Bachelor of Science with a Major in Nursing. Academic Manual

Transcription

1 Bachelor of Science with a Major in Nursing Academic Manual BS

2 ACADEMICS TABLE OF CONTENTS Accreditation 1 Summer Start Accelerated Option 1 Admission to the Masters of Nursing Program for BS to MSN Candidates 10 Guidelines for Grading and Grade Reporting 10 Baccalaureate Progressions 12 Guidelines for Delayed Completion of Course Requirements 13 Format for Written Assignments 13 Late Assignments 13 Guidelines Regarding Students Who Miss Exams 13 The Incomplete Grade 13 Clinical Placements 14 Policy on Students Missing Clinical Time 14 Independent Study/Research/Internships 15 Involuntary Leave of Absence and Condition of Enrollment (COE) Policy 16 Student Leave of Absence/Withdrawal Policy 17 SCHOOL OF NURSING POLICIES Statement of Students Rights 19 Statement of Students Responsibilities 19 Professional Expectations 19 Professional Conduct 19 Unsafe Clinical (Off Campus)/Simulation (On Campus) Performance 19 Ethics Policies 20 Professional Code of Ethics 21 Ethics Procedures: Responsibilities of Students and Faculty 23 Academic Ethics Board Selection and Academic Ethics Panel Hearings 23 Ethics Board Appeals Process 24 Academic Appeals Process 25 Course Withdrawal Policy 26 Course Refund Policy 26 Requests for Letters of Recommendation 27 Confidentiality Policy 27 Statement Regarding the Privacy Rights of Students (FERPA) 27 Compliance Requirements 27 Health Insurance/Health Benefits and Financial Aid 29 Health Insurance Portability and Accountability Act (HIPAA) 30 Religious Observance and Holidays 30 Uniform Policy 30 Student Exposure to Blood or Other Potentially Infectious Materials 32

3 International Clinical Experience - Policy Regarding Prevention and Treatment for Student Exposure to Blood or Other Potentially Infectious Materials 34 Weather Policy 35 Student Laptop Policy 35 UNIVERSITY POLICIES Statement on Equal Opportunity/Title IX 37 Student Responsibility 37 Drug, Alcohol, and Firearm Policies for Students 37 Sexual Harassment Policy 38 Sexual Violence Policy 39 Campus Violence Policy 41 Student Use of Shared Information Technology 42 APPENDIX Independent Study/Research Form Transcript Request Request for Leave of Absence or Withdrawal Confidentiality Agreement for Students Bloodborne Pathogen Worksheet Post Exposure Prophylaxis (PEP) Consent International Clinical Placement Participant Agreement Form Religious Observance Notification Form A B C D E F G H

4 ACADEMICS ACCREDITATION The Baccalaureate Program is accredited by the Commission on Collegiate Nursing Education (CCNE) and the American Academy of Colleges of Nursing Commission on Collegiate Nursing Education. The Johns Hopkins University (JHU) is accredited by Middle States Commission of Higher Education. The nursing program prepares graduates for entry-level professional nursing practice in a variety of health care settings. SUMMER START ACCELERATED OPTION The Summer Start Accelerated BS in nursing option is a 13.5 month, which begins in June and ends in July of the following year. The Accelerated student must be able to devote a significant amount of time to academics due to the intensity. The program outcomes are listed in Table 5. Upon successful completion, the student will be qualified to take the National Council Licensure Examination (NCLEX) to obtain licensure as a registered nurse. Course Number TABLE 2: SUMMER START ACCELERATED CURRICULUM Courses Clinical / Lab Hours Credits (Summer 2015) 1 st Semester Credits Total Professional Role Development in Nursing 3 Theory Health Assessment 56 2 Theory /1 Lab Principles & Applications of Nursing Technology 56 2 Theory/1 Lab Principles of Pathophysiology 3 Theory Patient Centered Care* 56 / 56 1Lab /1 Clinical (Fall 2015) 2 nd Semester Credits Total Nursing Care for Older Adults across the Continuum 2 Theory Adult Health I* Theory/2 Clinical Psychiatric Mental Health Nursing* Theory/2 Clinical The Research Process in Nursing 3 Theory Principles of Pharmacology 3 Theory (Spring 2016) 3 rd Semester Credits Total Adult Health II* Theory/2 Clinical Nursing for Child Health* Theory/2 Clinical Nursing the Childbearing Family* Theory/2 Clinical Information Technologies in Nursing 2 Theory (Summer 2016) 4 th Semester Credits Total Public Health Nursing* Theory/2 Clinical Transitions into Professional Practice 2 Theory Transitions Practicum Clinical Seminars in Nursing 2 Theory 1

5 Course Number Courses Clinical / Lab Hours Credits Clinical Hours: 896 Lab Hours: 168 Total Hours: 1,064 Credit Hours: 56 * Denotes Clinical Component TABLE 4: PRE AND CO REQUISITE COURSES FOR BACCALAUREATE CORE COURSES Level Course Course Name Pre- Requisite Co- Requisite Pre/Co- Requisite LEVEL ONE NR * Health Assessment None None NR * NR Principles & Applications of Nursing Technologies None None Professional Role Development in Nursing None None None NR Patient-Centered Care None None NR NR NR NR NR * Principles of Pathophysiology None None LEVEL TWO NR Nursing Care for Older Adults across the Continuum NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR P Psychiatric Mental Health Nursing NR NR NR NR NR NR NR NR ** Principles of Pharmacology NR NR NR NR P Adult Health I NR NR NR NR NR NR NR NR Research Process in Nursing None None LEVEL THREE NR NR P Adult Health II NR through NR NR NR NR P Nursing and Child Health NR through NR NR

6 Level Course Course Name Pre- Requisite Co- Requisite Pre/Co- Requisite NR Information Technologies in Nursing Online course NR through NR NR NR NR P Nursing the Childbearing Family NR through NR NR LEVEL FOUR NR NR P Public Health Nursing NR through & NR Transitions into Professional Practice NR through NR & NR NR NR P NR Transitions into Practice - Practicum NR through NR NR A Seminars in Nursing: Care of the Pregnant Woman and Newborn NR through NR & NR NR B Seminars in Nursing: Intro to Critical Care Nursing NR through NR & NR NR C Seminars in Nursing: Around the World: Preparing for Global Nursing NR through NR & NR NR E Seminars in Nursing: Acute Care of Children NR through NR & NR NR H Seminars in Nursing: Emergency Nursing NR through NR & NR NR J Seminars in Nursing: Quality and Safety in Clinical Practice NR through NR & NR Definition of terms: Prerequisite: must be completed before taking course for which it is a prerequisite Co requisite: must be taken in same term with course for which it is listed as a co-requisite 3

7 Pre/Co requisite: may be completed prior to course, otherwise must be taken with course * NOTE: If you drop one of these courses, you must drop NR **NOTE: If Pharm is dropped, all clinical courses must be dropped 4

8 TABLE 5: BACCALAUREATE PROGRAM OUTCOMES 1. Synthesize knowledge drawn from the natural and behavioral sciences, the humanities and nursing in making professional practice decisions. 2. Integrate knowledge and skills in leadership, quality improvement and patient safety to improve health and the healthcare system. 3. Use leadership skills to enhance the quality of nursing care, collaborate with other healthcare providers and encourage other professionals and the public to promote the health and well-being of society. 4. Use the research process through translation of evidence based findings to advance professional nursing and the delivery of healthcare. 5. Apply knowledge and skills in information management and patient care technology in delivery of quality patient care. 6. Apply knowledge of healthcare policies, financing, and regulations to influence political/policy making systems and the healthcare delivery system. 7. Function as a contributory member of the interdisciplinary healthcare team, recognizing the scope of nursing practice in interrelated roles assumed by members of other disciplines for the delivery of high quality and safe patient care. 8. Demonstrate the ability to effectively communicate and skillfully use the interpersonal process in nursing activities involving individuals, families, groups, communities, systems, population and other healthcare team members. 9. Articulate a global perspective regarding the responsibility the nurse assumes for affecting the health of individuals, families, groups, communities, systems, and populations. 10. Use a systematic approach to identify and manipulate environmental forces that affect the health of individuals, families, groups, communities and populations. 11. Demonstrate professional commitment to nursing by being responsible and accountable for practice decisions, interventions and outcomes; maintaining standards of practice, adhering to professional values; and assuming responsibility for continued personal and professional growth. 12. Provide care based on professional values of fairness and non-discrimination, altruism, autonomy, human dignity, integrity, and social justice to individuals, families, groups, communities, and populations. 13. Use the nursing process independently and/or collaboratively to guide patient-centered care for individuals from diverse and multicultural populations in varying states of health. 14. Facilitate attainment of optimal levels of wellness on the health continuum. 5

9 TABLE 6: BACCALAUREATE PROGRAM LEVEL OUTCOMES Outcome Level I Level II Level III Level IV 1. Describe principles of critical thinking and ethical decision making from liberal education applicable to building knowledge and skills in nursing. 2. Use written, verbal, and nonverbal, communication skills and emerging technology to communicate effectively. 1. Demonstrate a basic understanding of organizational structure, mission, vision, philosophy, and values. 2. Identify factors affecting safety and quality care 1. Develop personal leadership skills, including values clarification. 1. Identify models that are used to evaluate scientific evidence surrounding practice issues. 2. Identify critical elements in application of evidence-based practice, including individual preferences, values, ethical and legal issues. 1. Adapt knowledge, skills and attitudes drawn from previous academic and experiential background to the practice of nursing. 1. Use principles of the science of patient safety and quality improvement to guide nursing actions for individuals with diverse conditions and their families. 1. Develop leadership skills in small groups to enhance the quality of health care for individuals and their families. 2. Apply leadership concepts, skills, and decision-making to providing high quality care to individuals with diverse conditions 1. Collaborate in the collection, documentation, and dissemination of evidence related to discrepancies in practice. 2. Describe how scientific knowledge and clinical expertise informs evidence-based nursing practice. 3. Critique research reports to identify best evidence based practices to apply to nursing care. 1. Value a broad understanding of human problems for decisionmaking in nursing practice with individuals, families, and groups. 1. Apply concepts of quality and safety to provide safe, high quality care to diverse individuals, families, and groups. 1. Develop leadership skills working with diverse individuals, families, and groups. 2. Apply leadership concepts, skills, and decision-making to the provision of high quality care to individuals, families, and groups. 1. Use principles of evidencebased practice to identify best practices in the care of individuals, families, and groups. 1. Integrate previously acquired knowledge in the practice of professional nursing and actively search for new knowledge when faced with unfamiliar situations. 1. Use understanding of organizational structure, mission, vision, philosophy and values to improve health care and the healthcare system. 2. Assume leadership responsibilities in providing safe and high quality care tor groups, communities and populations. 1. Use principles of the science of patient safety and quality improvement to provide leadership in improving care of individuals, families, groups, communities, and populations to initiate improvements in complex systems. 1. Integrate evidence-based findings relevant to nursing practice for purposes of research translation to improve nursing care for individuals, families, groups, communities, and populations. 6

10 Outcome Level I Level II Level III Level IV 1. Identify patient care technologies and information systems used in specified patient care areas. 2. Demonstrate skills in using patient care technologies, information systems, and communication devices that support safe and effective care. 1. Describe the impact of insurance practices, health care policy and financing, regulatory bodies, and professional organizations on healthcare practice. 1. Demonstrate an understanding of the professional role of the nurse within the interdisciplinary team. 1. Use effective communication techniques when working as a member of the health care team in delivering patient care. 1. Demonstrate skills in using patient care technologies, information systems, and communication devices that support safe and effective care of individuals with diverse conditions. 2. Apply patient care technologies and health information technologies in use in specified patient care areas. 1. Recognize the importance of health policy, financing, regulation and the political process to the delivery of nursing care and to the profession as a whole. 1. Participate as a member of an interdisciplinary healthcare team in developing a collaborative plan of care. 1. Develop communication skills using the interpersonal process when providing nursing care. 1. Evaluate health information technologies and patient care technologies in diverse settings in relation to health information technology standards. 1. Incorporate effective communication and teambuilding techniques to produce positive professional working relationships 1. Adapt communication skills to meet needs of individuals in diverse groups. 1. Integrate information management and nationally recognized health informatics standards when performing and evaluating health care outcomes for individuals, families, groups, communities, and populations. 1. Use knowledge of health policy, financing, regulation, health care delivery systems, and the political process to advocate for the safe and effective care of communities and populations. 2. Advocate for vulnerable communities and populations based on ethical principles, health care policies and knowledge of health care access, affordability, equity, and disparities. 3. Evaluate appropriate health policy, financing, regulation, health care delivery systems and the political process to further the development of the profession of nursing. 1. Initiate and maintain collaboration with colleagues, other interdisciplinary healthcare team members and consumers for the improvement of healthcare. 1. Demonstrate an attitude of respect and collegiality in interprofessional teams when working with individuals, families, groups, communities, and populations. 7

11 Outcome 9 Level I Level II Level III Level IV 1. Describe a global health perspective and relevance to nursing practice and healthcare. 1. Recognize the individual responsibility nurses must assume in being contributing members of a profession with a global perspective Assess protective and predictive factors, which influence the current and future health of individuals and families. 1. Identify health promotion strategies to reduce individual health risks. 1. Use health promotion strategies in the care of individuals and families. 1. Design health promotion and disease prevention strategies that assure the health of communities and populations Demonstrate a professional standard in regard to personal appearance, communication, behaviors, and respect for others. 2. Assume accountability for personal and professional behaviors. 3. Recognize the relationship between personal health and the ability to deliver sustained quality care. 1. Demonstrate a caring, professional attitude, based on the values of altruism, autonomy, human dignity, integrity, and social justice. 1. Demonstrate responsible and accountable behavior and professional integrity in the practice of nursing. 2. Practice and discuss healthy behaviors with peers, individuals and faculty. 1. Explain the impact of the history of professional nursing on contemporary issues in nursing and healthcare 1. Recognize the individual responsibility nurses must assume in being contributing members of a profession with a global perspective. 2. Articulate the values of pursuing excellence, lifelong learning and engagement in the profession of nursing. 3. Recognize the relationship between personal health, selfrenewal, and the ability to deliver sustained quality care. 1. Incorporate ethical principles in the provision of nursing care to individuals, families, groups. 1. Demonstrate accountability for comprehensive nursing practice, and accountability for ethical and legal standards of practice. 2. Demonstrate accountability for ongoing professional development. 1. Integrate ethical and professional values into provision of care to individuals, families, groups, communities and populations 2. Advocate for the health of communities and populations Provide patient-centered care informed by a scientific base of knowledge to individuals experiencing need for health care services. 1. Use the nursing process to provide patient centered care to individuals and their families. 2. Analyze communication processes to maximize the nurse s therapeutic effectiveness. 1. Recognize the unique and relevant role that characterizes the contribution of nurses to the health of individuals, families, and groups. 2. Adapt the nursing process to individuals, families, groups who are at risk and/or experiencing complex health needs. 1. Provide compassionate patientcentered care informed by a scientific base of knowledge to individuals, families, and groups. 2. Use nursing process framework to collaborate with communities and populations for optimal health outcomes. 8

12 Outcome 14 Level I Level II Level III Level IV 1. Define nurse and individual contributions to achieving optimal levels of wellness 1. Implement the care needed to influence positive movement along the health continuum. 1. Facilitate achievement of a maximum level of health for individuals, groups through application of health promotion and disease prevention strategies. 1. Provide comprehensive care across the health continuum. 9

13 ADMISSION TO THE MASTERS OF NURSING PROGRAM FOR BS TO MSN CANDIDATES In order to proceed into master s study, the student accepted into the BS to MSN option must adhere to the following guidelines: Completion of the Baccalaureate program with a GPA of 3.0 or higher. Any grade below B- will be reviewed by the Master s Admissions Committee for a decision about progressions into the Master s program. Any student placed on academic probation for academic reasons or for Ethics Code violations in the Baccalaureate program will be reviewed by the Master s Admissions Committee for a decision about progressions into the master s program. Satisfactory completion of the NCLEX (National Council Licensure Examination) prior to participation in any clinical course at the master s level. Students will be asked to confirm their planned enrollment in the master s program by the Director of Admissions during Level III in advance of their completion of the accelerated BS program. SUGGESTIONS/RECOMMENDATIONS/REQUIREMENTS TO IMPROVE SUCCESSFUL TRANSITION TO THE MSN PROGRAM Specific Options: 1. Primary Care, NP options: a. Relevant, hands on health care experience is very desirable. b. Participation in the community outreach options is encouraged. 2. Clinical Nurse Specialist: a. While an undergraduate, a student s participation in a clinical practice opportunity in a site appropriate to their field of master s study is encouraged; for example, oncology unit experience for students interested in becoming an oncology clinical specialist. b. A minimum of one year full time nursing experience (post graduation from the BSN part of the program) is required. 3. Public Health Nursing/Nurse Midwifery: a. While an undergraduate, student participation in NR Community Perspectives in Childbearing family and Transitions Practicum in maternal child health placement are required and enrollment in NR Breastfeeding is strongly recommended. 4. Public Health Nursing options: a. Participation in community outreach options is recommended. 5. Acute Care NP options: a. A minimum of one year full time (at least 75%) nursing experience delivering direct care in a critical care setting( post-graduation from the BSN part of the program) is required. b. Will not begin NP clinical courses until second year. 6. Management: a. No additional requirements. Prior management experience is desirable. GUIDELINES FOR GRADING AND GRADE REPORTING GRADING All courses will have some measure of evaluation done by mid-term. Theory courses will have one or more quizzes, mid-term and final examination or paper. Students in clinical courses will receive ongoing performance evaluations. Each student s clinical instructor will write a mid-course evaluation. A conference for the purpose of evaluation may be called by either the instructor or the student at any time. GRADE REPORTING Final grades are submitted in person by the course faculty to the Registrar on the Official Roster signed by the course coordinator. All theory and clinical final course grades are recorded on the transcript. The following grading scale is used to determine conversion of percent score to letter grade: A+ 4.0 (Grade Point) A A B

14 86-83 B B C C C D D D- 0.7 < - 60 F 0 ROUNDING OF GRADES The final grade of a Baccalaureate course will be rounded up at the hundredth. THEORY GRADES A student must achieve at least a 70% average in the exams and quizzes in order to pass the theory course. If papers, projects or homework are included in the theory grade, they will be factored into the theory grade only if a student s average on exams and quizzes is at least 70%. Faculty will notify the assigned advisor when a student earns a 72% or below on any exam. Theory courses also have measures of evaluation noted in course syllabus, (e.g., examination, paper). If the grade in theory is less than 70%, the final grade is recorded as a D +/- or F as appropriate. PASS/FAIL OPTION Some nursing electives are taken on a pass/fail basis. A student may take a non-nursing elective on a pass/fail basis concurrently with the nursing elective as long as the total number of pass/fail credits is not more than 12. Students may not change a pass/fail course to a letter grade after 4 weeks of the semester have elapsed. CLINICAL COURSES Core clinical courses include: 1. NR Patient Centered Care 2. NR Health Assessment 3. NR Principles and Applications of Nursing Technology 4. NR Adult Health I 5. NR Psychiatric Mental Health Nursing 6. NR Adult Health II 7. NR Nursing the Childbearing Family 8. NR Psychiatric Mental Health Nursing 9. NR Nursing for Child Health 10. NR Public Health Nursing 11. NR Transitions Practicum is a 3 credit clinical capstone course: it is graded Pass/Fail. CLINICAL EVALUATION TOOL (CET) GRADING All clinical nursing courses use a pass/fail rating scale on the clinical evaluation tool (CET). CLINICAL GRADES Clinical experiences are defined as on campus (simulation) or off campus (designated clinical unit). Students in clinical courses will receive ongoing performance evaluations. Each student s primary clinical/sim instructor will write a mid-course evaluation and a final evaluation which clearly describe areas of growth and improvement. A conference may be called either by the instructor, the student, or the course coordinator at any time. All clinical courses are graded Pass/Fail. If the clinical grade is Fail the final grade is recorded as F. 11

15 BACCALAUREATE PROGRESSIONS Students earning a course grade of > 66.5% and <70% will be offered remediation as determined by the course faculty. These cases will be reviewed by the Progressions Committee. These students may register for and begin courses in the next level while completing remediation. Students receiving < 66.5% in any course will be dismissed from the program. Students who do not successfully complete remediation will be dismissed from the program. REFERRAL OF STUDENT FAILING A COURSE TO PROGRESSIONS COMMITTEE Faculty is responsible for notifying the student of a failing grade as soon as possible and ideally in person. In the event that a student fails a course, the student will be referred to the Baccalaureate Progressions Committee. 1. The student will be notified of the date of the Progressions Committee meeting. 2. The student will meet with his/her Academic Advisor regarding the failing grade. 3. The Progressions Committee Chair will meet with the student prior to the meeting. 4. The student is advised to write a letter of explanation addressed to the Chair of the Progressions Committee, to be taken to the Progressions Committee by the Academic Advisor. 5. The Academic Advisor represents the student at the Progressions Committee meeting. 6. The student has the option to attend a scheduled portion of the meeting. 7. If the Course Coordinator also serves on the Progressions Committee, the faculty member will recues themselves as member of Progressions Committee and only present information as Course Coordinator. 8. The Progressions Committee will make a determination about the student s status in the program. 9. The Academic Advisor communicates the decision of the Committee to the student a soon as possible after the meeting s conclusion. The student will also receive a letter from the Chair of the Progressions Committee. ACADEMIC PROBATION A notation is made on the student s official transcript when a student is placed on, or removed from, academic probation. When a student is working as a clinical nursing student, it is the responsibility of the student to inform the employing institution when s/he is placed on or removed from academic probation. Students who fail a course while on academic probation may be at risk for dismissal from the nursing program. COURSE WARNINGS The purpose of a course warning is to inform students of specific areas of deficiency, to outline specific action to correct the deficiency, and to prevent possible failure in the course. A course warning is given when, in the judgment of the faculty responsible for the course, the student is performing at or below a 72% in the course, or is having difficulty in some segment of the course and is in jeopardy of receiving less than a 70% in the course. Generally, course warnings are given by mid-course. Warnings may be given earlier if warranted, or later, if problems do not arise until the latter half of the course. A clinical warning may be issued to students who miss a clinical day, exhibit unprofessional behavior (e.g. tardiness, cell phone usage, out of uniform, etc.) and/or for HIPPA and ethical violations. The course or clinical warning is in writing and prepared by the faculty member who is responsible for the course. A copy of the course or clinical warning is sent to the student, the student s Academic Advisor, and the Director of the Baccalaureate Program. Students who receive a course warning should meet with their Academic Advisor or others as mentioned in the letter. A course warning is not part of the student s permanent transcript. 12

16 GUIDELINES FOR DELAYED COMPLETION OF COURSE REQUIREMENTS Students are expected to complete all requirements on the date specified in the course syllabus. Late completion will be accepted only when extreme extenuating circumstances arise. If a student is unable to complete a requirement on the date specified in the syllabus, s/he must: 1. As soon as possible, contact the clinical instructor and/or course coordinator prior to or on the date the course requirements are scheduled to be completed. 2. On the first day that the student returns to school following resolution of the problem that caused the delay, the student must contact the appropriate faculty member. 3. The faculty member and the student will set a specific alternative date and time for completion of the requirement. The student s academic advisor will be given a copy of the plan for completion. 4. Students should contact their academic advisors as early in this process as possible in order to obtain whatever assistance may be needed to meet all curriculum requirements promptly. FORMAT FOR WRITTEN ASSIGNMENTS Students should follow the most recent edition of the Publication Manual of the American Psychological Association (5 th Ed). Further guidelines can be found at LATE ASSIGNMENTS All written assignments must be turned in by the specified due date and time. Written assignments refer to anything other than an exam that is turned in for evaluation. Once the due date and time have passed, 10% of the total points of the assignment will be deducted per day (per 24 hour period). Under extreme circumstances, students may request an extension from the course, lab, or clinical coordinator. The student is also required to inform their academic advisor. GUIDELINES REGARDING STUDENTS WHO MISS EXAMS Students are expected to take exams during the scheduled times. If a student is unable to take an exam as scheduled, it is the student s responsibility to contact his/her course coordinator prior to the administration of the exam to avoid receiving a zero. Within one week of the missed exam, the student must also contact the course coordinator to make arrangements for the makeup exam. If arrangements are not made in this time frame, a grade of zero will automatically be entered. Students may be given a different make-up exam and/or different format from the original exam. All make up exams will be administered one (1) day a week at a time that is approved by the Registrar as available to all students that semester. This date will change each semester. THE INCOMPLETE GRADE An Incomplete (I) is assigned when a student fails to complete a course on time for valid reasons, generally very unusual circumstances beyond the student s control. In the typical case, the student consults with the instructor beforehand, discusses the reasons for requesting the Incomplete and plans for resolving it. A Notification of Incomplete Course work form is completed and signed by the student and the instructor Conditions for resolving an Incomplete, including a date of completion, are established by the student and the instructor. An Incomplete in the clinical prerequisites to a clinical course must be resolved and a grade submitted to the Registrar before the student starts clinical experiences in the subsequent clinical course. For courses that are prerequisite to a clinical course but are non-clinical, Incompletes must be resolved within 4 weeks after the start of the semester. When an Incomplete is not resolved by the agreed-upon date, all work yet to be completed may be assigned a grade of zero (0) and the student may receive the grade based solely on the work actually completed. An Incomplete does not enter into the computation of the grade point average. A student who has two or more Incompletes without extenuating circumstances may have permission to register withheld for the next semester. When two or more Incompletes are on the student s record, permission to register for the next semester must be 13

17 obtained from the Director of the Baccalaureate Program. CLINICAL PLACEMENTS JHSON values its relationship with its preceptors and carefully evaluates each site and preceptor to maintain high quality clinical experiences for all students. Clinical placements for all Baccalaureate students are always formally negotiated by SON s Clinical Placement Specialist. Students must be aware that specific criteria must be met to provide a quality learning experience. Relevant criteria include: course requirements, national accrediting organization requirements, student learning and/or skill needs, preceptor expertise, and site specific resources. JHSON establishes a formal contract with each clinical agency for all clinical experiences. Part of this process includes verification of liability insurance coverage and an explicit statement of the conditions of the student's clinical experience. A signed contract between JHSON and the clinical site must be on file for every placement experience. This legal process may take up to 3 months. POLICY ON STUDENTS MISSING CLINICAL TIME INTRODUCTION Clinical practice is an essential component of a nursing education. During clinical practice, nursing students apply the knowledge and skills obtained from the didactic portion of courses to actual patient care. Successful completion of the clinical component of the curriculum is a mandatory requirement for graduation. To ensure students successfully complete this requirement, clinical faculty supervises and evaluates students during clinical practice. Failure to complete the required clinical hours may seriously hamper the student s ability to meet course objectives and may result in failure of the course. Therefore, students are expected to attend all clinical hours. Absences from clinical practice are closely monitored by faculty and should occur only in rare circumstances (extreme emergency or illness). Clinical time may not be missed for family weddings, personal travel or job interviews. INABILITY TO PROVIDE CARE If a clinical instructor determines that a student is unable to provide appropriate care for any reason (e.g., lack of preparation, a physical illness, emotional distress, etc.) during clinical practice, the clinical instructor, in consultation with the course coordinator: 1. May remove the student from the clinical area if deemed appropriate. 2. May refer the student for treatment or assistance, if deemed appropriate. 3. Documents the situation and copies the course coordinator. 4. Follows up with the student to ensure safe return to the clinical area. 5. Uses the Associate Dean for Enrollment Management and Student Affairs as a resource as needed. LATENESS If a student is late for an assigned clinical practicum, the student: Notifies the clinical instructor as soon as possible prior to the start of clinical by phone Explains the reason for lateness to the clinical instructor upon arrival at the clinical site, and Completes any assignments deemed necessary by the clinical instructor or course coordinator to ensure that course objectives are fulfilled. CLINICAL ABSENCE If a student misses a clinical day due to illness or emergency, the student: 1. Notifies the clinical instructor as soon as possible prior to the start of clinical by phone. 2. Submits a letter of explanation for the absence to the clinical instructor and the course coordinator before the next clinical day or within 24 hours of return to JHSON. The letter may be accompanied by documentation (e.g. letter from Student Health Services or a physician), if applicable, including any restrictions on returning to clinical practice. 3. Completes any assignments deemed necessary by the clinical coordinator to ensure that course objectives are fulfilled. 14

18 RETURN TO CLINICAL PRACTICE A student may return to clinical practice after an absence when, in the judgment of the clinical instructor or course coordinator, the student is able to provide appropriate care without jeopardizing anyone s safety. The course coordinator/clinical instructor may require a medical release in situations of illness. MAKE UP OF MISSED CLINICAL PRACTICE Faculty reserve the right to impose penalties for missed clinical time, including, but not limited to: clinical warning, clinical failure or the need to make up clinical time. All clinical time must be made up with either an appropriate assignment (e.g. micro sim or case study), experience in the simulation lab, or a clinical make up day. The cost of the clinical make up day may be accessed to the student for up to $400 per day. Payment for clinical or simulation make ups is to be made by check and should be made out to JHSON and paid to the Baccalaureate Program Administrator in Academic Affairs. This is the only accepted form of payment. Clinical hours missed when the JHU is closed do not need to be made up. INDEPENDENT STUDY/RESEARCH/INTERNSHIPS (Form for Independent Study can be found in the back of this manual - Appendix A) INDEPENDENT WORK Independent work is a significant feature of the JHSON Baccalaureate program. Research or study of material or clinical practice not included in a regularly offered course, when supervised by an appropriate full-time faculty member, may be included as part of a student s program and granted academic credit. APPROVAL A student wishing to do independent study/research/internship for academic credit should begin the process by contacting a faculty member of JHSON to supervise the work. Approval must also be obtained from the student s academic advisor. The student and the faculty supervisor develop the description, objectives, learning activities, and the method for evaluating the work. If the work includes clinical practice, the student and faculty supervisor together consider appropriate individual(s) to serve as preceptor(s). REGISTRATION Students must register for independent study within the first four weeks of the semester, or the first four days of the intersession, to receive credit in that semester. A registration form (see Appendix A) must be completed and submitted to the Registrar s Office for processing. A brief description of the project is included on the form. The signatures of the faculty advisor and the faculty supervisor are required on the Independent Student form. SUPERVISION The supervisor must be a full-time member of the faculty of JHSON. It is suggested that the faculty supervisor anticipate spending at least ten contact hours with the student in a typical three credit independent study, although the amount of time may be less in special cases. The faculty supervisor evaluates the work of the student and determines grades and credits. It is the faculty s responsibility to communicate with the preceptor(s) to obtain clinical evaluation information to include as part of the evaluation of the student s total performance. INDEPENDENT STUDY PROJECT The subject for an independent study project should fall within the faculty supervisor s academic discipline or area of specialization. Independent study is viewed as individual activity rather than group activity, although this should not preclude students working together on a common project. Organized projects for groups of students should be offered as courses rather than as an independent study, and should be appropriately identified by course number, title, and description. 15

19 GRADING The method of grading an independent study project or research should be established jointly by the faculty supervisor and student, and may be either pass/fail or a letter grade. This decision should be made before the work is begun. Internships are pass-fail only. The decision to grade pass/fail must be made before the end of the fourth week of a semester. CREDIT(S) A maximum of 12 independent study/research/internship credits can be counted toward the degree, with no more than six credits earned in one academic year, and no more than three credits in one semester. These credits also may be earned either during the normal academic term, intersession, or in the summer. Credits received for independent study/research/internship cannot be used in place of a required nursing course. Independent study/ research/internship may be used as nursing elective credit if the objectives for a nursing elective in this curriculum are met. In determining credit to be awarded for an independent study/research/internship, the faculty supervisor should determine the time to be spent by the student on the project, as compared with the assignment of credit for Baccalaureate courses, e.g. one credit represents one class hour, or four lab hours, per week for a term of 14 weeks. As a rule, a class hour represents two to three hours of preparation outside the classroom. Therefore, one credit represents about 40 hours, three credits about 115 hours. It is not unusual for a student to spend more than 115 hours for three credits of independent study/research/internship. Independent study for the summer semester should be arranged and registration accomplished before the end of the spring semester. Some examples of past projects include: 1. Comprehensive patient case study 2. Daily journal or weekly log of progress toward individualized objectives 3. Scholarly paper on nursing care issue, e.g. Nursing Care Needs of Patients Awaiting Transplant 4. Review of Literature on Informed Consent 5. Teaching plan 6. In-service presentation to nursing staff INVOLUNTARY LEAVE OF ABSENCE AND CONDITION OF ENROLLMENT (COE) POLICY * For purpose of this policy, the term Associate Dean means the Associate Dean for Enrollment Management and Student Affairs or his/her designee. INTRODUCTION The university is committed to fostering a learning environment that enables students to thrive and participate fully in academic life. There are, however, occasions when a student s health interferes with his or her ability to take part in the academic community, and at such times the school provides the opportunity for the student to initiate a leave of absence. For instance, a student s mental or emotional health, medical condition, or inappropriate behavior or communication may necessitate a leave of absence or placement of conditions on continuing enrollment. The guidelines and procedures described herein are not intended to address such instances, for which long-standing policy exists. Rather, these guidelines and procedures shall apply in those extraordinary circumstances when a student has not or cannot voluntarily address the issues of concern. GUIDELINES FOR USE In situations when a leave of absence is indicated due to circumstances as described below, the Associate Dean* will encourage the student to initiate a voluntary leave of absence. If the student declines to do so, the Associate Dean* may require an involuntary leave of absence. This step will be taken when necessary to protect the safety of the student or other individuals or to preserve the integrity of the University s learning environment. Such a decision may be based on behavior and/or communication that: 1. Harms or threatens harm to the health or safety of the student or others 2. Causes or threatens to cause significant damage to the property or resources of the university 3. Evidences chronic and/or serious drug or alcohol abuse 4. Significantly disrupts the functioning of the university community 16

20 A fitness for return assessment will be required as a condition of returning from the leave of absence arising from any of the above circumstances. (See the RE-ENTRY section of this policy). CONDITION OF ENROLLMENT (COE) When circumstances indicate that a leave of absence is not appropriate, the Associate Dean* may nevertheless impose certain conditions as a requirement of continued enrollment. This step will be taken only after consultation with those responsible for oversight of the student s program of study. PROCEDURE When the Associate Dean*, becomes aware, by whatever means, of the potential need for action, the following procedures will be initiated: A. The Associate Dean* will contact the student and describe the issues of concern. If this discussion alleviates all concerns, no further action is needed. Alternatively, procedures outlined below may also be initiated. B. The Associate Dean* may mandate a mental health or physical evaluation of the student. The Associate Dean* may also specify conditions under which the student is allowed to remain at the university. Such conditions will be developed in consultation with others charged with oversight of the student s academic program and the Director of the Student Assistance Program. The Associate Dean* will provide written notice to the student when such conditions are mandated. If a leave of absence is indicated pursuant to this policy, re-entry procedures outlined in the RE-ENTRY section of this policy shall apply. A. When a leave of absence is indicated and the student declines to accept a voluntary leave, the Associate Dean* will discuss the implications of an involuntary leave of absence. If the student continues to decline, the Associate Dean* will initiate an involuntary leave of absence after consultation with those charged with oversight of the student s academic program and the Director of the Student Assistance Program. In urgent situations, the Associate Dean* may initiate an involuntary leave of absence immediately. Under these circumstances, such consultation will be undertaken promptly thereafter. B. When an involuntary leave is imposed or in situations where the student accepts a voluntary leave per the recommendation from the Associate Dean*, the Associate Dean* will provide the student with written notification to this effect. This notification will outline the steps required for re-entry into the academic program and also note other pertinent information regarding the student s status while on leave. RE-ENTRY A student seeking re-entry to the curriculum after a voluntary or involuntary leave as described under this policy will undergo a fitness for return evaluation by the Student Assistance Program and/or the appropriate health service (University or Occupational Health Services). Upon re-entry, the Associate Dean* may impose conditions under which the student will be allowed to remain at the university (as described in Section Procedure, item B). The Associate Dean* will provide written notice to the student when such conditions are instituted. CONFIDENTIALITY All records related to student leaves of absence and conditions placed on continuing enrollment will be maintained in accordance with applicable law and policy. STUDENT LEAVE OF ABSENCE/WITHDRAWAL POLICY POLICY OVERVIEW Students must sometimes interrupt their studies for a variety of reasons (financial, academic, or personal). A student may leave JHSON by either taking a leave of absence (leaving the school temporarily with the firm and stated intention of returning) or by withdrawing from the school (leaving the school with no intention of returning). Before a student selects to leave the JHSON it is expected that the student will consult with his/her academic/faculty advisor and/or other academic resources available to assist with such a decision (Johns Hopkins University Student Assistance Program, other faculty, Program Director, etc.). The student requesting to leave the JHSON must complete a Leave of Absence/Withdrawal Form. This form can be found in the back of this manual as Appendix C or online at: 6F. 17

21 The student must complete the form and turn it in via or by dropping it off at the Enrollment Management & Student Affairs Office in room 313 of the Student House. Before this form is processed or approved, the student must have a conversation with the Associate Dean for Enrollment Management & Student Affairs (conversation can be face-to-face, over the phone, Skype or through e- mail) or in the absence of the Associate Dean for Enrollment Management & Student Affairs with the SON Registrar. The conversation is to gather and share information that could support and impact the student (financially, academically, personally) upon his/her leave or return to the SON and to make sure the student has spoken to his/her academic/faculty advisor. The JHSON is required by the Higher Education Act to recalculate the eligibility for federal Title IV student financial assistance for students who withdraw, drop out, are dismissed, or take a leave of absence, prior to completing 60% of a semester. Title IV funds include: Federal Pell Grants, Federal Supplemental Educational Opportunity Grants (SEOG), Federal Work-Study, Federal Perkins Loans, Federal Direct Stafford Loans, Federal Direct Unsubsidized Stafford Loans, and Federal Direct PLUS Loans. The application of the Return of Title IV Funds Policy may result in funds being due to the JHSON and students are responsible for any outstanding balance due to JHSON. PROCESS To submit a leave of absence (LOA) or withdrawal the student is expected to go through the following steps: 1. Meet with academic/faculty advisor to discuss this decision and/or use the academic resources available to assist with this decision (JHSAP, other faculty, Program Director, etc.). 2. Download and complete the Leave of Absence/Withdrawal Form: (Appendix C) EB119B76F. 3. Submit the form to the Associate Dean for Enrollment & Student Affairs via or by dropping it off at the Enrollment Management & Student Affairs Office in room 313 of the Student House. 4. Make an appointment for a conversation with the Associate Dean for Enrollment & Student Affairs (conversation can be face-to-face, over the phone, Skype or through ) or in the absence of the Associate Dean for Enrollment Management & Student Affairs with the SON Registrar. 5. Once a leave of absence or withdrawal has been approved the Registrar will finalize this process and will notify all SON officials (Advisor, Faculty, Program Director, Financial Aid, Student Accounts, etc.). 6. Financial Aid staff will recalculate the eligibility for federal Title IV student financial assistance for the student (if appropriate) and will complete the JHU paperwork for this process. Students on a LOA are not permitted to attend classes, use school services or maintain employment as students at the SON or other JHU school(s) while their leave is in effect. An approved LOA is not counted toward a student s time to degree and does not require the student to make degree progress during the period of the leave. A student can request a LOA for up to one year (only). Students who do not return from a LOA (after one year) will be administratively withdrawn from the JHSON by the Registrar. If a student must take a LOA during the semester/term, the student would be unenrolled for that semester, would lose their tuition and fees for the term, and would not receive credit for their coursework. If the midway point of the course has been reached a W will be posted for each course. If 70% of the course has passed then a WP or WF will be posted, dependent upon the student s performance to date. If the leave occurred near the end of the semester and the student met the conditions for receiving grades of Incomplete, the student might wish to take grades of Incomplete. The student would need to follow current policy for making up Incompletes. The LOA would not affect the timeframe allowed for making up I grades. All international students who are in F-1 and J-1 visa status must follow a set of immigration regulations as outlined by the U.S. government in order to maintain their international student status. Students who are in F-1 and J-1 visit status must meet with the JHU Office of International Student Services to discuss the decision to take a LOA or withdraw from the JHSON before submitting a completed Leave of Absence/Withdrawal Form. Students who withdraw from JHUSON in good standing may be considered for readmission. The student must complete the application process but will not need to pay the application fee (this fee will be waived). Students will be notified in writing by the Director of Admissions of their readmission status. 18

22 STATEMENT OF STUDENTS RIGHTS SCHOOL OF NURSING POLICIES Students at the Johns Hopkins School of Nursing (JHSON) have the same rights and privileges as all university students, including the right to privacy, nondiscrimination, and appeal. Students have the right to: Question, discuss, and raise alternative opinions Be evaluated objectively on their performance without regard to personal or political views Know grading criteria and methods. STATEMENT OF STUDENTS RESPONSIBILITIES A. Students are responsible for participating in the learning process, abiding by the honor code, maintaining academic integrity, fulfilling the academic ethics policy, and maintaining good academic standing. B. Students are expected to refrain from conduct which injures persons or property. The university expects all students to be law-abiding citizens, to respect the rights of others, and to refrain from behavior that impair the reputation of the university in the community or its academic purposes. PROFESSIONAL EXPECTATIONS Students are expected to attend all of their classes and clinical experiences as scheduled. The attendance requirements are outlined in the course syllabus and are reviewed at the beginning of each course. Students may refer to the section titled Academics for more information regarding students missing on and off campus clinical time. Students are required to be on time for all clinical and lab experiences. Time missed due to late arrival will be accrued as absenteeism. PROFESSIONAL CONDUCT Failure to exhibit professional conduct in off-campus and on-campus experiences may result in disciplinary action, including dismissal from the program. UNSAFE CLINICAL (OFF CAMPUS) /SIMULATION (ON CAMPUS) PERFORMANCE Failure to comply with safe clinical (off campus) or simulated (on campus) clinical performance is considered a breach of professional conduct and may result in disciplinary action, including dismissal from the program. A. Unsafe clinical performance may include but is not limited to the following behaviors: 1. Failure to prepare for clinical assignments according to course requirements 2. Failure to bring all tools necessary for a day of patient care (e.g. stethoscope, pen light, wristwatch, etc.) 3. Failure to assess and evaluate a patient's physical and/or emotional status 4. Failure to provide care which may be required to stabilize a patient's condition 5. Failure to promptly report significant patient information to appropriate person(s) 6. Failure to provide clear, accurate, and complete verbal and/or written information to the appropriate person(s) regarding a patient's condition, treatment or nursing care 7. Failure to administer medications and/or treatments in a responsible manner 8. Failure to demonstrate the application of previously learned skills and principles in providing nursing care 9. Failure to comply with institutional policies and procedures in implementing nursing car 10. Practices beyond educational level, experience, or responsibilities of the student nurse 11. Failure to comply with the American Nurses Association Code of Ethics for Nurses 12. Failure to comply with JHSON Ethics Policy B. Unsafe simulation performance may include but is not limited to the following behaviors: 1. Failure to prepare for simulation experiences by completing required assignments prior to attendance. 2. Failure to practice professional behavior during the simulation experience. (e.g. texting during simulation, degrading another student, inattention etc.) 3. Failure to explain and apply previous knowledge. 4. Failure to participate in reflection on strengths and weaknesses within the learning environment. 5. Failure to comply with the American Nurses Association Code of Ethics for Nurses. 6. Failure to comply with JHSON Ethics Policy. 19

23 ETHICS POLICY The JHSON Academic Ethics policy is an adaptation of that used by The JHU Krieger School of Arts & Sciences and the Whiting School of Engineering. Advice was also sought from the Bloomberg School of Public Health, the Peabody Institute, the Carey School of Business, and the School of Education. We thank our colleagues across the university for their guidance and support. Hallmarks of a JHSON education include acquisition of skills and knowledge while building character and independence. Essential components of this education are innovation, truthfulness, insight and respect. The JHSON Ethics Policy is based on the shared core values stated in the school s Values Statement. Each member of the JHSON community, whether student, faculty or staff, holds himself or herself and others to the highest standards based on the values of excellence, respect, diversity, integrity, and accountability. Students enrolled in the JHSON are expected to conduct themselves in a manner that upholds the values of this institution of higher education. Each student is obligated to refrain from violating academic and professional nursing ethics principles and non-academic standards of conduct outlined on the succeeding pages. THE HONOR PLEDGE The following honor pledge will be included and signed on each examination and assignment: On my honor, I pledge that I have neither given nor received any unauthorized assistance on this (exam) (assignment) (care plan) (paper) (project). The pledge may be completed in several ways such as: Student will write and sign the pledge Faculty will preprint the pledge on tests and student will initial it Faculty will include the pledge on an online quiz/test and ask students to indicate their online verification. EXAMPLES AN DEFINITIONS OF ETHIC CODE VIOLATIONS 1. Alteration of Graded Assignments Submission of an examination or assignment for re-grading after making changes to the original answers 2. Assault The threat of or commission of physical or psychological harm against any member of the SON community or any person present on university property 3. Cheating on Examinations a. Use of unauthorized materials (e.g. devices, notes, books) during an in-class or take-home examination b. Consultation of unauthorized materials while being excused (e.g. on a bathroom break) from an examination room c. Copying answers from another student or allowing another student to copy your answers d. Unauthorized discussion of an exam s content during its administration e. Obtaining an examination or answers to an examination prior to its administration f. Studying from an old exam whose circulation was prohibited by the instructor g. Failing to comply with designated time limits for an academic evaluation prior to its administration h. Acting as a substitute for another or utilizing another as a substitute during an academic evaluation of any type i. Making unauthorized photocopies of examinations 4. Destruction or Defacement of Property Willful or otherwise unwarranted destruction or damage of property belonging to the university or sites used by the SON for clinical or other educational or business purposes 5. Disruption or Obstruction of Nursing Events such as Classes, Meetings, and Organized Social Events Use of abusive, violent, obscene or irresponsible behavior on university property or during university sponsored events 6. Facilitating Academic Dishonesty a. Intentionally or knowingly aiding another student to commit a violation of academic conduct b. Allowing another student to copy from one s examination during administration of the exam c. Providing copies of course material whose circulation was prohibited (e.g. exams or assignments) to 20

24 students enrolled in or planning to take that course d. Taking an examination or completing an assignment for another, or permitting one to do so e. Providing specific information about an exam to a student who has not yet taken the exam 7. Forgery and Falsification a. Falsification or invention of data in laboratory experiments, data analysis, or patient evaluation b. Citation of nonexistent sources or creation of false information in an assignment c. Attributing to a source ideas or information not included in the source d. Forgery of university documents, such as academic transcripts or letters of reference 8. Improper Use of Electronic Devices a. Consultation of unauthorized electronic devices (e.g., calculators, cellular phones, smart phones, computers) during examinations b. Use of electronic devices to communicate within or outside an examination room (e.g., use of cellular phones is not permitted during an exam c. Storage of test answers, class notes, and other references in electronic devices for use during examination d. Improper use during examination of , text paging, and instant messaging e. Transmittal of patient/client data or photographs f. Use of electronic device to record examination questions 9. Improper Use of Internet a. Plagiarism from a published or unpublished Internet source b. Improper or lack of documentation of an Internet source c. Use of paper writing services or paper databases on the Internet d. Posting of patient/client data or photographs e. Accessing Internet during an examination without prior approval 10. Infringement on the Rights of Others Using behavior that jeopardizes the rights or safety of members of the JHU community, or jeopardizes the orderly functioning of University-related activities 11. Lying a. Request for special consideration from faculty or university officials based upon false information or deception b. Fabrication of a medical or emergency excuse as a reason for needing an extension on an assignment or for missing an examination or clinical c. Claiming falsely to have completed and/or turned in an assignment d. Falsely reporting an ethics violation by another student 12. Plagiarism a. Submission of the same or substantially similar work of another person, such as an author or classmate b. Improper documentation of quotations, words, ideas, or paraphrased passages taken from published or unpublished sources c. Use of the results of another student s work (e.g. exam, papers, lab data, nursing care plan or other patient evaluation documentation) while representing it as one s own d. Unauthorized submission of a paper as original work in one course when the paper has received credit in another course 13. Theft Theft of any item or property or knowing possession of stolen property belonging to the university, any member of the university community, or any site used in conjunction with university educational or business purposes 14. Unauthorized Collaboration Collaboration on homework assignments, papers, or reports unless explicitly assigned or approved by faculty 15. Unfair Competition a. Willfully damaging the academic efforts of other students b. Stealing another student s academic materials (e.g. book, notes, assignment, USB, flash drives, etc.) c. Denying another student needed resources in a deliberate manner (e.g. hiding library materials or stealing lab equipment ) 16. Regulations of the JHU and JHSON Examples include but are not limited to illegal use of drugs, firearms, and sexual harassment PROFESSIONAL CODE OF ETHICS In addition to the academic and behavioral norms outlined in previous pages, each student enrolled in JHSON is 21

25 expected to uphold the professional code of ethics established for and by the nursing profession and as defined by the school. Ethics is foundational to the nursing profession. The nursing profession expresses its moral obligations and professional values through the Code of Ethics for Nurses (ANA, 2001). Each student should read the American Nurses Association Code of Ethics and be accountable for its contents. PROFESSIONAL ETHICS The American Nurses Association has stated that: Ethics is an essential part of the foundation of nursing. Nursing has a distinguished history of concern for the welfare of the sick, injured, vulnerable and for social justice. This concern is embodied in the provision of care to individuals and the community. Nursing encompasses the prevention of illness, the alleviation of suffering, and the protection, promotion, and restoration of health in the care of individuals, families, groups, and communities. American Nurses Association Code of Ethics for Nurses with Interpretive Statements Nursing students are expected not only to adhere to the morals and norms of the profession, but also to embrace them as part of what it means to be a nurse. The nurse recognizes that his/her first obligation is to the patient s welfare and that all other needs and duties are secondary; the nursing student adheres to this same value. An honor code makes the professional goals, values, and obligations of a nursing student more explicit, assisting the student in the development of his/her professional ethics. A nursing student at JHSON will strive to act in a professional, ethical manner in accordance with the Code of Ethics for nurses, the JHSON values, and the Academic Ethics Policy. Each student will: 1. Read the JHSON Academic Ethics policy (this document) and be accountable for its contents. 2. Be responsible for his/her own learning and clinical practice and honor other students right to learn and be successful in academic and clinical environments (e.g. develop own knowledge base through study and inquiry; recognize others right to do well on their written work; have access to reserved material; and have access to their own preparation materials and supplies used in clinical areas). 3. Demonstrate respect in verbal and non-verbal behaviors to all others in clinical and academic settings (e.g. interact with others without using threats of, or commission of, physical harm, verbal abuse, unwanted sexual advances or contact, or other unwarranted physical contact. Arrive to class and clinicals on time; silence beepers and cell phones in class, etc.). 4. Assess patient status carefully upon assuming responsibility for his/her care. 5. Provide safe, competent care, seeking assistance when personal knowledge and/or skill are not adequate. Avoid use of any substances that would impair clinical ability or judgment (e.g. prepare for clinical assignment to develop required knowledge and skill; review patient s medical record; seek assistance according to course and curricular objectives). 6. Provide the same standard of care to all patients and families regardless of race, ethnicity, age, sexual preference, disability, religion, economic status, employment status, or the nature of their health problem(s). Accept that others have the right to their own cultural beliefs and values and respect their choices (e.g. demonstrate compassion and respect for every individual; provide the best quality of care possible to all patients; be non-judgmental of cultural differences). 7. Provide patient care without expectation of, or acceptance of, any remuneration over and above salary (if applicable) (e.g. do not accept gratuities or personal gifts of monetary value). 8. Document in a thorough, accurate, truthful, and timely manner data that reflects findings from one s own personal assessment, care, interventions, teaching, or the patient s and/or family s response to those activities (e.g. documentation errors are corrected in an acceptable manner, documentation is unaltered, vital signs are recorded at the time they are measured, and late entries are duly noted). 9. Act in a manner that contributes to the development and maintenance of an ethical educational and practice environment. Recognize that the primary commitment in clinical practice is to the patient and that respectful interactions are expected (e.g. act as a role model for other students and colleagues; speak up if another student is speaking disrespectfully to classmates or faculty; work through appropriate organizational channels to share concerns about situations that jeopardize patient care or affect the educational environment; advocate patient safety). 10. Complete legally required HIPAA training and university or clinical site requirements regarding confidentiality. Use patient data in all school work, papers, presentations, research findings and in the clinical setting in a manner that is accurate, truthful, and confidential. Patient data must have a justifiable reason for its presence. Acknowledge real data gaps that may exist in written work. Identify patient in paper by initials, not full name. 11. Refrain from unauthorized use or possession of school or clinical setting s equipment, patient s belongings, or 22

26 items dispersed or intended for patient use (e.g. do not download university software onto a personal PC or mobile device; do not use a hospital computer terminal for personal use such as playing online games; do not take a patient s prescribed medication for personal use). Reference: American Nurses Association, Code of Ethics for Nurses with Interpretive Statements, Washington, D.C.: American Nurses Publishing, Retrieved November 11, 2004 from NOTE: In the summer of 2014 a revised version of the ANA nursing code of ethics will be made available. To view the most current version go to: ETHICS PROCEDURES: RESPONSIBLITIES OF STUDENTS AND FACULTY REPORTING ACADEMIC OR BEHAVIORAL MISCONDUCT Allegations of academic ethics and behavioral misconduct are investigated and resolved using a standardized procedure. Faculty members generally initiate investigations, either by detecting violations themselves or by receiving reports from teaching assistants, clinical site staff, students, and/or staff members. Students or staff who witness violations should report these to the appropriate course faculty. They may consult beforehand with the Associate Dean for Enrollment Management and Student Affairs or the chair of the Academic Ethics Board. The Associate Dean for Enrollment Management and Student Affairs may refer information from any source to the Ethics Board for investigation and resolution. Both students and faculty should follow these procedures: Overt violations of the Ethics Code that are well substantiated should be referred directly to the Ethics Board after consultation with the Associate Dean for Enrollment Management and Student Affairs. 1. In the case of a suspected academic ethics violation, the faculty member should meet with the student or students involved in the incident to discuss the accusation. If the faculty member believes the accusation has no merit, the issue can be dismissed, but documentation of the conversation should be forwarded to the Associate Dean for Enrollment Management and Student Affairs. 2. If, after meeting with the student(s) involved, the faculty member believes the situation has merit, he/she should contact the Associate Dean for Enrollment Management and Student Affairs to determine if this is the first offense. 3. The Associate Dean for Enrollment Management and Student Affairs will determine if this is the student s first offense, a fact that will affect the resolution of the case. 4. If a student has a prior offense, the Academic Ethics Board must resolve the case in a hearing (see next section). 5. If the student has no prior offense: a. Discuss the situation with the Associate Dean for Enrollment Management and Student Affairs to determine whether there are grounds for calling an Ethics Board hearing or whether a settlement can be reached between faculty and student. b. If it is determined that the faculty and student may agree upon a settlement without any Ethics Board hearing, the resolution must be recorded in writing and signed by both the faculty member and the student. A copy of this document must be sent to the Associate Dean for Enrollment Management and Student Affairs. A settlement reporting form for faculty can be obtained from the Office of Student Affairs. c. The Associate Dean for Enrollment Management and Student Affairs is available throughout this process for consultation. ACADEMIC ETHICS BOARD SELECTION AND ACADEMIC ETHICS PANEL HEARINGS An Academic Ethics Board will be constituted each year. A faculty chairperson will be selected from among the fulltime faculty by the Dean or his/her designee. Three full-time faculty, one each teaching predominantly in one of the following programs baccalaureate, master s, doctoral (either PhD or DNP) will be elected for two-year terms by the Faculty Senate. After receiving a request, the Associate Dean for Enrollment Management and Student Affairs initiates an Academic 23

27 Ethics Board hearing with the chairperson. For each request, a hearing panel will be formed. At each hearing panel, the Administrative Assistant in the Office of Student Affairs will be the recording secretary. 1. The Academic Ethics Board consists of the faculty chairperson, the program directors from the four academic programs (Baccalaureate, Master s, PhD, and DNP) and the faculty members mentioned above. The Academic Ethics hearing panel consists of the faculty chairperson, the faculty members, the program director and two of the students who are in the same academic program as the alleged ethics code violator (e.g. two baccalaureate students for a baccalaureate violation, etc.). The Recording Secretary attends all meetings but does not vote. 2. Six Baccalaureate students, two Master s students, one PhD, and one DNP student are elected to the Academic Ethics Board by their peers for a term of one year, beginning no later than September The Academic Ethics Board meets annually in the fall semester and as needed thereafter. 4. The Academic Ethics Board appoints a student hearing assistant for the alleged honor code violator and for the faculty initiating the complaint. The hearing assistant for the student will be his/her academic advisor or other faculty member chosen by the student. The hearing assistant for the faculty may be his/her faculty mentor or other faculty member of choice. The assistant will meet with the respective parties to prepare evidence, testimony, and questions for the hearing. Assistants may attend and participate in the hearing. 5. All evidence for the hearing must be placed on file in the Office of the Associate Dean for Enrollment Management and Student Affairs. Students and faculty can submit evidence directly to the Associate Dean for Enrollment Management and Student Affairs or indirectly through the assistant or the chairperson. 6. The Academic Ethics Board will convene within 10 working days of receiving the request for a hearing. 7. The Academic Ethics Board hearing is an orderly discussion, not a legal proceeding. Legal representation is not permitted. The hearing proceeds in this manner: a. The party initiating the complaint will present an account of the events to the charge of academic or behavioral misconduct. b. Witnesses will give their accounts. Ethics hearing panel members, initiating parties, the alleged honor code violator, and the hearing assistant may ask questions. c. The alleged honor code violator may refute the charges and invite witnesses. d. The initiating party and the alleged honor code violator will be allowed to make a closing statement. e. At the conclusion of the hearing, all parties will withdraw, and the deliberations of the hearing board will be held in private. f. The alleged honor code violator and the initiating party will be informed in writing by the chairperson of the Ethics Board s decision within five working days of the Board s decision. g. Depending on the severity and type of infraction, the student may be removed from the clinical or laboratory setting immediately after a decision has been reached; such decisions will be communicated verbally to the student by the Chairperson. Written confirmation will follow. 8. Any student found not guilty is exonerated of all charges. 9. Students found guilty face the following potential sanctions, based on the Board s determination of the severity of the infraction: a. Failure on an assignment b. Lowering of a grade or failure in a course c. Notation on a student s transcript of an academic misconduct d. Suspension or expulsion from the university 10. In the case of students with prior offenses, the minimum sanction an Ethics hearing panel may impose is failure in a course with a notation on a student s transcript, which states that the grade resulted from academic misconduct. 11. After the hearing, the Associate Dean for Enrollment Management and Student Affairs assists the chairperson in implementing the Academic Ethics Board s decision. This will include notifying appropriate faculty or university personnel (e.g. registrar, faculty advisor, course faculty, Associate Dean for Academic Affairs, appropriate program director). 12. The Associate Dean for Enrollment Management and Student Affairs, with the assistance of the recording secretary, maintains original notes from all Board meetings in a confidential file. 13. The faculty chairperson submits a yearly report to the Faculty Senate outlining types of hearings held and decisions made during the year. Students will not be identified by name in this report. ETHICS BOARD APPEALS PROCESS Students may appeal decisions of the Academic Ethics Board in writing to the Dean of JHSON within 10 business days of the Ethics Board s decision. The student s statement will set forth the grounds for the appeal. The Dean will have access to documents reviewed during the Ethics Board hearing. The Dean may meet with the accused and, when necessary, with the accuser, before reaching a final decision. 24

28 The Dean will present a written response to the student. Copies of all appeals correspondence will be sent to the Associate Dean for Enrollment Management and Student Affairs. Panel members involved in the hearing will be notified of the Dean s response by the Associate Dean for Enrollment Management and Student Affairs. RECORDS The confidential records of the Academic Ethics Board will be held in the Office of the Associate Dean for Enrollment Management and Student Affairs. STUDENT EXPERIENCE Being accused of an ethics violation is a stressful process for students. Students are encouraged to be completely honest in all discussions associated with this process and to take advantage of university resources: a. The Associate Dean for Enrollment Management and Student Affairs will provide an overview of the process and procedures associated with evaluations, Ethics Code violations, and advice about preparing for the Academic Ethics Board hearing. b. The Johns Hopkins Student Assistance Program (JHSAP) can help with any personal difficulties that arise during this process. In advance of the Ethics Board hearing, a student receives written notification of the hearing date, time, and location from the chairperson of the board. Students are required to attend the hearing as scheduled. FACULTY EXPERIENCE Faculty members should enforce violations of academic ethics equally and consistently. All suspicions of academic misconduct, no matter how minor, must be investigated. As outlined previously, faculty members must contact the Associate Dean for Enrollment Management and Student Affairs to discuss any accusations of academic misconduct. This is necessary to determine if an accused student has previous violations of ethics. In addition, faculty members must submit documentation of all direct settlements and hearing requests to the Associate Dean of Enrollment Management and Student Affairs. If an Ethics Board hearing is necessary, it will be scheduled to fit the faculty member s schedule. Faculty members are expected to compile evidence and to present their account of a case during an Ethics Board hearing. The hearing assistant chosen by the board will assist the faculty member with this process. Faculty members are encouraged to contact the Associate Dean for Enrollment Management and Student Affairs or the chairperson of the board to discuss concerns and questions about the meeting. ACADEMIC APPEALS PROCESS Successful problem solving can provide a positive learning experience for all. Through a tactful, organized discussion of problems between the involved parties, problems are identified, views aired, misconceptions or misunderstandings clarified, and resolutions reached. The JHSON has an appeal mechanism to assist in successful problem solving. However, while the appeal mechanism is available to students who wish to resolve problems more formally, the Dean and all faculty are available to discuss problems and complaints prior to this process. Therefore, students are encouraged to consult their academic advisors or other faculty members for advice and help prior to implementing the phases of the appeal mechanism. Students should begin the discussion regarding concerns or problems with the individual faculty member, clinical instructor, or group directly involved. However, if the student does not feel satisfied with the results of this meeting, students are asked to implement the following phases of the appeal mechanism: PHASE I: Step 1: Step 2: Step 3: Meet with the individual faculty member, clinical instructor or group directly to address the specified concern or problem. If the aforementioned step is not satisfactory, meet with the academic advisor to address the specific concern or problem. If the aforementioned step is not satisfactory, meet with the Director of the Program 25

29 PHASE II: If resolution is not achieved, the student may: Step 1: Submit a written appeal with the reason for the appeal to the Associate Dean for Academic Affairs, who will meet with the student in order to decide on a course of action. The student can request that the issue be taken to the appropriate committee (e.g., Curriculum Committee, etc.). Step 2: Following the meeting with the student, the Associate Dean for Academic Affairs will notify (in writing) the Dean and the student s advisor of any recommended action to identify a resolution to the student s problem or complaint. This recommended action could include a request for the issue be taken to the appropriate committee (e.g., Curriculum Committee, etc.). PHASE III: If resolution is not achieved, the student(s) may: Request that the Dean review the recommendations of the Associate Dean for Academic Affairs or the committee. This request must be in writing and must state the reason for the appeal. The Associate Dean for Academic Affairs decision may be appealed to the Dean. Please note the following about the JHSON appeal mechanism: 1. If faculty or student members of committees (being asked to review the problem) are directly involved with the problem, they will not participate as a committee member in deciding the course of action. 2. When more than two students share a common problem, it is recommended that two students be selected to represent the group. It is highly desirable to try first to settle a problem or conflict directly with the faculty involved. However, if resolutions cannot be achieved, it is recommended that the student(s) follow the procedure outlined above. 3. Progression Committee s decisions/recommendations follow the same appeal process as outlined above with one exception. The student(s) must submit an appeal to the Associate Dean for Academic Affairs within 10 business days of the decision of the Progressions Committee. The decision of the Associate Dean for Academic Affairs may be appealed to the Dean. The appeal to the Dean must be submitted within 10 business days of the decision of the Associate Dean for Academic Affairs. All such appeals also must be in writing and state the reason for the appeal. 4. Grades cannot be appealed by students. However, in cases where students receive a failing grade in a course and are reviewed by the Progressions Committee, students may appeal the decision of the Progressions Committee following the procedure outlined above. COURSE WITHDRAWAL POLICY No notation is made on the academic record if a class is dropped before 50% of the class is completed. The signature of the advisor is required. After 50% and through 70% of the scheduled classes have met, the signatures of the advisor and the Director of the Program are required to drop a class. A W is recorded on the transcript. After 70% of the scheduled classes have met, the signatures of the course coordinator, the advisor, and the Director of the Program are required to withdraw from a class. The course coordinator will note on the form whether the student is receiving a passing grade for the course at the time of withdrawal. The determination will be based on the grade(s) achieved for all test(s) and other graded requirements that are due on or before that date. A WP (Withdrawn Passing) or WF (Withdrawn Failing), as appropriate, is recorded on the transcript. COURSE REFUND POLICY Semester/Term Courses: A partial refund of payments will be made to students withdrawing of their own accord as follows: weeks after classes begin, 100% 2. 3 weeks after classes begin, 50% weeks after classes begin, 25% 4. After 6 weeks, no refund On-line Pre-requisite Courses A partial refund of payments will be made to students withdrawing from pre-requisite course of their own accord as follows: 1. 1 week after classes begin, 100% 2. 2 weeks after classes begin, 50% 26

30 weeks after classes begin, 25% 4. After 5 weeks, no refund Percentages are calculated from the date the student submits a written statement of withdrawal. No refund will be granted to students dismissed for disciplinary reasons. REQUESTS FOR LETTERS OF RECOMMENDATION Students who need letters of recommendation should contact their faculty directly. Letter templates are available to the faculty on the JHSON intranet. If for any reason the faculty cannot access the intranet, they may the SON Marketing and Communication office and request a copy of the JHSON letterhead template. The exception is for nurse preceptors who will need to use their employer s letterhead for the recommendations. It is recommended that requests for letters of recommendation from faculty be made at the end of the clinical rotation. Later requests for letters of recommendation should be sent a minimum of 5 business days prior to the time the letter is needed. CONFIDENTIALITY POLICY All students are patient advocates and must maintain privacy and confidentiality of medical and non-medical information for every individual for whom care is provided in any setting. Any breach of patient confidentiality could result in disciplinary action against the student, including dismissal from the academic program. Students must sign a Confidentiality of Information Statement before they attend new Student Orientation and they must complete the HIPAA online module. Flash drives are not allowed in patient care settings and may not be used to download patient data. STATEMENT REGARDING THE PRIVACY RIGHTS OF STUDENTS (FERPA) Notice is hereby given that JHU complies with the provisions of the Family Educational Rights and Privacy Act of 1974 (P.L ), as amended, and regulations promulgated there under. Eligible students, as defined in the regulations, have the right 1) to inspect and review their education record, as defined in the regulations; 2) to request the amendment of their education records if they are inaccurate, misleading or otherwise in violation of the student s rights; 3) to consent to the disclosures of personally identifiable information in their education records except to the extent permitted by law, regulation or university policy; 4) to file a complaint with the United States Department of Education if the university has failed to complete with the requirements of law or regulation. The university s policy on Family Educational Rights and Privacy is published periodically in the University Gazette, and copies of the policy are available from the JHSON Registrar s Office which is located on the second floor of the Student House. COMPLIANCE REQUIREMENTS All JHSON students must complete the following requirements/forms/documents to be in compliance for placements in clinicals. Compliance documents must be uploaded into your online account at All compliance documents must be valid during the entire time you are enrolled in your academic program. Due by May 15 for summer start. Required Documentation Pre-entrance Health Form Required Immunizations: Hepatitis B MMR (Measles, Mumps & Rubella) Information Required health form must be completed and signed by a healthcare provider. This form verifies that the student is physical able to participate in the nursing program and meets all qualifications outlined in the SON Technical Standards for Admissions & Graduation Policy: Documentation of all immunizations, including dates of immunizations, will be listed on your health form. The Hepatitis B vaccine is a series of 3 doses. Complete documentation of first, second and third dose, including dates, is required or a positive Hepatitis titer. MMR - One of the following is required:2 vaccinations 27

31 Varicella Zoster (Chicken Pox) Tdap (Tetatnus, Diptheria, Pertusis) (administered after 12 months of age) Positive anti body titer for all 3 components (lab report or physician verification of results required). If the series is in process, submit where you are in the series and new alerts will be created for you to complete the series. If any titer is negative or equivocal you will be prompted to receive 1 booster shot. Varicella Zoster/chicken pox - One of the following is required: 2 vaccines, Positive antibody titer (lab report or physician verification of results required) medically documented history of disease. ONLY POSITIVE TITERS WILL BE ACCEPTED. Tdap - One of the following is required, must be administered within the past 10 years, TDaP vaccine, TD vaccine. Boosters are good for 10 years from date of administration. Required Documentation Tuberculin: TB Skin Test/PPD or QuantiFERON Blood Test Information One of the following is required: TB skin test: QuantiFERON Gold blood test, lab report or physician verification of results required. If positive results submit a clear chest x-ray again, lab report or physician verification of results is required. Renewal date will be set for 1 year. Upon renewal one of the following is required: TB skin test or if positive results provide a clear chest x-ray Criminal Background Check & Drug Screening Cardiopulmonary Resuscitation Certification (CPR) RN License Confidentiality Statement HIPAA OHSA Bloodborne Pathogens Sunrise Training Students must order their criminal background check and drug screening through jhu.certifiedbackground.com. For questions or concerns regarding findings please call the Associate Dean for Enrollment Management & Student Affairs at (410) ONLY certification from the American Heart Association Health Care Provider course OR the American Red Cross Health Care Provider course will be accepted. You must submit a copy of both the front and back of the card and the card must be signed. MSN and DNP Student must submit evidence of current nursing licensure from state where clinical and/or capstone courses will be completed. Signed copy of statement must be uploaded. Document is available for download under the requirement on Certified Background, or in the Documents Center. All students must complete HIPAA training module. Students can access this module by visiting mylearning through the my.jhu.edu portal and searching HIPAA for Research. Once completed, upload your certificate of completion to Certified Background. All students must complete a bloodborne pathogens training module. Students can access this module by visiting mylearning through the my.jhu.edu portal and searching Bloodborne Pathogens and selecting the online course. Once completed, upload your certificate of completion to Certified Background. All students must complete Sunrise training module. Students can access this module by visiting mylearning through the my.jhu.edu portal and searching Sunrise for Nursing Students. Once completed, upload your certificate of completion to Certified Background. 28

32 Due by December 1 EVERY Year Influenza/Flu Shot communication regarding the free flu shot schedule through the Johns Hopkins Hospital will be sent to all enrolled students during the fall semester. All students must upload documentation of the flu shot into their jhu.certifiedbackground.com account on or before December 1 each year they are enrolled in their academic program. Resources & Contact for Questions CertifiedBackground Tutorial Video: Here is the link to a video that may answer your questions about setting up your account and uploading your documents. Please take time to review. Please note that the beginning of this video highlights a method for ordering compliance packages which is different than the method than JHUSON utilizes. All compliance packages should be ordered using the JHU.CertifiedBackground.com portal. For questions about your account including payment and uploading documents please call the following phone number: For other questions please contact the staff in the Office of Enrollment Management & Student Affairs located in the Student House in room 214. You can call staff at phone number (410) or at SON- [email protected]. For more information regarding compliance documents please go to the Accepted Student website at: to view all required forms, documents and modules. Once a student has completed all forms, documents and certificates they will upload these documents at JHU.CertifiedBackground.com. Student Compliance questions can be directed to the Enrollment Management & Student Affairs Office at All new students must be 100% compliant before they come for New Student Orientation and all currently enrolled students must remain in compliance to participate in clinical rotations. Compliance with clinical requirements is a professional responsibility. Any student who is not in compliance the Friday before the start of clinical will receive a course warning and will not be able to attend clinical until all compliance requirements are completed, uploaded and approved. HEALTH INSURANCE/HEALTH BENEFITS AND FINANCIAL AID JHSON requires all degree and clinical certificate-seeking students (accelerated, graduate and doctoral) to be covered by adequate health insurance coverage throughout the academic year. JHU offers a comprehensive insurance plan, the Student Health Program, to all enrolled students. Students must enroll in the Student Health Program offered by JHU unless they are covered by an alternative plan which meets minimum standards established by the JHSON. All JHSON full-time degree and clinical certificate-seeking students are billed the $ University Health Services (UHS) fee regardless of whether they have purchased the JHSON Student Health Insurance Program. As a practice, the JHSON does not provide scholarships, fee waivers or other institutional funds to cover the cost of student health insurance or UHS fees. Can financial aid be used to cover the cost of the required health insurance or UHS fee? Yes, if a student is eligible; student, parent and private educational loans can be used to pay for these fees and other costs of attendance. Federal, state or private grant funds can also be used to cover required health insurance and UHS fees if so stated and approved in the specific grant. 29

33 POLICY The JHSON will not use institutional funds to cover the cost of student health insurance or UHS fees. Student health insurance and UHS fees must be paid for by the student THE HEALTH INSURANCE PORTABILITY AND ACCOUNTABILITY ACT (HIPAA) The Health Insurance Portability and Accountability Act (HIPAA) is a federal law that governs the use, transfer, and disclosure of identifiable health information. HIPAA Privacy Regulations include new rights or individuals and new privacy requirements for health care providers and health plans. This means any piece of information about an individual's health, the treatment for their health condition, or the payment for their health services. Health information includes information about those who are alive and those who are deceased. The HIPAA Privacy Regulations apply to most of the Hopkins Institutions (including the JHSON). As a Hopkins workforce member, these Privacy Regulations apply to you whether you are a doctor, a nurse, a lab technician, an administrative assistant, a student, a member of the house staff or a janitor. Therefore it is important for you to know and understand the HIPAA Privacy Regulations. All nursing students will be certified regarding compliance during the first week of class. RELIGIOUS OBSERVANCE AND HOLIDAYS JHSON has established procedures to be followed by students for notifying their instructors of an absence necessitated by the observance of a religious holiday. This policy reflects the school s commitment to being responsive to our increasing diversity and to enabling students spiritual development. JHSON recognizes that the various religious traditions observed by our diverse student body include more holidays than can easily be included on a list. Moreover, we recognize that in some faiths observances vary by tradition and country and in accordance with the lunar calendar. If you will miss class in observance of a religious holiday, you are expected to notify your Program Director prior to the date in question by submitting a Religious Observance Notification Form. The religious observance notification procedure is based on the operating principle that you will act in accordance with the JHSON Academics Ethics Policy. 1. This procedure can only be used for notification of an absence necessitated by observance of a religious holiday. 2. You are expected to notify the Program Director that you will miss class/clinical in order to observe a religious holiday by completing and submitting to your Program Director no later than four weeks prior to the date of the holiday the RELIGIOUS OBSERVANCE NOTIFICATION FORM (Appendix A). 3. The Program Director signs the form and submits it to the Office of Enrollment Management and Student Affairs. The relevant Theory/Clinical Course Coordinators are notified of the impending absence by the Program Director and they will then be responsible for notifying any Lab/Clinical Instructors assigned to the section or course. NOTE: it is strongly recommended that, as a courtesy, you still notify each of your instructors at the beginning of the semester of any religious holiday(s) that will necessitate your absence from classes that semester. 4. Because religious holidays are scheduled in advance, instructors have the right to insist that course work to be missed should be completed prior to an anticipated absence in accordance with the course attendance policy. Students desiring to miss class/clinical to observe a specified religious holiday are expected to make prior arrangements with their instructor to make up any work missed. 5. Your signature on the form affirms your compliance with the JHSON Academic Ethics Policy. Given the time limitations inherent in completing end-of-semester assignments or making up a missed final exam, this procedure cannot be used during the final exam period. You are expected to take final examinations at the scheduled times and to complete end-of-semester work by the deadlines set by the instructor. UNIFORM POLICY Agreements and contracts with clinical agencies dictate that student nurses follow a specific dress code. With this in mind, all students are required to wear uniforms at all clinical settings, including the School of Nursing Simulation Lab and any international setting. The uniform requirements may be modified at specific sites so that students are in compliance with clinical site policy. Please be mindful of the fact that as a student you are representing Johns Hopkins School of Nursing at all of your clinical sites. The standard uniform consists of the following as determined by a specific course: 30

34 Navy blue uniform pants Navy blue uniform skirt Navy blue scrub top White scrub top Black, navy or white shoes (non-permeable) Long white lab coat that includes School of Nursing emblem on left sleeve and school name embroidered on left breast worn over professional attire. Students will be notified about clinical attire for their clinical site by their clinical instructor before the clinical course begins. Important to Note: Short white lab coats are not permitted. Sneakers, canvas shoes or crocks are not permitted. No casual attire is permitted in any work setting at any time (i.e. jeans, shorts, sweatshirts, t-shirts, sandal, etc.). All scrub tops and lab coats must have the JHUSON patch sewn on the left upper sleeve. Many community health sites require that students wear dark shoes. Students must have uniforms available the first week of their initial term. The long white lab coat may be worn over professional attire in some situations, to be determined by faculty. When a lab coat is worn, the name pin must be attached. The School uniform, patch, name pin, and identification badge will be worn by an individual when functioning in the student role. A student may not wear a School uniform in an employment situation. Students must wear the official lab coat and professional attire when visiting a clinical setting to review patient assignments, etc. Students with special uniform needs pertaining to cultural or religious requirements should see the Program Director before purchasing uniforms. Accommodations may be made for the student s cultural or religious obligations. Uniforms are available from: The Matthews Johns Hopkins Medical Book Center 1830 E. Monument Street Baltimore, Maryland Telephone: or (Toll free) Fax: [email protected] Website: Name Pin, ID Badge, and Uniform Emblem Name pins are ordered through the uniform company (Matthews Johns Hopkins Medical Book Center at or ) and will be worn on the upper right portion of the uniform. Charges will be incurred for replacement of lost name pins. The JHUSON picture ID badge is obtained during the orientation process. The picture ID badge should be worn at all times in class or clinic; the name pin should be worn when in a clinical setting. Hair and Nails Hair must be worn above the collar or tied back securely with a small clip or band. Large hair bows or scarves are not permitted. Extreme hair colors are not permitted. Men may have beards and mustaches if trimmed neatly. Facial stubble is not permitted. Fingernails should be clean, trimmed to no longer than ½ inch, and with either pale or no polish. Artificial fingernails or other nail enhancements are not permitted because of documented outbreaks of infection due to gram negative bacteria associated with artificial nails. For cultural or religious purposes, hair may be covered with a solid navy blue or white scarf to match the color of the uniform scrub. Jewelry Only one small post earring in each ear is allowed in clinical areas. Dangling or hoop earrings and bracelets are prohibited. Jewelry must be removed from any other visibly pierced location, including the tongue. Either a watch with a second hand or a digital watch that can track seconds is required. 31

35 Fragrances Perfumes, perfumed lotions and after shaves are prohibited because of potential allergic reactions in patients. Stethoscope & Blood Pressure Cuff Students are required to purchase a stethoscope that has both a bell and a diaphragm and an aneroid blood pressure cuff (adult size) by the first week of the first term. Improper Uniform Faculty members will tell an improperly dressed student to leave the clinical setting and return in proper uniform. The lost clinical time cannot be rescheduled, and a clinical warning may be issued. STUDENT EXPOSURE TO BLOOD OR OTHER POTENTIALLY INFECTIOUS MATERIALS 1. Student must report immediately any occupational exposure to blood or body fluids to their faculty member (See bottom of page for definitions of exposure and body fluids). 2. Obtain any necessary assistance to clean/flush wound, mucous membranes, or eyes, or otherwise provide necessary palliative measures to the contaminated area at the time of exposure. 3. After completing the Bloodborne Pathogen Exposure Worksheet, the faculty member immediately calls the Johns Hopkins Hospital Exposure Hotline at STIX ( ) to discuss immediate evaluation and a treatment plan. 4. The faculty member will assist the student with transportation to the Johns Hopkins Hospital if directed by the Hotline. 5. After this initial consultation with the Hotline, the student is instructed to schedule an appointment for followup at the Occupational Injury Clinic at Johns Hopkins Hospital (Blalock 139, phone ). Clinic hours are 7:30 am 4 pm Monday through Friday. 6. Please contact the Associate Dean for Enrollment Management and Student Affairs, on emergency cell phone for assistance. 7. The faculty member initiates follow-up to determine the source patient s HIV, HBV, or HCV status and to evaluate whether the source and/or exposure are considered high risk. 8. Faculty faxes a copy of the Bloodborne Exposure Worksheet to the Occupational Injury Clinic, attention Conrad Utanes, RN, Clinic Manager, at In all cases, a hospital or clinic incident report must be completed. The student should complete the employee incident report, have the supervisor sign it and bring it to the Occupational Injury Clinic when he/she comes for evaluation. 10. The clinical faculty sends a copy of both the Exposure Worksheet and the Incident report to the course coordinator. 11. The course coordinator initials the report after determining that all appropriate follow-up has been arranged, and sends the report to the Director of the Baccalaureate program with a copy to the Associate Dean for Student Affairs. DEFINITIONS 1. Exposure a. A percutaneous injury (e.g. needlestick or cut with a sharp object) involving blood, tissue or other body fluids (see definitions below) or b. Contact of a mucous membrane or non-intact skin (e.g. the skin is chapped, abraded, or afflicted with dermatitis) with blood, tissue or other body fluids or c. Contact of blood, tissue or other body fluids with intact skin when the duration of contact is prolonged (e.g. several minutes or more) or involves an extensive area, or d. Direct contact (e.g. without or with ineffective barrier protection) to concentrated HIV in a research or production facility 2. Body Fluids Associated with HIV a. Blood, semen, vaginal secretions, or other body fluids contaminated with visible blood that have been implicated in the transmission of HIV infection (including saliva with visible blood but excluding tears, sweat, non-bloody urine or feces, and human breast milk in occupational settings) b. Cerebrospinal, synovial, pleural, peritoneal, pericardial or amniotic fluids, which have an undetermined risk for transmitting HIV 3. Body Fluids Associated with HBV or HCV 32

36 a. See HIV Body Fluids above b. Saliva, sputum, or vomitus 4. HIV PEP post exposure prophylaxis which usually includes a 28-day regimen of AZT (associated with 79% decrease in HIV transmission), 3TC, and a protease inhibitor if indicated. 5. HBV PEP may include HBIG (hepatitis B immune globulin) for short term, immediate protection when titer is unknown and risk is high; and HBV vaccine (if unvaccinated or negative titer) 6. HCV PEP current recommendations do not give IG (old recommendation) 7. HIV High Risk Sources a. Infected patient with initial acute infection b. Infected patient with terminal illness c. Infected patient with high viral load d. Injection drug user e. Hemophiliac (receipt of blood or blood products before 1985) f. Homosexual/bisexual g. Unprotected sexual contact with multiple partners h. Sexual partner of any of the above 8. HBV and HCV High Risk Sources a. See above plus hemodialysis patients b. Transfusion recipients (prior to 1985 or receipt of multiple recent transfusions) 9. High Risk Factors for Transmission of Any Bloodborne Pathogen a. Device is visibly contaminated with blood b. Procedure where device was placed directly in a vein or an artery c. Deep injury d. Injury with a hollow bore needle e. Exposure involving a large volume of blood KEY QUESTIONS ABOUT BLOODBORNE EXPOSURES A. Exposure-Related Questions 1. Was wound treated immediately? How? (recommend washing wounds with soap & water, flushing mucous membranes with sterile water, or sending to ED if necessary) 2. Did an exposure occur? (see above definitions) When? (If > 72 hrs ago, HIV PEP is not necessary, but follow-up is still needed; optimal HIV PEP is within 1-2 hrs 3. How? (include activity, part of body, type of device, amount of fluid, severity or depth of exposure) B. Source-Related Questions 1. Is source (patient or other source) known? (if no information on source, HIV PEP is not necessary, but f/u is still needed). If known, what is patient s name and history or social security number? 2. Is patient HBV positive (surface antigen, e-antigen, surface or core antibody)? Date and test results? 3. Is patient HCV positive (antibody)? Date and test results? 4. Is patient HIV positive (western blot)? Date and test results? 5. If untested (or testing is > 4 weeks old), is patient available for testing? Name and phone number(s) of order writing person(s)? Was written consent for HIV obtained from patient? 6. Is patient high risk for HBV, HCV or HIV (see definitions)? C. Student-Related Questions 1. Has student had the HBV vaccine? Dates (3) of vaccine? Does student have a positive HBV titer? Date of titer? 2. When was student s last tetanus vaccine? 3. Is student willing to consider testing for HBV, HCV, and/or HIV? Give student copy of Exposure Booklet. If source patient is asked to consent, the exposed Health Care Worker must consent to have HIV testing (MD law). 4. Does student want to hear about PEP options? (Student should consider pregnancy status, history of renal or hepatic disease, current medications, other immunosuppressive medical conditions, toxicity of PEP medications, risk of transmission, lethality of diseases, etc.) Bloodborne Pathogen Worksheet can be found in back of manual under Appendix E Post Exposure Prophylaxis Consent Form can be found in back of manual under Appendix F 33

37 INTERNATIONAL CLINICAL EXPERIENCE POLICY REGARDING PREVENTION AND TREATMENT FOR STUDENT EXPOSURE TO BLOOD OR OTHER POTENTIALLY INFECTIOUS MATERIALS POLICY JHSON students, who are at distant or international clinical sites, should note that sections of the above BLOODBORNE PATHOGEN EXPOSURE (BBP) INFORMATION and STUDENT EXPOSURE TO BLOOD OR OTHER POTENTIALLY INFECTIOUS MATERIALS are necessarily different for them. All Students will be up to date with all required tests and vaccines at the time of departure. This may include vaccines that are required or recommended to travel to that location. Requirements for students to participate at the distant clinical locations will be based on CDC and Infectious Disease Travel Specialist's recommendations. PROCEDURE FOR EXPOSURE PROPHYLAXIS In anticipation of the risk of a BBP exposure, all students assigned to a distant clinical site will obtain and fill a prescription for 3 doses of ARV therapy. In preparation for travel, all students will make an appointment at Johns Hopkins Hospital Occupational Injury Clinic with Conrad Utanes, CRNP, to receive screening, instruction and a prescription for ARV medications. Appointments can be made by calling Students must fill the prescription prior to travel and carry the ARV medication with them at all times when they are abroad. Faculty members responsible for these students (either traveling with them or not) will review this policy with the students prior to leaving and repeatedly as needed during the rotation. Students will know how to reach their clinical or course faculty member 24 hours a day, and in the event of not being able to contact the faculty, will have a back-up plan. Students should carry this policy with them and have the number for the Associate Dean of Enrollment Management and Student Affairs (cell ). PROCEDURE FOR EXPOSURE INCIDENT In the event that a student has an exposure (needlestick, splash) the student will follow JHSON Bloodborne Pathogen Exposure policy as noted below with additions related to international location of the student. PROCEDURE FOR STUDENTS TRAVELING ABROAD 1. Obtain any necessary assistance to clean/flush wound, mucous membranes, or eyes, or otherwise provide necessary palliative measures to the contaminated area at the time of exposure. 2. If faculty is onsite, the student must report immediately any occupational exposure to blood or body fluids to their faculty member (See Bloodborne Pathogen Exposure Information Sheet for definitions of exposure and body fluids). If the student's faculty member is not on-site, the student must contact their faculty by phone. The faculty will assist with the following steps. 3. Contact the Center for Global Nursing at Contact the Johns Hopkins Hospital Exposure Hotline at STIX ( ) to discuss exposure and treatment plan. Discussion must occur between the student, faculty member and ID consultant about the student's risk of pregnancy prior to taking the drug. The faculty must have the student sign the Post Exposure Prophylaxis (PEP) Consent or Declination Statement or receive and document a verbal consent of declination from the student prior to having the student take the first dose of ARV. 5. After consent process completed and faculty has consulted with Infectious Disease at STIX, student may take first dose of ARV. 6. Contact the Associate Dean on cell Contact the course coordinator or the clinical faculty. The faculty will initiate contact with the clinical site to determine source patient's HIV, HBV and HCV status and evaluate whether the source and/or exposure are considered high risk. 8. The faculty will complete the Bloodborne Exposure Worksheet with information gathered from the student and site and fax to the Occupational Injury Clinic at or to Conrad Utanes, CRNP, Clinic Manager, at. A copy must be sent to the Course Coordinator who will forward a copy to the Associate Dean for Student Affairs, Program Director, the Associate Dean of Academic Affairs and the Center of Global Nursing. 9. The faculty will assist the student in making arrangements to return JHSON within 24 hours. 10. Prior to departing the international site, the student should try to find out if the patient has HIV or another blood borne illness. Regardless of the patient s diagnosis, the student should try and get the patient s treating physician s contact information (phone number and address) for the Occupational Injury Clinic. 34

38 On return to Baltimore, the student must be seen at the Occupational Injury Clinic at Johns Hopkins Hospital (Blalock 139, phone , M-F 7:30 am - 4:00 pm) to draw baseline labs. These labs should be drawn within 48 hours of exposure. Bloodborne Pathogen Worksheet can be found in back of manual under Appendix E Post Exposure Prophylaxis Consent Form can be found in back of manual under Appendix F WEATHER POLICY UNIVERSITY POLICY A weather emergency is defined as an actual or imminent change in the state of the atmosphere, (e.g. hurricane, snow, tornado), that is serious enough to disrupt the routine academic, research, service, and administrative functions of the university. The university has established a weather emergency hot line for students, faculty, and staff. The Baltimore number is Outside the local Baltimore calling area, dial The phone line is programmed as soon as a decision is made regarding closures or delayed openings, normally about 6:00 am. This information can also be found at the following JHU Emergency Alert Notification webpage In the event of a weather emergency, the President of the University or his designee (normally the Provost) will decide whether and when to curtail operation of the university. The announcement will be heard on the following radio and TV stations: WBAL-AM 1090 (Baltimore) TV channels 2, 11, 13 (Baltimore) WYPR-FM 88.1 (Baltimore) TV channels 4, 7 and 9 (Washington) WMAL-AM 630 (Washington) TV New Channel 8 (Cable, Washington) WPOC-FM 93.1 (Baltimore) WTOP-AM 1500 (Washington) Students who attend classes in other university divisions should listen carefully to radio and television announcements, since not all divisions of the university necessarily close at the same time. SCHOOL OF NURSING WEATHER POLICY Classes will meet unless operation of the East Baltimore division of the university has been officially curtailed. If a faculty member, with reasonable effort, cannot make a scheduled class or clinical, it is his/her responsibility to notify the SON and, in the case of clinical, the Clinical Course Coordinator. Students assigned in clinical areas are expected to use reasonable judgment as professionals in meeting their commitment. They are responsible for notifying their clinical faculty if they are unable to attend. Clinical teaching faculty is expected to make reasonable efforts to be present in the clinical area. If this is not possible, they should notify the course coordinator. Decisions to cancel clinical experiences for a group of students can be made only by a course coordinator. Clinical faculty are responsible for giving their students direction regarding whom to notify when they are unable to attend clinical, e.g. phone number of faculty and when and where to call. Clinical faculty should also have phone numbers of their clinical group. Clinical hours missed when JHU is closed do not need to be made up. STUDENT LAPTOP POLICY INTRODUCTION The JHSON faculty approved the student laptop policy on July 1, 2013 effective for students admitted beginning fall All students in all JHSON programs are expected to own and have ready access to a laptop computer meeting minimum specifications as defined by the school. 35

39 POLICY STATEMENT Each student admitted to a JHSON program (undergraduate and graduate) will be expected to have access to a laptop computer with basic productivity software for their individual use during class. SPECIFICATIONS Students are expected to have a laptop computer that is no older than three years old. The laptop must run a version of Microsoft Windows or Mac OSX that is also no older than three years old. Recommended models of laptops for new purchases will be provided to students when they are admitted to a program. Students will also be expected to own a copy of Microsoft Office (including minimally Microsoft Word, PowerPoint and Excel). Currently, JHU provides one free copy of Microsoft Office to all new students. If a student wishes to use an alternative productivity suite (LibreOffice or comparable open source suite, or Apple iwork), they may do so as long as they can read and share documents with other Microsoft Office users without needing technical assistance from the School. Some programs may have additional software requirements, which will be shared with the students as appropriate. For more information regarding computer recommendations, new computer purchases, recommended systems and options, how to purchase, and internet service recommendations, please visit: OTHER DEVICES There are a number of portable devices on the market which may be convenient for students to use (ipads, ereaders, smartphones, etc.). The JHSON encourages innovation and the use of these devices where possible. However, students may experience frustration trying to use these devices to complete assigned coursework, so the expectation is that students have access to a fully-functional laptop running a full featured operating system (Windows or Mac OS). The school may consider alternative devices to meet the laptop requirement in the future, as alternative devices mature and software and content providers begin to offer their solutions on these alternative platforms. ENTITIES AFFECTED BY THIS POLICY All students admitted to JHSON are affected by this policy. WHO SHOULD READ THIS POLICY All students of the SON who are enrolled in courses (undergraduate or graduate) at the JHSON; administrators responsible for admitting and enrolling students who are informing students of school expectations; faculty who are teaching at JHSON and facilitating students learning; and any other individuals (including students) who are enrolled in courses at JHSON. 36

40 UNIVERSITY POLICIES STATEMENT ON EQUAL OPPORTUNITY/TITLE IX President Ronald J. Daniels has issued the following statement to all members of the university community as a reminder of the University's long-standing dedication to Equal Opportunity. JHU is committed to equal opportunity for its faculty, staff, and students. To that end, the university does not discriminate on the basis of sex, gender, marital status, pregnancy, race, color, ethnicity, national origin, age, disability, religion, sexual orientation, gender identity or expression, veteran status or other legally protected characteristic. The university is committed to providing qualified individuals access to all academic and employment programs, benefits and activities on the basis of demonstrated ability, performance and merit without regard to personal factors that are irrelevant to the program involved. The university's equal opportunity policy is essential to its mission of excellence in education and research and applies to all academic programs administered by the university, its educational policies, admission policies, scholarship and loan programs and athletic programs. It applies to all employment decisions, including those affecting hiring, promotion, demotion or transfer; recruitment; advertisement of vacancies; layoff and termination; compensation and benefits; and selection for training. Consistent with its obligations under law, it also extends to the maintenance of affirmative action programs for minorities, women, persons with disabilities and veterans. The university assigns a high priority to the implementation of its equal opportunity policy, and significant university resources are devoted to assuring compliance with all laws prohibiting discrimination in employment and educational programs. Caroline Laguerre-Brown, the university's Vice Provost for Institutional Equity, is responsible for assisting me and other university officers in the implementation of equal opportunity and affirmative action programs. Members of the university community are encouraged to contact Caroline Laguerre-Brown or Allison J. Boyle, the Director of Equity Compliance and Education/Title IX Coordinator in the Office of Institutional Equity in Wyman Park Building, Suite 515, Homewood campus, (TTY ), or the divisional offices of Human Resources regarding any questions or concerns about these matters. NOTE: The below policies are to be updated by the JHU Provost Office, July, Please refer to the JHU Undergraduate Handbook for the current policies which can be found at: STUDENT RESPONSIBILITY It is the students' responsibility to familiarize themselves with the policies of the university, and those contained within these policies and procedures. Failure to become acquainted with this information will not excuse any student from responsibility for abiding by the rules and procedures described herein. Personal difficulties, illnesses, or advice contradicting the rules and procedures described herein contained do not constitute automatic grounds for exemption from these policies. Any waivers to the policies and procedures must be reviewed and approved in advance and are effective only when accepted by the Associate Dean of Enrollment Management and Student Affairs. The university reserves the right to make changes to these policies and procedures, and other information contained herein as it deems appropriate. Students are urged to consult the Associate Dean of Enrollment Management and Student Affairs about any questions that they may have concerning student activities, student life, and student affairs. These standards and procedures are not to be regarded as a contract. DRUG, ALCOHOL, AND FIREARMS POLICIES FOR STUDENTS The university in keeping with its basic mission recognizes that its primary response to issues of alcohol and drug abuse must be through educational programs, as well as through intervention and treatment efforts. In addition to providing appropriate educational programs throughout the year, each division of the university will include such programs as part of its orientation for new students. JHU further recognizes that alcoholism and drug addiction are illnesses that are not easily resolvable by personal effort and may require professional assistance and/ or treatment. Participation in such programs may be required of a student as a "condition of continual enrollment." The university will adhere to strict policies of confidentiality for all participants in drug/alcohol abuse rehabilitation programs as described in university and Federal regulations covering confidentiality of student health records. Maryland and District of Columbia laws prohibit the possession or consumption of alcoholic beverages by persons under the age of 21. The possession, use, or distribution of illegal drugs as defined by federal, state, and local statutes is prohibited. 37

41 Students are expected to obey the law. Individuals who violate the law, in addition to being subject to criminal penalties, may be subject to university disciplinary measures. JHU will not excuse acts of misconduct committed by students whose judgment is impaired due to alcohol or drug abuse. STUDENT ACTIVITIES ALCOHOL PROVISIONS Generally, alcohol is not served at events sponsored by University-affiliated student groups. If a student group does desire to sponsor an event at which alcohol will be served, it must receive permission of the Associate Dean of Enrollment Management and Student Affairs prior to the event taking place. The conditions under which permission will be granted are as follows: 1. Only beer and/or wine may be served. Kegs and other bulk quantities are not permitted. 2. The organization must agree to follow the procedures for assuring that persons attending the event who are underage will not be served. In addition, the organization and/ or individuals in the organization may be subject to university disciplinary action if underage patrons are served alcoholic beverages. 3. Publicity (posters, etc.) for events at which alcoholic beverages are served must not include any mention of beer/ wine. "Refreshments available" or some facsimile thereof will be acceptable. News-Letter ads may publicize beer/wine, but it cannot be the main thrust of the ads. 4. Persons who violate or attempt to violate these regulations (restrictions) will be asked to leave the event and may be subject to university disciplinary action. The Associate Dean limits the number of events at which alcohol may be served. Organizations that violate the alcohol policy will lose the privilege of serving alcohol at their events and may be subject to university disciplinary action. 5. No alcoholic beverages may be purchased through student organization funds nor may the purchase of alcoholic beverages for members or guests be undertaken or coordinated by any member in the name of or on behalf of the student organization. 6. The sale of alcoholic beverages at JHU student organization events must be through a State of Maryland licensed vendor and must be sold on a "per drink" basis; "open bar" events are prohibited. Beverages should be sold at reasonable market value and prices should be included in the event contract. Profit sharing is prohibited. The distributing of drink tickets/vouchers at student organization events is prohibited. 7. No member of Johns Hopkins' student organizations, collectively or individually, shall purchase for, serve to, or sell alcoholic beverages to anyone under the age of 21. It is the role of the third party vendor to acquire, distribute and monitor the alcohol. 8. Alcohol events hosted on campus by Johns Hopkins' student organizations must comply with university policies regarding the reservation of adequate security and age verification procedures. 9. All recruitment activities hosted by a JHU student organization must be dry, meaning no alcoholic beverages will be served. 10. JHU student organizations may not collect admissions fees (cover charges) in order to defray the cost of alcohol. POLICY ON FIREARMS The possession, wearing, carrying, transporting, or use of a firearm or pellet weapon is strictly prohibited on university premises. This prohibition also extends to any person who may have acquired a government-issued permit or license. Violation of this regulation will result in a disciplinary action and sanctions up to and including expulsion, in the case of students, or termination of employment, in the case of faculty and staff. Disciplinary action for violations of this regulation will be the responsibility of the divisional student affairs officer, Dean or Director, or the Vice President for Human Resources, as may be appropriate, in accordance with applicable procedures. Any questions regarding this policy, including the granting of exceptions for law enforcement officers and for persons acting under the supervision of authorized university personnel, should be addressed to the appropriate chief campus security officer. SEXUAL HARASSMENT POLICY PREAMBLE JHU is committed to providing its staff, faculty and students the opportunity to pursue excellence in their academic and professional endeavors. This can only exist when each member of our community is assured an atmosphere of mutual respect, one in which they are judged solely on criteria related to academic or job performance. The university is committed to providing such an environment, free from all forms of harassment and discrimination. Each member 38

42 of the community is responsible for fostering mutual respect, for being familiar with this policy and for refraining from conduct that violates this policy. Sexual harassment, whether between people of different sexes or the same sex, is defined to include, but is not limited to, unwelcome sexual advances, requests for sexual favors, sexual violence and other behavior of a sexual nature when: Submission to such conduct is made implicitly or explicitly a term or condition of an individual's employment or participation in an educational program; Submission to or rejection of such conduct by an individual is used as the basis for personnel decisions or for academic evaluation or advancement; or Such conduct has the purpose or effect of unreasonably interfering with an individual's work or academic performance or creates an intimidating, hostile or offensive working or educational environment. Fundamental to the university's purpose is the free and open exchange of ideas. It is not, therefore, the university's purpose, in promulgating this policy to inhibit free speech or the free communication of ideas by members of the academic community. POLICY The university will not tolerate sexual harassment; it is a form of discrimination, a violation of federal and state law and a serious violation of university policy. In accordance with its educational mission, the university works to educate its community regarding sexual harassment. The university encourages reporting of all perceived incidents of sexual harassment, regardless of who the alleged offender may be. Individuals who either believe they have become the victim of sexual harassment or have witnessed sexual harassment should discuss their concerns with the university s equity compliance director. Complainants are assured that problems of this nature will be treated in a confidential manner, subject to the University's legal obligation to respond appropriately to any and all allegations of sexual harassment. The university prohibits acts of reprisal against anyone involved in lodging a complaint of sexual harassment. Conversely, the university considers filing intentionally false reports of sexual harassment a violation of this policy. The university will promptly respond to all complaints of sexual harassment. When necessary, the university will institute disciplinary proceedings against the offending individual, which may result in a range of sanctions, up to and including termination of university affiliation. Complaints of sexual harassment may be brought to Caroline Laguerre-Brown, Vice Provost for Institutional Equity for the university, Allison J. Boyle, Title IX Coordinator and Director for Equity Compliance & Education, Garland Hall 130, Telephone: , TTY: Dial 711. SEXUAL VIOLENCE POLICY JHU is committed to providing a safe educational and working environment for its faculty, staff, and students. The university is particularly concerned about the increase in reports of sexual offenses occurring on the nation s campuses. The university has adopted this policy addressing sexual violence [1] (includes sexual assault) in order to inform faculty, staff, and students of their rights in the event they are involved in an incident of sexual violence, and of the services available to victims of sexual violence. Members of the university community who are the victims of, or who have knowledge of, an incident of sexual violence occurring on university property, or occurring in the course of a university sponsored activity (including academic, educational, extracurricular, athletic or other programs), or perpetrated by or against a member of the university community, are urged to promptly report the incident to campus authorities identified in this policy. This policy applies to all members of the university community, including, but not limited to students, faculty and staff, and also applies in certain instances, to certain third parties (e.g. visitors, volunteers, vendors, and contractors while on university property, participating in a university sponsored activity, or providing services to the University, applicants for admission to or employment with the university, and former employees of the university). All academic and administrative units of the university (including all schools, divisions, departments and centers) must comply with, and ensure that their policies and procedures comply with, this policy. Sexual violence encompasses sexual assault (see examples below) and is a form of sexual harassment. Sexual harassment, which is a form of discrimination, violates federal and state law and university policy (see the university s policy against sexual harassment) Sexual violence includes physical sexual acts that are performed against a person s will or where a person cannot give consent. 39

43 A person may be unable to give consent to a sexual act for a number of reasons, including, but not limited to: if he or she is physically or psychologically pressured, forced, threatened, intimidated, unconscious, drunk, or drugged; due an intellectual or other disability or health condition; or by operation of laws governing the age of consent. Physical resistance need not occur to fulfill the definition of sexual violence. Examples of sexual violence include, but are not limited to: 1. Sexual intercourse or other sexual acts that one party says no to; 2. Rape (including date rape ) or attempted rape; 3. Someone forcing you to perform oral sex or forcing you to receive oral sex; or 4. Sexual assault, sexual battery, or sexual coercion. Persons who are the victims of sexual violence may pursue internal university disciplinary action against the perpetrator in accordance with the university s Procedures on Discrimination, Harassment, Sexual Harassment and Sexual Violence Complaints. The university s disciplinary process may be initiated by bringing a complaint of sexual violence to the attention of a Dean, Associate Dean of Enrollment Management and Student Affairs, department chairman or director, supervisor, divisional personnel office, security officer, administrative officer, or the university s Title IX Coordinator: Allison J. Boyle, JD, MPH The Johns Hopkins University Office of Institutional Equity Garland Hall, Suite North Charles Street Baltimore, MD Telephone: Electronic Mail: [email protected] TTY: Facsimile: A victim of sexual violence should also immediately notify campus security. Campus security contact information for the following campuses are available at: A. Homewood Campus Safety and Security Shriver Hall 3400 N. Charles Street Baltimore, MD Telephone: or B. Johns Hopkins Medicine/School of Nursing Corporate Security 550 N. Broadway Suite 503 Baltimore, MD Telephone: C. Peabody Schapiro House Basement Peabody Campus Baltimore, MD Telephone: or For security contacts at other university locations, please call Lt. Mark E. Long, Investigations Section, Homewood Campus Safety and Security, at Campus security will arrange for transportation to the nearest hospital. Victims in Baltimore City will be taken to Baltimore City s designated rape treatment center: Mercy Hospital, 301 St. Paul Place ( ). Mercy Hospital is equipped with the State Police Sexual Assault Evidence Collection Kit. Victims in other cities will be taken to a local hospital designated as a rape treatment center. Persons who are victims of sexual violence will also be advised by campus security of their option to file criminal charges with local police of the jurisdiction where the offense occurred. Campus security and the University s Title IX Coordinator will provide assistance to a complainant wishing to reach law enforcement authorities. Information on local and state law enforcement units and databases maintained by them is available on the Homewood Campus Safety and Security website. The university will provide counseling to any member of the JHU community who is a victim of a sexual violence, and also will provide information about other victim services. Students can seek the assistance of counseling through their 40

44 divisional counseling offices, and members of the faculty and staff can seek assistance through the Faculty and Staff Assistance Program (FASAP). A student who is a victim of sexual violence may request a transfer to alternative classes or housing if necessary to allay concerns about security. The university will try to accommodate the request if such classes and housing are reasonably available. The university reserves the right to independently discipline any member of the student body, staff or faculty who has committed an offense of sexual violence or other assault whether or not the victim is a member of the university community and whether or not criminal charges are pending. Disciplinary actions against students accused of sexual violence will be processed by the appropriate student affairs office of the School or campus attended by the accused student in accordance with the University s Procedures on Discrimination, Harassment, Sexual Harassment and Sexual Violence Complaints and established disciplinary procedures pertaining to the School in which the student is enrolled. Disciplinary actions against staff members will be governed by the university Procedures and procedures set out in the University s personnel policies. Disciplinary actions against members of the faculty will be processed by the offices of Dean of the appropriate academic division according to the university Procedures and procedures established by that division. Both a complainant and the person accused of a sexual violence will be afforded the same opportunity to have others present during a university disciplinary proceeding. Attorneys, however, will not be permitted to personally participate in university disciplinary proceedings. In cases alleging a sex offense, both the complainant and the accused will be informed of the disciplinary board or panel s final determination with respect to the alleged sex offense and any sanctions imposed against the accused [2]. The university will, upon written request, disclose to the alleged victim of any crime of violence [3] or a non-forcible sex offense [4], the report on the results of any disciplinary proceeding conducted by the university against a complainant who is the alleged perpetrator of such crime or offense with respect to such crime or offense. The disciplinary measures which may be imposed for a sexual violence offense will vary according to the severity of the conduct, and may include expulsion of a student from the university and termination of the employment of a member of the staff or faculty. [1] The term sexual violence as used in this policy includes sex offenses. A forcible sex offense is any sexual act directed against another person, forcibly and/or against that person s will; or not forcibly or against the person s will where the victim is incapable of giving consent and includes forcible rape, forcible sodomy, sexual assault with an object, and forcible fondling. A non-forcible sex offense means unlawful, nonforcible sexual intercourse and includes incest and statutory rape. 34 CFR Part 668, Subpart D, Appendix A.[4] See footnote 1 for the definition of a non-forcible sex offense. CAMPUS VIOLENCE POLICY Policy adopted December 1, INTRODUCTION In recent years, the subject of violence on college and university campuses and in the workplace has received increasing attention as violent events have been widely reported in the news media. This policy is intended to guide members of the Johns Hopkins community both in preventing acts of violence and in responding to them when they occur on or in relation to the university's campuses. POLICY JHU is committed to providing a learning and working environment that is safe to all members of the university community. The university will not tolerate violent acts on its campuses, at off-campus locations administered by the University, or in its programs. This policy of "zero tolerance" extends not only to actual violent conduct but also to verbal threats and intimidation, whether by students, faculty, staff, or visitors to the university. JUH urges individuals who have experienced or witnessed incidents of violence to report them to Campus Security. Alternatively, students are urged to report concerns about violence to the divisional office responsible for student matters, faculty to the divisional office responsible for faculty matters, and staff to the applicable human resources offices. The university will not permit retaliation against anyone who, in good faith, brings a complaint of campus violence or serves as a witness in the investigation of a complaint of campus violence. 41

45 ENFORCEMENT Information regarding incidents of violent conduct and threats of violence will be investigated, and, if warranted, disciplinary action will be taken in accordance with applicable procedures. The university will notify law enforcement authorities of criminal conduct. In addition, the university may refer individuals accused of violations of this policy for an assessment of the likelihood that they will carry out violent acts. If the continued presence of an individual on campus threatens or disrupts the conduct of university business, the individual may be suspended from participation in University programs or activities pending the outcome of the assessment. When advised of circumstances warranting intervention, the university will render assistance by contacting local or federal law enforcement agencies as appropriate. Individual members of the university community who receive threats of bodily harm or who are the targets of harassing or stalking behaviors are urged to contact Campus Security and to avail themselves of the services offered by student counseling offices and the Faculty and Staff Assistance Program. Every effort will be made to respect the privacy of all individuals involved in the matter. However, the necessity to investigate the matter and to cooperate with law enforcement authorities may require the disclosure of otherwise confidential information. Individuals accused of engaging in incidents of campus violence may seek legal counsel at their own expense. Individuals and their attorneys are reminded that attorneys do not participate in any internal university hearing. Campus vendors are reminded that their employees who conduct business on university premises must conform their conduct to the requirements of this policy. The university reserves the right to remove from campus vendor employees who engage in acts prohibited by this policy. Please follow this link to a list of important phone numbers and contacts if you witness or are the victim of violence or the threat of violence. STUDENT USE OF SHARED INFORMATION TECHNOLOGY The JHSON is committed to providing you with the technology resources and support that you will need to be successful, and in return we require that you agree to follow all JHSON and JHU information technology policies. For more details and the latest version of these policies, see JHU IT POLICY INTRODUCTION Information technology continues to expand in use and importance throughout The Johns Hopkins University ( JHU ) and The Johns Hopkins Health System Corporation ( JHHS ), collectively Johns Hopkins and JH. It is an indispensable tool for education, research, and clinical care, and plays a central role in the overall life of the Institutions. The uses of information technology have changed dramatically over the last twenty years, and it is likely that the rate of change will accelerate in the future. For these reasons, it is critical that Johns Hopkins articulate a clear statement regarding the appropriate uses of our information technology resources and institute safeguards to ensure that our technology is secure, reliable, and available for the entire Johns Hopkins community. These Policies have three primary purposes: To ensure compliance with all applicable federal, state, and local laws To safe guard and protect all IT Resources from anything other than authorized and intended use To provide protection to academic, clinical, financial, research, and all other systems that supports the mission and functions of Johns Hopkins. and user accounts and their contents are generally considered private by Johns Hopkins, but neither this policy nor present technology is able to guarantee security, privacy or confidentiality. It is not the routine policy of JH IT administrators to view or disclose the content of others' electronic files, but JH reserves the right, and may be legally required, to access, copy, examine, and/or disclose all files stored or transmitted on, across or through JH IT Resources, in a number of circumstances, including: for safety, security, and/or legal purposes; as needed to maintain or protect its personnel, facilities and not-for-profit status; as necessary to maintain network services; or in order to protect JH s rights or property. For these reasons, there should be no presumption of privacy or confidentiality concerning information stored on or transmitted across JH IT Resources. Certain information (such as protected patient health information; sensitive information regarding students or staff; and other information protected by the attorney-client privilege) is protected by law, and persons with access to such information are expected to be aware of and comply fully with the laws protecting such information. Nothing in these Policies is intended to affect in any way the confidentiality or protection of such information. 42

46 Johns Hopkins complies fully with all federal, state, and local laws, including the Digital Millennium Copyright Act. Except as required for IT security and functionality, access for the JH community to resources through computer networks should be governed by the standards and principles of intellectual and academic freedom characteristic of a university. All legal questions should be directed to the JHU Office of General Counsel or JHHS Office of General Counsel for the respective entity, school, or department involved. DEFINITIONS Confidential This includes information required by statutory or common law a high level of protection against unauthorized disclosure, modification, destruction, and use. Confidential information includes, without limitation, the following: 1. Patient medical or billing records and Plan Member records including those covered by the Security Rule of the Health Insurance Portability and Accountability Act (HIPAA) 2. Student records, including those protected under the Family Educational Rights and Privacy Act (FERPA) 3. Financial information, including that covered under the Gramm-Leach-Bliley Act (GLBA) and credit card numbers 4. Employment records, including pay, benefits, personnel evaluations and other staff records 5. Research data involving human subjects that are subject to the Common Rule (Federal Policy for the Protection of Human Subjects, 46 CFR 101 et seq) 6. Social Security Numbers 7. Credit card numbers may not be stored on the JH Network without prior authorization from the institutional treasurer's office and the Chief Information Security Officer Covered Personnel Faculty, staff, employees, students, volunteers, officers, trustees, guests, visitors, and other workforce members, such as casual workers, consultants, temporary staff, and vendors. Internal Use-Only This includes information that requires protection against unauthorized use, disclosure, modification and/or destruction. Internal-use-only information includes, without limitation, the following: 1. Certain sensitive research data, including information related to a forthcoming or pending patent application 2. Sensitive information related to Johns Hopkins operations, finances, legal matters, audits, or other business or academic activities 3. Sensitive information related to donors and potential donors 4. Information security data, including passwords and information about security-related incidents occurring at Johns Hopkins 5. Internal memos, correspondence, and other documents or information whose distribution is limited as intended by the author and/or administrator. IT Resources information technology ( IT ) resources of Johns Hopkins, which include, but are not limited to host computers; file, application, communication, mail, fax, Web, and print servers; workstations; stand-alone computers; laptops; handhelds; printers; software; data files on machines and on other storage media; hubs, routers, cables; and all other internal and external computer and communications resources. IT Resources acquired by Johns Hopkins are considered JH property. Johns Hopkins and JH Are used interchangeably and include The Johns Hopkins University (excluding APL); The Johns Hopkins Health System Corporation, which includes Johns Hopkins Hospital; Johns Hopkins Bayview Medical Center; Howard County General Hospital; Johns Hopkins Community Physicians; and all of the schools, divisions, departments, and affiliated corporations of any or all of these entities. Network and JH Network IT Resources inter-connected in order to provide IT services to the JH community. The JH Network is composed of both wired and wireless components that are connected using a variety of network resources. Examples of network resources are hubs, routers, cables, switches, and wireless access points. Restricted Includes confidential and Internal-use-only. Security Device IT Resources that provide for the confidentiality, integrity and availability of the IT resources connected to the JH Network. Examples of Security Devices include vulnerability scanners, network firewalls, password crackers and network/server intrusion detection sensors. Unrestricted This classification covers information that can be disclosed to any person inside or outside Johns Hopkins. Although security mechanisms are not needed to control disclosure and dissemination, they may still be required to protect against unauthorized modification and destruction of information. SPONSORSHIP 43

47 Johns Hopkins recognizes that each principal entity or division of Johns Hopkins operates with relative independence, and each such entity or division is encouraged to develop, maintain, and publish specific procedures and practices, including authorization procedures, to implement these Policies according to its own academic or business needs. ENFORCEMENT The failure by Covered Personnel to comply with these Policies may result in loss of access to some or all of IT Resources and/or loss of access privileges to IT Resources. In addition, violators of these Policies may be subject to criminal and/or civil penalties and to disciplinary action, up to and including termination. REVIEW CYCLE These Policies will be reviewed at least every two (2) years. USE OF IT RESOURCES Acceptable use of IT Resources is use that is consistent with Johns Hopkins missions of education, research, service, and patient care, and is legal, ethical, and honest. Acceptable use must respect intellectual property, ownership of data, system security mechanisms, and individuals rights to privacy and freedom from intimidation, harassment, and annoyance. Further, it must show consideration in the consumption and utilization of IT Resources, and it must not jeopardize Johns Hopkins not-for-profit status. Incidental personal use of IT Resources is permitted if consistent with applicable JH and divisional policy, and if such use is reasonable, not excessive, and does not impair work performance or productivity. Unacceptable use of IT Resources includes, but is not limited to: 1. Unauthorized access to or unauthorized use of JH IT Resources 2. Use of IT Resources in violation of any applicable law 3. Harassing others by sending annoying, abusive, profane, threatening, defamatory, offensive, or unnecessarily repetitive messages, or by sending s that appear to come from someone other than the sender 4. Any activity designed to hinder another person s or institution s use of its own information technology resources 5. Privacy violations (e.g., disclosure or misuse of private information of others) 6. Installation of inappropriate software or hardware on IT Resources (e.g. network or password sniffing software, offensive applications, and malicious software). 7. Any use of copyrighted materials in violation of copyright laws or of vendor licensing agreements (e.g., illegal downloading and/or sharing of media files or computer software) 8. Intentional, non-incidental acquisition, storage, and/or display of sexually explicit images, except for acknowledged, legitimate medical, scholarly, educational, or forensic purposes. Exposure and/or display of such material may be offensive, constitute sexual harassment or create a hostile work environment 9. Security breaches, intentional or otherwise, including improper disclosure of a password and negligent management of a server resulting in its unauthorized use or compromise 10. Commercial use of IT Resources for business purposes not related to Johns Hopkins 11. Use, without specific authorization, to imply JH support (as opposed to personal support) for any position or proposition 12. Use to engage in activities, including for example certain political activities, prohibited to tax exempt 501 (c) (3) organizations or that otherwise may result in a hostile work environment. USE The JHU systems are used to support Johns Hopkins mission and to allow effective communication between faculty, staff, students, and business associates. These systems vary substantially in size, scope and sophistication. Policies and procedures regarding storage, back-up and archiving also vary substantially across JH. In addition, there is no single archive system for the entire institution. Back-up, storage and archiving of important messages are the responsibility of each individual user. transmission over the Internet is inherently insecure and subject to security breaches that include message interception, message alteration, and spoofing. Users of JH systems should not assume the confidentiality or integrity of any message that is sent or received via the Internet. While the transmission and receipt of messages is generally reliable, timely delivery of time-sensitive information cannot be guaranteed. POLICY The JHU systems are not to be used for any personal solicitation activities or fund-raising activities other than those that are directly related or sponsored by the JHSON. The following are examples of activities for which the JHU may not be used: 44

48 The solicitation for the sale of non-jhson fund-raising products (e.g. Girl Scout cookies, gift wrap, cookies or dough) Donations for non-jhson organizations The sale of personal items, unless they are a sanctioned JHSON activity as approved in writing by the Dean s Office All students, faculty and staff are provided an official JHU/JHMI account. All official communications from the school will be sent to the university-provided account. Students, faculty and staff are expected to check this account regularly. Acceptable use of is use that is consistent with the Use of IT Resources Policy. Unacceptable use of Johns Hopkins systems includes, but is not limited to: 1. Harassing others by sending annoying, abusive, profane, threatening, defamatory, offensive, or unnecessarily repetitive messages 2. Sending/receiving individually identifiable health information, social security numbers, passwords, or any other Confidential information via the Internet without making reasonable accommodation for the security of such information 3. Sending messages from a personal account that is not owned by the sender without prior approval of the owner 4. Concealing the identity of the sender, impersonating another, or representing that the sender is someone other than the actual sender 5. Using JH to assert or imply that personal views or opinions are the institutional views or opinions of JH 6. Using JH systems or address information for any commercial purpose not related to JHBroadcasting communications to users or JH systems without the proper institutional or divisional approval. Such communications are subject to approval by designated JH officials 7. Intentional distribution of messages that contain viruses, worms, or other malicious code. ANTI-VIRUS POLICY Electronic viruses, worms, and malicious software are constant threats to the security and safety of computer networks and computing environments. These threats can be minimized by using protected equipment and practice of safe computer habits. All devices vulnerable to electronic viruses must be appropriately safeguarded against infection and retransmission. Johns Hopkins has licensed anti-virus software for use by faculty, staff, and students. It is the responsibility of every user to ensure that anti-virus protection is current. Infected devices may be blocked and/or removed from the JH Network by IT@JH or appropriate departmental personnel. Effective anti-virus protection includes, but is not limited to: 1. Installing anti-virus software on all vulnerable devices 2. Configuring anti-virus software to provide real-time protection 3. Updating anti-virus software with new virus definition files as soon as available 4. Utilizing automated anti-virus updates 5. Executing virus scans on a frequent schedule 6. Refraining from opening attachments from unknown, suspicious, or untrustworthy sources 7. Refraining from downloading files from unknown or suspicious sources 8. Avoiding direct disk sharing with read/write access unless there is a business requirement to do so 9. Scanning removable media for viruses before use. USE OF CAMERA CELL PHONES IN CLINICAL SETTINGS The use of cell camera phones to capture protected health information is a violation of HIPAA, and, therefore, prohibited in all clinical settings. JHH would like to remind all that there have been incidents recently involving pictures inappropriately taken within the hospital using camera cell phones and that cell phones prohibited in all clinical settings Text messaging is not permitted during on and off-campus clinical activities or during lab sessions. INTELLECTUAL PROPERTY AND COPYRIGHT INFORMATION Copyrights exist for any original work of authorship fixed in a tangible medium of expression. Computer images, computer software, music, books, magazines, scientific and other journals, photographs, and articles are just some 45

49 examples of property subject to copyright. A copyright notice is not required. It is a violation of law to copy, distribute, display, exhibit, or perform copyrighted works without permission from the owner of the copyright. The university provides many programs and data which have been obtained under contracts or licenses stating that they may not be copied, cross-assembled, or reversed compiled. You are responsible for determining whether or not programs or data are restricted in this manner. If it is unclear whether you are personally permitted to download something, assume that you may not again, a copyright notice is not required. Contact Information Technology Services with questions regarding software usage and licensing issues. Most songs are protected by copyright. This most likely means that it would be illegal to share any MP3s on your computer. The Recording industry Association of American (RIAA) has alerted JHU to numerous cases of JHU students putting hundreds of copy righted songs on sites connected to the university network. Putting copyrighted songs on sites and downloading them in any file format, MP3 or otherwise, can amount to serious violation of U.S. and foreign copyright law. Persons who put copyrighted music on sites, and those who download it, subject themselves to civil and criminal consequences. Downloading, uploading, or using copyrighted files in violation of law means that action can be taken against you by the copyright owner. The university will not provide you with legal defense or any indemnity against the award of damages, should action be taken. You can be sued for possessing even one illegal MP3 and may be liable for damages of $250,000 per illegal file. JHSON PRINTING AND PHOTO COPYING POLICY To reduce the amount of paper waste, control increasing costs, and provide better printing options to our students, the JHSON implemented a printing and photo copying control system in May We utilize Centric Business Systems for this service, the same company that provides the printing solution used in the Bloomberg School of Public Health (SPH). PRINT QUOTAS AND COSTS All other schools within Johns Hopkins University also implement controls on student copying and printing. Most do not provide free printing, and the costs range from $.04 to $.10 per page. When we initially implemented our system, we matched the quotas and costs currently offered by the SPH. All SON students (BS, MSN, DNP, PhD) were given a quota of 1000 free black and white prints or photo copies each academic year (June 1 to the following May 31 thereafter). This quota schedule has proven to be problematic, given the variety of start and end times of our programs, and the fact that many of our pre-licensure program students continue on to other graduate programs. For this reason, we will implement a change to the quota system to better accommodate program start and end times. This change will go into effect on July 1, At that time, annual quotas will increase from 1000 to 1500 prints. However, this quota will be spread out through the year. Students will be given a quota of 250 prints when they are first admitted to the School of Nursing. This free quota will then be reset to 250 prints every two months (on January 1, March 1, May 1, July 1, September 1, and November 1). Any unused free prints will not carry over. Any prints or copies beyond 250 within the two month cycle will be billed to the student s ISIS billing account at $.04 per page. JHUSON Student Printing/Copying Costs Free Prints or Copies 1500 per year, 250 free prints every 2 months (no carryover) Cost per page (single-sided) $.04 after free quota Most students do not exceed their quota. The SON will continue to bear most of the cost of student printing and copying. We anticipate that implementing these limits will reduce wasteful printing. The new schedule is not intended to limit free printing, but will allow us to fairly allocate when quotas are reset given the variety of program start times. WIRELESS PRINTING AND RELEASE STATIONS The Centric system has been upgraded, and now allows students to print from their laptop computers (Mac or Windows) to any student printer in the building. We also now have print release devices at each printer, so that a student knows how much a print job will cost before releasing the job to print. RECYCLING We also encourage everyone to continue recycling efforts. Special containers for paper products are located throughout the building. If you have to print, recycle the pages once you have finished using them. 46

50 QUESTIONS? If you have any questions or concerns about this plan, please contact the Assistant Dean for Information and Technology Integration, or the Associate Dean for Enrollment Management & Student Affairs. 47

51 APPENDIX A OFFICE OF THE REGISTRAR INDEPENDENT STUDY/RESEARCH FORM Name of Student (Print) Semester/Year Credit: Undergraduate Graduate Number or assigned credit hours Student Description of Project: Upon completion of this independent study/research/internship, the faculty supervisor will submit a grade to the Office of the Registrar. (Refer to respective academic manual for details concerning the School s policy about independent study.) Student Signature Date Faculty Supervisor Signature Faculty Supervisor Name (Print) Faculty Advisor Signature Faculty Advisor Name (Print) Revised April 2014 Completed forms to be submitted to the Registrar s Office, Student House room 210

52 APPENDIX B OFFICE OF THE REGISTRAR TRANSCRIPT REQUEST Name of Requestor (print) Date of Request Number of Copies (up to 5) Please Check: OFFICIAL UNOFFICIAL Delivery Instructions (please check): Mail Pick-up (allow two business days from request date) Mail To: (please leave blank if transcripts are to be picked up.) Special Instructions and Personal Information: Date Needed: Send Immediately Hold for Semester Grades Hold for Degree Last 4 Digits of SSN Date of Birth Former Name (if any) Dates of Attendance Under the provisions of the Family Educational Rights and Privacy Act of 1974, as amended by Buckley, transcripts cannot be released without the signed authorization of the student. Signature Contact Number ***Please note: University policy does not permit the issuing of transcripts for any student with any outstanding obligation. RO: Preparer s Initials Date Sent Notations Name Date updated April 2014

53 APPENDIX C REQUEST FOR LEAVE OF ABSENCE OR WITHDRAWAL Students must sometimes interrupt their studies for a variety of reasons (financial, academic, or personal). A student may leave the Johns Hopkins School of Nursing (JHSON) by either taking a leave of absence (leaving the school temporarily with the firm and stated intention of returning) or by withdrawing from the school (leaving the school with no intention of returning). It is expected that a student will meet with academic/faculty advisor to discuss this decision and/or use the academic resources available to assist with this decision. Submit this form to the Associate Dean for Enrollment & Student Affairs via or by dropping it off at the Enrollment Management & Student Affairs Office in room 313 of the Student House. Make an appointment for a meeting or conversation with the Associate Dean for Enrollment & Student Affairs (conversation can be face-to-face, over the phone, Skype or through ). Name: ID: Address: Phone (H) (C ) Academic Program & Level/Semester: Please check the appropriate box: I am planning to withdraw from JHSON. I am requesting a Leave of Absence and plan to return on (date) Reasons for Request/Please check the appropriate box: Academic Finances Medical Military Service Personal Other (Briefly Describe) RETURN TO: Associate Dean for Enrollment Management & Student Affairs, Student House 313. I understand this is a request form and I must have a meeting/conversation with the Associate Dean for Enrollment Management & Student Affairs concerning my request to leave JHSON. Student Signature: Date:

54 APPENDIX D CONFIDENTIALITY AGREEMENT FOR STUDENTS I understand that I may come in contact with various types of information in my studies or through engaging in my academic program at Johns Hopkins. This information may include, but is not limited to, information on patients, employees, plan members, students, other workforce members, donors, research, and financial and business operations. Some of this information is made confidential by law (such as protected health information or PHI under the federal Health Insurance Portability and Accountability Act) or by Johns Hopkins policies. Confidential information may be in any form, e.g. written, electronic, oral, overheard or observed. I also understand that access to all confidential information is granted on a need-to-know basis. A need-to-know is defined as information access that is required in order to engage in my studies or to complete my approved academic requirements program at Hopkins. If my course of study changes, my need to know also may change. I will protect the confidentiality of all confidential information, including PHI, while at Johns Hopkins. I will not share PHI with those outside of Hopkins unless they are part of my studies or educational program at Johns Hopkins. I will not remove any confidential information from Johns Hopkins except as permitted by Johns Hopkins policies or specific agreements or arrangements applicable to my situation. If I knowingly violate this agreement, I will be subject to expulsion from my studies or educational program at Johns Hopkins. In addition, under applicable law, I may be subject to criminal or civil penalties. I have read and understand the above and agree to be bound by it. I understand that signing this agreement and complying with its terms is a requirement for my studies or enrollment in an educational program at Johns Hopkins. Name (Print): Signature: Daytime Phone: Date: Hopkins Educational Program: Johns Hopkins Badge #: USE OF CONFIDENTIAL INFORMATION AT JOHNS HOPKINS It is important that the entire Johns Hopkins Medicine community share a culture of respect for confidential information. To that end, if you observe access to or sharing of confidential information that is or appears to be unauthorized or inappropriate, please try to make sure that this use or disclosure does not continue. This might include advising the person involved that they may want to check the appropriateness of the use or disclosure with the Johns Hopkins Privacy Officer or the Health System or University Legal Counsel. It may also involve notifying your instructor or others in authority at the Health System or the University. Completed forms to be submitted to the Associate Dean for Enrollment Management and Student Affairs room 313.

55 APPENDIX E BLOODBORNE PATHOGEN WORKSHEET (Policy located on pages of this manual) *To be completed by clinical faculty immediately after an exposure is reported. Student Name Date of Incident Time of Incident Clinical Site Location 1. Description of Incident: include (a) activity at time of exposure (e.g. needle stick while removing vacutainer needle from barrel after blood draw); (b) part of body exposed (e.g. left thumb); (c) type of device (e.g. contaminated vacutainer needle); (d) severity or depth of injury (e.g. residual blood on needle tip, broke surface of skin, minimal bleeding). 2. Treatment of Exposed Area: include (a) actions taken (e.g. washed wound with soap and water or see attached ED sheet) and (b) timing of actions (e.g. washed within 3 minutes of exposure) 3. Source/Patient: include (a) patient Name and (b) history number or social security number (e.g. John Doe, HX # ) or record unknown source. 4. Risk Status of Source/Patient: refer to the attached definitions section and list any high risk conditions (e.g. injection drug user, unprotected sex with multiple partners) as acknowledged by the patient or providers; or record none known or denies all high risk conditions ; use patient/provider quotes. 5. Patient Test Results/Tests Ordered: include (a) Names of all blood tests performed in the past and tests ordered at the time of exposure (e.g. HBV antigen, anti-hcv or Western blot); (b) dates; (c) results e.g. positive, negative, or pending; and (d) locations (e.g. lab/hospital name or record never tested or not ordered. Do not allow HIV test to be sent to the state laboratory. We want a turnaround time of < 5 days. a. HBV b. HCV c. HIV* *If HIV positive, include patient medications (including past failed meds). Current CD4 count & viral load.

56 6. Order-Writing Person: include (a) Name; (b) title, and (c) phone number(s) of person(s) authorized to write orders for patient (e.g. Jane Doe, CRNP; ) 7. Student HBV Status: include (a) approximate dates (all 3) of HBV vaccine and (b) date and results of any HBV titer or record no HBV vaccine or no HBV titer. 8. Last Student Tetanus: include approximate date or number of years since last tetanus 9. Exposure Information: indicate (a) whether student received and/or reviewed Exposure booklet; and (b) any counseling given or other information/comments 10. Student Decision: indicate whether student decided to contact 5-STIX for PEP counseling use student quotes: Print Name of Faculty Completing Worksheet Date Worksheet Completed Then, as indicated: 1. Call the Hotline at STIX ( ) to review worksheet and for student to receive PEP counseling. 2. If directed by the Hotline, arrange immediate transportation to the Occupational Injury Clinic (Blalock 139 Johns Hopkins Hospital) or other site as directed by OIC. 3. Fax worksheet (all sides) ASAP to the Occupational Injury Clinic at ; Attention: Conrad Utanes, RN, Clinic Manager. Mark form confidential. Instruct student to schedule a follow-up visit by calling (410) Deliver the original form to the Course Coordinator who will review it and forward to the Associate Dean for Academic Affairs and the Associate Dean for Student Affairs. 5. Questions? Call Associate Dean for Enrollment Management and Student Affairs at or on beeper at

57 APPENDIX F POST EXPOSURE PROPHYLAXIS (PEP) CONSENT I hereby consent to receive PEP for an HIV exposure. I have read or had read to me the information regarding the use of anti-retroviral drugs as given to me by health care professional in JHH Occupational Health. I have been given the opportunity to ask questions with a Health Care Professional and understand that there are possible risks involved in taking anti-retroviral drugs. I have read the drug information regarding the medication. I understand these drugs are not FDA approved to prevent infection after an exposure on the job and that the use of anti-retroviral drugs in this way is considered experimental. In spite of this and a lack of scientific understanding and research, I have freely decided to take the anti-retroviral drugs. Healthcare Worker Consenting Employee JHSON Student Signature Date (Print Full Name) DECLINATION STATEMENT I have read or had read to me the information about PEPE and have had an opportunity to discuss the use of the anti-retroviral drugs with a Health Care Professional and I decline PEP at this time. Healthcare Worker Consenting Employee JHU SON Student Signature Date (Print Full Name) POST EXPOSURE FOLLOW UP This is to certify that I have been given follow up dates to have the appropriate blood testing and/or treatments. I understand it is my responsibility to return to clinic on the due dates that have been given to me. Healthcare Worker Consenting Employee JHSON Student Signature Date (Print Full Name)

58 INFORMATION FOR FEMALE HEALTHCARE WORKERS/JHSON STUDENT OF CHILDBEARING AGE Post Exposure Prophylaxis (PEP) includes the administration of COMBIVIR (this is a combination of AZT and 3TC). AZT is considered to have few side effects in the last 6 months of pregnancy and in pregnant women already infected with HIV; AZT can prevent maternal fetal transmission. A study by the National Cancer Institute (NCI) demonstrated an increase in incidence of liver, lung and genitor-urinary tumors in the offspring of mice receiving high doses of AZT (near maximum tolerated dose) during days of gestation. A second study at Glaxo-Wellcome, Inc., demonstrate no increase in incidence of tumors in offspring of mice receiving a variety of regimens of AZT in doses and schedules intended to simulate clinic drug regimens. "Pregnancy should not preclude the use of optimal PEP regimens, and PEP should not be denied to a HCW solely on the basis of pregnancy". However, as discussed previously, an occupationally exposed pregnant HCW must be provided with full information about what is known and not known regarding the potential benefits and risk associated with use of the anti-retroviral drugs to her and her fetus for her to make an informed decision regarding the use of PEP. The choice of anti-retroviral drugs to use for PEP in pregnant HCW's is complicated by the potential need to alter doing because of physiologic changes associated with pregnancy and the potential for short or long term effects on the fetus and newborn. Thus, considerations that should be discussed after the HCW has read the information booklet regarding the potential risk for HIV transmission based on the type of exposure: the stage of pregnancy (the first trimester being the period of maximal organogenesis and risk for teratogenesis)" and what is known about the pharmacokinetics, safety and tolerability of the drug or combination of drugs in pregnancy" - MWR 1998:47(No.RR-7):21. NIH review and recommendation is that Combivir can be given to pregnant women with HIV infection because the risk; benefit ratio is acceptable. With a low probability event such as exposure of a healthcare worker (the risk of occupational transmission of HIV is 0.3% or about one infection for every 330 exposures), the risks usually outweigh the benefits. WAIVER I have read and discussed the above information on Combivir regarding the risks inherent in taking Post Exposure Prophylaxis in women of childbearing age. If I have been prescribed another anti-retroviral medication, I have read the drug insert/handout that was given to me by Pharmacy. I have been advised and understand the risks to an unborn child, however, I refuse to take the recommended pregnancy test, or I already know that I am pregnant and I want to be started on PEPE immediately. On my behalf and on behalf of my unborn child, I hereby release The Johns Hopkins Health System, The Johns Hopkins Hospital, the Johns Hopkins University, their officers, agents and employees from any and all claims associated with my electing to take Post Exposure Prophylaxis. Witness Signature of JHSON Student Date

59 APPENDIX G INTERNATIONAL CLINCIAL PLACEMENT PARTICIPANT AGREEMENT FORM Name: (PRINT) Date: Please read the following statements, and sign your name at the end of this document. This form is to be completed and turned in with your application. As a School of Nursing student applicant to an International Clinical Placement, I will agree to the following conditions: 1. I assume full responsibilities for expenses associated with this clinical experience, airfare, lodging, transportation, food, and any miscellaneous expenses. 2. I am aware that in the event that I must return to the United States before completing this clinical experience, (personal or other reasons), I am required to complete the clinical rotation in the Baltimore region in an assigned location. The course coordinator will determine the number of hours to complete the course objectives. Faculty will make every attempt to facilitate the completion of the clinical hours as soon as possible upon student s return. 3. I will obtain Antiretroviral (ARV) medications prior to departure and carry them with me throughout the time that I am away. In the event of a blood-borne pathogen exposure that requires the use of ARV medication, I must return to the United States for treatment and follow-up. I will follow the Johns Hopkins University School of Nursing policies related to blood borne pathogen exposures. I will be responsible for any additional costs for returning to the United States. I understand that travel insurance may cover some of these costs, if I choose to purchase this. 4. I will meet all Centers for Disease Control and host country health clearance requirements prior to departure. 5. I hold a current passport that will still be current within six months after the projected travel time post completion of the practicum. 6. If applicable, it is my responsibility to obtain a visa and other travel documents as necessary for me to work clinically in the international site. 7. I will complete the data pre-departure forms and submit these forms to the Center for Global Nursing prior to departure as required by the Centers policies. 8. I will register with International SOS prior to departure. 9. I will register with the United States Department of State through the STEP program I will not ride a motorcycle while in the international country where I am traveling or working and will consider my personal safety at all times, considering that I am a representative of the profession of nursing, of the Johns Hopkins University, and of the U.S. 11. If applicable, I will have either internet access or cell phone access during my stay in the host country. I am responsible for all charges incurred when communicating with Johns Hopkins School of Nursing faculty throughout the clinical practicum. 12. I acknowledge that if I violate any of the conditions stated in this Agreement or any of the other documents required for my participation in this practicum, I may not be permitted to participate in the program, and/or I may be required to return to the United States, bearing full costs of my early return. By my signature below, I affirm that I have read the conditions of this agreement and all other documents required for my participation in the program and agree to abide by and perform the conditions. Signature: Date: Revied 3/15

60 APPENDIX H RELIGIOUS OBSERVANCE NOTIFICATION FORM The religious observance notification procedure is based on the operating principle that you will act in accordance with the Johns Hopkins School of Nursing Academic Ethics Policy. This form can only be used as notification of an absence necessitated by observance of a religious holiday. You are expected to notify your Program Director that you will miss class/clinical in order to observe a religious holiday by completing and submitting the RELIGIOUS OBSERVANCE NOTIFICATION form to the appropriate Program Director no later than four weeks prior to the date of the holiday. Because religious holidays are scheduled in advance, instructors have the right to insist that course work to be missed should be completed prior to an anticipated absence in accordance with the course attendance policy. Your signature on the form affirms your compliance with the Johns Hopkins School of Nursing Academic Ethics Policy. Given the time limitations inherent in completing end of semester assignments or making up a missed final exam, this procedure cannot be used during the final exam period. You are expected to take final examinations at the scheduled times and to complete end-of-semester work by the deadlines set by the instructor. Student name: Student ID # Program: Baccalaureate Masters DNP PhD If MSN, indicate specialty: I regret that I will be unable to attend class for the following course(s),, on because I will be observing the religious holiday, which takes place on this date. I will meet with the Theory/Clinical Course Coordinator prior to the date of my absence to make necessary arrangements for meeting my course obligations according to course policy. In making up missed work, I pledge that I will not obtain any information of any kind by any means that would provide me with an unfair advantage over other students in this course. I understand that I am expected to submit this form prior to the date when I will miss class in order to observe the religious holiday noted above. Johns Hopkins School of Nursing Academic Ethics Policy Johns Hopkins School of Nursing is a community dedicated to scholarship, leadership, and service and to the principles of honesty, fairness, respect and accountability. Citizens of this community commit to reflect upon and uphold these principles in all academic and non academic endeavors, and to protect and promote a culture of integrity. To uphold the Johns Hopkins School of Nursing Academic Ethics Policy: I will not lie, cheat, or steal in my academic endeavors; I will conduct myself honorably in all my endeavors; and I will act if the Standard is compromised. My signature below affirms my compliance with the Johns Hopkins Community Standard. Student Signature Date Program Director Date COMPLETED FORM TO BE SUBMITTED TO PROGRAM DIRECTOR. APPROVED form will be scanned and ed to the Clinical and/or Theory Coordinator and the Associate Dean for Enrollment Management and Student Affairs. updated April 2014