CRUSOE-HOLIFIELD PRACTICAL NURSING PROGRAM

Transcription

1 CRUSOE-HOLIFIELD PRACTICAL NURSING PROGRAM Lively Technical Center Health Education Department 500 North Appleyard Dr. Tallahassee, FL Phone (850) Fax (850) Website: APPLICATION DEADLINE FOR AUGUST 2013 ADMISSION: April 12, 2013 APPLICATION DEADLINE FOR JANUARY 2014 ADMISSION: October 4, 2013

2 Crusoe-Holifield Practical Nursing Program Application Packet PROGRAM DESCRIPTION: The Crusoe-Holifield Practical Nursing Program is designed to prepare students for successful passage of the NCLEX-PN and future employment as a Licensed Practical Nurse. Clinical experiences are included as an integral part of this program. The program is approved by the Florida State Board of Nursing. PROGRAM BEGINS: PROGRAM LENGTH: PROGRAM HOURS: August 19, 2013 (Day and Evening Programs) January 2014 (Day Program) Day program: Three semesters Evening program: Four semesters Day program (30 hrs/wk): M-Th, 8am-4pm (classroom); 6:45am-2:45pm (clinical) Evening program (24 hrs/wk): Basic Healthcare Worker: M-Th, 6pm-10pm Remainder of program: M-W, 6pm-10pm (classroom/clinical) F, 6-10; Sat., 6:45am-3:15pm (clinical) PROGRAM LOCATION: Lively Technical Center Health Education Department, Building North Appleyard Drive Tallahassee, FL Externship Locations - Various REQUIREMENTS Applicants seeking admission to the Practical Nursing Program must: Be at least 18 years of age Make application to the Lively Health Education Department Have a high school diploma or equivalent; provide three references Attend a General Information Program Session. Students' immunizations must be up to date, including the Hepatitis B series, MMRx2, Varicella, and Tetanus. An annual PPD (tuberculin skin test) is required. Students must keep their CPR for Healthcare Providers (BLS) certification current for the duration of the program. Successful completion of the program is dependent on meeting all the requirements of the program. Two random drug screenings are required. Students with positive drug screen results may not continue in the program.

3 A Level 2 criminal background screening is also required, which is done prior to enrollment, at the student s expense. In order to participate in the mandatory clinical practicum, as well as to obtain licensure, students must have a clear background. Applicants must successfully complete all of the required criteria and have all relevant documentation on file with the Lively Technical Center (LTC) Health Education Department, by (the specific date on the application). Meeting the criteria for selection does not guarantee admission to the Crusoe-Holifield Practical Nursing program. Final selection will be based on the qualified applicant pool and space available. Note: #1 through #6 below must be completed and submitted by the application deadline. Late and/or incomplete packets will not be considered. 1. PERSONAL INFORMATION FORM Please complete the Personal Information Form that is included in this packet. 2. TESTING A. All prospective students must take the Test of Adult Basic Education (TABE), Level A. TABE exit requirements for the Practical Nursing Program are 11.0 in Reading, Language and Total Math. TABE scores are valid for two (2) years. Prospective students will go to the Registration window in Building 8 to pay for the exam then report to the Testing Center. Prospective students with an Associate Degree or higher, have successfully completed the College Level Academic Skills Test (CLAST), or have already met the minimum scores, within the past two years, on the CPT, ACT, MAPS, SAT or ASSET are exempt from the TABE exam with the appropriate official documentation. B. ATI-TEAS (ASSESSMENT TECHNOLOGY INSTITUTE - TEST OF ESSENTIAL ACADEMIC SKILLS) All applicants must take the ATI-TEAS Nursing Entrance Exam. ATI- TEAS scores are valid for two (2) years; however, only the most recent score will be considered for admission. Applicants are encouraged to test early. There is a *$55.00 fee for this exam. Applicants will go to the Registration window in Building 8 to pay for the exam then report to the Testing Center. Once accepted, students will also be required to take ATI Standardized NCLEX-PN Testing Preparation Exams throughout the Program. The current desired proficiency level for the PN program is For more information, please contact The Testing Center at: HEALTH REQUIREMENTS Applicants are required to be in good mental and physical health and must submit proof of a recent medical evaluation (not more than 6 months old; see attached form). If, after acceptance, a student s health status changes, further documentation may be required stating the student is physically able to continue the Program. Applicants are also required to provide proof of the following current immunizations: Tetanus, within the past 10 years (Td or Tdap) MMR x2 (given on or after the applicant s first birthday). Official documentation of immunity is also acceptable. Hepatitis B series Varivax x2. Official documentation of immunity (titer results) is also acceptable. PPD/Tuberculin skin test within past 12 months.* *PPD/Tuberculin skin testing is valid for one (1) year from date of administration. Students will be required to maintain current PPD/Tuberculin skin testing throughout the duration of the

4 program. Students who test positive for tuberculosis must show proof of a negative chest x-ray to satisfy this requirement. 4. CPR All applicants must be certified and maintain current certification in American Heart Association CPR for Healthcare Provider for the duration of the program. Four classes at Lively Technical Center have been scheduled for February 4, March 4, April 1, and April 8, from 5pm-9pm. Cost is $ You may register for a class in Bldg. 8 (Registration). 5. REFERENCES Applicants must submit three current reference letters: two professional references (recent employers, former teachers, counselors, etc.) and one personal reference (may not be family member). 6. TRANSCRIPTS Prospective students are required to submit proof of an academic high school diploma, general equivalency diploma (GED), or a validated foreign transcript equivalent to the LTC Health Education Department. All transcripts proving graduation from high school or GED must be received by the Health Education Department before the end of the first semester. Students will not be allowed to register for the second semester without proper documentation. 7. GENERAL INFORMATION MEETING After submitting a completed application to the LTC Health Education Department, applicants will be notified about attending a mandatory General Information meeting. At least two meetings will be scheduled prior to student selection; the date and time of these meetings will be given to all applicants when the application is submitted. This meeting provides potential students with an overview of the Crusoe-Holifield Practical Nursing Program, registration process, financial aid, and general LTC campus information. This is also an opportunity for applicants to ask questions about the program. Further information may be obtained by calling the LTC Health Education Dept. at INTERVIEW After the completed application has been submitted and the student has attended the general information meeting; the applicant must schedule an interview with the LTC Health Education Director or designated faculty member. All interviews must be completed before the application will be considered by the selection committee. 9. CRIMINAL BACKGROUND CHECK If accepted into the program, students must undergo a Level 2 criminal background check prior to registration for the program. A student not cleared by the clinical facilities will not be able to enroll in the program. Instructions for obtaining the background screening will be included the Practical Nursing Program acceptance letter. Please be aware that clearance by the clinical facility does not guarantee clearance to test by the Florida Board of Nursing (FBON). Applicants should visit the FBON website at for information regarding licensure requirements prior to beginning the application process. 10. DRUG SCREENING Drug screening is not required prior to admission into the program. However, all students must submit to and pass two random drug screenings after entering the Practical Nursing Program and prior to having access to the clinical health care facilities utilized in the Program. This is a Joint Commission on Accreditation of Healthcare Organizations (JCAHO) requirement demanded of all acute care

5 facilities in Florida. Students who do not pass a random drug screening will not be able to access the clinical facilities and therefore will not be able to continue in the program. The cost of the drug screening is *$40.00 and must be paid for at the time of registration. *Fees subject to change. DISABILITY SUPPORT SERVICES: If you have question regarding a disability accommodations, please contact LTC Student Services in Building 9. FINANCIAL AID: Financial Aid is available for this program based on eligibility. Qualifying students will receive the Federal Pell Grant. Loans and other financial arrangements are a personal decision and not handled at Lively Technical Center. The Financial Aid Office is located in Student Services, Building 9. ACCEPTANCE INTO PROGRAM: Applicants who have met the requirements for placement will be placed into a selection pool and chosen based on the number of available slots. Should the number of eligible applicants exceed the number of openings offered; students will be admitted based on a defined point system. In the event of a tie, a lottery selection system will be used. ACCEPTANCE/REGISTRATION: Applicants who are selected will be notified approximately two weeks after the interview sessions are completed. If an applicant is selected and does not complete the registration process, the applicant must reapply and be considered based on the applicant pool at the time of reapplication. All expenses are incurred AFTER acceptance into the Crusoe-Holifield Practical Nursing Program EXCEPT for the ATI-TEAS Nursing Entrance Exam and the TABE.

6 All prices are approximate and subject to change without notice. TABE ATI-TEAS Nursing Exam Level 2 Background Check Additional Criminal Background Check (Done online via third-party entity; paid directly by student) Registration Fee ($75.00/Semester for three semesters) Tuition $2.92/hour X 1350 hours (minimum) Laboratory Fee (linen rental, dressings, syringes, gloves, catheters, skills kit, etc) $ each Registration Vital signs kit (Stethoscope and BP cuff) Books ATI Standardized NCLEX-PN Testing Preparation Exams Drug Testing Liability Insurance Clinical ID 5.00 NFLPN Membership Graduation Fee (Cap & Gown, Nursing Pin, Program Certificate in frame, Nightingale Lamp & 5 x 7 photo) CPR (recertification prior to graduation) Required Accessories: Uniforms (Minimum: two scrub tops and pants and logos) Lab coat (thigh length, long sleeves, white, button closure, with Lively patch on left upper sleeve) Shoes (white clinical or all-white athletic; closed) Watch with a sweeping second hand (no decorative watches) Bandage scissors (about six inches long) Stethoscope (provided) Blood pressure cuff (provided) Penlight Headphones or ear buds Basic calculator (not on cell phone) 3.00 Post-Completion Licensure Requirements: Pearson VUE Registration ( Florida Board of Nursing Licensure Application Fee ( TOTAL $

7 PERSONAL INFORMATION PLEASE PRINT BLUE OR BLACK INK ONLY Date of Birth Date Place of Birth Name SS# Address City/State Zip Home # ( ) Work # ( ) Cell # ( ) Address Emergency Contact Phone# ( ) EDUCATION High School City/State Highest grade completed Year Circle one: Diploma GED Previous Nursing School College Degree awarded City/State City/State Military Education as Certified Nursing Assistant, Patient Care Assistant, Patient Care Technician or Medical Assistant Name of School Certification Awarded Yes No Years Attended EMPLOYMENT RECORD Present Title/Position Dates of Employment: From to Previous Title/Position Dates of Employment: From to Previous Title/Position Dates of Employment: From to The information on this application is true and factual. Signature: Date:

8 Crusoe-Holifield Practical Nursing Program Medical Evaluation APPLICANT NAME (please print): ESSENTIAL TASKS Health related occupations are demanding, both physically and emotionally. Before entering a program in the health field, it is important to review the following tasks which have been established. Their performance is essential for success in the program. To be completed and signed by the Health Care Provider ONLY: Physical Requirements: Ability to perform repetitive tasks Ability to walk the equivalent of five miles per day Ability to reach above shoulder level Ability to project audible verbal communications at a distance of 4 feet Ability to demonstrate high degree of manual dexterity Ability to work with chemicals and detergents Ability to tolerate exposure to dust and/or odors Ability to grip Ability to distinguish colors Ability to lift a minimum of 25 lbs & maximum of 100 lbs Ability to bend knees Ability to sit or stand for long periods of time Ability to perform CPR Vision within normal limits Hearing with normal limits Mental and Emotional Requirements: Ability to cope with a high level of stress Ability to make fast decisions under high pressure Ability to cope with the anger/fear/hostility of others in a calm manner Ability to interpret audible sounds of distress Ability to manage altercations Ability to concentrate Ability to cope with confrontation Ability to handle multiple priorities in a stressful situation Ability to assist with problem resolution Ability to work alone Ability to demonstrate a high degree of patience Ability to adapt to shift work Ability to work in areas that are close and crowded The above-named applicant to the Crusoe-Holifield Practical Nursing Program has been found to meet the above requirements. Signature and Title of Health Care Provider Date Printed Name of Health Care Provider

9 Crusoe-Holifield Practical Nursing Program Student Health Assessment Record THIS FORM MUST BE COMPLETED BY YOUR HEALTH CARE PROVIDER. Any falsification of this record will result in immediate dismissal from the program (if accepted). NAME (please print): Last First MI DATE OF BIRTH: / / Male Female 1. MMR (Need proof of two MMR vaccines or one mumps, two measles, and one rubella. Any person born before 1/1/57 will need proof of rubella immunization or positive titer.) Date of MMR #1: Date of MMR #2: OR Antibody titers: Mumps titer date: Results: Immunity/Not immune Rubeola titer date: Results: Immunity/Not immune Rubella titer date: Results: Immunity/Not immune If not immune, will require MMR x2. 2. Tetanus (Td or Tdap with the last ten years): Date: 3. Hepatitis B series: Hepatitis B #1 date Hepatitis B #2 date Hepatitis B #3 date 4. Varicella: Date of 1 st dose: Date of 2 nd dose: If no documentation of two (2) Varivax, or if history of chicken pox: Varicella titer: Results: (Lab value) 5. PPD (TB Skin Test): Date taken: Results: Positive Negative Chest x-ray, if positive PPD: Date: Results: VERIFICATION OF DOCUMENTATION Verified by: Name of Physician s Office/Health Center Signature Date Title Stamp