Licensed Practical Nurse Program Information

Transcription

1 PROGRAM APPENDICES

2 Licensed Practical Nurse Program Information Welcome Congratulations on your enrollment in the State of Connecticut Licensed Practical Nurse Program. The Licensed Practical Nurse Program is conducted by the State Department of Education with the approval of the Connecticut State oard of Examiners for Nursing. The Administration and Faculty welcome you and hope that you will have a rewarding experience in your endeavor to become a Licensed Practical Nurse. The following guidelines have been prepared to help you achieve this goal. Mission Statement Our mission is to provide through leadership and service insight, expertise, training, encouragement and resources to assist those in the education and related communities to succeed in helping all Connecticut students become effective lifelong learners, able to reach their personal and career goals and become involved, productive, confident and satisfied members of society. DEFINITION OF NURSING PER GENERAL STATUTES Sec a Definitions: Scope of practice. The practice of nursing by a licensed practical nurse is defined as the performing of selected tasks and sharing of responsibility under the direction of a registered nurse or an advanced practice registered nurse and within the framework of supportive and restorative care, health counseling and teaching, case finding and referral, collaborating in the implementation of the total health care regimen and executing the medical regimen under the direction of a licensed physician or dentist. (d) In the case of a registered or licensed practical nurse employed by a home health care agency, the practice of nursing includes, but is not limited to, executing the medical regimen under the direction of a physician licensed in a state that borders Connecticut. Licensure Application Provision of Public Act authorizes the Department of Public Health to deny licensure to applicants who may be addicted to drugs or alcohol or who have been disciplined in this state or other states or who have been convicted of a felony. Candidates for licensure in Connecticut will be asked questions pertaining to these matters during the licensure application process. Above and beyond drug abuse, applicants could be denied licensure for engaging in an act that would not conform to accepted practice if such applicant were licensed. For example, negligent / incompetent practice, illegal conduct, fraud practice, or engaging in, aiding or abetting the unlicensed practice of a registered nurse. A license also may be denied if the applicant has a condition which would interfere with the practice of the profession, including, but not limited to, physical illness or loss of skill or deterioration due to the aging process, emotional disorder or mental illness, substance abuse drug related or substance abuse alcohol related. For further information call Conceptual Framework The Licensed Practical Nurse Program s conceptual framework is based upon the belief that wellness is achieved by a balance of mind, body and spirit. Illness occurs with discord within that balance. Each individual, while unique, lives within a multicultural society. Each life is a continuum from conception to death and yet part of a greater community. 1

3 Nursing is an avenue that provides an opportunity for individuals, families and communities to achieve wellness through the application of the nursing process. In accordance with the Nurse Practice Act, a graduate of the Licensed Practical Nurse Program, under the direction of a registered nurse or advanced practice registered nurse, participates with other health team members to promote, maintain and restore optimum wellness to individuals, families and communities. The theoretical concepts and thread that are integrated throughout the curriculum provide direction to the teaching-learning process. Concepts are introduced from the simple to the complex. These include Wellness Illness continuum, Nursing Process, Nursing Skills, Communication and Professional Development. Wellness Illness Continuum is composed of two sub-concepts: normal body structure and function and the study of diseases and disorders across the lifespan. The curriculum incorporates theory of normal body structure and function for the nurse to assist the individual in promotion and maintenance of health. The curriculum also incorporates theory of diseases and disorder for the nurse to assist the individual in prevention of illness and restoration of health. Nursing Process is a theoretical concept that is developed and expanded upon throughout the curriculum. The nursing process is a method of planning care to provide for individualized client needs to facilitate the delivery of nursing care by maintaining and promoting physical, emotional, social and spiritual health in a multicultural society. This ongoing process has steps that include assessment (data collection), planning, implementation and evaluation. Nursing Skills incorporate cognitive, psychomotor and effective competencies. The role of the practical nurse is to implement the nursing process in the delivery of quality nursing care. Communication: The curriculum is designed to enable the practical nurse to interact with the patients, families and health team members effectively through appropriate verbal, nonverbal and written communication. Professional Development promotes behaviors that foster trust and respect, provides for effective interpersonal relationships and portrays confidence and competence in nursing skills. These behaviors are an integral part of learning in the classroom, laboratory and clinical settings. Program Outcomes At the completion of the Licensed Practical Nurse Program, the graduate is prepared to: perform the duties and responsibilities of the licensed practical nurse within the framework of the Nurse Practice Act, Chapter 378 of the Connecticut General Statutes; and apply the nursing principles and theories in the implementation of the plan of care for clients under the direction of and in collaboration with the registered nurse by: o o o o collecting data concerning the biologic and psychosocial needs of the individual client along the wellness / illness continuum. implementing therapeutic nursing measures to maintain, promote and restore optimum health to clients within the established plan of care. therapeutic nursing interventions based on principles from the biophysical and behavioral sciences, adapting these to the individual needs of clients as members of families and community systems. using ethical decision making and judgments in providing care. 2

4 o o o o o o o o assisting in evaluating the effectiveness of nursing interventions, using observations and data collection to recommend changes in the plan of care. performing appropriate data collection to monitor client status in response to alterations in health, treatment of health problems and therapeutic nursing interventions. recognizing and report deviations from expected responses to alterations in health status or in the treatment of health problems. intervening appropriately in emergency situations. interacting effectively with clients, families and health team members through appropriate verbal, nonverbal and written communication. implementing the care of groups of clients, using appropriate principles of priority setting, time management and delegation. utilizing resources and the environment of care effectively to meet client needs and attain expected outcomes of care. demonstrating individual accountability by acting as an advocate for health care consumers and by maintaining accepted standards of care for the practical nurse. Credit Transfer Policy Credit for college courses obtained at another institution that meet the criteria for LPN course work will be accepted for: general psychology, developmental psychology and human biology. Readmission to the Program for an Individual who Attended a Technical School ased on Availability Readmission to the Licensed Practical Nurse Program is permitted with the next class only. An individual needs to complete at least one semester with passing academic grades and a passing clinical grade in order to be eligible for readmission to the LPN program. Should a student complete the first semester, but is not successful in completing a subsequent semester, and wishes to be reconsidered for readmission, they must make their request in writing to the DH to be considered for advanced placement in the next class. Readmission of said student, MUST occur with the next class. Should the student not be admitted with the next class for any reason, and wish to pursue their education as a licensed practical nurse with the Technical School System, they must begin the application process from the beginning and become part of the applicant pool. Readmission to the next class is contingent upon completion of the following: 1. Completion of an application. 2. Payment of the required registration fee on or before the first day of class. 3. Tuition must be paid on or before the first day of class. Students will not be allowed to attend if payment is not made. 4. Successful completion of all prerequisites. Time frame to be determined between returnee and the Department Head. 1. Comprehensive exams if entering at the beginning of Semester 2. a. Fundamentals of Nursing b. Human iology c. Pharmacology including math for medications d. Developmental Psych across the Lifespan e. Wellness 2. Comprehensive exams if entering at the beginning of Semester 3 a. All of the above exams b. Medical Surgical Nursing I 3

5 c. Medical Surgical Nursing II d. Mental Health / Psych Nursing e. Maternal Newborn 3. Clinical skill laboratory simulation if entering at the beginning of Semester 2 a. ed baths and transfers b. Data gathering head to toe assessment of patient c. ody mechanics observe student s body mechanics while testing d. patient positioning and range of motion e. Vital signs f. Documentation g. Optional skills: bed making and isolation 4. Clinical skill laboratory simulation if entering at the beginning of Semester 3 a. Students must complete 4 of the 6 skills listed above b. Medication administration oral, IM and SQ c. Sterile technique i.e. foley insertion, sterile dressing change d. IV therapy monitoring site and calculation of drip rate e. Administer enteral feeding f. Ostomy care g. Optional skills: trach care and respiratory suctioning Guidelines for written testing 1. A grade of 80 or higher must be achieved in each exam in order to return to the program. 2. If a grade of 80 is not achieved, then the student can retest that subject for which the grade was lower than 80. A re-test may consist of similar questions, different questions and various formats. 3. One retest is allowed. 4. If the grade of 80 is not achieved on the first or second attempt, then the student cannot be readmitted. 5. The readmission exams will be based on the textbooks utilized by each LPN program. Guidelines for laboratory skills testing 1. A clinical skill laboratory simulation must be completed successfully which will consist of a number of different skills to be determined by scenario. 2. The skills lab is completed after successful completion of all written exams. 3. Students must complete all of the required skills to the satisfaction of the instructor. 4. If a student does not pass a skill, the student has one (1) chance to return and complete the skill satisfactorily. Four (4) weeks prior to the start date: 1. Physical exam with current / updated PPD (tuberculin skin test) 2. Current CPR certification Two to three (2-3) weeks prior to the start date: 1. Meet with the DH to review all handbooks 2. Discuss previous issues that interfered with the completion of the program All students must enter the program at the beginning of the semester. A student will only receive credit for semesters completed in their entirety. Upon the student s return, all clinical absences, tardies, and leaving early in completed semesters will remain on the student s record. Example: Student completes Semester 1 and was absent two (2) days from clinical. Upon their return to the program, the student carries over the two (2) absent days and is therefore allowed six (6) clinical absences for the rest of the program. 4

6 Example: Student completes Semester 1 and 2, but is not successful in completing Semester 3. They accrued two (2) full days of clinical absences during Semester 1, two (2) full day of clinical absences during Semester 2, and two (2) full days of clinical absences during Semester 3. Upon their return to the program, the student carries over the two (2) days of clinical absence from Semester 1 as well as the two (2) full days of clinical absence during Semester 2. The two (2) full days of clinical absences from Semester 3 do not count. The student therefore has four (4) allowable days of clinical absences upon their return. ADMISSION TO THE PROGRAM FROM AN INDIVIDUAL WHO PREVIOUSLY ATTENDED AN RN PROGRAM OR A DIFFERENT LPN PROGRAM (i.e.: private in-state or out-of-state LPN program) based on space availability Acceptance of students from an RN nursing program that have completed at least one (1) year of nursing content is contingent upon completion of all of the following requirements: 1. Completion of an application. 2. Payment of the required registration fee on or before the first day of class. 3. Tuition must be paid on or before the first day of class. Students will not be allowed to attend if payment is not made. If applying for a PELL grant, paperwork takes approximately four (4) to six (6) weeks to process. If paperwork is not done then payment is due the first day of class. 4. Students from an RN or LPN program other than that of the Technical High School System must have completed no less than seventeen (17) clinical days (not including laboratory sessions) prior to being granted admission to the LPN program. Time frame to be determined between applicant and DH. 1. Comprehensive exams a. Fundamentals of Nursing b. Human iology c. Pharmacology including math for medications d. Developmental Psych across the Lifespan e. Wellness 2. Clinical skill laboratory simulation a. ed baths and transfers b. Data gathering head to toe assessment of patient c. ody mechanics observe student s body mechanics while testing d. patient positioning and range of motion e. Vital signs f. Documentation g. Optional skills: bed making and isolation Guidelines for written testing 1. A grade of 80 or higher must be achieved in each exam in order to return to the program. 2. If a grade of 80 is not achieved, then the student can retest that subject for which the grade was lower than 80. A re-test may consist of similar questions, different questions and various formats. 3. One retest is allowed. 4. If the grade of 80 is not achieved on the first or second attempt, then the student cannot be readmitted. 5. The readmission exams will be based on the textbooks utilized by each LPN program. Guidelines for laboratory skills testing

7 1. A clinical skill laboratory simulation must be completed successfully which will consist of a number of different skills to be determined by scenario. 2. The skills lab is completed after successful completion 5 of all written exams. 3. Students must complete all of the required skills to the satisfaction of the instructor. 4. If a student does not pass a skill, the student has one (1) chance to return and complete the skill satisfactorily. Four (4) weeks prior to the start date: 1. Physical exam with current / updated TST (tuberculin skin test) 2. Current CPR certification Two to three (2-3) weeks prior to the start date: 1. Meet with the DH to review all handbooks 2. Discuss previous issues that interfered with the completion of the program Individuals that have been educated in a foreign country will have their transcripts evaluated by DPH to determine if they meet the criteria of entering the program as an advance placement student and begin the program at the beginning of the second semester as outlined. TRANSFERS Transfer of currently enrolled adult students from one Connecticut Technical School to another in the same trade area is subject to: space availability; concurrent curriculum; and a documented change of legal residence. Transfer of currently enrolled students who have not changed their legal residence is permissible if implemented within thirty (30) days after the beginning of the program; the Principal of both schools approve and is subject to: space availability; and concurrent curriculum. Transfer must have the approval of both Connecticut Technical High School principals and Department Heads. The sending school must initiate communication relative to the transfer and arrange for the transition. Students must be made aware of any additional instructional time that may be necessary to complete course requirements prior to the initiation of the transfer. The Superintendent may transfer students between Connecticut Technical Schools at any time if he /she is provided appropriate reasons. Students enrolled in the adult programs within the Connecticut Technical High School System can be considered for transfer from one program to another program upon meeting the entrance requirements and applying to the program. ORGANIZATION OF THE LICENSED PRACTICAL NURSE PROGRAM The License Practical Nurse Program is a three semester program, integrating theory and clinical, designed to expose the student to specific nursing experiences. Students are required to attend full-time, 5 days a week. The classroom theory hours consist of a 6 hour day, starting times determined by the individual school. The clinical session of the program is a scheduled six and a half-hour day. The clinical hours are assigned according to the affiliating hospitals or facilities.

8 Tri Semester Course Plan of Study SEMESTER 1 Introduction to Practical Nursing 5 Hours Clinical Level 1 17 days = 110.5hrs Nursing Concepts I 25 Hours Clinical Level 1 17 Days = Hours Human iology w/lab 90 Hours Experiential Lab 8 Days = 48 Hours Fundamentals of Nursing Developmental Psychology Across the Lifespan Gerontological Nursing Pharmacology I: Concepts Wellness and Health 135 Hours 45 Hours 25 Hours 35 Hours 30 Hours TOTAL 390 Hours (65 Days) 8 Exp. Days + 18 Clinical Day = 90 Days SEMESTER 2 Medical/Surgical Nursing I 40 Hours Clinical Level 1 15 Days = 97.5 Hours Peri-op, Infection, Shock, Pain Oncology Endocrine Diabetes 15 Hours 15 Hours 10 Hours Mental Health/Psychosocial Nursing 30 Hours Maternal Newborn Nursing 30 Hours Clinical Level 2 38 Days = Hours Medical/Surgical Nursing II 88 Hours Experiential Labs 6 Days = 36 Hours Cardiovascular Respiratory Musculoskeletal Integumentary Pharmacology II: Application 25 Hours 25 Hours 20 Hours 10 Hours 10 Hours 8 Hours TOTAL 188 Hours (31 Days) 6 exp. Days + 53 Clinical Days = 90 Days 6 Exp. Days + 53 = 59 Days 7

9 Medical/Surgical Nursing III Endocrine Gastrointestinal Hematology Reproductive Medical/Surgical Nursing IV Nervous System Urinary System Sensory Pediatrics Pharmacology III: Application Nursing Concepts 2 20 Hours 20 Hours 20 Hours 20 Hours 24 Hours 18 Hours 10 Hours 20 Hours SEMESTER 3 80 Hours Clinical Level 2 53 Days = Hours 80 Hours 8 Hours 15 Hours Introduction to Psychology 45 Hours TOTAL 220 Hours (37 Days) 220 Hours (37 Days) + 53 Clinical Days = 90 Days TOTAL Theory Hours Theory Days Clinical: Level 1 Level 2 Experiential Days Days 32 Hours 208 Days 91 Hours Days Hours TOTAL COMINED COURSE HOURS:

10 Connecticut Technical High School Licensed Practical Nurse Program Attendance Policy Attendance as a Course Requirement Regular attendance by students is a critical aspect of the educational process. Without daily classroom attendance, a student does not receive the benefits of personal interaction with his/her teacher and other students. Ideas are often exchanged which enrich the learning experiences and research indicates that the mere makeup of assignments and time cannot substitute for actual physical presence and involvement in the classroom. Furthermore, in order to prepare students for the actual world of work, the Connecticut Technical High School System expects from its students what employers will require and thus provides a smooth transition from school to work. The Connecticut Technical High School System s attendance policy is designed to develop in students a sense of responsibility and cooperation. The educational objectives to be achieved by an attendance policy are as follows: 1. Increase attendance. 2. Increase punctuality. 3. Improve scholastic performance. 4. Develop an attitude of cooperation and responsibility in the student. 5. Place the responsibility of attendance and punctuality on the student. 6. Develop work habits that are beneficial to future employment. 7. Develop an awareness of the importance of attendance on the part of the student. Required Attendance Policy for Classroom Instruction The curriculum for the LPN program is approved by the State oard of Examiners for Nursing. The curriculum requires all students in the program to successfully complete the approved curriculum for a certificate of completion. At the start of each semester, all time absent, complete day out as well as time that a student arrives late (tardy) or leaves early is considered absent time. Tardies/Early Dismissals All time that a student is tardy or leaves early is unexcused absent time. As stated in the required attendance policy section: If a student is tardy or leaves early 5 times during the program, the student will receive a progressive discipline form. If the student fails to follow the written plan or is tardy or leaves early 4 additional times, they will receive a second discipline form and the administration of the program will be notified. The student will meet with administration to develop a plan of correction. If the student is tardy or leaves early an additional 5 times, they will be dismissed from the program. Any time and work missed due to tardiness or early dismissal must be made up within 5 school days with arrangements made with the Department Head. All absent time is added up. Student will receive notice of absence letters at three and five days of absence. Any missed time, over and above five days will result in a Denial of Credit letter. Denial of credit from the program based on attendance may be appealed by the student. A letter requesting an appeal must be submitted within three days of receipt of the credit denial letter. An 9

11 appeals board meeting will be scheduled within ten days of the receipt of the request. During the appeal time, the student will remain in the program and must be present in class, all day, on time. The student must be present at the meeting and must present documentation related to proof of absence for one the following five reasons: 1. Medical reasons verified by a physician 2. Death in the immediate family (mother, father, husband, wife, son, daughter) 3. Religious holiday 4. School Suspension 5. Court appearance - positions are: Administrator, Student Support Staff Member and Dean of Students or Teacher. The decision of the appeals board will be made known to the student. Should the appeal board recommend dismissal of the student, the student has the right to appeal to the Superintendent of the Connecticut Technical High School System. A student may appeal removal from the program based on attendance only one time throughout the entire program. If a student is absent after being reinstated by the appeal board for any of the five reasons listed above, a written agreement will be developed between the student and the DH as to how make-up time will be accomplished. Examples of times allowable for make-up include but are not limited to before school, after school, after clinical, at home with agreed upon graded quizzes, test, assignment, project or other comprehensive learning modalities. For all absences that do not fall into one of the above five reasons, the recommendations of the appeal board will prevail. Attendance Policy for Clinical Clinical Absences A student must complete 115 clinical days required by the State oard of Examiners for Nursing in order to successfully fulfill the requirements of the program. Days have been scheduled to allow students to satisfy this component of the LPN program. The student may not be absent more than 8 clinical days within the entire program. The DH will give a written warning to any student who has accumulated clinical absences the equivalent of 4, 6 and 8 days, informing them that they are in jeopardy of credit denial and dismissal from the program. The DH will give the student a denial of credit letter based on any clinical absent time in excess of eight days. Denial of credit from the program based on attendance may be appealed by the student. A letter requesting an appeal must be submitted within three days of receipt of the credit denial. The administrator for the program will review the student s record of attendance to insure accuracy. During the appeal time, the student will remain in the program and must be present in class, all day, on time. If the attendance record is found to be correct the student will be dismissed from the program. The student may appeal the decision to dismiss to the Principal of the school and consultant for the program, or, if unavailable, the Assistant Superintendent for the Adult Education Program. The student has the responsibility to call the clinical instructor and notify him/her of their absence on clinical days. The call should be made before the assigned start time of clinical instruction. This is part of the students professional responsibility. A written warning will be issued in Objective 5 should the student fail to notify the instructor of their absence. Clinical Tardies

12 The first time a student arrives tardy or leaves early, a notation will be made on the clinical evaluation tool in Objective 5. This is a verbal warning. The second time a student is tardy or leaves early; the 10 student will receive a verbal warning and receive an N/A on the clinical evaluation tool in Objective 5. The third time a student is tardy or leaves early; the student will receive a written warning and N/I and develop a plan of correction with their clinical instructor. The fourth time a student is tardy or leaves early; the student will receive a verbal warning and an N/I in Objective 5. The fifth time a student is tardy or leaves early, the student will receive a written warning in Objective 5. The sixth time a student is tardy or leaves early, a written warning in Objective 5 will be issued by the instructor. This will constitute a total of three (3) written warnings in Objective 5, and the administration must meet with the student. Dismissal is a possible outcome. It is the student s responsibility to note that three warning in one objective in the same rotation or two consecutive rotations leads to dismissal from the program on failure to meet the clinical objectives. Removal from Classroom/Clinical Area Students may be removed from the classroom/clinical area for health reasons or other reasons which are detrimental to the student and/or the patient. The School Principal and DH or designee will be notified immediately. Evaluation Evaluation is the method used to determine the extent to which a student is achieving the goals of a learning experience. It is an assessment of the growth of a student. There will be two types of evaluation, Academic and Clinical, used in the Licensed Practical Nursing Program. Dismissal from the Licensed Practical Nursing Program is determined by academic failure or failure of a clinical rotation. 1. Academic a. An academic warning will be issued with each test failure. The instructor will arrange a meeting with the student to establish objectives and timelines for remediation. b. Testing policy: Written warnings and remediation will be provided with each test failure. At the end of each transcript course, one common assessment (comprehensive test for the course) will be given. This common assessment is worth 10% of the transcript grade. c. A passing grade is 75 or higher in order to continue in the LPN Program. A student must pass each transcript course with a passing grade of 75 or higher in order to remain in the LPN program. d. Medical Surgical Nursing courses will be offered in a numerical sequence and a student must pass each course with a passing grade of 75 or higher in order to remain in the LPN program. e. If a student obtains a grade by cheating, the grade will be reduced to zero. f. Students must achieve a passing grade of 75 in their academic work in order to participate in clinical experiences and continue in the program. 2. Clinical a. Evaluation is based upon the student s performance of stated clinical objectives. Student performance is documented using clinical logs. b. Clinical logs:

13 instructor will evaluate each objective on student s daily performance during the clinical rotation; students will review instructor comments at regular intervals. Log will be available for students review at least weekly; and students will sign clinical log to 11 indicate the comments that have been read. The signature does not indicate agreement with the comments that have been written. c. Clinical warning: if a student is not meeting the stated clinical objectives during a clinical rotation, a clinical warning notice is issued. The instructor will arrange a meeting with then student to establish objectives and timelines for remediation. A signed copy of the Warning Notice will be placed in the students file. Once entering the level II (advanced) portion of the program, any skill deficiency based on level I (basic) competencies may result in an immediate warning. d. Failure of the clinical rotation is determined by 3 written clinical warnings in any one objective within the same rotation or 3 written warnings in any one objective within 2 consecutive rotations. e. Failure of the clinical rotation will result in dismissal from the program. All dismissals from the program are subject to an appeal process. All appeals must be made in writing to Central Office through the subject area consultant. Appeals will be referred to the Assistant Superintendent for Adult Education. General Information 1. Prior to the start of the clinical experience: a. drug testing and/or background checks may be required; and b. infant, Child, Adult CPR Certification is required and must be maintained for the duration of the program. The only acceptable certifications are Healthcare Provider offered by the American Heart Association or Adult, Infant, Child, offered by the American Red Cross or CPR for the Professional Rescuer offered by the American Safety & Health Institute or the National Safety Council. 2. Appropriate clinical attire must be worn in clinical settings. 3. All rules and regulations of the affiliating clinical site must be followed. 4. Upon completion of all transcript requirements and graduation, the student will take their licensure exam. The student is responsible for scheduling the exam as well as the cost. 5. Students will be required to attend outside workshops in accordance with the curriculum. Students are required to assume this cost. 6. Each Licensed Practical Nurse student is required to purchase texts and supplies for use during the program. A list of required texts and supplies and sources of purchases will be sent to accepted applicants. 7. All students are required to attend a multi-day-review program for NCLEX-PN scheduled at the end of semester 3. The cost of the program is paid for by the student. 8. Students are responsible for obtaining and wearing the designated program uniform. All uniforms tops and jackets are to have the State of Connecticut patch on the right side of the chest. 9. Transportation is the responsibility of the individual student. 10. Each student is required to purchase a lab pack kit for use in the laboratory setting. Some schools may also require an administration of medications kit for practice in the laboratory setting. 11. Students may take the required Introduction to Psychology course at one of the local colleges at any time during the program. However, students who have not completed the Introduction to Psychology course prior to the 3rd semester may take it on-line through Charter Oak College at that time.

14 12. Throughout the program the student will have the opportunity to take standardized examinations. These exams are designed to measure nursing knowledge and are used to predict success on the license exam. The cost of the testing services will be the responsibility of the student. These exams may be taken after successful completion of all 12 transcript requirements and graduation. Other experiences arise through a program that have a fee associated with it such as the LPN Student Day sponsored by the Connecticut League for Nursing or Alternative Clinical Experiences. Students are required to do clinical portfolios that may include observational experiences, research and written reports. Portfolios are a requirement for graduation. 13. At the successful completion of the Licensed Practical Nurse Program, a graduation ceremony will be held. The ceremony may be planned by the LPN faculty and/or a committee consisting of students and LPN faculty. All students will be required to wear a white professional uniform. Caps may be worn at the option of the individual student. 14. A certificate designating the student as a graduate of the Licensed Practical Nurse Program will be presented by the School Principal or his / her designee at this ceremony. 15. Students will follow the Licensed Practical Nurse Program dress code policy during clinical rotation. a. Color and style of shirt, jacket, skirt and pants is determined by the administration of the LPN program and the Connecticut Technical School System. b. Cap: Wearing the official Connecticut LPN cap is optional. c. Footwear: closed white professional shoes with white non-patterned socks/ stockings. Only full length white (no pattern) stockings are to be worn with dress uniforms. d. Hair: must be neat, clean and held away from the face. Facial hair must be in accordance with clinical site guidelines. e. Jewelry: Limited to the following: 1. one pair small stud earrings are acceptable; 2. a watch that monitors seconds must be worn on the clinical unit; 3. rings can be worn that do not interfere with patient care; or, 4. maintaining medical asepsis. f. Makeup: Appropriate daytime makeup is acceptable. Strong odors on person or clothing, such as perfume, heavily scented lotions, after shave or cigarette smoke are detrimental to patient well-being and are not permitted. g. Nails: Well groomed, cut short and unpolished. Artificial nails are not permitted. h. Students agree to follow and respect additional dress/appearance code policies as may be established by the clinical sites. Failure to comply with dress/appearance codes as dictated by clinical sites may result in dismissal from program. i. j. Licensed Practical Nurse Program I have read and understand the attendance policy and recognize the consequences for failing to comply with it. Print Name Signature Date

15 SIGN-UP/ACKNOWLEDGEMENTS/AGREEMENTS NOTE: The forms in this section must be completed and returned to the Department Head or Instructor.

16 CONNECTICUT TECHNICAL HIGH SCHOOL SYSTEM FULL-TIME ADULT STUDENT INFORMATION/FINANCIAL OLIGATION Tuition and Fees: The tuition and fee schedule for academic year as approved by the Connecticut State oard of Education are as follows: Program Resident/ Non-Resident Tuition Registration Fees (nonrefundable) Payment Due Dates New August 2015 Class Licensed Practical Nurse In-State Resident Total of $11,550 payable over three semesters $50.00 Per program ased on selected payment plan ($3,850 per semester) New August 2015 Class Licensed Practical Nurse Non-State Resident Total of $23,772 payable over three semesters $50.00 per program ased on selected payment plan ($7,924 per semester) Returning Aviation Resident Total of $6,576 payable over two years ($2,192 per installment) $50.00 per program August 2015 February 2016 New Aviation (December 2015) Resident Total of $6,576 payable over two years ($2,192 per installment) $50.00 Per program December 2015 **March 2016 **3 rd Installment Certified Nurse Assistant Not applicable $1,400 Per ten-week cohort Dental Assistant Not applicable $3,710 payable over two semesters $50.00 per academic year $50.00 per academic year Date of first scheduled class Date of first scheduled class ($1,855 per semester) Medical Assistant and Surgical Technology Not applicable $3,710 payable over two semesters ($1,855 per semester) $50.00 per academic year Date of first scheduled class ristol T.E.C. Programs Automotive Technology; Culinary Arts; Electronics Technology; Heating, Ventilation and Air Conditioning; Manufacturing Technology; Welding and Metal Fabrication; HVAC/R (2years) Not applicable $3,710 payable over two semesters ($1,855 per semester) $7,420 payable over four semesters ($1,855 per semester) $50.00 per academic year $50.00 Date of first scheduled class Date of first scheduled class each semester 1

17 Acceptable Methods of Payment: ank check or money order made payable to Treasurer, State of Connecticut for the exact amount due; Cash will be accepted in the school business office only during regular business hours (8:30 a.m. to 4:30 p.m.). Unacceptable Methods of Payment: Personal checks; Debit and credit cards; Cash (except during normal business hours). Other Financing Options (it is the responsibility of the student to initiate and follow-up on the methods listed below): The CTHSS offers financing options including: Tuition Waivers are available for veterans, students age 62 and over (subject to seat availability), and ONLY to students enrolled in the Certified Nurse Assistant program that are experiencing financial hardship; Financial Aid: Students enrolled in a full-time program may apply for a federal Pell grant; Outside Agencies: Funding from other state agencies (i.e. Dept. of Labor, Office of the State Comptroller); G. I. ill Veteran Education enefits ** Any student failing to pay or be approved for an alternative financing option by the payment due date will be immediately dismissed from their program of study. As regular attendance is a critical aspect of the educational process, students with attendance problems may be dismissed from the program. ** Applying for a Tuition Waiver: Eligible students wishing to apply for a tuition waiver must complete a Tuition Waiver Request form (available at no later than four weeks prior to the first class session. Veterans requesting a tuition waiver must attach a copy of their Certificate of Release or Discharge (DD Form 214) (90 days of honorable active duty service in addition to that spent in active duty training and in attendance at military service academies for any war period after August 2, 1990 or engaged in combat or in combat support role in specific conflicts prior to August 2, 1990); Senior Citizens: Students age 62 and over requesting a waiver must attach a copy of their proof of age; Students receiving educational assistance benefits under the G. I. ill from the Veterans Administration must submit enrollment verification or training agreement. The student should provide the school Certification Officer, VA Form for submission to the Veterans Administration to receive the education benefits payment from VA; If a student is denied tuition waiver, all tuition and fees are due by the next class session. Applying for a Pell Grant: Admitted students must complete the Free Application for Federal Student Aid (FAFSA). It is recommended that the student completes the FAFSA after completion and submission of the 2014 IRS Tax Return in order to avoid delay and having to go back to change information or making corrections. The completion and 2

18 submission of 2014 IRS tax return will allow the student and/or parent(s) to use the IRS data retrieval tool when prompted during the FAFSA completion and will provide accurate financial information and therefore expedite the award process. Admitted students must submit a valid Student Aid Report (SAR) and complete a CTHSS Financial Aid Application Packet available from the school s Adult Education clerk; The CTHSS deadline for applying for a Pell grant for the academic year is as follows: o LPN July 22, 2015; o All other full-time programs August 3, 2015; o New Aviation starting December 2015 after official acceptance into the program by October 30, 2015; *Applicants applying and accepted for a program after the specified deadlines can still apply for a Pell grant; however students will need to initiate tuition payments until determined eligible and Pell grant has been awarded.* If a student is deemed ineligible for financial aid, outstanding tuition is due five days following receipt of the denial notification; If a student is notified that their financial aid award will not cover the entire semester tuition cost, all tuition and fees are due five days following receipt of the award notice or by the regular tuition deadline, whichever is later; The federal government randomly selects Pell grant applications for verification. If your application is selected for verification, you will be notified by the Financial Aid Administration and additional supporting documentation must be submitted by the specified deadline. Procedures for Withdrawal: In order to officially withdraw form an adult education program in the CTHSS and be considered for a tuition refund, candidates must complete and submit to the school s Guidance Office, the following two documents available from the district s Adult Education webpage 7. Student Withdrawal Form 8. Request for Tuition Refund Form (Appendix IX) Upon approval of the Student Withdrawal Form by a school administrator (principal or assistant principal), students may be eligible for a tuition refund. Eligibility for Tuition Refunds: Except for withdrawal due to military action or serious illness, if the Student Withdrawal Form is received from the student prior to the first scheduled class session, the student is eligible for a 100% tuition refund; Except for withdrawal due to military action or serious illness. If the Student Withdrawal Form is received from the student after the first scheduled class session, but prior to the fourteenth (14 th ) calendar day from the first scheduled class session, the student is eligible for a 60% tuition refund; Except for withdrawal due to military action or serious illness, if a Student Withdrawal Form is received after the fourteenth (14 th ) calendar day from the first scheduled class session, the student is not eligible for a tuition refund; All requests for tuition refunds due to military action and supported by written documentation from the military are eligible for 100% tuition reimbursement;

19 All requests for tuition refunds due to serious illness and supported by written documentation from a medical professional are also eligible for 100% tuition reimbursement; Except for military action or serious illness, no refunds will be provided to students who are dismissed from their program of study due to issues with attendance, unsatisfactory 3 educational performance or violation of the district s discipline policy as detailed in the Full-time Adult Student Handbook. Processing of Tuition Refunds (only for students tuition who had paid out-of-pocket. Pell Grant recipients will be processed through the Post-Withdrawal calculation to determine earned funds and refundable funds to the federal government): If the student meets the eligibility requirements for a tuition refund, the Request for Tuition Refund Form (Appendix IX) completed by the student will be forwarded from the school administrator to the school s business office and then to the State Department of Education s (DOE) Payments Unit. The SDE Payments Unit will then issue a state invoice utilizing the State of Connecticut s official accounting system (CORE-CT) and transmits the invoice to the State Comptroller for issuance of a refund check payable to the student within the state s payment timelines (currently net 45 days). I have read and understand the above: Student Signature Print Name Date

20 CONNECTICUT STATE DEPARTMENT OF EDUCATION Technical High School System 4 ADULT EDUCATION Student Withdrawal Form Last Name: First Name: M. I. Street Address: Apt. No. P. O. ox Town: State: Zip Code: School Name: Shop: Reason for withdrawal: Student signature: Date: TO E COMPLETED Y GUIDANCE STAFF Official withdrawal code: Official withdrawal date: Guidance staff signature: Date: Official grade at time of withdrawal: Copies of the completed form must be sent to a School Administrator and to Central Office, Attn: Financial Aid Administrator. Withdrawal can be rescinded within a reasonable time.

21 Student Acknowledgement/Agreement A FULL-TIME ADULT STUDENT HANDOOK This form must be completed, detached from the handbook and submitted to your instructor to be filed in the student s permanent record file. Student Name (printed) Program Area I HAVE READ, UNDERSTAND and WILL COMPLY WITH THE RULES AND REGULATIONS AS STATED IN THIS HANDOOK: STUDENT SIGNATURE DATE Discipline Policy and Substance Abuse Policy I understand the responsibilities outlined in the Discipline Policy and Substance Abuse policy. I also understand that should I violate either policy I shall be subject to disciplinary action, up to or including expulsion from school and/or referral to law enforcement officials, for violation of the law. Attendance Policy I understand that regular attendance is the responsibility of the student and is a critical aspect of the educational process. I also understand the credit denial policy. I further understand that I may make a written request for review within three school days following receipt of notification of denial of credit. Education Records Regarding education records, I understand that certain personally identifiable information is considered directory information and does not require a signed release for disclosure. I understand that unless I deny the release of any or all of this information within 10 school days of the date this student handbook was issued, directory information may be released. I also understand that I have a right to inspect and review all of my student records. I acknowledge that I have reviewed the above. Student Signature Date Permission to Publish My Photographic or Video Image I do hereby certify, acknowledge, authorize and give consent to the Connecticut Technical High School System (CTHSS) to publish my photographic or video image, at its discretion, in school newsletters, newspapers, in TV or video coverage or in any related printed, electronic and/or video publications. It is my understanding that my photographic or video image shall only be used for informational and publicity activities conducted by the CTHSS and shall not be used for any commercial purposes. Student Signature Date Please sign below ONLY IF you DO NOT grant permission. I do not grant permission for the release of directory information without my prior consent. Student Signature Date I do not grant permission for the use of photographic or video images of me to be used by the Connecticut Technical High School System.

22 Student Signature Progressive Discipline Form Date 1 st Offense Cite Handbook Student Name Student s statement of incident (includes date, place) Instructor s statement of incident Interventions Student Signature Instructor Signature ****************************************************************************************** 2 st Offense Cite Handbook Student Name Date Referring Instructor Student s statement of incident (includes date, place) Instructor s statement of incident Interventions Student Signature DH Signature ****************************************************************************************** 3 st Offense Cite Handbook Student Name Date DH Student s statement of incident (includes date, place) Instructor s statement of incident Interventions Student Signature DH Signature AP Signature Outcome Student File C