Georgia Northwestern Technical College Associate Degree Nursing Program Generic Track APPLICATION INFORMATION

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1 Associate Degree Nursing Program Generic Track APPLICATION INFORMATION We are very pleased you are considering nursing as a career. We welcome your application for admission to the Associate Degree Nursing Program. This admissions packet will give you information to assist you in the application process. Students may apply to the Associate Degree Nursing program at any time after acceptance to the college. The process for application is to: Complete the application form for the appropriate track of the ADN program (included with this packet) Return the completed application form to the nursing department on the Walker County campus no later than February 1 st preceding the fall semester you wish to enter the program Students are assigned a nursing advisor by the ADN-department secretary. It is advisable to remain in contact with the advisor each semester! There is a high level of competition for entrance into the ADN program. Selection is based on a point system that considers course grades, number of core courses completed, state of residency, and pre-entrance examination scores. Selection for the fall semester is made during the spring! Therefore, it is best to have all core courses completed by the end of the fall semester (December) prior to the selection. No courses taken after fall semester will be considered for that year s admission! An application to the Associate Degree Nursing Program must have been completed and received in the nursing office of the Walker County campus no later than February 1 st for inclusion in that year s applicant pool for the following fall. In addition, by the end of fall semester prior to selection, the applicant must: Be officially admitted to Georgia Northwestern Technical College Have biology course credits within the past five years Have calculated grade point average (GPA) of at least 3.0 on program required core courses completed. Obtain a minimum score of 75% on each required component of the HESI Admission Assessment Exam. Ensure that the HESI exam is not expired (after 3 years)! Be able to meet the technical standards as listed in the catalog under Essential Requirements for Nursing (see attached). Once admitted to the program, students must have a clear background check and clear drug screen. Additional information can be found in the College Catalog on the GNTC website Please note that all testing fees paid are nonrefundable. We hope to see you in the future and wish you much success as you fulfill your goal of becoming a Registered Nurse. Sincerely, Ose Martinez, RN, MSN Director, ADN Program Phone: (706)

2 Associate Degree Nursing Program Cost Estimate per Semester * First Year Estimated Cost Semester Description Fee Pre Pre-Entrance Exam $93.00 Admission 1 st Nursing Supplies (Includes Nurse Tote) $ Fall Lab Coat, Green scrubs, patches $ Physical & Immunizations $ Drug Testing & Background Check, Immunization $ Tracking AHA CPR Certification (2 years) $35.00 Liability Insurance (1 year) $15.00 Textbooks $ TCPS $10.00 Kaplan Integrated Testing $ SimChart $ Semester Total $ nd Textbooks $ Spring Kaplan Integrated Testing $ Semester Total $ rd Second Year Estimated Cost Fall Liability Insurance (1 year) $15.00 Textbooks $ Kaplan Integrated Testing $ SimChart $ Drug Testing & Repeat TB Skin Test (TB Skin Test if positive will need chest x-ray.) $90.00 TCPS $10.00 Semester Total $ th Textbooks $ Spring Kaplan Integrated Testing $ Nursing Pin & Lamp (price depends on students choice of pin) $ NCLEX $ Georgia RN Application $90.00 Semester Total Estimated Total $ NOTE: These costs are only estimates. Actual costs may vary * This only includes fees that related to nursing, no college fees are included!

3 Associate Degree Nursing Program Generic Track Entrance Criteria Points Evaluation Student Name Student # State of Residence Core Course GPA Planned Entry Date: Fall All students who have been admitted to Georgia Northwestern Technical College, submitted the ADN program application to the Department of Nursing (Walker County campus) by Feb 1, have a calculated GPA of 3.0 on core courses (using the highest score in case of multiple attempts), and have obtained a minimum score of 75% on each component of the HESI Admission Assessment Exam will be evaluated using the following points system. Students with the highest overall points will be selected. Criteria Point Breakdown Points Residency Residency State Total Quality Points Grade x credit hours = points awarded A = 4 points B = 3 points C = 2 points Georgia 50 points Tennessee or Alabama 35 points Other States 25 points Calculations from Core Curriculum Grade Pts Grade Pts BIOL 2113/BIOL 2113L BIO L2114/BIOL 2114L ENGL 1101 HUMN 1101 or BIOL 2117/BIOL 2117L ENGL 2130 or PSYC 1101 ARTS 1101 or PSYC 2103 MUSC 1101 SPCH 1101 MATH 1111 (or higher level math) Core Curriculum HESI Admission Assessment Exam Core Curriculum Completion Courses completed at GNTC (2 points each course) Bonus (5 points if all completed at GNTC) All core curriculum completed (34 points) HESI Admission Assessment Exam (75% or higher each component) Highest of Scores Reading Grammar Math A & P Total Points Reviewed By Date Validated By Date

4 Associate Degree Nursing Program Generic Track Application for Admission Please type or print in black ink all the information requested. Applicants are selected based on a point system in accordance with non-discriminatory practices. First Name: Middle Name: Last Name: Previous Name(s) under which transcript(s) may be located: Student ID I will be 17 years of age Current Address: Permanent Address: Telephone No: ( ) ( ) ( ) Mobile Residence Business Home Address: I am a legal resident of the United States In case of an emergency notify: Name Telephone No: ( ) Relationship: Address: Street City State Zip List all schools attended: Name of Institution City State Zip Degree Awarded Year of High School Graduation (or GED) Are you eligible for readmission to the last college or university attended? Yes No List all work experience since high school: Employer Position City State Zip Have you previously applied to the GNTC Associate Degree Nursing Program? Yes No (If Yes) Date Have you taken the HESI Admission Assessment Examination? Yes No (If Yes) Date Do you have a license in another health related profession? Yes No (If yes) Profession State of Licensure License # Admission to the Associate Degree Nursing Program may be denied if a student is unable to meet the physical demands for the program of study with or without reasonable accommodations or if a student poses a direct threat to the well-being of others.

5 Essential Requirements for Nursing All candidates for the associate degree in nursing must meet intellectual, physical, and social core performance standards necessary to provide safe patient care in an independent manner. The areas below include examples of necessary activities and skills but are not all-inclusive. 1. Critical Thinking Critical thinking ability sufficient for clinical judgment. Examples include identification of cause/effect relationships in clinical situations, development of care plans, transferring knowledge from one situation to another, evaluate outcomes, problem solve, prioritize, use short and long term memory. 2. Interpersonal Interpersonal abilities sufficient to interact with individuals, families, and groups from a variety of social, emotional, cultural and intellectual backgrounds. Examples include establishing rapport with patients/clients, families, and colleagues, negotiation of interpersonal conflict, and respect of cultural diversity. 3. Communication Communication abilities sufficient for verbal and written interaction with others. Examples include explanation of treatment procedures, initiation of health teaching, documentation and interpretation of nursing actions and patient/client responses, and written and oral reports to other health care professionals. 4. Mobility Physical abilities sufficient for movement from room to room and in small spaces. Examples include moving around in a patient s room, work spaces and treatment areas; administration of cardiopulmonary procedures such as resuscitation; sitting or standing and maintaining balance for long periods; twisting, bending, stooping; moving quickly in response to possible emergencies; pushing, pulling, lifting or supporting a dependent adult patient; squeezing with hands and fingers; and repetitive movements. 5. Motor Skills Gross and fine motor abilities sufficient for providing safe, effective nursing care. Examples include calibration and use of equipment, positioning of dependent adult patients/clients, grasping and manipulation of small objects/instruments, using a computer keyboard, and writing with a pen. 6. Hearing Auditory ability sufficient for monitoring and assessing health needs. Examples include hearing monitor and pump alarms, emergency signals, fire alarms, auscultatory sounds and cries for help. 7. Visual Visual ability sufficient for observation and assessment necessary in nursing care. Examples include observation of patient/client responses such as respiratory rate and depth, skin color, and other physical signs; visualization of monitors, watches with second hands, medication labels and vials, and increments on a medication syringe; visualization of objects from twenty inches to twenty feet away; use of depth perception and peripheral vision; distinguishing colors; and reading written documents. 8. Tactile Tactile ability sufficient for physical assessment. Examples include performance of palpation, functions of physical examination (such as discrimination of pulses and detection of temperature), and functions related to therapeutic intervention (such as insertion of a catheter). 9. Emotional Emotional stability sufficient to tolerate rapidly changing conditions and environmental stress. Examples include establishment of therapeutic interpersonal boundaries, providing patients/clients with emotional support, adapting to changing conditions in the work environment and stress, dealing with unexpected or unpredictable events, maintaining focus on task, performing multiple tasks concurrently, and being able to handle strong emotions. American Nurses Association (2010) Nursing: Scope and standards of practice (2 nd ed.) & the American Association of Colleges of Nursing (2008, Guidelines for using results of functional abilities studies and other resource). Work Environment Associated Risks Students will be exposed to work environment associated risks, which include: 1) Handling sharp instruments. 2) Exposure to infections (communicable diseases). 3) Strains (heavy lifting). 4) Exposure to latex. OSHA Risk Factor Category A Students will also be exposed to OSAH risk factors, which include: 1) Exposure to blood and other body fluids. 2) Exposure to noxious smell, either toxic or non-toxic. 3) Exposure to toxic fumes, gases, vapors, mists, or liquids which could, depending on the chemical, cause general or localized disabling conditions as a result of inhalation, ingestion, or action on the skin.

6 is committed to reasonable accommodations for students with disabilities, as defined in Section 504 of the Rehabilitation Act of If you think you may qualify for accommodations, please notify the ADA Coordinators: (Walker Campus) Michael Walters (706) ; (Other Campuses) Sheila Parker, (706) Upon successful completion of the ADN program, the graduate applies to the Georgia Board of Nursing to obtain a nursing license. The license is issued based on successful completion of the NCLEX-RN licensure exam and board approval in accordance with Administrative Code : The Board shall have the authority to refuse to grant a license to an applicant, to revoke the license of a licensee, or to discipline a licensee upon a finding by the board that the applicant or licensee has: (1) Been convicted of any felony, crime involving moral turpitude, or crime violating a federal or state law relating to controlled substances or dangerous drugs in the courts of this state, any other state, territory, or country, or in the courts of the United States, including but not limited to a plea of nolo contendere entered to the charge; or (2) Displayed an inability to practice nursing as a registered professional nurse or licensed undergraduate nurse with reasonable skill and safety due to illness, use of alcohol, drugs, narcotics, chemicals, or any other type of material, or as a result of any mental or physical condition. If either of the above conditions applies to you, contact the Georgia Board of Nursing at (478) for further information. My signature constitutes my agreement to abide by the policies and regulations, including drug screening and background check, of the Associate Degree Nursing program at Georgia Northwestern Technical College if I am admitted. I certify that the information I have provided is accurate and complete. I understand that any misrepresentation on this application will be cause for refusal of admission, cancellation of admission, or mandatory withdrawal from the Associate Degree Nursing Program at Georgia Northwestern Technical College. I understand that issuance of a nursing license is determined by the Georgia Board of Nursing. Signature Date Return completed form to: Georgia Northwestern Technical College Associate Degree Nursing Program 265 Bicentennial Trail P.O. Box 569 Rock Spring, Georgia The Associate Degree Nursing Program is committed to equal opportunity in education and employment. As set forth in its student catalog, Georgia Northwestern Technical College does not discriminate on the basis of race, color, creed, national or ethnic origin, gender, religion, disability, age, veteran status, or citizenship status (except in those special circumstances permitted or mandated by law). For information contact the Special Populations Office at or ADA Coordinator at or More specific information is covered in the GNTC catalog and in the Student Handbook.

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