Rich Mountain Community College

Practical Nursing Program

Student Policy Handbook 2008-2009 FORWARD

Welcome to the Practical Nursing Program at Rich Mountain Community College. We hope you enjoy your educational program with us. We have designed this Handbook as a guide to you in your nursing program. This handbook will give you the philosophy and objectives of the program, as well as the policies and general practices to be followed in the steps toward your goal of becoming a Licensed Practical Nurse.

Reviewing the Handbook is an individual responsibility and each student will be held accountable for all parts of the Practical Nursing Student Policy Handbook. Keep this book available to you at all times.

PHILOSOPHY

We believe that nursing is an art and science in which the nurse aids in maintaining total health (physical, social, emotional, mental, and spiritual), preventing illness and /or restoration to normal health under the direction of a physician and other health professionals. We believe that the practice of Practical Nursing is the maintenance of health, prevention of illness, observation and care of the ill, injured, or infirm, under the direction of a registered nurse, physician, or dentist.

We believe that good communications, alert observations, and accurate recording are essential tools in the practice of Practical Nursing.

We believe that each individual, regardless of color, race, sex, or creed, deserves the best nursing care possible.

We believe that learning creates behavior changes, which will bring about efficient, quality patient care.

We believe that problem-solving challenging experiences are conductive to continued intellectual growth, and that the Practical Nurse should continue his/her quest for knowledge beyond graduation from his/her school.

We believe that the Practical Nurse should be guided to become an efficient, well- educated, and qualified participant in the community health team.

MISSION STATEMENT

The Practical Nursing Program exists to prepare nurses who give quality nursing care to clients and are integral members of the health team.

OBJECTIVES (Graduate Competencies)

The Rich Mountain Community College Practical Nursing Program endeavors to develop a Practical Nurse who:

Is trustworthy, empathetic, reliable, and functions well with others, and is responsible for his/her own actions. Possesses the theoretical knowledge and practical skills necessary to provide nursing care to people with commonly occurring nursing problems.

Assists the registered nurse and physician with care of the patient who has more complex needs.

Applies knowledge of scientific principles, to insure adequacy in following instructions, and to exercise good judgement within the scope of Practical Nursing.

Communicates well with patients, their families, and other health team members.

Can observe, report, and record pertinent signs and symptoms.

Contributes positively to alleviating community health problems.

Will be capable of passing the NCLEX-PN and becoming a Licensed Practical Nurse.

Recognizes the need for continued education according to individual interest, aptitudes, and abilities.

ORGANIZATIONAL CHART

Rich Mountain Community College President

Dr. Wayne Hatcher ______

VP Student Affairs VP Academics/Instruction VP Administration Mr. Phillip Wilson Dr. Steve Rook Ms. Brenda Gillogly

Practical Nursing Program Director

Charla Hollin

Practical Nursing Program Instructors

Amy Phelps Harold Smith Susan Wilcher

Nursing Program Director – Charla Hollin, R.N. Office Location: Room 126 Office Phone: 479-394-7622 Ext. 1366

Nursing Instructor – Amy Phelps, R.N. Office Location: Room 125 Office Phone: 479-394-7622 Ext. 1367

Nursing Class Location: Room 128

THE PRACTICAL NURSING PROGRAM The Practical Nursing Program is an eleven (11) month certificate program that offers college credit. The program is designed to prepare students to perform direct client care under the supervision of a registered nurse and/or physician. Students are prepared for upward mobility in a nursing career. Upon completion, students may make application to take the National Council Licensure Examination for Practical Nursing to become a Licensed Practical Nurse.

The Rich Mountain Community College Practical Nursing Program is fully approved by the Arkansas State Board of Nursing and functions under the rules and regulations relating to practical nursing education, licensure, and practice in the State of Arkansas.

APPLICATION CRITERIA

Students must apply in person and provide the following:

1. RMCC Application for Admission 2. Practical Nursing Application 3. High School transcript or copy of GED 4. College transcripts from all colleges attended 5. Proof of MMR immunization (if born after January 1, 1957) 6. Results of a TB tine or PPD (completed after July 1 of the year of admission) 7. Proof of Hepatitis B immunization series or a signed waiver. 8. ACT or ASSET scores 9. Psychological Services Bureau (PSB) exam results* * The PSB exam will be scheduled at designated times and administered by the RMCC Counseling Department. You will need to schedule an appointment with them to take the exam. There will be a $10.00 fee for the exam. Allow approximately 3 hours to complete.

Following completion of all of the admission requirements by the designated deadline of March 31, the applicant will be considered for the selection pool. An applicant’s file is not complete until all admission requirements have been submitted.

It is the policy of Rich Mountain Community College not to discriminate on the basis of sex, color, religion, age, national origin, veteran, or qualified disability in educational programs, activities, admission, or employment practices.

ADMISSION CRITERIA

All applicants to the Practical Nursing Program who have met the required admission requirements will be evaluated according to the criteria specified. Each applicant will be ranked on the basis of total points. Students will be admitted to the program until the class is full. Should 2 or more applicants receive the same number of points, the determining factor for admission will be:

1. Total points on the PSB, followed by 2. Total points on the ASSET or ACT, followed by 3. Total points on previous education, followed by 4. Date of completion of admission criteria.

It is the applicant’s responsibility to submit all required documents and to make all appointments and pay all fees for testing.

TRANSFER

Students may be accepted who have completed courses at another practical nursing program within the previous year. Transcript and course descriptions will be evaluated by the program director. The student must provide an official transcript and syllabi for all practical nursing courses being transferred. The student will be required to pass skills testing for all skills which were covered in courses being transferred. The student may be required to pass written competency tests. Approval is given by the Practical Nursing Program Director.

ADVANCED STANDING

Advanced standing may be granted for previous educational experience by granting credit for specific courses through testing – i.e. instructor made examinations, practical examinations, and/or achievement tests. Approval is given by the Practical Nursing Program Director. PROGRESSION

Students must successfully complete all courses in the Fall semester before enrolling in the Spring semester and must successfully complete all courses in the Spring semester before enrolling in the Summer semester.

READMISSION

A student who does not successfully completing the first semester must complete the application process again and compete for a position in a subsequent class.

A student who drops after successfully completing the Fall semester, may return to complete the Spring semester within one year, provided a space is available.

A student who drops after successfully completing the Fall and Spring semesters, may return to complete the Summer semester within one year, provided space is available.

A student who does not successfully complete the Spring or the Summer semester may re-enroll in that semester within one year, provided a space is available.

A student who re-enters the program must enroll in and successfully complete all of the practical nursing courses for the semester they did not successfully complete.

NO STUDENT SHALL BE ALLOWED TO RE-ENTER THE PRACTICAL NURSING PROGRAM MORE THEN ONE TIME.

GRADUATION

Students may be awarded a Technical Certificate and be eligible to apply to take the National Council Licensure Examination for Practical Nursing after completing the following requirements:

1. Obtaining a minimum grade of “C” on all Practical Nursing Courses. 2. Completing a minimum of 560 clock hours of theory and 768 clock hours of laboratory practice in the areas required by Arkansas State Board of Nursing. 3. Discharge all financial obligations to the college prior to graduation. 4. Complete a NCLEX-PN Review Program and a comprehensive assessment test prior to graduation. 5. Participate in graduation exercises.

APPLICATION FOR LICENSURE The Arkansas State Board of Nursing application for licensure requires appropriate documentation, a written response to specific items, and a Criminal Background Check by the Arkansas State Police and FBI. Any student who has been convicted of a crime may be ineligible to take the NCLEX-PN. The following are questions requiring a response on the Practical Nurse Examination Application: 1. Have you ever had a nursing license, certificate or registration encumbered (revoked, suspended, placed on probation or reprimanded) or voluntarily surrendered in any state or jurisdiction? 2. Have you ever been convicted of a crime? (If yes, please include a copy of the court docket, plea agreement, or conviction papers, and evidence that fines, restitution are paid) Please note: With the exception of DUI, traffic violations DO NOT constitute a crime. 3. Do you currently engage in drug-related behavior, including the use of mood- altering drugs/substances and/or alcohol that would affect you functional abilities to perform while working as a nurse? 4. In the last two years, have you been the subject of a chemical or alcohol dependency intervention or participated in chemical or alcohol dependency treatment/rehabilitation?

GRADUATION FROM THE PRACTICAL NURSING PROGRAM DOES NOT GUARANTEE THE GRADUATE WILL BE ALLOWED TO TAKE THE NCLEX-PN.

CURRICULUM

FALL SEMESTER Nursing of the Geriatric Patient Phelps Nursing of Adult Patients I Hollin Body Structure & Function Hollin Basic Nursing Principles & Skills I Phelps Pharmacology I Phelps/Smith Vocational, Legal, and Ethical Concepts Hollin Nursing Clinical I Staff

SPRING SEMESTER Basic Nursing Principles & Skills II Phelps Nursing of Adult Patients II Hollin Pharmacology II Smith Nursing of Mothers & Infants Phelps Nursing of Children Phelps Nursing Clinical II Staff

SUMMER SEMESTER Nutrition in Health and Illness Phelps Mental Health Phelps Nursing of Adult Patients III Hollin Nursing Clinical III Staff TEXTBOOKS

Author Title of Book Christensen/Kockrow Foundations/Adult Health Nursing (Package)

Christensen/Kockrow Foundations/Adult Health Nsg Workbook (Package)

Skidmore-Roth Nursing Drug Reference

Pagana Diagnostic & Lab Test Reference

Medical, Nursing, & Allied Health Dictionary Nurse's Pocket Guide: Nursing Diagnosis Doenges W/Interventions Eyles Comprehensive PN Review CD ROM Lutz/Przytulski LPN Notes Gahart/Nazareno Intravenous Medications

Nursing Skills Pack

American Heart Assoc. BLS for Healthcare Providers Student Manual

Student Costs/Fees (approximate)

Polk County Service Area Other Arkansas Out-of-State Students Students Students Students TUITION (51 hr) $2754.00 $3417.00 $3978.00 $8823.00 BOOKS $400.00 $400.00 $400.00 $400.00 UNIFORMS & $300.00 $300.00 $300.00 $300.00 ACCESSORIES NURSE PACK $150.00 $150.00 $150.00 $150.00 (lab supplies) INSURANCE $25.00 $25.00 $25.00 $25.00 LAMP & PIN $75.00 $75.00 $75.00 $75.00 (Capping Ceremony) Pre-NCLEX Assessment $50.00 $50.00 $50.00 $50.00 Test *LICENSURE EXAMINATION FEES *Arkansas State Board of $100.00 $100.00 $100.00 $100.00 Nursing *National Council of State $200.00 $200.00 $200.00 $200.00 Boards of Nursing *Arkansas State Police $24.00 $24.00 $24.00 $24.00 Background Check *FBI Criminal $24.00 $24.00 $24.00 $24.00 Background Check *Drug Screen $40.00 $40.00 $40.00 $40.00 *TB Skin Test $5.00 $5.00 $5.00 $5.00 -10-

GRADING

A numerical grading system is used in nursing subjects. Students shall maintain a final grade of at least 80% in each nursing course.

Grades are determined within each nursing course in the Practical Nursing Program according to the following standard:

A = 94-100 B = 87-93 C = 80-86 D = 70-79 F = 69 & below

The nursing student cannot progress to the next nursing course without achieving a grade of “C” or better. Grades of “D” and “F” are unsatisfactory achievements in nursing.

Numerical theory grades in each nursing course are achieved by classroom examinations in addition to other assignments.

Numerical clinical grades in each nursing course are achieved by student evaluations done during clinical rotations. -11-

CRITERIA FOR REMAINING IN THE PRACTICAL NURSING PROGRAM

The student is responsible for all college and nursing department policies.

The students is expected to be present and on time for class and clinical experiences and to adhere to the attendance policy.

The student is expected to wear the student uniform during clinical experience and must meet dress code standards of the health care facility and the RMCC Practical Nursing Program.

The student must achieve scholastically as outlined in the grading policy.

The student shall not be involved in illegal (violation of any local, state, or federal laws) use of drugs. It is not necessary that an arrest or final conviction result from such activity for suspension from the program. Random drug screening will be done in compliance with the healthcare facilities policies.

The student must demonstrate a willingness to learn.

The student must be physically and mentally able to perform safe patient care.

The student must at all times comply with the policies of the health care facility in which clinical experiences are gained.

Patient confidentiality must be maintained at all times. -12

DISMISSAL FROM THE PROGRAM

A student may be dismissed from the Practical Nursing Program for, but not limited to, any of the following:

Achievement of a final grade below 80% in any subject.

Failure to abide by the Practical Nursing Program Student Policies

Any legal or ethical misconduct reflecting behavior not compatible with nursing.

Arrival at clinical unprepared or provision of ineffective or unsafe care.

Falsification of any statement on the student applications for admission.

Dishonesty at any level (ie, cheating, falsification of records)

Any behavior or action in conflict with the Practical Nursing Student Policy Handbook.

Revealing or repeating confidential information. Any violation of the HIPAA Privacy Standards.

Does not conform to the attendance policy.

Inability to perform basic skills independently.

Inability to do basic math, conversions, and calculate dosages.

Violation of test taking policy.

Failure to notify clinical area no less than 60 minutes before the student is scheduled to report for the clinical experience.

Disrespect toward college faculty/staff or health care facility personnel. Failure to comply with the Substance Abuse Policy.

Any violation of the Arkansas State Board of Nursing Nurse Practice Act or Rules and Regulations.

ATTENDANCE POLICY

Classroom and clinical attendance is mandatory. Classroom attendance is defined as the physical presence during the entire scheduled class period. If absent from lecture, the student is responsible for all information covered. Clinical is defined as, but not limited to, rotations at hospitals, nursing homes, physicians’ offices, home health, orientations, workshops, seminars, field trips, etc. Missed clinical opportunities result in the student being unable to meet the course objectives.

Approval of the Practical Nursing Program by the Arkansas State Board of Nursing demands that the program consist of the required number of clock hours in order for students to be eligible to take the NCLEX-PN. Therefore, students are encouraged to NEVER be absent from class or clinical and to make contingency plans for unavoidable events. Students who acquire more than three absences are required to attend course NSG190 at the end of the Summer semester. Students who acquire more than five absences will be dismissed All class and clinical requirements are the responsibility of the student and are to be completed on the regularly scheduled date. Failure to submit assignments on time will be handled according to policy. Specific dates for NSG190 are at the discretion of the college. This course is the financial responsibility of the student. Any absences acquired during this course will automatically result in the dismissal of the student from the Practical Nursing Program, NO EXTENUATING CIRCUMSTANCES.

ABSENCE: Students are counted absent when: -they are not present for 30 minutes of class or clinical time. -they receive three (3) tardies.

TARDY: If a student is not present at the onset of class or the scheduled clinical shift, they are considered to be tardy.

When absent in the clinical area, the student is responsible for notifying the clinical area and the clinical instructor of the absence. The clinical area must be notified no less than 60 minutes before the student is scheduled to report for the clinical experience. FAILURE TO DO THIS MAY RESULT IN DISMISSAL FROM THE PROGRAM.

If a student demonstrates evidence of unsafe and/or ineffective nursing practice or is not prepared for clinical, the nursing faculty reserves the right to refuse the opportunity for a student to continue in the clinical area. The day missed in clinical will constitute an absence.

If a student is absent on a clinical day, TEN POINTS WILL BE DEDUCTED FROM THE FINAL CLINICAL GRADE FOR EACH DAY ABSENT. Each student will receive an orientation and clinical rotation schedule. Due to clinical facility limitations/restrictions, schedule changes will be made ONLY with the approval of the Practical Nursing Program Director.

If a student is absent on a test day, the makeup exam will cover the same material; however the format will be determined by the instructor. A missed exam must be made up by the end of the first day back, otherwise, the student will be given a grade of “0” (zero). TEN POINTS WILL BE DEDUCTED FROM ALL LATE EXAMS.

If a student is absent from lecture, it is the student’s responsibility to notify the Practical Nursing Department prior to class.

ABSENTEE POLICY

DAY MISSED STUDENT REQUIREMENTS/CONSEQUENCES

1 1. Notify the Practical Nursing Program or clinical area and 2 instructor 60 minutes prior to absence. 3 2. Student is responsible for all class/clinical requirements to be completed on regularly scheduled date. 3. Ten (10) points deducted from all late tests/assignments or from students final clinical grade for each day missed

4 1. Notify the Practical Nursing Program or clinical area and 5 instructor 60 minutes prior to absence. 2. Student is responsible for all class/clinical requirements to be completed on regularly scheduled date. 3. Ten (10) points deducted from all late tests/assignments or from students final clinical grade for each day missed. 4. Student must take course NSG190. If NSG190 is not completed, the student will receive an “F” for the nursing courses being taken (NO EXTENUATING CIRCUMSTANCES.)

6 1. The student is dismissed from the nursing program (NO EXTENUATING CIRCUMSTANCES.)

Absences during 1. The student is dismissed from NSG190. NSG190 2. The student is dismissed from the nursing program. 3. The student receives an “F” for the nursing courses being taken. -15-

WITHDRAWAL

Students who find it necessary to withdraw from the Practical Nursing Program should schedule an exit interview with the Practical Nursing Program Director. A withdrawal form must be completed, signed by the appropriate departments and submitted to the Registrar’s Office. Merely discontinuing class attendance does not constitute a drop or formal withdrawal. Failure to withdraw properly will result in a grade of “F” in the course(s).

Also, failure to comply with this regulation will subject the student to losing all refunds which would normally be available. Such failure may also jeopardize the privilege of readmission to this or any other college.

All college property in possession of a student must be returned and all debt to the college must be paid before the student can withdraw in good standing and be eligible for a transcript of credit from the college.

HONEST/ETHICAL/LEGAL BEHAVIORS

The faculty at Rich Mountain Community College believe that ethical and legal considerations in administering nursing care should be observed at all times by the students. The student is aware that only those graduates who meet these behaviors will be recommended to the Arkansas State Board of Nursing to take the NCLEX-PN. The faculty further believes that honest behavior in the classroom, skills laboratory, and clinical setting transfers to the graduate in the world of work. Any involvement in academic dishonesty, misconduct, or disruptive behavior may jeopardize the student’s successful completion of the nursing program, and subsequent recommendation to the Arkansas State Board of Nursing.

TRAVEL

STUDENTS ARE RESPONSIBLE FOR PROVIDING THEIR OWN TRANSPORTATION TO AND FROM CLINICAL AREAS, FIELD TRIPS, CLASSES, ETC. -16

CLASSROOM POLICIES

GENERAL:

It is the intention of Rich Mountain Community College Practical Nursing Program and the instructors to make this year enjoyable, as well as a learning experience.

The atmosphere of the classroom should be for learning. It must be pleasant. We hope that throughout the program this can be accomplished. The following classroom policies must be observed:

-Everyone should be in their place and ready for class to start at the designated class time.

-The classroom and lab should be kept clean and orderly at all times. -Desks and chairs must be kept in place -Beds made neatly. -No trash on floors, beds, counters, desks, etc. -All supplies and equipment put away.

-Air conditioning and heating is controlled electronically. STUDENTS ARE NOT TO ATTEMPT TO ADJUST THERMOSTATS! It is suggested you wear sweaters and jackets that may be worn or removed, if necessary.

-Smoking is prohibited in college buildings. Smoking is permitted on campus in designated areas only.

-No food or drinks are allowed in the Nursing Classroom/Lab or Nursing Library/Conference Room. Please deposit food wrappers, drink cans, etc. in the hallway trash cans – DO NOT bring them into the classroom trashcans. STUDENTS BREAKING THIS POLICY WILL BE DISMISSED FROM THE CLASS AND MAY BE DISMISSED FROM THE PROGRAM.

-Taping lectures will be at the discretion of the instructor.

-You are NOT ALLOWED to bring cell phones or beepers into the classroom. STUDENTS BREAKING THIS POLICY WILL BE DISMISSED FROM THE CLASS AND MAY BE DISMISSED FROM THE PROGRAM.

-THE OFFICE TELEPHONES ARE NOT FOR STUDENT USE. There is a phone in the Tower Room of the Ode Maddox Building for student use.

-Please inform your friends and relatives that they are NOT to call for you at RMCC or in the clinical area except in emergency situations.

Students shall not be in the nursing faculty office without the instructor present. No children/spouses are allowed in the classroom, clinical area, or lab at any time. -17-

CLASSROOM DRESS: Rich Mountain Community College students are expected to be well-groomed and appropriately dressed. No distracting clothing or hair styles should be worn. No rude or distasteful logos on clothing.

ILLNESS:

Students who become ill while in class are to notify the instructor. You cannot remain in the class if you have a temperature of 101 degrees or higher. An instructor has the authority to send you home and you will be counted absent.

If illness is acute, the instructor will call a family member or other designated person, or call for an ambulance – which ever is deemed necessary.

SUBSTANCE ABUSE POLICY

The Practical Nursing programs policy is to maintain a drug and alcohol free environment. The Practical Nursing faculty recognizes its responsibility to provide a healthy environment within which students may learn and prepare themselves to become members of the nursing profession. The school is committed to protecting the safety, health and welfare of its faculty, staff, and students and people who come into contact with its faculty, staff and students during scheduled learning experiences. The Practical Nursing program strictly prohibits the illicit use, possession, sale, conveyance, distribution and manufacture of illegal drugs, intoxicants, or controlled substances in any amount or in any manner and the abuse of non-prescription and prescription drugs. Within the profession of nursing there are codes and standards of conduct which all members of the profession are expected to function. Therefore, when engaged in educational activities whether on campus or in the clinical setting, nursing students are expected to be free from abusive influence of chemical substances/drugs.

Random and for cause drug screening will be done in compliance with the healthcare facilities.

COUNSELING SERVICES

Counseling services are available to any student or prospective student of Rich Mountain Community College. Professional counselors are ready to help with career plans, academic progress, improvement of study habits, reading difficulties, and other personal problems.

SPECIAL NEEDS It is the policy of RMCC to accommodate students with disabilities, pursuant to state and federal law. Any student with a disability who needs accommodations, for example in seating placement, examinations, or access to information on the web, should contact the Dean of Students Services Office located in the Abernathy Building Room 301, 394-7622 ext.1400.

-18- TESTING POLICIES

Seating arrangements, leaving the room, and stopping an examination for violations of the Testing Policies are at the option of the instructor.

1. An area will be designated for personal belongings (books, papers, etc.) before students begin testing. 2. A grade of zero will be given if there is evidence of verbal or non-verbal communications between students during an exam. 3. Information found on or in the vicinity of the student during a period of testing will be grounds for termination of the testing procedure and a grade of zero will be given. 4. All students are to remain seated during a testing situation, but should raise his/her hand if there is a need to communicate with the instructor. Students may quietly leave the classroom when they have completed their test, but may not return to the classroom until all students have finished testing. 5. Violation of a Testing Policy will be grounds for dismissal from the Program. 6. Grades will be given to each student during the next scheduled class period for the course being tested. DO NOT ASK FOR GRADES BEFORE THAT TIME! 7. Ten (10) points will be deducted for all exams taken late. 8. Exams CAN NOT be taken early. 9. Review of exams will be at the discretion of the instructor. 10. Students are responsible for keeping up with their grade point averages. 11. Scantron sheets: -Stray marks or incomplete erasures on Scantron sheet may result in questions being marked wrong -It is the students responsibility to be sure there are no stray marks or incomplete erasures.

-19- CLINICAL POLICIES

SAFE AND EFFECTIVE NURSING PRACTICE:

This policy identifies the essentials of nursing practice. This policy must be adhered to in order for the student to succeed in clinical. All overt and covert acts must be directed toward quality client care to promote health. Safe and effective nursing practice is defined as the ability to:

1. Demonstrate knowledge regarding the client’s health status. 2. Observe, report and record signs and symptoms. 3. Observe, report and record changes in the client’s condition accurately. 4. Demonstrate appropriate nursing care. 5. Set priorities and carry through with appropriate nursing interventions. 6. Calculate and administer drugs safely, including documentation of administration. 7. Demonstrate responsibility for safeguarding the client’s rights and confidentiality.

If a student demonstrates evidence of unsafe and/or ineffective nursing practice, the nursing faculty reserves the right to refuse the opportunity to a student to care for clients. A student may not render care when under the influence of prescribed medication, over- the counter medication, alcohol, or illicit drugs which may affect the student’s judgement. Failure to demonstrate safe practices and complete clinical objectives constitutes failure of the program.

CRIMINAL BACKGROUND CHECK

All students will be required to have criminal background checks performed.

The first background check will be done prior to the first clinical rotations. If the background check results show that the student has a criminal history, he/she will not be allowed to participate in clinical rotations and therefore will be unable to complete the program.

The second background check will be done prior to application for licensure. These results are sent to the Arkansas State Board of Nursing. Criminal history may prevent the student from taking the NCLEX exam

CRITERIA FOR UNSAFE CLINICAL PERFORMANCE: Since nursing students are legally responsible for their own acts, commission and/or omission, and nursing instructors are responsible for any acts of their students in the clinical area, it is necessary for the student and the nursing faculty to conscientiously evaluate unsafe behavior.

Unsafe clinical behavior is demonstrated when the student: 1. Violates or threatens the physical safety of the client. (neglects use of side rails, restraints, etc.) 2. Violates or threatens the psychological safety of the client. (uses non-therapeutic techniques, attacks or belittles individual’s beliefs or values) 3. Violates or threatens the microbiological safety of the client. (violation of aseptic technique, illness [temp 101, vomiting, coughing, diarrhea] open skin lesions) 4. Violates or threatens the chemical safety of the client. (violates the “5 Rights” in administering medications; fails to monitor IV infusions) 5. Violates or threatens the thermal safety of the client. (burns client with hot packs, heating lamp, etc.) 6. Inadequately and/or inaccurately utilize the nursing process. (fails to observe and/or report critical data re: clients; makes faulty judgements) 7. Violates previously mastered principles/learnings/objectives in carrying out nursing care skills. (Spring Semester: fails to obtain accurate vital signs; Summer Semester: unable to give medications) 8. Assumes inappropriate independence in action or decisions. (performs procedures not yet approved) 9. Fails to recognize own limitations, incompetence and/or legal responsibilities. (refuses to admit errors noted by instructor) 10. Fails to accept moral and legal responsibility for his/her own actions, violating professional integrity. (covers own/others’ errors or fails to report them; shares confidential information inappropriately)

DRESS AND APPEARANCE IN THE CLINICAL AREA:

Policies pertaining to dress and appearance are based on safety and asepsis. These policies are designed to protect the student, the client and the clinical facility. 1. Hair will be clean and neat. It will be worn so as not to extend below the top of the collar. If clips are used on the hair, they must be the same color as your hair. No ornamental items shall be used in the hair. Male students must be clean shaven every day. 2. Body hygiene will consist of a daily bath and deodorant. No perfumes or scented lotions or powders. 3. Fingernails will be clean and neatly trimmed. Nails should be no longer than the tips of the finger. Nail polish is NOT acceptable. 4. Mouth care (oral hygiene) is to be a part of the daily professional dress and appearance. Students should ensure that the breath is not offending to the clients. 5. Students are NOT ALLOWED to smoke prior to or during the clinical rotation. If you smell of cigarette smoke – YOU WILL BE SENT HOME. 6. False eyelashes, false fingernails, and excessive makeup are NOT acceptable. 7. No jewelry will be worn, except: Professional watch with second hand. Wedding band NO EARRINGS NO LAPEL PINS NO VISIBLE BODY PIERCINGS, including tongue. 8. Appropriate attire will be worn when the student is in the clinical area, including days when students go to obtain client information for care plan. On these days students may were the lab coat (as specified in the uniform section) over appropriate street clothes. Jeans, sandals, shorts, low cut blouses, etc. are not appropriate. 9. Uniform will be clean, neat, and freshly ironed. 10. Specified name badge must be worn at all times. 11. Students are NOT ALLOWED to bring cell phones into the clinical areas. 12. Non-compliance with the above policies will result in the student being sent home and counted absent.

CONFIDENTIALITY:

Students must comply with all HIPAA Privacy Standards. Under no circumstances may a student discuss or disclose any patient related data, unless it is being shared on a need-to-know basis for specific patient care reasons. Discussions of patient presence, conditions, treatment, or other medical record data must be held in private clinical areas so as not to be inadvertently overheard.

STUDENT UNIFORM:

All uniforms are CEIL BLUE in color. Brand and Style will be determined by the director of the program.

Ladies:1 Lab Jacket 2 Sculptured Tunics 2 Elastic Pants

Men: 1 Lab Jacket 2 Shirts 2 Pants

-Trousers will be shoe-top length. Tunics will be loose fitting to allow movement, no gaping between buttons, and no cleavage. -Lab jacket, tunics, and shirts must have an RMCC SPN Emblem attached to the left sleeve, 2 inches below the shoulder seam.

Shoes: White professional leather shoes, polished, with clean shoelaces are required. No clogs, sandals, open-toes, or open-heels. Leather sport shoes with no colored decoration or decorative soles may be worn.

Name Badge: Specified name badge will be worn on the upper left side of the lab coat AND uniform tunic/shirt.

White hose, either knee-length or pantyhose are to be worn by the ladies. All-white crew socks are to be worn by the men.

REQUIRED EQUIPMENT:

-Bandage scissors -Black ink pen -Small note pad -Nursing, non-decorative wristwatch with a second hand -Stethoscope -Blood Pressure Cuff and Sphygmomanometer -Pen light

CONDUCT:

PROFESSIONAL CONDUCT MUST BE MAINTAINED AT ALL TIMES. ANY UNPROFESSIONAL CONDUCT WILL NOT BE TOLERATED AND WILL BE GROUNDS FOR IMMEDIATE DISMISSAL. -Gum chewing is NOT PERMITTED. -Students are not allowed to smoke before or during the clinical rotation. If you smell like smoke, you will be sent home. -Loud talking, laughing, swearing, obscene language, abuse of patients and other unprofessional conduct are not tolerated and will be grounds for immediate dismissal from the program. -Address personnel with proper title – Dr., Mr., Mrs., Miss, etc. -NEVER stop a physician in the clinical area to discuss personal, family, or other health matters. These should be taken care of in his/her office.

GENERAL INFORMATION:

During the student’s education he/she will spend the required time in the clinical areas acquiring techniques in effective bedside nursing and learning experiences related to client care. This is an adult program and there is much you can do to enhance your learning experience on an individual basis. Some suggestions are:

-establish good interpersonal relationships and show respect to clinical area personnel. -take advantage of the information found in the areas teaching and orientation manuals. -refer frequently to the policy & procedure manual. -realize that these experiences allow you to gain an education.

REPORTING FOR DUTY:

It is the student’s responsibility to report to your assigned area on time.

Report to the clinical area on time and in complete uniform. If the student is not neat and clean in full Student Nurse uniform according to the dress code, he/she will be sent home and recorded absent.

Lab coats will be worn over the uniform when coming on duty and taken off during patient care

In special areas that require a uniform change, students are required to report on duty early enough to change from student uniform to the appropriate dress required in these areas to enable you to be on time.

MEDICAL RELEASE:

A student who is pregnant or has had a recent surgical procedure must have a release from their physician before they will be allowed to attend clinical rotations.

Students will be required to have a TB Skin Test prior to beginning clinical rotations.

LEAVING THE UNIT:

Students leaving the unit for any reason must report to the instructor/charge nurse. Be sure your whereabouts are known at all times.

Students are not permitted to visit other units while on duty.

Student must take care of all personal needs on their own time (Dr. appointments, banking, etc.)

If you need to stay after your assigned time in a clinical area, you MUST have permission from an instructor. Permission will be granted only if you are involved in a procedure or observing a procedure and the instructor is able to be available to that student. You must leave promptly after the procedure is completed, as you are not covered by liability insurance after the scheduled clinical time. TELEPHONE ON THE UNIT:

Students are NEVER permitted to use the unit telephones for personal calls (incoming or outgoing). All outside calls will be channeled through you instructor. Please inform your friends and relatives that they should call only in case of an emergency.

Your instructor will notify you immediately of any emergency call.

You may use the payphone (if available) during breaks only.

If you are alone in the nurses’ station and the phone rings, it is your responsibility to answer immediately. Be courteous at all times when answering the phone. When you answer identify your location, name, and title (“Labor & Delivery, this is Jane Doe, student nurse”). When you are unable to answer the request, refer the matter to a staff/charge nurse. NEVER take physicians’ orders, laboratory reports, or orders for preoperative medications.

Cellular phones and beepers are NOT ALLOWED in the clinical area. If you bring your cellular phone or beeper to the clinical area, you will be dismissed for the remainder of the day and counted absent for that day.

ABSENCES:

When absent in the clinical area, the student is responsible for notifying the clinical area and the clinical instructor of that absence. The clinical area must be notified no less than 60 minutes before the student is to report to duty. Failure to do this may result in dismissal from the program.

If a student demonstrates evidence of unsafe and/or ineffective nursing practice or is not prepared for clinical, the nursing faculty reserves the right to refuse the opportunity to a student to care for the client. The day missed will constitute a clinical absence.

PURSES, TEXTBOOKS, ETC.:

Purses must never be brought to the clinical area. Money that you might need should be carried in your pocket.

There will be NO STUDYING while on duty so DO NOT take your textbooks or notes to the clinical area.

There are reference books available if something needs to be looked up.

The student may take his/her Drug Guide to clinical.

CLINICAL PREPAREDNESS:

Students are required to come to clinical prepared for safe, effective client care:

-Written assignments (care plan, drug cards) complete and adequate. -Dressed appropriately according to student policy handbook. -Unpreparedness will result in the student being sent home and counted absent.

BREAKS:

The student will be given a 15 minute break in the morning (after completion of morning care).

The student must have permission from the instructor/charge nurse to leave the clinical area for break.

Organize your work to allow for this break; do not interrupt continuity of client care.

Smoking, eating, or drinking beverages on the unit is not permitted.

Students are NOT ALLOWED to smoke before or during the clinical rotation. If you smell of cigarette smoke, you will be sent home.

Breakfast is to be eaten before reporting for duty – not after you come on duty.

LUNCH:

One-half hour (30 minutes) is allotted for lunch. If for some reason, you need to change your assigned time (feeding a client, etc.) check with your instructor/charge nurse to allow other arrangements to be made.

Students will be given information as to hours of the cafeteria and charges for meals during orientation at clinical areas.

The student must have permission to leave the clinical area for lunch. -26-

GOING OFF DUTY:

Report to your instructor/charge nurse before going off duty.

Students are not to leave the unit early unless for a specific reason which has been cleared through the instructor.

Remain in complete uniform until after you have left the clinical facility (this includes hair and jewelry policy).

ACCIDENTS ON DUTY:

In the event of an accident or injury on duty, contact your instructor.

Accident or incident reports must be completed for any injuries incurred.

ILLNESS ON DUTY: Students who become ill while on duty are to notify the instructor. You cannot remain in the clinical area if you have a temperature of 101 degrees or higher. An instructor has the authority to send you home and you will be counted absent.

If illness is acute, the student will be taken to the emergency room.

CLINICAL EVALUATION:

Clinical evaluations will be completed during each rotation in the hospitals.

The instructor will complete an evaluation each week.

The evaluations will be shared with the student in a privately scheduled conference. The purpose of the evaluation is to identify areas to improve nursing practice.

At the end of the semester, the student must have an overall average of 80% to advance to the next semester.

ADMINISTRATION OF MEDICATIONS:

The dosage and solutions exam must be passed with a minimum score of 80% prior the student being allowed to participate in clinical experiences in the Spring semester.

All medications and IV solutions must be checked by the instructor, medication nurse, or charge nurse before administering.

CHANNELS OF COMMUNICATION

Individual student problems must be discussed first with the instructor of the class in which the student has a concern. Practical nursing instructors WILL NOT discuss concerns about other instructors with students.

If the problem concerns the clinical experience of the student, the clinical instructor must be consulted first.

If further assistance is needed, the Practical Nursing Program Director will meet with both the student and the instructor together.

If further assistance is needed, the student, instructor, and director will meet with the Dean of Instruction.

Beyond this, the student may take their complaint to the student grievance/discipline committee.

APPEAL PROCEDURE Non-Academic Appeals:

The college maintains a student grievance/discipline committee to hear complaints on matters other than academic. The membership of this committee will consist of a chairperson and an equal number of students and faculty. A student can be heard by this committee by submitting a written request to the Dean of Students, which includes the stated grievance to be heard. If the complainant is handicapped, reasonable accommodation to the known physical or mental limitations will be provided to assist the Affirmative Action Officer in conducting the hearing.

The following steps will be used in hearing the complaint or grievance. If an appeal is made during vacation, it will be postponed until school resumes.

Step one: The student must present, in written form, within five working days of the occurrence creating a complaint, a request for consideration to the student appeals committee.

Step two: The student appeals committee will investigate the complaint and talk with the student within five (5) working days. The decision of the committee will be given to the student in writing within two (2) days after the hearing.

Step three: If the decision is not satisfactory to the student, the student may appeal within five (5) working days to the President of the college.

Step four: If the student is not satisfied at this level, an appeal may be made within five (5) working days to the board of Rich Mountain Community College, who will hear the complaint at the next regularly scheduled board meeting, but no sooner than one week after receipt of the complaint. In exceptional circumstances, the board may waive this requirement of the chairperson of the board may call a special meeting. The decision of the board shall be final.

Academic Grade Appeals:

A hearing committee is appointed to hear cases in which a student questions an academic grade or grading procedure which has first been reviewed by the faculty member, and secondly, by the respective department chairperson.

A student who desires to appeal a grade will contact the faculty member who awarded the grade in question. The student will explain the reason for the appeal, and the faculty member will explain the reason (s) and basis for awarding the grade. The faculty member has the authority and responsibility to determine the grade.

The student may continue the appeal by contacting the Dean of Instruction. The academic administrator’s discussion with the faculty member may include such topics as adherence to course requirements and grading procedures and understanding and consideration of the basis of the appeal by the student. The academic administrator may provide guidance or suggestions to the faculty member and will inform the student of the outcome of the discussion and the decision of the faculty member.

PERSONAL CONFERENCES

The director and instructors are available for conferences with students upon request.

Nursing Program Director – Charla Hollin, R.N. Office Location: Room 126 Office Phone: 479-394-7622 Ext. 1366

Nursing Instructor – Amy Phelps, R.N. Office Location: Room 125 Office Phone: 479-394-7622 Ext. 1367

Clinical Instructors will be available by appointment only.

CEREMONIES

Graduation Exercises:

Commencement will be held in May of each year. Practical Nursing Students will participate in the commencement exercise. All students are expected to attend and wear a cap and gown.

Capping and Pinning Ceremony:

Practical Nurses’ Capping and Pinning Ceremony will be held in July of each year. Graduates will participate in the ceremony. Cap, pin, and lamp will be purchased by the student prior to the ceremony.

RICH MOUNTAIN COMMUNITY COLLEGE PRACTICAL NURSING STUDENT ACKNOWLEDGMENT

I,______have received a copy of the Practical Nursing Program Student Policies and the RMCC College Catalog.

I understand that my behavior as a nursing student will be evaluated by these policies.

I further understand that lack of compliance with these policies on my part may result in disciplinary action. Such disciplinary actions include, but are not limited to, failure of a practical nursing course and/or dismissal from the Practical Nursing Program.

I understand that changes in scheduling will be announced by my instructor, and that my participation will be required despite these changes.

I understand that I am responsible for providing my own transportation to and from clinical areas, field trips, classes, etc.

I, ______release Rich Mountain Community College, its Board of Trustees, administration, and faculty from any liability due to accidents and/or other incidents occurring while traveling to or from, or during participation in clinical, field trips, or other scheduled activities as a Rich Mountain Community College student.

I have received, read, and agree to comply with the requirements of the Practical Nursing Student Policies and the RMCC College Catalog.

Signature

Print Name

RICH MOUNTAIN COMMUNITY COLLEGE PRACTICAL NURSING PROGRAM

Release & Waiver of Liability

AGREEMENT OF RELEASE made this day between Rich Mountain Community

College and ______. Student’s Name (Printed)

In consideration of Student being permitted to enroll at Rich Mountain Community College Practical Nursing Program and the acknowledgement of Student of the following facts:

1. That Student will be required, as part of the normal educational process toward Student’s degree, to be placed in a teaching environment including, but not limited to, local medical institutions, long-term care facilities, home health services, physicians’ offices and other environments (hereafter called medical affiliates), all of which are affiliated with Rich Mountain Community College for these purposes and that while in these medical affiliates Student may be exposed to conditions which could cause bodily injury and/or death and may be of a contagious nature, and,

2. That Student will be first provided as part of the normal educational process toward Student’s degree with detailed information about the nature, risks and preventive measures related to communicable diseases of a fatal or potentially fatal nature prior to assignment of student; 3. That Student could be exposed to high risk toxic substances in the medical affiliates, but will be first provided with information concerning prevention from becoming ill with same.

Student does hereby:

1. Authorize Rich Mountain Community College official to place Student into the respective medical affiliates as is deemed necessary for the successful completion of Student’s specific educational program;

2. Release, waive, and covenant not to sue Rich Mountain Community College, its officers, agents, employees, and persons or entities acting together with Rich Mountain Community College in its educational programs (hereinafter collectively called Releasees) from all liability to Student for any and all loss or damage, and any claims or demands whatsoever therefore on account of injury to the person or property or resulting in death of Student or emanating from exposure to said disease processes and toxic substances, or any of these, whether caused by the negligence of Releasees or otherwise while the Student is on or within any of the medical affiliates;

3. Indemnify and hold harmless Releasees from any loss, liability, damage or cost that Student may incur due to the presence of Student in or upon any of the medical affiliates or in any way observing for any purpose or participating in the educational process in said medical affiliates; and,

4. Hereby assumes full responsibility for any and all risks due to participation in the normal educational process in the medical affiliates described above.

Student expressly acknowledges and agrees that the activities described above could be dangerous and involve the risk of injury and/or death and/or of contracting fatal or potentially fatal disease processes and exposure to high risk toxic substances.

THE UNDERSIGNED HAS READ AND VOLUNTARILY SIGNED THE RELEASE AND WAIVER OF LIABILITY AND INDEMNITY AGREEMENT, and agrees that no oral representations, statements, or inducements apart from the foregoing written agreement have been made.

I HAVE READ THIS DOCUMENT. I UNDERSTAND IT IS A RELEASE OF ALL CLAIMS.

I UNDERSTAND I ASSUME ALL RISKS INHERENT IN THE EDUCATIONAL PROCESS AND CLINICAL EXPERIENCE CONDUCTED IN THE MEDICAL AFFILIATES OF RICH MOUNTAIN COMMUNITY COLLEGE AS PART OF MY PROGRESSING TOWARD A DEGREE SET FORTH ABOVE.

I VOLUNTARILY SIGN MY NAME EVIDENCING MY ACCEPTANCY OF THE ABOVE PROVISIONS. DATED this ______day of ______20____.

______Student’s Signature

______Print Name

Hepatitis B Vaccine

Date: ______

Name: ______

I am choosing NOT to receive the Hepatitis B Vaccine at this time.

______Signature Date

I will be receiving or I am currently in the process of taking the Hepatitis B Vaccine. I will bring proof of immunization after the series is complete. ______Signature Date

I have received the Hepatitis B Vaccine. I will bring proof of immunization.

______Signature Date

CONFIDENTIALITY STATEMENT

Student Name (printed) understand that it is my responsibility as a student of Rich Mountain Community College Practical Nursing Program to comply with all HIPAA Privacy Standards. Under no circumstances may I discuss or disclose any patient related data, unless it is being shared on a need-to-know basis for specific patient care reasons. Discussions of patient presence, conditions, treatment, or other medical record data must be held in private clinical areas so as not to be inadvertently overheard.

I further understand that any breech of confidentiality will result in my being dismissed from the program.

______Student Signature Date RICH MOUNTAIN COMMUNITY COLLEGE

1100 College Drive Mena AR 71953

I ALSO UNDERSTAND THAT IF THE RESULTS SHOW THAT I HAVE A CRIMINAL HISTORY, I WILL NOT BE ALLOWED TO PARTICIPATE IN CLINICAL ROTATIONS AND THEREFORE WILL BE UNABLE TO COMPLETE THE PRACTICAL NURSING PROGRAM.

Signature:______Date:______(First/MI/Last Name) (Month/Day/Year)