Nursing Student Handbook
Transcription
Nursing Student Handbook
Nursing Student Handbook 1 SAINT JOSEPH’S COLLEGE OF MAINE DEPARTMENT OF NURSING 2015-2016 STUDENT HANDBOOK A GUIDE FOR THE JOURNEY “The Road goes ever on and on Down from the door where it began. Now far ahead the Road has gone, And I must follow, if I can, Pursuing it with eager feet, Until it joins some larger way Where many paths and errands meet.” J.R.R. Tolkien April 2015 Nursing Student Handbook 2 TABLE OF CONTENTS This handbook is intended for use by nursing students to supplement information contained in the Saint Joseph's College Catalog Page(s) WELCOME STATEMENT, SJC MISSION AND CORE VALUES 5 MISSION, VISION AND VALUES OF THE DEPARTMENT OF NURSING 5 DEPARTMENT OF NURSING PHILOSOPHY ACCREDITATIONS 6-7 7 DEPARTMENT OF NURSING CONTACT INFORMATION 8-9 STATEMENT ON ACCOUNTABILITY 10 CONFLICT RESOLUTION PROTOCOL 10 FUNCTIONAL ABILITIES POLICY 11-12 STUDENT ADVISING SUPPORT 12 ADA ACCOMODATIONS APA FORMAT 12-13 13 ACADEMIC HONESTY POLICY; PLAGIARISM 13-14 REQUIREMENTS BEFORE BEGINNING CLINICAL COURSES CRIMINAL BACKGROUND CHECK/CertifiedProfile HEALTH REQUIREMENTS CPR POLICY HEALTH INSURANCE HIPPA and OSHA LICENSING PROFESSIONAL LIABILITY COVERAGE TRANSPORTATION DRUG SCREEN POLICY CLINICAL ABSENCE AND MAKE UP POLICY FOR PRE-LICENSURE STUDENTS 15-18 15-16 15 16 16 16 17 17 17 17-18 DEPARTMENT OF NURSING IMPAIRED NURSE POLICY 18-20 April 2015 Nursing Student Handbook BLOOD-BORNE PATHOGENS POLICIES 3 20-22 PANDEMIC CRISIS MANAGEMENT PLAN 23 NURSING LABORATORY 23 STUDENT PARTICIPATION IN DEPARTMENT ACTIVITIES 23 STUDENT NURSES ASSOCIATION (SNA) 23 SIGMA THETA TAU, INTERNATIONAL 24 BACHELOR OF SCIENCE in NURSING PROGRAM PURPOSE OUTCOMES PROGRAM COMPETENCIES PRE-LICENSURE BSN PROGRAM CURRICULUM PLAN REQUIREMENTS FOR PROGRESSION IN THE BS NURSING MAJOR CLASSROOM POLICIES; GRADING, ATTENDANCE, and LATE PAPERS ATI POLICIES CLINICAL POLICIES ABSENCE AND MAKE UP POLICY SNOW DAYS CLINICAL POLICY NO CALL, NO SHOW POLICY PROFESSIONAL DRESS POLICY UNIFORMS MEDICATION CALCULATION POLICY CRITERIA FOR MATH COMPETENCIES BY COURSE/SEMESTER INTRAVENOUS THERAPY POLICY NU 420 INTERNSHIP POLICY AND PROCEDURE BSN TO MSN FAST-TRACK OPTION 25-50 25 26 27-33 RN to BSN PROGRAM REQUIREMENTS FOR PROGRESSION CURRICULUM PLAN INCOMPLETE GRADES 49-50 49 50 50 MASTER OF SCIENCE IN NURSING PROGRAM PURPOSE PROGRAM OUTCOMES 51-57 51 52 34-45 34-35 35-36 36-37 37-38 38-40 38 38 39 39 39-40 41 41-43 43-44 44-45 46-48 April 2015 Nursing Student Handbook PROGRAM SPECIALIZATIONS (Administration, Education, Family Nurse Practitioner) ADMISSIONS REQUIREMENTS INCOMPLETE GRADES CURRICULUM PLANS FNP TECHNOLOGY REQUIREMENT CLINICAL SITE PLACEMENT PROCESS FOR ON-LINE PROGRAMS CLINICAL SITE REQUIREMENTS AND APROVAL PROCESS TIMELINE STATE AUTHORIZATION FOR DISTANCE EDUCATION NURSING PROGRAMS MAJOR RESPONSIBILITIES OF EACH OF THE PARTICIPANTS IN A PRECEPTED PRACTICUM DESRIPTION OF PRECEPTED PRACTICA FNP CLINICAL COURSE REQUIREMENTS APPENDICES APPENDIX I FNP Preceptor Application and Agreement Form APPENDIX II Certified Background Check Information for On-line RN-BSN, MSN-ADM, MSN-EDU, MSN-FNP APPENDIX III Student Handbook Verification Form APPENDIX IV Evaluation of Preceptor Form APPENDIX V Clinical Experience Site Evaluation Form APPENDIX VI Nursing Student Handbook Verification Form 4 52-53 53 54 55-57 57 58-69 59-61 61 61-63 63-66 67-69 70-79 70 71-74 75 76 77-78 79 April 2015 Nursing Student Handbook 5 Welcome Introduction The faculty and staff of Saint Joseph’s College of Maine welcome you to the College and the Department of Nursing. This handbook has been designed to prepare you with specific information related to the nursing programs. The information in the handbook is subject to revision. It is important, therefore, for you to check the announcements within the courses and within e-mail communications from the Nursing Department often. You should also keep in close contact with your academic and faculty advisor, as well as other course faculty members. This handbook is not intended to replace the policies, rules and regulations set forth in the Saint Joseph’s College Catalogs. You should use this document as a guide when addressing questions specific to your nursing program. It is your responsibility to become acquainted with, understand, and comply with the policies set forth by the College and the Department of Nursing. SAINT JOSEPH’S COLLEGE DEPARTMENT OF NURSING MISSION The mission of the programs in Nursing at Saint Joseph’s College is to prepare nurses for roles in professional practice environments of the 21st century. The BSN program prepares generalists, grounded in the liberal arts tradition, who practice professional nursing in a variety of settings. It also provides graduates with a foundation for continued professional growth and graduate study. The MSN program prepares graduates for roles requiring advanced nursing knowledge. Graduates demonstrate breadth and depth of knowledge and advanced skills for leadership roles in their areas of specialization. VISION Saint Joseph’s College Department of Nursing Programs is grounded in a philosophy of holistic caring, and social justice with graduates who demonstrate excellence in their knowledge, skills, and decision making ability. Our programs will be recognized for their excellence, accessibility, and flexibility. VALUES CARING HOLISM LEARNING PROFESSIONALISM INTEGRITY April 2015 Nursing Student Handbook 6 DEPARTMENT OF NURSING PHILOSOPHY The philosophy of the Department of Nursing is in accordance with the philosophy and objectives of Christian Humanism as set forth in the Mission Statement of Saint Joseph's College. Beliefs of the faculty about human beings, environment, health, nursing, and education/learning are expressed in statements that follow. Human beings are creatures composed of bodies and souls, made in the image of God. They are endowed by God with dignity, free will, and the capacity for love. Human beings are holistic, open systems who have biological, psycho-social, cultural, and spiritual needs. What affects one aspect of being affects the whole. Human beings have the capacity to meet needs through intellectual, sentient, and creative potential and through interactions with the environment, humankind and the Creator. Human beings constantly interact with their internal and external environments. Health is a reflection of an optimal balance in human systems. It is a “holistic state, where harmony and balance between an individual’s physical, social, and spiritual state and the physical, social, and spiritual environment are achieved” (Sorrell and Smith, 1993, p. 336). Health is an ongoing dynamic process throughout the life cycle. Nursing is a caring profession that provides unique service to individuals, families, and groups in a dignified and ethical manner at any point in the life cycle. Nurses uphold the right of every individual to adequate health care, and encourage participation in planning that care. Through critical thinking and the application of nursing theory, professional nurses use the nursing process to treat human responses to actual or potential alterations in health. Nursing strives to assist people in meeting their needs to promote, maintain, and restore optimum health. Nursing is a dynamic profession that is accountable to society. This accountability requires that the profession be responsible for the maintenance and development of theory that supports its practice. The professional nurse assumes responsibility for acquiring and maintaining knowledge and skills to practice, reflecting values based on ethical and legal principles. Professional nurses act in leadership roles and as advocates in planning for the improvement of health care. Nursing faculty believes that the educational process provides opportunities for intellectual, personal and social growth grounded in the arts and the sciences. Learning is a life-long process where learners continue to seek out experiences to challenge their knowledge and abilities. Therefore, the faculty supports the education of professional nurses in an institution of higher learning, which grants Baccalaureate and Master's degrees in nursing. Learning takes place in an environment of mutual respect between teacher and learner, in which the educational process is a shared responsibility. The teacher's role is to facilitate, motivate, and guide learning. The learner's role is to bring to the educational environment a developing awareness of learning needs and a commitment to the learning experience. In an effort to achieve synthesis and application of knowledge, the learner is expected to use critical thinking to clarify and analyze information. Nursing faculty supports programs of study that provide approaches to education that are responsive to individual learning needs. The faculty believes that there is a need for nurses to have access to programs in nursing that will allow for and promote continued professional growth. April 2015 Nursing Student Handbook 7 Reference: Sorrell, M. & Smith, B. (1993). Navajo beliefs: Implications for health professionals, Journal of Health Education, 24 (6), 336-338. SJC and Nursing Program Accreditation Saint Joseph’s College of Maine is fully accredited with the New England Association of Schools and Colleges (NEASC). The baccalaureate and master’s programs at Saint Joseph’s College are accredited by the Commission on Collegiate Nursing Education, One Dupont Circle, NW, Suite 530, Washington DC 20036, 202-8876791. The pre-licensure baccalaureate program at Saint Joseph’s College is approved by the Maine State Board of Nursing. April 2015 Nursing Student Handbook 8 DEPARTMENT OF NURSING ADMINISTRATION, FACULTY, STAFF and ADVISORS Administration Associate Dean, Nursing 207-893-7970 Lynette Hamlin, PhD, RN, CNM, FACNM [email protected] Director, Graduate Programs Open Mercy Hall, Third Floor, #321 Director, Undergraduate Programs Kimberly Clement, MSN, MBA, RN Coordinator, Family Nurse Practitioner Program Mercy Hall, Third Floor, # 301 207-893-7968 [email protected] Open Mercy Hall, Third Floor, # Mercy Hall, Third Floor, # Staff Clinical Placement Coordinator II Laurie Lambert, MSN, RN Clinical Placement Coordinator I Amander Wotton, BSN, RN 207-893-7989 [email protected] 207-893-7943 [email protected] Mercy Hall, Third Floor, #317 Nursing Practice Regulation Coordinator Elizabeth Delano Clinical Support Specialist Carole Moor, MS Nursing Simulation Coordinator Open Nursing Resource Center Staff Amy Dudar, BSN, RN 207-893-7954 [email protected] 207-893-7833 [email protected] Mercy Hall, Third Floor, #306 Senior Administrative Assistant Roberta Edson Administrative Assistant Kimberly Michaud, BS Mercy Hall, Third Floor, #317 Mercy Hall, Third Floor, #306 Mercy Hall, Second Floor, #247 207-893-7973 [email protected] 207-893-7957 [email protected] 207-893-7969 [email protected] Mercy Hall, Second Floor, #247 Mercy Hall, Third Floor, #322 Mercy Hall, Third Floor, #322 Academic Advisors Academic Advisor, Rachel Dzengelewski, MFA Academic Advisor, Will Wysowski, BA Academic Advisor, Nathan Rothman, BA Academic Advisor, Tanya Iverson, BA 800-752-5247 207-893-7813 [email protected] 855-752-5320 207-893-7806 [email protected] 800-752-5941 207-893-7807 [email protected] 800-752-3892 207-893-7809 [email protected] Mercy Hall, Second Floor, #213 Mercy Hall, Second Floor, #213 Mercy Hall, Second Floor, #213 Mercy Hall, Second Floor, #213 April 2015 Nursing Student Handbook Academic Advisor-Leigh HarridenDesrochers, MS (800) 752-2585 (207) 893-7761 [email protected] 9 Mercy Hall, Second Floor, #213 Student Nurses Association SNA Faculty Advisor, Kimberly Clement [email protected] SNA President, Jennifer Deacon [email protected] SNA Vice President, Nicole Wiggin [email protected] SNA Secretary, Jennifer Smith [email protected] SNA Treasurer, Christian Wrightson [email protected] Other Storm Cancelation Recording 207-893-3333 SJC Web Site Address: http://www.sjcme.edu Department of Nursing Fax Number 207-893-7506 On-line Nursing Fax Number 207-893-7520 Financial Aid Office 800-752-1266 SJC Library 207-893-7715 April 2015 Nursing Student Handbook 10 STATEMENT ON ACCOUNTABILITY The American Nurses Association (ANA) code of ethics makes explicit the primary goals and values of the profession. When individuals become nurses, they make a moral commitment to uphold the values and special moral obligations expressed in their code. The Code for Nurses is based on a belief about the nature of individuals, nursing, health, and society. Upon entering the profession, each nurse inherits a measure of both the responsibility and the trust that have accrued to nursing over the years, as well as the corresponding obligation to adhere to the profession’s code of conduct and relationships for practice. The Code for Nurses with Interpretive Statements is thus more a collective expression of nursing conscience and philosophy than a set of external rules imposed upon an individual practitioner of nursing. Personal and professional integrity can be assured only if an individual is committed to the profession’s code of conduct. CONFLICT RESOLUTION PROTOCOL In the event that a situation arises in which you, the student, find yourself in disagreement with a particular faculty member and/or any other individual, the following protocol may be utilized to seek a resolution. 1. It is important to keep in mind that if and when you have an issue with someone, speak with that person first. It is not professional and/or productive to complain to someone else. Make sure that you share your concerns, feelings and issues using clear and specific words. It may be helpful to set your thoughts down on paper so that you can refer to them if you lose your train of thought. Faculty: If a student comes to faculty with a complaint about a faculty member, the student will be sent back to the appropriate faculty member and the student will be notified that you will be contacting the faculty member to make them aware that the student will be scheduling a meeting with them. 2. You may find that you are not satisfied with the outcomes of the discussion after the initial meeting with the individual in question. In that event, inform the individual in question that you will be following the appropriate protocol by meeting with that individual’s superior (e.g. course coordinator, department chairperson, head nurse, etc.). 3. If there is no resolution after following the appropriate protocol, you may choose to initiate a grievance as per the policy stated in the Saint Joseph’s College Student Handbook. April 2015 Nursing Student Handbook 11 FUNCTIONAL ABILITIES POLICY Students in nursing programs must possess the functional abilities to perform the skills and behaviors required of a professional nurse. Therefore all nursing students must possess the following functional abilities: ability to see, hear, touch, smell, and distinguish colors; capacity to communicate orally and in writing with clarity, accuracy, and efficiency; ability to perform full range of required client care activities in a safe and effective manner; ability to think critically, analyze, assess, solve problems, make judgments; emotional stability and ability to accept responsibility and accountability. FUNCTIONAL ABILITIES ESSENTIAL FOR NURSING PRACTICE CRITERIA FOR ADMISSION TO AND RETENTION IN THE UNDERGRADUATE AND GRADUATE NURSING PROGRAMS A candidate for the nursing degree (BSN and MSN) must possess functional abilities essential for nursing practice. Reasonable accommodations may be made for some disabilities by contacting the College Disabilities Coordinator. However, a candidate is expected to perform in a reasonably independent manner. Category Description Gross Motor Skill Gross motor skills sufficient to provide the full range of safe and effective nursing care activities. Fine Motor Skills Fine motor skills sufficient to perform manual psychomotor skills. Physical Endurance Physical stamina sufficient to perform full range of required client care activities. Mobility Physical abilities sufficient to move from place to place and to maneuver to perform nursing activities. Hearing Auditory ability sufficient for physical monitoring and assessment of client health care needs. Visual Visual ability sufficient for accurate observation and performance of nursing care. Tactile Tactile ability sufficient for physical monitoring and assessment of health care needs. Smell Olfactory ability sufficient to detect significant environmental and client odors. Reading Reading ability sufficient to comprehend the written word at a minimum of a tenth grade level. April 2015 Nursing Student Handbook Arithmetic 12 Arithmetic ability sufficient to do computations at a minimum of an eighth grade level. It includes the following three concepts: Counting: the act of enumerating or determining the number of items in a group. Measuring: the act or process of ascertaining the extent, dimensions or quantity of something. Computing: the act or process of performing mathematical calculations such as addition, subtraction, multiplication and division. Emotional Stability Emotional stability sufficient to assume responsibility/accountability for actions Analytical Thinking Reasoning skills sufficient to perform deductive/inductive thinking for nursing decisions. Critical Thinking Skills Critical thinking ability sufficient to exercise sound nursing judgment. Interpersonal Skills Interpersonal abilities sufficient to interact with individuals, families and groups respecting social, cultural and spiritual diversity. Communication Skills Communication abilities sufficient for interaction with others in oral and written form. Yocom, C. (1996). Validation Study: Functional abilities for nursing practice. Chicago: National Council of State Boards of Nursing. STUDENT ADVISING Saint Joseph’s College offers students advising by academic advisors and from nurse faculty advisors. It is strongly encouraged that students make and maintain regular and ongoing communication with both advisors during the course of their education. Faculty Advisor -The Faculty Advisor for pre-licensure BSN students provides advice regarding nursing courses, content, and the nursing profession as nursing students progress through the program. Practica and Capstone advising for students are done by the Faculty Advisor. Academic Advisor -The Academic Advisor is a non-faculty member who provides guidance and support with course enrollments, course registration, course withdrawals, or a leave of absence. The Academic Advisor will also assist the student in contacting the faculty member if needed. She/he will contact the student on a periodic basis to ensure that the student is progressing satisfactorily. ADA ACCOMODATIONS SERVICES Saint Joseph’s College of Maine in accordance with the Americans with Disabilities Act of 1990 provides reasonable accommodations to students who have physical, psychological, or learning disabilities. Students who wish to receive accommodations are responsible for submitting current appropriate documentation of a disability and accommodation needs. A student may declare a disability at any time throughout the academic semester; however, the beginning of the semester is most appropriate. Accommodation requests must be submitted to Holly Anne Sanborn, Advising and ADA April 2015 Nursing Student Handbook 13 Accommodations Coordinator. For more information regarding Saint Joseph’s College of Maine ADA Accommodations services, please contact Holly Anne Sanborn at: 207-893-7562 or [email protected]. APA FORMAT APA format is the writing style required by the Saint Joseph’s College Department of Nursing. American Psychological Association (2009). Publication Manual of the American Psychological Association (6th edition). APA: Washington, DC. ACADEMIC HONESTY POLICY All members of the Saint Joseph’s College community are expected to adhere to the principles of academic honesty central to the College’s mission. Plagiarism, collusion, falsifying the results of one’s research, cheating on examinations and any form of misrepresentation of another’s work, are contrary to the traditions and goals of the institution. Instances of academic dishonesty are subject to disciplinary action and/or academic sanctions. Students are expected to cite any sources upon which their work is based, through the use of bibliographical lists, footnotes, endnotes, and the like, and to document all uses made of the content, style, conceptualization, organization, methods, and factual material of others, or of other work produced by the student. The statement on Plagiarism is available in the Offices of Academic Affairs and Student Affairs. Plagiarism Plagiarism occurs when a person uses the words, ideas, opinions, research, or creative expressions of another as if they were her or his own. Plagiarism can take many forms. One common type of plagiarism occurs when a person uses another’s words without adding quotation marks around the words and clearly stating the source. The words of another may be used only when both of these conditions are present (quotation marks and clear citation of the source). Not using quotation marks implies that the words are the student’s. Another common example of plagiarism is when an individual uses another person’s ideas or opinions and expresses them in his or her own words (called paraphrasing) but fails to cite the source. Although in this case, the words may be the student’s, the ideas have been borrowed from another, and that borrowing must be acknowledged. Plagiarism can involve unacknowledged borrowing from any number of places, including published articles, a classmate’s paper, graphs, charts, the Internet, or a video production. To April 2015 Nursing Student Handbook 14 take anything owned by another without proper acknowledgement is theft, and plagiarism is intellectual theft. Plagiarism occurs in research papers through failures of documentation, but it also can happen in class reports, essays, tests, and in any other situation in which a student may use the words or ideas of another. Plagiarism is a serious violation of academic integrity; it always involves deceit, whether that deceit is intended or not. Ignorance and carelessness sometimes lead to plagiarism, but they are not acceptable excuses. Each individual student has the responsibility to understand and to avoid plagiarism. Procedures Cases of Academic Dishonesty When a breach of the Academic Honesty Policy is suspected (or determined), the faculty shall contact the student and discuss the details of the charge. Subsequent disciplinary action shall be at the discretion of the faculty. For a minor violation, the faculty shall either: 1. 2. 3. 4. Decide to take no further action, Require that the student’s work be resubmitted with appropriate changes, or Change the grade. Beyond the minor offense, the faculty shall either: assign a failing grade for the work submitted, or assign a failing grade for the course. When either of these last two options is chosen, then notification, along with supporting documentation, should be sent to the Office of the Chief Learning Officer (CLO), where a record of the infraction will be kept. Depending on the particulars of the case and/or student’s prior history of infractions, the CLO may decide to extend the sanction to include: 1. Temporary suspension from the College, or 2. Permanent expulsion from the College. A student accused of academic dishonesty may appeal his/her case in writing to the CLO, who will then convene the Academic Review Panel. The role of this Panel is to evaluate the accusation in light of the circumstances bearing upon the case, and then to advise the CLO. The decision of the CLO shall be final. April 2015 Nursing Student Handbook 15 REQUIREMENTS BEFORE BEGINNING CLINICAL COURSES CLINICAL CLEARANCE REQUIREMENTS WITH DEADLINES Saint Joseph’s College Department of Nursing is responsible for ensuring that students are in compliance with our contractual requirements for hospital/healthcare agencies’ policies and regulatory requirements prior to enrollment in clinical courses. Deadlines – For pre-licensure nursing students: August 1 unless otherwise specified For all on-line nursing students: 60 days prior to enrollment in a clinical course CertifiedProfile: each nursing student will enroll in a web-based, secure platform (CertifiedProfile) for a 1) criminal background check, 2) drug screen, and 3) medical document/immunization tracker. This platform is accessed online at www.certifiedbackground.com (See Appendix II). Health Requirements TB Skin Test (must be completed annually) - Proof of PPD (Mantoux) 1-step or QuantiFERON-TB Gold (blood test) - The date the PPD test was administered and the date the test was determined negative or positive must be indicated on the form. A “positive” PPD or QuantiFERON-TB test requires a one-time only postpositive chest X-Ray report. An abnormal chest x-ray requires documentation of medication regimen and yearly documentation of a provider TB symptom check. FNP students are required to have a 2-step PPD or QuantiFERON-TB Gold (blood test). MMR - proof of 2 vaccination dates or positive titers showing immunity to each of the following (3): measles, mumps and rubella Tdap - documentation of a Tdap booster within the past 10 years Hepatitis B titer - - Proof of Hepatitis B vaccines and a positive antibody titer is required. If negative, a repeat booster series (3-dose series) is required and a repeat titer 5 weeks from the final vaccine with follow up as needed. Varicella titer - Proof of a positive antibody titer is required. If negative, 2 varicella vaccines are required 1 month apart. April 2015 Nursing Student Handbook 16 Physical Examination - documentation of health exam by a licensed provider certifying readiness for clinical work. The exam must have occurred within 12 months of proposed start of first clinical practicum. Medical Insurance Card (front and back) or waiver (waiver only applicable for pre-licensure students) Drug Screen Testing - Drug testing is purchased with the CertifiedProfile package. Online students are instructed through the web site on how to proceed to complete a one-time drug screen. This needs to be completed at a certified laboratory specified by CertifiedProfile. Pre-licensure nursing students will have the completion of drug testing on campus at a randomly scheduled time. Flu Vaccine - October 1, Annually Additional Requirements Criminal Background Check - CertifiedProfile is a secure platform that allows students to order a background check through a web-based secure platform. For students in internship placements and online nursing students in clinical practica, an additional background check may be required. HIPAA and OSHA education - October 1 for pre-licensure students, 60 days prior to course enrollment for online students. CPR - American Heart Association Healthcare Provider, must be renewed every 2 years. Handbook acknowledgement form (annually) (see Appendix III)- October 1 for pre-licensure students; 60 days prior to course enrollment for online students. Some agencies may have additional requirements. In the event that additional requirements are necessary, it is the student’s responsibility to comply with the agency clinical requirement(s) and deadline(s) and provide the clinical placement coordinator with documentation of meeting the additional requirements. For pre-licensure nursing students, failure to complete clinical clearance requirements by the associated deadlines will result in a $100 late fee, and a course registration hold for requirements not completed by the August due dates. If a requirement is not completed by the due date after the semester has commenced, the student will sustain an unexcused absence from clinical. The student will be assessed an additional $100 late fee, and the clinical unexcused absence policy will be followed. April 2015 Nursing Student Handbook 17 Licensing All RN/BSN and graduate nursing students must hold an active and unrestricted R.N. license in their state of practice. Professional Liability Coverage All nursing students have professional liability coverage through the Department of Nursing with limits of $1,000,000/$3,000,000 effective September 1, 2014. The cost of the insurance is part of the Nursing Fee. Transportation Students are responsible for their own transportation to all clinical experiences. Drug Screen Policy Any substance found on urine drug screen not explained by prescription and identified within the provider -documented physical exam is considered unacceptable and is grounds for dismissal from the Saint Joseph’s College nursing program. If a student disputes the findings, s/he has up to 2 weeks to do the following: 1. Contact the laboratory directly 2. Submit their case in writing to the Program Director, and know that they may be asked to provide a second/supervised drug screen. 3. If second screen returns negative, the student may be subjected to multiple, random, supervised drug screens for the remainder of the time they are in the program or for a period of time before being allowed to enter clinical courses. If any subsequent screens are positive, the student will be automatically dismissed from the program and encouraged to seek rehabilitation. Clinical Absence and Make Up Policy for Pre-Licensure Students Because the experiential learning component of nursing is a critical element in the learning process and because these experiences must be planned to enhance total learning, students are required to be prepared for and attend all clinical experiences as assigned. The faculty, however, recognize that on rare occasions students experience legitimate illness or family emergencies, which may preclude students' attendance at a clinical experience. Students finding themselves in one of these situations are responsible for notifying clinical instructors (and preceptors, if applicable) 60 minutes prior to the clinical experience through an e-mail and a phone call. One excused absence will be permitted per semester as long as the absence meets the excused absences criteria. April 2015 Nursing Student Handbook 18 Examples of excused absences include, but are not limited to: Student illness Death/critical illness/funeral of a family member Critical life emergency Religious observance The faculty, in consultation with the course coordinator, will arrange a makeup experience for an excused clinical absence. The time scheduled and the specific clinical assignment for the makeup day will be at the discretion of the course coordinator. In selected extraordinary circumstances where greater than one excused absence is required, an arrangement for clinical makeup may be offered, only if an appropriate faculty is available, through an arrangement with the Undergraduate Program Director. There will be a fee assessed for this opportunity. The opportunity may be offered in the clinical area, as a simulation experience, or a combination of both. For more than two excused absences, when an appropriate instructor is not available, withdrawal from the course is required. Examples of unexcused absences include, but are not limited to: Failure to attend clinical due to non-emergency situations, which include, but are not limited to medical/dental appointments, weddings, job interviews, vacations, family care, taking a day off to study, or attending work related activities Failure to complete required clinical clearance requirements prior to the first day of clinical A student with one unexcused absence will receive an unsatisfactory for accountability on the formative evaluation of the outcome tool for that day, and meet with the course coordinator and clinical faculty to devise a remedial plan based on accountability. This plan is filed in the permanent record. A student with more than one unexcused absences is in serious jeopardy of failing the course. The course coordinator, in conjunction with the Undergraduate Program Director, will review the circumstance(s) of the unexcused absences and determine the course of action. DEPARTMENT OF NURSING IMPAIRED NURSE POLICY The mission of the Department of Nursing at Saint Joseph’s College is to prepare nurses for roles in professional practice environments of the 21st century and to educate nursing students in the professional responsibilities of a registered nurse under the Maine State Board of Nursing. The American Nurses Association Code of Ethics for Nurses with Defining Characteristics states that the nurse promotes, advocates for, and strives to protect the health, safety and rights of the patient and that the nurse owes him/herself that same level of care. Self-care includes educating April 2015 Nursing Student Handbook 19 student nurses about mental health and substance abuse issues that may impact health and safety of self or others. The faculty of Saint Joseph’s College of Maine Department of Nursing endorses the following policy and procedure for the identification, intervention, and treatment of students with actual or potential impairment. Faculty beliefs that underlie the policy are: When a student’s performance is impaired; safe, effective care is at risk whether it occurs in the classroom, learning skills laboratory or in the clinical setting. Alcohol addiction, drug abuse, and mental health problems can be successfully treated. Students, who are willing to cooperate with a program of assistance and accept treatment, should be allowed to continue their nursing education, provided they cooperate fully and comply with requirements. Habitual impairment, or unwillingness to seek treatment, is cause for a dismissal from the nursing program. Theft, falsification of records, diversion of drugs for personal use or sale, or the substitution, alteration, or denial of prescribed medications to patients involves legal penalties in addition to the disciplinary process of the college. The purpose of this policy is to: Encourage students who self-identify as having physical, cognitive, or emotional conditions affecting their performance to take advantage of available diagnostic, referral, counseling, and prevention services. Identify and assist students who have not yet recognized signs of potential impairment. Impairment is defined by the nursing faculty of Saint Joseph’s College of Maine as any condition in which the student nurse is unable to communicate orally or in writing with clarity, accuracy, and efficiency, or the inability to demonstrate motor skills sufficient to perform a full range of required client care activities in a safe, effective manner, or the inability to think critically, assess, analyze, solve problems, or make judgments, evidencing psychological or physical symptoms or emotional instability, or being under the influence of substances either prescribed by a physician, obtained over the counter, or accessed legally or illegally that would interfere with the safe and effective care of patients. Incidences involving student impairment will follow the Department of Nursing procedure for impaired student nurses. Occurrence procedure: 1. Faculty, preceptor, and/or staff observe, assess, and documents performance and objective data. April 2015 Nursing Student Handbook 2. 3. 4. 5. 6. 7. 8. 9. 10. 20 The student will be informed of the reasons she/he must leave class (theory or clinical) and documentation will be made of the incident will occur. Student may be required to complete an immediate drug screen. If the student refuses, the student may not be able to return to the clinical setting. If applicable, student will be accompanied to the emergency room for evaluation and treatment. If applicable, an arrangement will be made for someone to drive the student home. The student must leave the clinical environment. Faculty will notify the course coordinator and the Program Director. A second student/faculty conference will be conducted to provide follow-up guidance: discuss behavior and/or signs of impairment; establish expectations and limits for future behavior of student (designate time period); encourage student to give his/her perception of situation and plans to prevent further unprofessional behaviors. Record relevant information and provide a copy to the student and the Program Director. If the impairment involves an infraction of the College’s Student Handbook, a referral will be made to Student Life. If the impairment is determined to be related to a mental health concern, a referral will be made to the College Counseling Center. Procedure in the event a student self-identified: Student will be referred for professional evaluation and treatment, to the Counseling Center, if this is not already in process. A conference will be arranged with the course faculty and Program Director to decide the following: (with input from counselor or therapist as applicable) continued attendance at Saint Joseph's College. The student will provide notification of any restrictions; schedule of reports on progress and rehabilitation and plan for relapse prevention that is in place to the Counseling Center. (Reviewed 5/15) BLOOD-BORNE PATHOGENS POLICIES A. Standard and Universal Precautions Saint Joseph’s College Department of Nursing conforms to the requirements of local, state, and federal laws and the Centers for Disease Control guidelines for preventing of HIV/HBV, as well as those of the parent institution and clinical site facilities. Since medical history and examinations cannot reliably identify all patients infected with HIV or other blood-borne pathogens, blood and body fluid precautions should be April 2015 Nursing Student Handbook 21 consistently used for all patients. This approach is referred as “universal blood and body fluid precautions” or “universal precautions”. 1. All health care workers should routinely use appropriate barrier precautions to prevent skin and mucous membrane exposure when contact with blood or other body fluids of any patient is anticipated. Gloves should be worn for touching blood and body fluids, mucous membranes, or non-intact skin of all patients, for handling items or surfaces soiled with blood or body fluids, and for performing venipuncture and other vascular access procedures. Gloves should be changed after contact with each patient. Masks and protective eye wear or face shields should be worn during procedures that are likely to generate droplets of blood or other body fluids to prevent exposure of mucous membranes of the mouth, nose, and eyes. Gowns and aprons should be worn during procedures that are likely to generate splashes of blood or other body fluids. Hands and other skin surfaces should be washed immediately and thoroughly if contaminated with blood or other body fluids. Hands should be washed immediately after gloves are removed. 2. All health-care workers should take precautions to prevent injuries caused by needles, scalpels, and other sharp instruments; during disposal of used needles; and when handling sharp instruments after procedures. To prevent needle stick injuries, needles should not be recapped, purposely bent, broken by hand, removed from disposable syringes, or otherwise manipulated by hand. After they are used, syringes and needles, scalpel blades, and other sharp items should be placed in puncture-resistant containers for disposal; the puncture-resistant containers should be located as close as practical to the use area. (Large-bore reusable needles should be placed in puncture-resistant container for transport to the reprocessing area.) 3. Although saliva has not been implicated in HIV transmission, to minimize the need for emergency mouth-to-mouth resuscitation, mouthpieces, resuscitation bags, or other ventilation devices should be available for use in areas in which the need for resuscitation is predictable. 4. Health care workers who have exudative lesions or weeping dermatitis should refrain from all direct patient care and from handling patient care equipment until the condition resolves. 5. Pregnant health care workers are not known to be at greater risk of contracting HIV or Hepatitis B infection than health care workers who are not pregnant; however, if a health care worker develops HIV infection or Hepatitis B during pregnancy, the infant is at risk of infection resulting from perinatal transmission. Because of this risk, pregnant health care workers should be especially familiar April 2015 Nursing Student Handbook 22 with and strictly adhere to precautions to minimize the risk of HIV and Hepatitis B transmission. B. Policies Related to Accidental Exposures to Blood/Body Fluids Students who experience an exposure in the clinical setting of any kind (splash, contact, airborne, sharps-related) must inform their clinical faculty member immediately. If the agency at which the exposure occurred has a post-exposure policy/procedure that meets or exceeds the most current CDC guidelines particularly for HIV, Hepatitis B & C, the student shall be encouraged to immediately take full benefit of all services offered. If the clinical agency does not have a policy/procedure that at least meets current CDC guidelines, students will be instructed to seek immediate care through the nearest facility that does offer such care and to then seek additional care through the facility of their choice. Students are responsible for costs not covered by the clinical facility in which the exposure occurred. Procedure: Procedure in the event of an exposure, particularly a sharps-related incident: 1. Student immediately washes exposed site with soap and water or flushes eyes with water. 2. Report the exposure immediately to faculty and facility representative and change clothes soiled with blood or body fluids. 3. Student completes all incident reports and faculty reviews agency exposure protocols. 4. Student seeks care at the closest ER that uses CDC accepted guidelines for post-exposure prophylactic care. We encourage students to take advantage of services offered by the agency at which the incident occurred. 5. Faculty notifies Program Director of the incident. AIDS National Hot Line: 1-800-CDC-INFO Maine Hot Line: 1-800-851-2437 Resources: Updated U.S. Public Health Service Guidelines for the Management of Occupational Exposures to HIV and Recommendations for Post exposure Prophylaxis. (September 30, 2005). MMWR54 (RR09), 1-17. April 2015 Nursing Student Handbook 23 SAINT JOSEPH'S COLLEGE PANDEMIC CRISIS MANAGEMENT PLAN It is possible that a pandemic flu alert may close the College for two or more weeks during the course of an academic semester. The College and its faculty understand the unusual nature of closing due to a pandemic crisis and will extend to its students every consideration in accordance with its academic standards and goals. Should a closure due to a pandemic flu alert occur, each course being taught during the semester will continue its instruction for students, to the extent possible, while they are at home. Therefore, students shall take their books and instructional materials with them when they leave the campus and continue their reading and other assignments until the College reopens. To the extent possible, assignments and readings that would have been due during this period will be due at the first class upon reopening. Assignments, readings, quizzes, and exams that would have been scheduled in the weeks after reopening will be due according to the schedule in the syllabus. NURSING LABORATORY The Nursing Laboratory is available to students to practice psychomotor skills, use A-V materials, and receive assistance from Laboratory staff. The Nursing Laboratory affords students opportunities for self-paced learning. Students may learn new content, practice skills, and develop competencies. Additionally, the lab is a setting that offers students a quiet room in which to study individually or in a collegial manner with peers. STUDENT PARTICIPATION IN DEPARTMENT ACTIVITIES Students are encouraged to participate in Department of Nursing activities through department council membership and through active participation in the Students Nurses' Association (SNA). The Department of Nursing has two councils requiring student participation: Academic Affairs Council and the Quality Council. If you are interested in being a member of one of these councils please contact your Program Director. The Student Nurses' Association (SNA) – Nursing is a profession. Professions are characterized, in part, by self-governance, which is facilitated by professional organizations such as The American Nurses’ Association (ANA). ANA contributes to sustaining, maintaining and developing the nursing profession and advocating for the health of the public. Student Nurses’ Associations (SNA’s) provide a link for nursing students to contribute to their professional organization at both the State and local level. The SJC SNA contributes to the College and the community through a variety of service oriented activities, fosters professional development of students, and promotes a better understanding of the profession of nursing. All nursing students are eligible for membership. April 2015 Nursing Student Handbook 24 SIGMA THETA TAU, INTERNATIONAL In 1988 Saint Joseph’s College Department of Nursing, along with the University of Southern Maine School of Nursing, collaborated to form a Chapter-at-Large of Sigma Theta Tau International, the Honor Society for Nurses. In 1998 a second charter amendment ceremony was held to include the University of New England, Westbrook College Campus, Nursing Program as part of the Kappa Zeta Chapter-at-Large. Students at the senior level of the curriculum who have met the criteria for membership will be invited by faculty advisors to join. To be eligible for membership, undergraduate nursing students must: Have completed one half of the nursing curriculum; Achieve academic excellence (at schools where a 4.0 grade point average system is used, this equates to a cumulative GPA of 3.0 or higher); Rank in the upper 35 percentile of the graduating class; Meet the expectation of academic integrity. To be eligible for membership, graduate nursing students must: Have completed ¼ of the nursing curriculum; Achieve academic excellence (at schools where a 4.0 grade point average system is used, this equates to a 3.5 or higher); Meet the expectation of academic integrity. April 2015 Nursing Student Handbook 25 BACHELOR OF SCIENCE IN NURSING PROGRAMS The undergraduate nursing degree program at Saint Joseph's College is designed to provide graduates with the knowledge and skills to practice as a nurse generalist in a variety of settings. Graduates are able to assume appropriate responsibilities in the context of further professional development and to participate in continuing education and graduate study. April 2015 Nursing Student Handbook 26 BACHELOR OF SCIENCE IN NURSING PROGRAM OUTCOMES Outcome 1 Professionalism Defined: Demonstrates professional behaviors in appearance and demeanor: uses legal and ethical principles; acts accountable in role as: advocate, collaborator, teacher, team member and leader; integrates research into practice; and becomes an independent learner. Outcome 2 Holistic Care Defined: Demonstrates holistic caring behaviors to: clients and recognizes the importance of holistic selfcare; community; colleagues; including health promotion and illness prevention. Outcome 3 Communication Defined: Communicates effectively and professionally: verbally, nonverbally, in writing and using computer technology. Outcome 4 Critical Thinking Defined: Demonstrates critical thinking focusing on: clinical reasoning, problem solving and effective use of the nursing process. Outcome 5 Safe, Effective Care Defined: Demonstrates safe, effective care throughout the life span (and at the end of life) that is based on accepted principles and standards of nursing practice, reflects evidenced-based care and culturally competent. April 2015 Nursing Student Handbook 27 Program Competencies LEVEL I: ACQUISTION AND APPLICATION Outcome 1: Professionalism Knowledge: Skills: Attitudes: Discusses standards of professional practice, the evaluation of practice, and the responsibility and accountability for the outcome of practice. Assumes accountability for personal choices and personal and professional behaviors. Commits to promoting the image of nursing by modeling the values and articulating the tenants of the profession of nursing. Describes the relationship among personal health, self-renewal, and the ability to deliver sustained quality care. Demonstrates professionalism, including attention to appearance, demeanor, respect for self and others, and attention to personal boundaries with patients and families as well as among caregiver. Describes the personal and social limits and boundaries of therapeutic patientcentered care. Practices self-care. Describes the roles and responsibilities of a professional nurse and the healthcare team. Implements clinical nursing roles as an advocate, teacher, caregiver, team member. Describes reliable sources for locating research evidence and clinical practice guidelines. Locates and begins to evaluate research and evidence-based guidelines related to clinical practice or nursing education. Acts to prevent unsafe, immoral, illegal, or unethical practices. Commits to activities that promote personal health and renewal. Commits to upholding legal and regulatory principles by abiding to professional standards of practice. Values and commits to the roles of a professional nurse. Appreciates strengths and limitations of scientific bases for practice. Outcome 2: Holistic Care Knowledge: Skills: Attitudes: Explains the components of a comprehensive and focused assessment Conducts comprehensive and focused assessments of health and Recognizes the importance of having a thorough patient April 2015 Nursing Student Handbook of health and illness using developmentally and culturally appropriate approaches. Describes the relationship between mind, body, and spirit and its effect on the patient’s health. Discusses protective and predictive factors, which influence health. Discusses health/illness beliefs, values, attitudes, and practices. 28 illness using developmentally and culturally appropriate approaches. history when developing a plan of care. Completes and implements a basic holistic nursing assessment and plan of care. Values holistic therapeutic interventions. Conducts a comprehensive health history to identify current and future health problems. Values how health promotion and disease prevention can affect morbidity, mortality, health, and quality of life. Provides health promotion and disease and injury prevention interventions. Outcome 3: Communication Knowledge: Describes the principles of effective and therapeutic communication. Recognizes correct grammar, spelling, punctuation, and medical terminology and describes conventions of format and structure. Skills: Uses clear, concise, and effective and therapeutic written, electronic, and verbal communication. Develops papers and clinical reports that demonstrate professional writing skills. Attitudes: Commits to communicating effectively and therapeutically. Recognizes the necessity of clear, organized, and well written documents. Describes examples of the impact of team functioning and communication on safety and quality of care. Participates in teamwork that minimizes risk. Values the perspectives and expertise of all healthcare team members. Explains why information and technology skills are essential for safe patient care. Begins to use available technology and information management tools to support safe processes of care. Appreciates technologies that support clinical decisionmaking, error prevention, and care coordination. Skills: Uses systematic approaches in problem solving Attitudes: Applies clinical reasoning and critical thinking processes in Outcome 4: Critical Thinking Knowledge: Describes critical thinking and problem solving processes April 2015 Nursing Student Handbook Discusses patient centered care that reflects an emerging understanding of human growth and development, pathophysiology, pharmacology, medical management and nursing management. Demonstrates purposeful informed, outcome- oriented thinking Implements holistic patient centered care that reflects an emerging understanding of human growth and development, pathophysiology, pharmacology, medical management and nursing management. 29 the management of patient care situations. Values the uniqueness of individuals. Outcome 5: Safe, Effective Care Knowledge: Skills: Discusses the potential and actual impact of established national patient safety resources, initiatives, and regulations. Utilizes resources (e.g. technology, error reporting, policies and procedures) to assure safe practice). Recognizes that nursing and other health professions are parts of systems of care that affect outcomes for patients. Participates in the use of quality improvement tools (such as flow charts) to make processes of care explicit. Attitudes: Recognizes the cognitive and physical limitations of human performance. Values that quality improvement is an essential part of nursing. LEVEL II: ASSIMILATION Outcome 1: Professionalism Knowledge: Examine nursing roles in assuring coordination, integration, and continuity of care Skills: Communicate care provided and needed at each transition in care Attitudes: Value the need for continuous improvement in clinical practice based on new knowledge Outcome 2: Holistic Care Knowledge: Skills: Communicate patient values, preferences and expressed Attitudes: Respect and encourage individual expression of patient April 2015 Nursing Student Handbook 30 Integrate understanding of multiple dimensions of patient centered care: needs to other members of health care team values, preferences and expressed needs Evaluate strategies to empower patients or families in all aspects of the health care process Engage patients or designated surrogates in active partnerships that promote health, safety and well-being, and self-care management Seek learning opportunities with patients who represent all aspects of human diversity Discriminate between valid and invalid reasons for modifying evidence-based clinical practice based on clinical expertise or patient/family preferences Consult with clinical experts before deciding to deviate from evidence-based protocols Recognize personally held attitudes about working with patients from different ethnic, cultural and social backgrounds Willingly support patientcentered care for individuals and groups whose values differ from own Value active partnership with patients or designated surrogates in planning, implementation, and evaluation of care Respect patient preferences for degree of active engagement in care process Acknowledge own limitations in knowledge and clinical expertise before determining when to deviate from evidence-based best practices Outcome 3: Communication Knowledge: Analyze effective strategies for communicating and resolving conflict. Skills: Communicate with team members, adapting own style of communicating to needs of the team and situation Attitudes: Value different styles of communication used by patients, families and health care providers April 2015 Nursing Student Handbook 31 Effectively uses technology and information management tools to support safe processes of care Outcome 4: Critical Thinking Knowledge: Justifies clinical decisions Skills: Exercises clinical reasoning and critical thinking within standards of practice Attitudes: Accepts responsibility for own behavior Skills: Locate evidence reports related to clinical practice topics and guidelines Attitudes: Appreciate the importance of regularly reading relevant professional journals Skills: Uses evidence-based practice to guide health teaching, health counseling, screening, outreach, disease and outbreak investigation, referral, and follow-up throughout the lifespan. Attitudes: Values the need for evidence based practice and ethical care. Outcome 5: Safe Effective Care Knowledge: Differentiate clinical opinion from research and evidence summaries LEVEL III: ADAPTATION Outcome 1: Professionalism Knowledge: Understands Nursing ethical principles, concepts and values as applied to quality patient care. Recognizes the relationship between personal health, self- renewal, and the ability to deliver sustained quality care. Appreciates the necessity for all health professionals to seek lifelong, continuous learning of information technology skills. Articulates the value of pursuing the practice of excellence, lifelong learning, and professional engagement to foster professional growth and development. Outcome 2: Holistic Care Knowledge: Skills: Attitudes: Awareness of global aspects of care As applied to: Collaborates with other healthcare professionals and Willingly supports patientcentered care for individuals and April 2015 Nursing Student Handbook -Patient/family/community values -Coordination and integration of care -Information, communication and education -Physical comfort and emotional support -Involvement of family and friends Demonstrates comprehensive understanding of the concepts of pain, palliative care and quality of life. patients to provide spiritually and culturally appropriate health promotion and disease and injury prevention interventions. Elicits expectations of patient and family for relief of pain, discomfort or suffering and end of life care. Initiates treatments to relieve pain and suffering in light of patient values, preferences and expressed needs. 32 groups whose values differ from their own. Values active partnership with patients or designated surrogates in planning, implementation and evaluation of care. Appreciates shared decisionmaking with empowered patients and families, even when conflicts occur. Recognizes personally held values and beliefs about the management of pain and suffering and end of life care. Outcome 3: Communication Knowledge: Describes own strengths, limitations, and values in functioning as a member of a team. Skills: Demonstrates awareness of own strengths and limitations. Uses adaptation skills to act with integrity, consistency and respect for differing views. Attitudes: Acknowledges own potential to contribute to effective team functioning. Appreciates importance of intra- and inter professional collaboration. Integrates technology and information management tools to provide best practice, quality, and safe patient care. Outcome 4: Critical Thinking Knowledge: Differentiates clinical opinion from research and evidence summaries. Describes reliable sources for locating evidence reports and clinical practice guidelines. Skills: Demonstrates a comprehensive understanding of holistic, patientcentered care that reflects an understanding of human growth and development, pathophysiology, pharmacology, medical management, and nursing management across the Attitudes: Values the need to use current evidence and clinical experience to decide when to modify clinical practice. Appreciate the importance of regularly reading relevant professional journals. April 2015 Nursing Student Handbook Explains the role of evidence in determining best clinical practice. health-illness continuum, across the lifespan and in all healthcare settings. Describes how the strength and relevance of available evidence influences the choice of interventions in provision of patient-centered care 33 Values the need for continuous improvement in clinical practice based on new knowledge Uses evidence-based practices to guide health teaching, health counseling, screening, outreach, disease and outbreak investigation, referral, and follow-up throughout the lifespan. Reads original research and evidence reports related to area of practice. Locates evidence reports related to clinical practice topics and guidelines. Participates in structuring the work environment to facilitate integration of new evidence into standards of practice. Questions rationale for routine approaches to care that result in less-than –desired outcomes or adverse events. Outcome 5: Safe, Effective Care Knowledge: Delineates general categories of errors and hazards in care Describes factors that create a culture of safety (such as open communication strategies and organizational error reporting systems). Describes processes used in understanding causes of error and Skills: Communicates observations or concerns related to hazards and errors to patients, families and the health care team. Uses organizational error reporting systems for near miss and error reporting. Participates appropriately in analyzing errors and designing system improvements. Attitudes: Values own role in preventing errors. Values vigilance and monitoring (even of own performance of care activities) by patients, families and other members of the health care team. April 2015 Nursing Student Handbook allocation of responsibility and accountability. 34 Engages in root analysis rather than blaming when errors or near misses occur. April 2015 Nursing Student Handbook 35 CURRICULUM PLAN FOR PRE-LICENSURE NURSING MAJORS EFFECTIVE SEPTEMBER 2014 Class of: 2018 FRESHMAN/FALL * NU 105 Introduction to Professional Nursing ** CH 105 Chemistry for the Health Sciences ** BI 204 A & P I HY 101 Western Civilization I FY 101 First Year Experience CR 3 4 4 4 1 16 CR SOPHOMORE/FALL ** BI 201 Medical Microbiology ** PY 101 OR ** SO 201 * NU 215 Foundations of Nsg. I (3T/1C) 4 4 * NU 205 Health Assessment * NU 211 Patho/Physiology 3 3 18 CR 4 JUNIOR/FALL TH 100 Intro to Judeo/ Christian Tradition OR ES 300 Ecology and the Environmental Challenge NU 309 Evidence-Based Practice * NU 301 Nursing of the Adult I (3T/2C) * NU 315 Nursing Care of Children (3T/1C) OR NU 314 Maternal/Newborn Nursing (3T/1C) SENIOR/FALL * NU 400 Mental Health Nursing (3T/1C) * NU 405 Community Nursing 4 3 5 4 16 CR 4 (3T/2C) 5 FRESHMAN/SPRING ** PY 101 OR ** SO 201 CR 4 4 4 4 ** BI 205 A & P II *** EH 101 College Writing HY 102 Western Civilization II 16 CR SOPHOMORE/SPRING MA 205 Statistics * NU 204 Foundations of Nsg. II (3T/2C) * NU 212 Pharmacology NN 202 Nutrition JUNIOR/SPRING TH 100 Intro to Judeo/ Christian Tradition OR ES 300 Ecology and the Environmental Challenge * NU 315 Nursing Care of Children (3/1) OR NU 314 Maternal/Newborn Nursing (3T/1C) * NU 390 Nursing of the Adult II (3T/2C) PH 200 Philosophy & Ethics 4 5 3 3 15 CR 4 4 5 4 17 CR 4 4 4 4 SENIOR/SPRING TH Elective PH Elective * NU 420 Nursing Internship (1T/3C) EH elective * NU 406 Nursing Leadership & Management NU Elective 4 2 15 Credits required for graduation – 128; Credits for Nursing Curriculum – 128 16 A minimum of 12 credit hours is required for full time student status. A maximum of 19 credit hours can be taken without additional cost. April 2015 Nursing Student Handbook 36 *** EH 101 (College Writing) in which students must earn a C grade in order to pass. ** Related courses in which students must earn a C- grade in order to pass. * Nursing courses in which students must earn a C+ grade in order to pass. Note: If a student needs to extend his/her program of study because they failed to meet minimum grades and must repeat a course or courses, the student must discuss their request with their advisor and the Associate Dean of Nursing. Effective Fall 2014 REQUIREMENTS FOR PROGRESSION IN THE PRE-LICENSURE BACHELOR OF SCIENCE IN NURSING MAJOR Students entering the pre-licensure track of the BSN degree program must follow the prescribed curriculum sequence and must complete the required prerequisites. Students must receive at least a C+ grade (78) in each nursing course and may not progress to the next semester nursing courses until a grade of C+ (78) is achieved. This may mean that the student needs to extend the program beyond 4 years since most nursing courses are taught only once per year. Students must achieve a 78 average on test scores in nursing courses including the final exam, before other grades, such as papers, projects or nursing care plans, are averaged into the course grade. Students may only repeat a failed nursing course once. Failure to successfully complete a nursing course on the second attempt at any institution will result in dismissal from the nursing major. Effective fall of 2013 (class of 2017 and after), students who fail two different nursing courses will be dismissed from the nursing major. Effective fall 2012 (class of 2016 and after), for all theory courses with a clinical component, students must pass both theory and clinical in order to pass the course. If a student fails either the theory or clinical component, the student must repeat both the theory and clinical components of the course. Students must request approval from the Program Director prior to enrolling in any course other than a Saint Joseph’s College course. The Program Director will determine the appropriateness of the course. Additionally, pre-licensure nursing students must achieve the following grades in non-nursing required courses as follows: Course Minimum acceptable grade EH 101* College Writing C April 2015 Nursing Student Handbook PY 101* Introduction to 37 C- Psychology SO 201* Principles of Sociology C- BI 201* Medical Microbiology C- BI 204** Anatomy & C- Physiology I BI 205** Anatomy & C- Physiology II CH 105** Chemistry for the Health Sciences C- NN 202* Nutrition C+ *must be successfully repeated prior to progressing to junior level nursing courses **must be successfully repeated prior to progressing to sophomore level nursing courses If a student does not successfully repeat these required courses within the required time frame then the time for the completion of the program will be extended beyond four years. CLASSROOM POLICIES FOR PRE-LICENSURE NURSING STUDENTS Grading, Attendance, and Late Papers 1. A passing grade of 78 (C+) or better is required in all nursing courses in order to progress in the nursing sequence. 2. An average of 78 or better is required in theory on testing, including the final exam, before any other graded assignment is calculated into the final course average. 3. Per College policy there will be no retake of final exams. (See College catalog.) 4. All exams must be completed in the class time period unless accommodations have been granted by the College. The student has the responsibility of informing the Course Coordinator of any agreed upon accommodations that have been determined by the Academic Center. 5. Professionalism is one of our program outcomes and one of the Maine Nurse Competencies. April 2015 Nursing Student Handbook 6. 38 Class attendance and attendance at all course quizzes/tests are important aspects of professionalism. a) Attendance Nursing department courses follow the College’s attendance policy, which specifies that “Students are expected to be present at all their regularly scheduled classes. A student is either in class or is marked absent regardless of the reason for the absence.” (SJC College catalog) If a student cannot attend class, it is the students’ responsibility to notify the faculty BEFORE class with a telephone call or e-mail. The student is responsible for obtaining the course material that is missed. In extraordinary circumstances requiring consecutive absences, the Office of Academic Affairs should be notified as per college policy. b) Testing If a student is ill or an extraordinary circumstance prevents that student from taking a test or quiz during the scheduled class time, the student is required to notify the course coordinator at least four hours in advance. If illness prevents a student from testing, a note is required from a healthcare provider. c) Testing make-up Only one make-up date and time will be set by the course coordinator to reschedule a course test. All students who have missed a test or quiz will be expected to test during the day and time scheduled by the course coordinator, which may mean the student must reschedule work or personal plans. A missed test without appropriate prior notification will result in an assigned zero for the test or quiz. 7. It is the student’s responsibility to review all policies in the Department of Nursing Handbook related to course work. ATI POLICIES FOR PRE-LICENSURE NURSING STUDENTS ATI PRACTICE TESTS Pre-licensure nursing students are required to complete the ATI Practice Tests related to their course by the date assigned by the Course Coordinator. If the student does not achieve a 85% proficiency or higher on the ATI Practice Test, the student is encouraged to remediate based on the identified learning areas. The student must retake the practice test again, but no sooner than 48 hours after the prior testing until 85% proficiency is achieved. Students will not be able to take the ATI Content Mastery Exam until the 85% proficiency is achieved. ATI CONTENT MASTERY EXAMS Level 2 is the benchmark for all Content Mastery Exams. Students who do not achieve the benchmark on the first proctored exam must remediate and retake the exam (see remediation plan below). Only students who have not achieved at or above the benchmark may repeat the exam. April 2015 Nursing Student Handbook 39 Grading for ATI Content Mastery Exams is as follows: After achieving a 78 testing average grade, Students who achieve a Level 3 will receive 2 additional points on their final course grade and may opt out of the course final exam. Students who achieve a Level 2 will receive 1 additional point on their final course grade. Students who achieve a Level 1 or less will receive 0 additional points on their final course grade. Remediation for ATI Content Master Exams Students who do not achieve a Level 2 on Content Mastery Exams are required to complete the ATI recommended remediation in order to gain entrance into the retake exam. If Level 2 is not achieved on the retake exam, students must meet with their academic advisor to develop a formal, written remediation plan. CLINICAL POLICIES FOR PRE-LICENSURE NURSING STUDENTS If a student misses two clinical experiences because they have not complied with mandatory requirements (e. g., CPR, TB testing, etc.), the student will be withdrawn from the course, thus fail the course. CLINICAL ABSENCE AND MAKE UP POLICY Because the experiential learning component of nursing is a critical element in the learning process and because these experiences must be planned to enhance total learning, students are required to be prepared for and attend all clinical experiences as assigned. The faculty, however, recognize that on rare occasions students experience legitimate illness or family emergencies which may preclude students' attendance at a clinical experience. Students finding themselves in one of these situations are responsible for notifying their faculty prior to the clinical experience. Make up for clinical absences will be arranged by the course coordinator in consultation with the faculty. The time scheduled and the specific clinical assignment for the make-up day will be at the discretion of the course coordinator. In selected circumstances clinical makeup may be offered if appropriate faculty are available, there will be a fee assessed for that opportunity. SNOW DAYS CLINICAL POLICY If the College is closed there will not be clinical. The decision to cancel clinical if the College is not closed will be made by the course coordinator in consultation with the clinical faculty. Each person is expected to assume responsibility for his/her own safety. April 2015 Nursing Student Handbook 40 NO CALL, NO SHOW POLICY The clinical experience is a very important component of nursing education. Accountability is paramount. Any student missing clinical without calling the clinical faculty and clinical unit shall be subject to the following consequences. One missed day within one course or within the program. Student will receive an unsatisfactory, for accountability, on the formative evaluation for that day and meet with the clinical faculty to devise a remedial plan based on accountability. This plan will be filed in the permanent record. Two missed days within one course: Student will FAIL that course. Extenuating circumstances will be considered by the clinical faculty and the Associate Dean of Nursing. PROFESSIONAL DRESS POLICY Students must wear a SJC identification badge at all times during clinical practica. This is to be purchased from the approved carrier. The student assumes all costs for the purchase of the identification badge, to include but not limited to picture, badge itself, and shipping. Badge ordering information will be emailed to the student upon clearance for clinical by the Online Graduate Nursing Office. If a lab coat is required by the clinical agency the name badge should be worn on the outside of the lab jacket, the identification badge should be visible at all times. Body jewelry (i.e. rings, tongue rings, necklaces, earrings) and the exposure of tattoos should comply with the policy of the clinical agency. The wearing of artificial nails or extenders is prohibited by any student who has direct or indirect patient care contact. Please review CDC publications on this topic: http://www.cdc.gov/handhygiene/Guidelines.html (retrieved 7/29/14). Manner of dress should be appropriate for a professional health care student, such as business casual. This means that open-toed shoes, stiletto shoes, tight and revealing clothing, low cut necklines, the exposure of cleavage, and shirts that are above the midriff/waist or where bare skin is being exposed are inappropriate. The dress policy of the clinical agency should be adhered to at all times. Failure to dress appropriately is reason for removal from the clinical environment. If the student is dismissed from clinical that day’s hours would not count as clinical hours. Three (3) infractions at a clinical site may result in clinical failure which is at the discretion of the clinical preceptor and SJC Online Nursing faculty/administration. UNIFORMS Nursing students are expected to maintain a professional appearance during all clinical experiences. Beginning with the Class of 2014 the uniform color was changed from white to wine. Uniform Requirements: April 2015 Nursing Student Handbook 41 Uniforms Express in South Portland, Maine has been chosen as the provider of student nursing uniforms. Uniforms Express will have a variety of styles, sizes and prices to meet the guidelines of the Department of Nursing. If it is inconvenient for any student to visit their location, they will gladly send catalogs and take phone or e-mail orders with personal check or credit card as payment. For the clinical experience you will need to purchase the following: Beginning with the class of 2014, wine colored uniform based on the options from Uniforms Express in South Portland, Maine; White lab coat (optional); Purchase Saint Joseph’s College patch (One to be placed on your lab coat and one on your tunic top both located on left arm approximately 2 inches below the shoulder); Name badge from the Uniforms Express store; You have the option of either all white or all black shoes: be sure your foot is entirely covered with no toes or heels exposed. Also be sure to wear these shoes only to clinical sites; A watch with a second hand; Stethoscope with a bell and stethoscope (get a mid-range stethoscope at a cost of between $30$50); Adult manual blood pressure cuff. Miscellaneous: Long hair should be pinned up/pulled back. Fingernails should be short and without nail polish or artificial fingernails. The following jewelry may be worn: watch, wedding ring, engagement ring, and one single studded earring per ear. No facial or tongue jewelry. Tattoos should be covered. These guidelines may be modified by agency policy. Certified Nursing Assistant (CNA) Application Process: Maine State Board of Nursing 1. The Undergraduate Program Director will verify that each student has completed all the clinical and lab skills required through sophomore year (currently 96 hours) in order to become a CNA. 2. The Department of Nursing Administrative Assistant will send an e-mail to those students approved to become a CNA, giving the student instructions on the application process for becoming a CNA for each state board of nursing. 3. For Maine: the Administrative Assistant will send a letter of certification (by e-mail) to the Maine State Board of Nursing on behalf of each qualified student. The certification letters will arrive at the MSBON prior to the student’s application arriving. 4. The MSBON will match the certification letter with the students’ applications as they receive them. 5. For students who want to become a CNA in a state other than Maine, refer to the Board of Nursing process for that state. April 2015 Nursing Student Handbook 42 MEDICATION CALCULATION POLICY FOR PRE-LICENSURE STUDENTS To help you learn this material, the Department has implemented a number of medication calculation policies. 1. Medication calculation examples are listed on the following pages. 2. A required text on meds and math calculations that will be purchased in NU 110. 3. Calculators are allowed for use on paper and pencil tests. 4. All clinical nursing courses will have calculation tests. 5. Criteria for Math Competencies by Program Level are listed below. CRITERIA FOR MATH COMPETENCIES Fall (Sophomore): NU 190/205 The student will achieve 90% accuracy on a math test, prior to starting clinical. This test will demonstrate the ability to: Calculate number of pills to give Convert mcg to mg and vice versa, mg to g and vice versa Pounds to Kilograms Inches to Centimeters Fahrenheit to Celsius Spring (Sophomore): NU 204 The student will achieve 90% accuracy on a math test, prior to starting clinical. This test will demonstrate the ability to: Correctly read labels on vials, ampules, tubexes and bottles Calculate dose of injectables Draw up correct dose of medication in a variety of syringes including TB and insulin (50u/cc) and insulin (100u/cc) Correctly dilute powdered medications to desired strength. April 2015 Nursing Student Handbook 43 24 Hour Clock Syringe calibration and selecting correct equipment Fall/Spring (Juniors): NU 315 The student will achieve 90% accuracy on a math test, prior to starting clinical. This test will demonstrate the ability to: Given body surface area, correctly calculate dose/m2 Calculate dose range for mg/kg including lower daily dose range, upper daily dose range and amounts per each dose in both upper and lower range given the recommended number of daily doses. Fall (Junior)-- all previous criteria plus: NU 301 Students cannot administer meds in the clinical area until they have achieved 90% on the math test. In order to pass the NU 301 course, the student must achieve 90% accuracy on a paper and pencil test, demonstrating proficiency with previous learned math for med computations in addition to calculating: Amount of IV fluid to infuse over a set period of time Flow rate for IV (micro drip and macro drip) Rate of infusion for meds via drop rate Rate of infusion for meds via pump setting Amount of drug (i. e., insulin/heparin) received, based on infusion rate (mL/hr) Infusion rate on a pump (mL/hr) for a continuous IV drug infusion ordered in a dose per minute (i. e., Lidocaine), as well as dose per hour (Heparin). Spring (Junior) all previous criteria plus: NU 390 Students cannot administer meds until they have achieved 90% on the math test. In order to pass clinical, the student must pass a math test with 90% accuracy demonstrating knowledge of math content taught previously. All of previous criteria Fall (Senior): NU 405/406 100% proficiency on previous math knowledge will be required within first two weeks of semester. Math tutoring/practice will be required until proficiency is evident. April 2015 Nursing Student Handbook 44 Spring (Senior): NU 420 90% proficiency on previous math knowledge will be required before the student begins their internship rotation. Students must remediate until they achieve 100% proficiency. INTRAVENOUS THERAPY POLICY CANNULA POLICY Students must follow the agency policy and procedure regarding I.V. insertion. After meeting the agency requirements, this policy applies to all SJC nursing students who have successfully completed the IV insertion lab Cannulas are placed for definitive therapeutic and/or diagnostic indications. The smallest gauge, shortest length cannula capable of accomplishing the prescribed therapy shall be used. The supervising R.N. and hospital policy will determine adult patient selection. The student will be limited to two attempts per patient, if the patient is willing. Based on standards of the Infusion Nurses Society (INS), the placement of catheters shall be in accordance with the state Nurse Practice Act. The catheter selected shall be the smallest gauge and shortest length that will accommodate the prescribed therapy. Aseptic technique shall be used and standard precautions observed during catheter placement. Only one catheter shall be used for each cannulation attempt (Phillips, 2005, Manual of I.V. Therapeutics) **************************** COMPETENCY CRITERIA: Initiation of Peripheral I.V. Therapy following the Phillips Steps. (Phillips, 2005, Manual of I.V. Therapeutics) COMPETENCY STATEMENT: Competent I.V. nurses will be able to perform venipuncture technique for support of peripheral I.V. therapy. NOTE: The cognitive (knowledge) information that is embedded within this performance-based competency includes aseptic technique, manufacturer recommendation for use of equipment, venous anatomy and physiology, fluid and electrolyte balance. This competency links to the competency of infection control, management of I.V. equipment, and parenteral solutions. April 2015 Nursing Student Handbook 45 INTRAVENOUS THERAPY POLICY FOR INSERTING A PERIPHERAL-SHORT OVER-THE-NEEDLE CATHETER Policy: Students must follow the agency policy and procedure regarding I.V. insertion. After meeting the agency requirements, this policy applies to all SJC nursing students who have successfully completed the IV insertion lab and assignments. Based on standards of the Infusion Nurses Society (INS), the placement of catheters shall be in accordance with the State Nurse Practice Act. The catheter selected shall be the smallest gauge and shortest length that will accommodate the prescribed therapy. Aseptic technique shall be used and standard precautions observed during catheter placement. Only one catheter shall be used for each cannulation attempt (Phillips, 2010, Manual of I.V. Therapeutics). ***************************** COMPETENCY CRITERIA: Initiation of Peripheral I.V. Therapy following the Phillips Steps. (Phillips, 2010, Manual of I.V. Therapeutics) COMPETENCY STATEMENT: Competent I.V. nurses will be able to perform venipuncture technique for support of peripheral I.V. therapy. NOTE: The cognitive (knowledge) information that is embedded within this performance-based competency includes aseptic technique, manufacturer recommendation for use of equipment, venous anatomy and physiology, fluid and electrolyte balance. This competency links to the competency of infection control, management of I.V. equipment, and parenteral solutions. NU 420 INTERNSHIP POLICY and PROCEDURE Policy: An internship clinical placement in the NU 420 course is based upon student request as well as agency and unit availability. Neither the clinical facility nor the unit/department requested can be assured to a student. NU 420 course coordinators with the Clinical Placement Coordinator I make every attempt to negotiate placements that students seek. The senior practicum is not an observational experience, rather the course outcomes necessitate that students actively participate in the role and functions of the professional nurse with the guidance of a clinical preceptor. April 2015 Nursing Student Handbook 46 Procedures: 1. Junior students are asked to complete the “INTERNSHIP REQUEST FORM” during mid-semester of the spring term. At the same time, NU 420 course faculty members also meet with junior level students to describe the Internship course and application process. 2. On a designated date, NU 420 faculty will analyze all internship requests and begin making potential assignments. Assignments are based on student GPA, performance on the RN Adult Medical Surgical ATI test, timeliness of request, student preferences, and facility policies and procedures for internship placements. 3. As soon as possible, the Clinical Placement Coordinator I begins notifying students regarding a potential placement for the practicum and begins to work to submit requests to the clinical facilities. When needed, the Clinical Placement Coordinator I secures contracts with the requested facilities. 4. During the process, students are kept informed of progress and as soon as a student is accepted by a facility for an internship, he/she is notified. If a facility is not able to meet a request, the course faculty and Clinical Placement Coordinator I work to devise an alternative plan with the student involved. Based on agency-specific requirements, students may be required to complete necessary paper work and/or develop resumes. These requirements must be completed as needed and in a timely manner. April 2015 Nursing Student Handbook 47 BSN to MSN FAST-TRACK OPTION Purpose: To promote master’s degree education among nurses by allowing eligible students to take 1 to 3 MSN courses (at no additional cost) in place of BSN courses that are then WAIVED in the SJC MSN program. The Fast-Track option will allow students to complete the MSN degree sooner and at less cost to the student! This program is only available for those students who plan on continuing their enrollment in the MSN program at SJC within 6 months of graduating with their BSN from SJC. Once accepted into the MSN program, the student will enroll in 2 MSN courses (6 cr.) in place of designated senior level BSN courses. (see Curriculum Plan below). This would result in 6 credits that would be waived in the SJC MSN program if student is accepted. Senior nursing students can apply to the MSN-Administration or Education fast tracks only. In order for a student to request a change of track to MSN-Family Nurse Practitioner, they must complete all MSN core courses with a cumulative GPA of 3.0 or higher. CURRICULUM PLAN FOR THE FAST-TRACK INTO THE MSN ON-LINE NURSING PROGRAM SJC Undergraduate course requirements remain the same through the Junior Year REPLACE: NU 406 Nursing Leadership and Management (4 cr.) with NU 513 Organizational and Systems Leadership course (3 cr.) REPLACE: NU Elective (2 cr.) with either of the following on-line courses: NU 501 Nursing Informatics (3 cr.) OR NU 508 Policy, Quality and Safety (3 cr.) To keep same credits…the student can still take TWO general education (EH, PH, TH) courses online. Flexibility is allowed…consider instead of taking three 4 credit courses on campus, do four 3 credit courses on-line (to make 130 credits). BSN degree is awarded. The two Masters courses taken above will be waived in the MSN curriculum and the student continues with the remainder of the MSN degree requirements. Credits 3 3 128-130 credits April 2015 Nursing Student Handbook 48 MSN Core Courses: (to be taken in this order) NU 501 Nursing Informatics 3 NU 503 Nursing Research Methods: Utilization for Evidence Based Practice 3 NU 508 Policies, Politics and Change 3 NU 513 Organizational and Systems Leadership 3 NU 514 Population Health and Interprofessional Collaboration 3 NU 601 Advanced Health Assessment (pre-reqs. NU 607 and NU 608) 3 NU 607 Advanced Pharmacology (pre-req. NU 608) 3 NU 608 Advanced Pathophysiology 3 NU 801 Capstone (pre-reqs. All MSN Core and specialization courses) 3 Nursing Elective (for MSN/EDU & MSN/ADM only) 3 Choose a Specialization from the following: (18 specialization credits; see College Catalog) 1) Administration 2) Education 18 Total Credits for MSN Degree 42 Less the 6 credits waived from above 36 Procedure for Student: 1) Meet with SJC on-campus nursing faculty advisor to discuss intent for MSN On-line Fast-track program and to get signature and validation of a cumulative GPA that is 3.0 or higher at the end of spring semester of Junior year. 2) Fill out application. 3) Get signatures from all parties on application. 4) Take application form to SJC Registrar’s office for final signature so that the student database fields in Campus Cafe can be changed to reflect new degree row and for Registrar’s signature. April 2015 Nursing Student Handbook 49 5) Once accepted in the MSN program, fill out on-line course registration form and seek signature approval from nursing advisor. 6) Take on-line course registration form to the On-line Operations office and meet with the graduate and professional studies (GPS) on-campus student registration representative. 7) Nearing BSN graduation, return to GPS on-campus student representative to have the bottom of the application form signed to indicate timing of recent MSN courses and to make sure academic file stays in the GPS Support Office until MSN graduation. APPLICATION FOR APPLYING TO THE MSN FAST TRACK PROGRAM Choose one MSN specialization: Administration Education Student Name: ______________________________________ Date: ____________________ MSN courses you are planning to take: ___________________________________________________ Signature of student: Accepted ________________________________________________________________ Not Accepted Signature of Nursing Advisor: Date: _____________________________________ ________________________________________________________ Signature of Academic Advisor: Signature of SJC Registrar: ______________________________________________________ __________________________________________________________ Just prior to the BSN graduation, you must indicate your plans to continue with the MSN program at SJC. Student: Do you plan to continue earning your MSN degree at SJC within 6 months of graduating with your BSN from SJC? Yes No April 2015 Nursing Student Handbook 50 RN to BSN NURSING PROGRAM Requirements for Progression in the RN to BSN Program Students enrolled in the online RN to BSN program must follow a prescribed curriculum sequence as directed by their academic advisor and meet all prerequisites identified in the online course catalog and course descriptions. Students who receive less than a C+ grade (78) in a nursing course may not progress to the next nursing courses until a grade of C+ (78) is achieved, this may mean that the student needs to repeat a course. Students must achieve a 78 average on test scores in nursing courses including the final exam, before other grades, such as papers, projects or nursing care plans, are averaged in. Students may only repeat a nursing course once. Failure to successfully complete the course on the second attempt at any institution or fail a second nursing course will result in dismissal from the program. Matriculated students will have five (5) years to complete the program. RN to BSN Precepted Clinical Guidelines (see Practica Guidelines pages 59-64 in this Handbook) April 2015 Nursing Student Handbook 51 Curriculum Plan for RN-to BSN Program RN/BSN Program Credits NU 316 Health Assessment 4 NU 300 Professional Transitions 3 HA 214 Health Care Informatics 3 NU 309 Evidence-Based Practice pre-requisite- NU 300 3 NU 321 Clinical Prevention and Population Health pre-requisite- NU 300 4 NU 412 Healthcare Policy pre-requisite-all 300 level NU courses 3 NU 413 Quality Care and Patient Safety pre-requisite-all 300 level NU courses 3 NU 414 Interprofessional Teams pre-requisite-all 300 level NU courses 3 NU 415 Leadership and Management for RNs pre-requisite-all 300 level NU courses 4 NU 407P Evidence-Based Practice Capstone All RN/BSN courses 3 Total Credits 33 Incomplete Grades Incomplete grades are generally given only in cases of illness or emergency. It is the responsibility of the student to request an incomplete course grade from the faculty member teaching the course. Forms may be obtained from the Office of Academic Affairs. A request for an incomplete grade form signed by the faculty member, the student, and the Associate Dean for Nursing must be submitted to the Office of the Registrar in order for an “I” grade to be assigned. A grade of Incomplete reflects an agreed upon course of action between a faculty member and a student to complete the course within the designated time frame. Course work must be completed six weeks from the last day of class. If course work is not completed within this time, a grade of F will automatically be assigned. Under special circumstances, students may petition the Associate Dean for Nursing to extend the time limit in which course work may be completed. April 2015 Nursing Student Handbook 52 MASTER OF SCIENCE IN NURSING PROGRAM PURPOSE The graduate nursing degree prepares nurses for leadership roles in education or administration, which can be combined for MSN/MHA or MSN/MBA dual degrees, and as a Family Nurse Practitioner. There are also graduate or post-graduate certificates offered in education, administration, and Family Nurse Practitioner. April 2015 Nursing Student Handbook 53 Graduate Program Outcomes 1. Improve healthcare delivery and patient outcomes. 2. Acquire/maintain positions in nursing leadership roles. 3. Engage in ethically-based professional behaviors. 4. Use advanced nursing knowledge in selected settings. 5. Use critical thinking to apply advanced nursing knowledge in practice and educational settings. 6. Engage in professional nurse behaviors of caring, respect, dignity, and integrity. Program Specializations MSN-Administration Track MSN-Administration track is designed for the Chief Nursing Officer and leadership roles. This can be combined with the MHA or the leadership MBA as a dual degree. Graduates qualify to sit for the national Nurse Administration Certification Exam. MSN-Education Track MSN-Education track is designed for RNs to perform a staff development role or to begin a role in nursing education (clinical, simulation, didactic, or online with students of all ages). Graduates can sit for the NLN Nurse Educator Exam. MSN-Family Nurse Practitioner Track MSN-Family Nurse Practitioner track is designed to prepare those RNs with an undergraduate degree in nursing, or those who have successfully completed the equivalent undergraduate foundation in nursing, for a career as a Family Nurse Practitioner. This program prepares the graduate to sit for the National FNP certification exam to allow for employment in all states. MSN Program Summary Specializations include: Nursing Administration, Nursing Education, and Family Nurse Practitioner. Required Credits: 42 for Nursing Education 42 for Nursing Administration 46 for Family Nurse Practitioner April 2015 Nursing Student Handbook 54 The Department also offers dual degrees: MSN/MBA and MSN/MHA. Further information about these programs can be found in the College Catalog. Candidates for graduation must satisfactorily complete the degree requirements, with an overall GPA of 3.0 or higher for Saint Joseph's College courses. Course Terms Courses are 12-week terms offered on-line four terms each year in January, April, July and October. Admission Requirements 1. Applicants must be graduates of a Baccalaureate degree, accredited at the time of graduation by a regionally or nationally accredited institution. 2. Baccalaureate degree program must have been completed with a minimum cumulative GPA of 3.0 on a 4.0 scale. 3. Applicants must be graduates of a Diploma or Associate degree in Nursing, accredited at the time of graduation by CCNE or ACEN. 4. Diploma or Associate degree in Nursing program must have been completed with a minimum cumulative GPA of 3.0 on a 4.0 scale. 5. Applicants are required to hold an active, unrestricted RN license. RNs are to provide their license number to Saint Joseph’s College for verification. Note: Applicants who have had license sanctions must be without restrictions during the two years prior to Saint Joseph’s application. Non-Bachelor of Science in Nursing applicants who are accepted into any specialization of the Master of Science in Nursing program, are required to complete the following undergraduate RN-Bachelor of Science in Nursing courses: NU 321 and NU 415. International Applicants International applicants must be graduates of nursing programs equivalent to ACEN or CCNEaccredited baccalaureate nursing degrees. International applicants educated in countries other than the United States must contact the Commission of Graduates of Foreign Nursing Schools (COGFNS) for credentialing at: Commission of Foreign Nursing Schools, 3600 Market Street, Suite 400, Philadelphia, PA 19104-2651 USA. Applicant Inquiries: 215-349-8767. Graduates of foreign nursing schools must submit an official report from the COGFNS. Academic Requirements A passing grade of 83 (B) is required for successful completion of all graduate level nursing courses. This standard is stated in the Graduate and Professional Studies Manual, Sections 208 & 209. April 2015 Nursing Student Handbook 55 According to the Department of Nursing policy, students who fail to successfully complete a nursing course on the second attempt at any institution or fail a second nursing course are dismissed from the nursing major. Matriculated students will have five (5) years to complete the program. Incomplete Grades Incomplete grades are generally given only in cases of illness or emergency. It is the responsibility of the student to request an incomplete course grade from the faculty member teaching the course. Forms may be obtained from the Office of Academic Affairs. A request for an incomplete grade form signed by the faculty member, the student, and the Associate Dean for Nursing and must be submitted to the Office of the Registrar in order for an “I” grade to be assigned. A grade of Incomplete reflects an agreed upon course of action between a faculty member and a student to complete the course within the designated time frame. Course work must be completed six weeks from the last day of class. If course work is not completed within this time, a grade of F will automatically be assigned. Under special circumstances, students may petition the Associate Dean for Nursing to extend the time limit in which course work may be completed. April 2015 Nursing Student Handbook 56 Curriculum Plan for MSN Nursing Education MSN Core Courses NU 501 Nursing Informatics Prerequisites Credits 3 NU 503 Nursing Research methods: Utilization for Evidence-Based Practice (EBP) 3 NU 513 Organizational and Systems Leadership 3 NU 508 Policy, Quality and Safety 3 NU 514 Population Health & Interprofessional Collaboration 3 NU 601 Advanced Health Assessment NU 607 and NU 608 3 NU 607 Advanced Pharmacology NU 608 3 NU 608 Advanced Pathophysiology NU 801P Capstone 3 All MSN core and specialty courses 3 Total Credits 27 Specialization/Nursing Education NU 642 Teaching Strategies in Nursing & Healthcare Education Credits All MSN core courses 3 NU 641 Faculty Role in Nursing & Healthcare Education All MSN core courses 3 NU 644 Curriculum Design in Nursing & Healthcare Education All MSN core courses and NU 642 3 NU 643 Assessment and Evaluation in Nursing & Healthcare Education All MSN core courses, NU 642 and NU 644 3 NU 647P Teaching in Nursing & Healthcare Education Practicum All MSN core courses, NU 642 and NU 643 3 Total Credits 15 + 27 = 42 April 2015 Nursing Student Handbook Specialization/Nursing Administration HA 515 Health Services Administration Prerequisites HA 500 or HA 520 Credits 3 HA 525 Healthcare Financial Management HA 343 (or other finance course) and HA 512 3 HA 575: Ethical and Legal Perspectives HA 525 3 HA 615: Strategic Human Resources Management 57 3 HA 700 Strategic Planning & Management HA 515 3 NU 610P Practicum in Nursing Administration All NU MSN Core courses, HA511, HA512, HA525, HA700 3 Total Credits 18 + 27 = 45 Specialization/Family Nurse Practitioner Prerequisites NP 600 The Advanced Practice All core courses Registered Nurse as Provider Credits 1 NP 612 Family Theory: Young and Middle Age Adult All core courses 3 NP 613 Primary Care Practicum: Young and Middle Age Adult NP 612 (may be co-requisite) 3 NP 614 Family Theory: Children and Women of Childbearing Years NP 612, NP 613 3 NP 615 Primary Care Practicum: Children and Women of Childbearing Years NP 614 (may be co-requisite) 3 NP 616 Family Theory: Older Adult NP 614, NP 615 3 NP 617 Primary Care Practicum: NP 616 (may be co-requisite) 3 Older Adult Total Credits 19 + 27 = 46 April 2015 Nursing Student Handbook 58 FNP Technology Requirement All MSN-FNP students are required to purchase a Personal Digital Assistant (PDA or smartphone or tablet). PDAs allow for easy access to information that can be used in clinical practice. It is the student’s responsibility to purchase the PDA and required software prior to any clinical rotations. Refer to the FNP Required Text list for software requirements. April 2015 Nursing Student Handbook 59 DEPARTMENT OF NURSING CLINICAL SITE PLACEMENT PROCESS FOR ON-LINE PROGRAMS Table of Contents Topic Page I. Clinical Site Requirements and Approval Process Timeline 59 II. State Authorization for Distance Education Nursing Programs 61 III. Major Responsibilities of each of the Participants in a Precepted Practicum 61 IV. Description of Precepted Practica 63 V. FNP Clinical Course Requirements 67 Appendixes I. Preceptor Application and Agreement Form II. Certified Background Check Information 70 71 April 2015 Nursing Student Handbook I. 60 Clinical Site Requirements and Approval Process Timeline All students who wish to register for a practicum course must have their CertifiedProfile, Clinical Agency, Preceptor Application Form and Contract APPROVED by the nursing department a minimum of 60 days prior to the month in which they wish to matriculate into the course. Approval can take 3-6 months so plan to begin the process and submit your forms well in advance of the 60 day deadline. IF you reside in a state with additional Board of Nursing requirements you will need to allow even more time. Students will be notified by their academic advisor if they are approved to register for the course. All practica experiences in term-based format are 12 weeks. These materials are designed to help you prepare for your clinical experience. Send all of your required documents in as one package – do not send parts of the paperwork in separately! Send the Clinical Agency and Preceptor Application Form (page 70 of this Handbook) and Preceptor resume to Clinical Placement Coordinator II, Laurie Lambert at [email protected]. The approval process typically takes 1 – 4 months, but may take longer, so begin EARLY! You are responsible for completing the CertifiedProfile process and ensuring that all items are complete. o You are able to verify whether you have completed requirements when you log into your CertifiedProfile account. Please attend to any missing or rejected requirements based on the reasons provided within CertifiedProfile. o If you need assistance please contact CertifiedProfile at 888-914-7279 or [email protected] and a Certified Profile Representative is available Monday-Friday 8am-8pm & Sunday 10am- 6:30pm EST. o You are responsible to make sure your materials are current and renewed when required. All of the following MUST be complete BEFORE you can register for your clinical course(s): o CertifiedProfile process o Clinical Agency and Preceptor Application Form o Preceptor Resume(s) o Duly Authorized Clinical Affiliation Agreement April 2015 Nursing Student Handbook 61 The Nursing Department will contact you directly if we require any further information from you. Please DO NOT contact staff to inquire about the status of your materials. Your Academic Advisor is your primary contact during the following process. Step 1 Completed Your point of contact for the clinical process and enrollment in your clinical courses is your ACADEMIC ADVISOR – nursing staff will contact you if we need additional information. 2 Complete the CERTIFIEDPROFILE process. 3 Identify your clinical agency and preceptor. Your preceptor MUST be an employee of the clinical agency. 4 Contact preceptor – your preceptor must hold a Master of Science in nursing degree with a minimum of one-year of clinical experience. FNP preceptors must have an MSN with FNP/NP/CNM certification or MD, DO, or PA and at least one year of clinical experience in the population focused practice area. At least 50% of the FNP clinical experiences MUST be with an NP. 7 Identify who in the clinical agency is the legally authorized agent to sign clinical affiliation agreements. The preceptor, off/practice manager, or human resources office should be able to direct you to the appropriate person. In most cases, the preceptor is not the person who has authority to sign clinical affiliation agreements. 8 Complete the Clinical Agency and Preceptor Application Form and submit it to the CLINICAL PLACEMENT COORDINATOR II. When multiple preceptors are desired or required for a clinical practicum, all submission requirements must be completed by the deadline for approval as you will NO be allowed to add new preceptors after you have received approval to enroll. You will also NOT receive approval if you are not able to provide preceptors who can meet all of the clinical course patient populations required for an FNP course. For example NP 615 requires pediatrics, obstetrics, and gynecology so you will not be approved to enroll if you only provide one specialty preceptor. April 2015 Nursing Student Handbook 9 Your ACADEMC ADVISOR will notify you when all your materials have been reviewed and approved for registration. If we need additional information the Nursing Department will contact you directly. 10 ENROLL in clinical/practica course 62 II. State Authorization for Distance Education Nursing Programs The United States Department of Education (USDOE) published regulations in the Federal Register (Chapter 34, § 600.9(c)-October 29, 2010; page 116-117 http://edocket.access.gpo.gov/2010/pdf/201026531.pdf) that require all institutions of higher education to seek authorization in every state (and territory) in which they operate, physically or virtually, in order to maintain eligibility for federal financial aid. Saint Joseph's College and the Department of Nursing have been and continue to make a good faith effort in pursuing state Board of Nursing authorizations. Additional information will be posted to this web site as more information becomes available. Due to the complexity of rules and regulations of some state boards of nursing, Saint Joseph's College is unable to accept new applications for admission to most of our distance education programs from students residing in: Arizona, Delaware, Louisiana, Minnesota, Montana, Nevada, North Dakota, Oregon, Tennessee, Utah, West Virginia. We are actively seeking full approval in Washington and New York. However, in New York we are able to accept students to the RN/BSN, MSN/ADM, and the MSN/EDU programs only. Some state boards of nursing require individual application and approval for clinical placements within their state, and those states are: Alabama, Alaska, Colorado, Michigan, and Wyoming. We regret the lack of opportunity to provide individuals with nursing education in those states and it is therefore our primary goal to meet the rules and regulations necessary to obtain approval in the future. III. Major Responsibilities of each of the Participants in a Precepted Practicum All practica requirements are met through precepted experiences. The student is responsible for initiating the contact with a potential preceptor and completing the required form on page 48 of this Handbook. A preceptor must hold a minimum of a master’s degree in nursing with a minimum of one-year of clinical experience. FNP preceptors must have an MSN with FNP/NP/CNM certification or MD, DO, or PA and at least one year of clinical experience in the population focused practice area. At least 50% of the FNP clinical experiences MUST be with an NP. The following outlines the major responsibilities of each of the participants in a precepted practicum. April 2015 Nursing Student Handbook 63 The student is responsible for: Enrolling in CertifiedProfile program: completing a background check and providing all required health and safety related clinical documentation Identifying the practicum location and preceptor Completing the preceptor application form and submitting it to the Clinical Placement Coordinator II Ordering a SJC student badge Ensuring that a 3 way conference call with the preceptor, student and clinical faculty occurs prior to the start of the first clinical day Completing required evaluations Meeting health and safety requirements of the practicum facility Working within the policies and procedures of the practicum facility For FNP students: using the Typhon NP clinical management software to track hours of clinical practica and case details for all patients seen and complete evaluation of preceptor/site. You will need to order your SJC Badge, which you will be required to wear during clinicals. Please order soon per the following instructions and allow up to one-week delivery time. Go to www.fullidentity.com, In the upper left hand corner please login and enter login email: [email protected] and password: studentidcard. Please select on the top right “edit individual”, then select group year, then select :add individual”, then type name, upload photo, and set the badge expiration date as 2 years from order date. Order your lanyard, clip or badge reel, pay and it ships directly to you. Do NOT enter social security number or any other information other than your first and last name. Your preceptor has been asked to validate your identity, so be prepared to show your driver’s license as well as your SJC badge the first day of clinical. The Clinical Placement Coordinator II is responsible for: Reviewing the preceptor application Initiating the clinical affiliation agreement process Notifying the academic advisor of approval to enroll in the clinical practicum course The Faculty is responsible for: Conducting an initial 3-way conference call with student and preceptor at the beginning of each clinical practica, ensuring that the preceptor verifies the students identity by comparing the SJC ID badge with a government issued ID card Maintaining regular contact with the student and preceptor Monitoring student clinical hours, (and for FNP students: monitoring the Typhon tracking system) April 2015 Nursing Student Handbook 64 Evaluating the final attainment of student learning objectives and outcomes Evaluation of the student, preceptor and clinical agency (forms in Appendices, for FNP track they are in Typhon) The preceptor is responsible for: Participating in 3-way conference call with faculty and student prior to or on the first clinical day Prior to the start of the clinical practicum ensures the student’s identity by comparing the SJC issued student ID badge with a government issued photo ID (drivers license, state ID, passport) Providing orientation for the student to the facility and its policies and procedures Assisting the student to identify learning experiences Communicating with the student on each clinical practicum day to confer and guide the student in the practicum (ongoing feedback) Submitting a completed mid- and final evaluation of the student’s performance that has been shared with the student ((forms in Appendices; for FNP track they are in Typhon)) For FNP students: approving the logs of student contacts/cases and hours using Typhon tracking system IV. Description of Precepted Practica for the Distance Education Nursing Student Precepted practica in Saint Joseph’s College Nursing programs are experiences that provide students with opportunities for expert guided learning and application of course content. These experiences are designed according to the course descriptions. RN/BSN Program NU 407 Evidence Based Practice Capstone (3 Credits; 135 clinical hours hours) Pre-requisites: all NU courses The student is guided through continued exploration, integration and synthesis of major concepts presented throughout previous courses in the context of clinical application. The course has two distinct but integrated foci. The first is the development and evaluation of programs to promote health in communities and their residents through the use of strategies that are based upon assessment and research evidence. The second focus is exploration and analysis of how leadership and management skills are utilized to assist in goal attainment. The student will adopt the leadership role in proposing, implementing and evaluating a formal program for clients in a selected agency. Learning Outcomes: 1. Demonstrate integration of all prior course work through provision of safe, competent care. April 2015 Nursing Student Handbook 65 2. Demonstrate critical thinking in independently appraising new situations (AACN VIII). 3. Identify and prioritize needs from assessment data using appropriate criteria drawn from public health theory (AACN VII). 4. Consistently apply nursing process to develop, evaluate, and revise plans of care AACN IX). 5. State and apply legal, moral, ethical, and Christian humanistic principles in the care of patients, groups, or communities (AACN VII). 6. Seek out, critique, and utilize findings from evidence-based practice in clinical decisionmaking (AACN III). Guidelines for NU 407 clinical practica placements: Students will adopt the leadership role in proposing, implementing and evaluating a formal program for clients in a selected agency. Students may engage in this practica in any of the following settings. These are intended as examples and not as a definitive list. Examples of communities you might consider include: Employees at your current place of employment (an identified unit, work group, etc.,) Individuals at a homeless shelter, A school class (any level), Parent group members, Nursing home residents and adult day care participants, Faith community members, Teen groups, Refugee or immigrant group members, Fire and rescue personnel and police officers, Factory workers, food service workers, etc. Assisted living facility, Established community groups approved by faculty. MSN Program Administration Track NU 610P Practicum in Nursing Administration (3 credits; 135 clinical hours) This course is a practicum experience to facilitate application of theories in nursing administration and management. Learning Outcomes: 1. Formulate and carry out a plan for acquiring new skills and knowledge relative to the nursing administrative role. April 2015 Nursing Student Handbook 66 2. Evaluate the role of the master’s-prepared nurse administrator. 3. Analyze the implications of the role of the nurse administrative within the healthcare system. Guidelines for NU 610 clinical practica placements: Students will adopt the nursing leadership role in healthcare at the master’s level. Students may engage in this practica in any of the following settings. These are intended as examples and not as a definitive list. Students may practice evidence-based leadership in any of the following settings. These are intended as examples and not as a definitive list: A manager or an executive in a nursing role, in Facilities such as hospitals, home care agencies, long-term care facilities, departments of health, boards of nursing. MSN Program Education Track NU 647P Teaching in Nursing & Healthcare Education Practicum (3 credits; 135 clinical hours) This course provides an opportunity to apply and test various teaching and evaluation methods in both classroom and clinical settings. Practicum requirements include 135 hours that are devoted to the learning and teaching needs of nurses working in a wide array of health care settings. Learning Outcomes: 1. Demonstrate effective teaching methods in classroom- and/or clinical-learning situations. 2. Demonstrate effective evaluation methods in classroom- and/or clinical-learning situations. 3. Develop learning objectives related to the nurse-educator role. Guidelines for NU 647 clinical practica placements: Students may practice evidence-based teaching in any of the following settings. These are intended as examples and not as a definitive list: Nursing clinical instruction with LPN, AD or BSN nursing students Nursing classroom teaching with LPN, AD or BSN nursing students Nursing education within an established department servicing the ongoing educational needs of practicing nurses in a hospital, community, or long term care facility Nursing education focusing on Simulation with nursing students or practicing nurses Nursing education focusing on online coursework with LPN, AD or BSN nursing students April 2015 Nursing Student Handbook 67 MSN Program FNP Track NP 613 - Primary Care Practicum: Young and Middle Age Adult (3 credits) NP 615 - Primary Care Practicum: Children and Women of Childbearing Years (3 credits) NP 617 - Primary Care Practicum: Older Adult (3 credits) These clinical courses serve as a companion course to (NP 612/614/616) and each course consists of two components, a clinical practicum (200-240 hours with an approved preceptor) and an online seminar. The diagnostic reasoning skills needed for clinical decision making in the advanced practice role are emphasized, including refining skills in the performance of a comprehensive health status assessment, development of differential diagnoses, planning, health promotion and care management of adult patients with stable chronic and minor acute health issues. Learning Outcomes: 1. Complete successfully the required clinical practicum hours as evidenced by completion of clinical logs in the Typhon tracking system and verification by site preceptor. 2. Meet or exceed the clinical objectives related to the Nurse Practitioner (NP) practice competencies, which are defined by the National Organization of Nurse Practitioner Faculties (NONPF) as evidenced by successful completion of the clinical evaluation tool at midterm and the completion of the course. 3. Document and analyze the synthesis of patient history taking, physical examination, differential diagnoses, and evidence-based plans of care as evidenced by successful completion of written assignments and participation in clinical case discussions. 4. Participate in ongoing authentic, collaborative practice of inquiry with self and others as evidenced by substantive participation in online case discussions. Each clinical practicum consists of 200-240 hours of clinical time spent with a preceptor(s). Students are expected to report to the clinical site for an average of 18-20 hours per week. Clinical instructors will monitor clinical hours through the Typhon tracking system. April 2015 Nursing Student Handbook 68 V. FNP Clinical Course Requirements The FNP program clinical practica component consists of 600-720 clinical hours. Clinical practica are scheduled in twelve-week blocks, with an average of 18-20 hours per week of clinical time. A minimum of six hundred (600) hours total is required for successful completion of the program. The student will complete the clinical hours with pre-approved preceptors and pre-approved sites in their own geographic areas. All students are responsible for locating preceptors in their geographical area, but all preceptors and clinical sites must be approved prior to beginning any clinical coursework. Concurrent or prior to the beginning any of the twelve-week clinical practica, the student will enroll in the corresponding clinical seminar course. The clinical hours and clinical case types are to be divided equally over the life span, birth through death, in a variety of settings; such as primary care practices, health centers, hospice, long-term care, home care and urgent care settings. Hours may be arranged in a specialty area in NP 617 in addition to the required geriatric/chronic complex patient hours, such as oncology, orthopedics, cardiac or dermatology. The majority of preceptorships should be arranged with a nurse practitioner (ANP, FNP, PNP, WHNP); however, there may be a variety of preceptors approved over the course of the experience, such as CNM, DO, MD or PA. Guidelines for FNP clinical practica placements: NP 613 Primary Care Practicum: Young and Middle Age Adult (3 Credits; 200-240 clinical hours) In this clinical practicum, the student will focus on obtaining basic skills of gathering the elements of a comprehensive health status assessment and performing physical examinations on adult patients in a primary care setting. With support from faculty and preceptors, students will begin to develop differential diagnoses and plans of care. NP 613 Preferred Practice Type Primary Care office or clinic Private practices o General practice o Family practice o Internal medicine Hospital based primary care clinics Federally Qualified Community or Rural Health Centers (FQHC) Free Clinics Veterans Administration Clinics Acceptable Practice Type Preceptor Credentials Urgent care FNP, ANP, DO, MD, PA Walk in care *note: 50% of total hours for clinical year must be with NP preceptor Not Permitted at this Level Emergency Department Hospital inpatient Units Subspecialties August 2014 Nursing Student Handbook 69 NP 615 Primary Care Practicum: Children and Women of Childbearing Years (3 Credits; 200-240 Clinical Hours) In this clinical practicum, the student will refine the skills of gathering the elements of a comprehensive health status assessment and performing physical examinations with a focus on children and women of childbearing years, including prenatal care in a primary care setting. Students will continue to build skills in the development of population specific differential diagnoses and plans of care. Scheduled clinical hours (200-240 total) will be divided equally between the pediatric population and care of women in childbearing years (including prenatal care). NP 615 Preferred Practice Type Acceptable Practice Type Preceptor Credentials Pediatrics: Pediatrics: Pediatrics: Urgent care (for some hours) FNP, PNP, DO, MD, PA Primary Care office or clinic Private practices o General practice o Family practice o Pediatrics Hospital based primary care or pediatric clinics Federally Qualified Community or Rural Health Centers (FQHC) School based clinic if offering primary care (well visits) Not Permitted at this Level Emergency Department Hospital inpatient Units Subspecialties Women’s Health & Prenatal: ANP, CNM, FNP, DO, MD, PA Women’s Health & Prenatal: Primary Care office or clinic (where prenatal care occurs): Private practices o General practice o Family practice o Obstetrics/Gyneco logy Hospital based primary care or OB/GYN clinics Federally Qualified Community or Rural Health Centers (FQHC) *note: 50% of total hours for clinical year must be with NP preceptor August 2014 Nursing Student Handbook NP 617 Primary Care Practicum: Older Adult 70 (3 Credits; 200-240 Clinical Hours) In this clinical practicum, the student will apply the skills of gathering the elements of a comprehensive health status assessment and performing physical examinations to the elder adult (age 65+) and chronic complex patient populations in a primary care or specialty setting. Students will refine skills in the development of population specific differential diagnoses and plans of care for patients in a primary care or other setting. Students may opt to spend up to 50% of the practicum hours in a subspecialty setting. Preferred Practice Type Acceptable Practice Type Preceptor Credentials Not Permitted at this Level Elderly & chronic complex: Elderly & chronic complex: Elderly & chronic: N/A Urgent care Sub-specialists: Primary Care office or clinic Private practices o General practice o Family practice o Internal medicine Hospital based clinics Federally Qualified Community or Rural Health Centers (FQHC) Veterans Administration Clinics or inpatient units Long term care facilities Assisted living facilities Home Care agencies ANP, FNP,DO, MD, PA ANP,FNP, PNP, DO, MD, PA Walk in care *note: 50% of total hours for clinical year must be with NP preceptor Subspecialist: (examples – oncology, orthopedics, cardiac care or dermatology) Private practice Hospital based clinics Emergency Department Hospital inpatient units August 2014 Nursing Student Handbook 71 APPENDIX I SAINT JOSEPH’S COLLEGE ONLINE PROGRAM 278 White’s Bridge Road, Standish, ME 04084 Preceptor Application and Agreement Form Term: ____January ____April ____July ____October Student name: __________________________ Academic Advisor name: _________________ Course#: ___NU 407 ___NU 647 ___NU 610 ___NP 613 ___ NP 615 ___NP 617 Agency Information Site Name: ________________________________________________________________ Site address: ______________________________________ City: ____________________ State: _____ Zip: ______ Agency Contact Information for Clinical Affiliation Agreement Name: _____________________________ Telephone Number: _____________________ E-mail: _____________________________ Preceptor Information Preceptor Name: ______________________________ Preceptor Credentials: _____________ Preceptor telephone: (office)_____________________ cell phone_______________________ Preceptor e-mail: _____________________________ Preceptor’s practice specialty: __________________ Preceptor License# & State ____________ Preceptor Site address (if different from agency information): ______________________________________ City: ____________________ State: _____ Zip: ______ Signature below indicates willingness to serve as preceptor. Preceptor signature: ________________________________ Date:___________________ August 2014 Nursing Student Handbook 72 APPENDIX II CertifiedProfile Information CertifiedProfile is a secure platform that allows you to order your background check, drug test, and medical document manager online. Once you have placed your order, you may use your login to access additional features of CertifiedProfile, including document storage, portfolio builders and reference tools. CertifiedProfile also allows you to upload any additional documents required by your school. Order Summary Required Personal Information - In addition to entering your full name and date of birth, you will be asked for your social security number, current address, phone number and e-mail address. Drug Test (LabCorp) - Within 24-48 hours after you (online students) place your order, the electronic chain of custody form (echain) will be placed directly into your CertifiedProfile account. This echain will explain where you need to go to complete your drug test. (BSN Sebago Campus students will be drug tested on campus) Medical Document Manager - Document trackers provide secure online storage for all of your important documents. At the end of the online order process you will be prompted to upload specific documents required by your school for immunization, medical or certification records. Medical Document Requirements are as follows: MMR; Varicella; Hepatitis B; TB Skin Test; Tetanus; CPR Certification; Health Insurance; Influenza; Physical Examination; RN License (when applicable); Professional Liability Insurance; Handbook Acknowledgement; HIPAA Certification. Payment Information - At the end of the online order process, you will be prompted to enter your Visa or Mastercard information. Money orders are also accepted, but will result in a $10 fee and an additional turn-around-time. Please note: Instructions for each type of nursing program vary. CertifiedProfile Student Instructions follow for each nursing program. August 2014 Nursing Student Handbook 73 STUDENT INSTRUCTIONS FOR ST. JOSEPH'S COLLEGE OF MAINE NURSING – BSN SEBAGO LAKE CAMPUS About CertifiedProfile CertifiedProfile is a secure platform that allows you to order your background check, drug test, and medical document manager online. Once you have placed your order, you may use your login to access additional features of CertifiedProfile, including document storage, portfolio builders and reference tools. CertifiedProfile also allows you to upload any additional documents required by your school. Order Summary Required Personal Information - In addition to entering your full name and date of birth, you will be asked for your Social Security Number, current address, phone number and e-mail address. Drug Test (LabCorp) - Within 24-48 hours after you place your order, the electronic chain of custody form (echain) will be placed directly into your CertifiedProfile account. This echain will explain where you need to go to complete your drug test. Medical Document Manager - Document trackers provide secure online storage for all of your important documents. At the end of the online order process you will be prompted to upload specific documents required by your school for immunization, medical or certification records. Medical Document Requirements are as follows: MMR; Varicella; Hepatitis B; TB Skin Test; Tetanus; CPR Certification; Health Insurance; Influenza; Physical Examination; Handbook Acknowledgement; HIPAA Certification. Payment Information - At the end of the online order process, you will be prompted to enter your Visa or Mastercard information. Money orders are also accepted but will result in a $10 fee and an additional turn-around-time. Place Your Order Go to: www.CertifiedBackground.com and enter package code: ST12sebago – Background Check + Drug Test + Medical Document Manager ST12 – Background Check ONLY ST12dt – Drug Test ONLY You will then be directed to set up your CertifiedProfile account. View Your Results Your results will be posted directly to your CertifiedProfile account. You will be notified if there is any missing information needed in order to process your order. Although 95% of background check results are completed within 3-5 business days, some results may take longer. Your order will show as “In Process” until it has been completed in its entirety. Your school's administrator can also securely view your results online with their unique username and password. If you need assistance please contact CertifiedProfile at 888-914-7279 or [email protected] and a Certified Profile Representative will be available Monday-Friday 8am8pm & Sunday 10am- 6:30pm EST. August 2014 Nursing Student Handbook 74 STUDENT INSTRUCTIONS FOR ST. JOSEPH'S COLLEGE OF MAINE NURSING – ONLINE RN-BSN, MSN-ADM AND MSN-EDU About CertifiedProfile CertifiedProfile is a secure platform that allows you to order your background check, drug test, and medical document manager online. Once you have placed your order, you may use your login to access additional features of CertifiedProfile, including document storage, portfolio builders and reference tools. CertifiedProfile also allows you to upload any additional documents required by your school. Order Summary Required Personal Information - In addition to entering your full name and date of birth, you will be asked for your Social Security Number, current address, phone number and e-mail address. Drug Test (LabCorp) - Within 24-48 hours after you place your order, the electronic chain of custody form (echain) will be placed directly into your CertifiedProfile account. This echain will explain where you need to go to complete your drug test. Medical Document Manager - Document trackers provide secure online storage for all of your important documents. At the end of the online order process you will be prompted to upload specific documents required by your school for immunization, medical or certification records. Medical Document Requirements are as follows: MMR; Varicella; Hepatitis B; TB Skin Test; Tetanus; CPR Certification; Health Insurance; Influenza; Physical Examination; RN License; Professional Liability; Handbook Acknowledgement; HIPAA Certification. Payment Information - At the end of the online order process, you will be prompted to enter your Visa or Mastercard information. Money orders are also accepted but will result in a $10 fee and an additional turn-around-time. Place Your Order Go to: www.CertifiedBackground.com and enter package code: ST12rnbsnormsn – Background Check + Drug Test + Medical Document Manager ST12 – Background Check ONLY ST12dt – Drug Test ONLY You will then be directed to set up your CertifiedProfile account. View Your Results Your results will be posted directly to your CertifiedProfile account. You will be notified if there is any missing information needed in order to process your order. Although 95% of background check results are completed within 3-5 business days, some results may take longer. Your order will show as “In Process” until it has been completed in its entirety. Your school's administrator can also securely view your results online with their unique username and password. If you need assistance please contact CertifiedProfile at 888-914-7279 or [email protected] and a Certified Profile Representative will be available MondayFriday 8am-8pm & Sunday 10am- 6:30pm EST. August 2014 Nursing Student Handbook 75 STUDENT INSTRUCTIONS FOR ST. JOSEPH'S COLLEGE OF MAINE NURSING – FNP About CertifiedProfile CertifiedProfile is a secure platform that allows you to order your background check, drug test, and medical document manager online. Once you have placed your order, you may use your login to access additional features of CertifiedProfile, including document storage, portfolio builders and reference tools. CertifiedProfile also allows you to upload any additional documents required by your school. Order Summary Required Personal Information - In addition to entering your full name and date of birth, you will be asked for your Social Security Number, current address, phone number and e-mail address. Drug Test (LabCorp) - Within 24-48 hours after you place your order, the electronic chain of custody form (echain) will be placed directly into your CertifiedProfile account. This echain will explain where you need to go to complete your drug test. Medical Document Manager - Document trackers provide secure online storage for all of your important documents. At the end of the online order process you will be prompted to upload specific documents required by your school for immunization, medical or certification records. Medical Document Requirements are as follows: MMR; Varicella; Hepatitis B; TB Skin Test; Tetanus; CPR Certification; Health Insurance; Influenza; Physical Examination; RN License; Professional Liability; Handbook Acknowledgement; HIPAA Certification. Payment Information - At the end of the online order process, you will be prompted to enter your Visa or Mastercard information. Money orders are also accepted but will result in a $10 fee and an additional turn-around-time. Place Your Order Go to: www.CertifiedBackground.com and enter package code: ST12fnp – Background Check + Drug Test + Medical Document Manager ST12 – Background Check ONLY ST12dt – Drug Test ONLY You will then be directed to set up your CertifiedProfile account. View Your Results Your results will be posted directly to your CertifiedProfile account. You will be notified if there is any missing information needed in order to process your order. Although 95% of background check results are completed within 3-5 business days, some results may take longer. Your order will show as “In Process” until it has been completed in its entirety. Your school's administrator can also securely view your results online with their unique username and password. If you need assistance please contact CertifiedProfile at 888-914-7279 or [email protected] and a Certified Profile Representative will be available MondayFriday 8am-8pm & Sunday 10am- 6:30pm EST. August 2014 Nursing Student Handbook 76 APPENDIX III Immunization Declination Form I understand that due to my occupational exposure to blood or other potentially infectious materials I may be at risk of acquiring vaccine-preventable diseases. I have been given the opportunity to be vaccinated; however, I decline the following vaccination(s) at this time. I understand that by declining this vaccine(s) I continue to be at risk of acquiring vaccinepreventable diseases. If, in the future, I want to be vaccinated, I can receive the vaccination(s). I understand that my declination of the vaccination(s) checked below will be reported to my requested clinical agency and may result in a declination of placement at that clinical agency. TYPE REASON FOR DECLINATION ____ Measles, Mumps, Rubella (MMR) ___________________________________ ____ Varicella (VZW) __________________________________ ____ Hepatitis B ___________________________________ ____ Influenza (flu) ___________________________________ ____ Tetanus/Pertusses/Tdap ___________________________________ ____ TB ___________________________________ ____ Chest X-Ray ____ Other: ______________________ ___________________________________ Signed: __________________________________ Date: __________________________ Printed Name: ______________________________________ August 2014 Nursing Student Handbook 77 APPENDIX IV Evaluation of Preceptor Form To be completed by student and faculty Student Name: ________________________________ Preceptor Name________________________________ Faculty Name: _________________________________ Site: ___________________________________ Date(s) of Experience: ____________________________ Course #: _____________________ Please rank your level of agreement with the statements describing your level of satisfaction with the preceptor utilizing the Likert Scale. 1-Inadequate 2- Fairly Adequate 3- Adequate 4- More than Adequate 1. The preceptor created an environment of collegiality by: 2. 1 2 3 4 a. b. c. d. Sharing knowledge and expertise willingly and ethically. Encouraging dialogue with student. Welcoming questions and discussions. Utilizing evidence-based and up-to-date references and resources. e. Sharing clinical examples of normal variations, deviations, and abnormalities. f. Provide time for discussion. g. Being an effective teacher who integrates knowledge of the student and preceptor role. Comments: August 2014 Nursing Student Handbook 78 APPENDIX V Department of Nursing Clinical Experience Site Evaluation Form To be completed by Student and Faculty Site: _______________________________ Course: _____________________________ Faculty Name:________________________ Semester(s):__________________________ Person evaluating: Student Faculty Please rate and comment in the following areas and offer suggestions if applicable. Also include what was helpful and beneficial at the facility. Please be as specific as you can. Thank you. Please use the Likert Scale below. 1- Inadequate 2 - Fairly Adequate 3 - Adequate 4 - More than Adequate 1. Physical layout: a. Adequate space for clinical preparation and/or meetings. b. Adequate space for students to assess/treat patients/clients. c. Availability and condition of equipment. Comments: 2. Clinical site support: a. Staff supportive of student role. b. Protocols/practice guidelines available. c. Student’s function and responsibility clear. d. Consultation mechanisms available. e. Adequacy of time allowed to see clients. f. Was a clinical site orientation provided? Comments: 3. Clinical preceptor and student communication: a. Availability to student. b. Adequate supervision/communication. c. Provision of timely evaluation and feedback. d. Students allowed to select clients according to learning needs. Comments: 1 2 3 4 1 2 3 4 Yes____ No____ 1 2 3 4 August 2014 Nursing Student Handbook 4. Clinical experience: a. Availability of numbers of clients. b. Diversity of types of clients. c. Continuity of care/able to follow up with clients/ lab work. d. Opportunities to interact with other agencies/resources. e. Instructional materials available to clients. f. Maintained ethical standards of up-to-date care. g. Overall ability to meet course objectives. h. Overall ability to meet program objectives. 5. Would you recommend this site for future clinical experiences? 1 2 79 3 4 Yes____ No____ August 2014 Nursing Student Handbook 80 APPENDIX VI Saint Joseph’s College Department of Nursing Student Handbook Verification Form This document requires the signature of the Saint Joseph’s College student. Once signed please upload this form into the CertifiedProfile system. I _________________________________, a student in the Saint Joseph’s College nursing program, do hereby acknowledge reading the Nursing Student Handbook. I understand the content within this document and acknowledge that compliance with the information in the Handbook is mandatory for successful completion of the nursing program I am enrolled in. Student signature: ______________________________________ Date: __________________________ August 2014