College of DuPage Practical Nursing Program Student Handbook This product was funded by a grant awarded under the President’s Community-Based Job Training Grants as implemented by the U.S. Department of Labor’s Employment and Training Administration. The information contained in this product was created by a grantee organization and does not necessarily Student Handbook, Linda Caputi, Revised 10/29/07 reflect the official position of the U.S. Department of Labor. All references to non-governmental companies or organizations, their services, products, or resources are offered for informational purposes and should not be construed as an endorsement by the Department of Labor. This product is copyrighted by the institution that created it and is intended for individual organizational non-commercial use only. Student Handbook, Linda Caputi, Revised 10/29/07 2 Student Confirmation of Agreement My signature below indicates that I have read the “College of DuPage Practical Nursing Program Student Handbook” and I agree to comply with all the policies and procedures contained in this document. ______________________________ Name (Please print) _____________________________ Date _____________________________ Signature Student Handbook, Linda Caputi, Revised 10/29/07 3 Table of Contents Welcome……………………………………………………………………………….5 Philosophy of the College of DuPage Practical Nursing Program…………………….6 Mission of the College of DuPage Practical Nursing Program………………………..9 Purposes of the College of DuPage Practical Nursing Program………………………10 Program Outcomes…………………………………………………………………….11 Organizing Framework………………………………………………………………..14 Admission to the Practical Nursing Program………………………………………….19 Procedures, Policies, and Requirements Following Acceptance into the PN Program.20 Standard Skills Required for all Health Care Programs……………………………….23 Curriculum Plan………………………………………………………………………..24 Student Participation in Program Meetings and Evaluation…………………………...28 Course Information and Policies……………………………………………………….29 General Information for All Learning Environments………………………….29 Compliance with Rules, Regulations, Policies, and Procedures……………….29 Attendance……………………………………………………………………...29 Student Code of Conduct…………………………………………………….....29 Smoking Policy…………………………………………………………………30 Syllabi…………………………………………………………………………...30 Progression Requirements…………………………………………………...….30 Student Work………………………………………………………………...….30 Privacy of Student Work and Records………………………………….............30 Written Assignments…………………………………………………………....31 Plagiarism……………………………………………………………………….31 Class Cancellation for Inclement Weather………………………………………31 Illness or Injury…………………………………………………………………..31 Cell Phones and Pagers…………………………………………………………..32 Children in Class…………..………………………………………………….….32 Student Assistance……………………………………………………………….32 Students with Disabilities………………………………………………………..32 Theory Class……………………………………………………………………..33 Nursing Laboratory ……………………………………………………………...35 Clinical …………………………………………………………………………..36 Learning Resources……………………………………………………………………....44 Student Concerns……………………………………………………………………...…46 Student Handbook, Linda Caputi, Revised 10/29/07 4 Procedure for Withdrawal from the Practical Nursing Program………………………47 Readmission Policy……………………………………………………………………48 Certificate Requirements………………………………………………………………49 Requirements for Licensure in the State of Illinois……………………………………50 Articulation…………………………………………………………………………….51 References……………………………………………………………………………...52 Student Handbook, Linda Caputi, Revised 10/29/07 5 Welcome Welcome to the College of DuPage Practical Nursing Program! This Practical Nursing Student Handbook provides important information that you will need throughout the nursing program. Read this handbook carefully and refer to it whenever necessary. You are responsible for the information contained in this document, as well as all other Practical Nursing documents and the College of DuPage Catalog, 2007-2009. Changes in policies or procedures may be necessary during your tenure in the nursing program and will be posted, distributed in class, or mailed. The Practical Nursing Program adheres to the College of DuPage policies and procedures. However, there are some instances when the Practical Nursing Program has established its own policies and procedures to meet the special needs of the curriculum. Students must be knowledgeable about their rights and responsibilities within the Practical Nursing Program and the College of DuPage. Every student is advised to become familiar with this Practical Nursing Program Student Handbook and the College of DuPage Catalog (2007-2009). College of DuPage does not discriminate in its programs and activities on the basis of race, color, religion, creed, national origin, sex, age, ancestry, marital status, sexual orientation, arrest record, military status or unfavorable military discharge, citizenship status, physical or mental handicap, or disability. The College of DuPage administration, Practical Nursing Coordinator, Practical Nursing faculty, and Practical Nursing staff wish you success as you pursue your nursing education! State Approval The Practical Nursing Program at College of DuPage is approved by the Illinois Department of Professional Regulation, 320 W. Washington Street, 3rd floor, Springfield, Illinois 62786 (217) 785-0800. Our program prepares a graduate to be eligible to take the National Council Licensure Examination for licensing as a Practical Nurse. Student Handbook, Linda Caputi, Revised 10/29/07 6 Philosophy of the College of DuPage Practical Nursing Program The faculty believe that Practical Nursing education is based on accepted standards of community college education and is part of higher education. The COD Practical Nursing program prepares the student to be a member of the collaborative team of professionals that implement caring behaviors and clinical interventions to provide patient care in all areas of nursing practice to promote, maintain, or restore health, and prevent illness for individuals and groups across the life span and in a variety of clinical settings. The curriculum provides knowledge from the biological and social sciences to provide a base for implementing holistic care to individuals, families, and communities. The student learns how to provide safe, accountable, and effective care to meet the patient’s physiological, psychological, sociocultural, and spiritual needs. The faculty believe this knowledge facilitates an understanding of the person, environment, and health and stimulates individual growth and involvement in the profession and the community. The COD Practical Nursing Program faculty believe in incorporating information and trends based on current influences on health care and nursing that impact the community the college serves. To meet that end, the Practical Nursing Program meets yearly with representatives of community facilities that constitute the membership of the Practical Nursing Program Advisory Council. The COD Practical Nursing Program faculty believe it is necessary to have a curriculum developed by nursing experts. Therefore, the curriculum of the COD Practical Nursing Program is driven by the faculty and based on national and state standards. These standards include the National Association for Practical Nurse Education and Service (NAPNES) Standards of Practice for Licensed Practical/Vocational Nurses, the NAPNES Code of Ethics for Nurses, and the Standards of Professional Conduct for Practical Nurses from the State of Illinois Rules for the Administration of the Nursing and Advanced Practice Nursing Act, Section 1300.43, effective October 1, 2007. Using these standards, the faculty is responsible for identifying the knowledge and competencies required of students in each nursing course, for establishing minimum standards for demonstrating such, and evaluating student performance to determine the degree to which standards have been met. The faculty believe a person is a unique holistic being with physical, emotional, intellectual, social, spiritual, and environmental needs. These needs, which are common to all human beings regardless of culture, race, or gender, exist throughout a person’s life span and are influenced by levels of health and interaction with the environment. Nursing care is provided considering the person, health, and environment within a health care delivery system. Diversity of individuals is a core component for practical nursing. Students learn to understand, respect, and accept any differences and similarities among the varied patients in their care. Faculty provide the same understanding, respect, and acceptance of any differences and similarities among the varied students who enroll in the COD Practical Nursing Program. The faculty believe the person’s internal and external environment is the sum of all the Student Handbook, Linda Caputi, Revised 10/29/07 7 conditions and elements that make up their surroundings and influence their development. An individual’s environment directly influences the level of wellness and ability to reach full potential as a thinking, creative, productive person. The faculty believe in a nursing framework for the planning of nursing care and use Maslow’s hierarchy of basic needs as a framework that facilitates data collection for planning holistic patient care. The nursing process is used as the clinical problem-solving process to provide a scientific approach to patient care. The faculty teach students that the roles of the Practical Nurse in applying the nursing process, under the direction of a qualified health care professional, include data collection, planning, implementation, and evaluation to provide safe, effective nursing care for patients at all points on the health continuum, in all stages of the life span, and in any of the health care delivery systems. Teaching-Learning The faculty view the teaching-learning process as a dynamic, logical interchange between the learner and the educational environment. Learning involves the acquisition of knowledge, skills, attitudes, values, and critical thinking and is evidenced by meaningful use of these acquired factors in the care of patients. The faculty believe that individuals learn in a variety of ways and that a diversity of resources should be available to meet individual student learning needs. The faculty believe in instructor-guided and student self-directed learning; thus, the primary roles of the instructor are those of teacher, facilitator, evaluator, advisor, and resource person. The faculty is responsible for assisting individual students to become knowledgeable, demonstrate competencies, and meet the program outcomes needed for entry into beginning practical nursing practice. Learning is enhanced when the learner’s knowledge level is identified to plan appropriate teaching, when educational experiences are organized in a logical sequence that promotes continuity, and when the individual student’s unique needs and strengths are considered. The faculty value a learning environment which: Is supportive of learning Fosters healthy interdependence Is respectful of and concerned about students Empowers students in their present and life-long learning The faculty value a caring environment for students which promotes flexible, accessible educational experiences for a diverse student body. Adult learning principles are used in all interactions with students providing self-directed, purposeful learning respectful of knowledge and experience students bring to the educational environment. Adult learning theory empowers learners with mentoring and guidance allowing both autonomy and responsibility in learning experiences. The nursing faculty acknowledge the core competencies of The Scope of Practice for Student Handbook, Linda Caputi, Revised 10/29/07 8 Academic Nurse Educators (NLN, 2005) and aspire to incorporate the eight competencies in their daily teaching activities. The faculty also acknowledge the importance of evidence-based nursing education and strive to incorporate best practice into their teaching. Student Handbook, Linda Caputi, Revised 10/29/07 9 Mission of the College of DuPage Practical Nursing Program In keeping with the mission of the College of DuPage (College of DuPage Catalog 20072009, p. 12), the mission of the College of DuPage (COD) Practical Nursing (PN) Program serves the needs of the community. The COD Practical Nursing Program supports excellence in learning and teaching, fosters an instructional climate that welcomes innovation, is open to change, and targets continual improvement and accountability. The COD Practical Nursing Program ensures diverse learning needs with a comprehensive, dynamic curriculum and varied educational delivery systems. The COD Practical Nursing program promotes critical thinking and academic honesty while preparing students to qualify for and succeed in further educational endeavors and to prosper in the work environment. The COD Practical Nursing Program broadens learning opportunities for students by providing articulation from the Practical Nursing Program into the Associate Degree Nursing Program. The above mission is reflected in the college catalog description of the PN Program: The Practical Nursing (PN) program at College of DuPage prepares students to function under the direction of a licensed professional in a variety of health care settings. The curriculum integrates classroom, campus laboratory, and clinical instruction to teach concepts and skills which the Practical Nurse uses to contribute to the nursing care of patients. Completion of the program provides the foundation for continued education and career mobility in nursing. On successful completion of the Practical Nursing program, the student is awarded a certificate and becomes eligible to take the National Council Licensure Examination — Practical Nurse (NCLEX-PN). Student Handbook, Linda Caputi, Revised 10/29/07 10 Purposes of the College of DuPage Practical Nursing Program The purposes of the Practical Nursing Program at College of DuPage include the following: 1. Provide a dynamic educational pathway in a college environment for entry into practical nursing (PN) practice. 2. Continually evolve to reflect local community needs, and current and emerging health care delivery systems. 3. Instill the importance of critical thinking, caring behaviors, and skillful therapeutic nursing interventions when providing patient care in all areas of nursing practice to promote, maintain, or restore health, and prevent illness for individuals and groups across the life span. 4. Graduate a beginning practitioner who is competent at the entry level and provides nursing care to a diverse patient population within a variety of health care settings. 5. Promote continual learning and advancement within the profession by encouraging and facilitating articulation into the COD Associate Degree Nursing program. Student Handbook, Linda Caputi, Revised 10/29/07 11 Program Outcomes The following outcomes have been established for graduates for the COD Practical Nursing Program. The competencies are adapted from those drafted by the National Association for Practical Nurse Education and Service (NAPNES) (2006): At the completion of an LPN program, the student will display the following outcomes: 1. Professional Behaviors: Program Outcome: Function as a competent Practical Nurse within a legal and ethical framework to provide holistic care to patients from diverse backgrounds. Competencies which demonstrate this outcome has been met: 1. Comply with the ethical, legal, and regulatory frameworks of nursing and the scope of practice as outlined in the Illinois Nurse Practice Act. 2. Utilize educational opportunities for continued personal and professional growth. 3. Identify personal potential and consider career mobility options. 4. Identify personal strengths and weaknesses for the purpose of improving performance and life long learning. 5. Demonstrate accountability for nursing care provided by self. 6. Function as an advocate for the health care consumer. 7. Identify the impact of economic, political, social, cultural, and demographic forces on the role of the Practical Nurse in the delivery of health care. 8. Serve as a positive role model within health care settings and the community. 9. Participate as a member of a practical nursing organization. 2. Communication: Program Outcome: Effectively communicate with patients, significant support person(s), and members of the health care team incorporating interpersonal and therapeutic communication skills. Competencies which demonstrate this outcome has been met: 1. Utilize communication skills when interacting with patients, significant others, and health care team members. 2. Communicate relevant, accurate, and complete information. 3. Report and document data collected, interventions, and progress toward patient outcomes. 4. Maintain organizational and patient confidentiality. 5. Utilize information technology to support and communicate the planning and provision of patient care. 6. Utilize appropriate channels of communication. Student Handbook, Linda Caputi, Revised 10/29/07 12 3. Assessment: Program Outcome: Holistically collect assessment data from multiple sources, communicate data to appropriate health care providers, and evaluate patient response to interventions. Competencies which demonstrate this outcome has been met: 1. Collect data related to basic physical, developmental, spiritual, cultural, functional, and psychosocial needs of the patient. 2. Collect data within established protocols and guidelines from various sources including patient interviews, observations/measurements, health care team members, family, significant others, and health records. 3. Document data collected. 4. Communicate findings to appropriate health care personnel. 5. Collect data to evaluate the patient’s response to interventions based on the established patient plan of care. 6. Document findings of the evaluation data. 4. Planning: Program Outcome: Work with members of the health care team to organize and incorporate assessment data to plan/revise patient care based on established nursing diagnoses, and assessment and evaluation data. Competencies which demonstrate this outcome has been met: 1. Utilize knowledge of normal values to identify deviation in health status to plan care. 2. Contribute to the development of nursing care plans utilizing established nursing diagnosis for patients with common, well-defined health problems. 3. Prioritize planned nursing interventions. 4. Assist in the review and revision of nursing care plans to meet the changing needs of patients. 5. Assist with modification of patient care as indicated by the evaluation of outcomes. 5. Caring Interventions: Program Outcome: Demonstrate a caring and empathetic approach to the individualized care of each patient. Competencies which demonstrate this outcome has been met: 1. Protect and promote the patient’s dignity. 2. Identify and honor the emotional, cultural, religious, and spiritual influences on the patient’s health. 3. Demonstrate caring behavior towards the patient and significant support person(s). 4. Provide competent and safe nursing care in a variety of settings. 5. Provide a safe physical and psychosocial environment for the patient and significant others. Student Handbook, Linda Caputi, Revised 10/29/07 13 6. Implement the prescribed care regimen within the legal, ethical, and regulatory framework of Practical Nursing practice. 7. Assist the patient and significant support person(s) to cope with and adapt to stressful events and changes in health status. 8. Assist the patient and significant others to achieve optimum comfort and functioning. 9. Instruct patient regarding individualized health needs in accordance with an established teaching plan and keeping with the Practical Nurse’s knowledge level. 6. Managing: Program Outcome: Implement patient care through skillful performance of therapeutic nursing interventions, recognizing need for changes and collaborating with others to change the plan of care. Competencies which demonstrate this outcome has been met: 1. Assist in the coordination and implementation of an individualized plan of care for patients and significant support person (s). 2. Assume responsibility for managing own actions when providing nursing care for individuals and groups. 3. Assist the patient and significant support person (s) to access available resources and services. 4. Implement nursing strategies to provide cost efficient care. 5. Demonstrate competence with current technologies. 6. Function in the role of the Practical Nurse in a variety of health care delivery systems. Student Handbook, Linda Caputi, Revised 10/29/07 14 Model of the Organizing Framework of the College of DuPage Practical Nursing Program Health Care Delivery Systems Environment Nursing Person Health Explanation: Nursing incorporates knowledge about the environment, person, and health to provide nursing care within one of the health care delivery systems. Definition of Terms Health Care Delivery System: The system in which the Practical Nurse provides nursing care under the direction of qualified health care professionals. Types of systems include acute care, long-term care, and community. Person: Includes all human participants in the health care delivery system; i.e., individual, family, group, or community. The person is a unique holistic being with Student Handbook, Linda Caputi, Revised 10/29/07 15 physical, emotional, intellectual, social, spiritual, and environmental needs. These needs, which are common to all human beings regardless of culture, race, or gender, exist throughout a person’s life span, and are influenced by levels of health and interaction with the environment. Health: Health is a dynamic state on a continuum ranging from optimal health or wellness to health problems to death. Optimum health is a state of balance of the physical, emotional, social, spiritual, environmental, and intellectual components of the person. Health reflects the person’s ability to meet basic needs as well as adapt to internal and external environmental changes to maintain equilibrium. When the person is unable to cope or adapt, needs are unmet and deviations in equilibrium result in health problems or death. Health varies with developmental stages and at times there is a greater risk for disequilibrium in the person’s health. Therefore, knowledge of growth and development is used in planning care. Environment: All factors, internal and external, that interact with the person to affect health. The components of the environment are physical, psychological, sociocultural, cognitive, and spiritual. Nursing: The COD Practical Nursing Program has adopted the NCSBN’s (2005, p. 8) definition of nursing: Nursing is both an art and a science. It is a learned profession based on an understanding of the human condition across the life span and the relationships of an individual with others and within the environment. The nature of nursing is continually evolving. Nursing practice is founded on a professional body of knowledge that integrates concepts from the biological, behavioral, and social sciences. The goal of nursing is to promote comfort and quality health care. The nurse assists individuals throughout their life spans to attain optimal levels of functioning by responding to the needs, conditions, and events that result from actual or potential health problems. Student Handbook, Linda Caputi, Revised 10/29/07 16 The Concept of Nursing Showing where Practical Nursing Fits into the Overall Health Care Delivery System and Subsets of Concepts that are Incorporated in Nursing Health care Delivery Systems Nursing: Current Evidence-Based Practice of Practical Nursing Based on Professional Ethics, Values, & Accountability Holistic Nursing Care Using: •Application of Knowledge to Practice •Caring •Critical Thinking •Effective Communication •Competence in Performing Therapeutic Nursing Interventions The model indicates that the nurse functions within health care delivery systems. That evidenced-based practice of nursing is enveloped in professional ethics, values, and accountability. Holistic nursing care is delivered by applying knowledge to practice incorporating caring, critical thinking, effective communication, and competence in performing clinical skills. The items in the model incorporate the important attributes of the entry-level Practical Nurse as determined by the National Council of State Boards of Nursing (2006, p.151). Evidence-Based Practice: The integration of the best possible research to evidence with clinical expertise and with patient needs (Porter-O’Grady, 2006, p. 1). Student Handbook, Linda Caputi, Revised 10/29/07 17 Practical Nursing: The COD Practical Nursing Program has adopted the NCSBN’s (2005, p. 8) definition of the Practical Nurse: The practical/vocational nurse uses “specialized knowledge and skills which meet the health needs of people in a variety of settings under the direction of qualified health professionals” (NFLPN, 2003). The practical/vocational nurse uses a clinical problemsolving process (the nursing process) to collect and organize relevant health care data, assist in the identification of the health needs/problems throughout the patient’s life span and contribute to the interdisciplinary team in a variety of settings. The entry-level practical/vocational nurse demonstrates the essential competencies needed to care for patients with commonly occurring health problems that have predictable outcomes. “Competency implies knowledge, understanding, and skills that transcend specific tasks and is guided by a commitment to ethical/legal principles” (NAPNES, 2003). Holistic Nursing Care: Nursing care based on assessment of the total person with consideration for diversity; nursing care that looks at the total patient and transcends specific tasks; to understand, respect, and accept any differences and similarities of patients. Application of Knowledge to Practice: The mark of a knowledgeable nurse; one who applies critical thinking using a solid knowledge base when invoking the nursing process. Caring: A process that involves compassionate interactions with the behaviors that provide meaning to nursing actions. Three aspects of caring are identified as “caring for” (actions or treatments), “caring about”, and “caring with” persons in the health care delivery system that is undertaken by nurses as care providers and collaborators to facilitate the improvement or maintenance of health. Critical Thinking: Critical thinking is contextual and faculty strive to teach critical thinking in all learning environments. Critical thinking used in the COD Practical Nursing Program draws upon the work of Alfaro-LeFevre (2006, p. 30): Critical thinking in nursing: Entails purposeful, informed, outcome-focused (results-oriented) thinking that requires careful identification of key problems, issues, and risks involved. Is driven by patient, family, and community needs. Is based on principles of nursing process and scientific methods (for example, using intuition but making judgments based on evidence, rather than guesswork). Requires specific knowledge, skills, and experience. Requires strategies that make the most of human potential (for example, using individual strengths) and compensate for problems created by human nature (for example, overcoming the powerful influence of personal views). Is constantly re-evaluating, self-correcting, and striving to improve. Student Handbook, Linda Caputi, Revised 10/29/07 18 Effective Communication: Interactions between the nurse and patient and among the nurse and other health care providers that result in outcomes for safe, effective patient care. Therapeutic Nursing Interventions: Any treatment, based on clinical judgment and knowledge that a nurse performs to enhance patient outcomes (Taylor, Lellis, & LeMone, 2005, p. 281). Student Handbook, Linda Caputi, Revised 10/29/07 19 Admission to the Practical Nursing Program Admission to the Practical Nursing Program is through the Health Sciences Admissions Office. Information about the PN Program can be obtained by contacting the Health Sciences Admissions Office or the Practical Nursing Coordinator. To complete an application the applicant must provide the following to the College of DuPage Admissions Office. 1. Application form 2. Payment of application fee Admission into the Practical Nursing program requires the student to submit the following: 1. Official high school transcripts or GED scores 2. Official transcripts from other colleges/universities attended 3. Review of foreign education transcripts by the World Education Services 4. Evidence of completion of the College of DuPage reading placement within the last 5 years test score of Category 1. 5. Evidence of completion of the College of DuPage math placement test within the last 5 years. 6. Evidence of completion of prerequisite courses (Anatomy and Physiology 1500 or 1551 AND 1552 or 1571 AND 1572 and Psychology 1100) within the last 5 years with a “C” grade or better. 7. Proof of certification as a Certified Nursing Assistant within the last 5 years or proof from employer of working as a CNA within 5 years prior to application. 8. Evidence of CPR certification. Note: The above requirements are subject to change without notice. Student Handbook, Linda Caputi, Revised 10/29/07 20 Procedures, Policies, and Requirements Following Acceptance into the Nursing Program The following must be completed after acceptance into the nursing program and prior to beginning Nursing 1101: 1. Health assessment and physical examination must be completed and submitted to the College Health Center prior to the first day of Nursing 1101. This examination and necessary titers/vaccines are at the student’s expense. All health career programs at the College of DuPage require a current history and physical examination to comply with clinical agency requirements. The complete exam must include: TB test or Chest x-ray Rubella, Rubeola, Mumps, Varicella titers (if no immunity exists, student must obtain appropriate vaccinations) Hepatitis B titers (Hepatitis B vaccine is strongly recommended, but not required) Please note: The Health Center has included the following statement on their medical history form: I further understand that any false answer or statements made by me in this application, or any supplement there to, will be grounds for immediate dismissal from classes/program. IMPORTANT: A statement from the physician must document the student’s health status will allow him/her to safely pursue the educational objectives of the nursing program at College of DuPage. Students are responsible for their own medical care and health insurance. Failure to complete the medical examination and vaccinations, and obtain written clearance from the physician to participate in all program activities (no restrictions/physical limitations), will result in ineligibility for admission into the program. 2. Applicants with chronic medical problems must advise the program concerning their current health status, medications, and medical needs. A written statement from the applicant’s physician addressing the applicant’s ability to perform the following activities: moving, lifting, and transferring patients without restriction. If an acute condition arises while enrolled in the nursing program, a written statement must also be obtained by the student from a physician stating the student’s ability to perform the following activities: moving, lifting, and transferring patient without restriction. This requirement also pertains to pregnancy. Students are responsible for their own medical care. 3. Complete required immunizations or provide proof of immunity as specified. Student Handbook, Linda Caputi, Revised 10/29/07 21 4. Complete mandatory drug testing at the College of DuPage Health Center. All students enrolled in health career programs with direct patient contact must be drug tested annually prior to a clinical experience. Any student with a positive drug screen will be considered ineligible for the program. Admission or readmission to the Practical Nursing Program after a positive drug test will require 3 negative screens after one year of application. The test is at the student’s expense through the Health Center (IC 2001). You may schedule an appointment at 630-942-2154. 4. Complete a course in cardiopulmonary resuscitation (CPR) as a C level (healthcare provider) prior to entering the nursing program. Maintain certification throughout the nursing program. 5. Purchase required nursing liability insurance provided by College of DuPage at the time of registration. 6. Pay all required fees. 7. Criminal background check completed by the Illinois State Police since June, 2005. Conviction for a felony will not prevent your admission to this program but may make it difficult for you to obtain a license to practice. You may wish to clarify this situation with the Program Coordinator before you apply. All applicants for the licensure exam (NCLEX-PN) are required to have a criminal background check and finger printing. Fees In addition to the tuition and course fees, students enrolled in the Practical Nursing Program are required to complete and/or obtain the following which may involve additional costs: Physical examination with possible immunization TB testing CPR for the healthcare provider Malpractice insurance coverage Official student uniform Criminal background check Mandatory drug testing Completion of these requirements is the sole responsibility of the student and is not included in the specified tuition and fee amounts. Financial Aid Students are encouraged to investigate available resources that may assist them to meet the financial obligations associated with the academic program. Information about available financial aid programs and scholarships is available through the College of DuPage Financial Aid office. Student Handbook, Linda Caputi, Revised 10/29/07 22 Standard Skills Required for all Health Care Programs To participate in any health career program at College of DuPage which has a direct patient care or clinical education component, applicants must possess additional nonacademic skills. These occupational standards are consistent with the duties of the entrylevel professional in that field and are set by the individual program. These skills which protect the health and well being of patients may include but are not limited to the ability to: 1. Lift and carry thirty pounds of weight. 2. Lift and transfer patients to and from wheelchairs, stretchers, beds, and examination tables. 3. Move, adjust, and manipulate equipment. 4. Position patients for exams. 5. Respond appropriately to sounds such as the patient’s voice and movements, at a normal conversational volume. 6. Respond appropriately to equipment signals such as sound and light. 7. Manipulate the necessary hospital equipment for patient care such as dials, switches, push buttons, and keyboards. 8. Perform for a prolonged period without breaks in a typical shift of 8 to 12 hours. 9. Communicate orally and in writing with patients, doctors, and other personnel clearly and effectively. 10. Able to follow verbal and written directions. Students who do not meet these standards may be considered ineligible for the Practical Nursing Program and can be withdrawn from all program classes. If you are unsure whether you can meet these requirements, you are advised to consult an advisor, counselor, or member of the program faculty to discuss the situation, and/or schedule an appointment with your physician, prior to making application or enrolling for classes. If an acute condition arises while enrolled in the nursing program, a written statement must be obtained by the student from the physician stating the student’s ability to perform the following activities: moving, lifting, and transferring of patients without restriction. The above requirements also apply to pregnancy. Student Handbook, Linda Caputi, Revised 10/29/07 23 Curriculum Plan The Practical Nursing Program is two and one-half semesters in length beginning with the Spring semester, continuing into the 8-week summer semester, and culminating in the Fall semester. Prior to entering the PN program the student must earn a C grade or higher in Psychology 1100 (general psychology) and Anatomy and Physiology 1500 or both Anatomy and Physiology 1551 and 1552 or 1571 and 1572. General psychology is a prerequisite for the Psychology 2237 course taken during the program. Anatomy and physiology presents the physiological basis on which nursing care is based, and is necessary for students to address the physiological integrity of patient care. Psychology 1100 is a survey of behavior and mental processes with emphasis on the scientific nature of contemporary psychological investigation and Psychology 2237 addresses developmental psychology over the lifespan, important content that forms the basis for understanding patients of all ages and the psychosocial integrity of patient care. Other important content areas that form the foundation for the study of nursing include nutrition, diet therapy, chemistry, microbiology, physics, communication, interpersonal relationships, sociology, and cultural diversity. These topics are addressed when appropriate throughout the nursing program courses. The following table breaks down the nursing courses by semester. Both credit hour and clock hours are given to help students plan their time. Students should be aware that the table only indicates actual class time. Study time is not included and typically requires from 10 to 15 hours a week. Students are advised to work no more than 20 hours a week while in the nursing program to provide enough available time for study. Student Handbook, Linda Caputi, Revised 10/29/07 24 PN Program: Courses and Hours Course Semester Hours of Credit Theory: Credit Hours & Clock Hours Lab: Credit Hours & Clock Hours Clinical: Credit Hours & Clock Hours Credit: 3 Clock hours: 3 X 16 = 48 Credit: 4 Clock hours: 4 X 16 = 64 Credit: 2 Clock hours: 4 X 16 = 64 Credit: 4 Clock hours: 12 X 16 = 192 Credit: 3 Clock hours: 3 X 16 = 48 Credit: 1 Clock hours: 2 X16 = 32 Spring Semester: 17 credit hours (one 16-week session) Psychology 2237 NURSP 1101: PN Concepts & Skills I NURSP 1102: Pharmacology for the Practical Nurse 3 10 4 Summer Semester: 5 credit hours (one 8-week session) NURSP 1103: PN Concepts & Skills II ** 5 Credit: 3 Clock hours: 6 X 8 weeks = 48 Credit: 2 Clock hours: 12 X 8 weeks = 96 Fall Semester: 15 credit hours (two 8-week session courses and one 16-week course) NURSP 1104: PN Concepts and Skills III ** 7 Credit: 4 Clock hours: 8 X 8 weeks = 64 NURSP 1105: PN Role Transition ** 5 Credit: 2 Clock hours: 4 X 8 weeks = 32 NURSP 1106: Issues and Trends in Practical Nursing 16-week course Total Hours for Nursing Courses 3 Nursing hours: 34 Total hours: 37 total Credit: 1 Clock hours: 4 X 8 weeks = 32 Credit: 2 Clock hours: 12 X 8 weeks = 96 Credit: 3 Clock hours: 18 X 8 weeks = 144 Credit: 4 Clock hours: 128 Credit: 11 Clock hours: 528 Credit: 3 3 X 16 = 48 Nursing Credit: 19 Nursing Clock Hours: 304 Total Credit: 352 Total Clock Hours: 352 ** These courses will be taught in 8 week sessions. Total program clock hours: 1,008 Student Handbook, Linda Caputi, Revised 10/29/07 25 Nursing Course Descriptions Practical Nursing 1101: Practical Nursing Concepts and Skills I 10 credit hours (4 credit hours lecture; 2 credit hours lab; 4 credit hours clinical;) Fundamental concepts and skills used by the Practical Nurse when caring for adult and elderly patients with normal and common health problems requiring medical/surgical interventions in a variety of health care settings. Application of the nursing process for health promotion and maintenance, disease prevention, and supporting a dignified death. Skills and techniques developed and demonstrated in nursing skills laboratory and clinical setting. Includes the administration of medications and intravenous therapy in the clinical setting. Practical Nursing 1102: Pharmacology for the Practical Nurse 4 credit hours (3 credit hours lecture; 1 credit hour lab) Concepts and skills related to the role of the Practical Nurse in the administration of medications and intravenous therapy to patients across the life span. Includes content about medications necessary for safe and effective patient care. Emphasis is placed on special considerations for the geriatric patient. Practical Nursing 1103: Practical Nursing Concepts and Skills II 5 credit hours (3 credit hours lecture; 2 credit hours clinical) Concepts and skills required of the Practical Nurse when caring for adults and elderly patients requiring mental health interventions and for the childbearing family and children in a variety of health care settings. Application of the nursing process for health promotion and maintenance, and disease prevention. Skills and techniques developed and demonstrated in the clinical setting. Includes administration of medications and intravenous therapy. Practical Nursing 1104: Practical Nursing Concepts and Skills III 7 credit hours (4 hours lecture; 1 hour lab; 2 hours clinical) Advanced concepts and skills involved in the role of the Practical Nurse when caring for patients across the life span with normal and common health care problems in a variety of health care settings. Skills and techniques developed and demonstrated in the nursing skills laboratory and clinical setting. Includes the administration of medications and intravenous therapy in the clinical setting. Practical Nursing 1105: Practical Nurse Role Transition 5 credit hours (2 hours lecture; 3 hours clinical) Integration of all concepts and skills taught in the previous nursing courses looking at more complex patient situations and nursing care. Skills and techniques are perfected in the clinical setting. Includes the administration of medications and intravenous therapy. Issues related to transition from student to practicing nurse. Includes a review for NCLEX and strategies for success. Student Handbook, Linda Caputi, Revised 10/29/07 26 Practical Nursing 1106: Issues and Trends in Practical Nursing 3 credit hours (3 credit hours lecture) Current nursing and health care issues and trends affecting Practical Nursing. Covers ethics and legal aspects of Practical Nursing practice. Comprehensive review of the Illinois Nurse Practice Act. Student Handbook, Linda Caputi, Revised 10/29/07 27 Student Participation in Program Meetings and Evaluation To facilitate sharing of information, student representatives from the nursing class will be invited to participate in Practical Nursing faculty meetings and Practical Nursing committees. Student representatives will be determined each semester by nomination and an election of the majority in each class. During these meetings, students may express the thoughts of their peers and offer possible suggestions for program improvement. Additional meetings with student groups may be scheduled during the year as necessary. Students are also encouraged to participate in the evaluation of the program by completing course evaluations at the end of each course and program evaluation at the completion of the program. This input assists the faculty in the review and revision of couple implementation. Students are also invited to evaluate faculty as per the contractual agreement between the Board of Trustees of College of DuPage and College of DuPage Faculty Association/NEA. Student Handbook, Linda Caputi, Revised 10/29/07 28 Course Information and Policies General Information for all Learning Environments Students enrolling in clinical nursing courses need to have the following to register: CPR certification for the health care provider Evidence of current malpractice insurance Physical examination and evidence of related immunizations Criminal history background check Drug testing Satisfactory completion of prerequisite semester course work and a GPA of 2.5 or higher Compliance with Rules, Regulations, Policies, and Procedures Students are expected to comply with rules, regulations, policies, and procedures of College of DuPage and affiliated clinical agencies. Noncompliance with rules, regulations, policies, and procedures is basis for student dismissal from the Practical Nursing Program. Attendance Attendance is required in all scheduled sessions. Consistent absences could result in dismissal from the program. In case of unavoidable absence, your instructor(s) must be notified prior to the class. For missed clinical experiences, check the method of notification with your clinical instructor. Student Code of Conduct College of DuPage Student Code of Conduct, Board Policy 5715 states “Conduct which interferes with college purposes is not acceptable, yet a member of the college community can rightfully expect that the college will exercise with restraint its power to regulate student behavior and that rules and regulations will be adopted only when the educational process clearly and directly requires such legislation. Students are accountable for their own conduct. Sanctions for violations of College rules and regulations for conduct which interfere with College affairs will be addressed by the College. Student conduct which involves an alleged violation of criminal law will be referred to appropriate civil authorities.” For the complete text on Board Policy 5715, see College of DuPage Catalog (2007-2009), page 51-52. Conduct that is subject to disciplinary action includes, but is not limited to: 1. Lack of academic integrity: academic honesty and integrity is expected at all times. Evidence of cheating, plagiarism, or falsification of documentation is cause for loss of grades and/or dismissal. 2. The possession, use, and distribution of alcohol or drugs of abuse are prohibited. 3. Breach of confidentiality. 4. The possession, use, or threat to use weapons. 5. Sexual abuse, harassment, or misconduct. 6. Verbal or physical abuse or threats. Student Handbook, Linda Caputi, Revised 10/29/07 29 7. Inappropriate use of language. 8. Vandalism or theft of College or agency property, or the property of others. 9. Demonstrate communication or behavior that is inconsistent with safe, professional practice. 10. Failure to adhere to posted signs, such as no smoking or no parking. Smoking Policy The college maintains a smoke-free environment on all campuses. Smoking is only permitted in designated areas. In addition, smoking is not permitted at any of the clinical sites. Syllabi Students will receive a syllabus for each nursing course. Each syllabus includes course learning outcomes, reading assignments, and evaluation methods. Students should read the course information carefully and contact the instructor for clarification of any questions. The student must succeed in all area (lab, theory, and clinical) of the course to earn a passing grade. A passing grade is defined as a 78% with a passing level in laboratory skill performance and clinical performance in courses where each of those components are part of the course. Students are responsible for keeping track of their academic standing in nursing courses. Faculty will assist students if students have questions regarding their grades. Students are encouraged to meet with faculty often to determine their status. Students are expected to use available resources such as the computer laboratory, nursing skills laboratory, and the library to promote success in nursing courses. Progression Requirements For a student to begin the next course in the sequence of nursing courses, the student is required to: 1. Be considered in good standing by the College. 2. Satisfactorily complete all prerequisites for the course. 3. Have earned a grade of “C” or higher in all nursing courses. 4. Have earned a grade of “C” or higher in Psychology 2237. 5. Meet all course requirements as stated in the course syllabus. 6. Complete clinical objectives and criteria, and receive a satisfactory evaluation in the clinical component. A student must earn a grade of “C” (78%) or better in each nursing course to progress to the next course and to complete the program and receive the Practical Nursing Certificate. Student Work Student work (exams, papers, etc.) are kept for one semester following the student’s completion of a course. Privacy of Student Work and Records The Practical Nursing Program adheres to guidelines that are established by the college in relation to the Family Educational Rights and Privacy Act (FERPA). Student records Student Handbook, Linda Caputi, Revised 10/29/07 30 pertinent to enrollment in the Practical Nursing Program, such as clinical evaluations, student exams, and correspondence, are kept secured in individual files. These files are subject to the same access policies as all other student records. Please refer to the College of DuPage Catalog (207-2009), page 53, for the complete college policy. Written Assignments Written assignments will be made during each course. These assignments will be part of the theory grade and/or clinical evaluation. Grammar, spelling, sentence construction, neatness, and legibility will constitute a part of the grade. All assignments, unless otherwise specified, are to be typed, double-spaced, and presented in a neat and organized manner. It is expected that students seek out and use appropriate resources for completion of assignments. Unless otherwise instructed, all written assignments must be submitted on or before the date they are due. This includes clinical paperwork assignments. One point per day will be deducted for late submission of any written assignment. Failure to hand in a written assignment will result in a failing grade for the course regardless of theory grade. If the instructor suspects that submitted written work is not the original work of the student, the student will receive “0” points for the written assignment. Plagiarism The Course-Related Academic Integrity, Board Policy 5050, states “Academic dishonesty is prohibited. An act of academic dishonesty will be met with the appropriate disciplinary action.” Board Policy 5050 states in part: “Plagiarism occurs when a student uses language or ideas from materials without acknowledgment and/or when the work is copied from other sources and is submitted as the student’s own. Examples of plagiarism include, but are not limited to: Copying a phrase, a sentence, or a longer passage from a source and submitting it as one’s own. Summarizing or paraphrasing someone else’s ideas without acknowledging the source. Submitting group assignments individually as one’s own independent work.” For the complete text on Board Policy 5050, see College of DuPage Catalog (2007-2009), page 52. Class Cancellation for Inclement Weather In the event of inclement weather, the College may be closed. Students should be alert for television and radio announcements (see page 50 of the College of DuPage Catalog [2007-2009] for a listing). College closings are also announced on the college website at www.cod.edu. If the college is closed, there will not be any nursing classes or clinical experiences during that time. Students may provide their phone numbers so they may be notified by the faculty if a class or clinical experience is cancelled. Illness or Injury The student’s ability to participate safely in classroom and clinical activities is essential for continuation in, or return to, the Practical Nursing Program. Students with a significant change in their health status during a nursing course due to injury, illness, pregnancy, childbirth, or other circumstances are to submit health clearance signed by Student Handbook, Linda Caputi, Revised 10/29/07 31 their personal health care provider before returning to the classroom or clinical experience. The health clearance must indicate that it is safe for the student to participate in all course activities. The health clearance is submitted to the nursing faculty member(s) and the coordinator of the program. Students are responsible for all health costs incurred while participating in the Practical Nursing Program. Students are strongly encouraged to obtain personal medical insurance coverage. Cell Phones and Pagers All cell phones and pagers must be turned off or set to vibrate during class time. It is not acceptable for a student to leave class to answer a call unless prior arrangements are made regarding an emergency situation. Calls from work are not considered an emergency situation. Return calls must be made at break or after class is over. Cell phones and pagers are allowed in the clinical setting per faculty discretion and clinical site policy. Children in Class Children are not permitted in the classroom/lab. Student Assistance Students encountering academic difficulties should speak with the course faculty for assistance. Students experiencing personal problems should contact the Counseling Office for assistance. Students with Disabilities Students with disabilities are mainstreamed at College of DuPage. Support services are available for any student with documented learning and/or physical/medical disability. The Office of Special Student Services IC 2125A (630) 942-2154 provides note taking paper, tape recorders, alternate testing, adaptive equipment, sign language interpreters, textbooks on tape and other auxiliary services. Tutoring is available through the Academic Support Center. For the complete text on Health and Special Services, see College of DuPage Catalog (2007-2009), page 45. Student Handbook, Linda Caputi, Revised 10/29/07 32 Theory Classroom Students are encouraged to complete the assigned readings and study guide assignments prior to attending class. After attending class, students are encouraged to contact the teacher to clarify any questions about the content read in the book or presented in the class. Recording Class Sessions Recording any lecture or lab session requires the permission of the instructor. Students must obtain permission from each individual instructor prior to recording. Grading Scale Percentage Grade 100 – 90 A 89 – 84 B 83 – 78 C 77 – 70 D 69 & below F The numeric value of exams and final course grades will not be rounded. Absences Students are accountable for all information that is presented in class and outside resources (computer assisted learning, text and journal readings, etc.). Students who miss a scheduled class are responsible to obtain notes, handouts, and any other pertinent information provided during class time. Tests Students are expected to bring sharp #2 pencils and clean erasers to the test. The proctoring faculty reserves the right to seat students for the test. A student who arrives late may be given the exam or may be required to take the exam at a later time. If the exam is given to a student who arrives late, additional time will not be provided. Two points per day after the original test day/time will be deducted from the student’s test score. Students may not use cell phones during a test. All cell phones must be packed in the student’s backpack, book bag, or purse, or on the floor under the desk. Test Remediation Policy Students who earn below an 80% on any given test must meet with the faculty to review the test and complete a Test Analysis form. Absence on Test Day Students are expected to take exams on the dates they are scheduled. For arrangements for testing outside the regularly scheduled class time, contact the instructor. No exam may be taken later than one week from the original test time. A grade of zero (0) will then be recorded for that exam. The make-up exam can vary from the original test. Unusual circumstances, including repeated absences for tests, will be addressed by the Student Handbook, Linda Caputi, Revised 10/29/07 33 faculty. Cheating If an instructor observes a student’s behavior and suspects the student of cheating while taking a test, the student will receive a “0” score for that test. Scan Sheet All eraser marks on the scantron sheets are the responsibility of the student. The official source of a test score is the optical scan sheet that is processed through the computer. No changes may be made on this scan sheet after it is submitted to the faculty member proctoring the test. Students may compare their test booklets with the computer scan sheet during the week immediately following the return of the computer printout. To review their test booklet, students need to make an appointment with the faculty member responsible for the test. Any test concerns, i.e. accuracy of your score, inaccurate scanning of your opscan, etc. must be handled within one week after computer printouts are returned to students. After one week, the test score stands as recorded. Student Handbook, Linda Caputi, Revised 10/29/07 34 Nursing Laboratory Utilization of the Nursing Laboratory Students are encouraged to use the nursing laboratory to practice skills taught in lab prior to performing those skills in clinical or during a skill return demonstration. Laboratory hours will be posted each semester. On occasion, while practicing skills, students are found to have areas of concern, such as an elevated blood pressure. These students will be referred to their personal heath care providers for follow-up. Nursing Lab Safety Guidelines Students should always be oriented to the proper use of lab equipment (example: controls on electronic beds, side rails, wheelchairs, suction machines) prior to their use. With new equipment always wait for instructions from the faculty before handling. Any time a student is unsure how to operate a piece of equipment, the student must always ask the faculty before using the equipment. Faculty should be consulted prior to accessing lab equipment. Students should not open cupboards/drawers without permission. Students are required to always check with the lab staff before using the laboratory facility. When practicing with needles and syringes, no equipment is to leave the lab area. Students should take great care during practice to protect themselves from needle punctures. Should a needle stick occur, it must be immediately reported to the faculty. Used needles should be immediately discarded in the appropriate container. At the end of a practice session in the lab, students should dispose of waste material appropriately and leave the workspace clean, orderly, and clear of debris. Students should be oriented to where the fire extinguishers are located and the evacuation route from the lab in case of fire or disaster. All students must leave the building when the fire alarm is sounded. Skill Return Demonstration Students will be provided with opportunities to successfully return demonstrate critical skills. Students must pass the return demonstrations using criteria established by the Practical Nursing faculty. If students miss a scheduled return demonstration appointment, the student must contact the nursing lab assistant prior to the scheduled time to cancel the appointment. Failure to contact the lab assistant will be considered a failure of the demonstration of that skill. Skill Return Performance If the student passes the skill return performance on the first attempt, one point will be added to the student’s overall points for the course. If a student fails to pass the skill return, the student must talk with the lab assistant and schedule time for remediation/practice of the skill prior to a second attempt. If the student fails the second Student Handbook, Linda Caputi, Revised 10/29/07 35 attempt, the student must talk with the lab assistant and schedule time for remediation/practice of the skill prior to a third attempt. If the student fails the third attempt, the student must withdraw from the course or receive a failing grade for the course. Skill Return Demonstration Deadline Skill return demonstration deadlines will be announced in class. Student Handbook, Linda Caputi, Revised 10/29/07 36 Clinical Laboratory Clinical sites are selected based on the nursing course objectives and the types of experiences that are available. Students are expected to arrange for their own transportation to affiliating agencies. Sufficient time should be allowed between the beginning or end of the clinical time and any other academic or personal obligations. When possible, students will not be assigned to a clinical agency or unit at which they are employed. To obtain the best possible clinical experiences, there may be rotations in the afternoon or evening hours. Students will be notified of any time changes as far in advance as possible. Confidentiality All aspects of HIPAA will be strictly enforced. All information that is obtained during patient interactions is considered to be confidential. Important information regarding patients may be shared with agency staff members, instructors, and peers in an appropriate manner and setting. Students are not to disclose information to other individuals who are not directly involved in the patient’s care. Students are not to photocopy or remove any patient records. When completing written assignments following clinical experiences, the patient’s name is not to be written on any document. Only the patient’s initials or room number may be used. Infection Control Policy While participating in clinical experiences, students need to be aware of Standard Precautions and Transmission Specific Precautions (droplet, airborne, contact). All equipment, linens, utensils, dressing, etc. that come in contact with a patient’s body fluids are considered contaminated and need to be handled accordingly. The following are some basic guidelines to follow: 1. Wash hands before and after patient care. 2. Use barrier protection (eyewear, masks, gloves, gowns) when indicated. 3. Dispose of equipment and other materials appropriately (such as in a sharps containers or designed hampers). 4. Report the presence of open lesions or infections to the instructor. Dosage Calculation Test Students must pass a dosage calculation test at 80% for Nursing 1101 and at 100% for each subsequent clinical nursing course by a date established by the faculty. Failure to obtain these scores results in failure of the course. Calculators may be used but no calculators with memory or cell phone calculators are allowed. Meeting Clinical Objectives Students must pass all the clinical objectives to pass the course. Students must demonstrate consistently safe and professional performance throughout the clinical experience. Satisfactory clinical performance is achieved by: 1. Preparing for patient care experiences by reviewing references and practicing nursing skills. Student Handbook, Linda Caputi, Revised 10/29/07 37 2. Correctly collecting data, recording, and reporting the patient’s status 3. Implementing appropriate nursing interventions and evaluating the patient’s response. 4. Maintaining patient safety, comfort, dignity, privacy, and confidentiality. 5. Demonstrating professional behavior with patients, peers, instructors, and staff members. 6. Participating in scheduled clinical experiences. 7. Completing all required written work. Clinical evaluation conferences are held to review progress toward, and achievement of, the clinical objectives. Students may be referred to the Nursing Skills Laboratory for remediation of specified nursing skills when needed. Any alteration of physical and/or emotional status of a student that would negatively impact the student’s ability to perform safely in the clinical setting will be determined by the individual clinical instructor. Conditions for the student’s return to the clinical setting will be determined by the student’s clinical instructor. Dress Code The dress code is directed at an appropriate appearance, patient safety, and comfort. Students who observe specific religious or cultural practices may consult with the coordinator and faculty to determine how the uniform policy may be maintained. The following must be observed: 1. Uniforms may be worn from home to the hospital and from the hospital to home. At no time may the school uniform be worn in any other place. 2. Jewelry may not be worn with the uniform, except a wedding band and a single small ear post in each ear. No dangling earrings, dangling necklaces, and bracelets; these present a hazard to both the student and patient. 3. Body piercing (other than a single small ear post in each ear) must be removed. Tattoos must be covered. 4. Hair must be neat and above the collar. Hair, if pulled up, must be held in place by a neutral tie, band, or clip. Facial hair on male students must be short-clipped and wellgroomed. Makeup must be conservatively used. 5. Only those garments deemed to be the official student uniform may be worn to clinical session. 6. Complete uniform includes: clean white nursing shoes, (if tennis shoes are used they must be all white with no stripes or color; shoestrings must be white and clean), white socks, name pin, bandage scissors, and a watch with a second hand. Socks must be visible; no ankle/sport socks allowed. 7. Nails should be at a length and condition that will not be injurious to patients. No artificial nails or extensions allowed. Only pale or clear nail polish can be used and the polish cannot be chipped. 8. Student identification name pin must be worn at all clinical events. 9. No gum chewing is permitted in the clinical setting. 10. No perfume/cologne may be worn in the clinical setting. 11. No clogs or sandals are allowed. Student Handbook, Linda Caputi, Revised 10/29/07 38 12. Faculty has the right to dismiss students from the clinical setting if dress code violations occur. Adherence to the dress code policy is a part of the student clinical evaluation. Illness Students who become ill or injured in a clinical area should report to the instructor as soon as possible. If available, students may be seen in the emergency department of the agency, or referred to their personal healthcare provider. Students are responsible for all costs incurred for treatment. Where there is no on-site emergency department, such as in a long term care facility, the community emergency system will be activated when appropriate. The student will, again, be responsible for the cost of emergency and followup care. Students who are not able to leave the clinical site independently may require transportation from significant others for follow-up at a medical facility. Following a major illness or injury, health clearance must be obtained from the student’s personal health care provider before returning to the classroom or clinical experience. The health clearance must indicate that it is safe for the student to participate in all course activities. The health clearance is submitted to the nursing faculty member and the coordinator of the program. Clinical Absences Students are required to attend all clinical sessions. Missed clinical is defined as a clinical absence due to illness or personal reasons. Clinical absences shall not exceed 3 absences in a 16 week course and 2 absences in an 8 week course. Emergency circumstances will be individually evaluated by the instructor. If a student exceeds the maximum number of clinical absences, the student must withdraw from the program or accept a failing grade (F) for the course. Three (3) tardies to clinical will constitute a missed clinical day. The need for clinical make-up assignments will be determined by the clinical instructor providing the student is meeting all clinical objectives. The type of clinical make-up will be determined by the clinical instructor. Although absences are allowed, if the student is absent and unable to demonstrate satisfactory completion of clinical objectives, the student is at risk for failing the course. In an emergency, course faculty will consider the individual circumstances. Students may receive a Clinical Contract for accountability for repeated absences, absences without notification, and/or lateness. A clinical failure may be received if there is consistent lateness or absenteeism. Students failing to notify the instructor of an absence on more than one occasion will receive a clinical failure. In the event of an absence from the clinical experience, the student must: 1. Call the clinical unit/affiliating agency to which he/she is assigned at least ½ hour prior to the assigned rotation. 2. Properly identify himself/herself as a nursing student. 3. State the hour he/she was to be expected on the unit. Student Handbook, Linda Caputi, Revised 10/29/07 39 4. Ask to speak with the nursing instructor assigned to the unit. 5. Obtain the name of the individual taking the message if the instructor is not available. Students who are absent for a formal orientation conducted by the affiliating agency may need to withdraw from the course if the information that is provided is not able to be reproduced at another time. Clinical Evaluation Each student will complete a self-evaluation assessing clinical performance at midcourse and at the end of the course. Both instructor and student will use the clinical evaluation tool established for each course. Satisfactory Performance in the Clinical Area A student must be satisfactory in the clinical area to earn a passing grade in the course. To be satisfactory, the student must be prepared for clinical, meet the criteria established for satisfactory clinical performance, and perform within the realm of safe nursing practice. 1. Any student not prepared to meet the clinical objectives as determined by his/her instructor may be dismissed from the clinical area and sent to the college lab to practice. 2. Any alteration of physical and/or emotional status of a student that would negatively impact the student’s ability to perform safely in the clinical setting will be determined by the student’s clinical instructor. 3. Unsatisfactorily behavior in the clinical may consist of but not be restricted to the following. If the student is: a. Consistently late. b. Absent, and time is not made up. c. Noncompliant with uniform requirements. d. Not prepared to meet the clinical objectives for that day. e. Inappropriate in applying safety measures. f. Consistently inappropriate in decision making. g. Not compliant in assignment completion. h. Inappropriate in communication with patients, their family, and staff. A student whose performance is evaluated as being unable to meet the objectives of the course will be considered unsatisfactory. A student who has been evaluated as UNSATISFACTORY may not continue in the clinical/classroom. The instructor will recommend that the student withdraw prior to the end of the course. If the student chooses to ignore the recommendation, a grade of “F” will be given for the course. Unsafe Behavior Unsafe behavior is defined as any behavior that endangers the physical safety or mental well-being of a patient. A student demonstrating unsafe behavior may be asked to leave the clinical setting at any time and is subject to dismissal from the nursing program. A student whose behavior(s), skill and or knowledge base is evaluated to compromise the safety of the patient(s), will be evaluated to be unsafe. The student may withdraw or Student Handbook, Linda Caputi, Revised 10/29/07 40 receive an “F” in the course. A student who has been evaluated as being UNSAFE may not continue in the clinical/classroom. The student who receives an “unsafe” clinical evaluation will NOT be readmitted the program. Skill Remediation A student found deficient in skill performance in the clinical setting will be referred to the nursing lab for remediation under supervision. A student will not be allowed to perform the identified skill in clinical until it has been demonstrated satisfactorily in the nursing laboratory. The student will be allowed two opportunities to successfully demonstrate skill competency. The student must come to the college lab within the time frame identified by the clinical instructor. Failure to comply with the above will result in a failure to complete course objectives and an unsatisfactory clinical grade. Procedure for Skill Remediation 1. The clinical instructor fills out the information on the form (provided by the faculty) and gives a copy to the student. The clinical instructor includes on the form the designated time for completion. 2. The student must come to the lab on or before the designated time for completion. 3. The student must review appropriate readings and audiovisual materials, and practice the skill(s) prior to the appointment time. 4. The student brings this form to the college lab at his/her scheduled time. 5. The laboratory assistant will observe the student’s demonstration of the skill(s) based on established criteria. 6. Upon completion of the demonstration, the faculty provides written feedback on the form to the clinical instructor and signs the form. 7. The student is then responsible for returning the form to the clinical instructor. 8. The clinical instructor determines whether the student has successfully completed the demonstration of the skill(s) based on the lab faculty’s comments and signs the form. 9. The clinical instructor attaches the skill remediation form to the student’s clinical evaluation. Clinical Contracts Clinical contracts for unsatisfactory clinical performance or behavior may be issued at any time within a course. Contracts are written to alert the student of unsatisfactory clinical progress. Students who receive a clinical contract must follow the recommendations outlined in the contract. Such recommendations may include attending the nursing skills laboratory to improve clinical techniques. The procedure for clinical contracts and failures is as follows: 1. A copy of the clinical contract is provided at the time the student is informed of the specific problem or deficiency. The student and faculty member sign the form, indicating it has been reviewed. A witness may be obtained by the faculty member if the student refuses to sign the form. 2. The student is responsible for reviewing the information contained in the clinical warning notice and for taking action to improve his/her clinical performance to meet Student Handbook, Linda Caputi, Revised 10/29/07 41 the clinical objectives of the course. Clinical Failures Clinical failures may be for unsatisfactory or unsafe performance. Students deemed unsatisfactory and fail the course may seek readmission to the program. Students deemed unsafe may not seek readmission to the program. Students seeking readmission must adhere to the Readmission Policy outlined in this handbook. 1. A clinical failure may be given to a student at any time during the course if he/she is demonstrating unsafe behavior or misconduct. 2. Students receiving a clinical failure will receive a failure (“F” grade) in the nursing course and will result in dismissal from the Practical Nursing Program. 3. Students who are eligible to return to the nursing program where a clinical failure was received may be required to seek remediation in the Nursing Skills Laboratory. Appointments may be made with the faculty for practice and demonstration of skills appropriate to the course level. Student Handbook, Linda Caputi, Revised 10/29/07 42 College of DuPage Health Science Programs Policy for Professional Conduct at Clinical Sites Socialization of students to appropriate professional conduct is a significant component of the Health Science Programs of College of DuPage (the “Programs”). Students in the Programs are expected and required to be reliable and competent, exercise sound judgment, act with a high degree of personal integrity, represent College of DuPage (the “College”) in a respectful manner, and observe all the rules and regulations of the clinical sites to which they are assigned. Students also have a responsibility to protect the welfare and safety of the patients for whom care is being provided. In accordance with these expectations, when assigned to clinical sites, students in the Programs must adhere to the following Policy for Professional Conduct. This Policy is in addition to the Student Code of Conduct outlined in College catalogs and/or policy. The Policy for Professional Conduct includes, but is not limited to, 1. Providing competent and reliable services to patients using sound judgment and discretion. Students are expected to: be on time refrain from excessive absenteeism remain in assigned work areas, leaving only with permission not leave patients unattended 2. Demonstrating respect and courtesy to patients and their families 3. Demonstrating respect and courtesy to instructors, supervisors and all other members of the health care/provider team at the site 4. Cooperating with faculty, staff and peers without insubordination 5. Providing care and/or services on a non-discriminatory basis 6. Performing only procedures and/or services authorized by supervisor(s) in accordance with accepted professional standards 7. Observing the rules and regulations of all clinical facilities including Proper use of equipment and other property Not removing property of clinical facilities Not distributing, possessing illegal drugs or controlled substances, Not possessing or being under the influence of alcohol, and Complying with drug testing requirements* 8. Maintaining the confidentiality of patient information in accordance with recognized professional and institutional rules; without unauthorized release and/or misuse of patient information or institutional data 9. Maintaining proper dress, appearance, hygiene and decorum in accordance with the standards set by the program, clinical site, and professions 10. Complying with the ethical and professional standards set by the profession and the Programs including: Never taking prescription blanks or writing prescriptions Never falsifying documents regarding student performance or the care of patients Student Handbook, Linda Caputi, Revised 10/29/07 43 The penalty for violating the Policy for Professional Conduct will be discipline up to and including dismissal from the Programs. Due to the sequential design of the curriculum in most Health Science programs, any period of suspension or dismissal may result in a delay in program completion. If the disciplinary action is suspension or dismissal from one of the Programs, the student may appeal that disciplinary action to the Health Sciences Professional Conduct Review Board within 10 days of the discipline imposed. This appeal must be in writing using the Request for Professional Conduct Review forms available in the Health Sciences Division Office. The form must be submitted to the Associate Dean for Health Sciences. The student will not be permitted to participate in the Programs during the appeal process. The appeal will result in a hearing before the Health Sciences Professional Conduct Review Board, comprised of faculty from other COD health science programs, within 30 days of the date the appeal is filed with the Associate Dean. Both the student and faculty involved in the disciplinary action may make an oral presentation to the Board in addition to written comments. There is no further appeal; the decision of the Board is final. If the decision to dismiss or suspend a student from a Program is upheld, no refund of tuition or fees or for equipment or books will be provided. *Students are advised that College of DuPage began drug testing of Health Science students in all programs with direct patient contact starting the fall of 2003. College of DuPage Health Services will perform this drug testing at the students’ expense. Drug testing will precede clinical experience in all cases and will be required prior to admission in some programs. Positive results on a drug screen or misrepresentation regarding drug use will lead to immediate dismissal from the Programs. Student Handbook, Linda Caputi, Revised 10/29/07 44 Learning Resources Library The Library is located on the main campus in Glen Ellyn. Debra Kakuk, MA, MLIS, Associate Professor, is the librarian assigned to nursing. The Library is open every day of the academic year at the following times: Monday through Thursday 7:45 AM to 10:00 PM Friday 7:45 AM to 4:30 PM Saturday 11:00 AM to 4:00 PM Sunday 12:00 (noon) to 6:00 PM The Library is open for shorter periods of time during vacations and is closed on holidays. Current break hours and holiday closings are listed at http://www.cod.edu/library/services/currentquarter.htm. Nursing students and faculty may access an online Nursing Research Guide located at http://www.cod.edu/library/libweb/Kakuk/gdnursing.htm that includes: catalog links, reference materials in the COD collection, Internet sites (including associations, organizations, consumer/general information, and reference sites), and APA citation information. Students are also encouraged to use the Consumer Health Resource Guide (including both professional and consumer level information) at: http://www.cod.edu/library/libweb/Kakuk/consumer_health.htm Materials Available: The library houses materials on all major subject areas in a variety of formats to meet the informational, cultural, and recreational needs of the college community. Its collection consists of over 218,500 volumes, 800 current periodical subscriptions, access to 90 online article databases, and 1,484 electronic books. There are over 25,000 videos (VHS and DVD formats) in the collection as well as 15,000 musical recordings, and a widevariety of audiotapes, CD-ROMs, anatomical models and specimens, slides, etc. Library holdings in nursing and related disciplines provide a broad range of materials that are relevant to the curriculum. Materials include books, audiotapes, slides, CD-ROMs, DVDs, VHS tapes, anatomical models, and reserve materials (designated by clinical and didactic nursing faculty). The medical-related section of the Library collection houses over 14,000 unique items and Nursing students have access to eleven health and science related databases such as the Cumulative Index to Nursing and Allied Health Literature (CINAHL), InfoTrak’s Health Reference Center-Academic, HealthSource: Academic and Consumer (from EBSCO), and MEDLINE. Online, full text access is also available to numerous journal articles which expands the library’s periodical holdings for students and faculty. Nursing students have print or electronic access to over 220 nursing journals and magazines. Using their library cards, nursing students can Interlibrary Loan (ILL) books and journal articles that are not owned by the COD Library (a free service). For a listing of on-line and print journal holdings especially pertinent to the Practical Nursing Program, see Student Handbook, Linda Caputi, Revised 10/29/07 45 http://sc9jf5ze6e.search.serialssolutions.com/?V=1.0&L=SC9JF5ZE6E&N=100&S=SC &C=HE0059. Computer Programs Computer programs assigned in courses are available to nursing students in the Nursing Computer Lab and at the Academic Computing Center. When the Nursing Computer Lab is closed, students have access to the Academic Computer Center on the 3rd floor of the Student Resource Center (SRC 3600) on the main campus in Glen Ellyn. All software programs for nursing are available in the Academic Computing Center. The Academic Computing Center hours are as follows: Monday through Friday Saturday Sunday Student Handbook, Linda Caputi, Revised 10/29/07 7:00 AM to 10:00 PM 8:00 AM to 5:00 PM 11:00 AM to 8:00 PM 46 Student Concerns Students have the right to express their concerns regarding academic and nonacademic issues. These issues may include, but are not limited to, course activities, discrimination, disruptive classroom behaviors, harassment, or intimidation. Students should observe the following: 1. Students are to convey their expressed concerns directly to the appropriate faculty member. 2. If students do not perceive resolution of the issue they should contact the Associate Dean of Health Sciences. 3. If the concern is about a grade issue, the student is referred to page 54 of the College of DuPage Catalog (2007-2009) for the Grievance Policy. 4. In the event concerns are not perceived to have been resolved through this process, students may address complaints about the program to the Board of Nursing, 320 Washington Street, 3rd floor, Springfield, IL 62786 (217) 785-0800. Student Handbook, Linda Caputi, Revised 10/29/07 47 Procedure for Withdrawal from the Practical Nursing Program The following guidelines are used to assist any student who wishes to withdraw from or not continue in the Practical Nursing Program at College of DuPage. 1. Students who have begun the program and wish to withdraw during the semester: Students are encouraged to consult directly with the instructor when considering a course withdrawal. Please refer to the College of DuPage Catalog (2007-2009), pages 33 and 66. 2. Instructor Responsibility. Students who are in danger of failing academically or clinically must be apprised of this possibility in writing before the end of the automatic withdrawal ("W") time. Mid-course clinical evaluations and conferences are used to provide discussion about the student’s academic status; however, a conference between student and faculty can be initiated at any time by either party. 3. Appeal Procedure Every student has the right to appeal grades and evaluations. Please refer to the Student Appeal Procedures in the College of DuPage Catalog (2007-2009), page 54. Student Handbook, Linda Caputi, Revised 10/29/07 48 Readmission Policy Readmission to the nursing program is granted on a space available basis. A student who withdraws passing (grade of C or higher in a course at the time of withdrawal) may be granted two readmissions on a space available basis. The readmission must occur within two calendar years of the withdrawal. A student who withdraws failing (grade below C at the time of withdrawal) or finishes the course and earns a grade below a “C” in a nursing course may be granted one readmission on a space available basis. The readmission must occur within one calendar year of the initial withdrawal. A student seeking readmission must have a current GPA of 2.5 or higher at the time of admission. A letter requesting readmission must be submitted to the Practical Nursing Office. The letter should address measures the student will institute for success in the nursing program after readmission. If the student is not able to re-enter the program when the letter for request for re-admittance is sent, he/she must resubmit a new letter of intent if wanting to re-enter at a later time. Student Handbook, Linda Caputi, Revised 10/29/07 49 Certificate Requirements Each student must meet the following requirements to be awarded the Practical Nursing Certificate at College of DuPage: 1. Satisfactorily complete all course requirements for the specific certificate. 2. Possess a minimum of 2.0 (C) average in the combined grade point average of all College of DuPage courses numbered 1000 and above. 3. Complete a minimum of one-half the applicable credits at College of DuPage. 4. Earn the final applicable credits at College of DuPage. 5. File a petition for the certificate at least one semester before the anticipated completion date. 6. Satisfy all financial obligations and other specific requirements. 7. Be in good standing at the time final credit for the certificate is earned. For more information, refer to page 87 in the College of DuPage Catalog (2007-2009). Student Handbook, Linda Caputi, Revised 10/29/07 50 Requirements for Licensure in the State of Illinois To receive a license to practice as a Licensed Practical Nurse, the applicant must meet the following criteria: 1. Complete the required approved practical nursing program of not less than one academic year in an approved school and graduate from the school; and 2. Provide proof of graduation from a nursing education program 3. Signature of the Director of the nursing education program, or other person designated by the Director of the nursing education program 4. Pay the required examination fee 5. Verification of fingerprint processing 6. Pass the NLCEX-PN Candidates for the NCLEX-PN must personally apply for the examination upon graduation from an approved program. The examination is computer based. Candidates in all states write the same national examination. In determining licensure under this Section, the Department may take into consideration any felony conviction of the applicant, but such a conviction shall not operate as an automatic bar to registration. A person shall be qualified to receive a license as a Practical Nurse if he or she has passed NCLEX-PN as determined by and conducted by the Illinois Department of Professional and Financial Regulation (IDPFR) to determine his or her fitness to receive a license as a registered professional nurse. For more information contact the Illinois Department of Professional and Financial Regulation or refer to the Advanced Practice Nursing Act and Rules for the Administration of Nursing and Advanced Practice Nursing Act. Student Handbook, Linda Caputi, Revised 10/29/07 51 Articulation Graduates are encouraged to continue their nursing education after completing the Practical Nursing Program. College of DuPage offers a one-semester transition course. Upon successful completion of the transition course and meeting all other admission requirements, the student is eligible to apply for admission to the College of DuPage Associate Degree Nursing program preparing graduates for Registered Nurse Licensure. The student will enter the ADN program at the second year level taking Nursing 2109, 2110, 2201, and 2202. Further information on articulation into the ADN program is available through the Health Sciences Admission Office, the Practical Nursing Program Coordinator, or the Associate Degree Nursing Program Coordinator. Student Handbook, Linda Caputi, Revised 10/29/07 52 References Alfaro-LeFevre, R. (2006). Applying the nursing process: A tool for critical thinking. Philadelphia: Lippincott. National Association for Practical Nurse Educators and Service (NAPNES). (2003). Standards of practice for LPN/VNs. Silver Spring, MD: Author. National Association for Practical Nurse Education and Service (NAPNES) (2006). Draft: Standards of practice for LPN/VNs. Silver Spring, MD: Author. National Council of State Boards of Nursing (2006). Business book NCSBN 2006 annual meeting: The threshold of regulatory excellence: taking up the challenge. Chicago: Author. National Council of State Boards of Nursing (2005). NCLEX-PN examination: Detailed test plan for the national council licensure examination for licensed practical/vocational nurses. Chicago: Author. National Federation of Licensed Practical Nurses, Inc. (NFLPN). (2003). National practice standards for the licensed practical/vocational nurse. Raleigh, NC: Author. National League for Nursing (2005). The scope of practice for academic nurse educators. New York: Author. Porter-O’Grady, T. (2006). A new age for practice: Creating the framework for evidence. In K. Malloch & T. Porter-O’Grady, Introduction to Evidence-Based Practice in Nursing and Health Care. Boston: Jones and Bartlett Publishers. Taylor, C., Lellis, C., & LeMone, P. (2005). Fundamentals of nursing: The art and science of nursing care. (5th ed.). Philadelphia: Lippincott Williams & Wilkins. Student Handbook, Linda Caputi, Revised 10/29/07 53