NAVARRO COLLEGE ASSOCIATE DEGREE NURSING STUDENT HANDBOOK. Academic Year

Transcription

1 NAVARRO COLLEGE ASSOCIATE DEGREE NURSING STUDENT HANDBOOK Academic Year Revised: August 2002 Updated: August 2004, August 2005, August 2006 Reviewed / Updated: May 2007, June 2007, May 2008, April 2009, May 2010, April 2011, April 2012 Proposed Effective Dates: August 2012 August 2013 Approved: ADN Faculty 4/12 Scheduled Approval: Navarro College Board of Trustees 5/24/2012

2 NAVARRO COLLEGE ADN STUDENT HANDBOOK TABLE OF CONTENTS I. INTRODUCTION Preface... 1 Equal Opportunity Statements... 1 Welcome... 2 Program Accreditation... 2 II. III. ADN PROGRAM OVERVIEW Overview & History... 3 NCLEX-RN Pass Rates... 3 List of Faculty & Staff Program Mission Statement... 5 Program Philosophy... 5 Overview of Curriculum and Organizing Structure... 7 Curriculum Concepts and Threads... 7 Comparison of Navarro College and ADN Mission and Philosophy... 9 Program Outcomes Program Learning Objectives Program Completion & Degree Plan Requirements POLICIES Academic Advisement (In-Program) Accident/Injury Reporting Admission Steps Estimated Expenses Navarro Chapter of National Student Nurse Association (NSNA/TNSA) Attendance Blood & Body Fluids Exposure Guidelines Clinical Facilities Clinical Uniform Requirements/Guidelines Communication (Methods/Devices) CPR Certification Student Employment Exit Interview Conference Grading (Course Grades) Legal Requirements for Licensure Legal Witness Liability Insurance Health Insurance Make-Up Exams Medication Dosage Competencies Medication Administration Competencies Tutorial Services Title IV Compliance Academic Honesty Professional Conduct and Integrity Progression in the Program Readmission to the Program Students with Disabilities Special Population Students Resolution of Grievances within the ADN Program Standardized Testing (HESI Exit Exam) Student Evaluation of Program/Courses/Faculty Student Self-Evaluation of Learning... 35

3 NAVARRO COLLEGE ADN STUDENT HANDBOOK Student Representation on Program Committees Student Records & Papers Testing Test Review & Student Input RE: Exam Items Transfer Students Travel Requirements Unsafe &/or Unsatisfactory Clinical Performance Student Success Initiative Requirements for Clinical Placement (Screenings/Criminal Background) Applicant Health Screening Student Substance Abuse/Chemical Dependency Student Acute and Chronic Illness Medical Statement RE: Absence Criminal Offenses Arrest/Adjudication/Conviction While Enrolled in the Program EEOC Statement Electronic Devices in the Classroom Food and Beverages in Classrooms Notice Regarding Schedules and Syllabi Texas Board of Nursing Medication Administration Occurrence Policy Clinical Supervision Guidelines Textbooks IV. Appendix A: FORMS not provided in a course syllabus... Appendix A, pp1-28 Vaccine Recommendations for Health Care Personnel... 1 Drug Screening / Criminal Background Acknowledgment Form... 2 Release Forms- Student Written Work and Name and Confidentiality Agreement... 3 Student Travel Release Form... 4 Exit Interview Conference Forms... 5 Exit Interview Student Response Forms... 6 Application Worksheet including Admissions Ranking Form... 7 Health Occurrence Form... 8 Medication Error Forms... 9 Pharmacology Error Form Medication Error NCC MERP Index form NCC MERP Index Categorizing Medication Errors Algorithm Handbook/Policies Acknowledgment & Signature Forms BON State Laws and Rules Web Site Reference Page Confidentiality Agreement Form and Test Security Acknowledgement Forms Orientation Check List Student Contact Hour and Credit Hour Load Charting Rules from Joint Commission Campus Safety Plan Personal Data Sheet Plan Space left for adding forms:

4 NAVARRO COLLEGE ADN STUDENT HANDBOOK V. APPENDIX B: BON -TEXAS NURSING STATUTES... Appendix B, p1 (Web site descriptions and names only-no pages or text included in this appendix.) Refer to page 20 of forms section for list of essential reading Texas laws and BON rules) Faculty and students are required to maintain a current copy of select booklets published by the Texas BON regarding nursing practice and nursing education. (Student textbook requirement) The Board of Nursing web site is bon.state.tx.us. VI. APPENDIX C: DECs (Differentiated Essential Competencies) required by BON Refer to for the complete list of Knowledge and Clinical Competencies for Associate Degree Nursing Graduates. Also, find these competencies threaded through the theory and clinical course syllabi.... Appendix C, p 1 VII. APPENDIX D: SGA (Student Government Association) SGA pages Appendix D, pp1-7 VIII. IX. APPENDIX E: Orientation Guidelines... Appendix E, p1 APPENDIX F: Admissions Information and Forms... Appendix F, pp1-8 X. APPENDIX G: Preceptor Booklet and Forms... Appendix G, pp 1-35 Please copy all sections of the Navarro College Student Handbook to your personal flash drive / memory stick. These electronic documents will be on the computers in the ADN computer lab on orientation day. Faculty can assist students with access to the computer in the skills lab if you need a new electronic copy later. The electronic documents you will need to copy read first are: Table of contents pp. i-iv (you should have a hard copy of these pages Policies pp.1-43 (read the policies and procedures) Forms pp (know where to find forms later) SGA pp (note that at least one ADN student representative must attend each Monday meeting of SGA on the Corsicana campus.) Students are not expected to make a hard copy of the Handbook. Print the table of contents to assist with finding policies or forms. Access the documents from your flash drive, blackboard, or the computers in the lab at any time. NOTE: A hard copy of the Student Handbook will be maintained in each ADN classroom including the skills and computer labs

5 NAVARRO COLLEGE ADN STUDENT HANDBOOK Policy and Procedures 1 I. INTRODUCTION The following policies, guidelines, and statements are subject to on-going review and may change due to changes in the learning environment and/or due to college, legal, and/or accrediting agency mandates. Revisions and new policies will be communicated and made available as addendums to this handbook. Communication will include, but not be limited to, classroom announcements, memorandums, messages, and class handouts. Students will receive a current handbook at the beginning of each academic year. In addition, please refer to the Navarro College Catalogue and Navarro College Student Handbook for further information regarding college policies and standards as well as regulations related to student conduct. This handbook is not intended to replace official publications of the college. According to the Standards of Professional Nursing Practice, the registered nurse is to know and conform to the Texas Nursing Practice Act and Texas Board of Nursing (BON) Rules & Regulations as well as all other laws, rules, and standards. A student enrolled in a professional nursing program in preparation for licensure as a registered nurse, is responsible for knowing and following the policies of the nursing program and for learning state laws regulating nursing practice. Students purchase publications from the Texas Board of Nursing and are instructed regarding those laws and rules. Updated September 2010 Equal Opportunity It is the policy of Navarro College to provide equal opportunities without regard to race, color, religion, national origin, gender, age, disability, or veteran status. This policy extends to employment, admission, and all programs and activities supported by Navarro College. Equal opportunity shall be afforded within the Navarro College system to all employees and applicants for admission or employment regardless of race, color, gender, national origin, age, or disability. Navarro College will make reasonable accommodations for persons with disabilities.

6 NC ADN STUDENT HANDBOOK Policies and Procedures 2 WELCOME To All Incoming Associate Degree Nursing Students: Congratulations on your success in entering the Associate Degree Nursing Program at Navarro College. Nursing faculty and staff at Navarro College are committed to promoting the best possible educational experience for you. Please do not hesitate to talk to nursing program teaching staff, nursing faculty, and the department chair/program director. The ADN Student Handbook is provided as a resource tool. Other information and course requirements are provided at the beginning of each course. However, please become familiar with the contents of this handbook. If you have any questions, please feel free to ask for assistance in interpreting any of the policies. An overview of the contents of this handbook will be included as a part of your orientation to the program. Again, congratulations!! ***WE ARE COMMITTED TO YOUR SUCCESS*** The Associate Degree Nursing Program at Navarro College is accredited by the Texas Board of Nursing (BON), as well as, by the National League for Nursing Accrediting Commission (NLN- AC). Initial BON , last renewal fall, 2009, full accreditation. NLNAC initial accreditation 1996; last evaluation visit spring 2009; continued accreditation with next evaluation visit scheduled for Texas Board of Nursing (BON) P.O. Box 430 Austin, Texas Telephone: Initial Accreditation Renewed Full Accreditation with commendations Spring 2011 National League for Nursing Accreditation Commission (NLNAC) 3343 Peachtree Road NE, Suite 500 Atlanta, GA Initial Accreditation 1996 Renewed 2009 with Follow-Up Report 2011 Next evaluation visit scheduled in 2017.

7 NC ADN STUDENT HANDBOOK Policies and Procedures 3 II. ADN PROGRAM OVERVIEW GENERAL PROGRAM OVERVIEW The Associate Degree Nursing Program at Navarro College assists students to achieve educational and career goals to obtain employment as Registered Nurses. Students who complete the program receive an Associate Degree in Applied Science. Graduates are prepared to make an application for licensure as a Registered Nurse and to take the National Council Licensure Examination for Registered Nurses, known as the NCLEX-RN. Graduates must also meet legal requirements for licensure as mandated by the Texas Board of Nursing or the state in which initial licensure is sought. Upon completion of licensure requirements and successful completion of the NCLEX-RN, the graduate is eligible to practice as a Registered Nurse in a variety of health care settings. Brief History The Navarro College Associate Degree Nursing Program was initially a part of the El Centro Nursing Program of the Dallas County Community College District. The program was known as El Centro- Navarro College Cooperative Program. The first class of the cooperative program graduated in May The program became the Navarro College Associate Degree Nursing Program in fall 1982 and the first class graduated in May NLN-AC Accreditation History The program is accredited by the Texas Board of Nursing (BON) as well as nationally accredited by the National League for Nursing Accrediting Commission (NLNAC). National accreditation allows graduates to be more marketable when seeking employment at some agencies and also allows for easier admission to RN to BSN programs. Initial national accreditation by the NLNAC was sought and awarded in 1996; continuing accreditation was awarded in July 2001 and July 2009 with a desk review scheduled for fall 2011 for compliance with standards 2 and 6. Graduate Pass Rate History The program has a long history of having a high pass rate for first time NCLEX-RN candidates. Published data from the BON lists annual pass rates. Recent pass rate outcomes for Navarro College ADN graduates are provided below starting with the 1989 pass rate. History of Pass Rates 1989 to most recent % % % % % % % % % % % % % % % % % % % % % % %

8 NC ADN STUDENT HANDBOOK Policies and Procedures 4 ASSOCIATE DEGREE NURSING FACULTY & STAFF Fall 2012 ADN Program Director Betty Shumate, MS, RN [email protected] Office Telephone FAX Health Professions Administrative Assistant Pending Office Telephone # FAX# Full-time Faculty (preferred phone contact is in each course syllabus) Rosemary Bell, RN, MS, ANP-C [email protected] Lisa Lindsey, MSN, RN [email protected] Alaine Long, MSN, RN [email protected] Patricia M. Lucas, MS, RN [email protected] Delores Price, MSN, CEN, CNE, CMS, RN [email protected] Cathy Van Zandt, RN, MSN [email protected] Sherry Wright, MS, MSN, RN, CNE [email protected] Part-time Faculty Doris Jeanette Collins, MSN, RN Tonya Hill, MSN, RN Sigrid Jones, MSN, RN Johnes Monyoncho, BNS, RN Kathy Porter, MSN, RN Kathy Rozelle, MS, RN Dorothy Thompson, BSN, MSN, RN Christina Thomson, MSN, RN Lisa Updegrove, MSN, RN ADN Program Assistant Elizabeth Stroud, BSN, RN Office telephone # [email protected] [email protected] [email protected] [email protected] [email protected] [email protected] [email protected] [email protected] [email protected] [email protected] Faculty telephones include voice mail, which accepts messages 24 hours a day. Faculty can access the voice mail from remote locations. Office telephone numbers and other instructor contact information is provided to students through the course syllabus. The Program Director can be reached during regular office hours at , , or Waxahachie Fax# Corsicana Fax#

9 NC ADN STUDENT HANDBOOK Policies and Procedures 5 ASSOCIATE DEGREE NURSING - MISSION STATEMENT The mission of the Navarro College Associate Degree Nursing Program is to prepare students (1) for employment in health care settings as safe, effective, competent registered nurses within the role of the Associate Degree Nurse and (2) for entering a higher level of nursing education. ASSOCIATE DEGREE NURSING - PHILOSOPHY The Department of Nursing functions within the framework of and subscribes to the purpose and mission statements of Navarro College. The philosophy of the Department of Nursing is congruent with the values reflected in the college purpose and mission. The following statements delineate our beliefs relative to nursing practice, practice of the associate degree graduate, nursing education, and the teaching-learning environment. Nursing Practice Nursing is a health profession, a service, a discipline, and a process which assists individuals to attain, to maintain, or to regain their optimum states of health or to support them toward a peaceful, dignified death. As a process, nursing involves critical thinking, clinical competence, accountability, and a commitment to caring. Nursing as a profession advocates an educational, ethical, and legal framework designed to promote quality care for the individual. In meeting the health needs of individuals and groups, the unique contribution of nursing is the creative synthesis of elements from related sciences and humanities with the evolving art and science of nursing. The means to transform this knowledge into a service is the nursing process. Intellectual, interpersonal, and technical skills are all necessary to perform the nursing process. Nursing practice is a supporting/assisting service and a discipline which utilizes cognitive, psychomotor, and affective skills from the bio-psychosocial and nursing sciences. Nursing practice uses a decision-making process / problem-solving process in assessing the individual s needs, diagnosing human responses to health problems, as well as planning, implementing and evaluating nursing measures. Practice of the Associate Degree Graduate The practice of a graduate from an associate degree nursing program is demonstrated in four basic roles: member of the profession, provider of patient-centered care, patient safety advocate, and member of the health care team. Member of the Profession In the role as a member within the profession of nursing, the Associate Degree graduate is prepared to value professional growth, learning as a life-long process, and self-development/selfcare. Additionally, the Associate Degree graduate is prepared to function within the ethical and legal framework of nursing and to promote high standards of nursing practice. The Associate Degree graduate participates on institutional committees, attends appropriate continuing education offerings, and belongs to professional nursing organizations in order to contribute to the improvement of nursing and nursing practice. Provider of Patient-Centered Care In the role as provider of care, the Associate Degree graduate is prepared to provide direct care for individuals across the life span in a variety of health care settings where policies and procedures are specified and guidance is available. Settings include those that provide opportunity for health promotion, illness prevention, or a dignified death.

10 NC ADN STUDENT HANDBOOK Policies and Procedures 6 Nursing Process: The Associate Degree graduate is prepared to utilize the nursing process as a basis for decision-making. The nurse establishes and analyzes a database, identifies health problems/needs, selects nursing diagnoses, involves the client in setting individual or familycentered goals, plans and implements care utilizing evidenced-based practice to achieve the goals, and evaluates outcomes. Patient Safety Advocate In the role as patient safety advocate, the Associate Degree graduate promotes safety in the patient and family environment by: following scope and standards of nursing practice; practicing within the parameters of individual knowledge, skills, and abilities; identifying and reporting actual and potential unsafe practices; and implementing measures to prevent harm. The Associate Degree Nurse provides safe administration of medications and treatments. Member of the Health Care Team In the role as member of a health care team, the Associate Degree graduate provides patientcentered care by collaborating, coordinating, and/or facilitating comprehensive care with an interdisciplinary health care team to determine and implement best practices for the patient and their family. The Associate Degree graduate is prepared to provide and coordinate care for a group of individuals who have health care problems/needs with attention to quality of care and cost effective use of resources. In organizing nursing care, the Associate Degree graduate may delegate nursing tasks to licensed and unlicensed personnel based on their educational backgrounds and experience. The Associate Degree graduate is responsible and accountable for tasks delegated to others. Nursing Education Education is a developmental process incorporating experiences whereby an individual assimilates knowledge, develops potential, and establishes a value system. In nursing education, the responsibility of the faculty is to utilize knowledge about the student and the teaching/learning process to enhance the nursing educational environment, instilling commitment to life-long learning and promoting the value of evidence-based practice. Nursing education is a process through which the student may acquire behaviors essential for competence and accountability in professional nursing practice. The process occurs in a variety of settings and may be influenced by physical, psychological, political, economic, cultural, and social factors. Teaching-Learning Environment Faculty and students share the roles of teacher and learner, in that often the teacher learns, and often the learner teaches. Learning is enhanced in an environment in which the student is provided guidance and given opportunities for self-direction. The student has responsibility for his/her own learning. Teaching incorporates caring, student engagement, and facilitation of the learning process. Learning is facilitated when the learner exhibits readiness and motivation, participates in the decisions which influence learning, and has sufficient opportunity for meaningful practice. Faculty are responsible for managing the learning environment and facilitating achievement of the ADN mission. Accepted December Revised January 1995, July 1995, July 1996, July 1997, July 1998, February 1999, March 2000, May 2004, December 2004, May 2005, May 2007, May 2008, March 2011

11 NC ADN STUDENT HANDBOOK Policies and Procedures 7 OVERVIEW OF CURRICULUM AND ORGANIZING STRUCTURE Curriculum Concepts and Threads The nursing curriculum is designed to assist the student in meeting program outcomes and educational objectives. The curriculum flows from normal to abnormal and from basic to more advanced. Four essential curriculum concepts represent the roles of the ADN graduate nurse. Curriculum Concepts: 1. Member of the Profession 2. Provider of Patient-Centered Care 3. Patient Safety Advocate 4. Member of the Health Care Team These components are the focus of the ADN philosophy, are introduced in the first nursing course, and serve as the vehicle for presenting theory in all subsequent nursing courses in the program. The Curriculum Concepts are woven together with seven curriculum threads. (Definitions based on Critical Thinking in Potter & Perry (2001) Fundamentals of Nursing. St. Louis: Mosby, and Standards of Professional Nursing Practice TX BON NPA/Rules & Regulations.) Curriculum Threads: 1. Critical Thinking and Nursing Process (The nurse utilizes critical thinking when implementing the nurse process.) Critical Thinking - An active, organized, goal-directed, purposeful cognitive process in which situations (problems) are viewed as having more than one single solution. Critical thinking is questioning what you know and how you know it. The nurse utilizes critical thinking to determine what to do in a situation in accordance with established safety standards. Nursing Process - A systematic approach to nursing care used to provide individualized goaldirected care by performing nursing assessments for data collection, analyzing data to formulate nursing diagnoses, developing a plan of care, implementing the plan, and evaluating the individual s response to nursing interventions and evaluating the overall plan of care. 2. Differentiated Essential Competencies (DEC) for Associate Degree Nursing Role - Competence is the effective demonstration of the knowledge, judgment, skills, and professional standards and values needed to provide effective, safe nursing care in the role of the ADN Graduate.*(Appendix C) 3. Patient Safety Advocate - Nursing intervention which involves providing patient safety including medication administration utilizing the basic five rights of medication administration as well as incorporating client teaching and nursing implications. Providing, organizing, and/or coordinating care in a manner that does not jeopardize the client s well-being. 4. Support of Client & Family Individuality, Participation in Own Health Care, & Achievement of Optimal Level of Wellness - Being an advocate by assisting the client and his or her family to provide input into the plan of care in order to attain, maintain, or regain an optimum level of health or to support a dignified death. Also by assisting the client and his or her family in attaining health goals, illness prevention, and health-promoting behaviors.

12 NC ADN STUDENT HANDBOOK Policies and Procedures 8 5. Therapeutic Communication - Nursing intervention which involves specific responses, verbal and non-verbal, by the nurse to convey respect, acceptance, caring, empathy, and encourage the client or family member to express his or her feelings and ideas. 6. Teaching-Learning - Nursing intervention which involves teaching as an interactive process that promotes learning. For the nurse, teaching refers to a planned set of actions that help individuals gain new knowledge and change attitudes and behaviors. Learning refers to the attainment of knowledge which is exhibited by changes in attitude and behavior. The three basic domains of learning are cognitive, psychomotor, and affective. 7. Role of the Associate Degree Nurse - Although multifaceted and complex, the role of the associate degree nurse is demonstrated in four roles: (1) member of the profession (2) provider of patientcentered care, (3) patient safety advocate, and 4) member of the health care team. Differentiated Essential Competencies of Graduates of Texas Nursing Programs are defined by the Texas Board of Nursing for each of the four roles of the ADN Nurse and are integrated into the theory and clinical courses.

13 NC ADN STUDENT HANDBOOK Policies and Procedures 9 Comparison of ADN Program Mission and Philosophy with Navarro College Mission: Quest, Vision, Purpose, and Core Values and Navarro College Mission/Philosophy Navarro College Mission: Our Quest We pursue wisdom, truth, and knowledge for ourselves and our students. Vision Through visionary leadership, outstanding teaching, and high-quality service, Navarro College (NC) will achieve distinction as an exemplary two-year institution where quality teaching and learning prevail and students are well-prepared to engage in higher levels of education, leadership, and employment. Purpose NC seeks to maintain a stimulating and culturally diverse environment wherein students will be inspired to commit themselves to a high level of personal integrity and intellectual rigor. Through an integrated program of general education and support services, students are afforded the opportunity to develop abilities that enable them to be responsible stewards of their talents, skills, and material resources and to acquire a passion for life-long learning. An open door, public comprehensive community college, NC primarily serves the educational, civic, and business communities in Navarro, Ellis, Limestone, Freestone, and Leon Counties. The college also attracts students from the rest of Texas, throughout the United States, and many other countries, welcoming students from all cultural, educational, and socioeconomic backgrounds. NC is alert to the changing educational requirements of its constituency and the social and political forces at work within the communities it serves and responds to these changing NC ADN Program Mission: The mission of the Navarro College Associate Degree Nursing Program is to prepare students (1) for employment in health care settings as safe, effective, competent registered nurses within the role of the Associate Degree Nurse and (2) for entering a higher level of nursing education. Philosophy: The Department of Nursing functions within the framework of and subscribes to the purpose and mission statements of Navarro College. The philosophy of the Department of Nursing is congruent with the values reflected in the college purpose and mission. The following statements delineate our beliefs relative to nursing practice, practice of the associate degree graduate, nursing education, and the teaching-learning environment Nursing Practice Nursing is a health profession, a service, a discipline, and a process which assists individuals to attain, maintain, or regain their optimum states of health or to support them toward a peaceful, dignified death. As a process, nursing involves critical thinking, clinical competence, accountability, and a commitment to caring. Nursing as a profession advocates an educational, ethical, and legal framework designed to promote quality care for the individual. In meeting the health needs of individuals and groups, the unique contribution of nursing is the creative synthesis of elements from related sciences and humanities with the evolving art and science of nursing. The means to transform this knowledge

14 NC ADN STUDENT HANDBOOK Policies and Procedures 10 needs with enthusiasm, creativity, intelligence, and hard work. The college operates in harmony with its enabling statute identified in the Texas Education Code, Section , which states that the charge for each public community college shall be to provide: technical programs up to two-years in length leading to associate degree or certificates; vocational programs leading directly to employment in semiskilled or skilled occupations; freshman or sophomore course in arts and sciences; continuing adult education programs for occupational or cultural upgrading; compensatory education program designed to fulfill commitment of an admission s policy allowing the enrollment of disadvantaged students; a continuing program of counseling and guidance designed to assist students in achieving their individual educational goals; workforce development program designed to meet local and statewide needs; adult literacy and other basic skills programs for adults; and such other purposes as may be prescribed by the Texas Higher Education Coordinating Board for post-secondary education in Texas. In evaluating its mission, NC considers institutional research an essential element in determining how effectively it achieves the purposes stated above. Additionally, the college supports academic research consistent with the primary function of the institution. Core Values We believe in: providing an accepting, into a service is the nursing process. Intellectual, interpersonal, and technical skills are all necessary to perform the nursing process. Nursing practice is a supporting/ assisting service and a discipline which utilizes cognitive, psychomotor, and affective skills from the bio-psychosocial and nursing sciences. Nursing practice uses decision-making and problem-solving in assessing the individual s needs, diagnosing human responses to health problems, as well as planning, implementing and evaluating nursing care. Practice of the Associate Degree Graduate The practice of a graduate from an associate degree nursing program is demonstrated in four basic roles: member of the profession, provider of patient-centered care, patient safety advocate, and member of the health care team. Member of the Profession In the role as a member within the profession of nursing, the Associate Degree graduate is prepared to value, professional growth, learning as a life-long process, and self-development/self-care. Additionally, the Associate Degree graduate is prepared to function within the ethical and legal framework of nursing and to promote high standards of nursing practice. The Associate Degree graduate participates in institutional committees, attends appropriate continuing education offerings, and belongs to professional nursing organizations in order to contribute to the improvement of nursing and nursing practice. Provider of Patient-Centered Care In the role as provider of care, the Associate Degree graduate is prepared to provide direct care for individuals across the life span in a variety of health care settings where policies and procedures are specified and guidance is available.

15 NC ADN STUDENT HANDBOOK Policies and Procedures 11 comfortable, and safe learning environment conducive to personal growth and development, recruiting and cultivating a caring faculty and staff dedicated to teaching and service excellence, ensuring universal access to affordable higher education through both traditional and innovative delivery systems, encouraging students to actively participate in the learning and decision-making process, and in upholding the dignity and worth of every human being. Philosophy In accomplishing the mission/purpose of the college, the board, administration, faculty, and staff shall be guided by the following philosophy: NC is dedicated to serving the educational needs of students, to promoting the professional development and well-being of all college personnel, and to informing and involving the citizens it serves. The college devotes human and financial resources to create and maintain a collegial environment. This environment is characterized by an institutional emphasis on excellence demonstrated by qualified faculty, administrators, and staff who possess a caring attitude toward students, ethical and professional standards of conduct, and respect for the individual. NC also accepts the charge of providing an atmosphere in which students can exercise initiative and personal judgment, leading to a greater awareness of personal self worth. Through commitment to enhancing student learning by creative and dedicated teaching strategies, the college provides students the opportunity to develop abilities needed to enter and succeed in college programs and as contributing members of society. The Settings include those that provide opportunity for health promotion, illness prevention or a dignified death. Nursing Process: The Associate Degree graduate is prepared to utilize the nursing process as a basis for decision-making. The nurse establishes and analyzes a data base, identifies health problems/needs, selects nursing diagnoses, involves the client in setting individual or familycentered goals, plans and implements care utilizing evidence-based practice to achieve the goals, and evaluates outcomes. Patient Safety Advocate In the role as patient safety advocate, the Associate Degree Nurse promotes safety in the patient and family environment by: following scope and standards of nursing practice; practicing within the parameters of individual knowledge, skills, and abilities; identifying and reporting actual and potential unsafe practices; and implementing measures to prevent harm. The Associate Degree Nurse provides safe administration of medications and treatments. Member of the Health Care Team In the role as member of the health care team, the Associate Degree graduate provides patient-centered care by collaborating, coordinating, and/or facilitating comprehensive care with an interdisciplinary health care team to determine and implement best practices for the patient and the family. The Associate Degree graduate is prepared to provide and coordinate care for a group of individuals who have health care problems/needs with attention to quality of care and cost effective use of resources. In organizing nursing care, the Associate Degree graduate may delegate nursing tasks to licensed and unlicensed personnel based on their educational backgrounds and experience. The Associate Degree graduate is responsible and accountable for

16 NC ADN STUDENT HANDBOOK Policies and Procedures 12 college is committed to maintaining standards through self-appraisal, community involvement, accreditation, statutes, and state/federal guidelines. tasks delegated to others. The Associate Degree graduate is prepared to participate in evaluation of the health care system, contributes to change, and fosters an environment that promotes team relationships. Nursing Education Education is a developmental process incorporating experiences whereby an individual assimilates knowledge, develops a pattern of lifelong learning, and establishes a value system. Nursing education is a process through which the student may acquire behaviors essential for competence and accountability in professional nursing practice. The process occurs in a variety of settings and may be influenced by physical, psychological, political, economic, cultural, and social factors. The role of faculty is to utilize knowledge about the student and the teaching/learning process to enhance the ADN nursing educational environment, instill commitment to life-long learning, promote the value of evidence-based practice, and facilitate student transition to higher nursing education. Faculty is responsible for managing the learning environment and facilitating achievement of the ADN mission. Teaching-Learning Environment Faculty and students share the roles of teacher and learner, in that often the teacher learns, and often the learner teaches. Learning is enhanced in an environment in which the student is provided guidance and given opportunities for self-direction. The student has responsibility for his/her own learning. Teaching incorporates caring, student engagement, and facilitation of the learning process. Learning is facilitated when the learner exhibits readiness and motivation, participates in the decisions which influence learning, and has sufficient opportunity for meaningful practice.

17 NC ADN STUDENT HANDBOOK Policies and Procedures 13 Comparison of ADN Program Mission and Philosophy and Navarro College Quest, Vision, Purpose, and Core Values Summary Statements of Areas of Agreement/Congruence Area/topic Locations Color Value system: Nursing education is a process for establishing a value system. Navarro College pursues wisdom, truth, and knowledge for students. NC believes in providing an environment conducive to personal growth and development Life-long learning: Members of the profession of nursing will value learning as a lifelong process. Nursing Education is a process that develops a pattern of life-long learning. A NC Purpose of education is for students to acquire a passion for life-long learning. Higher education: Nursing Mission is to prepare students for entering a higher level of nursing education. NC Vision is students are well-prepared to engage in higher levels of education, leadership, and employment. Learning Environment: Nursing Learning is enhanced when student have opportunities for self-direction NC Philosophy is that the learning atmosphere allows students to exercise initiative and personal judgment. NC believes in encouraging students to actively participate in the learning and decision-making process. ADN Philosophy Nursing Education NC Quest ADN Philosophy Member of Profession NC Purpose ADN Mission NC Vision ADN Philosophy Teaching- Learning Environment NC Philosophy grey teal light grey red Caring Attitude: The Nursing Teaching Environment incorporates caring. A NC Philosophy is that faculty, administrators, and staff possess a caring attitude toward students. Competence and Accountability: In the role of Member of the Health Care Team, the student learns to be responsible and accountable for tasks delegated to others. Students are taught that nurses advocate for quality care for the individual. Students achieve clinical competence and learn accountability. A NC Purpose is an environment that promotes commitment to a high NC Core Values ADN Teaching- Learning Environment NC Philosophy ADN Philosophy Nursing Practice orange teal and red

18 NC ADN STUDENT HANDBOOK Policies and Procedures 14 level of personal integrity and intellectual rigor. Faculty Responsibilities: Nursing faculty are responsible for managing the learning environment to assure achievement of the ADN mission NC purposes are to maintain a collegial environment and to seek to maintain a stimulating and culturally diverse environment where students are motivated A NC Vision is for quality teaching and learning to prevail Mission: An ADN Mission is to prepare students for employment in health care settings as safe, effective, competent RNs. A NC Purpose is that students are afforded the opportunity to develop abilities that enable them to be responsible stewards of their talents, skills, and material resources. A NC Purpose is that students are well-prepared to engage in employment. NC Purpose ADN Philosophy Nursing Education NC Philosophy, Vision, Purpose ADN Mission NC Purpose ADN Provider of Patient- Centered Care ADN Member of Health Care Team ADN Patient Safety Advocate yellow continue d light grey

19 NC ADN STUDENT HANDBOOK Policies and Procedures 15 ADN PROGRAM OUTCOMES 1. Licensure rate will be at or above the ADN national mean AEB NCSBN licensure data. (6.5.1) 2. New admission completion rate will be seventy percent or more (>70%) AEB program calculations. (6.5.2) 3. Final semester students as a group will score three or more (>3) on a 5 point Likert student satisfaction survey tool. (6.5.3) 4. Graduates as a group will score three or more (>3) on a Likert 5 point graduate satisfaction survey tool. (6.5.3) 5. Ninety percent or more (>90%) of final semester students will respond to student satisfaction surveys AEB file of returned surveys. 6. Fifty percent or more (>50%) of graduates will respond to post graduate surveys AEB file of returned surveys. 7. Customers (employers) as a group will score three or more (>3) on a 5 point Likert customer satisfaction survey tool. 8. Ninety percent or more (>90%) of clinical site employers will return employer satisfaction surveys AEB file of returned surveys. 9. Fifty percent or more (>50%) of non-clinical site employers will return employer satisfaction surveys AEB file of returned surveys. 10. Ninety-five percent or more (>95%) of graduates will be employed as RNs or seeking BSN degree within 90 days of passing NCLEX-RN AEB files of graduate follow-up documents (surveys, copies of faculty phone notes, and s). (6.5.4) 11. The program will have no significant differences in licensure rate of generic students and bridge students. 12. The program will have no significant differences in completion rates of generic students and bridge students. 13. Graduates will have national NCLEX-RN test plan category scores > 50 th percentile. 14. Students will be prepared for NCLEX-RN AEB a group scores at or above the recommended level on standardized exit exams. 15. Forty percent of new and accepted students will have completed statistics and chemistry or > 8 hours of other pre BSN courses as part of a plan to earn a Bachelor of Science in Nursing AEB incoming transcripts beginning with 2012 admissions.

20 NC ADN STUDENT HANDBOOK Policies and Procedures The program will maintain compliance with all governing agencies AEB periodic program reviews based upon BON requirements, SACS requirements, and THECB requirements. ADN PROGRAM LONG-TERM PROGRAM GOALS The NC ADN Program: 1. will study the need for a goal to increase male and/or minority graduates. 2. will exceed the minimum SACS standard for > 15 graduates every 3 years. 3. will initiate an annual or bi-annual regional nursing conference sponsored by vendors. ADN STUDENT LEARNING OBJECTIVES (Student Educational Outcomes) 1. Final semester students will be confident of preparation for NCLEX-RN AEB a group score of three (3) or more on a 0-5 Likert scale student survey. 2. Final semester students will have competent critical thinking skills AEB critical thinking scores at or above recommended level on standardized exams for the class as a whole. 3. Final semester students will have confidence in their critical thinking skills AEB a group score of three or more (>3) on a 0-5 point Likert scale student survey tool. 4. Graduates will have competent critical thinking skills AEB a customer satisfaction score of 3 or more (>3) on a Likert 5-point scale critical thinking customer satisfaction survey item. 5. NC ADN graduates will have effective communication skills AEB a customer satisfaction communication skills rating of three or more (>3) on a 5 point Likert scale communication customer satisfaction survey item. 6. Final semester students will have confidence in their communication skills AEB a group score of three or more (>3) on a 5 point Likert scale student self-reports of nursing process skills. 7. Final semester students will have confidence in their physical assessment skills AEB a group score of three or more (>3) on a 5 point Likert scale student self-reports of physical assessment skills. 8. NC ADN graduates will be competent to practice safely AEB customer satisfaction group score of three or more (>3) on a Likert 5 point employer satisfaction survey safety item. 9. Final semester students will have knowledge to practice safely AEB safety scores at or above recommended level on standardized exams for the class as a whole. 10. Final semester students will have competent nursing process skills AEB nursing process scores at or above recommended level on standardized exams for the class as a whole.

21 NC ADN STUDENT HANDBOOK Policies and Procedures Ninety percent or more (>90%) of ADN final semester students will know Texas laws regarding ADN practice AEB 90% self report of passing the TX BON jurisprudence exam prior to taking the NCLEX-RN. 12. Final semester students will demonstrate commitment to life-long learning AEB a group score of three (3) or more on a 5 point Likert scale student self-report of reading habits. 13. Twenty percent of final semester students will have a plan to enter a BSN program of study within one year AEB a group score > 1 on a 5-point Likert scale survey question regarding BSN plans within a year beginning with the Class of Seventy percent or more (> 70%) of generic students will complete requirements/objectives for all degree plan courses within 36 months of admission to the program. 15. Seventy percent or more (>70%) of bridge students will complete requirements/objectives for all degree plan courses within 24 months of admission to the program. (Completion rates in Texas are calculated at 18 months for bridge students, however, NC RNSG courses are offered only once each year. This does not allow bridge students who drop or fail a course to graduate within the Texas Coordinating Board (THECB) 18 month requirement.)

22 NC ADN STUDENT HANDBOOK Policies and Procedures 18 Program Completion & Degree Plan Requirements The curriculum in Nursing leads to an Associate in Applied Science Degree and prepares the graduate to take the National Council Licensure Examination for Registered Nurses NCLEX- RN. I. To be eligible to enter the NC ADN program, applicants must meet the following requirements: Completion of Texas Success Initiative Program (TSI) requirements. (THEA, Quick THEA, COMPASS, ASSET, or ACUPLACER testing or other methods.) Completion of Navarro College requirements for admission to the college. Completion of Navarro College ADN Program requirements for admission to the ADN program. II. To be eligible to graduate with the AAS in nursing degree, the following requirements must be met. Completion of all ADN Degree Plan courses with a final course grade of C or higher for theory classes and a P or pass in clinical courses. Completion of ADN Program standardized exams including the exit exam (standardized pre-licensure readiness exams) and completion of all remediation recommended by faculty for student scores less than recommended level on standardized, including exit, exams. Completion of all Navarro College requirements for graduation. III. To be eligible to receive a license as an RN, the graduate must meet the following requirements. Affidavit of Graduation signed by Program Director (based upon completion of all ADN Degree Plan courses and requirements and approval from registrar for NC graduation with AAS.ADN or AAS.ADN Bridge degree) BON eligibility requirements in Texas (or other targeted state for initial licensure.) Pass the BON jurisprudence exam if seeking licensure in Texas. Pass the NCLEX-RN licensure exam. Degree Plan Requirements Refer to the following pages from the Navarro College Catalog. General Requirements for Associate Degree in Applied Science... page 55 ADN Program Generic Entry Degree Plan... page 56 LVN-RN Bridge Option Degree Plan... page 57 RNSG Course Descriptions... pages

23 NC ADN STUDENT HANDBOOK Policies and Procedures 19 III. POLICIES Navarro College Associate Degree Nursing Policies & Guidelines ACADEMIC ADVISEMENT (IN-PROGRAM) The ADN Program Director and faculty act as nursing advisors. For in-program students, the clinical instructor for the semester in which the student is enrolled is the student s advisor. If the clinical instructor is a temporary or part-time faculty member, the course coordinator and/or other faculty on the teaching team will serve as advisors for students who are assigned with a temporary or part-time faculty member. Faculty advisors will be responsible for student advising for pre-registration and for on-going progress review at least once a semester. Documentation of the advisement/registration session will be a copy of the student s degree plan print-out, signed by the faculty member and student, and placed in the student s academic file. The student will sign a copy of the degree plan each semester. It is the responsibility of each ADN student to seek advisement and ensure that all requirements for graduation have been met. Changes for transfer and substitution courses on the degree plan must be approved by the ADN Program Director and the Dean of Business, Professional and Technical Education. Students are encouraged to file for graduation no later than the beginning of the final program semester. ACCIDENT OR INJURY REPORTING If a student is injured while in the clinical setting, the instructor must be notified immediately. The instructor will notify the Program Director/Department Chair and complete all necessary documentation which may include the Health Professions Variance Report (Unusual Occurrence). Navarro College and the clinical facility are not responsible for any claims for expenses that result from an action of a student or patient in the clinical setting. Students are advised to carry a personal health insurance policy. The student is responsible for personal medical care/expenses. ADMISSION STEPS/ CRITERIA Applications are due each February 1 st. Applications are kept on file for one year when the applicant does not get an offer of admission. However, students must submit an application each time they wish to be considered for admission. LVNs may apply to the Bridge Program and to the Generic Program. Applicants do not have to attend an information session to be eligible to apply. Entrance information and applications are available on the college web site. Individual appointments for entrance criteria are not possible, therefore information sessions are recommended for generic students and students who have not been in college recently. To be considered for admission to the NC A.D.N. Program, an applicant must: Step 1: Attend an information session or obtain entrance information and forms from the NC ADN web site. Step 2: Obtain admission to Navarro College. Step 3: Send official transcripts from all colleges and universities attended to the N C Registrar. Step 4: Provide the ADN nursing office proof of entrance criteria including: a. Results of your ADN entrance test. (Entrance test name and specifications available at information sessions and on the NC ADN web site.) b. Grade of C or better in the 3 generic ADN pre-requisite courses for generic applicants. Or grade of C or better in 8 of the AAS.ADN Bridge non-rnsg courses including A&P I, A&P II, Micro, and College Algebra for Bridge applicants. Orientation does not count for points and is not required if you are not currently a first semester college student and have a course to substitute. c. TSI complete status prior to application date. (TSI status will be on all transcripts.) d. 3 year Driving record from Texas Department of Public Safety. e. Criminal history screening from Texas Dept. of Public Safety. f. Physical exam on the ADN physical exam form. g. Complete, signed NC ADN nursing program application, h. For Generic applicants, proof of completion of at least two Hepatitis B vaccinations, one measles, mumps, rubella (MMR), one Varicella, and one Tdap and (per NC regulation) one

24 NC ADN STUDENT HANDBOOK Policies and Procedures 20 Meningitis immunization in last 5 years if less than 30 years old. For Bridge, proof of all immunizations. NOTE: A local health department is often the most economical clinic for immunizations and titers, especially for low income families. (Applicants less than 30 years of age will be required to have an immunization for meningitis prior to admission to the college.) i. Applicants with a positive DPS criminal history must contact the AND Program Director for instructions regarding an FBI request and a Declaratory Order from TX BON. (The FBI request form is on the NC ADN web site.) Offers of admission will be dependent upon clinical agency approval and submission of a Declaratory Order from the Texas Board of Nursing, prior to the scheduled Orientation day. (Directions for a Declaratory Order are available on the Texas Board of Nursing web site: bon.state.tx.us) j. Documents to support all eligible admission-ranking points (example: CMA certificate, county of residence (physical mailing address), transcripts showing BSN degree plan courses, etc.) To be accepted for admission, the applicant must: Step 5: Return offer of admission by the due date. Step 6: Meet all additional eligibility requirements by the orientation date including: a. AMERICAN HEART ASSOCIATION, HEALTHCARE PROVIDER CPR (AHA HCP CPR) which does not expire before the anticipated graduation date. b. Meeting clinical agency student criteria for all clinical agencies as determined by the ADN Program Director. c. Documentation of health and fitness with a physical examination on the A.D.N forms plus copies of original documentation to support required immunizations. d. Negative Drug Screen on a date requested by Program Director. (A missed scheduled drug screen \ date is documented as a positive drug screen.) Step 7: Attend required orientation sessions and pay all fees/tuition on time. NOTE: The application process ENDS for any applicant that does not respond to notices and phone calls. Notification is sent as early as possible in the admission year; however, the exact offer of admission notification date is subject to change. The following admissions ranking list details the point system for determining admission to the A D N Program. Applicants who are ranked as alternate status could receive an offer of admission as late as the first week of class. 1. Applicants who have the required entrance exam and a GPA > 2.0 are offered admission based upon their rank on the A D N admissions point system. Initial ranking points are calculated on the Admissions Ranking Form. Total possible points = 163. I. Admission TEAS reading comprehension score points II. Number of ADN degree plan courses completed with > C 0-10 points Chemistry or Statistics BSN degree plan courses completed 0-2 points III. Algebra/Science points (A=4 points; B=3 points, C=0 points) 0-16 points Chemistry or Statistics (A=4 points; B=3 points, C=0 points) 0-8 points IV. Health Care Certification (CNA, Med Aide, Pharm.Tech, ECA) 0-5 points plus documented work in a health care field. 0-5 points plus documented military service. (active duty, reserve, retired, or honorable discharge.) 0-5 points V. County of Residency - in district 0-2 points in Navarro County 0-5 points VI. Bachelor of Science or Master of Science in health care field 0-5 points Total possible=163 points

25 NC ADN STUDENT HANDBOOK Policies and Procedures If further selection criteria are needed to break ties or complete the selection process, faculty will use grades in the degree plan science and algebra courses, GPA, or county of residence to further define ranking. Updated May 2007, February 2008, May 2008, May 2010, May 2011, April 2012 Estimated In-Program ADN Expenses (Based in part on Data) Fees are posted in the college catalog; the information session booklet, and the ADN web site, however, fees are subject to change any time without notice. Estimated costs do not include travel to clinical sites or out of district fees. Pre-admission fees = approximately $120. These fees include: entrance exam $35, physical exam $75, driving record $6, and DPS criminal history screen $4.50. Immunization costs usually range from $0 to$160, but could be substantial depending upon immunization history. (Most students will already have all 8 immunizations--3mmr, 3 Hep B, and 2 Varicella) This $160 fee is for 8 immunizations at $20 for each injection. Up to five antibody titers, if indicated could cost $70-$100 each for a total of $350 to $500. Fees after acceptance/pre-enrollment = approximately $160 for generic and $120 for bridge (TB skin test ($20) at end of May while college still in session, AHA HCP CPR ($40) at the end of May while college still in session, a drug screen ($40) scheduled after admission, and a flu vaccine ($20) each October. Fees for background check after acceptance/pre-enrollment = approximately $39.00 but could be substantial depending upon criminal history findings. ($39.00 to the BON for a routine background check. If needed, $100 to the BON for a review of a criminal history record. Possibly court fees to resolve pending cases. Fees for copies of court records.) Licensure fees and NCLEX-RN review courses the last semester of the program = approximately $560. ($100 application to BON fee, optional $260 NCLEX-RN review course, and $200 testing fee to Pearson Vue.) NOTE: Estimates listed do not include the 11 ADN General Education degree plan courses or the two optional pre-bsn extra admission point courses (Statistics and Chemistry). Preadmission fees = $120 Acceptance/pre-enrollment fees = $200 generic / $160 bridge Final semester/licensure fees = $560 Generic ADN fees for five semesters* = $ fees listed above ($880) = $5269 RN Bridge ADN fees for four semesters *= $ fees listed above ($840) = $4604 *Refer to tables on next page for semester fees

26 NC ADN STUDENT HANDBOOK Policies and Procedures 22 Estimates semester fees - Generic Program Fall I books $758, lab kit $150, (TX resident uniform $200, tuition=$685) insurance $15, ATI $156, 8 hr tuition $421 = $1700 Spring I: books $542, (TX resident ATI $ 117, tuition=$685) 8 hr tuition $421 = $1080 Summer II: books 0 (TX resident ATI $ 91, tuition=$353) 4 hr tuition $212 = $ 338 Fall II: books $ 0, (TX resident insurance $ 15, tuition=$768 ATI $117, 9 hr tuition $471 = $ 603 Spring II: books $ 40, (TX resident ATI/review $117, tuition=$768 pinning $ 40, 9 hr tuition $471= $ 668 Total=$4389 Estimated semester fees - Bridge Program Summer I: books $977, lab kit $140, (TX resident uniform $160, tuition=$519) insurance $ 5, ATI $146, 6 hr tuition $321 = $1749 Summer II: books $277, (TX resident ATI $146, tuition=$519) 6 hr tuition $321 = $744 Fall II same as generic = $603 Spring same as generic = $668 Total=$3764

27 NC ADN STUDENT HANDBOOK Policies and Procedures 23 Navarro College Chapter of the National Student Nursing Association, Inc. (NSNA) and Texas Nursing Student Association, Inc. (TNSA) Students enrolled in the nursing program are eligible to join and become members of the national and state nursing student organizations. The NC nursing student organization was created to mentor nursing students as well as to promote development of skills and attributes needed to be responsible and accountable members of the nursing profession. Attendance and participation are steps in the development of professional attributes as well as leadership and fellowship characteristics. (Membership in the NC nursing student organization is offered when the student is admitted to the nursing program.) Students are encouraged to join the state and national nursing student organizations. Local activities include community service projects, fund-raisers for select community service projects, attending TNSA meetings, attending District 4 TNA meetings, and attending health care workshops sponsored by the ADN program. ADN student organizations are required to be part of Navarro College Student Organization. NC Nursing Association and TNSA student representatives are required to attend Navarro College Student Organization meetings. At least one ADN student each week attends the required weekly (SGA) Navarro College Student Organization meeting. A copy of the Navarro College Student Organization Policies and Procedures is an appendix to this handbook. ATTENDANCE Students will comply with Navarro College attendance policies that limit absences to 2 weeks per semester (see below). Students are to be punctual and attend all scheduled classes and labs and clinical assignments. Students are responsible for announcements or course content missed when absent or tardy. Attendance is documented during each class period from beginning to end of the scheduled day/class. Faculty document attendance, however, each student is responsible for assuring that his/her attendance is correctly noted for all scheduled classes, labs, or clinical assignments. Classroom/Campus Lab attendance When total absence from theory classes equal greater than 2 weeks of class and lab time during any semester, the student will be withdrawn from the program. The hours per week of class and lab time vary with each course and will be documented in the syllabus and on the combined course calendar. For example, 1 hour of lecture and 4 hours of lab per week is required for RNSG 1201; therefore, policy allows a student to miss no more than 10 hours for RNSG hours of lecture and 4 hours of lab per week is required for RNSG 1413; therefore, policy allows a student to miss no 14 hours for RNSG 1413 in a semester. Scheduled skills validations are considered part of the required time for RNSG 1201 and Absences from scheduled field trips will count toward the appropriate theory or clinical absence totals each semester. NOTE: Extra or independent student lab practice time is not subject to the attendance policy requirements. Clinical attendance: Clinical assignments are divided into the following categories: Hospital/acute patient care with faculty Precepted assignments Simulated clinical experiences with faculty Observational experiences Other clinical assignments, i.e. clinical preparation or scheduled meetings with faculty Schedules will permit students to make-up no more than 8-12 hours of hospital/acute patient care clinical time with faculty/preceptor each semester. Make-up for other categories of clinical absences must be arranged with the assigned clinical instructor and this make-up will be limited to no more than one day per semester. Any time a student s total clinical absences exceed 32 hours the student will be withdrawn from the program by faculty. Faculty will schedule one hospital/acute patient care clinical make-up day (8-12 hours) each semester. Students may not make-up a missed hospital assignment with faculty by scheduling an extra day with a preceptor as this is not considered an equivalent assignment. Make-up with another faculty member will be (1) only with Teaching

28 NC ADN STUDENT HANDBOOK Policies and Procedures 24 Team approval as such assignments interfere with the schedules of other students and faculty and (2) counted as the students one time make-up of 8-12 hours per semester allowed by policy. When a student (1) is meeting clinical objectives, (2), has no Unsatisfactory weekly clinical evaluations, and (3) has a physician s restriction and subsequent physician s release for the illness or injury that caused clinical absence(s), the Teaching Team will consider a request for 8-12 hours of additional hospital/acute patient care clinical make-up with faculty. Such assignments must be completed prior to the end of the semester. Student clinical absences due to Unsafe clinical performance may be made-up in the campus lab or simulation site lab only as follows. (1) The clinical faculty must recommend the campus lab or simulation experience attended, (2) only two days of such alternate assignments may be scheduled in a semester, (3) a second faculty must validate improvement (satisfactory performance) of the skill(s) in question prior to the next scheduled clinical experience. More than two safety violations, 15 rights from National Patient Safety Goals, Infection Control, or basic medication, knowledge deficit, in a semester could result in dismissal from the program. When a first year student (semesters 1-3) has a theory grade (average) below 70% or has an unsafe clinical incident, the student is not eligible to attend clinical experiences until the theory average is >75% or the unsafe clinical performance is remediated. Such alternate clinical experiences will be limited to a total of 2 days each semester. During this time, students will attend lab experiences or simulation experiences related to the clinical skills in question. Additionally, faculty and the student will generate a written student success initiative (SSI). The SSI will include a request that the student visit with a Navarro College counselor. Students with a theory grade <75% are at risk for not being able to complete clinical objectives for the semester. SPECIAL NOTES: If a student is receiving financial aid, grants, or loans, the student must be in attendance in all classes. Students should not drop or stop attending any class without consulting the Financial Aid Office. Changes in enrollment level and/or failing grades may require repayment of financial aid funds. According to current Texas law, dropping a course may have serious academic consequences as well. Under most circumstances, a maximum of six courses may be dropped throughout the entire undergraduate degree program. Before withdrawing from this or any other course, make sure you understand the consequences. For more information contact the Office of the Registrar. Refer to each RSNG course syllabus for specific clinical attendance requirements. The following general guidelines apply: 1. At the instructor s discretion, being > 30 minutes late for a clinical could result in the student being sent home and a clinical absence recorded for the day. 2. A clinical tardy will be > 10 minutes late. Being tardy for clinical three times will equal one clinical absence. Written clinical assignments (care plans and other documents) that are not completed on time will be recorded as an unsatisfactory weekly clinical grade. (Greater than 25% unsatisfactory weekly clinical grades will result in failure of the clinical course and inability to progress in the program. NOTE: Refer to separate policy regarding actions required for unsafe clinical performance. Refer to ADN Student HB Attendance policy Updated

29 NC ADN STUDENT HANDBOOK Policies and Procedures 25 BLOOD & BODY FLUIDS EXPOSURE GUIDELINES (Standard Precautions) Students will follow standard precaution guidelines as outlined by the Centers for Disease Control and clinical agency protocol. Initial content is covered in the first nursing semester and reinforced each subsequent semester. Clinical agency orientation may also include training in this area. During the clinical experience, students may be assigned to care for individuals who have been diagnosed with a communicable disease state, such as HIV (Human Immunodeficiency Virus). Students will be expected, in every case, to maintain patient rights to privacy and confidentiality and treat all patients with concern for human dignity. Violation of patient confidentiality could result in immediate dismissal from the program. Students should be aware of potential health hazards due to risk of exposure from contact with patients with communicable diseases. Students who have compromised immune systems are particularly at risk, and must adhere to all precautions and clinical agency policies regarding patient care activities. Types of Possible Exposure: Parental (needle stick or cut), Mucous membrane (splash to eyes or mouth), or Cutaneous (through skin which is chapped, abraded, or has dermatitis). If accidental exposure occurs, the student must immediately notify the clinical instructor. Students are required to follow agency policy regarding use of personal protective equipment. Failure to comply could result in clinical failure and inability to progress in the program. Post exposure guidelines: Comply with agency exposure procedure including notification of the appropriate agency representative and completion of agency unusual occurrence reports. Complete a NC Health Profession Variance (Unusual Occurrence) Report. Follow-up screening will be recommended according to agency and current practice guidelines. The student may be required to pay for the cost of follow-up testing. CLINICAL FACILITIES Clinical experiences are selected to provide students with a variety of opportunities to practice safe, effective nursing care. Selected local and out-lying clinical facilities will be utilized to enhance student learning by providing a clinical environment that will allow students to put into operation the knowledge and skills acquired in the classroom and campus lab. Students are expected to provide their own transportation, to report on time to the appropriate assigned agency and to be in appropriate uniform. Clinical facilities require students and faculty to have malpractice (liability) insurance. Student liability insurance is included with tuition and fees. Prior to going to clinical agencies, all Associate Degree Nursing students must meet the following basic requirements: AHA HCP CPR Safety, Fire, and Standard Precautions Update Orientation to Clinical Agency and the following additional requirements:

30 NC ADN STUDENT HANDBOOK Policies and Procedures 26 Immunizations required by agency, Negative drug/alcohol screen, Acceptable criminal background check, Negative OIG screening, Negative DADS screening, and a Negative three year driving history and unrestricted driver s license. Students with a positive criminal history must meet clinical agency requirements as determined by the Program Director and have a Declaratory Order from the BON to be eligible for admission.) Students who do not meet these requirements are not eligible for admission. If any of these conditions change after admission, the student may not be able to meet course requirements, may not be eligible to progress in the program, and must withdraw from the program at that time. If the ADN Program has a contract with an agency that requires health insurance, then only students with proof of health insurance will be assigned to that agency. (Insurance status must be declared upon admission and at the beginning of each semester.) REQUIRED CLINICAL UNIFORM & GUIDELINES All students are required to wear designated uniforms. Uniforms may be purchased from any supplier. Uniforms must be the designated color, brand, and style below or on display in the campus lab and must meet the following criteria: Waist high scrub pants any brand Black. Longer length top with sleeves (male & female mandatory brand/style/color =Landau /LA-70221/ RED or Landau/LA-7502/TRUE RED). White lab jacket with sleeves. White, or black socks, or stone colored hose as displayed in the campus lab. White or black shoes (no mesh or holes) in an appropriate clinical style that fit securely on the feet with no logos. Navarro College Student Name/Photo Badge. Watch with a second-hand. Patient safety regarding hospital acquired infections require hand washing that will touch the wrist area. Make sure your watch is kept clean. Clinical faculty will make the final decision regarding whether a student uniform meets program and select area hospital dress codes. Required Clinical and Lab Supplies Black Ink Pen and small notepad ( no felt-tip or roller ball gel pens) Stethoscope Bandage scissors (in generic skills lab kit) and hemostats Penlight (in generic skills lab kit) Small calculator (in skills lab kit, but have a spare) Clipboard or other similar device with or without calculator Personal ear buds or headset that will connect to a computer for sound assisted computer assignments

31 NC ADN STUDENT HANDBOOK Policies and Procedures 27 Required Campus Lab Attire: Scrubs similar to clinical uniform, tennis shoes, hair up, no jewelry, no visible piercing or tattoos plus required lab supplies. Required attire for Official NC-ADN Field Trips. Appropriate casual (yet professional) clothing and a lab jacket with photo name badge are required when on official program assignments, clinical orientation, or field trips. Guidelines for Faculty/Student Decision-Making Regarding Uniforms: Uniform requirements are designed to ensure that students present a professional image and have a uniformity of dress. All students are expected to wear the required uniform and observe all guidelines. Do not alter tops to shorten. Pants length should not touch the ground. Uniform guidelines are to address safety and infection control principles. Failure to follow the dress code may be grounds for dismissal from the program. 1. All uniform tops must have sleeves. 2. Navarro College photo/name badge is to be seen; worn on upper left chest of uniform and/or lab jacket. 3. Name badge holders must be simple devices with no logos and must hold the badge in face front position, securely, on the upper left chest. 4. Hair should be neat, clean and away from face so that the hair does not fall on the shoulder and does not fall forward into the face when bending forward. 5. Makeup is permitted in moderation. 6. Sideburns, beards, or mustaches must be clean, neat, and trimmed. 7. Perfume/cologne is not permitted. 8. Fingernails must be clean, short, and free of chipped polish. If polish is used, it must be a clear, no color polish. Artificial nails and tips are not permitted. 9. Jewelry is limited to only a watch with a second hand, 1 wedding band or ring, and 1 pair of small stud earrings. 10. Chewing gum is not permitted as it increases the chance of contamination with saliva. 11. Smoking is permitted in designated areas but only after clinical time. Cigarettes or other tobacco products are not to be placed or carried in uniform pockets. 12. Plain white/beige/black underwear is to be worn with uniforms. No decorative designs are permitted. T-Shirt if the V in scrub top is too low. 13. White or neutral-colored hose or black or white socks must be worn with like colored shoes. 14. No provocative attire is allowed (such as mini-skirts, sheer blouses, and short shorts). 15. Scrubs/Clothing is to be clean and neat (pressed) and fit well, not tight. 16. No high-heeled, open-toed shoes are permitted. Clogs are not permitted. 17. Tattoos and other body piercing are not to be visible. (Must be covered.) 18. Students must demonstrate appropriate attention to personal hygiene habits.

32 NC ADN STUDENT HANDBOOK Policies and Procedures 28 COMMUNICATIONS DEVICE POLICY: (PAGING DEVICES / TELEPHONE MESSAGES / ACCESS / COMPUTER & INTERNET ACCESS (Audible Paging Devices) NOTE: Exceptions will be made on an individual basis for students who have special needs. 1. Telephone Usage for Personal Matters Students are to utilize personal telephones or the public pay telephone in the Bain Center Courtyard area. Students may not use cell phones during class, skills lab, or on clinical floor. Please refer to the NC classroom/lab policy regarding electronic devices (audible beepers, telephones, or other such devices) in the lab or classroom. Clinical agency policy must be followed regarding beepers and phones at the clinical site. 2. Telephone Messages via Health Professions Office The Health Professions Administrative Assistant will assist in relaying telephone messages. The administrative assistant will screen calls to determine if the message is of an emergency or urgent nature. Telephone messages will be forwarded to the instructor who is conducting class. Please advise family, friends, employers, and others to limit calls to those of an urgent or emergency nature. Health Professions Office phone number Address All students are required to use their NC address. ([email protected]) to correspond with faculty. Students are to check their daily Monday through Friday and Sunday as requested. 4. Computer & Internet Access Many course resources are available on computer software packages and via internet sites. Students are also required to submit computer-generated written reports for selected course projects and other assignments. Computer and internet access are available in the campus skills-media lab (BC 234) and in designated NC computer labs. CPR CERTIFICATION All students are required to have CPR (Cardio-Pulmonary Resuscitation) American Heart Association Health Care Provider Certification for entry into the program. To assure maintenance of status while in the program, the initial CPR certification must not expire prior to the anticipated graduation date. STUDENT EMPLOYMENT WHILE ENROLLED IN ADN PROGRAM The ADN faculty is aware that some students may need to work to supplement income while enrolled in nursing school. Students should be aware that employment places additional demands on time and energy expenditure. Employed students are expected to maintain required scholastic standards and other course requirements. Students are encouraged to carefully consider options other than full or part time employment. Faculty cannot guarantee special consideration for student requests to accommodate work schedules. Students act as their own agents when employed and are legally responsible for their actions. Navarro College assumes no responsibility for the actions of the student when in an employment role. While employed, the student is the legal responsibility of the employing agency. Students are not to wear insignia or any other identification that would indicate or suggest that the student is functioning in the student nurse role or as an agent of Navarro College. Violation of this dress code is grounds for dismissal from the program.

33 NC ADN STUDENT HANDBOOK Policies and Procedures 29 EXIT INTERVIEW CONFERENCE Students who are unable to progress in the program due to withdrawal, a final course grade of D or F, or a final clinical evaluation of unsatisfactory, are required to complete an exit interview within 30 days of the exit. The interview conference is conducted by the Program Director. In addition, the exit interview conference is a condition of eligibility for consideration as a re-entry applicant. See Appendix Exit Interview Forms Goals of the conference: To gain feedback from the student regarding the student s experiences in the program. To assist the student in making decisions for further nursing and academic education. To assist the student in problem-solving. To review re-admission policies and requirements. To explore options regarding nursing or other health care programs. To gather data for on-going program evaluation. RNSG GRADING (ADN Course Grades)* RNSG courses grades are usually determined by exam grades only. If other grades are used, they may not exceed 5% of the course grade. Students are required to have a final course average grade of 75 or above to successfully complete a theory/classroom nursing course. If a student has less than a 75, the student will not be eligible to progress in the program. The letter grade determination of the numerical grade in the nursing program differs from the Navarro College policy, which is: A = B = C = D = F = The RNSG grade determination is: A = B = C = D = F = Grades are to be rounded to the nearest hundredth place until the end of the semester, for example: ( = 76.35). Final course grades are rounded to the nearest whole number, for example: (Final average of = 90 or = 79). Students must have a final clinical evaluation of "satisfactory" in clinical to successfully complete a clinical course and receive a clinical grade of Pass. NOTE: The minimum grade of 75% for a C applies only to RNSG courses, not other ADN degree plan courses. LEGAL REQUIREMENTS FOR LICENSURE The nursing program is required by the Texas Board of Nursing to provide, explain, and obtain acknowledgement from students enrolled in an educational program which prepares students for initial licensure as a registered nurse, information regarding the legal requirements for licensure. Refer to the Form on page 20 titled Texas Board of Nursing for a list of related statutes and rules. LEGAL WITNESS Navarro College Associate Degree Nursing Students are not allowed to witness any legal forms such as wills, operative permits, No Code, Advanced Directives, or any other agency consent forms while in the student role.

34 NC ADN STUDENT HANDBOOK Policies and Procedures 30 LIABILITY (MALPRACTICE) INSURANCE Students enrolled in the ADN Program are required to have liability insurance. Malpractice fees are included with registration and the college secures the liability insurance coverage for students. HEALTH INSURANCE Students are strongly encouraged to maintain health insurance. Although none of our current clinical sites are requiring that students have health insurance, the trend is for agencies to initiate that requirement. To help assure adequate clinical sites for student clinical instruction, students with health insurance are requested to declare this status (present proof of health insurance) prior to admission and at the time of registration each semester. In the event the program has a contract with an agency requiring student health insurance, plans can be made for a clinical group of students with health insurance. NOTE: Health insurance is not a current program requirement. MAKE-UP EXAMS All makeup exams require approval from the faculty team. If a student is unable to take an exam as scheduled, the student may request a make-up exam. This request must be made in writing to the course coordinator. In emergencies, students are required to notify the course coordinator or another instructor in the course prior to the start of the exam in which the student will be absent. Other than emergency, the student should provide 24 hours notice to the course coordinator. Failure to provide prior notice will result in an exam grade of zero (O). The type of make-up exam is at the discretion of the faculty and may be essay, short answer, open book, or multiple choices. If exams are not made up prior to the next scheduled theory exam in the course, a grade of zero (O) will be given and averaged into the final course grade. MEDICATION DOSAGE COMPETENCIES Accuracy in calculation of medication dosages is a vital skill for the nurse and dosage exams are scheduled at appropriate points in the curriculum. Students must demonstrate accurate calculation of medication dosages by scoring 90% on every exam within 3 attempts. MEDICATION ADMINISTRATION COMPETENCY Students are expected to administer medications safely. Safety involves the classic Five Rights of medication administration plus the new additional 5 rights and essential nursing implications for each medication. The Medication Error Policy is implemented to assure appropriate follow-up when errors occur. 1. Two violations of the 10 rights and/or failure to seek faculty or preceptor supervision for each medication administration could result in clinical failure for the semester. 2. Three actual medication errors in a calendar year could result in dismissal from the ADN program. (A log of medication errors will be maintained in the Program Director s files.) TUTORIAL SERVICES Tutoring services are available for a variety of course subjects at Navarro College. Contact the counseling department on your campus for information if you are having difficulty in a non-nursing course. The ADN department offers individual faculty counseling during scheduled work hours when faculty is available. Such faculty counseling is by appointment only with the designated individual faculty member. Navarro College ADN faculty believe that the student must accept primary responsibility for his/her learning and the student is expected to seek help early from his/her instructor when assistance is needed. However, the faculty also recognizes that some students may enter the nursing program without sufficiently developed study skills; therefore, the faculty encourages students to join a study group or seek assistance from the counseling office. New admissions are required to complete an analysis of learning styles / needs. (vark-learn.com)

35 NC ADN STUDENT HANDBOOK Policies and Procedures 31 TITLE IV COMPLIANCE (including repayment of student loans) A Financial Aid Officer will instruct all new students regarding financial aid including Title IV compliance. All new students will receive a copy of booklets regarding student loans. Faculty will meet with the Financial Aid Officer once a year for information updates. Faculty will refer students to the financial aid office for all questions concerning financial aid. Students will be reminded at the beginning of each semester that they: a) Must attend class before financial aid can be available to them. b) Should consult with the financial aid office prior to dropping any class. Web site: then Financial Aid Tab on NC home page. Faculty will include reminders that student loans must be repaid in all instruction (lectures) regarding professionalism. ADN faculty will serve on appropriate Navarro College scholarship committees and/or communicate regularly with committee members. ACADEMIC HONESTY Students are expected to do their own work at all times. Any student dishonest in academic work is subject to disciplinary action. Refer to Navarro College Academic Honesty Policy. PROFESSIONAL CONDUCT AND INTEGRITY Navarro College Associate Degree Nursing Students are expected to conduct themselves in a professional and ethical manner. Students who violate standards of professional conduct may be dismissed from the Nursing Program. Graduates are expected to maintain the professional and ethical behaviors developed while in the program. Among the anticipated graduate behaviors are (1) competent, caring, ethical practice that reflects well on the graduate and the NC ADN program, (2) continuing engagement in life-long learning, (3) repayment of student loans, (4) serving as preceptors for nursing students, (5) serving as mentors for new nurses, and (6) maintaining contact with the NC ADN program to provide graduate data essential to monitoring the program s compliance with standards of governing agencies and accrediting bodies. Faculty consider honesty as inherent in the professional nursing role and takes matters of dishonesty as a serious violation of professional nursing standards. Nursing student conduct must be professional, honest, and ethical in all areas at all times. (Reference Board of Nursing position on Professional Standards, Unprofessional Conduct, ANA Standards of Conduct, Title IV Compliance, and BON Disciplinary Sanctions for Lying and Falsification.) Evidence of dishonesty in the classroom, campus labs, or clinical site or lack of integrity in issues related to patient care constitutes failure to ensure professional standards. When issues involving professional standards in the clinical setting are evident, faculty has the responsibility to follow-up in the interest of patient safety and welfare. Students may be dismissed from the program for unsafe or unprofessional clinical behaviors. Examples of unethical, dishonest, or unprofessional behavior include, but are not limited to: Failure to comply with clinical safety and infection control protocols. Refusing appropriate client care assignments. Unprofessional behaviors that jeopardize the program s relationship with a clinical agency. Excessive/habitual tardiness, absences, or late written reports/assignments.

36 NC ADN STUDENT HANDBOOK Policies and Procedures 32 Altering clinical records or inventing patient data for a clinical or academic assignment. Using notes, textbooks, internet sites, cell phones, or programmable calculators during an exam. Unauthorized entry into test banks. Unauthorized use of school, agency, or other copy resources, faxes, or other supplies or equipment to complete ADN assignments. Plagiarism (using work of someone and presenting it as your own, without giving credit. Copyright violations of textbooks or unauthorized use of fee-for-use, on-line programs. Providing examination answers or sharing examination information with anyone. Deliberately falsifying clinical records. Covering up or denying an error in the clinical setting. Drug or alcohol abuse. HIPPA violations. This includes during and after clinical rotations, and fellow students. Examples of evidence, of unethical, dishonest, or unprofessional conduct includes, but are not limited to: Direct observation of act by faculty. Account by a reliable witness. Self-incrimination. Documentation that does not support data. communications Facebook entries Positive Drug Screen DUI conviction Failure to report arrest and/or conviction of a crime of any nature prior to admission or while enrolled in the ADN program. PROGRESSION IN THE ADN PROGRAM General Education Courses (Non-Nursing Courses) 1. All general education courses must be completed with a grade of C or better. (All general education courses may be taken prior to admission to the ADN Program.) 2. After admission to the program, general education courses must be taken according to the sequence on the degree plan. NOTE: Any deviation from this sequence requires written permission from the ADN Program Director. Nursing Courses (RNSG Courses) Nursing co-requisite courses must be taken concurrently. All nursing theory courses must be passed with a final course grade of C or higher (>75%). All clinical courses must have a final grade of Pass. All course requirements must be met at the specified syllabus/calendar date/time or at the date/time agreed upon by the faculty if adjustments are made. Course requirements include but are not limited to: Completion of Medication Dosage Calculation Exams with a grade of >90 Completion of Skills Validations with an evaluation of satisfactory. Successful completion of all course projects (written assignments). Completing ATI modules and other required reviews, remediations, or exams. If a student is unsuccessful in meeting all course requirements or achieving a passing grade, student must withdraw from the program.

37 NC ADN STUDENT HANDBOOK Policies and Procedures 33 A student may apply for re-entry into the course that was failed or into a previously completed lower level nursing course. If the student is granted re-entry, the student must progress sequentially from the point of re-entry. If the student is unsuccessful in the re-entry course, the student will not be able to progress, even though the student was successful in the course previously. If a student earns a grade of less than a C twice in the same nursing course, the student must exit the program and is not eligible to re-enter the program. Students who are unsuccessful in the generic program may seek opportunity to complete a Vocational Nursing Program, obtain licensure as an LVN, and apply as LVN-RN Bridge applicant as soon as requirements for Bridge entry are met. Admission requirements in place at the time of each re-entry apply to the students s degree plan. Any student not progressing within the program for any reason must schedule an Exit Interview Conference with the ADN Department Chair or Program Director to set objectives to assure success upon re-entry. (As per NC policy, failure to pay registration fees or make arrangements to pay on or before the last date to pay will result in dismissal from the course(s) and therefore, the program.) RE-ADMISSION TO THE PROGRAM Students failing or dropping a nursing course may apply for re-admission to the ADN program. Students will be re-admitted on a space available basis, and may only be re-admitted to the program one time. Application for re-admission to the Associate Degree Nursing Program is made through the ADN Program Director by completion of a re-entry application by March 1 st of the year the student is requesting re-entry (August 1 for spring re-entry.) Students must re-enter early enough to ensure continuity of learning. No greater than 2 years is recommended. One year or less is best. Students seeking re-entry will be required to successfully demonstrate competency in select academic or clinical skills before they are eligible to re-enroll. Students who do not demonstrate ability to satisfactorily perform previous skills or who fail to score at recommended level on standardized tests required for the re-entry course will not be eligible for re-admission. If more students qualify for re-entry than can be admitted, the students will be placed on a waiting list and admitted when space is available. Students will be ranked according to the priority guidelines listed below. Should a tie occur, grade point average, grades in science and algebra courses, or county of residence will determine the position on the waiting list. PRIORITY GUIDELINES: First Priority: Students who withdraw for personal/health reasons and are in good standing academically. (Example: family problems, personal health, or finances). Second Priority: Students who withdraw and/or make a grade less than a C in a nursing courseincludes course average of less than a C at the time of the withdrawal. Third Priority: Students who withdraw or fail due to an unsatisfactory clinical performance.

38 NC ADN STUDENT HANDBOOK Policies and Procedures 34 STUDENTS WITH DISABILITIES Refer to Navarro College Student Handbook policy regarding students with disabilities. SPECIAL POPULATIONS STUDENTS Refer to Navarro College Student Handbook policy regarding special population students. RESOLUTION PLAN (STUDENT GRIEVANCE WITHIN THE ADN PROGRAM) Students are referred to the Navarro College Student Handbook policy regarding student grievance. The following guidelines are for working within the ADN Program. To facilitate student professional development faculty encourage students to work out conflicts and disagreements in a professional manner. Any student who perceives that he/she has received inequitable or unfair treatment or a biased evaluation by ADN faculty should first seek to resolve the problem with the involved faculty member. If the problem cannot be resolved with the student-faculty member discussion, then 1. The student may submit a written statement/report to the faculty member and the course teaching team for consideration. 2. If the problem is not resolved with the faculty, the student should submit the written statement/report to the ADN Program Director. 3. If the matter is not yet resolved, the student should make an appointment with the Assistant Dean for Health Professions. At any time the student may request that the NC college grievance committee consider the matter. (For grievances related to course grades, see the NC Student Handbook and College Catalog.) STANDARDIZED TESTS/EXAMS (including Comprehensive Predictor Exams.) Each semester students may be required to take standardized tests designed to predict success on the NCLEX- RN as well as measure achievement of curriculum content and concepts in nursing or other standards. Completion of scheduled standardized exams such as foundations, pediatrics, obstetrics (OB), pharmacology, and medical surgical nursing topic exams and exit comprehensive exams are program requirements. Topic exams measuring student progress toward licensure readiness, will be scheduled at appropriate times during the course of study, and will count for a portion (3-5 points as specified in the course syllabus) of the grade for that course. A comprehensive standardized exit exam measures licensure readiness and will be scheduled the last semester of study. Students identified as at risk by these exams will be required to complete a remediation plan developed by faculty. Students will be encouraged to continue studying under faculty guidance until the student passes a topic or exit exam, however, passing RNSG courses will not be contingent upon passing the scheduled standardized exam(s) including the three exit exams. Students pay standardized exam fees and may elect to take additional exams. NOTE: The Program currently uses the Assessment Technology Institute (ATI) Comprehensive Predictor and topic exams plus one HESI exit exam. The program may require an alternate topic or standardized exit exam if these exams should be unavailable or inappropriate as determined by faculty. The passing score for ATI or other publisher s topic exams will be the publisher recommended score. Taking scheduled standardized exams is a program/course requirement and students may not receive a grade for a course until all requirements/assignments are complete including taking the required number of standardized topic or exit exams.

39 NC ADN STUDENT HANDBOOK Policies and Procedures 35 STUDENT EVALUATION OF PROGRAM/COURSES/FACULTY/SERVICES In each ADN nursing course, students will provide feedback and give input regarding elements in the teaching-learning environment. Forms for Course Evaluations & Evaluation of Faculty are used to elicit feedback. Student evaluation of faculty forms are initially given to NC administrators then forwarded to faculty after completion of the semester and the recording of final course grades. Student evaluations of the RNSG courses are given directly to the Instructor who is Course Coordinator near the end of the semester. In addition to student evaluation of faculty and the RNSG courses, student will evaluate access to student services including the adequacy of information regarding available services and access to student services. End of course evaluation forms and other tools will contain items designed to facilitate student input into RNSG courses, NC and ADN policies, faculty, student services, and clinical agencies. STUDENT SELF-EVALUATION OF LEARNING / COMPETENCIES Program Outcomes and Student Learning Objectives will be introduced to new students at orientation along with Differentiated Essential Competencies and Course Objectives. Evaluation tools throughout the program will contain items to capture student feelings about his/her progress toward meeting these student learning objectives. Additionally, students will be advised regarding group progress toward student learning objectives as they complete required standards exams and other tools throughout the program. Students will be actively involved in recognizing and documenting their behaviors that demonstrate clinical competencies through the weekly clinical evaluation tool. STUDENT REPRESENTATION ON PROGRAM COMMITTEES Freshman and sophomore student representatives are members of the following ADN Program Committees: Curriculum, Evaluation, Student Affairs, Textbook/Media, & Ad Hoc Committees. Committee meetings are scheduled to promote student attendance. Meetings will be scheduled as frequently as indicated to complete the function of each committee-not less than once each long semester. STUDENT RECORDS & PAPERS ADN student files are maintained in the Program Director s office and the Health Professions office on the NC Corsicana campus. Each student will have an academic file, which is designated for degree plan print-outs, clinical evaluation forms, counseling records, and a personal information file, which is designated for documentation of health forms, immunizations, clinical requirements, etc. The program maintains files for at least four years following successful completion of the licensure exam. Files for students who withdraw or who must exit the program are kept for at least the period of time of readmission eligibility. Faculty may elect to keep select student papers for teaching-learning purposes, as examples for accreditation review, and to document course activities. Faculty may copy a student s written work or keep the original and give the student a copy to provide documentation for decisions regarding the quality or lack of quality of a student s work. New Admissions sign a form giving consent for the ADN program to retain examples of the student s academic work.

40 NC ADN STUDENT HANDBOOK Policies and Procedures 36 TESTING Students are to place books, and other personal items in the designated place in the classroom or computer lab during testing. Seating and/or room assignments for testing may be different from regular class. Students are to refer to NC policy regarding cell phones during exams. If faculty have a phone available, student cell phones must be turned off and placed in a designated secure area during the exam. Calculators that can be programmed may not be used during exams. Students may not exit to the desk top / internet during a computerized exam. Cheating on an exam will be cause for dismissal from the program. Violation of testing policy designed to prevent cheating may be cause for dismissal from the program. Updated May May 2011 TEST REVIEW & STUDENT INPUT RE: EXAM ITEMS Each student can view a tentative exam grade at the time computer tests are completed. Rationale reviews for computerized exams will be available when the student completes the exam. Each teaching team will determine the most efficient method to manage the exam reviews. Students desiring faculty to review specific exam items are to submit their written comments, on the sheets provided, to the course coordinator within the designated period set by the teaching team, usually immediately after the exam. The teaching team will determine the outcome of the exam item(s) review. NOTE: To ensure integrity of the test bank, students may not review exams later in the semester. Additionally, no written or video taped notes may be taken when reviewing test answers and rationales. TRANSFER STUDENTS Students requesting admission based upon previous nursing courses from another nursing program are considered for transfer into an existing class pending Admission Committee approval, space availability, transferability of previous nursing and general education courses, status and dates of previous enrollment, successful completion of skills and dosage competencies, and standardized pharmacology and med-surg. exams. A potential transfer student must meet all Navarro College requirements for enrollment and potential graduation (number of credit hours completed at NC). In addition, a potential transfer student who has failed a clinical course, or is ineligible for re-admission to previous nursing program(s), or is ineligible to take the NCLEX-RN Exam/apply for initial licensure, or has a pending eligibility issue with the BON, will not be eligible for admission as a transfer student. The alternate or previous program enrollment must be within two years of the transfer request. A letter from the director of the alternate program(s) stating eligibility for re-entry is mandatory for consideration of transfer admission. TRAVEL REQUIREMENTS To enhance learning in the clinical area, students will be assigned to various clinical agencies. Clinical experiences will involve travel outside the parameters of the program site. Some of the locations include but are not limited to Corsicana, Ennis, Waxahachie, Mexia, Dallas, Waco, Fairfield, DeSoto, and Terrell. Students who are accepted must meet all travel requirements/clinical assignments.

41 NC ADN STUDENT HANDBOOK Policies and Procedures 37 UNSAFE &/OR UNSATISFACTORY CLINICAL PERFORMANCE Students are informed weekly and mid-semester of progress or lack of progress in meeting course objectives and course requirements. As a student progresses through the program, the student is expected to demonstrate increasing competence and independence in providing nursing care. A student s clinical performance will be evaluated through weekly self-evaluations with instructor feedback and from instructor generated mid-term and final clinical evaluations. The student must have at least 75% Satisfactory (S) or Needs Improvement (NI) grades on weekly clinical evaluations and achieve a final clinical evaluation of satisfactory to earn a final clinical course grade of Pass (P). Orientation and end of course evaluation time are not counted as graded clinical days. Students are expected to provide safe nursing care. Although the primary purpose of clinical learning experiences is to provide the student with opportunities to put classroom/campus lab learning into action, it is essential that the student function in a safe, ethical, and professional manner when providing direct nursing care. Patient safety and well being must be protected. Violation of client safety is cause for dismissal from the ADN Program. Late, incomplete or otherwise unsatisfactory clinical reports, or unexcused absence from post conference, will be recorded as an unsatisfactory weekly clinical grade. Examples of unsafe or unsatisfactory clinical performance include, but are not limited to: Inadequate preparation for clinical. Errors in preparation, administration and documentation of medications/treatments. Attempting procedures or care activities without appropriate preparation, supervision, or authorization. Failure to notify the clinical instructor and/or clinical agency of absence or need to leave the clinical site/floor. Habitual tardiness to clinical. (3 incidents in a semester) Verbally and/or physically abusing patients and/or others. Presenting to clinical when personal physical, mental, and/or emotional health may put others or self in danger. (Such as-- Sore throat & elevated temperature, or use of a substance or medication that may impair judgment, level of alertness, or motor function.) Falsifying documents. Breaching confidentiality. (HIPPA violations) Failing to comply with policies regarding alcohol/drug abuse or misuse of over-the-counter or prescription medications. Failing to take appropriate action necessary for the stability and safety of a patient. Exhibiting behaviors which indicate physical or psychomotor impairment. Failure to submit weekly reports, care plans, or any other reports by the due date. Failure to comply with agency policy regarding Personal Protective Gear or infection control policies. Updated June 2007, May 2011 STUDENT SUCCESS INITIATIVE (SSI)* Purpose: Early identification of potential student difficulty in meeting course requirements and facilitation of student success. When a clinical or academic problem is identified: 1. Faculty will complete a Progression Assessment which will include areas of strengths and areas which need improvement.

42 NC ADN STUDENT HANDBOOK Policies and Procedures A plan for success will be developed and implemented. Timely completion of all action steps in the plan is required-- including meeting with faculty to discuss progress as noted on the SSI. Form: Student Success Initiative Reference: Formula for Success Nurse Educator May/June 2005 *SUCCESS: S = See it early; U = Understand the student perspective; C = Clarify the situation with the student; C = Contract with the student for success; E = Evaluate student s progress regularly; S = Summarize the student s performance; S = Sign the summary and look to the future. Developed December 2005, Approved July, 2006, updated May 2010 APPLICANT REQUIREMENTS FOR CLINICAL PLACEMENT and ADMISSION ALCOHOL/DRUG SCREENINGS & CRIMINAL BACKGROUND CHECKS Applicants are required to complete testing/screenings and criminal history background checks in accordance with ADN policies and clinical agency policies. Alcohol/drug screenings will be completed by an agency designated by the nursing program prior to the first clinical experience. Criminal background checks must be received from the DPS prior to an offer of admission. The student will pay costs for drug screens and criminal background checks. Random drug screens are conducted at least once each semester to meet clinical agency and ADN program accreditation requirements. The admission screenings fees will be paid by the student. The ADN program will maintain a budget for subsequent random screenings. An FBI criminal background check is required by the Texas BON once the student is admitted to the ADN program. Revised May 2010 APPLICANT HEALTH SCREENING All students are required to submit an ADN Health Screening Evaluation and Exam completed by a licensed health care provider in the state of Texas (physician or nurse practitioner or physician s assistant) upon entry into the program. This is a part of the required health and immunization documentation. The provider must specify that the student is physically able to participate in the ADN Program clinical activities and has no routine medications that are likely to impair judgment, level of alertness, or motor function. The physical exam form is included as an exhibit. Applicants may elect to postpone a physical exam until after an offer of admission that is contingent upon receipt of a health screening within two weeks that specifies that the applicant is physically able to participate in the ADN Program. Updated June 2007, June 2008, April 2012 SUBSTANCE ABUSE/CHEMICAL DEPENDENCY The Navarro College ADN faculty believes there is a social contract between society and the nursing profession which necessitates the self regulation of the nurse to provide nursing care which meets safe standards of practice. Substance abuse/dependence in students threatens the safety of both patients and students. When a nursing student does not carry out the responsibilities of his/her role and/or exhibits unacceptable patterns of behavior, the following process affords the opportunity to return to competence as a nursing student. 1. Initiating Assistance. Students are encouraged to seek assistance for their own substance abuse/dependency problems. Any nursing faculty member may help the student initiate a referral for assessment and treatment. 2. Reporting. Any faculty member or student who has cause to suspect that a student is chemically dependent should report specific behaviors to the ADN Department Chair/Program Director. A written report that provides specific dates and observations should be provided. Confidentiality for both the reporter and the identified student(s) will be maintained.

43 NC ADN STUDENT HANDBOOK Policies and Procedures 39 The validity and accuracy of the information will be investigated in a confidential manner. If the student acknowledges a problem, he/she will be referred for assessment and treatment and will be withdrawn from the ADN program. 3. Intervention. If data supports a problem of chemical dependence and the student does not acknowledge the problem, the program will require an alcohol/drug screen and will refer the student to an appropriate resource for assessment and treatment. The student will be dismissed from the program if the drug screen is positive. 4. Re-Entry. Students who re-enter the program will be required to provide written assessment/ recommendations from the referral resource. Information regarding treatment must be provided to the BON and a declaratory order must be submitted prior to re-entry. Students are required to pass a drug screen prior to the first clinical day and at any time a drug screen is requested by faculty. Faculty must conduct random screening to meet clinical agency and accreditation agency requirements. The ADN program will maintain a budget for subsequent alcohol/drug screenings. STUDENT ACUTE AND CHRONIC ILLNESSES 1. Students who have a chronic condition that requires medications that may alter judgment, level of alertness, or motor function will self report the medications taken on the physical exam form and provide a health care provider s release to participate in required clinical activities. 2. Students who develop an acute or chronic condition that requires medications that may alter judgment, level of alertness, or motor function or a communicable disease will provide a health care provider s statement regarding when the student can safely return to the classroom and the clinical setting. 3. Other: If prescribed medications are detected on a drug screen that have the potential to impair judgment, motor function, or level of alertness, the student will: (1) provide a health care provider s statement that the student can function safely during clinical practice and (2) agree to provide a money order to pay for future drug screen IF requested by the program director at any time during a clinical or theory course. 4. Notify the ADN Program Director if there are changes in prescribed medications that have the potential to alter level of consciousness or ability to care for clients. 5. Students are reminded that prescribed medications are to be taken only for the purpose ordered. Use of a prescribed substance for any purpose other than the original intent of the order is inappropriate. Such use would not be considered reason for a Medical Review Order (MRO) to overturn a positive drug screen. Updated June 2007, May 2008, May 2010 MEDICAL STATEMENT RE: ABSENCE FROM CLINICAL/CLASS In the event of an illness or injury that hinders a student's ability to perform in the clinical setting, the faculty reserves the right to require a health care provider s assessment statement that the student can safely continue with patient care activities. Each medical restriction must be evaluated by faculty. Specific release guidelines may be required in the health care provider s statement for situations involving, but not limited to, back injury, surgery, communicable diseases, or medications that may impair judgment, level of alertness, or motor function. Each case will be considered on an individual basis by the faculty. Absences from class for any reason that exceed 2 consecutive weeks or missing more than 3 clinical days may result in inability to complete course objectives, and may result in dismissal from the program. Updated June, 2007, June 2008, May 2010 CRIMINAL OFFENSES WHILE ENROLLED IN THE PROGRAM If an enrolled student is arrested or has an arrest pending, the student must report the situation to the Program Director within 24 hours of the incident. Pending notification of the Program Director, if the student is scheduled for clinical, the student may not attend clinical and must notify the clinical instructor of absence.

44 NC ADN STUDENT HANDBOOK Policies and Procedures 40 If an enrolled student is convicted of a criminal offense or if the student receives deferred adjudication while enrolled in the program, the student must report the conviction/adjudication to the Program Director within 24 hours and may not attend class or clinical activities. The student must withdraw from the ADN program due to clinical agency requirements/restrictions. Students are advised that Educational Programs are required by the BON to report if there is reason to believe that a student s behavior may be impaired by chemical dependency (NPA Sec ) The Program Director will follow reporting guidelines as established by the BON. Developed Dec. 9, 2004, Approved April 2005, Revised May 2010 EEOC STATEMENT Refer to Navarro College Student Handbook policy regarding EEOC. ELECTRONIC DEVICES IN THE CLASSROOM Refer to Navarro College Student Handbook policy regarding electronic devices in the classroom. Also, refer to testing policy for use of electronic devices during tests FOOD AND BEVERAGES IN CLASSROOMS Refer to Navarro College Student Handbook policy regarding classroom food/beverages. NOTICE REGARDING SCHEDULES AND SYLLABI Students are advised that course syllabus, assignments, calendars, and schedules are subject to change due to changes in laws, clinical agency requirements, publisher changes, faculty changes, or other issues. TEXAS BOARD OF NURSING Students and faculty are required to maintain select, current hard copies of Texas laws regulating nursing practice. The web site is A publication order form is included as a handout or can be found under other forms and publications.

45 NC ADN STUDENT HANDBOOK Policies and Procedures 41 ADN MEDICATION ADMINISTRATION OCCURRENCE POLICY I. DEFINITIONS ACTUAL MEDICATION ADMINISTRATION ERRORS: Any medication actually administered that involves the wrong time, wrong route, wrong medication, wrong dose, or wrong client during clinical. (ACTUAL MEDICATION ADMINISTRATION ERRORS include errors of omission, medications given without a physician s order, extra doses, incorrect rates, medications given to clients with a stated allergy to that medication, medications administered incorrectly regarding site or route, failure to discontinue medications as ordered, giving a medication known to be an adverse reaction risk with the client s drug profile, failure to follow special instructions or precautions, and errors in blood administration or intravenous solutions.) POTENTIAL MEDICATION ADMINISTRATION ERRORS: Any medication administration error as defined above that a nursing student was likely to commit without instructor or other RN intervention. (This is an error that was prevented by the final RN validation of the student s accuracy in medication preparation and administration). (NOTE: Such errors will be treated as an actual error for the student and will require documentation and remediation as indicated.) CONTROLLED SUBSTANCE ERRORS: Any controlled substance not properly recorded, counted inaccurately, or improperly wasted is documented as a medication incident, but is not an actual administration error. NOTE: No student will be assigned a control substance key or be responsible for control substances. TRANSCRIPTION ERRORS: Students may not transcribe an order and may not administer a medication or treatment until the primary RN has transcribed the order to the medication or treatment sheet. Any order that is transcribed incorrectly is documented as a potential medication error. (Even when there was not an actual administration error.) It is documented as an ACTUAL MEDICATION ADMINISTRATION ERROR if it resulted in a client administration error as described above. Transcription errors include: transcribing medication on the wrong client s MAR/KARDEX, transcribing wrong medication, wrong dose, wrong time, or wrong route. It includes transcribing medication to which client is allergic or omitting a transcription. Students are responsible for reading recent orders as part of their client care routine. The student should note any discrepancies and inform the primary nurse. II. PROCEDURE for Actual Medication Administration Errors Actual Medication Administration Errors will be reported immediately by the student and/or instructor to the Primary RN. The clinical agency policy will be implemented. ADMINISTERING STUDENT: 1. Notifies the instructor and primary RN immediately. 2. Conducts an assessment of the client s condition including vital signs (TPR and B/P) and documents the findings.

46 NC ADN STUDENT HANDBOOK Policies and Procedures Provides Primary RN with information to be reported to attending physician. 4. Assists as requested in completion of agency medication incident report. NOTE: No student will complete an agency medication incident report without an instructor present to supervise the documentation. 5. Completes a Navarro College Medication Occurrence Report. 6. Initiates or completes required remediation prior to next clinical assignment. INSTRUCTOR 1. Immediately conducts an assessment of the client s condition and assures that indicated assessments and actions have been implemented. 2. Assures that Primary RN has been notified. 3. If client is unstable or adversely affected, immediately notifies ADN Program Director. 4. Assists as requested in completing agency medication incident report. 5. Assures that student has initiated a Navarro College Medication Occurrence Report. 6. Reviews medication occurrence report and client care with administering student and develops a remediation plan for the student. 7. Completes and routes the Medication Occurrence Report to the ADN Course Coordinator and Program Director to be filed in the student s file within 4 working days. 8. Follows up to assure student initiates the remediation plan prior to the next clinical assignment. III. PROCEDURE for POTENTIAL MEDICATION ADMINISTRATION ERRORS ADMINISTERING STUDENT: 1. Consults with the Instructor or RN prior to administering all medications to prevent an actual administration error. 2. Completes a Navarro College Potential Medication Occurrence Report. 3. Initiates or completes required remediation prior to next clinical assignment. INSTRUCTOR: 1. Intervenes immediately to prevent an actual administration error. 2. Consults immediately with the student to assure that the student can safely continue with the assigned client care. 3. Assures student has initiated or completed the Navarro College potential Medication Occurrence Report. 4. Reviews all errors with the responsible student and develops a written remediation plan (contract). Causative factors and patient outcome are reviewed. Reviews the severity level of error as determined by the student and verifies level. 5. After reviewing all pertinent information the instructor documents on the potential Medication Occurrence Report recommendations (i.e., education relating to the error, skills lab review, etc.) 6. The potential Medication Occurrence Report is routed to the Course Coordinator and ADN Program Director. A copy is placed in the student file. COURSE COORDINATOR: 1. Reviews all Medication Occurrence Reports for trends and discusses with Teaching Team and/or ADN faculty as indicated. 2. Reports a summary of events to the ADN faculty at scheduled meetings and includes medication error information in the end of course report each semester.

47 NC ADN STUDENT HANDBOOK Policies and Procedures 43 IV. PROCEDURE for Serious or Life Threatening Actual or Potential Medication Administration Errors. INSTRUCTOR 1. The Instructor will notify the ADN Program Director immediately if an actual serious or life threatening error occurs. 2. The Instructor will notify the ADN Program Director immediately if a potential medication error is the type mistake that could put a client at risk for a serious adverse outcome or death. 3. The Instructor and ADN Program Director are responsible for instituting immediate intervention, including dismissal from the program, for any actual or potential medication error that is extremely serious in nature or for any negligent student nurse behavior(s). V. MEDICATION INCIDENT REPORTING STUDENT/INSTRUCTOR 1. A Navarro College Medication Occurrence Report Form (attached) will be completed for each actual or potential medication error. 2. A Pharmacology Review Form (attached) will be completed for each drug that is administered in error or that is a potential administration error. 3. The Medication Error Tool (attached National Coordinating Council for Medication Error Reporting and Prevention NCC MERP Index) will be used to determine the category of each actual or potential medication incident and provides guidelines for remediation or other action based upon the seriousness of each incident. VI. REMEDIATION INSTRUCTOR 1. Recommended remediation/actions based upon the category for each actual or potential medication incident: Category A: Verbal counseling; remediation and NI as a weekly grade. (Example of Category A incident: Not checking a patient s ID band.) Categories B to D: Written counseling / contract and remediation plan. Categories E to I: Review of Student Clinical Performance / Safety 2. All medication incident reports will be filed in the student s file to be available for review by faculty at the time of each actual or potential medication error. 3. Any time a student has a Category E to I medication error, faculty will review that student s overall clinical performance and his/her continued eligibility to progress in the program. VII. MEDICATION ERROR PREVENTION GUIDELINES 1. Prior to administering medications in the clinical setting, students must achieve 90% on the Dosage Test required for each that semester. (Additionally, faculty may require a student to review and re-test any dosage calculation or math skill identified as needing improvement.) 2. Students may administer only the type/route of medications and treatments for which their skills have been validated by an instructor in the campus lab. 3. Students may be limited by agency policy or NC policy in administering medications in certain specialty areas. 4. Students may not check or hang blood or blood products or be solely responsible for monitoring the administration of blood or blood products or for monitoring a client after an epidural.

48 NC ADN STUDENT HANDBOOK Policies and Procedures 44 CLINICAL SUPERVISION GUIDELINES Level I students - must be supervised by the clinical instructor in the preparation and administration of all medications. (RNSG 1261) Level II students - must be supervised by the clinical instructor or registered nurse in the preparation and administration of all medications. (RNSG 1262, RNSG 1263, RNSG 1361, RNSG 2261) Level III students - must be supervised by the clinical instructor or registered nurse in the preparation and administration of all medications. (RNSG 2461) Level IV students - are supervised by clinical instructor or registered nurse in the administration of all medications. (RNSG 2262, RNSG 2161) NOTE: Refer to the program skills level chart for brief medication administration and other skills level designations. Refer to the course syllabi for further details of descriptions of medication administration and other skilled care. Developed May 2004 Revised December 2004 Reviewed May 2010 NOTE: Refer to table of contents for location of forms required for medication errors. TEXTBOOK LISTS are not published in the handbook because they are subject to change each semester. Textbook lists with the price of each text is made available to new students about a month prior to admission during orientation. Also, the list is part of each course syllabus and is available to students at the end of the previous semester. An estimated student fee schedule is updated annually. Refer to table of contents for location. (Forms are also provided with each clinical syllabus and therefore available on blackboard.)

49 NC ADN STUDENT HANDBOOK APPENDIX A - Forms 1 Healthcare Personnel Vaccination Recommendations Vaccine Recommendation in Brief: Hepatitis B: Give 3-dose series (dose #1 now, #2 in 1 month, #3 approximately 5 months after #2) Give IM. Obtain anti HBs serologic testing 1-2 months after does #3 Influenza: Give 1 dose of influenza vaccine annually. Give inactivated injectable influenza vaccine intramuscularly or live attenuated influenza vaccine (LAIV) intranasally. MMR: For healthcare personnel (HCP) born in 1957 or later without serologic evidence of immunity or prior vaccination, give 2 doses of MMR,. 4 weeks apart. For HCP born prior to 1957, see below. Give SC. Varicella: For HCP who no serologic proof of immunity, prior vaccination, or history of varicella disease, (chickenpox) give 2 doses of varicella vaccine, 4 weeks apart. Give SC Tetanus, diphtheria: Give a one-time dose of Tdap as soon as feasible to all HCP who have not received Tdap previously. Pertussls Give TD boosters every 10 years thereafter. Give IM Meningococcal: Give 1 dose to Microbiologist who are routinely exposed to isolates of N. menigitidis. Give IM or SC.

50 NC ADN STUDENT HANDBOOK APPENDIX A - Forms 2 Drug Screening Authorization & Acknowledgement Form I,, NC Associate Degree Nursing Student, PRINT FIRST NAME PRINT LAST NAME agree to provide a urine, blood, and/or breath sample for the purpose of drug screening by an agency designated by the ADN program. I also permit the agency (testing laboratory) to release the results of the drug screening to authorized ADN program faculty or ADN Program Director. I acknowledge my understanding that drug screening is a program requirement based on clinical agency requirements for placement of nursing students for learning experiences and for the safety of clients and others that I may interact with in my role as a nursing student. I acknowledge that a positive drug screen or failure to provide a specimen when requested is reason for dismissal from the ADN Program. I understand that an appeal a drug finding will be at my expense. Signature: Date: Criminal Background Authorization & Acknowledgement Form I, SS# PRINT FIRST NAME PRINT LAST NAME authorize the Navarro College Associate Degree Nursing (ADN) Program to maintain my criminal background history from the FBI and other agencies. I acknowledge that this information is required to determine my eligibility to participate in clinical experiences at affiliated clinical agencies. I am aware that results of this history may bar me from completing clinical / program requirements. I am aware of the need to provide a Declaratory Order from the Texas Board of Nursing for any current or future convictions. I am also aware of the requirement to immediately report any arrests or convictions while I am a nursing student to the Associate Degree Nursing Program director and to the Texas Board of Nursing. I am aware of the requirement to withdraw from the ADN program if ineligible to meet clinical objectives due to an arrest or conviction. The Associate Degree Nursing Program cannot guarantee clinical placement. Signature: Date:

51 NC ADN STUDENT HANDBOOK APPENDIX A - Forms 3 Use of Student Work, Name, and Image I,, grant permission for my instructors to PRINT FIRST NAME PRINT LAST NAME keep samples of my written work and use any photographs/video for teaching learning purposes. Examples: To use as an anonymous model (example) for other students. To document the quality, or lack of quality, of my work. To use as an exhibit of student work for accrediting agencies to review. To use in Navarro College advertising / media/web-site. Signature: Date: Release of Information I,, grant permission for the release of my name and PRINT FIRST NAME PRINT LAST NAME expected date of graduation to potential employers of nurses and other agencies and / or organizations for the purpose of recruitment or scholarship application. Signature: Date: Confidentiality Agreement I,, understand and agree to the following guidelines: PRINT FIRST NAME PRINT LAST NAME During the course of the nursing program, particularly while in clinical rotations, I may have access to confidential information about clients and their families, clinical agencies, and other privileged information. This includes information concerning other students. I understand that I must maintain the confidentiality of all information written, verbal, electronic, & other. I further understand that state and federal laws may protect some information. In addition, the client s right to privacy and confidentiality is mandated by the Texas Board of Nursing, as well as other professional nursing organizations, through standards and codes. I agree to only discuss confidential and privileged information with my clinical instructor and authorized agency personnel as directed by my instructor. I may also discuss client data at clinical conferences as directed by my clinical instructor. I agree not to discuss such information in any situation where it could be overheard or interpreted as relating to a client, an agency, agency personnel, a fellow student, or anyone else. Discussion in public areas such as elevators, hallways, and dining rooms is not permitted. I understand that all client information and client documents are the property of the client and the agency. No client chart pages or copies of such pages may be removed from the agency. No photocopying, or photographing of any client or college document is allowed. No computer-generated data may be removed from the agency. I further agree to use only the approved client ID (such as initials only or room number only) and/or other individual IDs (such as initials only for names of health care workers, visitors, etc.) on all written work such as forms, evaluations, etc. I understand that I have an ethical, moral, and legal responsibility to protect confidentiality, and that a breach of confidence may result in my termination from the ADN Program as well as result in legal action against me as a professional nursing student. Student Signature: Date:

52 NC ADN STUDENT HANDBOOK APPENDIX A - Forms 4 NAVARRO COLLEGE STUDENT TRAVEL RELEASE FORM I, understand that I am responsible for my own behavior and will abide by all rules and regulations outlined in the Student Code of the Handbook published by Navarro College. I understand that if I am in violation of any of these rules, I will be subject to the consequences stated in the Handbook. In addition, the following stipulations will apply: Student Signature: Advisor Signature: Date: Please provide the information requested below: Local address: Local phone number: Parent s phone number: Person to notify in case of emergency: Relationship to student: Phone number: Medical conditions:

53 NC ADN STUDENT HANDBOOK APPENDIX A - Forms 5 NAVARRO COLLEGE ASSOCIATE DEGREE NURSING STUDENT EXIT INTERVIEW FORM NAME SSN# DATE TIME COURSE GRADE I. Reason for Exit (Check all that apply) A. Personal (i.e. Health/Financial) B. Theory Grade COMMENTS: C. Clinical Performance II. Policies Regarding Re-Admission Explained A. Exit Interview E. Course Audit B. Re-Admission F. Academic Assistance Resource Center [ ] Counseling Center [ ] C. Progression G. VN Program D. Grievance/Grade Challenge - See NC Student Handbook COMMENTS: III. Eligible to Re-Apply for Re-Admission YES NO COMMENTS: Student Signature (Copy to Student) (initial) Adopted: July 1994, Faculty/Administrator Signature Reviewed 7/95,7/96,7/97,7/98, 5/2010

54 NC ADN STUDENT HANDBOOK APPENDIX A - Forms 6 NAVARRO COLLEGE ASSOCIATE DEGREE NURSING STUDENT RESPONSE FORM - EXIT INTERVIEW Instructions: 1. Student to complete at time of Exit Interview. 2. Attach to EXIT INTERVIEW FORM. 3. Provide a copy for the student NAME: SSN: Reason for Exit (Check all that apply) A. Personal (i.e. Health, Financial) Give a brief explanation: B. Theory Grade C. Clinical Performance II. In your opinion, was there anything that you and/or the ADN faculty could have done that would have resulted in you meeting program or course requirements? (Give a brief explanation - even if answer is no.) III. In your opinion, how can the ADN faculty help students who are having difficulty be successful? IV. What are your future plans regarding your nursing education? Adopted July 1994, Reviewed July 1995, Reviewed July 1996, Reviewed July 1997, Reviewed July 1998

55 NC ADN STUDENT HANDBOOK APPENDIX A - Forms 7 NAVARRO COLLEGE ASSOCIATE DEGREE NURSING PROGRAM RE-ENTRY BRIDGE or GENERIC APPLICATION WORKSHEET FOR STUDENT: ADDRESS: County ID DOB: SS: HM.PHONE: CELLPHONE: other Ph: Due before Application Deadline Date (Feb 1 st ) 1. TEAS Reading Comp. score= / = Nat l Mean 2. NC ADN Application in file dated: 3. NC ACADEMIC EVAL. in file dated: 4. Type of Degree Plan in file: Should be AAS.ADN or AAS.ADN Bridge. Nothing else accepted. 5. TSI EXEMPT, or COMPLETE: 6. Physical Exam Date: 7. MMR 1 2 or positive Titer dated: 8. Varicella 1 2 or positive Titer dated: or Physician s Verification of Disease Hx Dated: 9. Tetanus: Type Date Type: Date 10. Hepatitis A 1 2 or Positive Titer dated: 11. Hepatitis B or Positive Titer dated: 12. Meningococcal Vaccine: 13. DPS Criminal History (Date/Result): / 14. Board of Nursing Declaratory Order: or N/A 15. Driver License Number /Record / #16 and #17 Bridge & Gen: Do not do until the end of May. 16. CPR (AHA HealthCareProvider)? Y N = If not AHA HCP CPR RE-DO Current through graduation? Y N Expires on 17. (Neg)TB Skin Test - Date/induration / mm GENERIC STUDENTS WILL REPEAT THIS NEXT YEAR, SAME TIME 18a. (Positive) TB Test = Date/Induration / mm 18b. PLUS Neg. CXR Report Date (within 3 yrs) ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ 19. Flu shot every Fall: Y N Y N. If (VN)- License #: Expires: Verified Other Cert/License. Exp: Verified DADS OIG Comments: 1st Faculty Signature 2nd Faculty Signature Comments Revised: 4/07, 10/07, 9/08, 3/09, 4/10 1.COURSES Grade Yr/ Sem COLLEGE Math/Science & POINTS III below BIOL 2401 A&P I III, 4 3 BIOL 2402 A&P II III, 4 3 BIOL 2420 Micro III, 4 3 MATH 1314 Coll.Algebra III, 4 3 PSYC2301 Gen.Psych PSYC 2314 Lifespan G & D SPCH 1311, 1315, 1321 ENGL 1301 Comp & Rhet BIOL 1322 Nu & Diet Ther Fine Arts/Humanities Elective See P. 42 in catalog IV: BSN: Chem-1405 IV: BSN: Stat-1342 Orientation 1100 or Sub: II. Points for courses completed w/ A, B, C III. Algebra /Science IV.Chem / Statistics BSN BONUS PTS IV BELOW IV 4 3 IV 4 3 TOTALS OF II II TOTALS OF III III TOTALS OF IV IV H HEALTH CERTIFICATION (points to IV below) CNA, CMA, CPT, ECA, EMT, etc. 0 OR 5 1 Point PER Course C Total See II County of Residency (circle one and Insert points- #VI Below) NAVARRO COUNTY = 5, FREESTONE, LIMESTONE, LEON, ELLIS = 2, NOT IN SERVICE AREA = 0 Relevant Higher Degree (points to #VII below) Degree: 0 OR 5 Letter stating intentions r/t RN BSN YES NO (Need letter of intent in student s NC file + Chem/Stat s Transcripts for BSN Points to be added) I. TEAS reading comprehension grade (from above) (0-100) (Converted: Y N ) II. # of courses completed (0-12) III. Algebra/Science grades (from III above) (0-16) IV. BSN course grades (from IV above) (0-8) (Stat/Chem. BSN bonus points: A=4, B=3, C,D or F = No points & do not count as a course(ii)) V. Health Certification (from above) (0 or 5) VI. County of Residence (from above) (0, 2, 5) VII. BS /MS Degree in relevant field(from above) (0,5) TOTAL AMOUNT OF POINTS

56 NC ADN STUDENT HANDBOOK APPENDIX A - Forms 8 NAVARRO COLLEGE HEALTH PROFESSIONS DIVISION NAVARRO COLLEGE HEALTH PROFESSIONS OCCURRENCE FORM NAME ID GENDER OCCURRENCE DATE TIME Student Faculty Other Male Female LOCATION OF OCCURRENCE CORSICANA WAXAHACHIE MEXIA Campus Location: Campus Location: Campus Location: : AM : PM Off Campus Site: Off Campus Site: Off Campus Site: NATURE OF INJURY Bites (insect or human) Burn, chemical Fracture Burn, scald Electrical Shock Puncture Wound Sprain, strain No apparent injury Other Occurrence Fall Needle Stick Misadventure ** Improper body alignment * Illness Property Damage Property Missing Faulty Equipment Other Describe the occurrence in detail, giving only the facts involved: Witness: Name, Address: Name:, Address: Name:, Address: Was person seen by a physician: No [ ] Yes [ ] Date: Physician's Name: Address: Physician's Findings: Any follow up necessary? No [ ] Yes [ ] Explain: Name of person preparing report: Date of report: Instructor: Program Director: * = Using improper lifting techniques (not keeping back straight and knees bent while lifting). ** = Injury as a result by someone other than the injured person. Revised: 4/07, 10/07, 9/08, 3/09, 4/10, HB S Occurrence Form p revised

57 NC ADN STUDENT HANDBOOK APPENDIX A - Forms 9 NAVARRO COLLEGE ASSOCIATE DEGREE NURSING PROGRAM MEDICATION ADMINISTRATION OCCURRENCE REPORT Student Name Clinical Facility Date of Error Time Client s Initials Age Unit Diagnosis(es) Clinical Instructor Actual Error [ ] Potential Error [ ] Circle the administration error that occurred: Patient Drug Dosage Time Route Omission Other (specify) Was this a calculation error? Yes No Student s Description of Medication Administration Occurrence: Assessment of Client (if indicated): Physician response to error (if indicated) Student Signature: Date: STEPS TAKEN AFTER MEDICATION ERROR OCCURRED: Assist as requested to complete the Medication Error Report for the clinical facility. Attach a Pharmacology review for each medication involved (for NC ADN Program). Attach the medication error tool that indicates the Category of error: A B C D E F G H I Attach a contract detailing a remediation plan or other actions. Instructor comments: ******************************************************************************* Signatures: Clinical Instructor Course Coordinator ADN Program Director Date Reviewed Date Reviewed Date Reviewed

58 NAVARRO COLLEGE ADN STUDENT HANDBOOK APPIENDX A - Forms 10 NAVARRO COLLEGE ASSOCIATE DEGREE NURSING PROGRAM PHARMACOLOGY REVIEW Student Name: Date Instructor: Facility * *One form must be completed for each medication Required Information Student Response MEDICATION INDICATION SIDE EFFECTS NURSING CONSIDERATIONS ACTUAL EFFECT OF ERROR TO CLIENT POTENTIAL EFFECT OF ERROR TO CLIENT WHAT ADDITIONAL CARE OR MONITORING WERE REQUIRED? WHAT IS THE ESTIMATED ADDITIONAL COST TO CLIENT? WHAT CAN BE DONE TO PREVENT SIMILAR ERRORS FROM OCCURRING? Revised May 2004

59 NC ADN STUDENT HANDBOOK APPENDIX A - Forms 11 Harm: Impairment of the physical, emotional, Circumstances or psychological or events function that have or structure the of the body and/or pain resulting there from. Monitoring: To observe or record relevant physiological capacity to cause or psychological error signs. Intervention: May include change in therapy or active medical/surgical treatment. Intervention Necessary to Sustain Life: Includes cardiovascular and respiratory support (e.g., CPR, defibrillation, intubation, etc.) Category A NCC MERP Index for Categorizing Medication Errors Algorithm NO Did an actual error occur? Category B NO YES YE S Did the error reach the patient? * YES Category C Did the error contribute to or result in patient death? YES Category I No Was intervention to preclude harm or extra monitoring required?? Yes N o Was the patient harmed? NO YES Did the error require an intervention necessary to sustain life? Category E NO NO N Oo O Oo O Did the error require Initial or prolonged hospitalization? Was the harm temporary? YES Yes Category F Category D Navarro College Associate Degree Nursing Program YES Handbook Acknowledgement and Signature Page Was the harm permanent? YES NO Category G NO Category H 2001 National Coordinating Council for Medication Error Reporting and Prevention. All Rights Reserved. Permission is hereby granted to reproduce information contained herein provided that such reproduction Category shall B: not modify the text and shall include the copyright notice appearing on the pages from which it was copied. PSH0306 An error occurred but the error did not reach the pt. An ERROR OF OMISSION does reach the patient. Category C: An error occurred that reached the patient but did not cause pt. harm

60 NC ADN STUDENT HANDBOOK APPENDIX A - Forms 12 NCC MERP Index for Categorizing Medical Errors No Harm Error, No Harm Error, Harm Error, Death Category H: An error occurred that required intervention necessary to sustain life. Category I: An error occurred that may have contributed in or resulted in the patient s death. Category G: An Error occurred that may have contributed to or resulted in permanent patient harm. Category F: An error occurred that may have contributed to or resulted in temporary harm to the patient and required initial or prolonged Hospitalization. Category E An error occurred that may have contributed to or resulted in temporary harm to the patient and required intervention. Category A: Circumstances or events that have the capacity to cause error Category B An error occurred but the error did not reach the patient. An error of omission does reach the patient. Category C: An error occurred that reached the patient but did not cause the patient harm. Category D: An error occurred that reached the patient and required monitoring to confirm that it resulted in no harm to the patient and/or required intervention to prevent harm. DEFINITIONS HARM Impairment of the physical, emotional, or psychological function or structure of the body and/or pain resulting there from. MONITORING To observe or record relevant physiological or psychological signs INTERVENTION May include change in therapy or active medical / surgical treatment. INTERVENTION NECESSARY TO SUSTAIN LIFE Includes cardiovascular and respiratory support (e.g., CPR, defibrillation, intubation, etc.) C 2001 National Coordinating Council for medication Error Reporting and Prevention. All Rights Reserved. * Permission is hereby granted to reproduce Information contained herein provided that such reproduction shall not modify the text and shall include the copyright notice appearing on the pages from which it was copied. PSF0306 Date: May 2006

61 NC ADN STUDENT HANDBOOK APPENDIX A - Forms 13 HANDBOOK ACKNOWLEDGEMENT I acknowledge that I have received a copy of the Navarro College Associate Degree Nursing Student Handbook. I am aware that certain information regarding health status and other data of a confidential nature must be disclosed for the purpose of clinical agency experiences. I agree to the disclosure of appropriate and needed information in accordance with clinical agency requirements. I have been informed that all information is handled in a confidential manner. The nursing program policies and guidelines, including information regarding expectations of a student in a professional nursing program, have been reviewed with me. As a student in the NC ADN Program, I will demonstrate compliance with policies, guidelines, and other requirements. As a Navarro College student, I will follow college policy regarding student conduct including as academic honesty. I further acknowledge that I have been informed of the nursing program requirements for graduation and application for initial licensure to take the NCLEX-RN Exam which include, but are not limited to, completion of Texas Academic Skills Program (TASP) requirements (students are TSI complete prior to admission), successful completion of standardized nursing topic exams, a pre-licensure readiness exit exam, and other requirements to obtain the AAS Degree in Nursing from Navarro College. I am aware that I must achieve a grade of C or better to progress in the program. I have been informed that a course numerical grade of 75 to 79 percent is required for a C in an RNSG course. I have been advised that I will be required to travel to clinical sites as assigned. I have been advised that classroom lectures and activities will be conducted in Corsicana and in Waxahachie and I will be required to attend all scheduled classroom activities. I am aware that excessive absences (more than 1 clinical day or more than 2 weeks of class) may necessitate withdrawal from the clinical and didactic course due to inability to complete all course requirements. I further acknowledge that information regarding licensure eligibility for registered professional nurses in Texas, Standards of Professional Nursing Practice, and other information regarding the profession of nursing have been reviewed and explained to me. If I have reason to believe now or in the future that I may not be eligible to apply for initial licensure, I will notify the Program Director and withdraw from the program immediately. I have been advised to contact my nursing instructors (Faculty and Department Chair) for clarification if I have questions or need further interpretation of the contents in the Associate Degree Nursing Student Handbook or the Navarro College Student Handbook/Catalog. Signature Printed Name FIRST MI LAST Date SS# Revised: May 2007; May 2008

62 NC ADN STUDENT HANDBOOK APPENDIX A - Forms 14 Texas Board of Nursing P O Box 430 Austin, Texas Select Laws and Rules I hereby verify that I have purchased required booklets and have had the following documents regarding licensure eligibility and nursing education for registered professional nurses in Texas explained to me. Publications: Nurse Practice Act Amended September 2007 BON rules related to Nursing Education, Licensure & Practice I. Nursing Practice Act, Nursing Peer Review & Nurse Licensure Compact, Texas Occupations Code and Statutes Regulating the Practice of Nursing as Amended September Chapter 301, Subchapter F, Licensure Requirements: Chapter 301, Subchapter G, Licensure Renewal: Chapter 301, Subchapter I, Reporting Violations and Patient Care Concerns: Chapter 301, Subchapter J, Prohibited Practices & Disciplinary Actions: Chapter 303, Nursing Peer Review Chapter 304, Licensure Compact II. Texas Board of Nursing Rules and Regulations relating to Nurse Education, Licensure and Practice Amended Sept ) Chapter 213 Practice & Procedure examples: Good Professional Character Licensure of Persons with Criminal Convictions Criteria and Procedure Regarding Intemperate Use and Lack of Fitness in Eligibility and Disciplinary Matters Declaratory Order of Eligibility for Licensure Chapter 215 Professional Nurse Education: Students Guidelines for Student Evaluation Methods and Tools Differentiated Essential Competencies 2) Required eligibility information includes: (1) Texas Occupational Code , , Sections of the Texas Administrative Code (relating to Good Professional Character, Licensure of Persons with Criminal convictions, Criteria, and Procedure Regarding Intemperate Use and Lack of Fitness in eligibility and Disciplinary Matters, Declaratory Order of Eligibility for Licensure.) Program of Study 3) Chapter 217 Licensure, Peer Assistance and Practice: Licensure by Exam, Temporary Permit ) Restrictions for Use of Designations for LVN and RN Standards of Nursing Practice Unprofessional Conduct Rule Peer Assistance Rule Minor Incidents Rule Due Process Rule Safe Harbor Rule 4) Forms: Petition for Declaratory Order, Booklet order form, Application for NCLEX RN Examination Student Signature Name: Revised May, 2007; June 2008 Date Signed

63 NC ADN STUDENT HANDBOOK APPENDIX A - Forms 15 NAVARRO COLLEGE Associate Degree Nursing Program Web Site References The following forms are to be completed and submitted on-line by students and are available on the Texas Board of Nursing website: BON Publication Order Form - August prior to admission Application by NCLEX-RN Examination for Registered Nurses - February of last semester Petition for Declaratory Order And Petition for Declaratory Order Instructions (To take the NCLEX examination for licensure as an RN or LVN) as requested by BON in first semester Web sites other than BON / NCLEX-RN ati.com atitesting.com vark-learn.com evolve.com hesiinet.com Microsoft.com/student/office/en-us/default.aspx ($80 Microsoft Office Professional for students with college ID)

64 NC ADN STUDENT HANDBOOK APPENDIX A - Forms 16 I understand and agree to the following guidelines: NAVARRO COLLEGE ADN PROGRAM TEST ITEM CONFIDENTIALITY AGREEMENT During the course of the nursing program I will have access to ADN Program test items and tests from outside agencies or publishers such as HESI or ATI. I understand that I must maintain the confidentiality of all testing information written, verbal, electronic, computerized, and other, including Skills Validations. All information regarding exams is information essential to the integrity of the nursing program. I will not discuss specific a test questions and answers outside any test area, not even with fellow students. I understand this is an ethical, moral, professional, and legal responsibility to protect confidentiality, and that a breach of confidence may result in my termination from the program as well as result in legal action against me as a professional nursing student. I have been made aware of the following Confidentiality Agreement that I must agree to honor prior to each exam. TEST SECURITY AND CONFIDENTIALITY AGREEMENT This HESI or ATI exam is a secure exam. To take the exam, you must agree not to discuss the exam questions, rationales, or answers with any other possible examinee. Failure to honor this agreement will result in your name being submitted to the State Board of Nursing. Additionally, legal action will be taken by HESI, ATI, against any known violator. By signing this you are agreeing not to disclose to any individual the content of test items, answers, or rationales. You understand that failure to honor this agreement will result in your name being submitted to the Texas Board of Nursing by the publisher and in possible legal action against you individually by the publisher. My signature below also acknowledges that I am aware that any violation of the testing policies or test security is grounds for dismissal from the Associate Degree Nursing Program. I acknowledge that I am aware of the requirement not to discuss NCLEX-RN test items after I take the NCLEX-RN. Student Signature: Date: Form created May 2008

65 NC ADN STUDENT HANDBOOK APPENDIX A - Forms 17 NAVARRO COLLEGE ASSOCIATE DEGREE NURSING Orientation Check-List Semester of Entry Year Generic Entry Bridge Entry Name: SS# Date: The orientation is designed to provide an overview of the program requirements. In addition there is information about the legal requirements for licensure as a Registered Nurse in the State of Texas. INITIAL EACH ITEM AS IT IS PRESENTED OR ACCOMPLISHED. SIGN WHEN ORIENTATION IS COMPLETE. 1. Introduction of faculty and staff (some after class starts) 2. Introduction of other students (some after class starts) 3. Support Services, Financial Aid, Bookstore, Carl Perkins Program, Student Services, Counseling Services, Testing Services, etc. 4. NSNA/TNSA and ADN club membership and class officers 5. Program Philosophy 6. Curriculum Overview 7. Graduation requirements and Course requirements (Syllabus & College Catalog) 8. Degree Plan (Evaluation of transfer & substitute courses) 9. Completion of select standardized exams is a program requirement. (Pharmacology, Medical-Surgical, OB, Pedi, Foundations, Comprehensive Exit Exam, or other exams as required.) ATI, HESI, or other standardized exam will be utilized. A passing score is the score recommended by the publisher. Passing these exams is not a program requirement, but is recommended. 10. ATI, Evolve, or other tests must be complete each semester to meet RNSG course requirements 11. Status as a 'professional' nursing student photo ID, badge, professional appearance/hygiene and behavior. 12. Health and Functional Requirements 13. CPR Certification must be AHA Health Care Provider and MUST BE current throughout the Program. (Other courses accepted only if equivalent and only with prior approval.) 14. Clinical Agency / ADN Requirements: Immunizations, Drug Screens, Criminal History (Initial Fees paid by student, subsequent drug screens are budgeted in the ADN program) 15. Travel requirements for clinical and outside learning activities 16. Uniform Dress Policy Clinical, Campus Lab, Simulation Lab, & professional travel. 17. Attendance Policy: classroom, clinical, exam days (May not have excessive absence Or be consistently tardy) 18. Course Exams: critical thinking, exam reviews, study groups, test-taking tips. 19. Clinical assignments (usually two 8 hour shifts or there equivalent per week) 20. CAUTIONS REGARDING WORK (schedule study time required, schedule skills practice times, plan ahead, rest, etc) 21. Stress Management 22. Confidentiality (HIPPA, Client Rights, Test Content) 23. Skills & Media Labs: Supply Kit Fees approximately $ for Bridge students & approx. $ for Generic Students. To be ordered by student before orientation: These will be delivered to NC 24. Student Liability Insurance (paid during Fall/Spring registration) 25. Health Insurance (more clinical sites are requiring this for students to use their facilities)

66 NC ADN STUDENT HANDBOOK APPENDIX A - Forms Scholarships and Loans. Tuition and fee payment 27. Graduation and Pinning 28. NCLEX-RN application / Declaratory Order 29. Fund raisers / Community Work 30. Library 31. Test item confidentiality. Use of pass codes. Use of copy-right materials. 32. Other Notes: SUPPLIES: Calculator, 3 large easy-open 3 ring binders, 5-6 clear plastic document holders for 3-ring binder, write-on tabs for 3 ring binder, Stapler, Pencil-sharpener or mechanical pencils, Black ink pens (no felt tip, or roller gel), Small write-on tabs to mark specific drug pages in your drug book. Headphones/Ear Buds for Computer use. Colored scrubs and clinical supplies for first day of semester. *Clinical uniform ( Red Landau Style # LA70221 top, Any brand Black Nursing Uniform Pants, *White Lab Coat, *White or Black Nurses Shoes w/matching socks, *Stethoscope, *Badges x 2, etc.) prior to first clinical. Access to computer and high speed internet at home recommended, or plan/schedule for use of Gooch, Health Professions, or Library computers. Student Signature: Date:

67 NC ADN STUDENT HANDBOOK APPENDIX A - Forms 19 NAVARRO COLLEGE Associate Degree Nursing (ADN) Student Load The Navarro College Associate Degree Nursing Program (ADN) degree plan includes both nursing and non-nursing courses. The program covers a two-year period comprised of five semesters 2 Fall, 2 Spring, and 1 Summer. (Students must complete 12 hours of science courses as pre-requisite to entry to the ADN Program.) Students often choose to also complete all non-nursing courses prior to entering the ADN Program. Therefore, many students accepted to start have only the nursing courses remaining. Without the non-nursing courses included in each semester, the semester load is less than the traditional full semester load of a minimum of 12 hours. The five semester credit load for nursing course hours is listed below: Freshman 1 st Year Fall RNSG Courses = 8 hours (28 contact hours per week) Spring RNSG Courses = 8 hours (24 contact hours per week) Summer 1 st 6 Weeks RNSG Courses = 4 hours (27 contact hours per week) Bridge Summer Summer 1 RNSG Courses = 6 hours (32 contact hours per week) Summer 2 RNSG Courses = 6 hours (32 contact hours per week) Sophomore 2 nd Year (also Bridge Fall and Spring) Fall RNSG Courses = 9 hours (24 contact hours per week) Spring RNSG Courses = 9 hours (26 contact hours per week) Nursing education courses include time at actual clinical agencies and in the Skills Lab on campus. The clinical/lab practicum hours are counted at a lower value than lecture credit hours. The example which follows is for the Fall semester of the freshman year: 8 Credit Hours for RNSG Courses which require 28 contact hours 16 hours of clinical per week x 12 weeks (only counts as 2 credits) 4 hours of classroom lecture per week 8 hours of skills/theory lab per week Total hours in class/clinical per week equal 28 hours. NAVARRO COLLEGE Associate Degree Nursing Program - Credit Hours and Contact Hours Freshman 1 st Year Fall 8 Semester Hours for RNSG Courses RNSG 1201 = 2 credit hours = 5 clock hours per week 1 lecture hour per week 4 skills lab hours per week RNSG 1413 = 4 credit hours = 7 clock hours per week 3 lecture hours per week 4 skills/theory lab hours per week RNSG 1261 = 2 credit hours = 16 clock hours per week 16 clinical hours per week Total contact Fall hours = 28 per week Spring 8 Semester Credit Hours for RNSG Courses RNSG 2504 = 5 credit hours = 8 clock hours per week 4 lecture hours per week 4 skills/theory lab hours per week RNSG 1361 = 3 credit hours = 16 clock hours per week 16 clinical hours per week Total contact Spring hours = 24 per week Summer 2 nd Six Weeks = 4 Semester Credit Hours for RNSG Courses RNSG 2201 = 2 credit hours = 11 clock hours per week 3 lecture hours per week 8 skills/theory lab hours per week RNSG 2261 = 2 credit hours = 16 clock hours per week 16 clinical hours per week Total contact Summer 2 = 27 per week

68 NC ADN STUDENT HANDBOOK APPENDIX A - Forms 20 Sophomore 2 nd Year Fall 9 Semester Credit Hours for RNSG Courses RNSG 2514 = 5 credit hours = 8 clock hours per week 4 lecture hours per week 4 skills/theory lab hours per week RNSG 2461 = 4 credit hours = 16 clock hours per week 16 clinical hours per week Total contact Fall Hours = 24 per week Spring 9 Semester Credit Hours for RNSG Courses RNSG 2213 = 2 credit hours 1 lecture hour per week 4 lab hours per week RNSG 2161 = 1 credit hour 4 clinical hours per week RNSG 2435 = 4 credit hours 5 lecture hours per week RNSG 2262 = 2 credit hours 12 clinical hours per week Total contact Spring hours = 26 per week NAVARRO COLLEGE ADN BRIDGE Associate Degree Nursing Bridge Program Credit Hours and Contact Hours Summer 1st Six Weeks = 6 Semester Credit Hours for RNSG Courses RNSG 1417 = 4 credit hours = 16 clock hours per week 8 lecture hours per week 8 skills/theory lab hours per week RNSG 1262 = 2 credit hours = 16 clock hours per week 16 clinical hours per week Total contact Summer 1 = 32 per week Summer 2 nd Six Weeks = 6 Semester Credit Hours for RNSG Courses RNSG 1442 = 4 credit hours = 16 clock hours per week 8 lecture hours per week 8 skills/theory lab hours per week RNSG 1263 = 2 credit hours = 16 clock hours per week 16 clinical hours per week Total contact Summer 2 = 32 per week Sophomore 2 nd Year Fall 9 Semester Credit Hours for RNSG Courses RNSG 2514 = 5 credit hours = 8 clock hours per week 4 lecture hours per week 4 skills/theory lab hours per week RNSG 2461 = 4 credit hours = 16 clock hours per week 16 clinical hours per week Total contact Fall Hours = 24 per week Spring 9 Semester Credit Hours for RNSG Courses RNSG 2213 = 2 credit hours 1 lecture hour per week 4 lab hours per week RNSG 2161 = 1 credit hour 4 clinical hours per week RNSG 2435 = 4 credit hours 5 lecture hours per week RNSG 2262 = 2 credit hours 12 clinical hours per week Total contact Spring hours = 26 per week

69 NC ADN STUDENT HANDBOOK APPENDIX A - Forms 21

70 NC ADN STUDENT HANDBOOK APPENDIX A - Forms 22

71 NC ADN STUDENT HANDBOOK APPENDIX A - Forms 23 NAVARRO COLLEGE ASSOCIATE DEGREE NURSING PROGRAM PERSONAL DATA SHEET: (Please answer the following questions) Name: LAST FIRST MIDDLE DOB: SS# Caucasian [ ] African American [ ] Hispanic/Latino [ ] Asian/Pacific [ ] African [ ] Other [ ] Male [ ] Female [ ] Married [ ] Single [ ] Number of Dependents: Do your spouse and family support you going through this program? Scale 0-4 (0 = Not supportive, 1 = Slightly, 2 = Moderately, 3 = Very, 4 = Extremely) Do you have to work while you are in the ADN Program? Yes [ ] No [ ] If yes, how many hours do you intend to work each week this semester? How much has your financial stress increased since joining this program? Scale 0 4 (0=None, 1 = Slightly, 2 = Moderately, 3 = Very much, 4 = Extremely) Have you applied for financial aid? Yes [ ] No [ ] Will you be receiving any financial aid? Please list sources: What is the distance, one way, from your house to Navarro College (in miles)? Is English a second language for you? NO [ ] YES[ ] If yes, how much is it likely to affect your performance in this program? Scale 0 4 Thank You. (0 = None, 1 = Slightly, 2 = Moderately, 3 = Very much, 4 = Extremely)

72 NC ADN STUDENT HANDBOOK APPENDIX B- BON and Appendix C-DECs 1 APPENDIX B Texas Board of Nursing (BON) BON-TEXAS NURSING STATUTES (Web site descriptions and names only no pages or text included in this appendix.) Refer to page 62 of forms section for list of essential reading Texas laws and BON rules) Faculty and students are required to maintain a copy of select booklets published by the Texas BON regarding nursing practice and nursing education. (Student textbook requirement) The Board of Nursing web site is bon.state.tx.us. APPENDIX C Texas Board of Nursing Differentiated Essential Competencies for Graduates of ADN Program Rrefer to Texas BON web site for Differentiated Essential Competencies dated 2011 and implemented by 2012.

73 NC ADN STUDENT HANDBOOK APPENDIX D - SGA 1 Navarro College Student Government Association Constitution Revised: 22 nd day of August 2008 Preamble We, the members of the Student Government Association (SGA), in order to represent, communicate with, and act upon student needs, concerns, and social well-being to the administration, and to make a difference in the institution, and the community, do hereby establish this constitution. Article I Name This organization shall be named the Student Government Association of Navarro College, hereafter referred to as the SGA/ ΣΓΑ. Article II Officers Section I: The Executive Board Clause I: The officers of the Executive Board shall be: President Vice President Parliamentarian Secretary Public Relation Representative Cabinet Member(s) Freshman Representative(s) State Representative Regional Representative Clause II: The number of Cabinet Members and Freshman Representatives shall be determined by the acting Executive Board & the Director of Student Activities. Section II: Qualifications of the Executive Board are: To have and maintain a 2.5 Grade Point Average To be a full time student To be in good standing at Navarro College To be on neither scholastic nor disciplinary probation To not have any disciplinary action taken upon them by any department or faculty member within NC To not have any disciplinary action taken upon them by any city, county, state or federal law enforcement agencies. Section III: Disciplinary Actions of the Executive Board Clause I: Should any Executive Board Officer receive three (3) unexcused absences from any SGA (ΣΓΑ) activity as described by the President of the SGA (ΣΓΑ) or the Director of Student Activities, that officer will be subject to review by the President of the SGA (ΣΓΑ) and the Director of Student Activities and may be subject to removal or probation. Clause II: All Executive Board Officers will sign a three (3) strikes agreement given by the Director of Student Activities. If the any offices does not abide by the agreement they will serve the consequences stated in Article X Disciplinary Procedures for Officers. Section IV: Duties of the Executive Board Clause I General Officer Requirements Represents the student body of Navarro College on and off campus Attends all meetings or conferences pertaining to the SGA (ΣΓΑ). Performs all duties assigned by the President or the Director of Student Activities All college business performed by the SGA student officers must first be approved by the Advisor of SGA

74 NC ADN STUDENT HANDBOOK APPENDIX D - SGA 2 Clause II: Advisor Shall enforce all college policies, procedures and regulations Shall dismiss from the meeting any member or spectator who is discourteous, rude, or disrespectful Shall offer assistance and advice for all Student Government undertakings Shall veto any resolution of the Association deemed improper or unwise Shall permit any vetoed measure to be referred to the VP of the Student Services if the Association desires, provided the advisor is informed of such an action in advance of its occurrence Clause III: President Presides over all Congressional and Executive meetings Assists the Director of Student Activities in coordinating events Provides all members and the Director of Student Activities with a complete agenda prior to the Call to Order of each meeting. Attends all meetings and/or conferences pertaining to SGA (ΣΓΑ) May not be president or an officer of any other club Is required to live on campus during his/her tenure in order to benefit from the Presidential Scholarship Clause IV: Vice President Executes the duties of the President in his/her absence Is Chair of the Activities Board Coordinates all campus elections Responsible for informing the Senate of information pertaining to SGA (ΣΓΑ) Responsible for maintaining an accurate roll sheet for all Senate members and informing Senators of excessive absences Clause V: Parliamentarian Executes the duties of the Vice President in his/her absence Maintains Parliamentary Procedure and order at all Congressional and Executive meetings Shall be the contact person for all the club and organizations Shall enforce the guidelines during Elections and help count ballets Clause VI: Secretary Executes the duties of the Parliamentarian in his/her absence Records minutes at all Congressional and Executive meetings, and prepares them for each following meeting Maintains accurate roll sheet for all student organizations and informs club representatives of excessive absences Clause VII. Public Relations Representative Executes the duties of the Secretary in his/her absence Responsible for advertising and promoting all SGA sponsored event Be the official SGA voice to the administration about clubs and on/off campus events the SGA participates in. To assist other organizations events on/off campus. Serve as the chair for the Historian Committee. To serve at the SGA representative at the Navarro College Board meetings. Clause VIII: Cabinet Member(s) Executes the duties of the Parliamentarian in his/her absence in the event that the Secretary is unable Clause IXI: Freshman Representative(s) Serve as the voice for the Freshman Class Serve as the Chair for the decorations and clean up of upcoming or new events. Clause X: State Representative

75 NC ADN STUDENT HANDBOOK APPENDIX D - SGA 3 The state representative shall be chosen by the SGA Advisor and should the Navarro College SGA hold such an office. It is recommended that the representative be a member of the Executive Board who has previously attended the TJCSGA State Convention. If the chosen person is the newly elected President or Vice-President the chosen one must step down from that office and become a Cabinet Member. The vacancy shall be filled in accordance to the guidelines in Article V; Succession of Officers until a permanent replacement can be found under Article IV, Section IV Clause XI: Regional Representative Depending upon the office held, if any, at the regional level, the Executive Board may choose to follow the same guidelines established in Article II, Section IV, Clause VII to determine the duties of the Regional Representative. The decision to apply Article II, Section III, Clause VII to the Regional Representative simply requires a majority vote of the Executive Board Article III Membership Requirements Section I: The Congressional Body of the SGA (ΣΓΑ) shall consist of the House of Representatives and the Senate Section II: The House of Representatives shall consist of at least one designated representative from each club or organization as named on the Club Information Sheet, and the Senate shall consist of general students, or Senators, who are not named as a club representative on any Club Information Sheet Section III: The House of Representatives Clause I: Active Membership will be based upon attendance policy as established by the Executive Board and the Director of Student Activities. Clause II: Each club or organization may have up to three Representatives, but will have only one vote Clause III: Each Representative is required to maintain a 2.0 Grade Point Average and must not be on either scholastic or disciplinary probation Clause IV: Representatives may only represent one organization, unless special approval is granted by the Director of Student Activities or the President of SGA (ΣΓΑ), and may not speak on behalf of any other organization on campus, regardless of their membership within the organization Clause V: The duties of the Representative shall be: To represent his/her on-campus organization and SGA (ΣΓΑ) at student activities, on and off campus. To vote on all motions brought to the General Assembly. Section IV: The Senate Clause I: Active Membership will be based upon attendance policy as established by the Parliamentarian of SGA (ΣΓΑ) and the Director of Student Activities. Clause II: Each Senator is required to maintain a 2.0 Grade Point Average, be a full time student and not be on either scholastic or disciplinary probation. Clause III: At the beginning of each fall semester, Senators will be appointed by the Executive Board and the Director of Student Activities. Senators must complete an application and interview process in order to be appointed. The number of Senators appointed shall be determined by the Parliamentarian of SGA (ΣΓΑ) and the Director of Student Activities. Clause IV: The duties of the Senator shall be: To represent SGA (ΣΓΑ) positively at student activities, on and off campus. To vote on all motions brought to the General Assembly. To work with the executive board, in an efficient manner, in order to progress SGA (ΣΓΑ) in a positive direction. To help organize, work at, and participate in activities and events sponsored by the SGA (ΣΓΑ). To serve on the Activities Committee, which shall be chaired by the Parliamentarian of SGA (ΣΓΑ). Clause V: Any senator that does not perform the duties stated in Article III, Section IV, Clause IV of this constitution, is subject to removal by the Parliamentarian of SGA (ΣΓΑ) and the Director of Student Activities.

76 NC ADN STUDENT HANDBOOK APPENDIX D - SGA 4 Article IV Elections Section I: Two elections will be held for electing the SGA (ΣΓΑ) Executive Board Clause I: The President, Vice President, Parliamentarian, Secretary, Public Relations Representative, and a selected number of Cabinet Member(s) shall be elected in the spring semester preceding the school year in which they will serve Clause II: A selected number of Cabinet Member(s) and Freshman Representatives shall be elected at the following fall semester. Clause III: Senators will be selected after all vacant offices are filled in the fall election. Section II: It is required that the President be a full time student for at least two semesters, be a full time student during his/her tenure, actively and effectively served in SGA (ΣΓΑ) as an officer or Senator at least a minimum of one semester and be actively involved with campus and student activities, exceptions made only by the Director of Student Activities Section III: Voting and Interviews Clause I: All Officers must go through an election and interview process before taking office. Clause II: All student registered at Navarro College may vote in SGA (ΣΓΛ) elections. Clause III: The student s votes will count for fifty (50) percent and the interview will count for the remaining fifty (50) percent when running for office. Clause IV: The final choice for electing an Officer will be with the interview committee, which will consist of three (3) outgoing Executive Board members, the Director of Student Activities and at least two other faculty, staff or administrative employees of Navarro College. Clause V: If a tie occurs, the candidate with the higher interview score will assume the office. Clause VI: No write in votes or absentee voting shall be permitted. Clause VII: All ballots and interview sheets will be secured by the Director of Student Activities and must be destroyed within seventy two (72) hours after the announcement of the results of the election, unless the election has been contested. Section VI: Contested Elections Clause I: If a candidate feels that an election was conducted in an improper manner, the candidate may petition the Director of Student Activities for a complete review and investigation of the election in question. The investigation must be completed before any new election may be conducted. Clause II: Any candidate listed on the ballot, or a group of twenty-five percent (25%) of the members of SGA (ΣΓΑ), may petition for an investigation, but this petition must be received not more than seventy-two (72) hours after the original results has been announced. Clause III: A committee composed of the SGA (ΣΓΑ) President, the Director of Student Activities and the Vice President of Student Services shall investigate any contested elections. If the President is a candidate, the SGA (ΣΓΑ) shall elect, by a majority vote, a representative to serve on this committee. Clause IV: If, in the opinion of the committee, the election was conducted improperly, a new election must be held within three weeks following the contested election. If, in the opinion of the committee, the election was conducted properly, the election cannot be petitioned again and the ballots and interview sheets must be destroyed immediately. Section V: Fulfillment of Vacancies If a vacancy occurs for any reason, it shall be filled by the following procedure: Clause I: The number of vacancies shall be announced by the Secretary of SGA (ΣΓΑ) not less than one week prior to being filled. Clause II: Prospective members shall make application to the Director of Student Activities and make a personal appearance before the election. Clause III: The SGA (ΣΓΑ) shall vote to determine which of the qualified prospective members shall fill the vacancies. The vacancies shall be filled, in order, by the candidates receiving the highest number of votes cast. Article V Succession of Officers Section I: In the event that the President is unable to fulfill his/her responsibilities, the Vice President will succeed the President Section II: In the event that the Vice President succeeds the President, or is unable to fulfill his/her responsibilities, the Executive Board will nominate and elect by a majority vote a current Executive Board member to succeed the Vice President Section III: In the event that the Parliamentarian is elected to another position, or is unable to fulfill his/her responsibilities, the Executive Board will nominate and elect by a majority vote a current Executive Board member to succeed the Parliamentarian

77 NC ADN STUDENT HANDBOOK APPENDIX D - SGA 5 Section IV: In the event that the Secretary is elected to another position or unable to fulfill his/her responsibilities, the Executive Board will nominate and elect by a majority vote a current Executive Board member to succeed the Secretary Section V: In the event that a Cabinet Member or a Freshman Representative is elected to another position or unable to fulfill his/her responsibilities, a special election may be held in accordance with the guidelines established in Article IV, Section IV in order to fill the vacancy. The Executive Board may also choose not to fulfill the vacancy in accordance with Article II Clause II. Article VI Meetings Section I: General Sessions Clause I: A quorum, which is defined as 50% of the House of Representatives, Senate and Officers, is required to conduct official business Clause II: Special Meetings may be called as deemed necessary by the Executive Board or the Director of Student Activities Section II: Executive Board Meetings Clause I: Executive Board Meetings shall be held weekly to discuss plans for campus activities and to prepare for General Meetings Clause II: Special Meetings may be called by the President or Director of Student Activities as deemed necessary Clause III: A quorum is required to conduct official business and is defined as a simple majority of the Executive Board Article VII Committees Section I: Activities Committee Clause I: The Chairman for the Activities Committee will be the Vice President of SGA (ΣΓΑ). Clause II: The Vice Chairman for the Activities Committee will be a Senator appointed by the current Executive Board. Clause III: All Senate members are required to serve on this committee as part of their membership within SGA (ΣΓΑ). Any SGA (ΣΓΑ) officer, club representative or general student may also sit on this committee. Clause IV: The Committee will be responsible for planning special events, activities, lectures, workshops, concerts, etc., to provide student development and student activity programming for the student body. Section II: Publicity Committee Clause I: The Chairman for the Publicity Committee shall be appointed with the approval of the majority of the Executive Board officers. Clause II: Any SGA (ΣΓΑ) officer, Senator, club representative or general student may sit on this committee. Clause III: The Committee will be responsible for organizing, planning and effecting publicity for all SGA (ΣΓΑ) functions. The Committee will also be responsible for a monthly update of the SGA (ΣΓΑ) webpage, sending out a monthly newsletter to students and working with the Marketing and Public Information office as necessary to promote events. Section III: Representation Committee Clause I: The Chairman for the Representation Committee shall be appointed with the approval of the majority of the Executive Board officers. Clause II: Any SGA (ΣΓΑ) officer, Senator, club representative or general student may sit on this committee. Clause III: The Committee will be responsible for liaison with the administration, faculty and staff of Navarro College and for initiating any necessary actions to insure communication and representation for and by the SGA (ΣΓΑ). Section IV: Historian Committee Clause I: The Chairman for the Historian Committee shall be appointed with the approval of the majority of the Executive Board officers. Clause II: Any SGA (ΣΓΑ) officer, Senator, club representative or general student may sit on this committee. Clause III: The Committee will be responsible for creating a scrapbook for competition entry at the annual state convention, collecting and organizing pictures, clippings, flyers and other memorabilia of the year s SGA (ΣΓΑ) activities, and for submitting pictures and articles to the state bulletin schools.

78 NC ADN STUDENT HANDBOOK APPENDIX D - SGA 6 Article VIII Amendments The Constitution may be amended at any regular or called General Session by two-thirds vote after being presented to the Congressional Body and the Executive Board at two prior consecutive meetings. Each club representative will be furnished with a copy of the amendment(s) at the initial reading. Article IX Resolutions Section I: A resolution shall be defined as a written motion when passed by the majority of the assembly, and will constitute the positions of the assembly Section II: All resolutions must be presented in writing to the SGA (ΣΓΑ) Executive Board one week prior to being presented to the assembly Section III: Rules of Debate, Discussion and Adoption Clause I: The resolution must be read in its entirety before discussion may begin. After the resolution is read, the author(s) of the resolution may have 5 minutes to explain the resolution. If the entire time is not used, the author may waive the remaining time. Clause II: The assembly will then have five minutes to ask the author questions about the resolutions. After questioning, those wishing to debate the resolution will have five minutes per side to explain whether the assembly should vote for or against the resolution. Clause III: After debate, the assembly will have a voice vote with those in favor stating Aye and those against stating Nay. If the vote cannot be determined by voice, a hand vote or roll call vote will be taken. The resolution requires a simple majority to pass. The resolution will then go to the Vice President and President of SGA (ΣΓΑ) for their respective signatures. Section IV: Overruling a Veto Clause I: If either the Vice President or President of SGA (ΣΓΑ) chooses to veto the resolution, they must prepare a statement in writing to the assembly stating why they chose not to sign the resolution. Clause II: The assembly may overrule the veto with a 2/3 vote, which will send the resolution to the Director of Student Activities and the Vice President of Student Services without the Vice President or President of SGA (ΣΓΑ) signatures. Clause III: If the Director of Student Activities or the Vice President of Student Services chooses to reject the resolution, it may not be overturned by the assembly. Article X Disciplinary Procedures for Officers and Senators Section I: Any Congressional member, Executive Board member, or Navarro College Administrator or Faculty may bring disciplinary actions against any Executive Board officer or Senator of the SGA (ΣΓΑ) Section II: Any Executive Board member or Senator to whom disciplinary charges are brought against may request a hearing by the Disciplinary Committee according to Article VII Section V. Section III: Any Executive Board member or Senator to whom disciplinary charges are brought against may appeal the decision put forth by the Disciplinary Committee through the Appeals Committee which is constructed of Navarro College Faculty and two chosen by the Appeals Committee core members. Section IV: Any executive board member or senator found in disciplinary trouble with Navarro College or in legal trouble may temporarily be removed from the executive board, pending the outcome of the issue and may be removed indefinitely once the issue has been resolved in the event that the individual is found at fault.

79 NC ADN STUDENT HANDBOOK APPENDIX D - SGA 7 Article XI Disciplinary Procedures for Campus Organizations Section I: Suspension of Campus Organizations Clause I: Suspension is defined as prohibiting an organization from participating in or conducting any activities on campus. These activities shall include fund raising and/or any other activity as determined by SGA (ΣΓΑ). Clause II: Suspension will occur when no representative from an organization has been present at three consecutive SGA (ΣΓΑ) meetings during one semester. These three unexcused absences will suspend and deprive both the representative and the organization represented of any voice in the SGA (ΣΓΑ) or its meetings. Any committee member(s) the club may have had will be expelled from such committee(s). Clause III: The suspension may be lifted by the Executive Board at the end of the semester if the number of absences does not exceed four. If an organization is still on suspension at the beginning of the following semester, the suspension may be lifted if a representative attends the first three regular SGA (ΣΓΑ) meetings. Clause IV: If the organization is not returned to good standing by following the guidelines established in Article XI, Section 1, Clause III, the organization must file a new petition with the Director of Student Activities and the SGA (ΣΓΑ). Article XII Ratification Upon ratification by two-thirds of the Congressional body, this constitution shall become the superior document of the Navarro College ΣΓΑ Article XIII Parliamentary Authority The rules contained in the current edition of the Roberts Rules of Order Newly Revised shall govern the ΣΓΑ in all cases in which they are applicable and in which they are not inconsistent with this constitution and any special rules of order the ΣΓΑ may adopt Article XIV Oath of Office Newly elected officers inducted into office must take the following oath before assuming office: I, (officer s name), do solemnly swear to assume the responsibilities of (elected office) for the Navarro College Student Government Association. I pledge to fulfill my responsibilities to the best of my ability, to serve with my time, ideas and integrity, and above all, to be dedicated to the purpose of the Navarro College Student Government Association.

80 NC AND STUDENT HANDBOOK APPENDIX E - Orientation 1 NAVARRO COLLEGE ADN PROGRAM ORIENTATION GUIDELINES (list of information only agenda order may change) Location Date and Time 1. Photographs & Sign in 2. Welcome by Program Director includes: Textbook list: Registration Information: Consent Forms: Degree Plan: Skills Lab Kit Fee Collection. 3. Financial Aid Information (Scholarship information on computer, may download) 4. Carl Perkins, Book Loans, etc. 5. Food Service, Deli. 6. Student Counseling Services. 7. Overview of Webmail, Watchdog Alert System. 8. Overview of Blackboard system: ATI (atitesting.com): Calendar LUNCH-Download on-line Student Handbook, Textbook list. Register. Check File. 9. Overview of ADN Student Handbook 10. Student Government Association 11. Overview of Library resources. 12. Register: ID Badge. TBA: Information on e-books by Pam Shanks from Elsevier Books. Read and sign acknowledgement forms: Drug Screen, Criminal Background, Use of Student Work, Release of Information, Confidentiality, Travel Release Form, Emergency Contact, Personal Data.

81 NC AND STUDENT HANDBOOK APENDIX F Information Session Booklet NC ADN - ADMISSION GUIDELINES Brief Guide to Admission Applicants do not have to attend an information session to be eligible to apply to the program. Refer to the Navarro College web site for an information session schedule. The information session schedule is updated in early fall each year. STEPS TO ADMISSION (application process): 1. Attend information session or find admission information/directions on the ADN web site. If attending an information session, make an appointment to assure that you will have a seat, and arrive on time as information will not be repeated 2. Sign information session attendance roster. ATTACH THE FOLLOWING DOCUMENTS TO YOUR APPLICATION: 3. TEAS entrance exam results. 4. Proof of TSI complete or exempt status (on academic evaluation). 5. Proof of eligibility to register for classes at Navarro College. 6. Copy of transcripts from all colleges attended and a copy of your Navarro College AAS.ADN or AAS.ADN Bridge academic evaluation. (degree plan) 7. A 3 year driving history from TX Department of Public Safety. 8. Copy of the original records of two immunizations or a positive titer for following: MMR, Hep B, Varicella. 9. A physical exam documented on the required ADN form. 10. Copy of Texas Department of Public Safety criminal history screen of arrest records. 11. Deliver or mail application and all documents by (Post mark no later than for Bridge or for Generic if mailed.) 12. Provide prompt written response to any offer of admission or offer of alternate admission (waiting list). 13. Complete the 3 generic prerequisites or 8 bridge prerequisite courses and all other admission requirements prior to the preadmission orientation session in April for bridge or July for generic applicants. Attend orientation session unless other arrangements are made. Incomplete applications are not eligible for the initial ranking and offers of admission. Applicants may contact the ADN office by phone ( ) or via to [email protected] or [email protected]. OFFERS OF ADMISSION Applicants with the highest entrance points who are otherwise qualified will be offered admission. Target numbers for admission are generic and bridge students pending faculty and clinical site availability and current student retention. A QUALIFIED APPLICANT is defined by the following criteria: 1. Attended information session and completed application process. 2. Acceptable TEAS score: > the national norm or average on reading comprehension section. 3. TSI complete status. 4. Acceptable criminal history report. (Only Class B misdemeanors greater than 3 years old, no crimes against persons, and Declaratory Order from BON if indicated.) 5. Negative drug screen conducted at site and time selected by ADN program.

82 NC AND STUDENT HANDBOOK APPENDIX F 2 6. Proof of NC admission and completion of pre-requisite courses. (Official transcript in registrar s office prior to application date and, if indicated, a second transcript prior to admission date.) Navarro College Associate Degree Nursing (ADN) Program Scheduling the Entrance Exam (TEAS) for Bridge and Generic ADN Applicants The Navarro College Testing Center located in the Gooch One Stop Center on the Corsicana Campus will offer several opportunities to take the Test of Essential Academic Skills (TEAS) exam in November, December, and January each year. The exam publisher is Assessment Technologies Institute (ATI). To schedule the TEAS and pay the exam fee, applicants must contact the publisher (ATI) at the ATI web site: Fees will vary from test site to test site. Navarro College makes every effort to offer the lowest fee possible for Navarro College ADN Program applicants. Payment must be made before your test time will be reserved. A Pre-Test Study Manual and online practice test items are available through ATI. Go to the ATI web site, for further information including fees charged for the manual and practice test items. NOTE: 1 A user name and password for ATI is not necessary to schedule a TEAS exam. Scroll down until you find schedule a TEAS test. 2 If you do not find Navarro College as a test site on the ATI web page, it is because Navarro College has not set test dates and times for the current year. Our TEAS schedule should be available by late October each year. NAVARRO COLLEGE INFORMATION Betty Shumate is the ADN Program Director. The Director can be reached at or or via to [email protected] Tabitha Stone is the District Testing Coordinator. The Navarro College Testing Center is in the basement of the Gooch Center on the Corsicana Campus. The test center phone number is We are glad you have selected the Navarro College ADN Program. Good luck with your TEAS exam! Keep a copy of your TEAS results to attach to your application.

83 NC AND STUDENT HANDBOOK APPENDIX F 3 REQUEST FOR CRIMINAL HISTORY CHECK & WRITTEN AUTHORIZATION FOR RELEASE OF CRIMINAL HISTORY INFORMATION TO DESIGNATED NURSING PROGRAM REPRESENTATIVE (use this form only if applicant has a positive criminal history) If you know you have been arrested, Mail this form to: Record Request CJIC Federal Bureau of Investigation 1000 Custer Hollow Road Clarksburg, West Virginia Mark envelope: CJIC Attention Records Request I am requesting a criminal history check by the Federal Bureau of Investigation to meet requirements of clinical training facilities (hospitals, childcare facilities, etc.) in my application to or during my studies in the Associate Degree Nursing Program at Navarro College, Corsicana, Texas. NOTE: Fingerprint card and cashier s check or money order for $18.00 enclosed. Name: Phone: DOB: SS# Place of Birth Address: I,, authorize the FBI to release (mail) the results of my Fingerprint criminal history check to the following designated nursing program representative: Betty Shumate, BSN, MS, RN Telephone: Program Director Navarro College Associate Degree Nursing Program 3200 W 7ith Avenue Corsicana, Texas Applicant Signature

84 NC AND STUDENT HANDBOOK APPENDIX F 4 Navarro College Health Professions Associate Degree Nursing Program Vaccine Status Form (Use this form only if you have an objection to use of vaccines.) Student Name (Printed): Last First MI SS#: As an applicant or student in the Associate Degree Nursing Program, I hereby notify Navarro College and its designated clinical agencies that I am requesting a waiver on the basis of medical contraindications, reasons of conscience including a religious belief, and active duty with the armed forces of the United States (Texas Administrative Code Title 25, Part I, Chapter 97, Subchapter B). for the following vaccines: I acknowledge/agree that if an affiliated clinical agency denies my access to their clinical learning opportunity and alternate clinical sites cannot be obtained, I will have to withdraw from the A D N Program. Student Signature Date Witness Signature Date Statement from physician attached, if indicated Revised July 2007

85 NC AND STUDENT HANDBOOK APPENDIX F 5 EXPLANATION OF POINT SYSTEM for ADMISSION to NAVARRO COLLEGE ADN PROGRAM Applicants will receive: one point for every course you have completed that is on the degree plan. (0-10) 1 point each for completing Statistics and Chemistry (BSN courses). (0-2) 4 points for an A and 3 points for a B in a pre-requisite course-0 for C. (0-16) 4 points for an A and 3 points for a B in statistics or chemistry-0 for C. (0-8) 5 points for military service (active duty, reserve, retired, honorable discharge) (0-5) 5 points for work experience in a related field (Credit determined by ADN faculty evaluation of experience reported.) (0-5) 5 points for a current Health Certification e.g. CNA, CMA, ECA, EMT, Pharmacy Tech., etc. (0-5) 5 pts. for residence in Navarro County (0-5) 2 pts. for residence in Freestone, Limestone, Leon, & Ellis counties (0-2) 5 points for a relevant higher degree (BS, MS, BA, MA) (Credit to be determined by ADN faculty evaluation of degree reported. (0-5) points for the score on the TEAS reading comprehension exam (0-100) Total Possible points 163

86 NC AND STUDENT HANDBOOK APPENDIX F 6 Instructions for ordering a DPS driving history from Texas Dept. Public Safety (If you do not drive or do not a Texas driving history, call the ADN Program Director for instructions.) 1. Type in your browser www. Txdps.state.tx.us and hit enter. 2. Toggle over TX Driver License and it will open a window with DRIVER LICENSE SERVICES 3. Click on Request Driver Record 4. Follow Directions 5. Have a) your drivers license number, b) your DOB following their format, c) last 4 digits of your social security number, d) your DPS audit number that is typed up the left side of the picture on your license. Pictures on the log-in page can help you locate the audit number. 5. Order Type 2 which costs about $ Print the record and send with your application. 7. If there are restrictions on your license related to an offense, contact the ADN Program Director for further information. Instructions for ordering a criminal history screen from Texas Dept. Public Safety 1. Go to records.txdps.state.tx.us/dps_web/cch/index.aspx 2. Click on New Account on left side of page. 3. You may use only the public site so: select TxDPS Public Website Account - BEGIN 4. Click on Criminal History - enter your data and sign in 5. Follow directions to for a criminal history check (fee is about $4.50) 6. Print your results (usually one page) and attach to application. 7. If the search does not say No record found, (if there is a list of arrests) contact the ADN Program Director for the next steps. NOTE: The arrest record of persons with a similar name or other identifying information may appear on the screen. Indicate that you are not one of the persons listed and send the form. (If you have an arrest record or conviction, an FBI report and a Declaratory Order from the Board of Nursing will be required prior to admission.)

87 NC AND STUDENT HANDBOOK APPENDIX F 7 HEALTH EVALUATION FORM (Parts I & II) INSTRUCTIONS: a) Please complete Part I and sign your name below. b) Part II is to be completed by a health professional (i.e., physician, nurse practitioner, etc.). c) Please provide copies of appropriate documentation for immunizations and/or tests in Part III. d) Return this completed physical form to B. Shumate, A D N Program Director. PART I Name (Last) (First) (Middle) Mailing Address (Number & Street) (City) (State/Zip Code) Social Security # Home Telephone # Date of Birth (Sex) Male [ ] Female [ ] Health History Check if you ever had, or currently have, any of the following: Yes No Yes No Anxiety/Frequent Worry Diabetes Depression/Extreme Fatigue Bleeding Problems Heart Problems Sinus Problems Kidney Disease Tuberculosis High Blood Pressure Hepatitis Stomach Disorders Arthritis Seizures/Epilepsy Asthma Fainting / Dizziness Eye Problems Measles Ear or Nose Problems Mumps Cancer Rubella (German Measles) Joint or Back problems Chicken Pox (Varicella) Surgery Comments: Do you have any drug (medication) or food allergies? No Yes (If yes, please list) Allergies: Have you ever had a positive TB skin test? [ ]No, [ ] Yes:Date of First Reaction mm (size) Family Medical History: Check any of the following that apply: Y/N Y/N Y/N Heart Disease Kidney Disease High Blood Pressure Diabetes Cancer Psychiatric/Emotional Disorders Other Chronic Illness (please list) Do you take any routine medications that may impair judgment, alertness, or motor function: [ ] No [ ] Yes: Please list: Applicant Signature: Date signed: Continued on back (Part II)

88 NC AND STUDENT HANDBOOK APPENDIX F 8 PART II TO THE EXAMINING HEALTH PROFESSIONAL: The individual, who is identified in Part I, has applied for admission to the Associate Degree Nursing Program at Navarro College. Please review the health history and other information provided by the individual in Part I of this form and complete part II below. Height: Weight: Pulse (Rate and Rhythm): Respirations: Blood Pressure: EYES: VISION: R L WITH CORRECTION: R L HEARING: R L SENSE OF SMELL: LUNGS: HEART: MUSCULOSKELETAL: GENERAL COMMENTS: Based on your evaluation, should this individual be able to perform the functional requirements of the Associate Degree Nursing Program clinical experiences and be able to work as an RN? YES NO Does this individual have routine medications that are likely to impair judgment, alertness or motor skills? If yes: please explain - YES NO Signature of Health Professional Address of Health Professional: Printed Name of Health Professional Date of Exam Phone Number: Revised: 4/10/00 4/20/01 4/17/02 5/29/07 4/2012

89 NC AND STUDENT HANDBOOK APPENDIX G Preceptor Booklet 1 Navarro College Associate Degree Nursing Program 3200 West 7 th Avenue Corsicana, TX Tel# Preceptor Booklet Acute Care Settings Med-Surg Day Surgery Emergency Department Intensive Care Rehab Labor and Delivery Post Partum - Nursery Mental Health Pediatrics Community Health Other Updated

90 NC AND STUDENT HANDBOOK APPENDIX G Preceptor Booklet 2 NAVARRO COLLEGE Associate Degree Nursing Program PRECEPTORSHIP BOOKLET GOAL & OVERVIEW The goal of the preceptorship is to allow students to enhance learning experiences with the guidance of a registered nurse. The focus is on nursing care in medical-surgical or specialty nursing areas but students may also be assigned with a registered nurse or other qualified professionals who meet Texas Board of Nurse Examiners criteria. OBJECTIVE Increase learning opportunities for students to achieve clinical competencies. ASSOCIATE DEGREE NURSING - MISSION STATEMENT The mission of the Navarro College Associate Degree Nursing Program is to prepare students (1) for employment in health care settings as safe, effective, competent registered nurses within the role of the Associate Degree Nurse and (2) for entering a higher level of nursing education. ASSOCIATE DEGREE NURSING - PHILOSOPHY The Department of Nursing functions within the framework of and subscribes to the purpose and mission statements of Navarro College. The philosophy of the Department of Nursing is congruent with the values reflected in the college purpose and mission. The following statements delineate our beliefs relative to nursing practice, practice of the associate degree graduate, nursing education, and the teaching-learning environment. Nursing Practice: Nursing is a health profession, a service, a discipline, and a process which assists individuals to attain, to maintain, or to regain their optimum states of health or to support them toward a peaceful, dignified death. As a process, nursing involves critical thinking, clinical competence, accountability, and a commitment to caring. Nursing as a profession advocates an educational, ethical, and legal framework designed to promote quality care for the individual. In meeting the health needs of individuals and groups, the unique contribution of nursing is the creative synthesis of elements from related sciences and humanities with the evolving art and science of nursing. The means to transform this knowledge into a service is the nursing process. Intellectual, interpersonal, and technical skills are all necessary to perform the nursing process. Nursing practice is a supporting/assisting service and a discipline which utilizes cognitive, psychomotor, and affective skills from the bio-psychosocial and nursing sciences. Nursing practice uses a decision-making process / problem-solving process in assessing the individual s needs, diagnosing human responses to health problems, as well as planning, implementing and evaluating nursing measures.

91 NC AND STUDENT HANDBOOK APPENDIX G Preceptor Booklet 3 Practice of the Associate Degree Graduate The practice of a graduate from an associate degree nursing program is demonstrated in four basic roles: member of the profession, provider of patient-centered care, patient safety advocate, and member of the health care team. Member of the Profession In the role as a member within the profession of nursing, the Associate Degree graduate is prepared to value professional growth, learning as a life-long process, and selfdevelopment/self-care. Additionally, the Associate Degree graduate is prepared to function within the ethical and legal framework of nursing and to promote high standards of nursing practice. The Associate Degree graduate participates on institutional committees, attends appropriate continuing education offerings, and belongs to professional nursing organizations in order to contribute to the improvement of nursing and nursing practice. Provider of Patient-Centered Care In the role as provider of care, the Associate Degree graduate is prepared to provide direct care for individuals across the life span in a variety of health care settings where policies and procedures are specified and guidance is available. Settings include those that provide opportunity for health promotion, illness prevention, or a dignified death. Nursing Process: The Associate Degree graduate is prepared to utilize the nursing process as a basis for decision-making. The nurse establishes and analyzes a data base, identifies health problems/needs, selects nursing diagnoses, involves the client in setting individual or familycentered goals, plans and implements care utilizing evidenced-based practice to achieve the goals, and evaluates outcomes. Patient Safety Advocate In the role as patient safety advocate, the Associate Degree Nurse promotes safety in the patient and family environment by: following scope and standards of nursing practice; practicing within the parameters of individual knowledge, skills, and abilities; identifying and reporting actual and potential unsafe practices; and implementing measures to prevent harm. The Associate Degree Nurse provides safe administration of medications and treatments. Member of the Health Care Team In the role as member of a health care team, the Associate Degree graduate provides patientcentered care by collaborating, coordinating, and/or facilitating comprehensive care with an interdisciplinary health care team to determine and implement best practices for the patient and their family. The Associate Degree graduate is prepared to provide and coordinate care for a group of individuals who have health care problems/needs with attention to quality of care and cost effective use of resources. In organizing nursing care, the Associate Degree graduate may delegate nursing tasks to licensed and unlicensed personnel based on their educational backgrounds and experience. The Associate Degree graduate is responsible and accountable for tasks delegated to others.

92 NC AND STUDENT HANDBOOK APPENDIX G Preceptor Booklet 4 Nursing Education Education is a developmental process incorporating experiences whereby an individual assimilates knowledge, develops potential, and establishes a value system. In nursing education the responsibility of the faculty is to utilize knowledge about the student and the teaching/learning process to enhance the nursing educational environment, instilling commitment to life-long learning and promoting the value of evidence-based practice. Nursing education is a process through which the student may acquire behaviors essential for competence and accountability in professional nursing practice. The process occurs in a variety of settings and may be influenced by physical, psychological, political, economic, cultural, and social factors. Teaching-Learning Environment Faculty and students share the roles of teacher and learner, in that often the teacher learns, and often the learner teaches. Learning is enhanced in an environment in which the student is provided guidance and given opportunities for self-direction. The student has responsibility for his/her own learning. Teaching incorporates caring, student engagement, and facilitation of the learning process. Learning is facilitated when the learner exhibits readiness and motivation, participates in the decisions which influence learning, and has sufficient opportunity for meaningful practice. Faculty are responsible for managing the learning environment and facilitating achievement of the ADN mission. Accepted December Revised January 1995, July 1995, July 1996, July 1997, July 1998, February 1999, March 2000, May 2004, December 2004, May 2005, May 2007, May 2008, March 2011, May 2012

93 NC AND STUDENT HANDBOOK APPENDIX G Preceptor Booklet 5 OVERVIEW OF CURRICULUM AND ORGANIZING STRUCTURE Curriculum Concepts and Threads The nursing curriculum is designed to assist the student in meeting program outcomes and educational objectives. The curriculum flows from normal to abnormal and from basic to more advanced. Four essential curriculum concepts represent the roles of the ADN graduate nurse. Curriculum Concepts: 1. Member of the Profession 2. Provider of Patient-Centered Care 3. Patient Safety Advocate 4. Member of the Health Care Team These components are the focus of the ADN philosophy, are introduced in the first nursing course, and serve as the vehicle for presenting theory in all subsequent nursing courses in the program. The Curriculum Concepts are woven together with seven curriculum threads. (Definitions based on Critical Thinking in Potter & Perry (2001) Fundamentals of Nursing. St. Louis: Mosby, and Standards of Professional Nursing Practice TX BON NPA/Rules & Regulations.) Curriculum Threads: 1. Critical Thinking and Nursing Process (The nurse utilizes critical thinking when implementing the nurse process.) Critical Thinking - An active, organized, goal-directed, purposeful cognitive process in which situations (problems) are viewed as having more than one single solution. Critical thinking is questioning what you know and how you know it. The nurse utilizes critical thinking to determine what to do in a situation in accordance with established safety standards. Nursing Process - A systematic approach to nursing care used to provide individualized goal-directed care by performing nursing assessments for data collection, analyzing data to formulate nursing diagnoses, developing a plan of care, implementing the plan, and evaluating the individual s response to nursing interventions and evaluating the overall plan of care. 2. Differentiated Essential Competencies (DEC) for Associate Degree Nursing Role - Competence is the effective demonstration of the knowledge, judgment, skills, and professional standards and values needed to provide effective, safe nursing care in the role of the ADN Graduate.*(Appendix C) 3. Patient Safety Advocate - Nursing intervention which involves providing patient safety including medication administration utilizing the basic five rights of medication administration as well as incorporating client teaching and nursing implications. Providing, organizing, and/or coordinating care in a manner that does not jeopardize the client s well-being.

94 NC AND STUDENT HANDBOOK APPENDIX G Preceptor Booklet 6 4. Support of Client & Family Individuality, Participation in Own Health Care, & Achievement of Optimal Level of Wellness - Being an advocate by assisting the client and his or her family to provide input into the plan of care in order to attain, maintain, or regain an optimum level of health or to support a dignified death. Also by assisting the client and his or her family in attaining health goals, illness prevention, and health-promoting behaviors. 5. Therapeutic Communication - Nursing intervention which involves specific responses, verbal and non-verbal, by the nurse to convey respect, acceptance, caring, empathy, and encourage the client or family member to express his or her feelings and ideas. 6. Teaching-Learning - Nursing intervention which involves teaching as an interactive process that promotes learning. For the nurse, teaching refers to a planned set of actions that help individuals gain new knowledge and change attitudes and behaviors. Learning refers to the attainment of knowledge which is exhibited by changes in attitude and behavior. The three basic domains of learning are cognitive, psychomotor, and affective. 7. Role of the Associate Degree Nurse - Although multifaceted and complex, the role of the associate degree nurse is demonstrated in four roles: (1) member of the profession (2) provider of patient-centered care, (3) patient safety advocate, and 4) member of the health care team. Differentiated Essential Competencies of Graduates of Texas Nursing Programs are defined by the Texas Board of Nursing for each of the four roles of the ADN Nurse and are integrated into the theory and clinical courses. The Associate Degree Nursing Program at Navarro College is accredited by The Texas Board of Nursing (BON), as well as, by the National League for Nursing Accrediting Commission (NLN-AC). Initial BON NLNAC initial accreditation 1996 Texas Board of Nursing (BON) P.O. Box 430, Austin, Texas Telephone: Renewed Full Accreditation with commendations 2012 Next evaluation 2013 National League for Nursing Accreditation Commission (NLNAC) 3343 Peachtree Road NE, Suite 500 Atlanta, GA Renewed 2009 with Follow-Up Report 2011 Next evaluation visit scheduled in 2017.

95 NC AND STUDENT HANDBOOK APPENDIX G Preceptor Booklet 7 PRECEPTORSHIP INFORMATION PRECEPTOR REQUIREMENTS 1. A willingness to assist nursing students in meeting clinical objectives. 2. A recommendation from nursing agency and/or faculty. 3. Current license in the State of Texas to practice as a registered nurse. 4. A minimum of one year in clinical practice. 5. A minimum of twelve months employment with clinical facility. 6. Clinical competence in the area of practice. 7. Responsibility for direct client care, unless otherwise designated. 8. Willingness to share responsibility for student supervision. 9. Philosophy of health care and education congruent with that of the Program. AGENCY RESPONSIBILITIES 1. Retain ultimate responsibility for the care of clients. 2. Recommend to Navarro College Associate Degree Nursing Program registered nurses or other professional that meet preceptor requirements. 3. Notify Navarro College Associate Degree Nursing Program of any change in policy or clinical setting that may impact the student learning experience on a temporary or permanent basis. PRECEPTOR RESPONSIBILITIES: 1. Participate in a preceptor orientation. 2. Complete student orientation to the nursing unit as needed. 3. Consult with the student on assigned day(s) to establish mutual expectations and goals for the preceptorship experience. 4. Function as a role model in the clinical setting. 5. Notification of nursing instructor or student in case of preceptor absence on a scheduled day. 6. Collaborate with nursing student when planning experiences within guidelines. 7. Guide, facilitate, supervise, and monitor students in achieving objectives. 8. Supervision of student performance of skills and other nursing activities to assure safe practice. 9. Collaborate with clinical instructor to review the progress of the student towards meeting clinical learning objectives through (1) Completion of feedback form for student to return to clinical instructor. (2) correspondence with clinical instructor. (3) Phone contact with clinical instructor. Or (5) Request a site visit from the clinical instructor. 10. Provide feedback to the student regarding clinical performance. 11. Contact clinical instructor if assistance is needed or if a problem with student performance occurs. 12. Provide feedback to the Program regarding the experience and suggestions for program development. With the guidance of the preceptor, the student will assist in the care of the preceptor s assigned clients. The student will perform client care with guidance from the preceptor, within the restrictions of the agency and in accordance with Navarro College A D N Program policies based upon BON standards regarding nursing practice.

96 NC AND STUDENT HANDBOOK APPENDIX G Preceptor Booklet 8 CLINICAL INSTRUCTOR RESPONSIBILITIES 1. Serve as a liaison for the agency, preceptor, and nursing student in the development and implementation of the experience. 2. Orient both the student and the preceptor to the experience. 3. Collaborate with the preceptor in evaluating the nursing student performance. 4. Provide contact information and be available for immediate contact during scheduled clinical experiences. Contact = Telephone & Monitor progress of experience on an ongoing or as needed basis. 6. Conduct weekly post conference for students to facilitate learning, identify potential learning or safety issues, and evaluate student progress. 7. Provide prompt intervention for all identified problems. 8. Provide timely training and support for preceptors to assure a positive experience for the clients, students, and preceptors. CONTACT INFORMATION (cell phone and office phones and ) Full-time Faculty Shumate, Betty MS, RN ADN Program Director Tel# ; Office# ; [email protected] Bell, Rosemary, RN, MSN, ANP-C Tel# ; Office: ; [email protected] Childs, Shannon, MSN, RN, ACNP-BC, FNP-BC Tel# ; Office # ; [email protected] Lindsey, Lisa, MSN, RN Tel# ; Office # ; [email protected] Long, Alaine, RN, MSN Tel#: ; Office # ; [email protected] Lucas, Patricia, MS, RN Tel#: ; Office # ; [email protected] Price, Delores, MSN, CEN, CNE, CMS, RN Tel # ; Office # ; [email protected] VanZandt, Cathy, MS RN Tel# ; Office # ; [email protected] Wright, Sherry, MS, MSN, RN, CNE Tel# ; Office # ; [email protected] Part-time (Adjunct) Faculty Collins, Doris Jeanette, MSN, RN, Cell # ; [email protected] Hill, Tonya, RN, MSN, Cell # ; [email protected] Jones, Sigrid, MS, RN, Cell # ; [email protected] Monyoncho, Johnes, BSN, RN, Cell # ; [email protected] Rozelle, Kathy MS, RN, Cell # ; [email protected] Thompson-Sanders, Dorothy, RN, MNE, Cell # ; [email protected] Thomson, Christina, MSN, RN, Cell # ; [email protected]

97 NC AND STUDENT HANDBOOK APPENDIX G Preceptor Booklet 9 STUDENT RESPONSIBILITIES The student and the clinical preceptor will work together throughout this experience as the student assumes primary responsibility for the following behaviors: 1. Maintain open communication with the preceptor and clinical instructor, by: a. Providing client care with preceptor supervision. b. Contacting assigned clinical instructor if problems occur during the experience. 2. Maintain accountability for actions and learning activities. 3. Maintain confidentiality of all information obtained and/or observed during experience. 4. Notify clinical instructor and preceptor in case of student absence. 5. Adhere to the Navarro College and agency guidelines for nursing students. 6. Demonstrate professional behaviors in conversation and dress. 7. Complete learning objectives and written report of experience. NOTE: Students understand that failure to comply with Navarro College or agency regulations will result in removal from clinical and possible failure in the course. Students also understand the importance of cooperation with the RN-Preceptor both for the safety and the success of the learning experience. GUIDELINES FOR PRECEPTORS The following guidelines are additional instructions and information to assist the preceptor. 1. Meet briefly with the assigned student prior to the first scheduled experienceunless otherwise arranged by clinical instructor. 2. Finalize a preceptor-student agreement and sign the agreement by the beginning of the first day with the student. (Student will provide the agreement.) 3. Complete and sign the preceptor section of each weekly clinical selfevaluation and preceptor log before the student leaves the clinical site. (Student will complete care plan and self-evaluation and take the self-evaluation to the preceptor for signature). GUIDELINES FOR NURSING STUDENTS All students will work with an RN-Preceptor specifically designated to work with students in the clinical setting. Students will perform nursing care within the restrictions of both Navarro College ADN Program and facility policy including the following: 1. Wear approved student uniform with a Navarro College photo ID name badge. Students dressed inappropriately will be sent home and must contact their assigned clinical instructor. 2. Students will adhere to assigned preceptor experiences and will obtain a signed preceptor-student agreement prior to each new preceptored experience. 3. Students will document the clinical experience on the weekly clinical evaluation form and present the weekly evaluation form to the preceptor for completion of preceptor section. 4. Should circumstances prevent student attendance, the student must first notify the designated clinical instructor, then the preceptor.

98 NC AND STUDENT HANDBOOK APPENDIX G Preceptor Booklet 10 ANTICIPATED SKILLS THAT MAY BE PERFORMED WITH SUPERVISION OF RN PRECEPTOR Routine: VS and Physical Assessment Documentation Foley Catheter Insertion & Removal Sterile Dressing Changes Nasogastric Tube Insertion & Removal Specimen Collection Urine, Stool, Sputum Comfort measures, meals, hygiene, linen changes, transfers Specified: Skills listed by clinical instructor on the Student-Preceptor Agreement Skills listed on Skills Level Chart Other: Students are not allowed to take telephone orders. Should the student, at any time, be required to complete an unusual occurrence report, the student must notify the designated clinical instructor and Betty Shumate, Program Director, immediately.

99 NC AND STUDENT HANDBOOK APPENDIX G Preceptor Booklet 11 Navarro College Associate Degree Nursing PRECEPTOR DATA FORM & AGREEMENT The faculty of the Navarro College Associate Degree Nursing Program greatly appreciates the assistance every preceptor gives our students. Certain information is required by the Texas Board of Nurse Examiners and Navarro College on preceptors. Note: Information will be private and confidential. 1. Contact Data Printed Name First MI Last Mailing Address Contact Telephone #s or Address (Optional) Name of Facility 2. Length of Employment at Facility Years as RN 3. Current area of practice Years of experience in current area 4. Other areas of nursing experience 5. Nursing Degree(s) check all that apply ADN Diploma BSN MSN or Master s Doctorate Agreement: I agree to serve as a preceptor and I have completed the required orientation and review of the Preceptor Handbook & Guidelines. Signature & Date Date NC Office Use Only License Verification Date / / Verified by Clinical Facility Approval for RN Preceptor has been approved to serve as preceptor for the Navarro College Associate Degree Nursing Program. The registered nurse listed above meets the minimum requirements and is in good standing with the clinical facility. Name of Clinical Facility Signature Section Clinical Facility Supervisor/Representative Date College Representative Date Copies: A D N file; preceptor

100 NC AND STUDENT HANDBOOK APPENDIX G Preceptor Booklet 12 Navarro College Associate Degree Nursing Program Student-Preceptor Agreement Initiated by Clinical Instructor--completed and signed by Preceptor and Student RN Preceptor of (name of facility) has agreed to be a preceptor to A.D.N. Student. Nursing Unit or Area Start Date/Time End Date/Time Note: May perform skills as identified on the skills list. MAY NOT take telephone or verbal orders. MAY NOT administer blood/blood products. Signatures Preceptor Date Student Date Faculty Date Complete on first day of assignment and give copy to designated clinical instructor. Copies: A D N file; preceptor; student

101 NC AND STUDENT HANDBOOK APPENDIX G Preceptor Booklet 13 Navarro College Associate Degree Nursing STUDENT EVALUATION OF PRECEPTOR Student Instructor Name of Preceptor: Clinical Facility To Student: Without participation of the preceptors, you would miss an invaluable learning experience. The Navarro College ADN faculty would like to ask for your input. Please circle all behaviors demonstrated by your preceptor during your clinical preceptorship experience. Instructions - Circle all that apply and return form to Clinical Instructor. Patient Interested Objective Supportive Organized Prepared Assertive Disorganized Role Model Self-Confident Indecisive Calm Efficient Aggressive Client Advocate Accountable Provides Constructive Feedback Provides Positive Reinforcement Other Comments: Signature Section Student Date Preceptor Date Copies: A D N file; precept

102 NC AND STUDENT HANDBOOK APPENDIX G Preceptor Booklet 14 Navarro College ADN - Feedback Tool for Purpose of Evaluation Preceptor Instructions- (1) Complete this evaluation form at the end of the rotation/assignment; (2) Sign and Comment; (3) Return to Clinical Instructor, (4) Comment on the student s weekly clinical self-evaluation form also (a separate document); and (5) Sign preceptor log for each clinical rotation (a separate document). Student Clinical Facility Date Please rate your precepted student on the following behaviors utilizing the scale listed below. 1 = Satisfactory 2 = Needs Improvement 3 = Unsatisfactory Role Member of a Profession Followed attendance policy, good hygiene, appropriate clinical uniform/badge Maintained confidentiality of client/family information Utilizes/implements evidence-based practice and promotes life-long learning Seeks appropriate feedback/instruction Consistently maintains professionalism in conduct and communication Comments Role Provider of Patient-Centered Care Analyzes the various needs for health promotion and illness prevention concepts Assess client/family learning needs and provides instruction/teaching Adapts nursing care to the changing needs of clients Performs comprehensive and on-going assessments and documents Utilizes nursing process as basis for decision-making Comments Role Patient Safety Advocate Demonstrates ability to make safe client-centered decisions Safely administers medications and treatments following the 6 rights Safely performs client care following National Patient Safety Goals/Standards Comments Role Member of the Health Care Team Utilizes appropriate interpersonal skills to collaborate with health care team Employs therapeutic communication techniques Analyzes the need for cost containment and efficient use of resources Promotes team collaboration and communication Comments Preceptor Date Copies: A D N file; preceptor

103 NC AND STUDENT HANDBOOK APPENDIX G Preceptor Booklet 15 PRECEPTOR CLINICAL LOG Student: Clinical Instructor: Date # of Hours Criteria Yes No Clinical Agency 1. Followed 5 Rights of medication administration 2. Had no medication errors 3. Had no safety issues 4. Student needed prompting to 1. Followed 5 Rights of medication administration 2. Had no medication errors 3. Had no safety issues 4. Student needed prompting to 1. Followed 5 Rights of medication administration 2. Had no medication errors 3. Had no safety issues 4. Student needed prompting to 1. Followed 5 Rights of medication administration 2. Had no medication errors 3. Had no safety issues 4. Student needed prompting to 1. Followed 5 Rights of medication administration 2. Had no medication errors 3. Had no safety issues 4. Student needed prompting to Preceptor Signature Comments 1. Followed 5 Rights of medication administration 2. Had no medication errors 3. Had no safety issues 4. Student needed prompting to 1. Followed 5 Rights of medication administration 2. Had no medication errors 3. Had no safety issues 4. Student needed prompting to 1. Followed 5 Rights of medication administration 2. Had no medication errors 3. Had no safety issues 4. Student needed prompting to

104 NC AND STUDENT HANDBOOK APPENDIX G Preceptor Booklet 16 NAVARRO COLLEGE STUDENT SKILL LEVEL CHART NAVARRO COLLEGE - SKILL LEVELS Freshman The different shaded columns indicate the different level of Fall skills that the ADN students in each group are permitted to RNSG 1261 perform. See each Group level, Semester, and RNSG LEVEL I course number at the top of each column. Freshman Spring / S I RNSG 1361 RNSG 2261 LEVEL II Bridge S I & S II RNSG 1262 RNSG 1263 LEVEL II Sophomore + (Bridge) Fall RNSG 2461 LEVEL III Hygiene & ADL S Bed Making & Bed Positions Assisting Client with Bedpan/Urinal Bathing & Personal Hygiene (i.e.oral Care) Transferring, Positioning & Ambulating Range of Motion, Skin Care & Skin Breakdown Prevention Feeding & Grooming Anti-Embolism Stockings, Pneumatic Boots & Hose Safety Safe Patient Lifting Restraints Isolation Techniques, Infection Control Standard Precautions Basic CPR Vital Signs, Physical Assessment, Other Vital signs, Peripheral Pulses, Pulse Oxcimeter, Pain Physical Assessment Colostomy Care & Enema Administration Foley Catheter Insertion & Removal Nasogastric Tube Insertion, Lavage, Care, & Removal Specimen Collection (Sputum, Urine, Stool) Nutrition via Tube Feeding Documentation on Nurse s Notes Wound Care & Dressings Cold & Heat Application Wet-to-Dry (Damp) Dressing Change Wound Irrigation Staple & Suture Removal Medication Administration Non-Parenteral (Oral, via NG or Feeding Tube, etc) Parenteral (IM, SQ, etc.) Calculation & Administration of Primary/ IVPB Fluids Procedures Monitoring of Pulse Oximetery IV Catheter Insertion, Care & Removal Tracheobronchial Suctioning, Care, & Dressing Change Monitoring/Maintenance of Closed System of Chest Tubes Telemetry Lead Placement & Basic Interpretation of Strips Central Line Dressing Change Advanced Med Administration with Direct Supervision (DS) Administration of IV Push Medications (DS) Calculation & Administration of Cardiotonic Drips (DS) Hanging of Total Parenteral Nutrition (DS) PCA Pump (Monitoring) NOTE: Students may not administer medications in specialty areas such as OB, Nursery, Surgery, ER, Pedi NOTE: If clinical instructor initials skills that may be performed, attach this form to the student-preceptor agreement - fill in the information below. Student: Course: RNSG Semester: Faculty Signature: Sophomore + (Bridge)Spring RNSG 2262 RNSG 2161 LEVEL IV

105 NC AND STUDENT HANDBOOK APPENDIX G Preceptor Booklet 17 Addendums to Preceptor Booklet Specialty Area Learning Objectives & Assignments

106 NC AND STUDENT HANDBOOK APPENDIX G Preceptor Booklet 18 NAVARRO COLLEGE Associate Degree Nursing Program Course: RNSG Medical Post Surgery Unit Preceptored Experience OBJECTIVES- WRITTEN REPORT OF EXPERIENCE 1. Describe one quality indicator and related monitoring. 2. Describe an example of the use of assertive communication techniques utilized by the primary nurse or another nurse. 3. List how you prioritized care for your assigned client. WRITTEN REPORT OF EXPERIENCE (Due same time as weekly evaluation) NOTE: Provide weekly clinical evaluation form for preceptor to complete check mark section, comment, and sign. Adult Care Plan Student Log of Learning Experiences Medical-Surgical UNIT GUIDELINES Note: Refer to skills list. Note: No pediatric medication administration. No blood products administration excluding Rhogam. Additional Learning Opportunities Things to inquire about or observe: Review critical drips and protocols for titrating medications. Review protocols for care of clients who have mechanical ventilation.

107 NC AND STUDENT HANDBOOK APPENDIX G Preceptor Booklet 19 NAVARRO COLLEGE Associate Degree Nursing Program Course: RNSG EMERGENCY DEPARTMENT (ED) Preceptored Experience OBJECTIVES- WRITTEN REPORT OF EXPERIENCE 1. Identify the triage system. 2. Identify the unique role of the RN in the ED. 3. Describe nursing care and skills provided. 4. Observed communication patterns. 5. Describe an example of an actual or a potential conflict situation that you observed and what you believe was or would have been the most appropriate method to resolve the issue. 6. Ask primary nurse or another nurse to share a time management strategy. What was the strategy? Describe how this strategy may or may not support evidence-based practice or JCAHO client safety goals. WRITTEN ASSIGNMENTS (Due same time as weekly evaluation) Write a one page computer generated report on the types of chronic and/or complex health problems exhibited by clients in the ED. Student Log of Learning Experiences Complete ED worksheet once NOTE: Provide weekly clinical evaluation form for preceptor to complete check mark section, comment, and sign. EMERGENCY DEPARTMENT GUIDELINES Note: Refer to skills list. Note: No pediatric medication administration. No blood products administration excluding Rhogam. Additional Learning Opportunities Things to inquire about or observe: A. Ask nurse to verbally walk you through his/her method for arriving at decisions. B. Ask nurse to describe how he/she prioritizes client care and other responsibilities.

108 NC AND STUDENT HANDBOOK APPENDIX G Preceptor Booklet 20 Navarro College ADN - Student Work-Sheet for Emergency Department Rotation Fall 2011 PROCEDURES EXPLAINED Yes or No OBSERVED OR ASSISTED W/ PROCEDURE Yes or No READ ABOUT PROCEDURE Yes or No Triage of patient? Admission of patient? Discharge of patient? Assist physician or P.A. with exam? AMA patient? AWOL patient? Lab collection? Administration of medications? IV Insertion? NGT insertion? Foley catheter insertion? Gastric lavage? CPR? Prep of wound? Assist with I&D? Assist with application of splint? Assist with pelvic? Other Write in: Was Assigned RN: Courteous? Y N Skillful? Y N Helpful Y N Knowledgeable? Y N Helpful? Y N Enthusiastic Y N Professional? Y N Was your E.D. rotation educational? Was your E.D. rotation enjoyable? Comments: PHYSICAL LAYOUT: YES NO NA Were you introduced to Emergency Department Staff? Were you introduced to Emergency physician(s)? Were you given a tour of the Department?

109 NC AND STUDENT HANDBOOK APPENDIX G Preceptor Booklet 21 NAVARRO COLLEGE Associate Degree Nursing Program Course: RNSG INTENSIVE CARE/CRITICAL CARE OBJECTIVES Preceptored Experience OBJECTIVES- WRITTEN REPORT OF EXPERIENCE 4. Describe one quality indicator and related monitoring. 5. Describe an example of the use of assertive communication techniques utilized by the primary nurse or another nurse 6. List how you prioritized care for your assigned client. WRITTEN REPORT OF EXPERIENCE (Due same time as weekly evaluation) Adult Care Plan Student Log of Learning Experiences NOTE: Provide weekly clinical evaluation form for preceptor to complete check mark section, comment, and sign. INTENSIVE CARE UNIT GUIDELINES Note: Refer to skills list. Note: No pediatric medication administration. No blood products administration excluding Rhogam. Additional Learning Opportunities Things to inquire about or observe: Review critical drips and protocols for titrating medications. Review protocols for care of clients who have mechanical ventilation.

110 NC AND STUDENT HANDBOOK APPENDIX G Preceptor Booklet 22 NAVARRO COLLEGE Associate Degree Nursing Program Course: RNSG LABOR AND DELIVERY Preceptored Experience OBJECTIVES 1. Discuss the agency protocol for care of clients receiving pitocin and mag sulfate. 2. Develop a care plan for a client experiencing labor, including emotional support. 3. Describe special considerations and nursing responsibilities in administration of systemic drugs used to promote pain relief during labor. 4. Identify special behavioral characteristics occurring in relation to each phase and stage of labor. 5. Demonstrate the nursing assessment of a client during admission to the labor unit. 6. Demonstrate teaching during the early stages of labor. 7. Utilize comfort measures to assist the client in the first, second, and third states of labor. 8. Describe the assessment and nursing interventions for client experiencing complications of labor. WRITTEN REPORT (Due same time as weekly evaluation): Maternal/Infant Care Plan Computer generated report on Nursing Management 1 page 12 font/single spaced (no more than 1 ½ pages) LABOR AND DELIVERY GUIDELINES Note: Refer to skills list. Note: No pediatric medication administration. No titrated drips. No blood products administration excluding Rhogam. Additional Learning Opportunities (Things to inquire about or observe) A. Ask nurse to verbally walk you through his/her method for arriving at decisions. B. Ask nurse to describe how he/she prioritizes client care and other responsibilities.

111 NC AND STUDENT HANDBOOK APPENDIX G Preceptor Booklet 23 NAVARRO COLLEGE Associate Degree Nursing Program Course: RNSG POSTPARTUM Preceptored Experience POSTPARTUM OBJECTIVES 1. Identify psychological adaptations that occur postpartally in a woman during the first and seconds days after delivery. 2. Conduct a postpartum assessment. 3. Explain topic of importance for parent education and the role of the nurse in parent education. 4. Describe the attachment process that occurs within the developing family and the nursing interventions that facilitate a positive attachment process. 5. Discuss appropriate elements of a care plan for the woman experiencing complications during the postpartum period. 6. Identify characteristics of Rubin s taking-in phase. 7. Identify appropriate home care handouts and videos for identified maternal-infant needs of a mother in the postpartum area and/or participate in a client discharge from the postpartum unit. WRITTEN REPORT (Due same time as weekly evaluation): NOTE: Provide weekly clinical evaluation form for preceptor to complete check mark section, comment, and sign. Maternal/Infant Care Plan or Adult Care Plan LABOR AND DELIVERY GUIDELINES Note: Refer to skills list. Note: No pediatric medication administration. No blood products administration excluding Rhogam. Additional Learning Opportunities (Things to inquire about or observe) A. Ask nurse to verbally walk you through his/her method for arriving at decisions. B. Ask nurse to describe how he/she prioritizes client care and other responsibilities.

112 NC AND STUDENT HANDBOOK APPENDIX G Preceptor Booklet 24 NAVARRO COLLEGE Associate Degree Nursing Program Course: RNSG CARE OF THE NEWBORN Preceptored Experience OBJECTIVES 1. Identify factors in the clinical area that can affect normal thermoregulation. 2. Perform a normal newborn physical and gestational assessment and document the findings on the Newborn Assessment Form. 3. Develop a nursing care plan for a healthy newborn. 4. Describe the various behaviors manifested by a newborn in the first hours of life. 5. Identify newborns that deviate from the appropriate gestational age. 6. Identify strategies to encourage parent interaction with a high-risk neonate. 7. Describe the information to include in a teaching plan for new parents. 8. Identify the impact of nursing interventions on successful feeding outcomes. WRITTEN REPORT(S) (Due same time as weekly evaluation): Newborn Assessment Form & Maternal/Infant Care Plan NOTE: Provide weekly clinical evaluation form for preceptor to complete check mark section, comment, and sign. Computer generated report on Nursing Management 1 page 12 font/single spaced (no more than 1 ½ pages) Note: Refer to skills list. Note: No pediatric medication administration. No blood products administration excluding Rhogam. Students may not transport infants. Additional Learning Opportunities (Things to inquire about or observe) A. Ask nurse to verbally walk you through his/her method for arriving at decisions. B. Ask nurse to describe how he/she prioritizes client care and other responsibilities.

113 NC AND STUDENT HANDBOOK APPENDIX G Preceptor Booklet 25 NAVARRO COLLEGE Associate Degree Nursing Program Course: RNSG PERIOPERATIVE ROTATION Preceptored Experience PREOPERATIVE OBJECTIVES 1. Assess the physiological and psychosocial health status of the client. 2. Identify laboratory value changes and other risk factors that may affect the client s response to drugs, anesthesia, and surgery. 3. Discuss the role of the nurse in the informed consent process. 4. Analyze preoperative vital signs obtained and recognize client conditions or issues that are to be communicated to the primary nurse and the surgical team. 5. Provide care as appropriate to a stable client in the day surgery unit under direct supervision of an RN. 6. Identify and prioritize teaching needs for the client preparing for surgery. 7. Discuss the role of the nurse in the preoperative phase. WRITTEN REPORT (Due same time as weekly evaluation): NOTE: Provide weekly clinical evaluation form for preceptor to complete check mark section, comment, and sign. Perioperative Report as required for 2-3 day rotations. (Computer generated report on Periop Unit) 12 font/double spaced (minimal 1 page) Drug chart for 6 drugs used in the perioperative area PREOPERATIVE GUIDELINES Note: Refer to skills list. Note: No pediatric medication administration. No blood products administration excluding Rhogam. Additional Learning Opportunities (Things to inquire about or observe) A. Ask nurse to verbally walk you through his/her method for arriving at decisions. B. Ask nurse to describe how he/she prioritizes client care and other responsibilities.

114 NC AND STUDENT HANDBOOK APPENDIX G Preceptor Booklet 26 Navarro College Associate Degree Nursing Program Course: RNSG MENTAL HEALTH NURSING Preceptored Experience OBJECTIVES- (WRITTEN REPORT OF EXPERIENCE ) Do not use any identifying initials or other data that may identify clients, families, or health care workers. 1. What is the unique role of the RN in the assigned mental health setting? 2. Describe how the RN in the assigned role functions in the three roles of the Associate Degree Nurse- (1) Provider of Care (2) Coordinator of Care & (3) Member of a Profession. 3. What are two new things you learned from your experience and how do you plan to utilize this new learning? 4. Complete a Case Study for clients with (1) a mood disorder, (2) a thought disorder, (3) mental retardation or personality disorder, (4) a child or adolescent with a mental health diagnosis, and (5) any other mental health diagnosis that required hospital or institutional care. WRITTEN REPORTS (All due the same time as weekly clinical evaluations) Weekly Self-Evaluation with signature and comment of preceptor. Computer generated report on Nursing Care in the mental health setting answering objectives 1-3 above. Report should be one page, 12 font, single spaced (no more than 1 ½ pages) One case study every two weeks. (Select a client with a different diagnosis for each case study.)

115 NC AND STUDENT HANDBOOK APPENDIX G Preceptor Booklet 27 NAVARRO COLLEGE Associate Degree Nursing Program Course: RNSG CARE OF THE PEDIATRIC CLIENT Preceptored Experience OBJECTIVES 1. Identify the role of the RN in the pediatric clinic setting. 2. Observe pediatric assessment of each age group. 3. Develop a nursing care plans for a toddler, preschool, school age, or adolescent child. 4. Describe the growth and development milestones/normal behaviors for toddlers, preschool, school age, and adolescent children. 5. Identify children deviate from the normal growth and development. 6. Identify strategies to encourage client cooperation for the physical exam and/or treatment. 7. Describe the information to include in a teaching plan for the parents. 8. Identify the impact of nursing interventions on compliance with treatment. WRITTEN REPORT(S) (Due same time as weekly evaluation): Weekly Self-Evaluation with signature and comment of preceptor. Care Plan for an infant Maternity Case Study NEWBORN NURSERY GUIDELINES Skills and tasks permitted with direct supervision by the RN Preceptor. 1. Vital signs 2. Assessments 3. Family Teaching 4. Charting 5. Other skills as appropriate for skill level. 6. Note: No medication administration or IV fluids/iv start. Students may not transport infants. Additional Learning Opportunities (Things to inquire about or observe) A. Ask nurse to verbally walk you through his/her method for arriving at decisions. B. Ask nurse to describe how he/she prioritizes client care and other responsibilities.

116 NC AND STUDENT HANDBOOK APPENDIX G Preceptor Booklet 28 NAVARRO COLLEGE Associate Degree Nursing Program RNSG Nursing Care of Clients with Complex Health Care Needs COMMUNITY- BASED NURSING OUT ROTATION School-Based Nursing I. LEARNING OBJECTIVES AND OPPORTUNITIES A. Describe the role of the registered nurse in the school setting. B. Describe the special needs of the clients. C. Describe the various types of client teaching performed by the registered nurse. D. Describe the record keeping and documentation procedures implemented. E. List the ages, gender, and chief complaint of each child seen during the school day of your experience and the action(s) taken by the nurse. II. WRITTEN WORK (Due same time as care plans) A. Answer each of the objectives (A-E). (At least 50 words for each item.) (Computer-generated report) B. Obtain a journal article which describes the role of school nurse. Summarize the article and include a copy of the article with your report. Use your own words to describe the role. Students may not administer any medications during this rotation.

117 NC AND STUDENT HANDBOOK APPENDIX G Preceptor Booklet 29 NAVARRO COLLEGE Associate Degree Nursing Program RNSG Nursing Care of Clients with Complex Health Care Needs COMMUNITY- BASED NURSING OUT ROTATION HOSPICE CARE I. LEARNING OBJECTIVES AND OPPORTUNITIES A. Describe how the factors changing the health care delivery system are influencing the shift of patient care from hospitals to community-based and hospice care settings. B. Discuss the special needs of the nurse in the hospice care setting. C. Discuss the special needs of family caregivers in end-of-life-care. D. Describe the physical manifestations at the end of life. E. Describe the process of grief at the end of life. F. Describe the nursing management for the dying patient. G. Discuss ethical and legal issues in end-of-life-care. H. Discuss the purpose of palliative care and hospice. II. WRITTEN WORK (Due same time as care plans) A. Answer each of the objectives (A-H). (At least 50 words for each item.) (Computer-generated report) B. Describe your personal feelings regarding end-of-life care. HOSPICE GUIDELINES Students may not administer any medications during this rotation.

118 NC AND STUDENT HANDBOOK APPENDIX G Preceptor Booklet 30 NAVARRO COLLEGE Associate Degree Nursing RNSG Nursing Care of Clients with Complex Health Care Needs COMMUNITY-BASED NURSING OUT ROTATION CORSICANA HEALTH DEPARTMENT I. LEARNING /OBJECTIVES AND OPPORTUNITIES A. Describe how the factors changing the health care delivery system are influencing the shift of patient care from hospitals to community health services. B. Identify the unique roles, function and responsibilities of the RN in the Community Health Department. C. Identify the communication and teaching/learning techniques used by the RN/NP to allay anxieties in the care patient and family in the Health Department setting. D. Define and give examples from out rotation: Cultural Diversity, Chemical Dependency, Confidentiality, Advocacy, Abuse/Neglect, Informed Consent and Legal Rights. E. Differentiate community-based nursing from community oriented nursing. F. Identify the role of the RN in health screening and promotion and disease prevention you observed in the Health Department setting. G. Describe challenges of the community-oriented RN in providing client care. H. Identify the legal and ethical issues present in community-oriented nursing. II. WRITTEN WORK (Due same time as care plans) A. Answer each of the objectives (A-H). (At least 50 words for each item.) (Computer generated report) B. List the medical diagnosis and health problems of clients you observed. C. List and research all medications that were administered by the nursesuse care plan med sheet. STUDENTS MAY GIVE IMMUNIZATIONS - No other injections

119 NC AND STUDENT HANDBOOK APPENDIX G Preceptor Booklet 31 CHAPTER 22. GRANT AND SCHOLARSHIP PROGRAMS SUBCHAPTER P. EXEMPTION PROGRAM FOR CLINICAL PRECEPTORS AND THEIR CHILDREN Section Authority and Purpose Definitions Tuition Exemptions Eligible Preceptors Eligible Students Discontinuation of Eligibility Value of the Exeption Application Process AUTHORITY AND PURPOSE (a) Authority. Authority for this subchapter is provided in the Texas Education Code, Section , Preceptors for Professional Nursing Education Programs. These rules establish procedures to administer this exemption program. (b) Purpose. The purpose of this program is to provide partial exemptions from the payment of tuition to eligible persons employed as clinical preceptors and to their children in order to encourage the preceptors to continue their employment and induce others to seek such employment in the state of Texas DEFINITIONS The following words and terms, when used in this subchapter, shall have the following meanings, unless the context clearly indicates otherwise: (1) Board the Texas Higher Education Coordinating Board (2) Child a child 25 years of age or younger, including an adopted child (3) Clinical preceptor or preceptor a registered nurse or other licensed health professional who meets the requirements below, not paid as a faculty member by the governing board of an institution of higher education, but who directly supervises a nursing student s clinical learning experience in a manner prescribed by a signed written agreement between the educational institution, preceptor and affiliating agency. A clinical preceptor has the following qualifications: (A) (B) (C) competence in designated areas of practice a philosophy of health care congruent with that of the nursing program current licensure or privilege as a registered nurse in the State of Texas, and

120 NC AND STUDENT HANDBOOK APPENDIX G Preceptor Booklet 32 (D) if not a registered nurse, holds a current license in Texas as a health care professional with a minimum of a bachelor s degree in that field. (4) Commissioner the Commissioner of Higher Education, the Chief Executive Officer of the Board. (5) Institution of Higher Education or Institution any public technical institute, public junior college, public senior college or university, medical or dental unit or other agency of higher education as defined in Texas Education Code, Section (8) Children (6) Program the Exemption Program for Clinical Preceptors and Their (7) Resident of Texas a resident of the State of Texas as determined in accordance with Sections of this title (relating to Determining Residence Status). Nonresident students who are eligible to pay resident tuition rates are not residents of Texas (8) Tuition includes statutory tuition, designated tuition and Boardauthorized tuition (9) Undergraduate professional nursing program a public educational program for preparing students for initial licensure as registered nurses TUITION EXEMPTION Each institution of higher education shall exempt all eligible preceptors and eligible students from the payment of up to $500 of tuition per term or semester ELIGIBLE PRECEPTORS To receive an exemption under this program, a preceptor must: (1) be a resident of Texas (2) be a registered nurse (3) be serving under a written preceptor agreement with an undergraduate professional nursing program as a clinical preceptor for students enrolled in the program for the semester or other academic term for which the exemption is sought ELIGIBLE STUDENTS To receive an exemption under this program, a student must: (1) be a resident of Texas

121 NC AND STUDENT HANDBOOK APPENDIX G Preceptor Booklet 33 (2) be the child of a clinical preceptor who is serving under a written preceptor agreement with an undergraduate professional nursing program as a clinical preceptor for students enrolled in the program for the semester or other academic term for which the exemption is sought DISCONTINUATION OF ELIGIBLITY (a) An individual s eligibility for the program ends when the person has: (1) previously received exemptions under this subchapter for 10 semesters or summer sessions at any institution or institutions of higher education, or (2) received a baccalaureate degree (b) For the purposes of this program, a summer session that is less than nine weeks in duration is considered one-half of a summer session VALUE OF THE EXEMPTION The value of an exemption granted under this program is equal to $500 or the student s tuition, whichever is less APPLICATION PROCESS To apply for an exemption under this program, a student shall complete the Clinical Preceptor Exemption Application, developed by the Board and distributed and processed participation institutions LEGISLATIVE SESSION SB 201 sponsored by Nelson Morrison Relating to tuition exemptions at public institutions of higher education for certain professional nursing program preceptors and their children. Remarks: Expands time within which tuition exemption for preceptors and their children can be claimed to one year from the end of semester/term in which served as preceptor. Previously must claim in semester/term in which was a preceptor Passed

122 NC AND STUDENT HANDBOOK APPENDIX G Preceptor Booklet 34 Application for an Exemption through the Exemption Program for Clinical Preceptors and their Children Name: Last, First, Middle Initial Social Security Number: 1. Term in which you wish to use the exemption: / fall, spring, or summer / year 2. Which condition applies to you: [ ] person currently employed as clinical preceptor [ ] child of clinical preceptor If you are the child of a preceptor, provide the following information: a. preceptor s name: b. preceptor s SSN : 3. Provide the following information regarding the agreement under which the preceptor will be employed during the term for which the exemption is requested: a. Name of educational institution: b. Name of affiliating agency: Attach a copy of the agreement to this application before submitting the application to your institution. 4. Have you previously received an exemption through this program? [ ]Yes [ ]No If yes, please list the terms/semesters and years: Term Year Term Year 5. Do you hold a baccalaureate (bachelor s) degree? [ ] Yes [ ] No 6. Are you currently classified as a resident by this institution? [ ] Yes [ ] No Applicant s Certification Statement I hereby certify that the information I have provided in the application is true and correct. Signature Printed Name Date

123 NC AND STUDENT HANDBOOK APPENDIX G Preceptor Booklet West 7 th Avenue Corsicana, Texas ( Fax: (903) Navarro College Associate Degree Nursing PRECEPTOR AGREEMENT Faculty of the Navarro College Associate Degree Nursing Program greatly appreciate the assistance every preceptor gives our students. Printed Name First MI Last Mailing Address Contact Telephone Numbers or Address Name of Agency completed required orientation including a review of the Preceptor Preceptor initials Handbook and Preceptor Guidelines. Signature: Date: For Semester (circle one) : Fall Spring Summer Year: Program: Navarro College Associated Degree Nursing Faculty Signature: Date: Mexia Campus Midlothian Campus Waxahachie Campus 901 N. Martin Luther King Jr. Blvd 899 Mount Zion Road 1900 John Arden Drive Mexia, Tx Midlothian, Tx Waxahachie, Tx (254) Fax: (254) (972) Fax: (972) (972) Fax: (972) Navarro College Is An Equal Opportunity Affirmative Action Employer