SCHOOL of NURSING UNDERGRADUATE STUDENT HANDBOOK Revised and Approved by the Nursing Faculty Organization August 2015 Boston 179 Longwood Avenue Boston, MA 02115 617.732.2800 Worcester 19 Foster Street Worcester, MA 01608 508.890.8855 Manchester 1260 Elm Street Manchester, NH 03101 603.314.0210 MCPHS University School of Nursing Handbook 2015 Revised 8/19/15
Table of Contents Message from the Dean... 4 Faculty and Staff Directory... 5 Approval and Accreditation... 7 School of Nursing Guiding Statements... 8 Philosophy... 8 Mission... 9 Vision... 9 Core Values... 9 BSN Program Goals... 10 BSN Program Expected Outcomes... 10 American Nurses Association (ANA) Code of Ethics for Nurses... 12 General Policies... 13 Health Insurance Portability and Accountability Act of 1996 (HIPAA)... 13 Immunization Requirements... 13 CPR Certification... 14 Technical and Professional Standards... 14 Physical Requirements in Clinical Setting... 15 Criminal Offender Record Information (CORI)... 15 Inclement Weather... 16 Academic Policies... 16 SON Grading Policy... 16 Course Work... 16 Quiz/Exam Reviews... 17 APA Style... 17 Progression and Retention Policies... 17 General Progression Guidelines... 18 Out of Sequence Status... 19 Out of Sequence Transfer Policy... 18 Policy for Content Validation after Non-Progression or Leave of Absence... 20 Policy on Medication Calculation Testing... 20 Online Standardized Testing 20 NCLEX Review & HESI Exit Examination..20 Remediation... 21 Attendance/Absence Policy... 23 Punctuality... 24 Absence from Examinations... 26 Food and Drink in Classrooms and Clinical Learning Center... 26 Clinical Rotation / Clinical Preceptor Placement... 26 Notice on Clinical Rotations and Background Screenings... 25 MCPHS University School of Nursing Handbook 2015 Revised 8/24/15 Page 2
Clinical Shift Hours.... 26 Clinical Evaluations/Grades... 266 Clinical Failure... 276 Clinical Warning... 26 Clinical Uniform/Dress Code... 287 Additional Campus-Specific Dress Requirements... 28 Patient Assessment and Clinical Learning Center... 28 Professional Comportment... 29 The Use of Social Media:... 30 Use of Cell Phones in the Clinical Setting... 30 Academic Honesty... 30 Communication... 31 Faculty Availability... 31 Chain of Command... 31 Cell Phones, Texting, and Pagers... 32 Tape Recorders and Cameras... 32 Visitors in the Classroom... 32 Attendance at Professional Meetings... 32 Student Representation in Committee Meetings... 32 Program of Study... 33 32-Month BSN Curriculum - Boston... 33 16-Month Post-Baccalaureate BSN Curriculum Worcester/Manchester, Spring Admission 36 16-Month Post-Baccalaureate BSN Curriculum Worcester/Manchester, Fall Admission... 38 Nursing Course Descriptions and Learning Outcomes... 40 NUR 205... 40 NUR 208... 41 NUR 215/215L... 42 NUR 226... 42 NUR 245/245L... 43 NUR 300... 42 NUR 325/325L... 44 NUR 330... 44 NUR 335/335L... 44 NUR 345/345L... 44 NUR 350... 45 NUR 425/425L... 48 NUR 445/445L... 47 NUR 450... 50 International Council of Nurses Pledge... 51 APPENDIX 1... 52 MCPHS University School of Nursing Handbook 2015 Revised 8/24/15 Page 3
Message from the Dean Dear Nursing Student: Welcome to the School of Nursing at MCPHS University! Founded in 1823 as the oldest University in Boston, MCPHS is a private co-educational institution with an unbroken record of academic excellence and distinguished tradition of innovation in teaching and learning. The School of Nursing, in response to the national shortage of professional nurses, offers accelerated Bachelor of Science degree in Nursing (BSN) programs that educate students for professional practice in an ever-changing healthcare environment. The School of Nursing: Is uniquely designed as one School, two accelerated Programs (32-month BSN program in Boston, and 16-month 2nd-degree BSN program in Worcester and Manchester), and three Campuses: Boston, Worcester, and Manchester, New Hampshire; Is committed to a learner-centered education in which students are immersed in rigorous, relevant, and creative learning experiences; Builds clinical partnerships in which resources, knowledge, and experiences are reciprocated and connected through professional relationships and collaborations; Uses state-of-the-art simulation technology that promotes knowledge retention, critical and spontaneous thinking, clinical competence, and self-confidence needed for safe, effective, high quality practice; Promotes an interdisciplinary learning environment where faculty and students actively engage in intellectual dialogues and scientific inquiry; Fosters an academic process that is reflective, pluralistic, and participatory; and Embraces humanity, quality, scholarship, and diversity. Our vision of academic excellence is achieved through an intellectually energetic environment that challenges, yet supports bright, curious students. Using a clinical immersion model, students, faculty and staff, and clinical partners form a dynamic triad whereby nursing practice informs nursing education and nursing education influences the practice of nursing and the delivery of healthcare. The future of nursing rests with those entering the profession. We are dedicated to the advancement of all engaged in the endeavor of educating students to become professional nurses and leaders, and we foresee significant personal and professional growth as outcomes for students, faculty and staff, and clinical partners. Carol A. Eliadi, EdD, JD, NP-BC Dean and Chief Nursing Officer School of Nursing MCPHS University School of Nursing Handbook 2015 Revised 8/24/15 Page 4
Faculty and Staff Directory Name and Title Phone E-mail Dean School of Nursing Carol Eliadi, EdD, JD, NP-BC Dean, Chief Nursing Officer, and Professor Boston Campus Associate Dean - Boston Paula James, DNP, RN, CCNS Associate Dean & Associate Professor Assistant Dean - Boston Edith Claros, PhD, MSN, RN Assistant Dean & Associate Professor 617-274-3389 carol.eliadi@mcphs.edu 617-274-3331 paula.james@mcphs.edu 617-274-3347 edith.claros@mcphs.edu Administrative Assistant (Vacant) 617-732-2841 Teresa Dean, MS, RN Assistant Professor Cindy Heden, DNP, MSN, RN Assistant Professor Anthony Lacina, MPH, MEd Clinical Placement Coordinator - Graduate Nursing Studies Kuntheary Macdiarmid, BS Clinical Placement Coordinator Undergraduate Program Kleona Mihal, BA Administrative & Clinical Placement Assistant. Undergraduate Program Cassandra Mombrun, MSN, RN, CPNP Assistant Professor Olga Van Dyke, MSN, CAGS, RN Assistant Professor Meaghan Whitfield, MSN RN-BC Assistant Professor and Clinical Learning Center Manager 617-274-3382 teresa.dean@mcphs.edu 617-274-3353 Cindy.heden@mcphs.edu 617-274-3315 Anthony.lacina@mcphs.edu 617-879-5922 kuntheary.macdiarmid@mcphs.edu 617-274-3358 Kleona.mihal@mcphs.edu 617-274-3375 Cassandra.mombrun@mcphs.edu 617-274-3393 olga.vandyke@mcphs.edu 617-274-3328 Meghan.whitfield@mcphs.edu MCPHS University School of Nursing Handbook 2015 Revised 8/24/15 Page 5
Worcester Campus Interim Assistant Dean of Curriculum & Worcester Campus BSN Tammy Gravel, MSN, RN, EdD (c) Assistant Professor Joanna Bachour, MSN, RN Assistant Professor & Clinical Learning Center Manager Paula Bylaska-Davies, PhD, MSN, RN Associate Professor Bonnie Laurent, MSN, RN, CPNP Assistant Professor & Clinical Learning Center Manager Doreen Luciani, BS Clinical Placement Coordinator Lorraine MacDonald, MSN, RN Assistant Professor Gayle McGinty, MSN, RN Assistant Professor Administrative Assistant, Graduate Programs (vacant) Patricia Murray, MSN, FNP-BC FNP Track Coordinator Assistant Professor Nicole Nelson Administrative Assistant Assistant Dean - Graduate Nursing Maria Rosen, PhD, APRN-BC Assistant Dean Graduate Nursing Studies ; Core Curriculum, /Generalist Track & Associate Professor Bonnie White, MSN, RN, CCM Assistant Professor Danielle Yocom, MSN, FNP-BC Assistant Professor 508-373-5682 tammy.gravel@mcphs.edu 508-373-5661 joanna.bachour@mcphs.edu 508-373-5689 paula.bylaska-davies@mcphs.edu 508-373-5681 bonnie.laurent@mcphs.edu 508-373-5713 doreen.luciani@mcphs.edu 508-373-5704 lorraine.macdonald@mcphs.edu 508-373-5709 Gayle.mcginty@mcphs.edu 508-373-5712 508-373-5855 patricia.murray@mcphs.edu 508-373-5685 nicole.nelson@mcphs.edu 508-373-5735 maria.rosen@mcphs.edu 508-373-5768 bonnie.white@mcphs.edu 508-373-5715 danielle.yocom@mcphs.edu MCPHS University School of Nursing Handbook 2015 Revised 8/24/15 Page 6
Manchester Campus Associate Dean Graduate Nursing and Manchester Campus BSN Gerard Tobin, PhD, RN, RMN, RNT Associate Professor Karen Britt, MS, RN-BC, CNE Assistant Professor Jennifer Johnson, DNP, CNM, RN Associate Professor Deborah Leveille, PhDc RN Associate Professor Carole Mack Administrative Assistant Dorothy Normile, MSN, RN Assistant Professor & Clinical Learning Center Manager and Roberta Rayno, BM, BA Clinical Placement Coordinator John Rowe, PhD, RN Associate Professor Marion Taylor, MSN, FNP, RN Assistant Professor 603-314-1748 gerard.tobin@mcphs.edu 603-314-1741 karen.britt@mcphs.edu 603-314-1764 Jennifer.johnson@mcphs.edu 603-314-1768 Deborah.leveille@mcohs.edu 603-314-1746 carole.mack@mcphs.edu 603-314-1739 dottie.normile@mcphs.edu 603-314-1782 roberta.rayno@mcphs.edu 603-314-1736 john.rowe@mcphs.edu 603-314-1749 Marion.taylor@mcphs.edu MCPHS University School of Nursing Handbook 2015 Revised 8/24/15 Page 7
Approval and Accreditation MCPHS University is accredited by the New England Association of Schools and Colleges, Inc. (NEASC) through its Commission on Institutions of Higher Education. Accreditation of an institution of higher education by NEASC indicates that it meets or exceeds criteria for the assessment of institutional quality periodically applied through a peer review process. An accredited college or university is one that has available the necessary resources to achieve its stated purposes through appropriate educational programs, is substantially doing so, and gives reasonable evidence that it will continue to do so in the foreseeable future. Institutional integrity is also addressed through accreditation. The Bachelor of Science in Nursing degree program has received Full Approval by the Massachusetts Board of Registration in Nursing and the New Hampshire Board of Nursing and ten-year accreditation by the Collegiate Commission on Nursing Education (CCNE) in April 2011. CCNE ensures the quality and integrity of baccalaureate and graduate nursing programs. Accreditation by CCNE serves as a statement of good educational practice in the field of nursing. School of Nursing Guiding Statements The School of Nursing at MCPHS University (hereafter the School of Nursing) offers Bachelor of Science in Nursing (BSN) and Master of Science in Nursing (MSN) degree programs that prepare competent, caring, and ethical nursing professionals and leaders to meet the everchanging needs of the healthcare environment. The philosophy, mission, vision, core values, goals, and outcome statements of the School of Nursing provide a guiding framework for its faculty, staff, students, and clinical partners. Philosophy Congruent with the philosophy and core values of MCPHS University, the School of Nursing philosophy reflects our beliefs in a set of core values that are fundamental to nursing education and shared and upheld by the nursing students, faculty and staff, and our clinical partners. Education is a self-actualizing, creative, and lifetime endeavor involving systematic inquiry and progression from novice to expert. The educational process must be learner-centered to foster intellectual vitality, critical thinking, and the responsibility of ongoing professional development. Nursing education must be academically rigorous and socially relevant, embracing multiple ways of knowing and integrating the liberal arts and sciences with professional nursing study. The nursing curriculum is organized around a clear appreciation of the domain of nursing science: person/people, health/illness, society/environment, and nursing. The program cohesiveness is evidenced by weaving scholarly, professional, and practice-related activities throughout the education process. Nursing is deeply rooted in the science of caring and connection to others. Individuals have unique qualities and basic needs for respect and recognition of personal dignity. The universality of human rights and needs transcend the boundaries of age, gender, race, ethnicity, class, culture, language, spirituality, and religion. Human diversity and psychosocial-cultural factors influence and are influenced by the experience of individuals, communities, and society. Incorporation of humanity and respect is vital to the process of healing and the quality of nursing care. MCPHS University School of Nursing Handbook 2015 Revised 8/24/15 Page 8
The primary goals of nursing are to promote, restore, and maintain health, prevent disease, and provide care and comfort throughout life, during illness, and at the end of life. The patient is the center of nursing care and may be an individual, family, group, or community in varying states of health. The patient is recognized as having distinct and unique needs that continuously change and are redefined as the patient interacts with the nurse, healthcare providers, and the environment. It is critical that a nurse anticipates and adapts to the changing needs of the patient. Identification of patient needs, provision of nursing care, the healthcare experience, and environment are fundamentally connected. The nurse helps create a healing environment for each patient by collaborating with the patient to establish mutual goals that enable the patient to attain optimal health. The core competencies necessary to meet the primary goals of nursing are communication, assessment, critical thinking, and technical skill. The core competencies allow the nurse to assess, plan, design, provide, and manage culturally competent, cost-effective, high quality, and direct and indirect nursing care across the lifespan with diverse populations. Competence in nursing practice is best achieved through a thoughtful blending of theory, knowledge, and experience. Clinical partnerships foster associations in which resources, knowledge, and experiences are reciprocated and connected through professional relationships and collaborations. Students, faculty and staff, and clinical partners form a dynamic triad whereby nursing practice informs nursing education and nursing education influences the practice of nursing and the delivery of healthcare. The goal of our clinical partnerships is to provide a solid, functional, and rigorous foundation for evidence-based nursing practice. The future of nursing rests with those entering the profession. The beliefs and values that sustain nursing education are expressed at every level of the educational experience. We are dedicated to the advancement of all engaged in this endeavor, and we foresee significant personal and professional growth as outcomes for students, faculty and staff, and clinical partners. Mission The Mission of the School of Nursing is to provide students with a high quality and innovative education and to foster scientific inquiry and professional service. To fulfill the mission, we are committed to: Developing an innovative, dynamic, and socio-politically relevant model of nursing education based on theoretically-sound curricula, evidence-based practice, clinical immersion, and scholarly inquiry Developing a curricular foundation that promotes reflective, ethical, compassionate, innovative, and intellectually rigorous nursing practice Establishing a community of learners inclusive of students, faculty, and clinical partners who embrace a spirit of inquiry and a commitment to continuous professional growth Promoting resiliency and integrity in nursing graduates for practice in dynamic, diverse, and complex healthcare environments Fostering a community of scholars that advance nursing through excellence in the discovery, application, integration, and dissemination of knowledge Providing service to the School, the University, the profession, and the community MCPHS University School of Nursing Handbook 2015 Revised 8/24/15 Page 9
Vision Our vision is to create a center of excellence in nursing education where an environment of partnership is created and nursing practice, education, and scholarship connect for the advancement of healthcare and the profession of nursing. Core Values As members of the School of Nursing and a broader community, we are committed to the following core values: Respect Value and appreciate self and others across the boundaries of age, race, culture, gender, language, ideology, religion, and class. Seek to know, understand, acknowledge, and appreciate the uniqueness and contribution of self and others Treat self and others in a caring and considerate manner Recognize that the patient is the center of nursing care Literacy Examine and process information in a critical and reflective manner Appreciate and judiciously use literature from nursing science, liberal arts, and other health sciences Cultivate a sense of intellectual inquiry and engage in the process of lifelong learning and development Embrace continual knowledge development as central to professional excellence and the advancement of nursing practice Practice Develop competence and advance acquisition of nursing knowledge, skills, attributes, and abilities Communicate and collaborate as an integral member of the health care team Apply nursing knowledge and skill in diverse practice settings Provide care in accordance with professional standards, practice within the legal and ethical scope of nursing, and engage in continuous quality improvement of nursing care Integration Draw on existing knowledge and develop new knowledge in order to establish a nursing practice that is critically reflective and dynamic Connect theory and multiple ways of knowing in the practice of nursing Behave and present self in a manner that projects confidence and inspires trust Act with integrity, responsibility, and accountability in the practice of nursing BSN Program Goals The School of Nursing provides excellent education that aims to prepare students as liberallyeducated persons and baccalaureate-prepared professional nurses. We are committed to: Incorporate the values of respect, literacy, practice, and integration Build on a solid foundation of liberal arts and sciences Connect education to practice through partnerships and clinical immersion Cultivate a learner-centered environment where individuals are empowered to think, conceptualize, reason, and make sense of the lived worlds MCPHS University School of Nursing Handbook 2015 Revised 8/24/15 Page 10
Provide opportunities for personal and professional development of students, faculty, staff, and clinical partners Use knowledge and evidence based teaching practice Prepare nursing graduates who are globally aware and informed for practice in a diverse and rapidly changing healthcare environment BSN Program Expected Outcomes Upon the completion of the BSN program, graduates will be able to: Provide safe, effective, culturally-competent nursing care to individuals and families across the lifespan as a member of an interdisciplinary team and in the context of community Integrate the core competencies of critical thinking, communication, assessment, and technical skills in nursing practice Behave in a manner consistent with professional nursing standards of practice Engage in continuous professional development activities, and Pass the National Council of State Boards of Nursing Licensure Examination for Registered Nurses (NCLEX-RN) and qualify for licensure. The nursing faculty is committed to delivering an innovative nursing curriculum that combines active teaching-learning strategies, real-world clinical immersion, and an environment of respect, collaboration, and professionalism to students and prepares students for competent, resilient, compassionate, and skilled professional practice and leadership in healthcare. MCPHS University School of Nursing Handbook 2015 Revised 8/24/15 Page 11
AMERICAN NURSES ASSOCIATION (ANA) CODE OF ETHICS FOR NURSES Provision 1 Provision 2 Provision 3 Provision 4 Provision 5 Provision 6 Provision 7 Provision 8 Provision 9 The nurse practices with compassion and respect for the inherent dignity, worth, and unique attributes of every person The nurse s primary commitment is to the patient, whether an individual, family group, community, or population. The nurse promotes, advocates for, and protects the rights, health, and safety of the patient The nurse has authority, accountability, and responsibility for nursing practice; makes decisions; and takes action consistent with the obligation to promote health and to provide optimal care. The nurse owes the same duties to self as to others, including the responsibility to promote health and safety, preserve wholeness of character and integrity, maintain competence, and to continue personal and professional growth. The nurse, through individual and collective efforts, establishes, maintains, and improves the ethical environment of work setting and conditions of employment that are conducive to safe, quality health care. The nurse, in all roles and settings, advances the profession through research and scholarly inquiry, professional standards development, and the generation of both nursing and health policy. The nurse collaborates with other health professionals and the public to protect human rights, promote health diplomacy, and reduce health disparities. The profession of nursing, collectively through its professional organizations, must articulate nursing values, maintain the integrity of the profession, and integrate principles of social justice into nursing and health policy. It is an expectation that all students read and refer to the American Nurses Association (ANA) Code of Ethics (2015) located on the ANA website: http://www.nursingworld.org/codeofethics The Code of Ethics is one of several professional nursing standards that frame the curriculum of the BSN and MSN programs. The Code provides a standard of practice to guide nursing professionals toward thoughtful, ethical, and high quality nursing care. The Code of Ethics provides a guiding framework of ethical expectations for students enrolled in the MCPHS School of Nursing. All nursing students are expected to not only know the Code of Ethics but also adhere to its guiding principles of ethical behavior. MCPHS University School of Nursing Handbook 2015 Revised 8/24/15 Page 12
General Policies Health Insurance Portability and Accountability Act of 1996 (HIPAA) In 1996 Congress passed federal regulations to provide portability of health insurance when an employee leaves a job as a way to be able to change insurance carriers without a break in coverage. The act contains other provisions that have a major impact on the practice of healthcare providers. The Administrative Simplification Clause of HIPAA Title II addresses Electronic Transaction Standards, Unique Identifiers, Privacy Standards, and Security Standards concerning all data pertaining to the care of each individual patient in any healthcare facility. The provisions under the privacy and security standards impose strict compliance with confidentiality on the part of all who have access to patient records. All healthcare providers are required to have documented training regarding these patient privacy regulations. All School of Nursing students are required to attend a formalized training session on HIPAA regulations provided by the University and/or by the clinical agency. Students are expected to adhere to all HIPAA provisions and standards related to patient privacy. Failure to do so may subject the student to disciplinary action under the MCPHS University Student Code of Conduct. Immunization Requirements In accordance with Massachusetts state law, University policy, and clinical agency requirements, all students must show proof of the following immunizations prior to the start of clinical immersion, unless they qualify for one of the exemptions allowed by the law. Please refer to the MCPHS University Catalog for exemptions allowed by law. (http://www.mcphs.edu/academics/college%20catalog ) Required immunizations include: Two doses of measles, mumps, and rubella vaccine(s) (MMR#1 and MMR #2) given at least one month apart at or after 12 months of age, or laboratory evidence of immunity. A booster dose of tetanus-diphtheria (Td) within the past ten years. Varicella (chickenpox) positive titer result or two doses of varicella vaccine given with a one month interval between vaccinations. Hepatitis B positive titer or vaccine (3 doses, or 2 doses given between the ages of 11-15 with a four-week interval between vaccinations). Hepatitis B positive surface antibody. Meningococcal vaccine (within the last 5 years) at least 2 weeks prior to the beginning of classes. Annual two-step Tuberculosis skin test (two tests within the last 12 months, completed 1-3 weeks apart). If results are positive, a clear chest x-ray (with laboratory report of physician verification of results) or a physician letter verifying the student is symptom free is required each year. Rubella positive titer. Influenza vaccine recommended annually.* Health Insurance is required for all students in order to attend classes/lab/clinical. Some healthcare agencies and clinical education sites may have additional immunization requirements. In order to be eligible for clinical placements, students must meet ALL University immunization requirements and any additional requirements imposed by the clinical agency to which the student is assigned. In cases where the clinical site does not pay for the completion of MCPHS University School of Nursing Handbook 2015 Revised 8/24/15 Page 13
any additional immunization requirements, the student is responsible for paying any associated fees. Without full clearance of immunization requirements, students may not be eligible to begin clinical learning experiences, and consequently may be unable to meet program requirements. Immunization information and clearances are provided through the University s contracted vendor. *Any student wishing to be excluded from the Influenza vaccine requirement must have a signed Influenza Declination Form on file CPR Certification All students must complete CPR training prior to beginning clinical experiences in NUR 325 Provider of Care I: Adult and Elder Health. Students must be certified in Basic Cardiac Life Support (BCLS) at the Healthcare Provider Level by the American Heart Association (AHA). Students must provide a copy of the American Heart Association Healthcare Provider Level Card indicating active certification (AHA requires recertification every two years). It is recommended that the student verify the course in advance to ensure that the course is appropriate. NOTE: It is the responsibility of the student to submit evidence of all required annual updates of immunizations and certification renewals. Students will not be permitted to participate in clinical learning experiences until all information is received, and consequently may be unable to meet program requirements or experience a delay in graduation. Technical and Professional Standards A pre-licensure candidate for the BSN degree must have abilities and skills in the following four areas: communication, observation, motor function and endurance, and behavioral. Reasonable accommodations may be made for some disabilities. However, pre-licensure BSN students must be able to perform in a reasonably independent manner, with or without accommodations. Communication Must be able to communicate effectively with patients, families, and members of the healthcare team through oral, written, and interpersonal means. Must be able to obtain information, describe patient situations, and perceive both oral and non-verbal communication (including ability to understand normal speech without seeing the speaker s face). Must be able to speak, comprehend, read, and write in English at a level that meets the need for accurate, clear, and effective communication. Examples include but are not limited to: giving clear oral reports, reading watches or clocks with second hands, reading graphs, reading and understanding documents printed in English, writing legibly in English, discriminating subtle differences in medical terminology. Observation Must be able to observe a patient accurately. Examples include but are not limited to: listening to heart and breath sounds; visualizing the appearance of a surgical wound; detecting bleeding, unresponsiveness or other changes in patient status; detecting the presence of foul odor; and palpating an abdomen. Must be able to detect and respond to emergency situations, including audible alarms (e.g., monitors, call bells, fire alarms). MCPHS University School of Nursing Handbook 2015 Revised 8/24/15 Page 14
Motor Function and Endurance Must have sufficient strength and mobility to work effectively and safely with patients and carry out related nursing care. Examples include but are not limited to: lifting and positioning patients (lifting up to 50 pounds, carrying up to 25 pounds), transferring patients in and out of bed, cardiopulmonary resuscitation (AHA Health Care Provider), preparation and administration of medications (oral, injection, intravenous, including hanging IV bags at shoulder height), reading and emptying body fluid collection devices below bed level, application of pressure to stop bleeding, clearing/opening an obstructed airway, provision of daily hygiene care. Must be able to complete assigned periods of clinical practice, including up to 12 hour shifts (including days, evenings, nights, weekends). Must be able to respond at a speed sufficient to carry out patient assignments within the allotted time. Behavioral Must possess mental and emotional health required for total utilization of intellectual abilities. Must be able to tolerate physically taxing workloads. Must be able to respond and function effectively during stressful situations. Must be capable of adapting to rapidly-changing environments, and respond with flexibility in uncertain situations. Must be able to interact appropriately with others (patients, families, members of healthcare team) in various healthcare contexts. Physical Requirements in Clinical Setting Students must be able to meet all technical and professional standards in order to attend classes/lab/clinical. Clinical agencies may have additional or agency-specific technical standards, which take precedence over MCPHS University technical standards. In such instances, the program will attempt to provide a comparable alternative learning experience but if that is not possible, students may not be able to progress in the program or complete program requirements. Criminal Offender Record Information (CORI) Certain laws and accreditation standards require health care agencies to request criminal offender record information (CORI) about candidates for employment, volunteer, or training positions to determine if the candidate is eligible to be hired or on rotation in the agency. The majority of the clinical training sites at which the University places students for educational experiences must comply with these laws. In order to be eligible for clinical placements, students must be cleared through a CORI check. In addition, clinical sites may require their own CORI checks, and students may be asked to complete several release forms. In cases where the facility does not pay the charge for the CORI check (~$20-30 currently), the student is responsible for paying the fee. If a site requires, but does not provide for obtaining CORI checks, the student can obtain them through the campus site s Clinical Placement Coordinator and will be responsible for any associated fees. In compliance with the policy of the Massachusetts Board of Registration in Nursing and the New Hampshire Board of Nursing, students are hereby notified that completion of the baccalaureate degree does not guarantee admittance to the National Council Licensure MCPHS University School of Nursing Handbook 2015 Revised 8/24/15 Page 15
Examination for Registered Nurses (NCLEX-RN). According to Board Licensure Policy 00-11, any individual convicted of a felony or misdemeanor, and/or who has been disciplined by a licensure/certification body must be evaluated by the Board to determine a licensure applicant s compliance with the good moral character licensure requirement established by Massachusetts General Laws, Chapter 112, sections 74 and 74A. The good moral character language states that Any individual who has been convicted of a felony or misdemeanor, and/or who has been disciplined by a licensure/certification body, or whose ability to practice professional nursing is adversely affected by physical or mental disability/illness that may endanger the health and/or safety of a person, should seek special advising prior to enrolling in any professional nursing program in Massachusetts. Individuals convicted of certain crimes may be permanently excluded from nurse licensure in Massachusetts and/or New Hampshire. Students should be aware that a court record might prevent them from admittance to the NCLEX-RN. Students who have questions about their eligibility should contact the appropriate State Board of Nursing directly (www.ncsbn.org). Inclement Weather Please refer to the MCPHS University catalog regarding University closure for inclement weather. In the case of inclement weather on a clinical day when the University does not close, students are expected to report to clinical as scheduled. However, at the discretion of the course coordinator/designee, scheduled clinical experiences may be delayed, cancelled, or dismissed early if travel conditions or weather forecasts pose significant concern for student safety. Academic Policies SON Grading Policy A 4.0 100-94 A- 3.7 93-90 B+ 3.3 89-87 B 3.0 86-83 B- 2.7 82-80 C+ 2.3 79-78 (minimum passing grade) C 2.0 77-73 C- 1.7 72-70 D 1.0 69-60 F 0.0 <60 The overall GPA for the SON is 2.7. The MCPHS University School of Nursing grading practice is to eliminate decimal points and to assign whole numbers as to final course grades. The rounding up of a final grade is based on 0.50 or above, not 0.49, 0.48, etc. For example, if the student grade is 77.49 or less, his/her final grade of record is a 77. Conversely, if the student grade is 77.50 or above, his/her final grade of record is 78. The minimum passing grade in any professional nursing course (NUR) is 78. The overall required professional GPA remains 2.7. Boston BSN students must achieve a minimum passing grade of 78 in each professional nursing (NUR) course and must achieve a minimum professional GPA of 2.5 in the first three sequential nursing courses (NUR 205, NUR 208 and NUR 215) in order to progress. A professional GPA MCPHS University School of Nursing Handbook 2015 Revised 8/24/15 Page 16
of 2.7 is then required for all subsequent professional (NUR) nursing courses in order to progress in the nursing major and to fulfill University requirements for graduation. Course Work All assignments are due at the times specified in the course syllabus. Faculty, at their discretion, may allow for a time extension up to a maximum of 7 days. Unless additional time has been granted by the course coordinator for completion of an assignment, or unless otherwise stipulated in the course syllabus, a maximum achievable grade will be calculated upon receipt of the late assignment. The maximum achievable grade will be based upon a loss of 5 points per day for each calendar day that a paper is late. For example, a paper that is four (4) days late can receive a maximum achievable grade of eighty (80) points. The assignment is then graded and points are subtracted from a total of eighty (80), as opposed to one hundred (100). All assigned work must be submitted, regardless of how late, to successfully complete the course and receive a course grade. Issues/concerns regarding the completion and or submission of the assignment must be brought to the attention of the course faculty prior to the due date of the assignment. Grades will not be re-considered after submission of the assignment and subsequent posting of the grade. Quiz/Exam Reviews All students will have the opportunity to review and analyze completed exams. This process enables students to perform better on exams by analyzing their strengths and weaknesses as a test-taker. It is used to help students determine how to improve the way they prepare for and take tests. After the exam is taken and the grade is posted by the respective faculty member, there will be a designated time to allow students to review the exam. The format of the Exam Review is at the discretion of course faculty in order to provide the best learning opportunity for each particular course. Formats may include but are not limited to; silent reviews, open forums, group work, etc. Students have 48 hours from the time of exam to contact course faculty with challenges to the exam. After 48 hours, no challenges will be accepted. Once the review has taken place, students will have no further access to their quizzes/exams for security reasons. School of Nursing Courses with Sections For security and/or other reasons, quizzes/exams administered in those courses scheduled in sections may not be the same. Course faculty has the right to modify quiz/exam format/type based upon their judgment. APA Style All formal papers must conform to guidelines of the Publication Manual of the American Psychological Association, 6 th edition (2009), with the exception that page numbers must be included on all pages. In addition to the Manual, students may find the following references helpful: APA Research Style Crib Sheet: http://owl.english.perdue.edu/owl/resource/560/01/ APA Citation Style: http://www.liu.edu/cwis/cwp/library/workshop/citapa.htm APA Style.Org: http://www.apastyle.org/ Progression and Retention Policies Students must complete the requirements for the Bachelor of Science in Nursing degree within five years (32-month track) or three years (16-month track). If this time limit from the date of MCPHS University School of Nursing Handbook 2015 Revised 8/24/15 Page 17
admission into the major has elapsed and the student has not completed degree requirements, the student must request an extension in writing and meet with the Dean of the School of Nursing, who may approve or deny the extension request. The School Dean s decision is final and not subject to further appeal. General Progression Guidelines 1. A minimum grade of C+ (78) is required for the following pre-professional/pre-requisite courses: Anatomy and Physiology, Chemistry, Microbiology, Human Development, and Statistics. 2. Progression in the nursing major is dependent upon the student maintaining a cumulative professional grade point average (GPA) of 2.7 in all nursing courses (those with an NUR prefix). 3. Professional courses may not be taken on a Pass/Fail basis, with the exception of NUR 300 in Boston. 4. The minimum passing grade for all professional courses is C+ (78) 5. All nursing courses are taken in the specified sequences. An individual nursing course may be repeated only once. A second failed attempt (C, C-, D, F) will result in dismissal from the nursing program. Throughout the nursing program, a student may repeat no more than two separate nursing courses. A third failed attempt (C, C-, D, F) in any nursing course will also result in dismissal from the nursing program. 6. Clinical and laboratory components of nursing courses are graded on a Pass/Fail basis. A failing grade in clinical or laboratory will result in course failure, regardless of didactic grade. 7. All MCPHS University academic policies apply to the BSN degree program, including but not limited to those pertaining to leave of absence, academic probation, academic dismissal, re-admission, progression, and graduation. All students are encouraged to utilize Academic Support Services to maximize efficiency, effectiveness, and independent learning. Details regarding Academic Support Services can be found in University Catalog. MCPHS University School of Nursing Handbook 2015 Revised 8/24/15 Page 18
Out of Sequence Status If a student fails any nursing course, he/she will be designated as out of sequence and will be encouraged to meet with the designated course faculty to discuss his/her situation after receiving the final course grade. Students who wish to return to the School of Nursing must notify the Dean in writing of his/her intent to return to the nursing program no later than thirty days from the start of the desired semester return date. Returning to the School of Nursing is subject to space availability. Students who are anticipating returning to the School of Nursing must arrange to meet with their academic adviser during the out of sequence semester and draw up a learning contract to address their remediation and learning plans. Remediation must be completed and evidence of this provided to the academic adviser prior to the student returning to the program. Failure to do so will result in student not being offered a place in the subsequent semester. Out of Sequence Transfer Policy 1. Students falling out of sequence for any reason may petition the School Dean to request taking courses at a different campus within the School of Nursing to meet their academic needs. The Dean, in consultation with the campus program director or faculty if needed, honors or denies the petitioner s request. 2. With the approval, the Dean will notify the program director of both the home and hosting campus. The student will notify the Dean and the Assistant Dean/program director on the hosting campus in writing, about his/her anticipated start date no later than thirty days from the start of the desired semester date. All appropriate documents related to the student will be forwarded to the hosting campus. These documents may include: a. Math exams b. Skills/Clinical Evaluations c. Other relevant documents d. Student s unofficial transcript e. Other if relevant 3. The hosting site program director will designate a nursing faculty advisor who has access to all relevant documents of the student as noted above. 4. The faculty advisor will contact and meet with the student prior to the first day of class. At this time, the faculty will review the student s prior progress, reason for the request to take course(s) at another campus, and strategies for success, and communicate with the home campus program director and/or course faculty if deemed necessary. 5. As noted above, the student may be requested to validate clinical skills, medication administration, health assessment, and/or other identified needs at the discretion of the faculty. 6. In the event the student would return to his/her home campus for admission, all appropriate documentation/records will be forwarded/returned to the home campus. The student would again meet with his/her faculty advisor or designee to ensure smooth transition. 7. Students who take courses on another campus may follow the sequence to complete the BSN course of study on the hosting campus but the student s official diploma is issued from his/her original or home campus. However, the student can participate in graduation ceremonies/events on the hosting campus. MCPHS University School of Nursing Handbook 2015 Revised 8/24/15 Page 19
Home campus the original enrolled campus of the BSN program Hosting campus the campus that receives a BSN program student enrolled at another campus Policy for Content Validation after Non-Progression or Leave of Absence A student who fails or withdraws from an undergraduate nursing professional course, or who withdraws from a nursing program via leave of absence, must validate previous knowledge and skills held prior to program exit before he/she may reenroll in nursing clinical professional courses. Reenrollment is subject to clinical placement availability. (Note: There is no guarantee that space will be available at the student s desired return date. It may take up to two years for reentry due to lack of clinical placement availability). This policy applies to all undergraduate nursing programs. The validation will occur via the student s demonstration of knowledge and skills, i.e., meeting established program clinical competencies, in a selected clinical facility or simulation laboratory. The student must notify the Assistant Dean / Program Director of desired date of return a minimum of 30 days prior to the anticipated return date to make arrangements for preparing for and performing validation testing. Program faculty will provide guidance as to what content and skills (competencies) need to be reviewed by the student prior to the testing, but it is student s responsibility to prepare for the validation testing. The student must pass the validation testing as per the outcome measures determined by the faculty. Students will have two attempts to be successful with validation content. Failure to meet the required outcome(s) will result in dismissal from the Nursing program and/or the need to repeat identified courses. A student attempting to return from a leave of absence must also have been cleared to return to classes by designated staff in the Academic Resource Center (Boston) or Academic Support Services (Worcester/Manchester) and/or the Assistant Dean of Students (Boston and Worcester) or Associate Dean of Students (Manchester) (if a medical leave of absence) prior to performing validation testing. The Academic Resource Center/Academic Support Services/Dean or Associate Dean of Students and Nursing faculty will coordinate communication regarding student clearance for leave of absence return and subsequent eligibility to schedule validation testing. Policy on Medication Calculation Testing Medication administration is an integral component of nursing care. In order to administer medications safely, students must demonstrate the competency to calculate medication doses accurately. Medication calculation proficiency is tested in NUR 215 Nursing Skills and Technologies, and also at the beginning of each Provider of Care course. Students must achieve a minimum grade of 95% in order to successfully pass NUR 215 and/or participate in clinical experiences. The results of the first math test in NUR 215 and in the Provider courses will represent the grade of record for that course. Individual course syllabi will reflect such practice. (Note: Students are not permitted to use a calculator for math testing in NUR 215, but may use a calculator during subsequent medication calculation testing). Three opportunities are provided in each course to achieve a passing grade. Students who do not pass the first attempt are strongly encouraged to participate in remedial math practice prior to MCPHS University School of Nursing Handbook 2015 Revised 8/24/15 Page 20
taking the second or third tests. Students are responsible for seeking guidance from course faculty regarding his/her self-directed study that can include such things as: MCPHS University Library resources Online sources Referral to textbook websites Nursing laboratory resources (handouts, books, software, etc.) Math remediation with Academic Support Services Should a student fail the second math competency exam in any course, the School of Nursing Math Competency Committee/designee will review his/her exam and exam answer sheet prior to administering the third exam. Students who do not achieve a passing grade of 95% after three attempts will receive a course grade of F, and will be ineligible to continue in the course and will be out of sequence in the program. Students also participate in a medication practicum as a component of NUR 215 Skills and Technologies. Students will demonstrate the safe preparation of a variety of (laboratory) medications and the administration of the medication via various routes. Students will have three opportunities to successfully demonstrate the safe preparation and administration of medication. Students who cannot demonstrate medication preparation and administration after three attempts will receive a course grade of F, and will be ineligible to continue in the course and will be out of sequence in the program. Online Standardized Testing Students in the nursing program are required to take online standardized tests (HESI exams) throughout the curriculum. These standardized tests have been found to be accurate predictors of success on the NCLEX-RN examination. Valuable feedback concerning the student s strengths and weaknesses can assist the student in examining learning outcomes and preparation for the NCLEX-RN, while providing important information to the faculty who are responsible for ensuring that program goals and learning experiences are leading to expected program outcomes. Each course that utilizes a standardized online test may incorporate the grade earned on the standardized test as a percentage of the final course grade, which will be specific in the course syllabus. Students must achieve a minimal score of 850 on each HESI examination. NCLEX Review and HESI Exit Examination All students are required to complete the NCLEX review course provided by the University. Students may be required to assume 50% of the total cost of the program. Attendance at the NCLEX review is mandatory. All students must complete the standardized exit examination at the completion of the NCLEX review course. Failure to attend the NCLEX review or to sit for the exit examination will preclude the student from graduation and subsequent eligibility to take the NCLEX examination. MCPHS University School of Nursing Handbook 2015 Revised 8/24/15 Page 21