensity to lie and whether the nurse possesses the qualities of honesty and integrity; (vii) falsification of documents or deception/lying outside of the workplace, including falsification of an application for licensure to the Board, raises concerns about the person’s propensity to lie, and the likelihood that such conduct will continue in the practice of nursing; and (viii) a crime of lying or falsification raises concerns about the nurse’s propensity to engage in similar conduct while practicing nursing and place patients at risk. (5) offenses involving the delivery, possession, manufacture, or use of, or dispensing or prescribing a controlled substance, dangerous drug, or mood-altering substance. (A) These offenses include, but are not limited to, the following crimes, as well as any crime that contains substantially similar or equivalent elements under another state or federal law: (i) Drug Violations under Health and Safety Code Chs. 481, 482, 483; or (ii) Driving While Intoxicated (2 or more counts) {TPC §49.09} (B) These crimes relate to the practice of nursing because: (i) nurses have access to persons who are vulnerable by virtue of illness or injury; (ii) nurses have access to persons who are especially vulnerable including the elderly, children, the mentally ill, sedated and anesthetized patients, those whose mental or cognitive ability is compromised and patients who are disabled or immobilized; (iii) nurses provide care to critical care, geriatric, and pediatric patients who are particularly vulnerable given the level of vigilance demanded under the circumstances of their health condition; (iv) nurses are able to provide care in private homes and home-like setting without supervision; (v) nurses who are chemically dependent or who abuse drugs or alcohol may have impaired judgment while caring for patients and are at risk for harming patients; and (vi) an offense regarding delivery, possession, manufacture, or use of, or dispensing , or prescribing a controlled substance, dangerous drug or mood altering drug raises concern about the nurse’s propensity to repeat that same misconduct in the workplace. (vii) DWI offenses involve the use and/or abuse of mood altering drugs while performing a state licensed activity affecting public safety; repeated violations suggest a willingness to continue in reckless and dangerous conduct, or an unwillingness to take appropriate corrective measures, despite previous disciplinary action by the state. (c) In considering whether a criminal offense renders the individual ineligible for licensure or renewal of licensure as a registered or vocational nurse, the Board shall consider: (1) the knowing or intentional practice of nursing without a license issued under the NPA; (2) any felony or misdemeanor involving moral turpitude; (3) the nature and seriousness of the crime; (4) the relationship of the crime to the purposes for requiring a license to engage in nursing practice; (5) the extent to which a license might offer an opportunity to engage in further criminal activity of the same type as that in which the person previously had been involved; and (6) the relationship of the crime to the ability, capacity, or fitness required to perform the duties and discharge the responsibilities of nursing practice; (7) whether imprisonment followed a felony conviction, felony community supervision revocation, revocation of parole or revocation of mandatory supervision; and (8) conduct that results in the revocation of probation imposed because of conviction for a felony or for a misdemeanor involving moral turpitude. (d) Crimes listed under subsections (b)(1)(A)(i) - (xxi), (b)(2)(A)(i) - (iii), and (b)(3)(A)(i) of this section are offenses identified under §301.4535 of the NPA. As such, these offenses require the board to suspend a nurse’s license, revoke a license, or deny issuing a license to an applicant upon proof of initial conviction. (e) In addition to the factors that may be considered under subsection (c) of this section, the Board, in determining the present fitness of a person who has been convicted of or received a deferred order for a crime, shall consider: (1) the extent and nature of the person’s past criminal activity; (2) the age of the person when the crime was committed; (3) the amount of time that has elapsed since the person’s last criminal activity; (4) the conduct and work activity of the person before and after the criminal activity; (5) evidence of the person’s rehabilitation or rehabilitative effort while incarcerated or after release; and (6) other evidence of the person’s present fitness, including letters of recommendation from: prosecutors and law enforcement and correctional officers who prosecuted, arrested, or had custodial responsibility for the person; the sheriff or chief of police in the community where the person resides; and any other persons in contact with the convicted person. (f) It shall be the responsibility of the applicant, to the extent possible, to obtain and provide to the Board the Recommendations of the prosecution, law enforcement, and correctional authorities as required under this Act. The applicant shall also furnish proof in such form as may be required by the Board that he or she has maintained a record of steady employment and has supported his or her dependents and has otherwise maintained a record of good conduct and has paid all outstanding court costs, supervision fees, fines, and restitution as may have been ordered in all criminal cases in which he or she has been convicted or received a deferred order. (g) If requested by staff, it shall be the responsibility of the individual seeking licensure to ensure that staff is provided with legible, certified copies of all court and law enforcement documentation from all jurisdictions where the individual has resided or practiced as a licensed health care professional. Failure to provide complete, legible and accurate documentation will result in delays prior to licensure or renewal of licensure and possible grounds for ineligibility. (h) The fact that a person has been arrested will not be used as grounds for disciplinary action. If, however, evidence ascertained through the Board’s own investigation from information contained in the arrest record regarding the underlying conduct suggests actions violating the Nursing Practice Act or rules of the Board, the board may consider such evidence as a factor in its deliberations regarding any decision to grant a license, restrict a license, or impose licensure discipline. (i) Behavior that would otherwise bar or impede licensure may be deemed a “Youthful Indiscretion” as determined by an analysis of the behavior using the factors set out in §213.27 of this title (relating to Good Professional Character), subsections (a) - (f) of this section and at least the following criteria: (1) age of 22 years or less at the time of the behavior; (2) absence of criminal plan or premeditation; (3) presence of peer pressure or other contributing influences; (4) absence of adult supervision or guidance; (5) evidence of immature thought process/judgment at the time of the activity; (6) evidence of remorse; (7) evidence of restitution to both victim and community; (8) evidence of current maturity and personal accountability; (9) absence of subsequent undesirable conduct; (10) evidence of having learned from past mistakes; (11) evidence of current support structures that will prevent future criminal activity; and (12) evidence of current ability to practice nursing in accordance with the Nursing Practice Act, Board rules and generally accepted standards of nursing. (j) With respect to a request to obtain a license from a person who has a criminal history, the executive director is authorized to close an eligibility file when the applicant has failed to respond to a request for information or to a proposal for denial of eligibility within 60 days thereof. (k) The board shall revoke a license or authorization to practice as an advanced practice nurse upon the imprisonment of the licensee following a felony conviction or deferred adjudication, or revocation of felony community supervision, parole, or mandatory supervision. (l) The board shall revoke or deny a license or authorization to practice as an advanced practice nurse for the crimes listed in Texas Occupations Code §301.4535. (m) The following disciplinary and eligibility sanction policies and guidelines shall be used by the Executive Director, the State Office of Administrative Hearings (SOAH), or the Board in evaluating the impact of criminal conduct on nurse licensure in eligibility and disciplinary matters: (1) Disciplinary Sanctions for Fraud, Theft and Deception approved by the Board and published on February 22, 2008 in the Texas Register (33 TexReg 1646) and available on the Board’s website at http://www.bon.state.tx.us/disciplinaryaction/dsp.html. (2) Disciplinary Sanctions for Lying and Falsification approved by the Board and published on February 22, 2008 in the Texas Register (33 TexReg 1647) and available on the Board’s website at http://www.bon.state.tx.us/disciplinaryaction/dsp.html. (3) Disciplinary Sanctions for Sexual Misconduct approved by the Board and published on February 22,2008 in the Texas Register (33 TexReg 1649) and available on the Board’s website at http://www.bon.state.tx.us/disciplinaryaction/dsp.html. (4) Eligibility and Disciplinary Sanctions for Nurses with Substance Abuse, Misuse, Substance Dependency, or other Substance Use Disorder and published on February 22, 2008 in the Texas Register (33 TexReg 1651) and available on the Board’s website at http://www.bon.state.tx.us/disciplinaryaction/dsp.html. (5) Disciplinary Guidelines for Criminal Conduct approved by the Board and published on March 9, 2007 in the Texas Register (32 TexReg 1409) and available on the Board’s website at http://www.bon.state.tx.us/disciplinaryaction/discpguide.html. The provisions of this §213.28 adopted to be effective September 1, 1998, 23 TexReg 6444; amended to be effective July 20, 1999 , 24 TexReg 5473; amended to be effective November 14, 2002, 27 TexReg 10594; amended to be effective May 17, 2004, 29 TexReg 4884; amended to be effective March 14, 2007, 32 TexReg 1304; amended to be effective October 10, 2007, 32 TexReg 7058; amended to be effective July 2, 2008, 33 TexReg 5007