Associate Degree Nursing/Tech Prep Plan (Generic Student Curriculum) Dear Associate Degree Nursing Applicant, Victoria College offers a two-year Associate of Applied Science degree in nursing. Upon successful completion of the program, the graduate is eligible to apply to take the National Council Licensure Examination for Registered Nurses (NCLEX-RN). Satisfactory achievement on the examination will qualify the graduate for licensure as a registered nurse. The Associate Degree Nursing Program is fully approved by the Texas Board of Nursing and accredited by the National League for Nursing Accrediting Commission (3343 Peachtree Road NE, Suite 850, Atlanta, Georgia 30326, (404) 975-5000). Admission Requirements Admission requirements for the Associate Degree Nursing (ADN) Program differ from general admission to Victoria College. Additional information may be found at www.victoriacollege.edu/professionalnursing. The ADN Program is a selective admission program with a limited number of available student slots each semester. In order to be considered an eligible applicant, it is the responsibility of the applicant to ensure that all necessary documentation as stated below is in the ADN Office by June 1 for fall admission and by September 1 for spring admission. 1. The student must meet the admission requirements for Victoria College as stated in the current college catalog (contact the Admissions & Records Office). 2. Completed student ADN program application dated within the last year. 3. ACT Composite score of 18 or SAT I total score of 870. Students who have earned at least 12 semester credit hours on the program of study with a GPA of at least 2.25 may have either an ACT of 16 or SAT I of 780. (ACT scores before October 1989 and SAT scores before April 1995 will be considered on an individual basis.) 4. TSI (Texas Success Initiative) satisfied. (Contact Advising & Counseling Services for further explanation if necessary.) 5. A grade of C or better by June 1 for fall applicants or by September 1 for spring applicants in each of the following prerequisite courses: BIOL 2401 PSYC 2301 CHEM 1406 HITT 1211 or POFI 1204 6. Official college transcripts from all colleges or universities attended on file in Associate Degree Nursing Office. 7. Overall GPA of 2.0 or above on all college hours attempted and GPA 2.15 on the ADN program of study. 8. A clear Texas Board of Nursing Criminal Background Check (CBC) must be on file in the ADN Office by June 1 for fall applicants or by September 1 for spring applicants. The procedure to complete this requirement will be mailed to prospective students once their ADN application has been received. 9. ADN Program Counseling Interview required no more than one year prior to program admission. Call (361) 572-6435 for more information. 10. Submit completed VC Record of Immunization form. All immunizations, including Hepatitis B series, must be completed by application deadline (or proof of serological immunity). 11. Prior to enrollment qualified applicants who have been accepted into the ADN Program must submit a current CPR Health Care Provider card (American Heart Association is required) and a completed physical examination form. Please note: Science courses taken more than five years ago will be evaluated on an individual basis and may have to be repeated. Rev 07/2012
GENERIC STUDENT CURRICULUM/TECH-PREP PLAN Prerequisites BIOL 2401 Human Anatomy & Physiology 4 POFI 1204 1 Computer Fundamentals 2 PSYC 2301 General Psychology 3 CHEM 1406 Introductory Chemistry 4 SDEV 0301 2 Student Success: OnCourse 0 13 1 Higher level Computer Science courses may be substituted for this course 2 Required for all first-time-in-college students. EDUC 1300 may be substituted for SDEV 0301. LEVEL I SEMESTER I 3 RNSG 1219 Integrated Nursing Skills I 2 RNSG 1423 Intro to Professional Nursing for Integrated Programs 4 RNSG 1260 Clinical I Registered Nursing/Registered Nurse 2 HPRS 2200 Pharmacology for Health Professions 2 BIOL 2402 Human Anatomy & Physiology 4 PSYC 2314 Human Growth & Development 3 17 3 Students who successfully complete RNSG 1219 with a C or better and RNSG 1260 with an S may apply for a Nurse Aid Certificate of Completion and are eligible to take the exam to become a Certified Nurse Aide/Home Health Aide. LEVEL II SEMESTER II RNSG 2504 Integrated Care of the Client with Common Health Needs 5 RNSG 2461 Clinical II Registered Nursing/Registered Nurse 4 BIOL 2420 Microbiology 4 PHED 1101 Physical Education 1 14 Summer 5 Optional Transfer into VN Program for Summer VNSG 1119 Professional Development 1 VNSG 1138 Mental Illness 1 VNSG 1332 Medical Surgical Nursing II 3 VNSG 2463 Clinical Licensed Vocational Nurse (LVN) Training 4 9 5 Students who successfully complete these courses are eligible to take the NCLEX-PN exam. LEVEL III SEMESTER III RNSG 2514 Integrated Care of the Client with Complex Health Needs 5 RNSG 2462 Clinical III Registered Nursing/Registered Nurse 4 ENGL 1301 Composition I 3 SOCI 1301 Introduction to Sociology 3 15 LEVEL IV SEMESTER IV + RNSG 2535 Integrated Client Care Management 5 + RNSG 2463 Clinical IV Registered Nursing/Registered Nurse 4 PHED 1101 Physical Education 1 *Humanities/Visual and Performing Arts 3 13 Total Program 72 NOTE: A minimum grade of C is required in all nursing and general education courses. All support courses must be taken during the semester designated on the degree plan or before. * Student must choose a course from the Victoria College Humanities/Visual and Performing Arts core curriculum courses. (Contact Advising & Counseling Services or program chair for specific course considerations). + Capstone courses Due to the continual change in clinical facilities, some evening clinical learning experiences may be required in some semesters.
LICENSURE ELIGIBILITY REQUIREMENTS Applicant s Name (Print): Address: PO Box or Number & Street City, State Zip Code Home Telephone #: *Social Security #: Cell #: *Date of Birth: / / *This information is required to complete the Texas Board of Nursing criminal background check (CBC). To be considered an eligible applicant, Victoria College Nursing Programs require proof of a clear Texas Board of Nursing (BON) criminal background. All licensure eligibility issues must be resolved. This form must be returned to your first choice Nursing Program Office to initiate the Texas Board of Nursing criminal background check. Completion of this process can take 4 months or longer. Eligibility issues that must be resolved in order to be qualified for nursing program admission include: 1) [ ] No [ ] Yes *For any criminal offense, including those pending appeal, have you: A. been convicted of a misdemeanor? B. been convicted of a felony? C. pled nolo contendere, no contest, or guilty? D. received deferred adjudication? E. been placed on community supervision or court-ordered probation, whether or not adjudicated guilty? F. been sentenced to serve jail or prison time? court-ordered confinement? G. been granted pre-trial diversion? H. been arrested or have any pending criminal charges? I. been cited or charged with any violation of the law? J. been subject of a court-martial; Article 15 violation; or received any form of military judgment/punishment/action? (You may only exclude Class C misdemeanor traffic violations.) NOTE: Expunged and Sealed Offenses: While expunged or sealed offenses, arrests, tickets, or citations need not be disclosed, it is your responsibility to ensure the offense, arrest, ticket or citation has, in fact, been expunged or sealed. It is recommended that you submit a copy of the Court Order expunging or sealing the record in question to our office with your application. Failure to reveal an offense, arrest, ticket, or citation that is not in fact expunged or sealed may subject your license to a disciplinary order and fine. Non-disclosure of relevant offenses raises questions related to truthfulness and character. (See 22 TAC 213.27) NOTE: Orders of Non-Disclosure: Pursuant to Tex. Gov t Code 552.142(b), if you have criminal matters that are the subject of an order of non- disclosure you are not required to reveal those criminal (Over)
matters on this form. However, a criminal matter that is the subject of an order of non- disclosure may become a character and fitness issue. Pursuant to Gov t Code chapter 411, the Texas Nursing Board is entitled to access criminal history record information that is the subject of an order of non-disclosure. If the Board discovers a criminal matter that is the subject of an order of non-disclosure, even if you properly did not reveal that matter, the Board may require you to provide information about any conduct that raises issues of character and fitness. 2) [ ] No [ ] Yes *Are you currently the target or subject of a grand jury or governmental agency investigation? 3) [ ] No [ ] Yes Has any licensing authority ever refused to issue you a license or ever revoked, annulled, cancelled, accepted surrender of, suspended, placed on probation, refused to renew a professional license, certificate or multi-state privilege held by you now or previously, or ever fined, censured, reprimanded or otherwise disciplined you? 4) [ ] No [ ] Yes *Within the past five (5) years have you been diagnosed with, treated, or hospitalized for schizophrenia and/or psychotic disorder, bipolar disorder, paranoid personality disorder, antisocial personality disorder, or borderline personality disorder? If YES indicate the condition: [ ] schizophrenia and/or psychotic disorders, [ ] bipolar disorder, [ ] paranoid personality disorder, [ ] antisocial personality disorder, [ ] borderline personality disorder 5) [ ] No [ ] Yes *Within the past five (5) years have you been addicted to and/or treated for the use of alcohol or any other drug? *Pursuant to the Texas Occupations Code 301.207, information, including diagnosis and treatment, regarding an individual s physical or mental condition, intemperate use of drugs or alcohol, or chemical dependency and information regarding an individual s criminal history is confidential to the same extent that information collected as part of an investigation is confidential under the Texas Occupations Code 301.466. If you are licensed as an LVN in the State of Texas and are currently participating in the Texas Peer Assistance Program for Nurses you may answer NO to questions #4 and #5. NOTE: IF YOU ANSWER YES TO ANY QUESTION #1 - #5, YOU MUST PROVIDE A SIGNED AND DATED LETTER TO THE TEXAS BOARD OF NURSING DESCRIBING THE INCIDENCE(S) THAT YOU ARE REPTING, AS WELL AS SUPPTING DOCUMENTATION. Texas Board of Nursing (333 Guadalupe, Ste. 3-460, Austin TX 78701). Telephone number: (512) 305-7400, website: www.bon.texas.gov Applicant s Signature: Date: Revised 9/19/13
ASSOCIATE DEGREE NURSING PROGRAM STUDENT APPLICATION Please the program that you are applying for: Generic LVN Transition (you must be a licensed LVN) NAME: First Middle Last (Maiden) ARE THERE ANY OTHER NAMES WHICH MIGHT APPEAR ON A TRANSCRIPT? IF SO, PLEASE LIST: PRESENT ADDRESS: Street City / County State Zip Code PERMANENT ADDRESS: (If different from above) Street City / County State Zip Code TELEPHONE NUMBER: ( ) ( ) ( ) ( ) HOME CELL WK OTHER EMAIL ADDRESS: IN CASE OF EMERGENCY PERSON AND TELEPHONE NUMBER TO NOTIFY: Name Telephone Number COLLEGE AND UNIVERSITY ATTENDED: You must list all school attended including Victoria College, if applicable. (Please have official transcripts on file in the Associate Degree Nursing Program office.) Colleges and Universities Dates Attended I CERTIFY THAT ALL STATEMENTS ON THIS DOCUMENT ARE TRUE AND CRECT. Signature of Applicant Date IT IS YOUR RESPONSIBILITY TO KEEP YOUR ADDRESS AND TELEPHONE NUMBERS CURRENT WITH THE ADN DEPARTMENT. Rev 07/2012
Print Name: DOB: RECD OF IMMUNIZATIONS NOTE: Please provide dates for each requested blank unless otherwise specified and proof of immunity, if applicable. TETANUS/DIPHTHERIA: Booster date: ( ) (One dose of tetanus-diphtheria toxoid (Td) is required within the last ten years.) MEASLES/MUMPS/RUBELLA: Two doses of MMR are required: Dose number 1 Dose number 2 (Immunization received as infant may be used as first dose.) Proof of immunity to Rubella by Rubella titer: Immune Status/Date:( ) Proof of immunity to Measles by Measles titer: Immune Status/Date:( ) Proof of immunity to Mumps by Mumps titer: Immune Status/Date:( ) 2 STEP PPD TB TEST Note: TINE TESTS ARE NOT ACCEPTABLE 1.) Date of first skin test: (NOTE: must be within one year of second test) Reaction: mm induration 2.) Students must provide evidence of second TB skin test results to program secretary prior to enrollment. If candidate has a positive PPD, has he/she been evaluated for/received INH chemoprophylaxsis? If previous positive PPD, date of chest x-ray within 6 months of admission date: Chest x-ray report: HEPATITIS B SERIES: Date of First Dose: Date of Second Dose (One (1) month after 1 st dose): Date of Third Dose (Six (6) months after 1 st dose): Serologic confirmation of immunity to hepatitis B virus: Date: Immune Status: VARICELLA: Date of 1 st dose: Date of 2 nd dose: Serologic confirmation of immunity to Varicella virus: (Required if 1 st dose was given after 13 years of age.) Date: Immune Status: Complete form Documenting History of Illness: Varicella (Chickenpox) ***(Healthcare Provider signature required)*** Date of Illness: Signature of Healthcare Provider Date Revised 9/15/11