Williston State College

Dakota Nursing Program

Nursing Student Handbook 2015-2016

Certificate in Practical Nursing Associate in Applied Science in Nursing

Bismarck State College

Dakota College at Bottineau Lake Region State College Williston State College

Originated 5/04 Revised Annually Dakota Nursing Program Handbook 2015-2016

Dakota Nursing Program Handbook 2015-2016

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Dakota Nursing Program Handbook 2015-2016

DAKOTA NURSING PROGRAM Bismarck State College • Dakota College at Bottineau Lake Region State College • Williston State College

Introduction and Welcome

Dear Dakota Nursing Program (DNP) Student:

Welcome to the Dakota Nursing Programs! The faculty is committed to assisting you to access educational opportunities that will help you be successful in the nursing profession. This handbook includes information you will need to navigate a smooth learning experience.

The mission of our nursing program is to provide quality nursing education which prepares you to safely and effectively practice nursing in our global community. The mission is consistent with currently accepted social, educational and nursing standards, and the mission/vision and values of the consortium colleges.

The Dakota Nursing Program is a consortium of four community college nursing departments who work together to offer a common curriculum for a Practical Nursing Certificate and for an Associate in Applied Science in Nursing. The member colleges are: Bismarck State College, Dakota College at Bottineau, Lake Region State College, and Williston State College.

The programs have one overall nursing director. There are nursing coordinators, faculty and staff located at each of the programs at the four college campuses and their distance sites. Please see the DNP organizational chart located in this handbook.

By accepting a position as a nursing student at a DNP college, you are making a commitment to adhere to the student standards set by the Nursing Programs. DNP policies and guidelines are provided in this Nursing Student Handbook. Each nursing course will have specific policies outlined in the course syllabus. It is expected that you take the personal responsibility to review the policies in your handbook and on the syllabi at the beginning of each semester. Information, policies and guidelines in this handbook are current and are reviewed annually by faculty, student representatives and administration.

Each of you will be asked to sign and return statements indicating you have read and intend to comply with all DNP policies and guidelines contained in this handbook and in the syllabi. If you have any questions regarding any policy or guideline, please discuss them with your nursing coordinator.

Please find the signature forms at the end of this handbook in the appendices section.

You are responsible for your own success in this program. Please commit to spending the time needed to read, study, and become a safe and effective nurse. The health and welfare of your

Dakota Nursing Program Handbook 2015-2016

future clients depends on your knowledge of nursing science and how you can use clinical reasoning to provide excellent nursing care.

Congratulations on your entrance into this exciting and rewarding field! You will work hard, but will also find that nursing is a satisfying and worthwhile lifetime commitment. We are all looking forward to your time spent learning with us!

Sincerely,

Julie Traynor, MS, RN Dakota Nursing Program Director

“Ability is what you are capable of doing. Motivation determines what you do. Attitude determines how well you do it.”

Lou Holtz, American Football Coach

Dakota Nursing Program Handbook 2015-2016

Table of Contents

I. Introduction and Welcome ...... iv-v

II. Dakota Nursing Program Structure Dakota Nursing Programs Organizational Chart ...... 1 Dakota Nursing Program Map of Site Locations ...... 2 Nursing Program Approval, College Accreditation, and Discrimination Statement ...... 3 Dakota Nursing Program Logo ...... 4 Program Purpose ...... 5 DNP Mission ...... 5 DNP Philosophy ...... 6 Practical Nursing Program Student Learning Outcomes ...... 6 Associate Degree Nursing Program Student Learning Outcomes ...... 7 Dakota Nursing Program Outcomes ...... 7 Curriculum Model ...... 8-12 Dakota Nursing Program Depiction of the Curriculum Model ...... 13

III. PN Specific Academic Policies and Requirements PN Application Process/Admission Policy...... 14-17 Practical Nursing Curriculum – BSC ...... 18 Practical Nursing Curriculum – DCB ...... 19 Practical Nursing Curriculum – LRSC ...... 20 Practical Nursing Curriculum – WSC ...... 21 Course Descriptions ...... 22-23

BSC Graduation Requirements ...... 24 DCB Graduation Requirements ...... 25 LRSC Graduation Requirements ...... 26 WSC Graduation Requirements ...... 27

IV. Paramedic to Nurse Bridge Requirements Paramedic to Nurse Bridge Curriculum ...... 28

V. ADN Specific Academic Policies and Requirements AD Application Process/Admission Policy ...... 29-30 Nursing Curriculum - BSC ...... 31 Nursing Curriculum – DCB ...... 32 Nursing Curriculum – LRSC...... 33 Nursing Curriculum – WSC ...... 34 Course Descriptions ...... 35-36

BSC Graduation Requirements ...... 37

Dakota Nursing Program Handbook 2015-2016

DCB Graduation Requirements ...... 38 LRSC Graduation Requirements ...... 39 WSC Graduation Requirements ...... 40

VI. PN & ADN Academic Policies Counseling/Advising ...... 41 Plagiarism Policy ...... 41 Background Check Policy...... 42-45 Criminal Background Disclosure Form ...... 47 English Proficiency Policy…………………………………………………………………………...…….49 Drug Screening Policy ...... 50 Grading/Evaluation ...... 50-54 Online Examination and Examination Review Procedure ...... 55-56 ATI Policy ...... 57-63 Math Guidelines ...... 64-65 Attendance Policy ...... 66-67 Student Illness/Injury ...... 67 Student Pregnancy ...... 68 Progression ...... 69 Conference Form ...... 70 Admonition Notice...... 71-72 Critical Behaviors...... 73-75 Performance Improvement Plan ...... 76-78 Probation/Suspension ...... 79-80 Grievance Policy ...... 81 Chain of Command (Dealing with Problems) ...... 82 Withdrawal/Failure/Readmission ...... 83-84 Nursing Graduate Pinning ...... 85 Student File Retention ...... 85 Student Organizations/Committees ...... 86-87 Guidelines for Student Representatives at Faculty meetings ...... 87 Student Employment ...... 88 Book Requirements ...... 88 Faculty/Student Communication ...... 88 Inclement Weather Guideline...... 88-89

VII. PN & ADN Clinical Policies Uniforms/Supplies/Equipment ...... 89-91 Health Policies ...... 92 Insurance (Liability and Health) Statements ...... 92 Measles, Mumps, Rubella ...... 92 Tuberculin Testing ...... 92 Acquired Immune Deficiency Syndrome ...... 92-93 Hepatitis B ...... 93

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Chicken Pox ...... 93 Influenza ...... 94 Standard Blood/Body Fluid Precautions ...... 94 Housing/Transportation ...... 95 BLS/CPR Life Support ...... 95 HIPAA ...... 95 Medication Administration ...... 96 Student Incident/Near Miss Report Policy ...... 97 Student Incident/Near Miss Report ...... 99 Biohazard/Infectious Waste ...... 101 Biohazard/Infectious Waste Exposure Control ...... 102 Administration of Seasonal Flu Vaccine ...... 103-105

VIII. Student Professional Role Policies, Expectations, and Standards Essential Functions of the Nursing Student/Nurse...... 107-108 Confidentiality Policy...... 109-110 Handheld Electronic Device Policy ...... 111-112 Professional Conduct ...... 113 ANA Code of Ethics for Students and Nurses ...... 114 Professional Behavior & Values Tables ...... 115 North Dakota Nurse Practices Act ...... 116-123 ND Standards of Practice for Licensed Practical Nurses ...... 124-127 ND Standards of Practice for Registered Nurses ...... 128-132 NAPNES Standards of Practice and Educational Competencies of Graduates of PN/VN Nursing Programs ...... 133-137 NFLPN Standards Practice for the Licensed Practical/Vocational Nurse ..... 138-139 ANA Standards for Practice for the Registered Nurse ...... 140-141

IX. Appendices PN & ADN Cost Sheet ...... 142-143 PN & ADN Book List...... 144 Nursing Student Handbook Signature Form ...... 145 Nursing Program Confidentiality Statement and Handheld/ Electronic Device Use Signature Form ...... 146 Role of the Student Nurse and Essential Functions of the Nursing/ Student Statement Signature Form ...... 147

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Dakota Nursing Program Handbook 2015-2016

Dakota Nursing Program Organizational Chart Bismarck State College Provost and VP for Academic and Student Affairs

Lake Region State Dakota College at Bottineau Williston State College Bismarck State College College VP Academic and Associate Dean of VP for Instruction Dean of Academic Affairs Academic Affairs Student Affairs

Williston State College Bismarck State College Lake Region Health and Wellness Medical Arts and Dakota Nursing State College Department Chair Emergency Services Program Director Distant Ed Director Chair

Advisory Advisory Administrative Advisory Advisory Committees Committee Assistant Committee Committees

Leadership Team

DNP WSC DNP BSC All Nursing Coordinators DNP LRSC DNP DCB Nursing Program Nursing Program and Nursing Program Nursing Program Coordinator Coordinator DNP Program Director Coordinator Coordinator

Administrative Staff Administrative Staff Administrative Staff Administrative Staff Site Managers Site Managers Site Manager Site Managers Consortium Faculty and BSC Nursing Faculty LRSC Nursing Faculty DCB Nursing Faculty WSC Nursing Student Affairs Committee and Resource and Resource and Resource Faculty and Resource Facilitator Facilitator Facilitator Facilitator Harvey - Hazen* Grand Forks – Mayville* Rugby - Valley City*

Admission and Minot – FBCC* Admission and Admission and Admission and Progression Progression Progression Progression

WSC BSC Consortium Curriculum LRSC DCB Nursing Students Nursing Students Committee Nursing Students Nursing Students

= Information and input = Line of responsibility and accountability Originated 6/04 *Site Managers and learning Resource Facilitators are at distance sites as needed Revised 8/04, 8/05, 7/07, 4/08, 8/08, 7/09, 7/13, 7/14, 3/15 1

Dakota Nursing Program Handbook 2015-2016

Key: Red Pin = Dakota Nursing Program Partner Campuses Blue Pin = Dakota Nursing Program Associate Sites 2015-2016

2015-2016 DAKOTA NURSING PROGRAM Bismarck State College • Dakota College at Bottineau Lake Region State College • Williston State College

Dakota Nursing Program Handbook 2015-2016

Dakota Nursing Program

Nursing Program Approval, College Accreditation and Discrimination Statement

The Dakota Nursing Programs (Practical Nursing Certificate and Associate Degree in Applied Science in Nursing) have Continued Full Approval through March 2019 by the North Dakota Board of Nursing. www.ndbon.org The ND Board of Nursing is a US Department of Education recognized state approval agency.

The Dakota Nursing Program consortium Colleges are accredited by the Higher Learning Commission. Please see the following website for verification and dates for each college. http://www.ncahlc.org/

The Dakota Nursing Program is currently seeking Accreditation Commission for Education in Nursing (ACEN) accreditation. The DNP at BSC, DCB, LRSC and WSC are candidates for accreditation by the Accreditation Commission for Education in Nursing. This is estimated to be a 2 year or greater process after candidacy status is received. Students who are currently in the program will not be grandfathered in as graduating from an ACEN accredited program if accreditation cycle occurs after they graduate. http://www.acenursing.org/ Accreditation Commission for Education in Nursing 3343 Peachtree Road NE, Suite 850 Atlanta, Georgia 30326 Phone: 404-975-5000

The Dakota Nursing Programs do not discriminate on the basis of race, color, national origin, sex, religion, age, or disability in employment or the provision of services.

*The Nursing Student Handbook is specific to students in the Dakota Nursing Programs and therefore supersedes your College Student Handbook in those areas where the nursing handbook policies are more stringent than your college policies.

Dakota Nursing Program Handbook 2015-2016

Dakota Nursing Program Logo

The logo represents the concepts of nursing, collaboration and the program’s dedication to provide nursing education in North Dakota. The blue on the top of the logo represents the open skies of North Dakota, the green at the lower half represents the wide expansive prairies of North Dakota and the white river running through the center in the shape of a heart rhythm represents the vital flow of communication and collaboration among the colleges in providing nursing education. The logo for the Dakota Nursing Program was updated in May, 2013.

Dakota Nursing Program Handbook 2015-2016

Dakota Nursing Program

Program Purpose

The purpose of the Dakota Nursing Program is to prepare students for nursing careers as LPNs or RNs who practice safely and effectively in health care systems to meet the needs of clients. Graduates of the program are eligible to take the National Council Licensure Examination (NCLEX PN® or NCLEX RN®) and are generalists who have a solid foundation for professional and educational advancement.

Mission

The Dakota Nursing Program provides quality evidence-based nursing education for practical and associate degree nurses, serves as a foundation for further professional advancement and contributes collaboratively to meet the diverse health care needs of the communities it serves.

This mission is consistent with the missions of the consortium colleges (Bismarck State College, Dakota College at Bottineau, Lake Region State College, and Williston State College). The curriculum is based on liberal arts and biological sciences and integrates nursing content and clinical experiences. Nursing faculty strive to provide a learning environment which promotes active participation, a spirit of inquiry, self-determination, and evidence-based decision making. Integral to goal attainment of the nursing program is the continuing development of alliances in the community, which strengthen the colleges’ mission to provide services that will improve quality of life for individuals of the communities they serve.

Dakota Nursing Program Handbook 2015-2016

Dakota Nursing Program

Dakota Nursing Program Philosophy

In congruence with the purpose and mission of the Dakota Nursing Program, the philosophy is designed to meet the needs of communities by enhancing professional advancement, utilizing technology, and integrating quality and safety competencies. Students are recognized as diverse and unique individuals who are encouraged to achieve their optimal potential. Faculty is committed to excellence in maintaining expertise and ensuring holistic patient-centered care through evidence-based quality nursing education.

Practical Nursing Program Student Learning Outcomes

TEAMWORK AND COMMUNICATION: Participate as a member of the interdisciplinary health care team through effective communication in the delivery and management of client care.

PROFESSIONALISM AND LEADERSHIP: Incorporate professional standards and scope of practice as a certificate practical nurse while pursuing professional growth within legal, ethical and regulatory frameworks.

CLIENT-CENTERED CARE: Provide culturally competent care for clients while promoting their self-determination and integrity.

EVIDENCE-BASED PRACTICE AND NURSING JUDGMENT: Utilize the nursing process, science, and clinical reasoning to provide quality evidenced-based client care.

QUALITY IMPROVEMENT AND SAFETY: Employ evidence based decision making to deliver safe and effective client care and to evaluate client outcomes.

INFORMATICS: Utilize appropriate technology to communicate effectively and manage information in the delivery of client care.

Dakota Nursing Program Handbook 2015-2016

Associate Degree Nursing Program Student Learning Outcomes

TEAMWORK AND COMMUNICATION: Collaborate with clients and members of the interdisciplinary health care team to optimize effective communication, caring behaviors, and management of client needs.

PROFESSIONALISM AND LEADERSHIP: Adhere to professional standards and scope of practice as an associate degree registered nurse while pursuing professional growth and acting as a leader and change agent within legal, ethical and regulatory frameworks.

CLIENT-CENTERED CARE: Provide culturally competent care and advocate for clients while promoting their self- determination and integrity.

EVIDENCE-BASED PRACTICE AND NURSING JUDGMENT: Implement nursing judgment to make safe, effective, and evidenced-based decisions that integrate science and the nursing process in providing holistic client care.

QUALITY IMPROVEMENT AND SAFETY: Incorporate a spirit of inquiry to make evidence based clinical judgments and management decisions to improve the safety and quality of care across a variety of systems.

INFORMATICS: Integrate current technology to support decision-making and manage information in the delivery of client care.

Dakota Nursing Program Outcomes:

1. Performance on NCLEX-RN® Licensure Examinations— i. The NCLEX-PN® pass rate three-year mean for first-time takers will be at the national mean or above during the same three-year period for Practical Nursing graduates.

Dakota Nursing Program Handbook 2015-2016

ii. The NCLEX-RN® pass rate three-year mean for first-time takers will be at the national mean or above during the same three-year period for Associate Degree Nursing graduates.

2. Program Completion— i. The PN program (3 semesters) will have at least 80% of current students graduate from the program within 150% of program length (four semesters). ii. The AD program (2 semesters) will have at least 80% of current students graduate from the program within 150% of program length (three semesters). 3. Graduate Program Satisfaction—Graduates who respond to the Graduate Follow-up Survey 6-12 months post-graduation will express program satisfaction with an overall mean score of at least 3.0 on a 5.0 Likert Scale. 4. Employer Program Satisfaction—Employers who respond to the Employer Survey 6- 12 months post-graduation will express satisfaction with graduate preparation with an overall mean score of at least 3.0 on a 5.0 Likert Scale.

5. Job Placement Rates—

i. A minimum of 80% of new practical nursing graduates who seek employment in nursing as an LPN will obtain positions within one year of graduation from the exit point of the program.

ii. A minimum of 80% of new graduates who seek employment in nursing as an RN will obtain positions within one year of graduation from the exit point of the program.

Curriculum Model

The National League for Nursing (NLN) Core Values, Outcomes, and Integrating Concepts for graduates of practical nursing and associate degree nursing programs, the National Council of State Boards of Nursing (NCSBN) integrated skills for practical nurses and registered nurses, and the Institute of Medicine (IOM) - Quality and Safety in Nursing Competencies (QSEN) are

Dakota Nursing Program Handbook 2015-2016

integrated into the Student Learner Outcomes and flow in a simple to complex manner through the curriculum of the Dakota Nursing Program. The paradigm of nursing links are set forth for the students in the first semester of the PN program. The competencies used to develop the Program Outcomes for the PN and AD programs are:

Teamwork and Communication Professionalism and Leadership Client-Centered Care Evidence-Based Practice and Nursing Judgment Quality Improvement and Safety Informatics

The NAPNES and NFLPN Standards as well as the ND Board of Nursing Standards of Practice for LPNs define the role expectations, professional behaviors, and ethical comportment of the practical nurse. The ANA Code of Ethics and the ANA Standards of Practice along with the ND Board of Nursing Standards of Practice for RNs define the role expectations, professional behaviors, and ethical comportment of the registered nurse. These standards are found in VII. Student Professional role Policies, Expectations, and Standards section of this handbook.

Definition of Values, Outcomes, and Competencies within the Curriculum Model

NLN Core Values:  Caring: promoting health, health, and hope in response to the human condition  Integrity: respecting the dignity and moral wholeness of every person without conditions or limitation  Diversity: affirming the uniqueness of and differences among persons, idea, value, and ethnicities  Excellence: creating and implementing transformative strategies with daring ingenuity.

NLN Program Outcomes for Graduates of Practical Nursing Programs

Human Flourishing: Promote the human dignity, integrity, self-determination, and personal growth of patients, oneself, and members of the health care team. Nursing Judgment: Provide a rationale for judgments used in the provision of safe, quality care and for decisions that promote the health of patients within a family context. Professional Identify: Assess how one’s personal strengths and values affect one’s identity as a nurse and one’s contributions as a member of the health care team. Spirit of Inquiry: Question the basis for nursing actions, considering research, evidence, traditions, and patient preferences.

Dakota Nursing Program Handbook 2015-2016

NLN Program Outcomes for Graduates of Associate Degree Nursing Programs

Human Flourishing: Advocate for patients and families in ways that promote their self- determination, integrity, and ongoing growth as human beings. Nursing Judgment: Make judgments in practice, substantiated with evidence, that integrate nursing science in the provision of safe, quality care and that promote the health of patients within a family and community context. Professional Identify: Implement one’s role as a nurse in ways that reflect integrity, responsibility, ethical practices, and an evolving identity as a nurse committed to evidence- based practice, care, advocacy, and safe, quality care for diverse patients within a family and community context.

Spirit of Inquiry: Examine the evidence that underlies clinical nursing practice to challenge the status quo, question underlying assumptions, and offer new insights to improve the quality of care for patient, families, and communities.

NCSBN Integrated skills

Practical Nurse  Clinical Problem-Solving Process (Nursing Process) – a scientific approach to client care that includes data collection, planning, implementation and evaluation.  Caring – interaction of the practical nurse and client in an atmosphere of mutual respect and trust. In this collaborative environment, the practical nurse provides support and compassion to help achieve desired therapeutic outcomes.  Communication and Documentation – verbal and nonverbal interactions between the practical nurse and the client, as well as other members of the health care team. Events and activities associated with client care are validated in written and/or electronic records that reflect standards of practice and accountability in the provision of care.  Teaching/Learning – facilitation of the acquisition of knowledge, skills and attitudes to assist in promoting a change in behavior.

Associate Degree Nurse  Nursing Process – a scientific, clinical reasoning approach to client care that includes assessment, analysis, planning, implementation and evaluation.  Caring – interaction of the nurse and client in an atmosphere of mutual respect and trust. In this collaborative environment, the nurse provides encouragement, hope, support and compassion to help achieve desired outcomes.  Communication and Documentation – verbal and nonverbal interactions between the nurse and the client, the client’s significant others and the other members of the health care team. Events and activities associated with client care are validated in written and/or electronic records that demonstrate adherence to the standards of practice and accountability in the provision of care.

Dakota Nursing Program Handbook 2015-2016

 Teaching/Learning – facilitation of the acquisition of knowledge, skills and attitudes promoting a change in behavior.

QSEN Competencies (2012)  Patient Centered Care — Recognize the patient or designee as the source of control and full partner in providing compassionate and coordinated care based on respect for patient’s preferences, values, and needs.  Quality — Use data to monitor the outcomes of care processes and use improvement methods to design and test changes to continuously improve the quality and safety of health care systems.  Teamwork and Collaboration — Function effectively within nursing and inter- professional teams, fostering open communication, mutual respect, and shared decision- making to achieve quality care.  Safety — Minimizes risk of harm to patients and providers through both system effectiveness and individual performance.  Evidence-Based Practice — Integrate best current evidence with clinical expertise and patient/family preferences and values for delivery of optimal health care.  Informatics — Use information and technology to communicate, manage knowledge, mitigate error, and support decision-making.

The Paradigm of Nursing Definitions

Each person is a unique, biologic, psychosocial, cultural, spiritual being who continuously interacts with and adapts to the environment to seek self-actualization. Consistent with basic human needs theory, an individual continuously seeks to meet basic physiological and safety needs as well as higher needs of love, belonging, and esteem. The individual has primary responsibility to determine health care needs. Recipients of nursing care are not limited to the person but may also be the family, group, or community.

Health is a dynamic state along a continuum ranging from wellness to illness. An individual has the capacity to live within their biologic, psychosocial, and cultural environment to achieve the greatest possible level of wellness through self-care behaviors. Health is influenced by knowledge, behavior, lifestyle, socio-cultural change, and self-determination. The goal of nursing is to anticipate and recognize diverse human responses to environmental influences and to facilitate adaptive behaviors that promote and maximize health.

Nursing is the protection, promotion, and optimization of health and abilities, prevention of illness and injury, alleviation of suffering through the diagnosis and treatment of human response, and advocacy in the care of individuals, families, communities, and populations. (American Nurses Association) The role of the practical nurse within this description is also

Dakota Nursing Program Handbook 2015-2016

noted to be contained by the boundaries of the professional nursing standards and regulatory standards for the LPN.

Nursing Education

Nursing Education is the facilitation of learning through organization and evaluation of students and curriculum by faculty. Nursing education provides opportunities for the acquisition of theoretical knowledge, the development of psychomotor skills, and the refinement of values and attitudes. Nursing faculty strive to provide a learning environment which promotes active participation by students to enhance human flourishing and begin to establish their own professional identity. Faculty coach students to develop a spirit of inquiry, self-reflection skills, and evidence-based clinical decision making. Students are responsible for their learning. Adult learning theory supports the learning process by utilizing self-directed active learning and relevant application of theory in case studies and in the simulation lab and clinical. The NLN core competencies for nurse educators are used by faculty to identify strengths and assist in analyzing personal and professional development needs.

Dakota Nursing Program Handbook 2015-2016

Dakota Nursing Program depiction of the Curriculum Model for Practical Nursing And Associate Degree Nursing

Couse Student Learning Outcomes Program Student Learning Outcomes

Competencies:

Teamwork and Communication Professionalism and Leadership Client-Centered Care Evidence-Based Practice and Nursing Judgment Quality Improvement and Safety

Informatics

Philosophy: In congruence with the purpose and mission of the Dakota Nursing Program, the philosophy is designed to meet the needs of communities by enhancing professional advancement, utilizing technology, and integrating quality and safety competencies. Students are recognized as diverse and unique individuals who are encouraged to achieve their optimal potential. Faculty is committed to excellence in maintaining expertise and ensuring holistic patient- centered care through evidence-based quality nursing education.

Mission: The Dakota Nursing Program provides quality evidence-based nursing education for practical and associate degree nurses, serves as a foundation for further professional advancement and contributes collaboratively to meet the diverse health care needs of the communities it serves.

Original: February 2004, Revised July 2014

Dakota Nursing Program Handbook 2015-2016

PN Application Process

1. Applications will be available at each college from December 1st, until March 5. Any applications received after March 5 will be considered on available space. 2. Letters of acceptance will be sent by each respective college to students during the first two weeks of June. 3. Students must return a written letter of acceptance to the college within one week of receipt of their letter of acceptance. 4. Each campus will release their student waiting lists on or before June 21st. 5. DNP Director will coordinate admission processes and participate as needed on designated admission’s committee on each campus.

Admission Policy

The Dakota Nursing Program prepares students to be able to work under the supervision of a registered nurse, advanced practice nurse, or a licensed practitioner. LPNs assist with the performance of acts, utilizing specialized knowledge, skills, and abilities for people in a variety of settings (ND Nurse Practice Act. Accessed from www.ndbon.org. Employment is found in hospitals, nursing homes, health centers, and private clinics, as well as a variety of other settings. This program of study leads to a Practical Nursing Certificate. Upon completion of the program the individual is qualified to apply to take the National Council Licensure Examination for Practical Nurses, as required by all State Boards of Nursing.

Criteria for Admission Admission to the program is on a competitive basis.

The following are prerequisites for consideration for admission to the Certificate in Practical Nursing Program:

1. High School Diploma or GED Certificate a. High School GPA of 2.5 or greater. If a student has completed 12 credits of college level classes included in the program requirements, the college GPA will be considered instead of the HS GPA. 2. Students must be 18 years of age by December 31st of the year they start the program. 3. Application and admission to the respective college is required before applying to the nursing program. There are two application processes – first to the college and then to the nursing program. 4. Current CPR Certification for Health Care Providers (American heart Association) or CPR/Health Care Provider (Red Cross) and must be updated to remain current throughout program. 5. Proof of Math Skill Readiness. o Student must have completed at minimum: o The developmental math course (ASC 093 or other pre-requisite math course that would qualify a student to take Math 103) with a grade of Satisfactory or “C” or a

Dakota Nursing Program Handbook 2015-2016

higher level math course (such as MATH 103 College Algebra) or o Equivalent scores for ACT/PLAN/SAT/COMPASS and/or Accuplacer as listed below and taken within the past 2 years: Math Score Equivalencies According to Site (COMPASS score is listed in the Algebraic domain) ACT-Math PLAN-Math SAT Critical COMPASS Accuplacer Reading + Math (Algebraic Domain) 21 or higher 19 or higher 990 or higher 49 or higher 116 or higher

6. Proof of Academic Readiness: o All applicants are required to complete the most current Assessment Technologies Institute (ATI) standardized Test of Essential Academic Skills (TEAS) prior to application deadlines. a. Applicants are allowed two (2) attempts at the TEAS exam with a minimum of 4 weeks (28 days) between attempts. b. A minimum TEAS composite score must be in the Basic level or greater. Any applicant scoring below the Basic level will not be accepted. The best score achieved, of two attempts in any one application period, may be submitted. Last year the average TEAS score for all admitted applicants was within the Proficient level. c. TEAS scores are valid for up to two (2) years prior to March 5th of the year of application. d. It is to your advantage to double check the other parts of your application to make sure you are qualified in the other areas before you attempt the TEAS exam. e. It is recommended that you use the study materials on the TEAS website to score well on the exam. As noted above, you may repeat the TEAS to better your chance of admission. o An ACT composite score of 19 or i. ACT/COMPASS/ASSET/Accuplacer/SAT test(s) with an equivalent score or ii. Successful completion of 12 credits of college courses included in the program requirements with a minimum GPA of 2.75 7. For any required college courses completed prior to admission, the grade in that course must be a 2.0 (C) or higher, and nursing GPA for all completed required nursing courses must be 2.75 or higher. a. Anatomy and Physiology I and II with Lab (must be taken within the last 7 years) b. Introduction of Pharmacology (must be taken within the last 7 years) c. Developmental Psychology (must be taken within the last 7 years) d. Introduction to Psychology e. Composition I f. Other: Microbiology (required for ADN program) g. Other: Composition II, Communications, Technology, Humanities, Computer or Native American Health Perspective elective. Check with individual campuses for correct elective (required for ADN program).

Dakota Nursing Program Handbook 2015-2016

8. Guidelines for approval include: a. High School GPA of 2.5 or greater or b. If a student has completed 12 credits of college level classes included in the program requirements, the college GPA will be considered instead of the HS GPA. Nursing GPA for any completed required nursing program courses must be 2.75 or higher. c. Overall cumulative GPA for all college course completed must be 2.5 or higher. d. No required course may have a grade lower than 2.0 (C). e. If a student repeats a required science course, a grade of 2.0 (C) or higher must be obtained in the first repeat. (A&P I and II, Microbiology) f. Critical courses completed more than 7 years prior to program application must be repeated: Anatomy and Physiology I & II, Developmental Psychology and Introduction to Pharmacology. g. Experience working in a health care environment is encouraged before making application to the nursing program. For example: Nursing Assistant (CNA), Emergency Medical Technician (EMT), etc. 9. A certain level of English proficiency is necessary for academic success in nursing as well as for patient safety. In addition to general college English proficiency requirements, all applicants for whom English is not their native language (including International and/or U.S. residents) must meet additional language proficiency requirements for admission to the Dakota Nursing Program. These requirements must be met prior to consideration. Please contact your nursing coordinator before you submit your nursing program application to discuss these requirements and to make arrangements to take the TOEFL exam if applicable.

 Students who meet the prerequisites and their file is complete, are accepted into the program based on each college’s admission criteria.  Students accepted into the nursing program must have access to reliable, high speed internet.  Students must also have transportation available to and from campus, clinical, etc.  Completion of a formal application form for admission to the Dakota Practical Nursing Program, which includes the following: o A copy of your high school transcript or equivalent and all college transcripts. o A brief narrative summarizing past work experiences and reasons for entering the Dakota Practical Nursing Program o Three letters of reference from a professional source such as teachers, supervisors and employers.  Admission to the PN program does not guarantee progression into the ADN program. Students must submit to a background check and pass a mandatory drug screen to be completely admitted to the program.

Dakota Nursing Program Handbook 2015-2016

Application forms for admission to the Dakota Practical Nursing Programs may be obtained from our website at www.dakotanursing.org or the nursing office or admissions offices during spring semester. The admissions committee will review the applications and qualifications of each individual. Each student will be notified in writing of his/her acceptance into the program. Additional information regarding health requirements, uniforms, insurance, etc., will be provided to each student who is selected.

Dakota Nursing Program Handbook 2015-2016

Bismarck State College Practical Nursing Program Curriculum Guide

Fall Credits BIOL 220 Anatomy and Physiology I 4 PSYC 111 Introduction to Psychology 3 NURS 120 Foundations of Nursing 3 NURS 121 Practical Nursing I 3 NURS 122 Clinical Practice I 3 Semester 1 16 Spring BIOL 221 Anatomy and Physiology II 4 PSYC 250 Developmental Psychology 3 Or Composition I (3 credits) NURS 127 Practical Nursing II: Introduction to 2 Medical/Surgical Nursing NURS 145 Introduction to Maternal/Child Nursing 2 NURS 124 Clinical Practice II 3 PHRM 215 Introduction to Pharmacology 3 Semester 2 17 Summer NURS 129 Practical Nursing III 3 NURS 126 Clinical Practice III 3 ENGL 110 Composition I 3 Or Developmental Psychology (3 credits) Semester 3 9 Total for Year 42

Upon successful completion of the above curriculum, students will receive a Certificate in Practical Nursing. At this time, the student may choose to apply to continue into the Associate Degree Nurse Program, and/or apply to take the NCLEX PN.

NOTE: Developmental Psychology and Composition I may be taken prior to or at any time during the PN program.

The Dakota Nursing Program is a collaboration among Bismarck State College, Dakota College at Bottineau, Lake Region State College, and Williston State College

Dakota Nursing Program Handbook 2015-2016

Dakota College at Bottineau Practical Nursing Program Curriculum Guide

Fall Credits BIOL 220 Anatomy and Physiology I 4 PSYC 111 Introduction to Psychology 3 NURS 120 Foundations of Nursing 3 NURS 121 Practical Nursing I 3 NURS 122 Clinical Practice I 3 Semester 2 16 Spring BIOL 221 Anatomy and Physiology II 4 PSYC 250 Developmental Psychology 3 Or Composition I (3 credits) NURS 127 Practical Nursing II: Introduction to 2 Medical/Surgical Nursing NURS 145 Introduction to Maternal/Child Nursing 2 NURS 124 Clinical Practice II 3 PHRM 215 Introduction to Pharmacology 3 Semester 3 17 Summer NURS 129 Practical Nursing III 3 NURS 126 Clinical Practice III 3 ENGL 110 Composition I 3 Or Developmental Psychology (3 credits) Total 9 Total for Year 42

NOTE: Developmental Psychology and Composition I may be taken prior to or at any time during the PN program.

The Dakota Nursing Program is a collaboration among Bismarck State College, Dakota College at Bottineau, Lake Region State College, and Williston State College

Dakota Nursing Program Handbook 2015-2016

Lake Region State College Practical Nursing Program Curriculum Guide

NOTE: Developmental Psychology and Composition I may be taken prior to or at any time during the PN program.

The Dakota Nursing Program is a collaboration among Bismarck State College, Dakota College at Bottineau, Lake Region State College, and Williston State College

Dakota Nursing Program Handbook 2015-2016

Williston State College Practical Nursing Curriculum Guide

Total 17 Spring BIOL 221 Anatomy and Physiology II 4 PSYC 250 Developmental Psychology 3 Or Composition I (3 credits) NURS 127 Practical Nursing II: Introduction to 2 Medical/Surgical Nursing NURS 145 Introduction to Maternal/Child Nursing 2 NURS 124 Clinical Practice II 3 PHRM 215 Introduction to Pharmacology 3 Total 17 Summer NURS 129 Practical Nursing III 3 NURS 126 Clinical Practice III 3 ENGL 110 Composition I 3 Or Developmental Psychology (3 credits) Total 9 Total for Year 43

NOTE: Developmental Psychology and Composition I may be taken prior to or at any time during the PN program.

The Dakota Nursing Program is a collaboration among Bismarck State College, Dakota College at Bottineau, Lake Region State College, and Williston State College

Dakota Nursing Program Handbook 2015-2016

Practical Nursing Course Descriptions

NOTE: These are your current course descriptions. They were updated in April 2015 and are effective starting fall 2015. You may see that your college catalog contains the previous course descriptions if it was updated before April or if it is a 2 year catalog. The course descriptions you see here will be the course descriptions you see on your course syllabi.

NURS 120 – Foundations of Nursing Develop an understanding of the multidimensional base of nursing knowledge, including basic human needs, nursing process, nursing judgment, informatics, ethical and professional, health promotion and disease prevention concepts. Gain an understanding of the role of the practical nurse within the interdisciplinary team, the vital importance of communication while providing safe and quality client care, and how nurses use evidence based information in their practice.

NURS 121 – Practical Nursing I Explore three core concepts of health assessment, nutrition, and mental health as they relate to client care. Learn how the nurse incorporates this knowledge in caring for the diverse client from the moment they begin care for an individual to any point along the health-illness continuum.

NURS 122 – Clinical Practice I Apply the social, biological, behavioral and nursing science principles to simulated and actual client care in the nursing lab and during clinical in health care facilities. Students will see, practice, and perform demonstrations of basic nursing skills and procedures in a supervised setting. Includes the study of math and medical terminology and use of the nursing process and critical thinking skills to organize and provide safe and effective client care.

NURS 124 – Clinical Practice II Gain additional nursing skills in the laboratory and apply those advanced skills in the clinical setting. Utilize the tools of informatics, nursing process, clinical reasoning, therapeutic communication, evidence based practice, and management concepts to provide safe and culturally sensitive client care for individuals across the lifespan in a variety of medical facilities.

NURS 127 – Practical Nursing II: Introduction to Medical/Surgical Nursing Examine safe and effective client care of the bio-psychosocial individual along the health-illness continuum. Students will be involved in teaching and learning activities that enhance critical thinking skills, examine aspects of self-determination, health promotion, disease prevention, and evidence based practice. Students will increase their understanding of nursing process and prioritization in the care of culturally unique clients across the lifespan in an ethical and legal manner.

NURS 145 – Introduction to Maternal Child Nursing Focus on the nursing care of the woman, newborn, child and families. Examine health maintenance and study the diseases and disorders affecting women, newborns, and children. Gain an understanding of pediatric growth and development and common illnesses. Use knowledge of family centered care, teaching and learning principles, and therapeutic

Dakota Nursing Program Handbook 2015-2016

communication while working within the interdisciplinary team to assist clients to use self- determination in decisions affecting their health.

NURS 126 – Clinical Practice III Refine nursing knowledge, skills and ethical comportment in the role of a practical nursing student to provide safe and effective care for clients across the lifespan with stable or predictable health problems and assisting with those whose conditions are critical or unpredictable. Critical thinking, effective and therapeutic communication, nursing process, management of nursing care, and delegation of unlicensed assistive persons are incorporated into the clinical experience.

NURS 129 – Practical Nursing III Continue to examine evidence based nursing interventions, nursing process, nutrition and drug therapy for health promotion and disease prevention in the culturally diverse client across the lifespan along the health-illness continuum. Students will have access to additional knowledge in the areas of quality improvement, informatics, accountability, ethical, legal and professional issues of the practical nurse.

Dakota Nursing Program Handbook 2015-2016

Bismarck State College Graduation Requirements for a Certificate in Practical Nursing

Graduation requirements for the practical nursing certificate follow the college guidelines for a certificate, as stated in your college catalog, and the nursing program requirements

This PN certificate program represents completion of a one-year (three semester) curriculum in this prescribed career-technical program. The graduation requirements for Bismarck State College are as follows:

1. Satisfy all respective campus requirements.

2. Complete a prescribed vocational-technical program and if the program contains 45 or more credits, also complete a minimum of four semester hours of general education credits from any two areas of study. (For example, enroll in an English course and a computer science course, but not two English courses or two computer science courses.)

3. Academic Skills Courses (ASC) will not fulfill general education requirements and cannot be included in the semester hours required for a Program Certificate.

4. Earn at least 15 semester hours of institutional credit from Bismarck State College.

5. Complete the curriculum for the Dakota Practical Nursing Program.

6. Achieve a minimum 2.5 (Dakota Practical Nursing Requirement) grade point average in the Dakota Practical Nursing Program, as well as in all credits from local college.

7. Receive a minimum grade of "C" in all courses required for the Dakota Practical Nursing program.

8. Clear all college obligations.

9. File an Application for Graduation in the Registrar’s Office during the semester/term in which the student expects to complete requirements for graduation and obtain necessary signatures.

Dakota Nursing Program Handbook 2015-2016

Dakota College at Bottineau Graduation Requirements for a Certificate in Practical Nursing

Graduation requirements for the practical nursing certificate follow the college guidelines for a certificate, as stated in your college catalog, and the nursing program requirements

This PN certificate program represents completion of a one-year (three semester) curriculum in this prescribed career-technical program.

The graduation requirements at Dakota College at Bottineau are as follows:

1. Earn the specified number of credits listed in the catalog curriculum outlines for the diploma or certificate of completion.

2. Earn a minimum cumulative grade point average of 2.5. Candidates for a certificate of completion must earn a 2.5 GPA in the prescribed vocational-technical curriculum. Candidates for the practical nursing certificate must earn a 2.5 GPA in the prescribed curriculum.

3. Satisfy respective campus requirements.

4. Complete the curriculum for the Dakota Practical Nursing Program.

5. Achieve a minimum 2.5 (Dakota Practical Nursing Requirement) grade point average in the Dakota Practical Nursing Program, as well as in all credits from local college.

6. Receive a minimum grade of "C" in all courses required for the Dakota Practical Nursing program.

7. Clear all college obligations.

8. File an Application for Graduation in the Registrar’s Office during the semester/term in which the student expects to complete requirements for graduation and obtain necessary signatures.

9. Have removed, prior to the date of graduation, all financial academic obligations.

14. Satisfy the residency requirement.

Dakota Nursing Program Handbook 2015-2016

Lake Region State College Graduations Requirements for a Certificate in Practical Nursing

Graduation requirements for the practical nursing certificate follow the college guidelines for a certificate, as stated in your college catalog, and the nursing program requirements

This PN certificate program represents completion of a one-year (three semester) curriculum in this prescribed career-technical program. All candidates for graduation at Lake Region State College must:

1. Earn the last fifteen semester hours of credit at Lake Region State College.

2. Satisfy all admissions requirements.

3. Complete the curriculum for the Dakota Practical Nursing Program.

4. Achieve a minimum 2.5 GPA (Dakota Practical Nursing Requirement) in the Dakota Practical Nursing Program, as well as in all credits from local college.

5. Receive a minimum grade of "C" in all courses required for the Dakota Practical Nursing Program.

6. Clear all college obligations.

7. File an Application for Graduation in the Registrar’s Office during the semester/term in which the student expects to complete requirements for graduation and obtain necessary signatures.

A certificate is awarded for successful completion of the Practical Nursing Program. The candidate for the certificate must complete a minimum of sixteen (16) semester hours with a cumulative grade point average of 2.5 (Dakota Practical Nursing Requirement) in a prescribed vocational-technical curriculum. The Program is designed to be completed within 11 months.

Dakota Nursing Program Handbook 2015-2016

Williston State College Graduation Requirements for a Certificate in Practical Nursing

Graduation requirements for the practical nursing certificate follow the college guidelines for a certificate, as stated in your college catalog, and the nursing program requirements

This PN certificate program represents completion of a one-year (three semester) curriculum in this prescribed career-technical program.

All candidates for graduation at Williston State College must:

1. Completion of a minimum of 30 semester credits and 5 general education credits 2. Program Coordinators approval 3. Minimum of 16 credits completed in residence 4. Completion of the sequence of required pre-requisite and nursing courses in the practical nursing program. 5. Satisfy respective campus requirements; including successful completion of ASC-100 College Strategies or ASC 101 College Transitions 6. Complete the curriculum for the Dakota Practical Nursing Program.

7. Achieve a minimum 2.5 (Dakota Practical Nursing Requirement) grade point average in the Dakota Practical Nursing Program, as well as in all credits from local college.

8. Receive a minimum grade of “C” in all courses required for the Dakota Practical Nursing program

9. Clear all college obligations. 10. File an Application for Graduation in the Registrar’s Office during the semester/term in which the student expects to complete requirements for graduation and obtain necessary signatures.

11. Apply no more than 12 S/U graded credits (Program approval is required for 13 or more.) toward graduation.

12. Apply no more than 15 CLEP subject exam credits and 0 CLEP general exam credits toward graduation.

Dakota Nursing Program Handbook 2015-2016

Paramedic to Nurse Bridge Curriculum at LRSC

Description The LRSC Paramedic to Nurse Bridge is a co-requisite group of three courses that makes the paramedic eligible to apply to the Associate Degree nursing program at LRSC.

NURS 201: Nursing Concepts Transition I for the Paramedic (3 credit Theory Course) Acquire an understanding of the multidimensional base of nursing knowledge including basic human needs, nursing process, nursing judgment, informatics, health promotion and disease prevention concepts. Gain knowledge of the role of the professional nurse within the interdisciplinary team, the vital importance of communication while providing safe and quality client care, and how nurses use evidence based information in their practice.

NURS 202: Nursing Concepts Transition II for the Paramedic (3 Credit Theory Course) Investigate safe and effective client care of the diverse bio-psychosocial individual along the health-illness continuum. Students will be involved in teaching and learning activities that enhance critical thinking skills, client management, evidence-based practice and quality improvement. Students will increase their understanding of nursing process and prioritization in the care of culturally unique clients across the lifespan in an ethical and legal manner.

***NURS201 & NURS 202 are online courses. Please schedule 18 hours of personal time per week to complete required reading and assignments. Proctored testing will be on-campus.

NURS 203: Nursing Practice Transition for the Paramedic (3 Credit Lab/SIM/Clinical Course) Gain nursing skills in the laboratory and apply those skills in the clinical and simulation setting. Utilize the tools of informatics, nursing process, clinical reasoning, therapeutic communication, evidence based practice, and management concepts to provide safe and culturally sensitive client care for individuals across the lifespan in a variety of medical facilities.

***NURS203 will be scheduled as 2 consecutive days, every other week on-campus. To begin in week 2.

Upon successful completion of the above curriculum, the student will be eligible to apply to the AD nursing program.

Dakota Nursing Program Handbook 2015-2016

Associate in Applied Science in Nursing Application Process/Admission Policy

Requirements for articulation into the Dakota Associate in Applied Science Degree Program in Nursing (RN) directly from the PN program:

1. Successful completion of the first year of the Dakota Nursing Program with a minimum GPA of 2.75 in all prerequisite courses and a minimum GPA of 2.75 in the 42 - 43 credit course requirements as defined in the PN curriculum. The student must maintain an overall GPA of 2.5.

2. Students must complete application process for continuation to the AD program dated no later than March 5 of the year the student would be entering the 2nd year of the program. Students must have positive exit evaluations from clinical courses in the PN program.

3. Students must pass a preadmission examination. See ATI policy found later in this handbook. Candidates who do not meet the benchmark may repeat the preadmission exam one time after remediation as described in the ATI policy. If the candidate does not then meet the benchmark they are not eligible for progression into the AD program for the coming year.

4. Students must submit to a background check and pass a mandatory drug screen to be completely admitted to the program.

Requirements for Advance Standing Application toward the Associate in Applied Science Degree in Nursing (ADN)

1. Applicant is: a. A graduate from a state board approved PN program from an accredited College and current LPN with an active, unencumbered license to practice as a Licensed Practical Nurse in the United States of America. b. A graduate from a state board approved paramedic program and a current paramedic, of at least two years’ experience, with an active, unencumbered, license to practice as a paramedic in the United States of America. AND have completed the LRSC Paramedic to Nurse Bridge Program.

2. Minimum GPA of 2.75 in all prerequisite courses (including nursing classes) and an overall minimum GPA of 2.5.

Dakota Nursing Program Handbook 2015-2016

3. Admission to the college of choice as well as completion of a formal application to the Dakota Associate Degree Nursing Program. Admission to the College does not guarantee admission to the ADN program. Application forms for admission to the Dakota ADN Program may be obtained from the Nursing Department beginning December 1 with application due on or before March 5.

4. Pass a preadmission examination. See ATI policy found later in this handbook. Candidates who do not meet the benchmark may repeat the preadmission exam one time after 30 days. If the candidate does not then meet the benchmark they are not eligible for admission for the coming year.

5. Currently enrolled (if competitive) or satisfactory completion with a “C” or better in each of the following courses: o All required nursing courses from an accredited Practical Nursing Program or LRSC Paramedic to Nurse Bridge Program o ENGL 110 Composition I o PSYC 111 Introduction to Psychology o BIOL 220 Anatomy and Physiology I with lab o BIOL 221 Anatomy and Physiology II with lab o PHRM 215 Introduction to Pharmacology (must have been completed within 5 years of ADN admission). o PSYC 250 Developmental Psychology

6. Students must submit to a background check and pass a mandatory drug screen to be completely admitted to the program.

7. A certain level of English proficiency is necessary for academic success in nursing as well as for patient safety. In addition to general college English proficiency requirements, all applicants for who English is not their native language including US residents must meet additional language proficiency requirement for admission to the Dakota Nursing program. These requirement must be met prior to consideration.

Students who meet the prerequisites and have completed their file are accepted into the program based on each college’s admission criteria.

Students accepted into the nursing program must have access to reliable, high speed internet.

Dakota Nursing Program Handbook 2015-2016

Bismarck State College Dakota Nursing Program Curriculum Guide for Internal Practical Nursing to Associate Degree Nursing and Incoming Advanced Standing LPN to Associate Degree Nursing

Fall Credits NURS 224 Professional Role Development 2 NURS 225 Alterations in Health I 3 NURS 226 Maternal Child Nursing 3 NURS 227 Clinical Application I 4 MICR 202 Microbiology L/L 4 Total 16 Spring NURS 228 Alterations in Health II 4 NURS 229 Health Promotion & Psychosocial Nursing 2 NURS 237 Clinical Application II 5 NURS 259 Role Transitions 1 Communication Elective 3 Total 15

Total for year 31

Upon completion of this curriculum students will be eligible for an Associate in Applied Science of Nursing.

The Dakota Nursing Program is a collaborative effort between BSC, DCB, LRSC, and WSC

Dakota Nursing Program Handbook 2015-2016

Dakota College at Bottineau Dakota Nursing Program Curriculum Guide for Internal Practical Nursing to Associate Degree Nursing and Incoming Advanced Standing LPN to Associate Degree Nursing

Fall Credits NURS 224 Professional Development 2 NURS 225 Alterations in Health I 3 NURS 226 Maternal Child Nursing 3 NURS 227 Clinical Application I 4 BIOL 202 Microbiology L/L 4 Total 16 Spring NURS 228 Alterations in Health II 4 NURS 229 Health Promotion & Psychosocial Nursing 2 NURS 237 Clinical Application II 5 NURS 259 Role Transitions 1 Communication Elective 3 Total 15

Total for the year 31

The Physical Education Requirement for the AAS Degree in Nursing has been waived at DCB

Upon completion of this curriculum students will be eligible for an Associate in Applied Science of Nursing.

The Dakota Nursing Program is a collaborative effort between BSC, DCB, LRSC, and WSC

Dakota Nursing Program Handbook 2015-2016

Lake Region State College Dakota Nursing Program Curriculum Guide for Internal Practical Nursing to Associate Degree Nursing and Incoming Advanced Standing, LPN or Paramedic to Associate Degree Nursing

Fall Credits NURS 224 Professional Development 2 NURS 225 Alterations in Health 3 NURS 226 Maternal Child Nursing 3 NURS 227 Clinical Application I 4 BIOL 202 Microbiology L/L 4 Total 16 Spring NURS 228 Alterations in Health II 4 NURS 229 Health Promotion & Psychosocial Nursing 2 NURS 237 Clinical Application II 5 NURS 259 Role Transitions 1 Communication Elective 3 Total 15

Total for year 31

The Physical Education Requirement for the AAS Degree in Nursing has been waived at LRSC

Upon Successful Completion of the above curriculum, students will receive an Associate of Applied Science Degree in Nursing.

The Dakota Nursing Program is a collaborative effort between BSC, DCB, LRSC, and WSC

Dakota Nursing Program Handbook 2015-2016

Williston State College Dakota Nursing Program Curriculum Guide for Internal Practical Nursing to Associate Degree Nursing and Incoming Advanced Standing LPN to Associate Degree Nursing

Total for year 30

Upon Successful Completion of the above curriculum, students will receive an Associate of Applied Science Degree in Nursing.

The Dakota Nursing Program is a collaborative effort between BSC, DCB, LRSC, and WSC

Dakota Nursing Program Handbook 2015-2016

Associate Degree Nursing Course Descriptions:

NURS 224 – Professional Role Development Investigate the role of the RN. Students will learn about historical trends, increase their knowledge of the background and current application of safety goals and competencies, and use previous skills in management to now refine leadership skills. Students will start the process of analyzing individual performance and system effectiveness.

NURS 225 – Alterations in Health I Explore the pathophysiology and nursing interventions used in caring for individuals experiencing acute and chronic alterations in health that build on concepts, knowledge and skills introduced in practical nursing courses and the supporting sciences. Utilize evidence based practice, nursing judgment, therapeutic communication, and the nursing process as a framework for providing and managing nursing care to diverse individuals along the health- illness continuum.

NURS 226 – Maternal Child Nursing Integrate prior learning while expanding knowledge of the neonate, developing child, women’s health, and childbearing family. Health maintenance and study of diseases and disorders affecting diverse neonates, children, women, and families along the health-illness continuum and during the end stages of life are examined. Emphasis is placed on therapeutic communication, the role of the registered nurse, ethical/legal issues, and health promotion and maintenance during life stages of growth and development for neonates, children, and women.

NURS 227 – Clinical Application I Participate collaboratively with members of the interdisciplinary health care team to provide safe and culturally sensitive client centered care in the lab, clinical area, and simulation lab. Practice parenteral medication therapies and demonstrate professional and leadership competencies while incorporating evidence based practices and sound nursing judgment.

NURS 228 – Alterations in Health II Continue the study of acute and chronic alterations in health across a variety of health care environments. Discuss the principles of clinical judgment, leadership and delegation while prioritizing and providing safe, effective and culturally sensitive client care for individuals experiencing complex alterations in health. Analyze ethical health care, quality improvement processes and effective work practices within the health care system.

Dakota Nursing Program Handbook 2015-2016

NURS 229 – Health Promotion & Psychosocial Nursing Examine safe and effective client care in the areas of health promotion for individuals and groups in communities and in care of the client experiencing psychosocial issues. Expand skills in promoting a client’s self-determination, advocating for clients, and working within the interdisciplinary health care team while making evidence based decisions to improve the safety and quality of client care.

NURS 237 – Clinical Application II Prioritize safe, effective, and culturally competent client care in acute and community settings during this clinical and simulation lab course. Clients with complex alterations in health and psychosocial issues are managed with a spirit of inquiry and collaboration to make evidence based clinical judgments. Quality improvement practices related to national safety goals are examined. Students will be challenged with a precepted activity during the latter part of this course.

NURS 259 – Role Transitions Examine the process of identifying and obtaining a position as a registered nurse. Explore nursing organizations, the legislative process, and lifelong learning. Investigate what it takes to prepare for and be successful in passing the NCLEX RN® examination. Be part of developing an evidence based research question, use technology to prepare a portfolio, and reflect on what it means to be accountable and responsible in the role of the RN.

Dakota Nursing Program Handbook 2015-2016

Bismarck State College Graduation Requirements for Associate in Applied Science Degree (AAS) in Nursing

1. Satisfy all college requirements for an Associate in Applied Science (AAS) and the nursing program requirements.

2. Earn a minimum of 60 semester hours of credit to include a prescribed vocational-technical program and the following general education requirements: - Communications - 6 semester hours by completion of ENGL 110 and one of the following: ENGL 120, 121, 125 or COMM 110 - Arts & Humanities/Social and Behavioral Sciences - 3 semester hours - Business/Math/Science/Technology - 6 semester hours in any two areas of study listed under business/math/science/technology (For example, enroll in a biology course and a math course, but not two biology courses or two math courses.) - Technical courses required for a prescribed vocational- technical program cannot be used to satisfy the general education requirements.

3. Academic Skills Courses (ASC) will not fulfill general education requirements and cannot be included in the semester hours required for an Associate in Applied Science Degree.

4. Earn at least 15 semester hours of institutional credit from Bismarck State College.

5. Achieve a minimum 2.5 grade point average upon completion of the curriculum required in the Associate Degree Nursing Program) in at least 60 semester hours, including a 2.5 grade point average in all credits from Bismarck State College.

6. A 2.5 GPA with a minimum grade of "C" in all required nursing and program required courses.

7. Overall cumulative GPA of 2.5

8. Clear all college obligations.

9. File an application for graduation in the Registrar's Office at the beginning of the semester/term in which the student expects to complete requirements for graduation.

Dakota Nursing Program Handbook 2015-2016

Dakota College at Bottineau Graduation Requirements for Associate in Applied Science Degree (AAS) in Nursing

1. Satisfy all college requirements for an Associate in Applied Science (AAS) and the nursing program requirements.

2. Earn a minimum of 60 semester hours of credit to include a prescribed vocational-technical program and the following general education requirements: - Communications - 3 semester hours from ENGL 110 or COMM 110 - Arts/Humanities/Social Sciences - 3 semester hours - Math/Science/Technology - 9 semester hours, which must include mathematics and a computer course - Wellness – 1 credit from HPER 210 or any HPER activity class

3. Academic Skills Courses (ASC) will not fulfill general education requirements and cannot be included in the semester hours required for an Associate in Applied Science Degree.

4. Earn at least 15 semester hours of institutional credit from DCB OR if all classes have been taken within the NDUS, earn at least 9 semester hours of institutional credit from .

5. Satisfy respective campus requirements.

6. Complete the curriculum for the Dakota Associate Degree Nursing Program.

7. Achieve a minimum 2.5 (Dakota Associate Degree Nursing Requirement) grade point average in the Dakota Associate Degree Nursing Program, as well as in all credits from local college.

8. Receive a minimum grade of "C" in all courses required for the Dakota Associate Degree Nursing Program.

9. Clear all college obligations.

10. File an Application for Graduation in the Registrar’s Office during the semester/term in which the student expects to complete requirements for graduation and obtain necessary signatures.

Dakota Nursing Program Handbook 2015-2016

Lake Region State College Graduation Requirements for Associate in Applied Science Degree (AAS) in Nursing

1. Satisfy all college requirements for an Associate in Applied Science (AAS) and the nursing program requirements.

3. Earn at least 15 semester hours of institutional credit from Lake Region State College.

4. Achieve a minimum 2.5 grade point average in at least 60 semester hours, including a 2.5 grade point average in all credits from Lake Region State College.

5. Satisfy respective campus requirements.

6. Complete the curriculum for the Dakota Associate Degree Nursing Program.

7. Receive a minimum grade of "C" in all courses required for the Dakota Associate Degree Nursing Program.

8. Clear all college obligations.

9. File an Application for Graduation in the Registrar’s Office during the semester/term in which the student expects to complete requirements for graduation and obtain necessary signatures.

Dakota Nursing Program Handbook 2015-2016

Williston State College Graduation Requirements for Associate in Applied Science Degree (AAS) in Nursing

1. Satisfy all college requirements for an Associate in Applied Science (AAS) and the nursing program requirements. 2. Earn a minimum of 62 semester hours of credits, including 15 general education credits consisting of one course from each of the following areas: - Communication - Math, Science, or Computer Science - Humanities or Social Science - Wellness

3. Successful completion of ASC 100 College Strategies (1 credit) or ASC 101 College Transition (1/2 credit).

4. Earn at least 16 semester hours of institutional credit from Williston State College.

5. Apply no more than 12 S/U graded credits (Program approval is required for 13 or more.) toward graduation.

6. Apply no more than 15 CLEP subject exam credits and 0 CLEP general exam credits toward graduation.

7. Apply no more than 15 credits for prior learning toward graduation.

8. Satisfy respective campus requirements.

9. Complete the curriculum for the Dakota Associate Degree Nursing Program.

10. Achieve a minimum 2.5 (Dakota Associate Degree Nursing Requirement) grade point average in the Dakota Associate Degree Nursing Program, as well as in all credits from local college.

11. Receive a minimum grade of "C" in all courses required for the Dakota Associate Degree Nursing Program.

12. Clear all college obligations.

13. File an Application for Graduation in the Registrar’s Office during the semester/term in which the student expects to complete requirements for graduation and obtain necessary signatures.

Dakota Nursing Program Handbook 2015-2016

Counseling/Advising

The Dakota Nursing Program follows the college policies on counseling and advising, as stated in your college catalog.

All nursing students are assigned an advisor in the nursing department. This advisor is available to help the student select the best schedule of classes, which will meet the requirements of the sequence of study leading to a Practical Nursing Certificate and/or Associate in Applied Science Degree in Nursing. The faculty advisors are available to assist the student. The student should feel free to contact the advisor if he/she has questions or needs help of any kind. A schedule of office hours is posted at each faculty office. It is expected that a student will meet with their advisor at least once each semester. Students must meet with a nursing advisor before registering or dropping any courses.

It is the expectation of the Dakota Nursing Program that nursing faculty and students respond to communications from other faculty or students within 24 to 48 hours during a work week.

Unstructured advisement and general student advising will be conducted by individual faculty to assist the student in development of his/her maximum potential. Nursing faculty will schedule counseling sessions as needed with students who may need individual attention and direction.

Dakota Nursing Program Policy on Plagiarism

Plagiarism takes the words and/or ideas of another uses them as your own without giving appropriate credit to the original source. Students who either intentionally or unintentionally practice plagiarism will receive a grade of zero for that assignment. Since it is impossible to evaluate a plagiarized paper, no credit can be given. At the discretion of the instructor, a student may also be:  assigned a reduced grade for the course  allowed to rewrite and submit the assignment for credit

Use the following sites (small fee) to check your papers for plagiarism: http://www.plagtracker.com/ http://www.dustball.com/cs/plagiarism.checker/

Dakota Nursing Program Handbook 2015-2016

Background Check Policy Criminal Background Check Policy

A. Applicability: a. This Policy applies to all Dakota Nursing Program (DNP) applicants and students. This Policy is based upon state laws and upon the policies and procedures of professional licensing organizations and the State Board of Higher Education.

B. Policy: a. Applicants must submit to and receive satisfactory results from a criminal background check as a condition of admission. Procedures which a student must follow in obtaining this background check are identified on the “Nursing Student Instructions for Background Check”. An offer of admission is contingent upon the successful completion and clearance of the background check. Admission may be denied or rescinded, based on the results of the background check.

b. Currently enrolled students must complete the Criminal Background Disclosure Form as a condition of continuing enrollment in the DNP. Procedures which a student must follow in obtaining this background check are identified on the “Nursing Student Instructions for Background Check”. Students may need to complete additional background checks or submit to drug testing if required by an agency or facility prior to participation in a clinical experience. Students who refuse to submit to the background check or whose background check renders a student ineligible to participate or complete a clinical experience may be subjected to dismissal from DNP.

C. Rationale: a. Health care providers are entrusted with the health, safety and welfare of clients; have access to controlled substances and confidential information; and operate in settings that require the exercise of good judgment and ethical behavior. Thus, an assessment of a student or applicant’s suitability to function in such a setting is imperative to promote the highest level of integrity and responsibility in health care services. Clinical facilities are increasingly required to conduct criminal background checks for security purposes on individuals who provide services with the facility. Clinical experiences are a required element in professional programs. Students who cannot participate in clinical experiences due to criminal or other adverse activities in their backgrounds are unable to fulfill the requirements of the professional program. Additionally, many health care licensing boards and agencies require individuals to pass a criminal background check as a condition precedent to licensure or employment. Therefore, it is in everyone’s best interests to review the criminal backgrounds of applicants and students, and to resolve issues which result from negative information within the criminal background reports before the commitment of resources by the DNP, student or applicant.

Dakota Nursing Program Handbook 2015-2016

D. Procedures: 1. Admission and Continuing Student Status: a. Applicants who receive a letter offering admission will be notified that admission is contingent upon the successful completion of a criminal background check. The letter offering admission will specify a date by which the authorization to conduct a background check must be submitted to DNP. This authorization is a form which includes a completed request for the criminal background record, with results to be submitted directly to DNP. DNP will designate an approved vendor to conduct the background check; a background check from any other vendor will not be accepted. The applicant or the current student, must pay the fees for each background check, including those additional checks required by a clinical agency or facility, and including drug testing. A current student must also complete the Criminal Background Disclosure Form within a time frame directed by DNP. DNP is also authorized to require the applicant or student to submit to a national background check, at a time and with a frequency which DNP may, in its sole discretion, determine is appropriate. If a student leaves the program and comes back into the program for any amount of time they must complete a criminal background check.

2. Review: a. If the background check report or the Criminal Background Disclosure Form contains negative information, the Review Committee may request that the applicant or student submit additional information relating to the negative information, such as a written explanation, court documents and police reports. The applicant or student will have 10 working days in which to provide this information. The Review Committee will review all information provided to it, and consider these factors, as well as others:  The nature and seriousness of the offense or event;  The circumstances surrounding the offense or event;  The age of the person when the offense or event occurred;  Whether the offense or event was an isolated or repeated incident;  The length of time that has passed since the offense or event;  The relationship between the duties to be performed as part of the educational program and the offense committed;  Past employment and nature of job performance;  History of academic conduct or misconduct;  Evidence of successful rehabilitation; and  Accuracy of the information provided by the applicant or student in the application materials or disclosure materials. b. The Review Committee will decide whether to withdraw the offer of admission or to dismiss the student from the program. The Review Committee may consult with other DNP administrators, faculty, affiliated clinical facilities, former teachers, employers, correctional officers, consulting professionals or other

Dakota Nursing Program Handbook 2015-2016

applicable resources in its decision making process. The Review Committee may or may not request that the applicant or student appear before it, in order for applicant or student to provide information to and answer questions of the Review Committee. The Committee’s decision, if adverse to the applicant or student, may be appealed to the DNP Director within 5 working days of the date of the Committee’s decision. The Director’s decision is final, and non- appealable.

3. Confidentiality and Record Keeping: a. Background check reports, the Criminal Background Disclosure Form and other submitted information are confidential, and may be reviewed only by DNP administrators and faculty and affiliated clinical facilities in accordance with federal law, FBI regulations and the Family Educational Records and Privacy Act. These reports and other information submitted by students will be maintained in a secure place by the DNP Nursing Coordinator. Only a letter rescinding or denying admission or a letter dismissing a student will be maintained in the student’s academic file; other documents related to the mater will be maintained in a separate file by the DNP Coordinator. b. If a clinical agency requires a copy of the student’s background check, the student will follow the nursing coordinator’s directions on how to provide the clinical agency with a copy of the background check.

4. Other Provisions: a. Clinical placement is a prerequisite for graduation from the nursing program. The DNP makes no guarantee that the student who has negative information in his or her background check report and is nonetheless permitted to enroll or continue in the program will be able to be placed at a clinical facility. Inability to complete clinical requirements may result in dismissal from the program. Further, graduation from the DNP does not guarantee that the student can be registered, permitted or licensed under state law. b. Falsification of information, including omission of relevant information, may result in denial of admission or dismissal from the program, or other disciplinary action. c. An arrest for, or a charge or conviction of a criminal offense while a student is participating in the program may result in disciplinary action, including dismissal, and may be addressed through the student’s home college. d. An action by the Board of Nursing against the student’s license such as a reprimand, encumbrance or suspension must be reported to the program by the student and may result in disciplinary action, including dismissal. e. Applicants and students have the right to review the information reported by the designated vendor for accuracy and completeness and to request that the designated vendor verify that the background information provided is correct. Prior to making a final determination that will adversely affect the applicant or student, the DNP will inform them of the right- to review and challenge the

Dakota Nursing Program Handbook 2015-2016

content of the background information, and provide vendor’s contact information to applicant or student so that applicant or student may contact vendor in order to challenge the accuracy of the report. DNP will refrain from making an adverse decision with respect to the applicant or student based on information in the background check until applicant or student has been afforded a reasonable time to challenge and correct the record, or has declined to do so. f. The DNP reserves the right to request additional information such as but not limited to references from former teachers, employers and correctional officers, consulting professionals or other applicable resources for applicants arrested for, charged with, or convicted of a crime. Applicants to the DNP who have been convicted of a felony and have spent time in a correctional institution will not be admitted to the DNP during the time the sentence is being served or while on parole or probation. As with all students, applicants will be considered on an individual basis.

The student is responsible for any costs associated with the background check and the costs are non-refundable.

Dakota Nursing Program Handbook 2015-2016

DAKOTA NURSING PROGRAM Bismarck State College • Dakota College at Bottineau Lake Region State College • Williston State College

Internal PN to AD Student Criminal Background Disclosure Form

As a student in the Dakota Nursing Program, (please check one)

_____ I have not been arrested, charged, or convicted with any crime including any charges that were dismissed or differed since the date of my previous criminal background check.

_____ Since my previous criminal background check, I have been arrested, charged, or convicted of the following crime(s): (PLEASE DETAIL THE INFORMATION IN THE SPACE BELOW AND ATTACH SUPPORTIVE DOCUMENTS)

_____ I have not been reprimanded or had my license encumbered or suspended by any State Board of Nursing since admission to the PN year of the Dakota Nursing Program.

I understand that the disclosure of arrest and/or conviction information is required and could result in my termination from the program. I also understand that I will submit and pay for any additional background checks that the Dakota Nursing Program requests.

______Signature of Student

______Name of Student (Printed or Typed)

Dakota Nursing Program Handbook 2015-2016

English Proficiency Policy

A certain level of English proficiency is necessary for academic success in nursing as well as for patient safety. In addition to general college English proficiency requirements, all applicants for whom English is not their native language (including International and/or U.S. residents) must meet additional language proficiency requirements for admission to the Dakota Nursing Program. These requirements must be met prior to consideration.

Minimum TOEFL Scores for Admission to the Dakota Nursing Program To be considered for admission to the prelicensure program, English as a second language (ESL) applicants must achieve minimum scores on the TOEFL internet-based test (TOEFL iBT) of: Minimum Cumulative Score of:  86 combined AND Minimum Individual Scores of:  26 in Speaking  20 in Writing  20 in Reading  20 in Listening

Test Preparation and Registration a. Complete information on the TOEFL iBT, including free test preparation materials, testing sites, and registration is available online at http://www.toefl.org Applicants may register for the TOEFL iBT by Internet, telephone (1-800-468-6335) or mail. b. Request official TOEFL iBT scores to be sent to: • Bismarck State College – Enter Institution DI Code: 6041 • Dakota College at Bottineau - Enter Institution DI 3398. • Lake Region State College - Enter Institution DI Code: 6163 • Williston State College - Enter Institution DI Code: 6905 c. Only official score reports will be accepted. TOEFL scores are valid for two years from the test date. d. The cost of any/all required testing is the sole responsibility of the applicant. e. The re-take of the TOEFL cannot be scheduled in less than six weeks of the date of the initial test.

Nursing students for whom English is not their native language should be aware that they may not be able to complete the program of study within the described time frame.

Admitted ESL nursing students who have met the English proficiency requirements but who have difficulty in the nursing program may be required to engage in activities including, but not limited to, participation in additional ESL speaking, reading or writing courses, in an effort to increase the probability of their success in the program and on the on certifying examinations. https://www.ncsbn.org/TOEFL_iBT_Proficiency_Standard_Process.pdf

Dakota Nursing Program Handbook 2015-2016

Drug Screening Policy

The Dakota Nursing Program maintains a no tolerance policy regarding substance abuse. Students must undergo drug screens annually; and randomly if requested by the Dakota Nursing Program, a clinical agency; or if suspected to be under the influence of alcohol, narcotic prescription drugs or illegal drugs while on a lab/clinical rotation. Failure of the student to either take the drug test or show a clear drug screen will result in termination from the nursing program and all nursing courses. The student is responsible for any costs associated with drug test or screening and the costs are non-refundable.

Grading/Evaluation Policies

The Dakota Nursing Program follows the policies on grading, as stated in your college catalog.

The following grading policies apply to all nursing courses in the nursing curriculum. Course and clinical grades are based on a variety of activities and assignments designated by the faculty. The criteria by which grades for each theory and clinical course are determined are included in course syllabi distributed to students. Students have access to and should review the eCollege grading calculation method.

Students are responsible to know what their grades are during the course. Please review the gradebook frequently. If an eCollege assignment or exam in the student’s gradebook says the assignment or exam has not been submitted or has not been entered, it is then treated as a fact that the student did not do the assignment or exam unless the student has written proof that they did in fact complete and submit such assignment/exam as outlined in the directions. Make sure your assignments are submitted well before the due date so you can make sure they are in. All gradebook questions must be addressed by the student to the lead instructor at midterm and then again during the week before finals. There will be no changes accepted to the gradebook regarding absent or late/missed assignments or late/missed exams during finals week. It is the student’s responsibility to know what their grades are and contact the instructors or their nursing coordinator for a plan to improve.

1. Grades: Grades are given for both theory classes and clinical performance of clinical nursing courses. Students must earn a minimum grade of "C" with a maintained 2.5 GPA or better in all required courses of the program. Students who fail a theory or clinical course will be dismissed from the nursing program. A final grade of D or F is considered to be an unsatisfactory grade.

2. Active Learning: In addition to educational strategies such as reading, listening, and reflecting, when appropriate this class makes use of learning techniques commonly known as active learning. Students should expect to participate in active learning

Dakota Nursing Program Handbook 2015-2016

techniques such as discussions and presentations, small group activities, writing, problem- solving, movement, case studies, role-playing, etc. These activities promote analysis, synthesis, and evaluation of class content in order to improve student learning outcomes.

3. Assignments/Quizzes/Clinical Paperwork: All assignments must be completed and submitted on time in the manner specified by the faculty. Students may fail the course if all assignments are not completed. Late/makeup work will not be accepted (student will receive a 0%) unless previously arranged with the instructor. Students who submit late/makeup work may receive an admonition notice and if work continues to be submitted late, they will progress through the disciplinary process.

4. Exams: Students will notify the coordinator/site manager AND the lead course instructor 1 hour prior to missing the scheduled exam for the day. Failure to notify these individuals or missing more than 1 exam day may result in an admonition notice. Any exams that are not made up in one week will receive a 0% for a grade on that exam. Students must make up the exam before or on the next date they are scheduled to be on campus. In the cases of extenuating circumstances the lead instructor and site coordinator may extend the deadline for exams. It is the student’s responsibility to contact the nursing coordinator to arrange a makeup exam. “Notification” means that the student sends an email with the appropriate information to the lead nursing instructor and coordinator prior to one hour before the exam is scheduled.

5. Records of Grades: The faculty strongly endorses the idea that each student is responsible for knowing his/her own academic status based on grades from learning activities. Grades are recorded in the eCollege gradebook. Please carefully review the student tutorial for an explanation of how grades are calculated in the program. Any time a student has unsatisfactory averages, he/she should contact the instructor for guidance.

6. Grading Scale: a. The following grading scale is used: 92.0 - 100.00 = A 84.0 - 91.99 = B 76.0 - 83.99 = C 68.0 - 75.99 = D Below 68 = F

There will be no rounding up of grades for any reason. There is no extra credit offered.

b. See eCollege Gradebook- Help tab for more information on how the final grade and grade-to-date is calculated

7. Incomplete Grades: Incomplete grades will be given to a student only when extreme circumstances have prevented the student from completing all work by the end of the

Dakota Nursing Program Handbook 2015-2016

term, and will be given at the discretion of the faculty as written in the student’s home campus college catalog. An incomplete grade must be made up within four weeks of the end of the semester following that in which the incomplete grade was received. Work not completed by that time will be converted to the grade indicated by the instructor.

8. Course Assessment Exams: Course assessment examinations are mandatory for all nursing students. Make-up examinations are not offered. These examinations are required for progression/successful completion in the nursing program.

9. Clinical Grades: Grades are awarded in clinical courses based on the student's ability to apply knowledge and skill to client care, to meet the clinical objectives for the course, and to give safe, reliable nursing care.

The clinical instructor evaluates student performance after every clinical experience. Periodic written evaluations on student progress will be individually reviewed and signed by each student during student evaluation sessions. Responsible members of the health team may also contribute their observations of students' performance to be added to the evaluation of students.

10. Clinical Exclusions: Students may not: a. Take verbal provider orders or transcribe provider orders b. Administer blood transfusions c. Administer chemotherapy d. Or any skill that is excluded by the clinical facility in regard to nursing students

11. Clinical Restrictions: Students are not to bring children to the clinical site or laboratory. These experiences require full attention and participation. Hazardous equipment and supplies may be accessible to children during laboratory experiences. Clinical site policies restrict children for safety reasons. Students may not leave the clinical site anytime (including during breaks) during the scheduled clinical hours; this includes visiting their car unless approved by the clinical instructor. Students may not smoke on breaks during clinical hours. Students may not carry cell phones during clinical rotations. There are no cameras allowed in a clinical facility unless used for a clinical purpose

12. Skills Practice and Skills Check-off: All students are required to practice their skills in the laboratory at least 1 day before they complete their skills return. Practice time will be set by the faculty or be a minimum of twice the time expected for skill returns and student must be proficient in the skill before leaving the lab. The practice time must occur between the time the instructor demonstrates the skill up to 12 hours before lab class starts on the day the student is scheduled to re-demonstrate the skill. This prevents unprepared students from arriving early in the morning and rushing through the practice. Alternate arrangements may be made at sites based on lab/clinical instructor availability but must be approved by the nursing coordinator. Students are expected to sign in for practice. Dishonesty is grounds for dismissal from the nursing program.

Dakota Nursing Program Handbook 2015-2016

Students are expected to be prepared to re-demonstrate the assigned skill any time during the lab on the day the re-demo is scheduled. If a student is not prepared for the skill re-demonstration, this is considered a failed skill. All failed skills will be made up outside of class with the assigned instructor. The student failing a skill must redo that demonstration until they pass but the first grade they received will be the grade for that skill. It is the student’s responsibility to make an appointment and arrange a make-up date/time with the lead lab instructor on your campus within one week to demonstrate any failed skills, to demonstrate any make-up skills, or to make up a lab. Failure to do so will be considered unprofessional behavior and will result in a zero for the skill and may be cause for disciplinary action.

If a student fails two clinical lab skills on separate days, the student and the instructor will have a conference. On the third failed skill on separate days, the student will receive an admonition notice. On the fourth failed skill on separate days, a critical behavior form will be given to the student. On the fifth failed skill on separate days, the student will receive a second critical behavior and may withdraw or will be dismissed from the program. Note: the failed skills may be the same skill reattempted multiple times or any combination of different skills. For example: the student fails Sterile technique twice, NG insertion once (which is then the third failed skill so they receive an admonition notice, then they fail catheter insertion once for a first critical behavior and then they fail IM injection once for a second critical behavior and at that point will leave the program.

Students must be checked off on specific skills in the laboratory before they are able to perform them in clinical.

13. Classroom Etiquette: It is expected that students will show sensitivity to their peers as well as instructors by avoiding any activity that may cause distraction during class. Incivility will not be tolerated and is grounds for disciplinary action. Cell phone use (texting or talking), cameras, side conversations, and children are not allowed in the classroom. Refer to ‘Handheld Device Use Policy’.

Nursing is a profession and thus requires professional behavior. It is expected that students will act in a professional manner displaying commitment to learning in the classroom, lab, all clinical areas, all college areas, and at all times in the public (including social networking sites including but not limited to Facebook, Twitter and Google+) when representing the college or the profession of nursing. Unprofessional behaviors will merit receipt of admonition/critical behavior notices.

Refer to Professional Behaviors Table for examples of both professional and unprofessional behaviors.

Dakota Nursing Program Handbook 2015-2016

14. Course study expectations: Commitment to learning is important to success. For every semester credit hour you are taking in a class, three hours needs to be set aside in your weekly schedule to read, study and devote towards your education outside of class.

For example: NURS 225 (3 credit) x 3 hours = 9 hours/week to study (minimal recommended study hours per week.)

This formula should be factored in for all of your classes, and soon you will see that many hours need to be devoted to becoming a successful nursing student.

15. Academic Dishonesty: Academic dishonesty will be addressed following the policies outlined in your college catalog. This may result in failure of the course and termination from the Dakota Nursing Program. Academic honesty is held in the highest regard within the Dakota Nursing Program.

16. E-mail: All students are required to have, maintain, and regularly check a campus e-mail address. This provides faculty and classmates a means of rapid communication. When courses are in session students are expected to check email and eCollege announcements at least once per day. Please follow your campus email and nursing communication policies.

17. Student Role in Evaluation of Teaching, Course, and Program Evaluation: The Dakota Nursing Program student will evaluate faculty teaching and curriculum in the classroom, lab and clinical settings. The evaluations are an important source of information for both individual faculty and for program evaluation.

 Evaluations are conducted at the end of each semester, at graduation exit evaluation, at 1 year post graduation, and at 5 years post-graduation.  Surveys of students regarding specific topics are conducted periodically as needed.  Student Focus groups are conducted within the program periodically. The results of the focus groups are used in program evaluation.  Program improvement and development depend on evaluations by faculty, students and alumni.

Dakota Nursing Program Handbook 2015-2016

Online Examination and Examination Review Procedure

Purpose: To provide testing consistency and an optimal testing environment for all nursing students.

Procedure for Testing: 1. Students will sit in front of the computer screen keeping strict eye contact on their own test. Security measures will be in place to prevent cheating.

2. A test proctor is to remain in the testing room at all times.

3. There will be no discussion between students during the exam.

4. All books, bags, purses, cell phones, drinks etc. will be unavailable to the student. All cell phones should be turned off, and stowed away.

5. There should be no office machines, in use or other activities in the rooms that generate noise and interference with concentration.

6. After completion of the examination, students will pick up any belongings they want and quietly leave the room without speaking to any other students

7. If the instructor is not present at the site, the Technician is responsible for maintaining the order and integrity of the classroom during examinations and reviews.

8. If the Technician feels a student is cheating during an exam, the Technician should contact the site coordinator at once.

9. Students may note answer (a, b, c, d) during the exam, and this piece of paper needs to be turned into the proctor at the completion of the exam. This piece of paper will be returned to the student during test key review, and then this paper will be returned to the site manager for shredding.

10. Students must make up exam before or on the next date they are scheduled to on campus.

Procedure for Review:

1. Students will NOT take notes or copy items from the examination.

2. The instructor should be contacted with examination questions and concerns within 48 hours of the key review via e-mail, or phone. The instructor will notify the student of their decision. Student representatives should contact the instructor first

Dakota Nursing Program Handbook 2015-2016

regarding questions about the test from their class; however, students have the right to contact the instructor individually.

3. An examination key will be available for students to review following the examination after all students at that site have taken the exam. Students who wish to view their individual examination may make an appointment with the Course Instructor, if on site, Nursing Coordinator, or designee. The students have 10 working days to look at these exams from the test date. Exams will not be available for semester course finals to review. Sites may designate specific review times.

Student Responsibilities If a student has concerns after reviewing an exam key the following process must be followed:  The student must contact the instructor in writing, email or by phone and detail their concern, providing page numbers from the text as supporting evidence.  Contact must be made within 48 hours of the initial review of the exam key. The letter or email must contain the student’s full name.

Adjustments to examinations can be made at the discretion of the instructor. The instructor will notify the student of their decision.

The student is responsible for keeping silent about the exam answers until all sites have taken the exam. This means there is to be no talking or writing about the exam with another student. If before all students have taken the exam a student talks to another student who has taken the exam about the exam a disciplinary action will be taken. If a student gives answers to a student who has not taken the exam, this will be viewed as cheating, (academic dishonesty), and both students may be dismissed from the program.

Dakota Nursing Program Handbook 2015-2016

ATI Nursing NCLEX Review Program Policy

The Dakota Nursing Program requires students to purchase and complete an ATI Nursing Review Program. This program is complete with the review modules (books (PN) or eBooks (AD), Skills Modules, online practice assessments, proctored assessments, and the ATI review package). The program measures student’s comprehension and evaluates their knowledge in relation to the most current NCLEX test plan, nursing process, critical thinking and priority setting. The intent of the comprehensive assessment and review program is to increase student pass rates on the NCLEX licensure exam, lower program attrition, and contribute to program evaluation. The comprehensive program provides tools to help students prepare more efficiently, as well as increase confidence and familiarity with licensure test content. Because of the correlation between content mastery and its application to the clinical setting, the review program is part of each clinical course.

To assist with both clinical application and successful NCLEX testing, each student will receive an NCLEX blueprint correlation after completion of each exam. The student should review the results of the assessment to identify specific areas of content weaknesses which will direct individual study in the form of remediation.

Students have access to the ATI resources for 2 years after graduation.

The ATI Critical Thinking Entrance Exam is taken during the beginning of the PN program year and upon an advance standing student’s entrance into the AD program. The Exit Exam will be given near the conclusion of the AD program. They are not graded and are used for student and program assessment.

To properly prepare for the proctored exams, students are expected to study by taking ATI practice exams until they score 90% or greater. Students will not be eligible to take the corresponding ATI proctored exams until they score 90% or greater on the practice exam. To obtain points, the practice exam must be at the 90% mark Sunday by 2359 the week it is due. Practice exams cannot be taken twice within 12 hours. If a student does not complete the practice exam and is unable to then take the proctored exam, that student and nursing coordinator will decide on a written plan for completion, consequences (including discipline) for additional delay will be delineated in this written plan.

The lead instructor for NURS 122, 124, 126, 227 and 259 submit the practice exam scores to the gradebook. The local coordinator or delegated ATI faculty will submit the proctored exam scores to the gradebook upon completion of remediation.

Year 1 – Practical Nursing Level Semester and Exam Week in Term Number of Time Allotment Course Administered – Questions subject to change Fall Critical Thinking Fall Week 2 40 40 minutes Entrance

Dakota Nursing Program Handbook 2015-2016

Fall Foundations of Fall Week 15 60 60 minutes NURS 122 Nursing Spring Mental Health Spring Week 6 60 60 minutes NURS 124 Nursing Spring Maternal/Newborn Spring Week 9 60 60 minutes NURS 124 Nursing Spring Nursing Care of Spring Week 15 60 60 minutes NURS 124 Children Summer Pharmacology Summer Week 5 60 60 minutes NURS 126 Summer Medical Surgical Summer Week 5 90 90 minutes/ NURS 126 Nursing 1.5 hours Summer PN Comprehensive Summer Week 6 180 180 minutes/ NURS 126 Predictor 3 hours Summer Management Summer Week 7 60 60 minutes NURS 126

Year 2 – Registered Nursing Level Semester and Exam Week in Term Number of Time Allotment Course Administered – Questions subject to change Fall Critical Thinking Fall Week 2 40 40 minutes Entrance for Advance Standing Students ONLY Fall Maternal/Newborn Fall Week 10 60 60 minutes NURS 227 Nursing Fall RN Fundamentals Fall Week 15 60 60 minutes NURS 227 Spring Nursing Care of Spring Week 4 60 60 minutes NURS 259 Children Spring 259 Nutrition Spring Week 8 60 60 minutes

Spring Community Spring Week 9 60 60 minutes NURS 259 Spring Leadership Spring Week 10 60 60 minutes NURS 259 Spring Pharmacology Spring Week 11 60 60 minutes NURS 259 Spring Critical Thinking Spring Week 12 40 40 minutes Exit Spring Medical Surgical Spring Week 13 90 90 minutes/ NURS 259 Nursing 1.5 hours Spring Mental Health Spring Week 14 60 60 minutes NURS 259 Nursing Spring RN Comprehensive Spring Week 15 180 180 minutes/ NURS 259 Predictor 3 hours

Dakota Nursing Program Handbook 2015-2016

ATI Point Table Contribution to Course Grade  Completion of ATI Content Mastery Proctored Exam equal to or greater than a Proficiency Level 3 Grade =100% = 100 points or Remediation encouraged  Completion of Comprehensive Predictor at or above a 94% predicted probability.  Completion of ATI Content Mastery Proctored Exam equal to or greater than a Proficiency Grade =92% = 92 points Level 2 Remediation encouraged or + 8 points after successful review = 100% = 100  Completion of Comprehensive Predictor at a points 92-93% predicted probability.  Completion of ATI Content Mastery Proctored Exam equal to or greater than a Proficiency Grade =84% = 84 points Level 1 Remediation required or + 8 points after successful review = 92% = 92  Completion of Comprehensive Predictor at a points 90-91% predicted probability.  Completion of ATI Content Mastery Proctored Exam below a Proficiency Level 1 Grade =76% = 76 points or Remediation required  Completion of Comprehensive Predictor +8 points after successful review = 84% = 84 below a 90% predicted probability. points Critical Thinking Entrance and Exit Exams are not Critical thinking exams are used for program reflected in the student grade. evaluation purposes. The entrance exam will be given upon a student’s entrance into the PN program or upon an advance standing student’s entrance into the AD program. The exit exam will be given near the conclusion of the AD program. Note – Remediation for the Comprehensive Predictor is the same as remediation for any other ATI exam. You must remediate and retake the exam.

NOTE: For those students who score at or below a proficiency level 1, remediation is required and the student will not pass the course until it is completed. If remediation activities are late, the student will not receive the extra 8 (points), but will still need to do the remediation. Remediation is considered successful when the student completes the instructor’s directions for remediation, completes the work, and scores a level 2 or 3 on the retake. If the 1st retake score is a level 1 or below, the student will not receive the 8 (points) increase in grade. The student is not required to remediate or retake a 2nd time if unsuccessful; however, this is certainly encouraged by the faculty and the student may receive the extra 8 (points).

A student with a score of level 2 on the first exam has the option of successfully completing the remediation activities for an increase of 8 (points) in their grade.

Dakota Nursing Program Handbook 2015-2016

Students receiving a Proficiency Level 2 or 3 are encouraged to use the ATI resources to remediate the questions they missed on the proctored exam.

Remediation Activities: 1. Meet with site coordinator or nursing instructor to develop plan for remediation using ATI and/or other resources. Bring a copy of Proctored Assessment test results (blueprint) to guide the remediation. Students are encouraged to use the focused review tool. The procedure is as follows: a. Create note cards with information about each question or topic the student missed as noted in the Topics to Review area. One note card per question with at least 5 points regarding that topic. Note cards are due 1 week after the exam. b. Complete online practice assessment with a 90% or greater within 1 week after the exam. The student must wait 12 hours between attempts if 90% is not achieved. Print and submit the student transcript to the instructor. c. Retake proctored exam within 1-2 weeks after the exam. The ATI price allows for one retake, the student does not have to do a 2nd retake. If the student chooses to retake a 2nd time, they will need to make additional payment to ATI. 2. Realize that remediation is ultimately the responsibility of the student. 3. Additional areas that a student may be required to complete for remediation are the DVDs and application case studies in the ATI materials. Site Coordinator or nursing instructor will make the decision on an individual basis whether the student needs to complete additional remediation assignments. Students will be given an incomplete until the assigned remediation is completed. Site Coordinator or nursing instructors have responsibility for assessing student completion of ATI remediation assignments. 4. A student must complete all remediation to complete the course. The student will receive an incomplete in the course until all remediation and retakes are completed. All remediation and retakes must be completed within 2 weeks of the end of the course or the student will receive a failing grade of D or F in that course. 5. Upon successful completion of remediation, the student will receive the points for remediation. (See ATI point table for the column labeled “contribution to course grade” for the numeric score the student will receive and also the update the student will receive after remediation.) *Students need to complete remediation within the stated timeframe or they will fail the designated course for failure to complete assigned work.

The ATI practice and proctored exams will be reflected in the course grade in NURS 122, 124, 126 227 and 259. Self-Assessment Inventory and Critical thinking exams are not reflected in the student’s grade.

Dakota Nursing Program Handbook 2015-2016

The PN Comprehensive Predictor is used as a tool in the application process for admission into the AD program. The student applying to the AD program must receive an individual composite score showing a 92% predicted probability of passing the NCLEX PN® or greater. A student may be considered for admission after a successful retake, however, the internal student scoring less than 92% probability on the predictor on first attempt will not be considered for admission until after all qualified applicants meeting the application criteria and deadlines have been screened and accepted. o Internal students achieving a score of less than 92% probability on first attempt will complete remediation and retake as described in this policies remediation activities area as usual. o Incoming students achieving a score of less than a 92% predicted probability on first attempt will be required to wait 30 days until retaking the predictor during which time that student may remediate on the topics they failed. o Comprehensive PN Predictor scores are valid for up to one (1) year prior to March 5th of the year of application. Students may have two attempts at passing the PN Comprehensive Predictor per application period.

AD students purchase the Live NCLEX Review. PN students have the option of purchasing the additional virtual review package. Nursing Coordinators discuss additional review options with those students scoring less than 92% on the Comprehensive Predictor to encourage extensive review before attempting to take the NCLEX PN® or NCLEX RN®

Criterion Referenced Proficiency Levels Guidelines:

Performances on content-specific course mastery examinations are based on Criterion Referenced Proficiency Levels. The Criterion Referenced Proficiency Levels are as follows:

The student meeting the criterion established for Level 3 is: 1. Very likely to exceed NCLEX standards in this content area.

2. Demonstrates a higher than expected level of knowledge in this content area that confidently supports academic readiness for subsequent curricular content.

3. Exceed most expectations for performance in this content area.

4. Demonstrates achievement of a level of competence needed for professional nursing practice in this content area that exceeds most expectations.

5. Meets benchmark and does not require remediation.

The student meeting the criterion established for Level 2 is:  Fairly certain to meet NCLEX standards in this content area.

Dakota Nursing Program Handbook 2015-2016

 Demonstrates a level of knowledge in this content area that more than adequately supports academic readiness for subsequent curricular content.

 Exceed minimum expectations for performance in this content area.

 Demonstrates achievement of a satisfactory level of competence needed for professional nursing practice in this content area.

 Meets benchmark and does not require remediation.

The student meeting the criterion established for Level 1 is:  Is likely to just meet NCLEX standards in this content area.

 Demonstrates the minimum level of knowledge in this content area required to support academic readiness for subsequent curricular content.

 Meets the absolute minimum expectations for performance in this content area.

 Demonstrates achievement of a minimum level of competence needed for professional nursing practice in this content area.

 Does not meet benchmark and requires mandatory remediation.

The student scoring below the Proficiency Level 1:  Does not meet benchmark and requires mandatory remediation.

Minimum scores for proficiency levels vary for each assessment in the RN Content Mastery Series. The National Standard Setting Study – ATI establishes each assessment score based on the NCLEX Test Plan.

Proctored Assessment A diagnostic tool of online multiple-choice questions designed in accordance with the NCLEX blueprint which provides scores for: mastery of nursing content areas, nursing process, critical thinking, therapeutic intervention, communication skills and cognitive levels. These assessments are provided in a proctored, timed setting. Assessments include Fundamentals of Nursing Practice, Medical-Surgical, Maternal Newborn, Nursing Care of Children, Mental Health, Pharmacology, and Leadership and Management.

NCLEX Blueprint Information Every test item on an assessment/test is categorized for nursing process, critical thinking and cognitive level.

Dakota Nursing Program Handbook 2015-2016

Online Practice (Non-proctored) Online multiple-choice questions designed to assess the effectiveness of students’ self- remediation. To help strengthen the students’ understanding of the material, rationales for each response-option are provided in an interactive style. These assessments are available to students at any time on an internet-connected computer.

Remediation To strengthen the identified weak-content areas from the proctored/secured assessments, students will refer to their course materials, textbooks, and the ATI Review Modules for more detailed nursing information. Module booklets and online Non-Proctored/Unsecured assessments are provided by ATI for immediate follow-up to assist the student in accountability for nursing content. These Review Modules help strengthen students’ review with content application in the form of critical thinking & priority setting exercises.

Remediation Scores After completing the above remediation measures, students will take (and possibly retake) the Online Practice (Non-Proctored/Unsecured) assessments until obtaining a 90% score.

Review Modules/Content Mastery Series Soft-covered booklets which are unit-based teaching guides covering nursing topics via concise summaries and key concepts in the format of: application exercises using a case study approach, open-ended questions with rationales for clinical decisions, and clinical application scenarios.

Goal of Remediation The intent of review/remediation is to enhance and reinforce previously learned information and is not designed to substitute for primary teaching.

NCLEX Preparation Module A booklet that includes NCLEX test-taking skills and testing procedures. There are no assessments associated with this module.

RN Comprehensive Predictor A comprehensive assessment written directly from the most recent NCLEX blueprint that evaluates the student’s preparedness for the NCLEX-RN and directs student’s remediation efforts in areas of identified weaknesses. This assessment also provides national percentile rankings and “cut score” information.

Percentage Score Number of items answered correctly divided by the total number possible. A student must achieve a percentage of 90 in non-proctored assessments.

Dakota Nursing Program Handbook 2015-2016

Dakota Nursing Program Math Guidelines Dimensional Analysis Originated 5-4-12, Rev 6-2014, 12-2014

The Dakota Nursing Program uses “factor labeling” or "dimensional analysis" (DA) in medical math calculations. This stepwise approach makes solving almost all problems a consistent process with a tendency for decreased errors.

Dakota Nursing Program (DNP) Math Guidelines: 1. Adhere to the Joint Commission Do Not Use list. http://www.jointcommission.org/assets/1/18/Do_Not_Use_List.pdf 2. Use a leading zero when your answer is less than one. Correct-(0.5 mg) Incorrect-(.5 mg). Always put a zero in front of a decimal. 3. Avoid trailing zeroes on any answer. Correct-(0.5 mg) Incorrect-(0.50 mg) 4. The answer’s label will be provided, please just input the numerical answer and do not repeat the label when you submit your answer.

Using the Dimensional Analysis Method 1. Determine the unit(s) needed for the answer, and place it as the unknown on one side of the equation. 2. On the other side of the equation, write a fraction with the unit(s) needed for the answer on top (numerator) with the corresponding unit(s) on the bottom (denominator). 3. To start cancelling out the unwanted units(s), multiply the first fraction with a second fraction that contains the same unit(s) in its numerator as the denominator of the first fraction. Again, put the corresponding unit(s) in the denominator. 4. Keep doing step 3 until all the unnecessary unit(s) can be cancelled on the right side of the equation. The remaining unit of measure on the right side of the equation should match the unknown unit of measure on the left side of the equation. 5. Solve the equation. 6. If the last decimal place is  5, then round the preceding number up. a. Ex: 1.57 = 1.6 1.45 = 1.5 0.686 = 0.69 7. If the last decimal place is < 5, drop the last decimal to round down. a. Ex: 0.543 = 0.54 8. Do not round too early. Do all your calculations and round at the completion of the entire problem. (With the exception of client weight – see next point.) 9. If the problem has the weight of a client in pounds, change that to kg and round that part to hundredths (nearest 2 decimal places) (i.e. 23 pounds = 10.45 kg). The weights are figured out and rounded before starting the problem. 10. Follow the test, quiz or worksheet directions on rounding in the problem. If they do not specify then follow the guidelines below. a. To figure out what and when to round, ask yourself which unit your number is representing (i.e., tablets, drops, ml, etc.).

Dakota Nursing Program Handbook 2015-2016

b. With ml answers, you need to imagine what type of syringe will be used to administer the drug. c. mL – The instructor will provide rounding instructions. d. Drops (gtts) - round to the nearest whole number (i.e., 26.125 would be rounded to 26). This is because it is impossible to have a part of a drop be administered. e. Units – round to the nearest whole number f. Capsules – round to the nearest whole number g. With tablets, if your answer is a whole number, just leave it. If your answer is not a whole number, round it up or down to the nearest whole number or 0.5. This is because a tablet can usually be easily broken in half, but not into 0.125th of a tablet. Tablets that are scored may be rounded to the nearest 0.5 or more rarely to the nearest 0.25 tab. h. At the conclusion of your calculations take a big picture look to see if it makes sense. If it doesn’t make sense, clarify and verify until you are comfortable with it. (Ex: an answer that would involve giving 4 or more tablets of something would definitely be a red flag and should be checked by another qualified person.)

Math Remediation – Effective spring semester 2015 a. Remediation will be directed by faculty at the local site b. Students will remediate if they obtain 90% or below on the quizzes and worksheets. c. If a student’s score is 60% or below on a quiz or worksheet, they will meet with the instructor and retake until they get 90%. d. Students obtaining less than 82% on a math exam will remediate and retake the test until obtaining a minimum grade of 82% to pass. The score of the original exam will be the documented gradebook score. e. If a student does not adhere to the remediation process, the disciplinary process begins.

Dakota Nursing Program Handbook 2015-2016

Attendance Policy

The Dakota Nursing Program supports the college policy on attendance as stated in your college catalog. In addition, the nursing program implements strict attendance policies for classroom, lab and clinical experiences.

Regular, punctual attendance demonstrates professional behavior and responsibility. In recognition of the fact that the primary learning takes place in the teacher-student relationship, the principle governing class attendance is that the student is expected to attend all regularly scheduled classes (classroom, laboratory, and clinical) and is responsible for meeting course objectives. Absences may make it impossible for a student to meet course objective and result in failure of the course. A student may be excused from class or clinical with the approval of the instructor. See course syllabi for course specific attendance policies. It is the student’s responsibility to make arrangements to fulfill missed assignments with the appropriate faculty member. All makeup work may have a deduction in theory, lab, or clinical applications. Please note that all missed hours in lab or clinical need to be made up with an hour for each hour missed.

After two days of theory absences, or one clinical/lab absence, a student will be required to meet and conference with the nursing coordinator or site manager and give a written explanation for the absences and provide a written plan for improvement. A student will receive an admonition notice for the 3rd theory absence, a critical behavior for the 4th theory absence, a critical behavior for the 5th theory absence and will then be dismissed from the program for excessive absences upon the 5thth theory absence. The student will be given an admonition notice for the 2nd clinical/lab absence, a critical behavior for the 3rd clinical/lab absence, and a 2nd critical behavior and dismissal from the program upon the 4th clinical/lab absence. If the clinical/lab/theory absences fall on the same day, the student will just get one admonition notice or one critical behavior for that day. The nursing leadership team has the authority to adjust the guidelines above in a case of extenuating circumstances.

Students will notify the coordinator/site manager AND the lead course instructor (or clinical/lab instructor if a lab/clinical is scheduled) 1 hour prior to a theory test, lab or clinical if unable to attend. (For a theory course absence, only the nursing coordinator or site manager needs to be notified.) Clinical absences will result in makeup clinical hours. The nursing coordinator will seek advice from the faculty on input related to this matter. “Notification” means that the student sends an email with the appropriate information or speaks directly to the nursing instructor or coordinator per telephone or in person. In the case of a clinical/lab day, the student must speak to the clinical instructor directly or if it is impossible to reach the instructor directly, the student must leave a phone message with the clinical instructor clearly stating their name and number.

Absences related to school sponsored activities, such as an athlete attending a basketball game in which he/she is participating are exempt from this policy. Coordinators must be notified and work made up in advance of the scheduled absence when possible.

Dakota Nursing Program Handbook 2015-2016

If a student has an unexcused tardy, or is unprepared for a clinical assignment, the student will be sent home by the clinical instructor and the day will be counted as an absence. The student will also receive an admonition notice for being unprepared for the clinical experience, along with a makeup day for that clinical.

If the student is tardy or leaves the classroom and/or lab early a total of three times, it will be counted as one absence. At that point the student will be required to meet with the nursing coordinator and give a written explanation for the tardiness and provide a written plan for improvement. A student may, at the coordinators discretion, receive an admonition or critical behavior notice. Leaving the classroom or arriving late to a classroom with more than a 30 minute absence will be counted as an absence.

Student Illness or Injury

The Dakota Nursing Program strives to provide quality education and quality client care in a safe environment. For the protection of students, client, clinical personnel, and faculty, the following policies must be followed: 1. Report any injury incurred in the classroom, lab, or clinical area to the nursing coordinator or site manager immediately. 2. If the student is absent due to illness or injury for greater than 1 week duration (classroom, lab, or clinical), the student must provide written medical clearance before returning to class. 3. Students who become impaired in their ability to adequately perform in the classroom or clinical environment due to misuse of prescription drugs may jeopardize a safe environment. Accordingly, student misuse of prescription drugs in the classroom/clinical/laboratory, on or off the College campus, will be cause for appropriate discipline, up to and including immediate suspension. 4. A student with a potentially communicable illness (including draining wounds) will be required to furnish written medical clearance before returning to the classroom, lab, or clinical. 5. A student with a cast, crutch, cane, splint, sling, drainage device or other device that impairs mobility or motion will not be allowed in the clinical area. Written medical clearance will be required before returning to the clinical area. Absences greater than that allowed by the program may result in a suspension from the program. 6. Students will notify the nursing coordinator immediately of any illnesses, planned or unexpected surgery or other procedures, or any other issues that may impact safe and effective client care or cause the student to be unsafe to self or others. If the student is deemed to be unsafe or unable to finish the clinical requirements, that student may be

Dakota Nursing Program Handbook 2015-2016

dismissed from the program. Non-notification of the nursing coordinator of such illness, surgery, procedure, or other illness may also be grounds for dismissal. 7. A student who is unable to meet the objectives of any course due to any reason, including but not limited to physical, mental, or emotional problems, may be dismissed from the program. Students are expected to provide safe and effective care for clients and care for clients who require lifting, moving, or transfer clients or equipment. 8. Students who are ill during the class/lab/clinical day may be sent home at the discretion of the instructor. Student Pregnancy

During the clinical rotation students may be assigned to areas that have potential to be dangerous for a pregnant person or developing fetus. Students who are known to be pregnant will not be assigned to such areas. For the well-being and safety of a pregnant student, the following policy must be followed. 1. A student who is pregnant must: a. Disclose pregnancy to the nursing coordinator and provide the estimated date of delivery calculated by her health care provider upon acceptance into the program or as soon as the student is aware of the pregnancy. b. Observe any pregnancy precautions/policies while in the clinical area according to that agency’s policy. c. Disclose any change in the student’s health status by immediately notifying the nursing coordinator. 2. Number of absences due to complications of pregnancy or delivery must not exceed the number of absences allowed in the attendance policy. Absences greater than that allowed by the program may result in suspension from the program. 3. Childcare arrangements will need to be in place once student returns to class after delivery. Children/newborns are not allowed in college classrooms.

Dakota Nursing Program Handbook 2015-2016

Progression

The nursing faculty of the Dakota Nursing Program has a responsibility to prepare graduates who are able to practice nursing in a safe and competent manner. The faculty take this responsibility seriously and will discipline or dismiss students for practice or behavior which is unsafe in either the clinical or classroom. Students in the Dakota Nursing Program are expected to act in a professional and ethical manner. Faculty may: 1. File a Conference Form See specifics below under conference form. 2. Give an Admonition Notice (see specifics under Admonition Notice and Admonition form) with accompanying Performance Improvement Plan (PIP) 3. Give a Critical Behavior Notice for serious, chronic, unprofessional, or unsafe behaviors (see specifics under Critical Behavior Notice and Critical Behavior form) with accompanying Performance Improvement Plan (PIP) 4. The clinical instructor may choose to send a student home with an unexcused absence for unprofessional behaviors. The student would also be given an admonition notice or critical behavior and would be placed on a Performance Improvement Plan (PIP)

The student is expected to act in a professional manner with the assistance of faculty input. If a student has acquired 1-2 critical behavior notices during the program, they will be dismissed from the program. If a student is placed on a Performance Improvement Plan (PIP) during the course of the nursing program, this action plan will remain in effect until completion of the program.

Conference Form: 1. A conference form is used by faculty to make note of positive events or not so positive issues with students. Conference forms are not disciplinary forms. They are used to keep track of events for either positive reinforcement or to document trends. These forms are kept in the student’s file. The information on a conference form should be discussed with the student.

Dakota Nursing Program Handbook 2015-2016

DAKOTA NURSING PROGRAM Bismarck State College • Dakota College at Bottineau • Lake Region State College • Williston State College

Conference Form

Program: ____PN ____ADN ____Paramedic Bridge Date: ______

Student Name: ______

Course Number and Name: ______Theory ____Clinical ____Lab

Situation: Exam Performance: Attendance/Punctuality: Skill Competency: Clinical Performance: S Professional Behaviors: Health Requirements: Other (specify):

Background:

Assessment:

Recommendation:

R Due Date for Follow Up: Consequences:

Faculty Signature: ______

Student Signature: ______

Student signature indicates confirmation of receipt of this notice.

Dakota Nursing Program Handbook 2015-2016

Admonition Notice: 1. Person responsible to complete form: Any nursing faculty (clinical instructor, nursing instructor, nursing coordinator, or nursing director). Faculty needs to include a full description of the event and recommendations. Faculty will address behavior causing admonition notice and parameters of the Performance Improvement Plan with the student within 48 hours of a normal workweek or before the next clinical. 2. Person who needs to sign off on the form and place in student’s file: Completed copy must be signed by nursing coordinator. 3. Situations in which an admonition notice is appropriate include but are not limited to: a. A student demonstrates unsatisfactory performance in the lab/clinical area. b. Performing without adequate preparation and knowledge. c. Ignoring advice or directions given by faculty or staff with no adverse complications d. Failure to report significant data to appropriate source with no adverse complications e. Unprofessional behavior or attitude exhibited in the classroom, laboratory, or clinical. f. Failure to follow agency/university protocol or policies with no adverse complications. g. Excessive classroom, lab, or clinical absences. h. A combination of any two admonition notices will result in one Critical Behavior.

Dakota Nursing Program Handbook 2015-2016

Admonition Notice

Student: Example-VOID ______Date of Incident: ______

Campus: ______Site: ______

Please check the appropriate incident situation below and make a full description of the incident with recommendations for student improvement.

Situations in which an admonition notice is appropriate include but are not limited to: a. A student demonstrates unsatisfactory performance in the lab/clinical area b. Performing without adequate preparation and knowledge. c. Ignoring advice or directions given by faculty or staff d. Failure to report significant data to appropriate source e. Unprofessional behavior or attitude exhibited in the classroom, laboratory, or clinical f. Failure to follow agency/university protocol and/or policies g. Excessive classroom/lab/clinical absences h. Clinical absence without notifying the clinical instructor before the start of the clinical day. i. Other FULL DESCRIPTION OF INCIDENT (may use back of form)

A Performance Improvement Plan must accompany each admonition notice.

The instructor may choose to send a student home with an unexcused absence for unprofessional behaviors. Clinical Instructor/Instructor: ______Date: ______

Coordinator: ______Date: ______

Student: ______Date: ______

Student signature on this form signifies the student received the form it does not signify agreement with the incident description. The student is welcome to respond in writing with that response then attached to this form in the student’s file. The response must be submitted within 10 working days or 2 weeks from the date the student receives the admonition notice. Copies: Student & Nursing Coordinator - A combination of any two admonition notices may result in one critical behavior notice.

Dakota Nursing Program Handbook 2015-2016

Critical Behaviors:

1. Person responsible to complete form: The nursing coordinator or nursing director. Faculty needs to include a full description of the event and recommendations. Faculty will address behavior causing critical behavior notice with the student within 48 hours of a normal workweek or before the next clinical. 2. Person who needs to sign off on the form and place in student’s file: Completed copy must be signed by nursing coordinator. In the event the occurrence happens at a distance site, the nursing coordinator will use scanning and emailing to communicate the written form and teleconference, AV conference or travel to be at the meeting with the student in person.

3. When a behavior/situation occurs in clinical or lab that merits a possible critical behavior, the instructor will send a student home with an unexcused absence and report the incident immediately to the nursing coordinator.

4. All of the situations include but are not to be limited to those noted in the admonition section of this handbook that have led to an adverse complication, or are a continued unprofessional behavior, or are deemed a serious behavior by the nursing coordinator.

5. Upon receipt of a critical behavior notice a student is considered to be on probation.

6. Faculty consultation and approval will be required prior to returning to classes or clinical.

7. A subsequent critical behavior will result in failure of the course, and dismissal from the nursing program and all nursing courses.

Professional Misconduct/Dismissal: Professional misconduct is defined as behavior that jeopardizes or potentially jeopardizes clients or anyone else the student is in contact with during their time in the nursing program including but not limited to colleagues, faculty, and college/clinical agency staff. The following examples are additional reasons for dismissal from the nursing program: a. If a person is found to be under the influence of alcohol and/or illegal drugs while on clinical. Students may not consume alcohol within 12 hours of a clinical rotation. b. Positive drug screen. c. Failure to disclose a positive background check or inability to complete clinical objectives because of a positive background check. d. Blatant breach of confidentiality e. Student actions or lack of action that cause a serious adverse complication. That would include death of a client, injury to a client requiring a longer hospital stay, or injury to another student, instructor, or medical facility staff or visitor. f. Physical or verbal abuse

Dakota Nursing Program Handbook 2015-2016

g. Behavior that may disrupt the normal activities of the school or clinical agencies, or violates their established policies and procedures. h. Scholastic dishonesty. i. Accumulation of two critical behaviors. j. The licensed nurse whose license to practice nursing is encumbered, revoked or suspended is dismissed from the nursing program. The licensed nurse who voluntarily surrenders his/her license to practice nursing must withdraw from the nursing program until such time as his/her license is active and unencumbered. Students must report all licensure issues to the nursing coordinator as they happen.

At any time a student may be terminated from the nursing program and all nursing courses for unsafe care (failure to follow agency or college policies and procedures) or failure to progress in the clinical area.

Dakota Nursing Program Handbook 2015-2016

Critical Behavior Notice

Student: EXAMPLE - VOID ______Date of Incident: ______

Campus: ______Site: ______

1. Unsatisfactory performance in any one critical behavior at any time will result in immediate dismissal from the clinical area for that day. 2. Faculty consultation and approval will be required prior to returning to the clinical area. 3. A subsequent unsatisfactory performance in any one critical behavior will result in failure of the clinical component of the course.

All of the situations to include but are not to be limited to those noted in the admonition section of this handbook, that have led to an adverse complication, or are a continued unprofessional behavior, or are deemed a serious behavior by the nursing coordinator

Please check the appropriate incident situation below and make a full description of the incident with recommendations for student improvement.

a. A student demonstrates unsatisfactory performance in the lab/clinical area. b. Performing without adequate preparation and knowledge. c. Ignoring advice or directions given by faculty or staff. d. Failure to report significant data to appropriate source. e. Unprofessional behavior or attitude exhibited in the classroom, laboratory, or clinical. f. Failure to follow agency/university protocol and/or policies. g. Excessive classroom/lab/clinical absences. h. Clinical absence without notifying the clinical instructor before the start of the clinical day. i. Failure to maintain confidentiality. j. Suspected or found to be under the influence of alcohol, prescription narcotic drugs and/or illegal drugs while in clinical/classroom/lab. Students may not consume alcohol within 12 hours of a clinical rotation. FULL DESCRIPTION OF INCIDENT (may use back of form)

A Performance Improvement Plan must accompany each critical behavior notice.

Coordinator: ______Date: ______

Student: ______Date: ______Student signature on this form signifies the student received the form and notification that they are on probation; it does not signify agreement with the incident description. The student is welcome to respond in writing with that response then attached to this form in the student’s file. The response must be submitted within 10 working days or 2 weeks from the date the student receives the critical behavior.

Dakota Nursing Program Handbook 2015-2016

PERFORMANCE IMPROVEMENT PLAN

Purpose: to ensure consistency in student development and evaluation.

Procedure: 4. The Performance Improvement Plan (PIP) will remain in effect until completion of the nursing program. If the behaviors are observed in any part of any subsequent nursing course, the student may be dismissed from the program without further warning. 5. When a student is placed on a PIP, the nursing faculty consults with the nursing coordinator to develop the plan before the faculty meets with the student. The PIP is a part of the students file at that point. 6. The student meets with the faculty as required by the PIP. 7. The nursing coordinator is part of the student’s exit evaluation of the course in which the PIP was initiated.

Dakota Nursing Program Handbook 2015-2016

DAKOTA NURSING PROGRAM Bismarck State College • Dakota College at Bottineau • Lake Region State College • Williston State College Orig. 7/2015 Performance Improvement Plan

Student Course Number and Name:______Name:______

PLAN FOR IMPROVEMENT COMMENT/DATE What is the problem to be addressed?

What objective/Program SLO or Professional behavior is not being met?

What is the desired outcome or goal?

What is the agreed upon plan for improvement?

Student plan and resources:

Faculty support activities:

How will the goal or desired outcome be measured? What should the student be able to achieve or demonstrate after completing the planned activities?

When must the student achieve this? Planned Review Date:______

Student Signature:______Date:______

Issuing Faculty Signature:______Date:______

Review Date:______

Upon Review: has improvement been achieved? Outcome/Goal met? Next steps?

Dakota Nursing Program Handbook 2015-2016

Student Signature:______Date:______

Issuing Faculty Signature:______Date:______

Lead Faculty Signature:______Date:______

Dakota Nursing Program Handbook 2015-2016

Probation/Suspension:

The Dakota Nursing Program has a responsibility to the community to graduate safe, reliable, qualified practitioners.

Probation: A student who does not meet the academic requirements is placed on probation in the Dakota Nursing Program.

Academic: Written notice of academic probation will be given if a student's grades are unsatisfactory at midterm. The student must make a written plan for improvement and discuss it with the nursing coordinator or faculty. If a student's grades fall below satisfactory after midterm, written warning may not be provided.

Clinical: Clinical probation occurs when a student fails to progress in the administration of client care. It is initiated by one or more clinical instructors, when in their evaluation; a student is not satisfactorily meeting the objectives of clinical experience. When a student is placed on clinical probation, he/she must show improvement within a specified time during the course in order to continue in the program.

Suspension:

Academic: Academic suspension from the program will result if a student receives an unsatisfactory grade for a nursing course or required general education course at the end of the term or fails to maintain 2.5 GPA Students may request to reapply to the program and repeat nursing courses only once. Permanent dismissal from the program will result upon a second failure of a nursing course or failure of a second nursing course. A grade of D or F is considered a failing grade.

The general education courses of the curriculum guide must be taken prior to, or as scheduled in the curriculum guide. If they are not taken as scheduled in the curriculum guide or are not passed with a C or better, the student will be dismissed from the nursing program. All general education courses in a semester are prerequisites for the courses in the next semester as listed on the curriculum schedule.

Clinical: 1. A student exhibiting behavior in the clinical setting which is deemed by the instructor to be unsafe to the mental, emotional or physical welfare of staff, clients, self or others shall be subject to immediate suspension from the clinical segment of the course, or portion thereof, in which the unsafe behavior is exhibited. Students failing to progress in clinic skills and knowledge are also subject to immediate suspension from the clinical course.

2. The instructor is to immediately notify the Nursing Coordinator who then notifies the Nursing Director of the Nursing Program of the suspension.

Dakota Nursing Program Handbook 2015-2016

3. A meeting will be conducted between the instructor, Nursing Coordinator, and student. The suspension may be temporary or permanent, based on the circumstances of the incident.

4. Students, who, in the opinion of their instructor, are unprepared for academic or medical reasons for their clinical assignments, may be removed from giving client care and may be graded unsatisfactory for that clinical day. These incidents will be reported by faculty to the Nursing Coordinator before the end of the student’s clinical day.

Appeal of Suspension: If a student feels he/she has valid reasons to appeal a suspension, he/she may follow the grievance process.

Safety to Practice: Practice Statement One essential element of safe nursing practice is a nurse’s functional ability: the competence and reliability with which a nurse is able to practice at any given time. (ND Board of Nursing Practice Statement, 2006)

Dakota Nursing Program Handbook 2015-2016

Grievance Policy

Student grievances concerning grades or suspension may be appealed if the student feels he/she has valid reasons for appeal. All written appeals must be signed and dated by the student.

Unsatisfactory Grade Appeal: 1. A student, who believes an unsatisfactory final grade does not represent fairly the quality of work done, may appeal in writing the grade to the instructor no later than 10 working days after the end of the semester in which the grade occurred.

2. The instructor may uphold or deny the appeal and must respond to the student in writing within 72 hours during the workweek. A copy of the response must go to the student’s nursing coordinator and the nursing director during this same timeframe.

3. If the appeal to the instructor does not resolve the issue, the student may appeal to the Nursing Director. Such an appeal must be made within 10 working days of the instructor's appeal reply. The Nursing Director must respond to the appeal within 72 hours of the usual workweek.

4. If this does not resolve the issue, the student may follow the procedure for Academic Appeals found in your college handbook/catalog.

Suspension/Dismissal Appeal: 1. A student, who believes they have been unfairly suspended or dismissed from the Dakota Nursing Program, may appeal to the Nursing Director within 10 working days notification of the suspension or dismissal.

2. The Nursing Director may uphold or deny the appeal and must respond to the student in writing within 72 hours of the usual workweek.

3. If this does not resolve the issue, the student may appeal to the Academic Officer at their home campus. Such an appeal must be made within ten workdays of the Nursing Directors appeal reply. The Academic Officer must respond to the appeal within 72 hours of the usual workweek.

4. Students seeking readmission into the program shall follow the readmission procedure found in this handbook.

Dakota Nursing Program Handbook 2015-2016

Chain of Command

Dealing with problems while Enrolled in the Dakota Nursing Program

In assuring a positive environment for learning, the Dakota Nursing Program has detailed the appropriate steps to be taken to identify problems and give faculty and students an opportunity to solve them. When something becomes a problem for you in the Dakota Nursing Program, bring it to the attention of the people who are in a position to resolve it. Therefore problems should be addressed by following the steps detailed below:

Step 1: The first step is to discuss the problem with your immediate instructor or clinical instructor in the area in which the problem occurred.

Step 2: If you and the instructor/clinical instructor are unable to come to a satisfactory solution, you should contact the site manager and nursing coordinator.

Step 3: If you and the site manager and nursing coordinator are unable to come to a satisfactory solution, you should contact the nursing director. (On the BSC campus, the department chairperson is also notified at this time.)

Step 4: If you are still dissatisfied at Step 3, you should activate the grievance or appeal process as detailed in your nursing handbook/college handbook/catalog.

It is considered unprofessional behavior to discuss problems with other faculty/staff not directly involved in this process. Unprofessional behavior is addressed in the following areas of this handbook:

A. Nursing Code for Nurses and Students B. Table of Professional Behaviors C. Probation and Suspension D. Critical Behaviors

The concept of following the chain of command is a vital component to the nursing profession. It is a nurse's responsibility to be familiar with chain of command throughout his/her nursing career.

Dakota Nursing Program Handbook 2015-2016

Withdrawal/Failure/Readmission

Students who fail to meet progression requirements will be allowed to repeat nursing courses one time only.

1. A Student who withdraws and has a passing average in all nursing courses may request readmission at the next term the course are offered or have the opportunity to reapply for beginning entry into the program if their concluding nursing course (NURS) GPA is less than 2.75.

If a student leaves the program for any reason and is requesting readmission for the following year, they will be required to send a letter to the coordinator of the site. Each request for readmission will be evaluated on an individual basis by the nursing leadership team if or when a position becomes available in the program. Nursing theory grade point averages must be 2.75 or greater to be able to be eligible for readmission to the program the next term that the course is offered.

2. Students with nursing course (NURS) GPA that is less than 2.75 will need to consult with the nursing coordinator for a plan to increase the GPA so the student can reapply for reconsideration for beginning entry into the program.

A student who has failed a nursing course twice or has failed two nursing courses or has any combination of failures/withdrawals/dismissals twice, (within the PN and AD program) will not be readmitted to the program for a third time. The student who has had a previous failure/withdrawal/dismissal in any other nursing program and is admitted into the program will only be allowed one failure and then will not be admitted a second time into the program. The student who has had two previous failures/withdrawal/dismissals in any other nursing program will not be admitted into the nursing program. Example One: Student fails NURS 120 and returns the next year and fails NURS 127. This is two fails and the student would not be readmitted. Example Two: Student fails NURS 120 and then returns the next year and completes PN program and goes into AD program and fails NURS 225. This is two fails (within the PN and AD program) and the student will not be readmitted.

Procedure:

A formal, written request for readmission must be made:

1. The student must notify the campus coordinator of the nursing program, IN WRITING, of his/her desire to re-enter the program. The letter needs to address the previous reason for discontinuance.

2. The student will have a minimum nursing course (NURS) GPA of 2.75 to be considered for readmission to the program the next term that the course is offered. 83

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3. The student may have a personal interview with the nursing coordinator.

4. The readmission request will be decided on by the leadership team. The nursing coordinator will then inform the student whether they need to repeat the entire program or whether they will be re-admitted to the program at their withdrawal point.

5. Each student will be permitted only one re-admittance to the nursing program.

6. If the nursing courses are more than 12 months old, the nursing coordinator and/or leadership team may request that the students repeat the course(s) or that they take a validation (course evaluation) exam. Students must pass the validation exam at an acceptable level determined by the nursing department. (ATI proctored exams must be passed at a level 2 or 3. A level 1 or below 1 is not acceptable.)

7. The student may also be required to show competence by demonstration of selected nursing skills. If the student does not pass the skills, they will need to re-take the respective clinical course. The student may also be required to retake the accompanying co-requisite clinical course with a previously failed theory course.

*Students planning to return to the program should do so within one year of termination if possible. Requests for readmission occurring after one year of termination may incur auditing/repeating of classes previously completed.

Dakota Nursing Program Handbook 2015-2016

Nursing Graduate Pinning

The pinning ceremony is a special nursing tradition. A nursing program pin is presented to the nursing student near the end of their program. Pinning ceremonies (date/location) are scheduled by the nursing departments at each campus. Students and faculty will work together to plan the celebration. The nursing coordinator or site manager must give full approval to the program and presentation.

Student File Retention

Student records will be securely maintained in the nursing department. Student records will be purged after five years from graduation. After the five years are completed, the student record will be the responsibility of the college’s student services department and will include at minimum, the student’s transcript.

The nursing department highly recommends that students keep their course syllabus from each nursing course. Graduates may need these materials for continuing their college education.

Dakota Nursing Program Handbook 2015-2016

Student Organizations and Committees

A number of college organizations and committees are available for student participation. Refer to your college handbook/catalog.

1. Nursing students are eligible for participation as a representative to the nursing faculty meetings. Students are elected to this position by their classmates. 2. Students in the Dakota Nursing Program are encouraged to join a local association for nursing students - Student Nurses’ Organization (SNO). The Student Nurses’ Organizations will follow the by-laws of their local chapter. The SNO faculty advisor attends each SNO meeting.

The SNO groups at the DNP campuses have been involved in many community services from taking BPs at a local screening, raising money through raffles for local charities and assisting people from their communities to acquire needed medical equipment.

The objectives of the Student Nurses’ Organization (SNO) include to: a. Promote and encourage participation in community affairs. b. Represent and promote nursing students and nursing to the faculty and the community. c. Promote students’ participation in interdisciplinary activities. d. Promote and encourage recruitment activities promote cooperation and networking among students. 3. Along with your local SNO, students are encouraged to join the National Student Nurses Association (NSNA). Each college of nursing within the Dakota Nursing Program can establish their own chapter of NSNA to enhance their SNO. The activities and membership in NSNA is to enhance and not replace SNO. NSNA is your professional connection to nursing at the national and state level. This association is for nursing students enrolled in college or university programs leading to an associate degree, diploma, or baccalaureate degree in nursing.

When you become a member of NSNA you also are a member of your state organization, Nursing Student Association of North Dakota (NSAND). NSAND has members from all of the university programs in the state. They have an annual convention and a mid-year meeting which is held in conjunction with the North Dakota Nurses Association. They also have an annual service project, scholarships, individual recognition awards, and chapter awards.

Dakota Nursing Program Handbook 2015-2016

To join NSNA go to: www.nsna.org and click on MEMBER SERVICES. The cost for ND is $30.00 for new members, $35 to renew your membership, and $60 for two years

NSNA Mission:

Bring together and mentor students preparing for initial licensure as registered nurses, as well as those enrolled in baccalaureate completion programs; convey the standards and ethics of the nursing profession; promote development of the skills that students will need as responsible and accountable members of the nursing profession; advocate for high quality, evidence-based, affordable and accessible health care; advocate for and contribute to advances in nursing education; and develop student nurses who are prepared to lead the profession in the future (National Student Nurses’ Association, 2011/2012 Membership Brochure and Application to Join).

4. Students, maintaining academic standing, are also encouraged to participate in other school organizations.

Guidelines for Student Representatives at Nursing Faculty and Student Affairs Meetings

Student Representatives to the Nursing Faculty and Student Affairs meetings: 1. Are encouraged to attend all Faculty and Student Affairs meetings. If the representative cannot attend, their alternate may attend if one had been designated. 2. Are not voting members of the Faculty and Student Affairs Committee. 3. Are expected to report back to their class with appropriate information from the meeting. 4. May initiate comments and class concerns relating to the nursing class and the nursing program. The Chain of Command must be followed at all times. When classroom concerns arise, students must initially contact their nursing instructor and attempt to solve the issue, following the Chain of Command. If after contacting the nursing instructor, coordinator, and director, the students are still unsatisfied, the matter may be brought to the Nursing Faculty and Student Affairs meeting. The Chain of Command is utilized to ensure that problems will be brought to the attention of the people who are in a position to resolve them. 5. May make suggestions and comments relating to planning, assessment, evaluation, curriculum, etc. as the faculty moves through these processes to improve the nursing programs. 6. Are expected and required to maintain a professional manner at all times. Information which may be confidential in nature may not be shared with anyone. 7. May suggest agenda items as appropriate.

Dakota Nursing Program Handbook 2015-2016

Student Employment

The Dakota Nursing Program follows your college policy on student employment and college work-study, as stated in your college catalog/handbook.

It is recommended that students work no more than 24 hours per week. Maintaining the required GPA in all required courses should receive priority over outside employment. Arrangements should be made, if possible, to have one day of the weekend to rest and relax for the sake of one's health.

Book Requirements

Students are required to have a copy of each book and/or materials as required by the instructor for each course. This is mandatory for students in the Dakota Nursing Program. Books will be used from semester to semester, so students are strongly encouraged to keep their nursing books until they have completed the nursing program. Students are also encouraged to keep their books as references after graduation.

Faculty/Student Communication

Faculty/students are responsible for checking bulletin boards and/or mailboxes as appropriate at each campus for messages each class day. Email is used extensively within the eCollege Learning Management System. Students are responsible to have a working college email account and check it daily during the semester. Students must also check eCollege announcements in each course at least once per week.

o It is the expectation of the Dakota Nursing Program that nursing faculty and students respond to communications from other faculty or students within 24 to 48 hours during a work week.

o Faculty and students must identify themselves professionally with each contact (mail, email, or telephone). This includes first and last name as well as identification of location within the consortium.

Inclement Weather Procedure

Due to the Dakota Nursing Program covering a large part of ND, we follow a specific protocol in regard to weather. While it may be a blizzard is occurring in Bismarck one day it may be beautiful in Williston. It usually takes a couple of days for a blizzard to go across the state and we cannot afford to shut down all that time.

The instructor who is teaching the class should go ahead and present if their home campus is open. For another campus that is closed for the day, students may utilize Tegrity so they do not get behind. So if the campus is open, class goes on. If your campus is closed, then you will use Tegrity. 88

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If the instructor is presenting from a campus that is closed for the day we will need to be creative in how we make up. The instructor and coordinators from any campuses that are closed for the day need to be in communication and deal with any make up on a campus by campus basis. The campus coordinator is the best person to judge the weather at each site.

To summarize:  If your campus is open - come in for class.

 If your campus is closed – Tegrity the class.

It is the student’s responsibility to communicate with your campus coordinator or clinical instructor to make up any class/lab/or clinical time.

***Campus sites that are open will administer exams. If your site is closed, your exam will be delayed so your site can all take it together. If you are located at a distance site, your campus coordinator and site manager will work together to make the decision on when to administer the exam.

If you have any questions about what is happening with the weather, call your local coordinator/site manager or in the case of a clinical day - call your clinical instructor. As with almost every other situation in life - communication is the key in successfully dealing with the weather situation.

Sometimes it is not safe for you to attend class if you are driving from a distance to your campus. You need to be prudent in your decision whether you are coming in or not. Most of you have worked in medical facilities and know how to judge the weather when deciding whether to come in for work or not.

Remember that we are not only preparing you academically to be nurses, we are also preparing you to be responsible employees in the workplace.

If a campus is closed, the IVN department at that campus is also closed and the IVN delivery mode for that course is cancelled.

Uniform, Supplies and Equipment

Upon acceptance into the nursing program, students are required to purchase the following equipment for use in their clinical nursing courses:

 Designated Uniform/scrub set  Watch with a second-hand  Bandage scissors  Penlight  Stethoscope  Blood pressure cuff

Dakota Nursing Program Handbook 2015-2016

 Name badge  Professional shoes (described on following page) with uniform  Black dress slacks and specified shirt  Dress shoes to wear with black slacks.  Optional per site: White lab coat (not to be worn during acute clinical)  Optional per site: Long sleeved cover-up in the same color as scrubs  Optional per site: Polo shirt as designated at your site.

Nursing students are expected to maintain a professional appearance at all times when they are in the clinical area. Uniforms/scrub suits are to be worn only in the clinical area. The following guidelines should be followed:

Uniform:

During clinical, the standard uniform for the nursing student is scrub pants and top of a predetermined color and style, which is professional in appearance. Students may wear a short sleeved t-shirt under uniform if approved by coordinator at your site. Several clinical sites do not allow t-shirts under scrubs. Please follow the policies at your clinical site and do not wear t- shirts if they are prohibited. All clothing worn in the clinical setting should be non- revealing, clean and properly fitting. Students may not wear the white lab coat during an acute clinical. White lab coats will be worn per site requirements. When collecting data prior to a scheduled clinical, the student will wear a clean white lab coat, either hip or knee length (with nametag). Jeans/denim of any color is not acceptable clothing in the clinical area. Students will wear dress clothes composed of black slacks, program designated polo shirt, and dress shoes. T-shirts and sweatshirts are not appropriate.

Name Badge: The name badge must be worn to identify the student in the clinical area at all times. The name badge will be ordered through the Dakota Nursing Program. The student is responsible for the cost of the name badge.

Program Patch: The Nursing Program patch will be worn on the scrub uniform sleeve/lab coat sleeve on the left side and 2 inches down from the top of the shoulder.

Personal Grooming: Hair must be clean, well groomed, and well controlled so that it does not hang in the eyes or around the face. Hair, shoulder length and longer, needs to be pulled back. If hair is pulled back from the face and fastened, it may touch the shoulders and/or uniform. Beards and mustaches must be trimmed neatly.

Extreme hairstyles and/or colors (for example: blue, pink, green or unnaturally red) are inappropriate for the clinical area. Makeup should appear natural; excessive use of cosmetics is inappropriate. Extremes may be offensive to some clients.

No jewelry is to be worn except a watch and wedding ring. If ear lobes are pierced, one small plain set of posts or studs may be worn. Cartilage piercing or spacer/expander jewelry items (Nose/eyebrow/tongue rings etc.) are not acceptable in the clinical area at any time. It is not

Dakota Nursing Program Handbook 2015-2016 acceptable to cover the piercing/spacer jewelry with band aids. They must be removed before coming to any of the clinical areas.

Personal cleanliness is essential. Nails must be clean and well-trimmed. Clear nail polish only. No artificial nails will be permitted in the clinical area. Artificial nails can harbor and transmit harmful organisms. There is to be no gum chewing, no tobacco chewing, no smoking in the clinical area, nor smoking prior to the start of the clinical, where the smell of smoking is on the clothing.

Visible tattoos may be requested to be covered during clinical by the nursing coordinator.

Fragrances, such as those in colognes, after shave, and perfumed lotions can cause nausea and allergic reactions in the client and therefore are not to be worn in the clinical area. Note: In addition to the clinical area, if any of your classmates are allergic to perfumes, please be considerate and not use them in the lab and classroom.

Students will be sent home to correct any odor that is offensive, including smoke, perfume or other fragrances. Information regarding smoking cessation programs or other options is available upon request from the nursing faculty. Failure to comply with this may be grounds for disciplinary action.

Shoes: Students will wear a supportive shoe which is conservative and professional looking, in a predominately solid color with clean laces. No open toe or heel (complete foot needs to be enclosed) shoes are to be worn. Socks or hosiery must be worn, no bare feet/legs. Hose/socks color should coordinate with shoe/scrubs color. Shoes are to be kept clean and only worn for clinical and lab.

The clinical instructor has the right to determine whether a student's appearance is appropriate for the clinical area. The instructor has the right to send the student home if his/her appearance is not appropriate.

All institutional clinical policies that are more stringent in requirements will override the Dakota Nursing Program policy.

Dakota Nursing Program Handbook 2015-2016

Health Policies

The Dakota Nursing Program follows the college policies on health concerns regarding AIDS, AIDS-related complex, Hepatitis B, health insurance and measles/rubella immunity, etc. See your college catalog/handbook for detailed information.

Liability Insurance

The Dakota Nursing Program carries student liability insurance. Insurance verification is on file in the office of the nursing coordinator. This charge may be noted on your student fees.

Health Insurance

Students are required to provide their own health insurance coverage and are responsible for any medical expenses incurred while enrolled in the nursing program. Written proof of individual insurance is required prior to participating in clinical experiences. Students who are unable to carry their own health insurance must sign a Waiver of Health Insurance form.

Measles, Mumps and Rubella

All nursing students at all sites shall provide to the school evidence of measles, mumps and rubella immunization/immunity by:

 Presenting evidence of two doses of measles (rubella), mumps, and rubella vaccine no less than one month apart (2 MMR immunizations), or

 Proof of a recent positive blood titer for measles, mumps and rubella.

A clinical institution may require that you provide further evidence of immunization, of which you will be obligated to complete before the start of the clinical experience.

Tuberculin Testing

Nursing students assigned for clinical experiences are required to have an annual negative TB test or a negative chest X-ray on file. Students who are positive reactors must have verification of a negative chest X-ray on file before functioning in the clinical units. This testing/verification must be repeated annually, or as required by the clinical institution. (Some clinical institutions require a second TB test within 3 months of the first. You are required to comply with all policies of your clinical sites.) Please contact the nursing coordinator before testing if you might possibly be pregnant.

Acquired Immune Deficiency Syndrome

This policy must be applied individually, taking into account the psychological, physical, and behavioral characteristic of the individual involved. Students who know or suspect they are

Dakota Nursing Program Handbook 2015-2016 infected with the AIDS virus are strongly encouraged to seek assistance from the college and/or community for medical treatment and counseling services. See your college catalog/handbook.

Routine screening of students for HIV viral infection is not recommended. HIV screening shall not be a requirement for admission and/or attendance at the college.

Students diagnosed as HIV positive shall follow their respective clinical agency's policy regarding any client care restriction. Students caring for HIV positive clients in the clinical setting shall follow current CDC guidelines and the respective agency guidelines.

The college shall not publicly reveal the identity of an individual known to be HIV positive.

Hepatitis B

Hepatitis B virus (HBV) is a potential life threatening blood borne pathogen. Approximately 8700 health care workers each year contact Hepatitis B. Some who contact HBV will become carriers, passing the disease on to others and yet may have few or no symptoms HBV infection is transmitted though exposure to blood and other infectious body fluids and tissues. Anyone with occupational exposure to blood (i.e. nurses, doctors, student nurses, etc.) is at risk of contracting the infection. This infection can result in liver ailments which can be fatal, including cirrhosis of the liver and liver cancer. The best defense against Hepatitis B is vaccination. It is strongly recommended that you receive vaccination to protect you from this disease. This vaccination is given in 3 separate vaccines over a period of 6 months, so it is imperative to begin the regime as early as possible.

The above information is from The OSHA Handbook.

You must sign a declaration prior to attending clinical experience if you decide not receive the Hepatitis B vaccine. Those campuses with clinical facilities that require students to have the HBV vaccination will notify students of this requirement.

Chicken Pox

Chickenpox is caused by varicella-zoster virus (VZV) and is usually mild, but it may be severe in infants, adults, and persons with impaired immune systems and is highly contagious. Every year there are approximately 5,000 – 9,000 hospitalizations and 100 deaths from chickenpox in the United States.

The vaccine is approved for susceptible adolescents and adults, especially those in close contact with persons at high risk for serious complications (e.g., health care workers, family contacts of immunocompromised persons). Students must show evidence of Chicken Pox vaccine x 2, a positive blood titer or sign a date they had the disease (Physician documentation of disease is required if a clinical site requires it).

Dakota Nursing Program Handbook 2015-2016

Influenza

If the clinical agency requires students and faculty to receive an influenza vaccine, the requirement will be met by students and faculty by obtaining the influenza vaccine annually with a deadline of November 1st. Exceptions will be the same as those accepted by the clinical agency for their own employees.

Table on Clinical Requirements (Immunizations and CPR)

All students and faculty/instructors must show evidence of the following:

Requirement Comments MMR vaccine x2, (measles, mumps, and rubella vaccination) or positive blood titer Chicken pox vaccine x2 or positive blood If required by the clinical site, students are required to titer or sign a date they had the disease provide physician documentation of the disease, just (Physician documentation of disease is stating a history of the disease is not adequate for required if a clinical site requires it). those sites. Hepatitis B x3 or positive antiHBS titer or If required by the clinical site, students are required to student declination of vaccine have had the vaccine or a positive titer. Declination is not accepted at some sites. Annual seasonal influenza – if required by *Exceptions to the seasonal influenza may be made for your clinical facility students and instructors who have medical contraindications, such as egg allergy, history of Guillian-Barre within six weeks of influenza vaccination, and anaphylaxis after influenza vaccination, and those that have submitted concerns and have been granted an exemption by the clinical facility DON. Negative reading of a tuberculosis test Some institutions require a 2nd TB test within 3 months within the past 12 months. of the first. You are required to comply with all policies of your clinical sites. CXR result if TB test is positive – follow policy of clinical site. CPR AHA or American Red Cross – need to have Health Care Provider Complete Immunization Verification form and attach all required evidence to that form.

Standard Blood/Body Fluid Precautions

Students are required to follow standard blood and body fluid precautions during clinical experiences. This includes the use of gloves, protective eyewear, face shields, gowns, and masks when appropriate. Use of standard precautions is intended to protect both the student and their clients.

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Housing/Transportation

The Dakota Nursing Program follows the college policies on housing found in your college catalog/handbook.

Students are responsible for their own transportation related to the clinical experience. Students and faculty will not transport clients in their own automobiles, as there is no liability coverage in the event of accidents.

Students are responsible for all expenses related to clinical experiences. This includes room, board, travel and other personal expenses. If a clinical experience requires an overnight stay, the faculty will make available to the student a listing of reasonably priced accommodations at the site.

Basic Life Support (BLS) for Health Care Providers

Students entering the Dakota Nursing Program must show evidence of current training in:

 American Red Cross CPR for the Professional Rescuer (PR)/Health Care Provider

 American Heart Association BLS for Health Care Providers to include infants, children and adults.

The Dakota Nursing Program provides a list of CPR providers prior to the clinical experience. A nominal fee is usually charged for a CPR course. Evidence will consist of written notification with the effective date and words American Heart Association and/or Red Cross on it. A student without evidence of current Basic Life Support for the Health Care Provider will not be assigned to a clinical area and will be subject to suspension. Clinical hours missed are subject to makeup. Students must maintain BLS certification for the Health Care Provider throughout the nursing program. Online courses will not be accepted.

HIPAA Certification

Students must successfully complete HIPAA training (including examination) before beginning onsite clinical experiences. All students (PN, Paramedic Bridge, and AD) must complete this certification annually.

Dakota Nursing Program Handbook 2015-2016

Dakota Nursing Program

Policy: Medication Administration

The process for administering all routes of medications is as follows:

In the clinical area, the student will:

1. Review the MAR (including doctor’s orders when necessary). The client’s MAR should be present throughout the procedure.

2. The student WILL check armbands when available or identify the client/resident by his/her picture or have the client/resident state his/her name. (Student must use at least two forms of identification.) When armbands and pictures are unavailable and the client/resident is unable to state his/her name, the student nurse may consult with a nurse employed at the clinical site for identification purposes.

3. Administer the medication using the 6 rights of medication administration: 1. Right client 2. Right medication 3. Right dosage 4. Right route 5. Right time 6. Right documentation

4. Document the medication administration on the MAR in the appropriate manner, immediately after administration of medications. The instructor and student will both sign the MAR.

5. Sign off narcotics per facility policy prior to leaving the Medication Administration area. The instructor and student will both sign the MAR.

The student will complete in full steps one through six BEFORE initiating any other tasks or beginning medication administration for a second client.

Faculty will supervise student medication administration.

There will be NO deviations from this procedure.

**If facility policies differ from the Dakota Nursing Program Medication Administration policy, the instructor will contact the nursing coordinator. The nursing coordinator has the final decision on whether students may administer medications at a clinical facility in this case.

Dakota Nursing Program Handbook 2015-2016

Dakota Nursing Program

Policy: Student Incident/Near Miss Report (may include Medication Errors)

When an incident which may include a medication error has occurred during a clinical rotation, the student and instructor are responsible to complete the required paperwork. Grading for the day will reflect the seriousness of the error on the student performance evaluation in the safety and medication areas. An admonition notice will be generated from the instructor.

The instructor and the student will sign off on paper work completed at the facility on the date of the incident. Facility policies will be followed.

The Dakota Nursing Program’s Incident/Near Miss Report (see following page), medical facility, and North Dakota state forms will be completed and signed by both the student and instructor.

Originated 5/2004 Revised 7/2015

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Dakota Nursing Program

___Incident Report ___Near Miss Report (Please check appropriate situation)

(Must be filled out within 24 hours of incident and given to Clinical Instructor) (Medical facility and state forms will also be completed as appropriate)

Student Name: ______Date: ______

Home Address: ______

Date of Incident: ______Time: ______

Location of Incident (give exact location): ______

Property involved [ ] Equipment involved [ ] Describe: ______

Description of events leading up to incident: ______

Describe what happened—Why it happened. If property or equipment was damaged, describe: ______

Name of witnesses: ______

Saw a physician: Yes No Date: ______Name of Physician: ______

Reported to Clinical Instructor: Yes No

Reported to Charge Nurse: Yes No

Instructor signature: ______Date: ______

Student signature: ______Date: ______

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Dakota Nursing Program

Policy Title: Biohazards/Infectious Wastes

Policy: The student nurse (SN) will come in contact with biohazards/infectious waste material when working in clinical settings and will be taught to properly discard this material.

Procedure: 1. The SN will properly discard hazardous/infectious waste according to the policy of the clinical institution in which he/she is practicing. Hazardous/infectious includes: a. Any material that is “saturated” or has free flowing blood or body fluids that can drip, splash, or flake from a dressing or container. - blood/blood components - semen/vaginal secretions - amniotic fluid - synovial fluid - pericardial/peritoneal fluid - cerebral spinal fluid

b. Disposal Sharps - Used - Unused

c. Potentially Infectious: Sputum/Urine/Feces/Vomitus may or may not be “visibly” contaminated with blood.

d. Disposable item (pad, dressing, etc.) contaminated with the following that may be found in any quantity from clients known/suspected of a highly communicable disease. - Blood - Excretions - Exudate - Secretions

e. General waste “non” red bag waste - Cotton balls/Band-Aids - Gloves - Nasal secretions - Tears - Sweat - Paper products

In the clinical laboratory setting, the SN will dispose of any used sharps in the proper sharps container provided by the college. When the sharps container is full the SN notifies the nursing instructor, who will dispose of the container.

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Dakota Nursing Program

Policy: Biohazards/Infectious Waste Exposure Control Plan

Purpose: All student nurses (SN) shall fill out an Exposure Report at the place where exposure occurred. This report will be investigated by the institution where incident occurred as well as by the Dakota Nursing Program.

OSHA Definition: Occupational Exposure means reasonably anticipated skin, eye, mucous membrane, or parenteral contact with blood or other potentially infectious materials that may result from the performance of an employee’s duties.

A. Procedure: Exposure Occurrence at an institution

1. Should an exposure occur, the SN will follow the steps for reporting an exposure per institutional policy (institution where exposure occurred). This paper work must be completed within 24 hours of incident and given to the immediate Clinical Instructor as well as the immediate supervisor of the place of exposure. The Clinical Instructor will in turn notify the Dakota Nursing Program Coordinator as soon as possible. This may be done per telephone conversation or in person. 2. The SN and Clinical Instructor will submit a copy of all incident reports to Dakota Nursing Program’s Coordinator no later than 24 hours after the incident along with any reports or actions. 3. All Exposure Reports shall be kept confidential. 4. A SN desiring medical counseling or further information on medical management concerning an exposure to HIV (AIDS) or Hepatitis B (HBV) viruses should direct concern to Dakota Nursing Program’s Nursing Coordinator. 5. A SN may be seen at the doctor’s office or, if after hours, at the Emergency Room at their local hospital if deemed necessary by the Clinical Instructor or Dakota Nursing Program’s Coordinator.

B. Exposure Occurrence in classroom

1. Should an exposure occur while in a classroom setting, the SN must report the incident to the immediate Clinical Instructor. 2. The SN must fill out an Incident Report form within 24 hours of the incident and give it to the Clinical Instructor. 3. The Clinical Instructor must fill out the Risk Management Incident Report. All paper work must be turned into the Dakota Nursing Program Nursing Coordinator within 24 hours. The Nursing Director will receive copies. 4. All paper work for an exposure will be obtained from the Dakota Nursing Program Coordinator.

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Policy: Administration of Seasonal Flu Vaccine Health Promotion Activity

Purpose: The Student Nurse (SN) will work in conjunction with area health care facilities to provide and protect clients against the influenza virus. The SN will, upon the request and when feasible with classroom schedules, assist area health care/long term care facilities in administering the seasonal flu vaccine.

Procedure: Review material regarding administering of injections in your Fundamentals of Nursing text, seasonal flu vaccine policy, and informational handouts provided by the Centers for Disease Control for information on: types of flu vaccine, vaccine effectiveness, vaccine side effects, and emergency interventions.

Upon the request of the college Nursing Coordinator, the SN will:

1. The SN will review the recommendations provided by the Centers for Disease Control for the current flu season. SN’s will display knowledge regarding the flu vaccine and epinephrine in the areas of: a. Medication category/class b. Mechanism of action c. Therapeutic effect d. Adverse effects e. Toxicity f. Contraindications/precautions g. Preparation, dosage, administration h. Nursing implications i. Emergency treatment/response

2. Meet the clinical instructor/preceptor at the designated facility to assist in administration of the flu vaccine at the time set by the infection control nurse (or designated person).

3. It is mandatory that the SN wear their student scrubs along with their name tag when doing this clinical experience. a. Students may wear their white lab coats.

4. SNs will use the following method to administer the flu vaccine as required by the clinical agency: a. Disposable gloves will be used at all times. Nursing Coordinator will verify with the health care facilities for this project, making sure latex free, powder free gloves are used and hand-washing facilities or hand sanitizers. b. The SN will assess the client for any allergies that may contraindicate the administration of the flu vaccine. The client’s temperature will also be assessed

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before administration of the vaccine. If the client is experiencing a fever or has a mild to severe illness, the vaccine will not be administered. The staff nurse or infection control nurse will be notified immediately. c. Using the appropriate syringe and needle supplied by the health care facility, the appropriate amount of the flu vaccine will be drawn into the syringe. (Some syringes are pre-filled so you would then check that the pre-filled dose is correct.) Nursing instructors will verify each student’s syringe for correct dose to be administered. The SN will assess the client for any allergies or contraindications to the flu vaccine. The SN will identify the deltoid muscle and administer the vaccine by using aseptic technique. If the client’s deltoid muscle is not the preferred site to use, the clinical instructor and the SN will together re-assess and identify the proper injection site. Once the injection is administered, the SN will assess the injection site and client for any immediate side effects or complications. A band aid will be applied to the injection site. d. The SN will educate clients on the side effects of the flu vaccine as stated by the Centers for Disease Control. The SN will demonstrate compassion and concern for comfort during the injection process.

5. If a client exhibits life-threatening side effects the SN and the Clinical Instructor will take immediate action per emergency protocol. This would include: a. The charge/staff nurse and the infection control nurse would be notified. b. If necessary, the required dose of epinephrine supplied by the health care facility will be administered.

6. The SN and clinical instructor will document accordingly to all health care facilities protocol.

7. It is the responsibility of the Clinical Instructor to make sure: a. The Dakota Nursing Program Seasonal Flu Vaccine Policy is followed at ALL times by ALL SNs. b. That the appropriate supplies (such as, but not limited to) be available to all SNs. i. disposable gloves ii. syringe and needles iii. alcohol pads iv. band aids v. flu vaccine vi. epinephrine

8. It is the responsibility of the health care/long term care facilities to make sure: a. A pair of disposable latex free, powder free gloves are provided for each client. b. Appropriate supplies (listed above) are readily available. This includes hand sanitizers. c. A designated member of the health care team is appointed to whom the clinical nursing instructor will bring the individual who experiences immediate side effects.

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d. A specific area has been designated and provided with privacy curtains/screen for the SN to administer the flu vaccine. This area must also have adequate lighting and space to ensure safety for each client receiving the flu vaccine. e. Clients are waiting in the designated area and available for administration of flu vaccine in an orderly fashion. f. Health care workers are available to assist in the identification of each client.

9. The Clinical Instructor (s) and/or SNs will assist staff/charge nurse with any clean up required by: a. Placing disposable supplies in the appropriate area. b. Returning any extra flu vaccine and epinephrine to the infection control nurse.

10. The Clinical Instructor or Nursing Coordinator will report back to the Dakota Nursing Program Director with any problems encountered in this project.

Original 7-2010 Revised 12-10-10, 2-3-12

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Essential Functions of the of the Student Nurse (PN, Paramedic Bridge and AD Students)

Functional Abilities - Students must be able to fully perform the essential functions in each of the following categories: gross motor skills, fine motor skills, physical endurance, physical strength, mobility, hearing, visual, tactile, smell, reading, arithmetic competence, emotional stability, analytical thinking, critical thinking skills, interpersonal skills, and communication skills. (National Council of State Boards of Nursing, 1999.) However, it is recognized that degrees of ability vary widely among individuals.

Individuals are encouraged to discuss disabilities with the Director of Student Services. The Dakota Nursing Program is committed to providing reasonable accommodations to students with disabilities upon notice and through established college policies and procedures.

1. Gross Motor Skills Students must be able to: move within confined spaces; sit and maintain balance; stand and maintain balance; reach above shoulders (IVs); reach below waist (plug-ins). 2. Fine Motor Skills Students must be able to: pick up objects with hands; grasp small objects with hands; write with pen or pencil; key/type (use a computer); pinch/pick or otherwise work with fingers (syringe); twist (turn knobs with hands); squeeze with finger (eye dropper). 3. Physical Endurance Students must be able to: stand (at client side during procedure); sustain repetitive movements (CPR); maintain physical tolerance (work entire shift). 4. Physical Strength Students must be able to: push and pull 25 pounds (position clients); support 25 pounds of weight (ambulate client); lift 25 pounds (transfer client); move light objects up to 10 pounds; move heavy objects weighing from 10 to 50 pounds; defend self against combative client; carry equipment/supplies; use upper body strength (CPR, restrain a client); squeeze with hands (fire extinguisher). 5. Mobility Student must be able to: twist; bend; stoop/squat; move quickly; climb (ladders, stools, stairs); walk. 6. Hearing Students must be able to: hear normal speaking level sounds; hear faint voices; hear faint body sounds (BP); hear in situations not able to see lips (when using masks); hear auditory alarms. 7. Visual Students must be able to: see objects up to 20 inches away; see objects up to 20 feet away; see objects more than 20 feet away; use depth perception; use peripheral vision; distinguish color; distinguish color intensity. 8. Tactile Students must be able to: feel vibrations (pulses); detect temperature; feel differences in

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surface characteristics (skin turgor); feel differences in sizes, shapes (palpate vein); detect environmental temperature. 9. Smell Students must be able to: detect odors from client; detect smoke; detect gases or noxious smells. 10. Reading Students must be able to read and understand written documents. 11. Arithmetic Competence Students must be able to: read and understand columns of writing (flow sheets); read digital displays; read graphic printouts (I&O); calibrate equipment; convert numbers to/from metric; read graphs (vital sign sheets); tell time; measure time (duration); count rates (pulse rate); use measuring tools (thermometer); read measurement marks (scales); add, subtract, multiply, divide; compute fractions (medication dosages); use a calculator; write numbers in records. 12. Emotional Stability Students must be able to: establish therapeutic boundaries; provide client with emotional support; adapt to changing environment/stress; deal with unexpected (crisis); focus attention on task; monitor own emotions; perform multiple responsibilities concurrently; handle strong emotions (grief). 13. Analytical Thinking Students must be able to: transfer knowledge from one situation to another; process information; evaluate outcomes; problem solve; prioritize tasks; use long term memory; use short term memory. 14. Critical Thinking Skills Students must be able to: identify cause-effect relationships; plan/control activities for others; synthesize knowledge and skills; sequence information. 15. Interpersonal Skills Students must be able to: negotiate interpersonal conflict; respect differences in clients; establish rapport with clients; establish rapport with co-workers. 16. Communication Skills Students must be able to: teach (client, family); explain procedures; give oral reports; interact with others; speak on the telephone; influence people; direct activities of others; convey information through writing (progress notes).

National Council of State Boards of Nursing. (1999). Guidelines for using results of functional abilities studies and other resources. Chicago: Author.

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Dakota Nursing Program

Confidentiality Policy Students and faculty members have access to health information and/or medical records of clients and in some cases, employees of medical facilities with whom the nursing program contracts for clinical activities. Information specific to student colleagues, faculty, clients, employees or subjects from any source and in any form, including, but not limited to, paper records, oral communication, clinical examination, pictures, audio/ video recordings, electronic display, course materials and research data files is strictly confidential. Access to confidential information is permitted only on a need-to-know basis and limited to the minimum amount of confidential information necessary to accomplish the intended purpose of the use, disclosure or request.

Students, faculty, and staff of the DNP shall respect and preserve privacy, confidentiality and security of confidential information, regardless of the academic course/classroom, laboratory or clinical agency to which the student or faculty is assigned.

Violations of this policy include, but are not limited to:

 accessing confidential information that is not within the scope of your current assignment;

 misusing, disclosing without proper authorization, or altering confidential information;

 disclosing to another person your sign-on code and/or password for accessing electronic confidential information or for physical access to restricted areas;

 using another person’s sign-on code and/or password for accessing electronic confidential information or for physical access to restricted areas;

 intentional or negligent mishandling or destruction of confidential information;

 leaving a secured application unattended while signed on to the computer;

 attempting to access a secured application or restricted area without proper authorization or for purposes other than official business;

 failing to take proper precautions for preventing unintentional disclosure of confidential information;

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 an example would be photocopying a chart and bringing it home to do paperwork

 discussing confidential information to another person using any method of communication, examples include but are not restricted to face-to-face, telephone, or posting/discussing confidential information via text messages, electronic mail, and/or any electronic social network sites (e.g., Facebook, Twitter, etc.); See National Council of State Boards of Nursing social media information at the following link: https://www.ncsbn.org/2930.htm;

 discussion regarding confidential matters held in the elevator, hallways, employee dining room/cafeteria, etc., as even casual conversation with other employees may be overheard and thereby violate client/resident’s right of privacy. (Do not discuss any part of your clinical experience with anyone in any location except as a learning experience with the DNP faculty and students in the clinical conference.);

 taking unauthorized pictures or audio/video recordings involving confidential information, and transmitting them electronically;

 disregard for the handheld electronic device policy in this handbook.

Students/faculty violating this policy may lose their agency privileges, may be suspended, or may be dismissed from the nursing program. Unauthorized release of confidential information may also subject the violator to personal, civil, and/or criminal liability and legal penalties. Knowledge of any student/faculty member in violation of these policies should be reported to the nursing coordinator. A clinical facility policy on confidentiality and electronic devices will supersede this confidentiality policy and the policy on handheld electronic devices.

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Dakota Nursing Program

Handheld Electronic Device Policy

Examples of handheld electronic devices are: iTouch/Personal Digital Assistant (PDA)/Smartphone/Handheld Computers/phone (You are required to have an iTouch, iPhone or Android device upon which to access your electronic clinical references.

Policy: Handheld Electronic Device Use

Students are required to have a handheld electronic device for nursing courses and are responsible for repair or replacement of their handheld electronic device if it is non- operational, lost or stolen.

I. Classroom Usage

Electronic devices must be turned off and stowed out of student reach during an exam. Calculators are allowed and classroom calculators will be provided to the student for exam purposes by the school. Do not use your handheld electronic device as a calculator during an exam. Students with special accommodations requiring a special device must have documented approval from the nursing director’s office.

Students will use professional behavior in assuring that use of any electronic device in the classroom is not disruptive to any member of the class or disrespectful to the faculty. Students will silence all electronic devices during class.

Audience Response System (ARS) We may use an audience response system in some of the theory courses. If we do use this system, you are allowed to use your web enabled phone/computer/handheld electronic device/iTouch for this purpose. Please note that all information you transmit is subject to editing by the instructor. Students must realize that any data transmitted via ARS may be seen by other students. It is expected that all information shared will adhere to the school’s code of conduct and the highest professional principles. ARS activities may be graded. These graded assignments are subject to the academic honesty policies applicable to exams and written work. False representation or other forms of cheating will be considered academic misconduct and will be referred to the nursing coordinator’s office. This policy applies regardless of whether a student is physically present, in distance education, or is not enrolled in a course.

II. Clinical/Lab Usage

Use of portable electronic devices in clinical is regulated by the clinical agencies, local, state, and federal regulations and laws. Students are fully responsible to ensure that they adhere to

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all regulations at all times whether at school, at clinical, on break, or anywhere else. This includes proper management of confidential client information. All students are fully responsible for following all regulations of the HIPAA guidelines. They can be found at: http://www.hhs.gov/ocr/privacy/hipaa/understanding/summary/index.html. If there are any questions/concerns about whether or not certain data can be shared, students should not share any information until clarified. It is important to err on the side of caution. A. Any electronic device used for the purposes of transmitting educational material that is related to clinical or client interactions must be secured with a password when not in use. This includes computers, phones, and any other such handheld electronic device. The campus IT departments are available to help with this process if needed. Any communication about a clinical or client related concept or event must be de-identified (personal health identifiers (PHI) must be removed) before transmission per HIPAA guidelines. B. Students must adhere to professional standards for all communication including maintaining confidentiality, proper conduct for communication and communicating appropriate material. C. It is a privacy violation to record other students without their permission in the lab, classroom or clinical. D. Telephone, texting, and camera functions must be turned off during clinical and lab sessions. Electronic devices must be in airplane mode with no transmission in or out of the device per wireless communication during clinical and lab sessions. E. With the exception of specified course required activities, sending or receiving text or other messages on the electronic device during class, clinical or lab is not permitted. F. Using the internet for personal, non-school related functions is strictly prohibited. Inappropriate use of electronic devices or violation of HIPAA guidelines is cause for termination from the School of Nursing. G. If you need to give a contact number to a family member, give them the facility name and number where you are scheduled for clinical that day. They are not to call unless there is an emergency situation.

III. Safeguarding of Data

The student will implement protective measures, such as encryption, for restricted data to safeguard the confidentiality or integrity of the data in the event of theft or loss. The student will ensure that the device will never be left unattended during use in the clinical setting. The student will use strong password protections and encryption technology as commercially available. The student will ensure proper destruction of all PHI from the device immediately after its intended use. If the device is lost or stolen, it will be immediately reported to appropriate personnel and/or security.

IV. Handheld Device Hygiene

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Infection control precautions must be maintained when using handheld electronic devices in client care areas.

A. Wash hands before using handheld device. B. Avoid using device with contaminated gloves, plan ahead for procedures. C. Wipe down handheld device using solutions ONLY recommended by manufacturer. D. Avoid areas that can possibly contaminate device, e.g., laying device on bedside tables or client bed. E. Avoid, if possible, taking device into isolation rooms. Help minimize transmission of organisms by placing device in sealed Ziploc lab specimen bag or leaving device with instructor outside of isolation rooms. F. Think before using in clinical setting. Remember that handheld devices can be a source of organism transfer if brought home and used with family and friends.

Professional Conduct

All nursing students are expected to adhere to the principles of the American Nurses Association Code with Interpretive Statements (2001). The Code for Nurses communicates a standard of professional behavior expected throughout the total program and in each individual nursing course. Therefore, in addition to suspension for academic failure, the faculty and administration of the Dakota Nursing Program reserve the right to place on probation, suspend or dismiss any student enrolled in the nursing program for unethical, dishonest, illegal, or unprofessional conduct that is inconsistent with the Code for Professional Nurses and Students.

Students are also expected to read and abide by the following codes and standards found in your nursing handbook:

ANA Code of Ethics for Students and Nurses Professional Behaviors and Values Table North Dakota Nurse Practices Act ND Standards of Practice for LPN and RN NAPNES Standards of Practice and Educational Competencies of Graduates of PN/VN Nursing Programs NFLPN Standards Practice for the Licensed Practical/Vocational Nurse ANA Standards for Practice for the Registered Nurse

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ANA Code of Ethics for Students and Nurses

1. The nurse practices with compassion and respect for the inherent dignity, worth, and unique attributes of every person.

2. The nurse’s primary commitment is to the patient, whether an individual, family, group, community, or population.

3. The nurse promotes, advocates for, and protects the rights, health, and safety of the patient.

4. 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.

5. 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 continue personal and professional growth.

6. The nurse, through individual and collective effort, establishes, maintains, and improves the ethical environment of the work setting and conditions of employment that are conducive to safe, quality health care.

7. 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.

8. The nurse collaborates with other health professionals and the public to protect human rights, promote health diplomacy, and reduce health disparities.

9. 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.

2015 American Nurses Association http://www.nursingworld.org/codeofethics

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Professional Behavior and Values

Table 2.2 – Behaviors Implying the *Presence* of Table 2.3 – Behaviors Implying the *Absence* of Professional Values Professional Values

Value: Placing the clients’ welfare first Value: Placing the client’s welfare first Is accessible and prompt in answering clients’ request Unreliable in completion of tasks Priority of activities reflects clients’ needs Difficult to find when needed Explains treatments and procedures; keeps client well Elicits hostility from clients and others informed, is responsible and reliable when needs are Displays hostility toward difficult clients identified by clients, staff, or faculty Justifies doing things “just for the experience,” without Calls and makes appropriate arrangements if unable to be taking clients’ needs into consideration on time or present for clinical Approach is “who is right,” not “what is right” Fails to make appropriate arrangements if unable to be on Value: Commitment to nursing and to nursing department time or present for clinical policies. Present and willing to learn; complies voluntarily with rules Value: Commitment to nursing and to nursing department and policies of the nursing department policies Demonstrates enthusiasm for clinical; appears to enjoy Chronically tardy or absent nursing Skips clinical or other obligations if not supervised Looks and acts in a professional manner (i.e., is neat and Passes off assignments or tasks to others when possible clean; behaves in a professional way) Chronic malcontent and complainer Pleasant to staff, peers, and faculty Sloppy Gives appropriate information to other nurses Gives inappropriate information to others Completes charts and records. Chronically deficient in upkeep of charts and records Feels existent policies are irrelevant, unimportant, and Value: Cooperation nonobligatory Able to disagree diplomatically Knows when to stop arguing and start helping Value: Cooperation Takes criticism constructively Argumentative or stubborn Accepts the roles of others and works in appropriate Sullen or arrogant with faculty, peers, staff, and clients capacity in response to others Uncommunicative with staff and faculty Deals with stress and frustration without taking it out on Hostile responses to frustrating situations others Passive-aggressive behavior when dissatisfied Objectively handles conflict with others; tries to see both sides of issues Value: Intellectual and personal integrity Lies or fabricates data to cover up mistakes and oversights Value: Intellectual and personal integrity Fails to use safe techniques when not being supervised Readily admits mistakes and oversights Blames others for own shortcomings Forthright with peers, staff, and faculty Provides data without appropriate checks for correctness Selects appropriate response to clients even if preferring to Sneaks away or does not show up if unsupervised focus on something else Represents the work of others as being original Observes safe techniques even when not being supervised Disrespectful and rude to faculty, staff, peers, or clients Accepts responsibility for errors and tries to take appropriate corrective action Statements appear to be based on fact and believable; does not provide information or facts unless known to be correct Does own work and does not represent the work of others as being original Respectful of faculty, staff, peers, and clients Novotny, J., & Griffin Quinn, M., (2006), A Nuts-and-Bolts Approach to Teaching Nursing, New York, Springer

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CHAPTER 43-12.1 NURSE PRACTICES ACT Accessed 7-11-2014 43-12.1-01. Scope. The practice of nursing is continually evolving and responding to changes within health care patterns and systems. There are overlapping functions within the practice of nursing and other providers of health care.

43-12.1-02. Definitions. In this chapter, unless the context otherwise requires: 1. "Advanced practice registered nurse" means an individual who holds a current license to practice in this state as an advanced practice registered nurse within one of the roles of certified nurse practitioner, certified registered nurse anesthetist, certified nurse midwife, or certified clinical nurse specialist, and who functions in one of the population foci as approved by the board. 2. "Board" means the North Dakota board of nursing. 3. "Licensed practical nurse" means an individual who holds a current license to practice in this state as a licensed practical nurse and who practices dependently under the supervision of a registered nurse, specialty practice registered nurse, advanced practice registered nurse, or licensed practitioner. 4. "Nurse" means an individual who is currently licensed as an advanced practice registered nurse, specialty practice registered nurse, registered nurse, or licensed practical nurse. 5. "Nursing" means the performance of acts utilizing specialized knowledge, skills, and abilities for people in a variety of settings. The term includes the following acts, which may not be deemed to include acts of medical diagnosis or treatment or the practice of medicine as defined in chapter 43-17: a. The maintenance of health and prevention of illness. b. Assessing and diagnosing human responses to actual or potential health problems. c. Providing supportive and restorative care and nursing treatment, medication administration, health counseling and teaching, case finding and referral of individuals who are ill, injured, or experiencing changes in the normal health processes. d. Administration, teaching, supervision, delegation, and evaluation of health and nursing practices. e. Collaboration with other health care professionals in the implementation of the total health care regimen and execution of the health care regimen prescribed by a health care practitioner licensed under the laws of this state. 6. "Prescriptive practices" means assessing the need for drugs, immunizing agents, or devices and writing a prescription to be filled by a licensed pharmacist. 7. "Registered nurse" means an individual who holds a current license to practice in this state as a registered nurse and who practices nursing independently and interdependently through the application of the nursing process. 8. "Specialty practice registered nurse" means an individual who holds a current license to practice in this state as a specialty practice registered nurse and who has current certification from a national certifying body in a specific area of nursing practice. 9. "Unlicensed assistive person" means an assistant to the nurse, who regardless of title is authorized to perform nursing interventions delegated and supervised by a nurse.

43-12.1-03. License or registration required - Title - Abbreviation. Any person who provides nursing care to a resident of this state must hold a current license or registration issued by the board. It is unlawful for a person to practice nursing, offer to practice nursing, assist in the practice of nursing, or use any title, abbreviation, or designation to 116

Dakota Nursing Program Handbook 2015-2016 indicate that the person is practicing nursing or assisting in the practice of nursing in this state unless that person is currently licensed or registered under this chapter. An advanced practice registered nurse shall use the abbreviation "APRN" and may use the applicable role designation of certified nurse practitioner, certified registered nurse anesthetist, certified nurse midwife, or certified clinical nurse specialist inclusive of population foci. A currently licensed specialty practice registered nurse shall use the abbreviation "SPRN"; a currently licensed registered nurse shall use the abbreviation "R.N."; a currently licensed practical nurse shall use the abbreviation "L.P.N."; and an unlicensed assistive person with current registration may use the title identified by the employer. A person may not use the title "nurse" or be referred to as a "nurse" unless the person is currently licensed by the board or exempt under section 43-12.1-04.

43-12.1-04. Persons exempt from provisions of chapter. This chapter does not apply to a person that is not licensed or registered under this chapter and is: 1. A person that performs nursing interventions in cases of emergency or disaster. 2. A student practicing nursing as a part of an in-state board-approved nursing education program. 3. A licensed nurse of another state who is in good standing and who is employed in this state by the United States government or any of its bureaus, divisions, or agencies. 4. A nurse licensed by another state or Canada, whose employment requires the nurse to accompany and care for a patient in transit for health care. 5. A nurse licensed by another state whose employment by a resident of that state requires the nurse to accompany and care for the resident in North Dakota. 6. An individual who performs nursing tasks for a family member. 7. A person that renders assistance pursuant to chapter 23-27. 8. A person licensed or registered under another chapter of this title and carrying out the therapy or practice for which the person is licensed or registered. 9. A person that provides medications, other than by the parenteral route: a. Within a correctional facility, in compliance with section 12-44.1-29; b. Within a psychiatric residential treatment facility for children licensed under chapter 25-03.2 and North Dakota Administrative Code chapter 75-03-17; c. Within a treatment or care center for developmentally disabled persons licensed under chapter 25-16; d. Within a group home, a residential child care facility, or an adult foster care facility licensed under section 50-11-01 or North Dakota Administrative Code chapter 75-03-16; e. Within the life skills and transition center, to the extent the individual who provides medications is a direct training technician or a vocational training technician as approved by the department of human services; f. Within a human service center licensed under chapter 50-06; or g. Within a primary or secondary school under a program established under section 15.1-19-23 if the individual has received education and training in medication administration and has received written consent of the student's parent or guardian. 10. A nurse currently licensed to practice nursing by another jurisdiction: a. Whose practice in another state requires that nurse to attend orientation, meetings, or continuing education in North Dakota; b. Who serves as a guest lecturer or short-term consultant; or c. Who provides evaluation undertaken on behalf of an accrediting organization. 11. An individual, including a feeding assistant, performing nonhands-on tasks while employed in a Medicare-funded organization. 12. A student practicing nursing as part of an out-of-state board-recognized nursing 117

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education program, upon written notification to the board and contingent upon clinical site availability. 13. An individual who is registered on the state department of health nurse aide registry, including a certified nurse aide, home health aide, nurse aide, and medication assistant.

43-12.1-05. Board of nursing - Composition - Term of office. There is a state board of nursing whose members must be appointed by the governor which must consist of five registered nurses, one advanced practice registered nurse, two licensed practical nurses, and one public member. Each board member must be appointed for a term of four years. No appointee may be appointed for more than two consecutive terms. An appointment for an unexpired term of more than eighteen months will constitute a full term. Terms of nurse board members must be evenly distributed to allow two licensed nurse board members to be appointed or reappointed each year.

43-12.1-06. Qualifications of board members. 1. Each registered nurse must be an eligible voting resident of this state, possess an unencumbered registered nurse license under this chapter, and be currently engaged in practice as a registered nurse. A majority of the members under this subsection must be actively engaged in practice in a nurse-patient setting. 2. Each licensed practical nurse must be an eligible voting resident of this state, possess an unencumbered practical nurse license under this chapter, and be currently engaged in practice as a licensed practical nurse. A majority of the members under this subsection must be actively engaged in practice in a nurse-patient setting. 3. Each advanced practice registered nurse must be an eligible voting resident of this state, possess an unencumbered advanced practice registered nurse license under this chapter, and be currently engaged in practice as an advanced practice registered nurse. 4. Each public member must be an eligible voting resident of this state and have no employment, professional license, or financial interest with any health care entity. 5. Each member appointed to the board shall maintain the qualifications for appointment for the duration of the appointment. The governor may remove any member of the board for cause upon recommendation of two-thirds of the members of the board.

43-12.1-07. Compensation of board members. A member of the board is entitled to receive compensation in an amount fixed by the board for each day or portion of a day the member is actually engaged in the performance of official duties and such mileage reimbursement as is provided for in section 54-06-09. In addition, the member is entitled to reimbursement for actual and necessary expenses in the amounts provided by law for state officers in section 44-08-04. All funds collected or received by the board must be deposited and disbursed in accordance with section 54-44-12.

43-12.1-08. Duties of the board. 1. The board shall regulate the practice of nursing as provided in this chapter. 2. The board shall: a. Enforce this chapter. b. Adopt and enforce administrative rules necessary to administer this chapter after collaborating and consulting with North Dakota nursing organizations and other affected parties. c. Appoint and employ a registered nurse to serve as executive director and approve any additional staff positions necessary to administer this chapter. d. Establish fees and receive all moneys collected under this chapter and authorize all expenditures necessary to conduct the business of the board. Any balance of 118

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fees after payment of expenditures must be used to administer this chapter. e. Collect and analyze data regarding nursing education, nursing practice, and nursing resources. f. Issue and renew limited licenses or registrations to individuals requiring accommodation to practice nursing or assist in the practice of nursing. g. Establish a nursing student loan program funded by license fees to encourage individuals to enter and advance in the nursing profession. h. Establish a registry of individuals licensed or registered by the board. i. Report annually to the governor and nursing profession regarding the regulation of nursing in the state. j. Conduct and support projects pertaining to nursing education and practice. k. Adopt and enforce administrative rules to allow nurses licensed by another state to receive short-term clinical education in North Dakota health care facilities. l. License qualified applicants for nurse licensure. m. Register qualified applicants for the unlicensed assistive person registry. n. Adopt and enforce rules for continuing competence of licensees and registrants. o. Adopt and enforce rules for nursing practices. p. Issue practice statements regarding the interpretation and application of this chapter.

43-12.1-08.1. Prescriptive practices for registered nurses with advanced licenses. Repealed by S.L. 1995, ch. 403, § 17.

43-12.1-08.2. Nursing needs study. Expired under S.L. 2001, ch. 373, § 2.

43-12.1-09. Initial licensure and registration. 1. The board shall license nurses and register unlicensed assistive person applicants. The board shall adopt and enforce administrative rules establishing qualifications for initial nursing licensure and unlicensed assistive person registration and for issuing limited licenses and registrations pursuant to subsection 3. 2. Each applicant who successfully meets the requirements of this section is entitled to initial licensure or registration as follows: a. An applicant for licensure by examination to practice as a registered nurse or licensed practical nurse shall: (1) Submit a completed application and appropriate fee as established by the board. (2) Submit an official transcript that verifies completion of a board-approved in-state nursing education program that prepares the graduate for the level of licensure sought; or submit an official transcript that verifies completion of an out-of-state nursing education program that is approved by the state board of nursing of the jurisdiction in which the program is headquartered and that prepares the graduate for the level of licensure sought. The board shall adopt rules establishing standards for the approval of out-of-state nursing education programs. (3) Pass an examination approved by the board. b. An applicant for licensure by endorsement to practice as a registered nurse or licensed practical nurse shall: (1) Submit a completed application and appropriate fee as established by the board. (2) Submit an official transcript that verifies completion of a nursing education

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program approved by the state board of nursing of the jurisdiction in which the program is headquartered and preparing the graduate for the level of licensure sought. (3) Submit proof of initial licensure by examination with the examination meeting North Dakota requirements for licensure examinations in effect at the time the applicant qualified for initial licensure. (4) Submit evidence of current unencumbered licensure in another state or jurisdiction or meet continued competency requirements as established by the board. (5) Notwithstanding the foregoing requirements of this subdivision, an applicant for licensure as a licensed practical nurse is not required to meet any additional academic educational requirements for licensure as a licensed practical nurse if the applicant has been licensed in another state as a licensed practical nurse based upon completion of a registered nurse education program and if the applicant has had at least twenty-four months of unencumbered practice as a licensed practical nurse in another state within the four-year period immediately preceding the application. c. An applicant for licensure as an advanced practice registered nurse shall: (1) Submit a completed application and appropriate fee as established by the board. (2) Submit evidence of appropriate education and current certification in an advanced nursing role by a national nursing organization meeting criteria as established by the board. An advanced practice registered nurse applicant must have a graduate degree with a nursing focus or must have completed the educational requirements in effect when the applicant was initially licensed. (3) Possess or show evidence of application for a current unencumbered registered nurse license. d. An applicant for licensure as an advanced practice registered nurse who completed an advanced nursing education program and was licensed or certified in advanced practice before December 31, 2015, may apply for and receive an advanced practice license if that applicant meets the requirements that were in effect at the time the applicant qualified for initial advanced practice licensure. e. An applicant for unlicensed assistive person registration shall: (1) Submit a completed application and the appropriate fee as established by the board. (2) Provide verification of appropriate training or evidence of certification or evaluation in the performance of basic nursing interventions. f. An applicant for licensure as a specialty practice registered nurse shall: (1) Submit a completed application and appropriate fee as established by the board. (2) Submit evidence of appropriate education and current certification in a specialty nursing role by a national nursing organization meeting criteria as established by the board. A specialty practice registered nurse applicant must have the educational preparation and national certification within a defined area of nursing practice. (3) Possess or show evidence of application for a current unencumbered registered nurse license. 3. For good cause shown, the board may issue a limited license or registration to an applicant.

43-12.1-09.1. Nursing licensure or registration - Criminal history record checks. The board shall require each applicant for initial licensure and registration to submit to a 120

Dakota Nursing Program Handbook 2015-2016 statewide and nationwide criminal history record check. The board may require any licensee or registrant who is renewing a license or registration and any licensee or registrant who is the subject of a disciplinary investigation or proceeding to submit to a statewide and nationwide criminal history record check. The nationwide criminal history record check must be conducted in the manner provided by section 12-60-24. All costs associated with obtaining a background check are the responsibility of the applicant, licensee, or registrant. The board may grant a nonrenewable temporary permit to an applicant for initial or renewed license or registration who submits to a criminal history record check as required by this chapter if the applicant has met all other licensure or registration requirements in accordance with subsection 2 of section 43-12.1-09.

43-12.1-10. Renewal of license or registration - Reactivation. 1. The board shall renew a current license to practice as an advanced practice registered nurse, specialty practice registered nurse, registered nurse, or licensed practical nurse if the licensee submits a renewal application, submits the appropriate fee established by the board, and meets all requirements for licensure. If a licensee does not renew a license before the license expires, the board shall reactivate that license if that licensee meets the reactivation requirements set by the board. 2. The board shall renew the registration of an unlicensed assistive person if the registrant submits a renewal application, the appropriate fee established by the board, and documentation of competency by the employer or evidence of certification or evaluation. A lapsed unlicensed assistive person registration may be reactivated upon submission of the application, payment of the appropriate fee established by the board, and documentation of competency or evidence of certification or evaluation. 3. For good cause shown, the board may issue a limited license or registration to a licensee or registrant. The board shall adopt rules establishing qualifications for issuing limited licenses and registrations pursuant to this subsection.

43-12.1-11. Duties of licensees and registrants. Each individual licensed or registered by the board shall provide information requested by the board at the time of renewal or reactivation. Each individual licensed or registered by the board shall report to the board any knowledge of the performance of those acts or omissions that are violations of this chapter or grounds for disciplinary action as set forth in section 43-12.1-14. Each licensee or registrant shall report to the board any judgment or settlement in a professional or occupational malpractice action to which the licensee or registrant is a party. Any person, other than a licensee or registrant alleged to have violated this chapter, participating in good faith in making a report, assisting in an investigation, or furnishing information to an investigator, is immune from any civil or criminal liability that otherwise may result from reporting required by this section. For the purpose of any civil or criminal proceeding the good faith of any person required to report under this section is presumed.

43-12.1-12. Emergency treatment by nurses. A nurse licensed under this chapter, who, in good faith, provides nursing care at the scene of an emergency, may provide only that nursing care as in the nurse's judgment is at the time indicated. In the event of a disaster, a licensed nurse may initiate any therapeutic measure that is indicated according to that nurse's judgment.

43-12.1-13. Disciplinary proceedings. Disciplinary proceedings under this chapter must be conducted in accordance with chapter 28-32. Fees for each separate violation or the assessment of costs and disbursements, or both, may be imposed against a respondent in addition to any licensure or registration sanctions the board may impose. An appeal from the final decision of the board may be taken to the district court of Burleigh County under chapter 28-32. The board shall furnish to the required state and 121

Dakota Nursing Program Handbook 2015-2016 federal databanks a list of individuals who have been disciplined by the board.

43-12.1-13.1. Emergency treatment by nurses. Repealed by S.L. 1995, ch. 403, § 17.

43-12.1-13.2. Emergency treatment by licensed nurses during disaster. Repealed by S.L. 1995, ch. 403, § 17.

43-12.1-14. Grounds for discipline - Penalties. The board may deny, limit, revoke, encumber, or suspend any license or registration to practice nursing issued by the board or applied for in accordance with this chapter; reprimand, place on probation, or otherwise discipline a licensee, registrant, or applicant; deny admission to licensure or registration examination; require evidence of evaluation and treatment; or issue a nondisciplinary letter of concern to a licensee, registrant, or applicant, upon proof that the person: 1. Has been arrested, charged, or convicted by a court, or has entered a plea of nolo contendere to a crime in any jurisdiction that relates adversely to the practice of nursing and the licensee or registrant has not demonstrated sufficient rehabilitation under section 12.1-33-02.1; 2. Has been disciplined by a board of nursing in another jurisdiction, or has had a license or registration to practice nursing or to assist in the practice of nursing or to practice in another health care occupation or profession denied, revoked, suspended, or otherwise sanctioned; 3. Has engaged in any practice inconsistent with the standards of nursing practice; 4. Has obtained or attempted to obtain by fraud or deceit a license or registration to practice nursing, or has submitted to the board any information that is fraudulent, deceitful, or false; 5. Has engaged in a pattern of practice or other behavior that demonstrates professional misconduct; 6. Has diverted or attempted to divert supplies, equipment, drugs, or controlled substances for personal use or unauthorized use; 7. Has practiced nursing or assisted in the practice of nursing in this state without a current license or registration or as otherwise prohibited by this chapter; 8. Has failed to report any violation of this chapter or rules adopted under this chapter; or 9. Has failed to observe and follow the duly adopted standards, policies, directives, and orders of the board, or has violated any other provision of this chapter.

43-12.1-14.1. Grounds for discipline - Assistant to the nurse. Repealed by S.L. 1995, ch. 403, § 17.

43-12.1-14.2. Unlicensed assistive person - Practice without a registration. If the board determines an unlicensed assistive person, whose registration has expired, violated subsection 7 of section 43-12.1-14 by practicing without a current registration for a period of up to four months from the initial date of employment, the action of the board in the case of a first violation is limited to the issuance of a letter of concern.

43-12.1-15. Violation - Penalties. It is a class B misdemeanor for a person to willfully: 1. Buy or sell, fraudulently obtain, or furnish any questions and answers used in the licensing examination for nurses, or assist others in the performance of these acts. 2. Buy or sell, fraudulently obtain, or furnish any record that might enable an individual to obtain a license in this state or assist others in the performance of these acts. 3. Practice as an advanced practice registered nurse, a specialty practice registered 122

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nurse, a registered nurse, a licensed practical nurse, or an unlicensed assistive person through use of a transcript from a school of nursing, diploma, certificate of registration, license, or record that was fraudulently created or obtained. 4. Practice as an advanced practice registered nurse, a specialty practice registered nurse, a registered nurse, a licensed practical nurse, or an unlicensed assistive person as defined by this chapter unless licensed to do so. 5. Conduct any education program preparing an individual for nursing licensure or registration unless the program has been approved by the board. 6. Employ a person to practice nursing or perform nursing interventions unless the person is licensed or registered by the board.

43-12.1-16. Delegation of medication administration. A licensed nurse may delegate medication administration to a person exempt under subsections 9 and 13 of section 43-12.1-04.

43-12.1-16.1. Supervision and delegation of nursing interventions. A nurse may supervise and delegate nursing interventions to an individual exempt under subsection 13 of section 43-12.1-04.

43-12.1-17. Nursing education programs. 1. The board shall adopt and enforce administrative rules establishing standards for nursing education programs leading to initial or advanced licensure. In-state programs must be approved by the board. Out-of-state programs must be approved by the state board of nursing of the jurisdiction in which the program is headquartered. The board shall approve, review, and reapprove nursing education programs in this state. The board may not require a statement of intent as part of the approval process under this section. 2. The standards established under this section for a program leading to licensure as a licensed practical nurse: a. Must allow for a program that offers two or more academic years of course study or the equivalent; b. Must allow for a program that offers less than two academic years of course study or the equivalent; and c. May not allow for a program that offers less than one academic year of course study or the equivalent. 3. The standards established under this section for a program leading to licensure as a registered nurse: a. Must allow for a program that offers four or more academic years of course study or the equivalent; b. Must allow for a program that offers less than four academic years of course study or the equivalent; and c. May not allow for a program that offers less than two academic years of course study or the equivalent.

43-12.1-18. Nursing practice standards. Repealed by S.L. 2013, ch. 321, § 12.

43-12.1-19. Transition from transitional nurse licenses. Expired under S.L. 2003, ch. 361, § 10.

43-12.1-20. Continuing education requirements. Repealed by S.L. 2013, ch. 321, § 12.

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CHAPTER 54-05-01 STANDARDS OF PRACTICE FOR LICENSED PRACTICAL NURSES Section 54-05-01-01 Statement of Intent [Repealed] 54-05-01-02 Licensed Practical Nurse’s Contribution to, and Responsibility for, the Nursing Process [Repealed] 54-05-01-02.1 Licensed Practical Nurse’s Contribution to, and Responsibility for, the Nursing Process [Repealed] 54-05-01-02.2 Assigning of Nursing Interventions [Repealed] 54-05-01-03 Licensed Practical Nurse Responsibilities as a Member of the Health Care Team [Repealed] 54-05-01-04 Criteria for Delegation to Licensed Practical Nurses [Repealed] 54-05-01-05 Criteria for Delegation Specialized Nursing Care to the Licensed Practical Nurse [Repealed] 54-05-01-06 Role of the Licensed Practical Nurse in Intravenous Therapy 54-05-01-07 Standards Related to Licensed Practical Nurse Professional Accountability 54-05-01-08 Standards Related to Licensed Practical Nurse Scope of Practice 54-05-01-09 Standards Related to Licensed Practical Nurse Responsibility to Organize, Manage, and Supervise the Practice of Nursing 54-05-01-01. Statement of intent. Repealed effective April 1, 2014. 54-05-01-02. Licensed practical nurse’s contribution to, and responsibility for, the nursing process. Repealed effective February 1,1998. 54-05-01-02.1. Licensed practical nurse’s contribution to, and responsibility for, the nursing process. Repealed effective April 1, 2014. 54-05-01-02.2. Assigning of nursing interventions. Repealed effective April 1, 2014. 54-05-01-03. Licensed practical nurse responsibilities as a member of the health care team. Repealed effective April 1, 2014. 54-05-01-04. Criteria for delegation to licensed practical nurses. Repealed effective February 1, 1998. 54-05-01-05. Criteria for delegation of specialized nursing care to the licensed practical nurse. Repealed effective May 1, 1996. 54-05-01-06. Role of the licensed practical nurse in intravenous therapy. Selected components in the nursing management of intravenous therapy as defined by the board may be performed by a licensed practical nurse who has completed a board-approved associate degree program that includes intravenous therapy in the curriculum or one who has successfully completed a course in intravenous therapy which was developed according to board guidelines and approved by the board.

History: Effective May 1, 1996. General Authority: NDCC 43-12.1 Law Implemented: NDCC 43-12.1-08

54-05-01-07. Standards related to license practical nurse professional 124

Dakota Nursing Program Handbook 2015-2016 accountability. Each licensed practical nurse is responsible and accountable to practice according to the standards of practice prescribed by the board and the profession. It is not the setting or the position title that determines a nursing practice role, but rather the application of nursing knowledge. The licensed practical nurse practices nursing dependently under the direction of the registered nurse, advanced practice registered nurse, or licensed practitioner through the application of the nursing process and the execution of diagnostic or therapeutic regimens prescribed by licensed practitioners. The administration and management of nursing by the licensed practical nurse includes assigning and delegating nursing interventions. Unlicensed assistive persons complement the licensed nurse in the performance of nursing interventions but may not substitute for the licensed nurse. The licensed practical nurse practices within the legal boundaries for practical nursing through the scope of practice authorized in the Nurse Practices Act and rules governing nursing. The licensed practical nurse shall: 1. Demonstrate honesty and integrity in nursing practice; 2. Base nursing decisions on nursing knowledge and skills, the needs of clients, and licensed practical nursing standards; 3. Accept responsibility for individual nursing actions, competence, decisions, and behavior in the course of practical nursing practice; 4. Maintain competence through ongoing learning and application of knowledge in practical nursing practice; and 1. Report violations of the act or rules by self or other licensees and registrants.

History: Effective April 1, 2014. General Authority: NDCC 43-12.1 Law Implemented: NDCC 43-12.1-02(5)

54-05-01-08. Standards related to licensed practical nurse scope of practice. The licensed practical nurse assists in implementing the nursing process. The licensed practical nurse practices under the supervision of the registered nurse, advanced practice registered nurse, or licensed practitioner. The licensed practical nurse shall: 1. Participate in nursing care, health maintenance, client teaching, counseling, collaborative planning, and rehabilitation, to the extent of the licensed practical nurse’s basic nursing education and additional skills through subsequent education and experiences; 2. Conduct a focused nursing assessment and contribute data to the plan of care; 3. Plan for client care, including planning nursing care for a client whose condition is stable or predictable; 4. Participate with other licensed practitioners in the development and modification of the client-centered plan of care; 5. Assist the registered nurse or other licensed practitioner in the identification of client needs, priorities of care, and goals. The licensed practical nurse: a. Demonstrates attentiveness and provides client surveillance and 125

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monitoring; b. Assists and contributes in the evaluation of the client-centered health care plan; c. Obtains orientation or training for competency when encountering new equipment and technology or unfamiliar care situations; d. Recognizes client characteristics that may affect the client’s health status; e. Implements nursing interventions and prescribed medical regimens in a timely and safe manner; and f. Documents nursing care provided accurately and timely. 6.Collaborate and communicate relevant and timely client information with clients and other health team members to ensure quality and continuity of care; 7.Take preventive measures to promote an environment that is conducive to safety and health for clients, others, and self; 8.Respect client diversity and advocates for the client’s rights, concerns, decisions, and dignity; 9. Maintain appropriate professional boundaries; 10. Participate in the health teaching approved by a licensed practitioner; 11. Participate in systems, clinical practice, and client care performance improvement efforts to improve client outcomes; 12. Contribute to evaluation of the plan of care by gathering, observing, recording, and communicating client responses to nursing interventions; 13. Modify the plan of care in collaboration with a registered nurse, advanced practice registered nurse, or licensed practitioner based on an analysis of client responses; 14. Function as a member of the health care team, contributing to the implementation of an integrated client-centered health care plan; 15. Assume responsibility for nurse’s own decisions and actions; 16. Promote a safe and therapeutic environment by providing appropriate monitoring and surveillance of the care environment; 17. Participate in quality improvement activities to evaluate and modify practice; 18. Demonstrate knowledge and understanding of the statutes and rules governing nursing and function within the legal boundaries of licensed practical nursing practice; and 19. Observe and follow the duly adopted standards, policies, directives. and orders of the board as they may relate to the licensed practical nurse.

History: Effective April 1, 2014. General Authority: NDCC 43-12.1 Law Implemented: NDCC 43-12.1-02(5)

54-05-01-09. Standards related to licensed practical nurse responsibility to organize, manage, and supervise the practice of nursing. In the administration and management of nursing care, a licensed practical nurse

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History: Effective April 1, 2014. General Authority: NDCC 43-12.1 Law Implemented: NDCC 43-12.1-08

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CHAPTER 54-05-02 STANDARDS OF PRACTICE FOR REGISTERED NURSES Section 54-05-02-01 Statement of Intent [Repealed] 54-05-02-02 Registered Nurse Responsibility to Implement the Nursing Process [Repealed] 54-05-02-02.1 Registered Nurse Responsibility to Implement the Nursing Process [Repealed] 54-05-02-02.2 Assigning of Nursing Interventions [Repealed] 54-05-02-03 Registered Nurse Responsibilities as a Member of the Nursing Profession [Repealed] 54-05-02-04 Standards Related to Registered Nurse Professional Accountability 54-05-02-05 Standards Related to Registered Nurse Scope of Practice 54-05-02-06 Standards Related to Registered Nurse Responsibility to Act as an Advocate for the Client 54-05-02-07 Standards Related to Registered Nurse Responsibility to Organize, Manage, and Supervise the Practice of Nursing 54-05-02-01. Statement of intent. Repealed effective April 1, 2014. 54-05-02-02. Registered nurse responsibility to implement the nursing process. Repealed effective February 1, 1998. 54-05-02-02.1. Registered nurse responsibility to implement the nursing process. Repealed effective April 1, 2014. 54-05-02-02.2. Assigning of nursing interventions. Repealed effective April 1, 2014. 54-05-02-03. Registered nurse responsibilities as a member of the nursing profession. Repealed effective April 1, 2014. 54-05-02-04. Standards related to registered nurse professional accountability. Each registered nurse is responsible and accountable to practice according to the standards of practice prescribed by the board and the profession. It is not the setting or the position title that determines a nursing practice role, but rather the application of nursing knowledge. Through the application of the nursing process, the registered nurse practices nursing independently and interdependently. Registered nurses also practice nursing dependently through the execution of diagnostic or therapeutic regimens prescribed by licensed practitioners. The administration and management of nursing by registered nurses includes assigning and delegating nursing interventions that may be performed by others. The registered nurse practices within the legal boundaries for nursing through the scope of practice authorized in the Nurse Practices Act and rules governing nursing. The registered nurse shall: 1. Demonstrate honesty and integrity in nursing practice; 2. Base nursing decisions on nursing knowledge and skills, the needs of clients, and registered nursing standards; 3. Accept responsibility for judgments, individual nursing actions, competence, decisions, and behavior in the course of nursing practice;

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4. Maintain competence through ongoing learning and application of knowledge in registered nursing practice; and 5. Report violations of the act or rules by self or other licensees and registrants.

History: Effective April 1, 2014. General Authority: NDCC 43-12.1 Law Implemented: NDCC 43-12.1-02(5)

54-05-02-05. Standards related to registered nurse scope of practice. The registered nurse utilizes the nursing process to assess, diagnose, establish a plan with outcome criteria, intervene, evaluate, and document health problems in nursing practice settings. The registered nurse shall: 1. Participate in nursing care, health maintenance, client teaching, counseling, collaborative planning, and rehabilitation, to the extent of the registered nurse’s basic nursing education and additional skills through subsequent education and experiences; 2. Conduct a comprehensive nursing assessment determined by the knowledge, skills, and abilities of the registered nurse and by the client’s immediate condition or needs; 3. Apply nursing knowledge based upon the integration of the biological, psychological, and social aspects of the client’s condition; 4. Develop a plan of care based on nursing assessment and diagnoses that prescribe interventions to attain expected outcomes; 5. Revise nursing interventions consistent with the client’s overall health care plan; 6. Utilize decision making, critical thinking, and clinical judgment to make independent nursing decisions and nursing diagnoses; 7. Implement the plan of care which includes the nursing interventions, treatment, and therapy, including medication administration and delegated medical and independent nursing functions; 8. Evaluate and document the client’s response to nursing care and other therapy; 9. Identify changes in client’s health status and comprehend clinical implications of client’s signs and symptoms as part of expected. unexpected, and emergent client situations; 10. Communicate, collaborate, and consult with other health team members; 11. Provide comprehensive nursing and health care education in which the registered nurse: a. Assesses and analyzes educational needs of learners; b. Plans educational programs based on learning needs and teaching-learning principles; c. Implements an educational plan either directly or by assigning

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selected aspects of the education to other qualified persons; and d. Evaluates the education to meet the identified goals. 12. Participate in quality improvement activities to evaluate and modify practice; 13. Promote a safe and therapeutic environment; 14. Demonstrate knowledge and understanding of the statutes and rules governing nursing and function within the legal boundaries of registered nursing practice; and 15. Observe and follow the duly adopted standards, policies, directives, and orders of the board as they may relate to the registered nurse.

History: Effective April 1, 2014. General Authority: NDCC 43-12.1 Law Implemented: NDCC 43-12.1-02(5)

54-05-02-06. Standards related to registered nurse responsibility to act as an advocate for the client. The registered nurse is responsible and accountable for the care provided and for assuring the safety and well-being of the client. The registered nurse provides care based upon client care needs; the knowledge, skills, and abilities of the registered nurse; and organization policy. The registered nurse functions as a member of a health care team by collaborating with the client and health care team in providing client care. The registered nurse shall: 1. Respect the client’s rights, concerns, decisions, and dignity; 2. Promote safe client environment and takes appropriate preventive interventions to protect client, others, and self; 3. Communicate client choices, concerns, and special needs with other health team members regarding: a. Client status and progress; b. Client response or lack of response to therapies; and c. Significant changes in client condition. 4. Maintain appropriate professional boundaries; and 5. Assume responsibility for nurse’s own decisions and actions.

History: Effective April 1, 2014. General Authority: NDCC 43-12.1 Law Implemented: NDCC 43-12.1-02(5)

54-05-02-07. Standards related to registered nurse responsibility to organize, manage, and supervise the practice of nursing. In the administration and management of nursing care, registered nurses may assign and delegate the responsibility for performance of nursing interventions to other persons. Assigning of nursing interventions may be made by registered nurses to others who are authorized to provide nursing care through licensure as a registered nurse or licensed practical nurse. The registered nurse shall: 1. Assign to another only those nursing interventions that are included 130

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within that nurse’s scope of practice, education, experience, and competence including: a. Assigning nursing care within the registered nurse scope of practice to other registered nurses; b. Assigning nursing care to a licensed practical nurse within the licensed practical nurse scope of practice based on the registered nurse’s assessment of the client and the licensed practical nurse’s ability; and c. Supervise. monitor, and evaluate the care assigned to a licensed practical nurse. 2. Delegate to another only those nursing interventions for which that person has the necessary skills and competence to accomplish safely. The delegation of the intervention must pose minimal risk to the client and consequences of performing the intervention improperly are not life-threatening. Unlicensed assistive persons complement the licensed nurse in the performance of nursing interventions but may not substitute for the licensed nurse. A licensed nurse may delegate an intervention to a technician who may perform limited nursing functions within the ordinary, customary, and usual roles in the individual’s field. In maintaining accountability for the delegation of nursing interventions, the licensed registered nurse shall: a. Ensure that the unlicensed assistive person is on a registry and has the education and demonstrated competency to perform the delegated intervention; b. Ensure that results of interventions are reasonably predictable; c. Ensure that interventions do not require assessment, interpretation, or independent decision making during its performance or at completion; d. Provide clear directions and guidelines regarding the delegated intervention or routine interventions on stable clients; e. Verify that the unlicensed assistive person follows each written facility policy or procedure; f. Provide supervision, observation, and feedback to the unlicensed assistive person; g. Observe, evaluate, and communicate the outcomes; h. Monitor performance, progress, and outcomes and assure documentation of the delegated intervention; i. Intervene and provide follow-up as needed; j. Revise plan of care as needed; and k. Retain professional accountability for the nursing care as provided. 3. The registered nurse administrator shall select nursing service delivery models for the provisions of nursing care, which does not conflict with this chapter and includes the following: a. Assess the health status of groups of clients, analyze the data,

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and identify collective nursing care needs, priorities, and necessary resources. b. Be responsible to determine that licensed nurses have the required competencies expected for the nurses’ current nursing practice roles. c. Establish training, supervision, and competency requirements of all individuals providing nursing care. d. Shall identify nursing personnel by a position title, job description, and qualifications. e. Ensure that the unlicensed assistive person is on a registry and has the education and demonstrated competency to perform the delegated intervention.

History: Effective April 1, 2014. General Authority: NDCC 43-12.1-08 Law Implemented: NDCC 43-12.1-08(1)

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NAPNES Standards of Practice and Educational Competencies of Graduates of PN/VN Nursing Programs

A. Professional Behaviors Professional behaviors, within the scope of nursing practice for a practical/vocational nurse, are characterized by adherence to standards of care, accountability for one’s own actions and behaviors, and use of legal and ethical principles in nursing practice. Professionalism includes a commitment to nursing and a concern for others demonstrated by an attitude of caring. Professionalism also involves participation in life long self-development activities to enhance and maintain current knowledge and skills for continuing competency in the practice of nursing for the LP/VN, as well as individual, group, community and societal endeavors to improve health care.

Upon completion of the practical/vocational nursing program the graduate will display the following program outcome:

Demonstrate professional behaviors of accountability and professionalism according to the legal and ethical standards for a competent licensed practical/vocational nurse.

Competencies which demonstrate this outcome has been attained:

1. Comply with the ethical, legal, and regulatory frameworks of nursing and the scope of practice as outlined in the LP/VN nurse practice act of the specific state in which licensed. 2. Utilize educational opportunities for lifelong learning and maintenance of competence. 3. Identify personal capabilities and consider career mobility options. 4. Identify own LP/VN strengths and limitations for the purpose of improving nursing performance. 5. Demonstrate accountability for nursing care provided by self and/or directed to others. 6. Function as an advocate for the health care consumer, maintaining confidentiality as required. 7. Identify the impact of economic, political, social, cultural, spiritual, and demographic forces on the role of the licensed practical/vocational nurse in the delivery of health care. 8. Serve as a positive role model within health care settings and the community. 9. Participate as a member of a practical/vocational nursing organization.

B. Communication Communication is defined as the process by which information is exchanged between individuals verbally, non-verbally and/or in writing or through information technology. Communication abilities are integral and essential to the nursing process. Those who are included in the nursing process are the licensed practical/vocational nurse and other members of the nursing and health care team, client, and significant support person(s).

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Effective communication demonstrates caring, compassion, and cultural awareness, and is directed toward promoting positive outcomes and establishing a trusting relationship.

Upon completion of the practical/vocational nursing program the graduate will display the following program outcome:

Effectively communicate with patients, significant support person(s), and members of the interdisciplinary health care team incorporating interpersonal and therapeutic communication skills.

Competencies which demonstrate this outcome has been attained:

1. Utilize effective communication skills when interacting with clients, significant others, and members of the interdisciplinary health care team. 2. Communicate relevant, accurate, and complete information. 3. Report to appropriate health care personnel and document assessments, interventions, and progress or impediments toward achieving client outcomes. 4. Maintain organizational and client confidentiality. 5. Utilize information technology to support and communicate the planning and provision of client care. 6. Utilize appropriate channels of communication.

C. Assessment Assessment is the collection and processing of relevant data for the purposes of appraising the client’s health status. Assessment provides a holistic view of the client which includes physical, developmental, emotional, psychosocial, cultural, spiritual, and functional status. Assessment involves the collection of information from multiple sources to provide the foundation for nursing care. Initial assessment provides the baseline for future comparisons in order to individualize client care. Ongoing assessment is required to meet the client’s changing needs.

Upon completion of the practical//vocational nursing program the graduate will display the following program outcome:

Collect holistic assessment data from multiple sources, communicate the data to appropriate health care providers, and evaluate client responses to interventions.

Competencies which demonstrate this outcome has been attained:

1. Assess data related to basic physical, developmental, spiritual, cultural, functional, and psychosocial needs of the client. 2. Collect data within established protocols and guidelines from various sources including client interviews, observations/measurements, health care team members, family, significant other(s), and review of health records.

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3. Assess data related to the client’s health status, identify impediments to client progress and evaluate response to interventions. 4. Document data collection, assessment, and communicate findings to appropriate member/s of the health care team.

D. Planning Planning encompasses the collection of health status information, the use of multiple methods to access information, and the analysis and integration of knowledge and information to formulate nursing care plans and care actions. The nursing care plan provides direction for individualized care, and assures the delivery of accurate, safe care through a definitive pathway that promotes the clients and support person’s(s’) progress toward positive outcomes.

Upon completion of the practical/vocational nursing program the graduate will display the following program outcome:

Collaborate with the registered nurse or other members’ of the health care team to organize and incorporate assessment data to plan/revise patient care and actions based on established nursing diagnoses, nursing protocols, and assessment and evaluation data.

Competencies which demonstrate this outcome has been attained:

1. Utilize knowledge of normal values to identify deviation in health status to plan care. 2. Contribute to formulation of a nursing care plan for clients with non-complex conditions and in a stable state, in consultation with the registered nurse and as appropriate in collaboration with the client or support person(s) as well as members of the interdisciplinary health care team using established nursing diagnoses and nursing protocols. 3. Prioritize nursing care needs of clients. 4. Assist in the review and revision of nursing care plans with the registered nurse to meet the changing needs of clients. 5. Modify client care as indicated by the evaluation of stated outcomes. 6. Provide information to client about aspects of the care plan within the LP/VN scope of practice. 7. Refer client as appropriate to other members of the health care team about care outside the scope of practice of the LP/VN.

E. Caring Interventions Caring interventions are those nursing behaviors and actions that assist clients and significant others in meeting their needs and the identified outcomes of the plan of care. These interventions are based on knowledge of the natural sciences, behavioral sciences, and past nursing experiences. Caring is the “being with” and “doing for” that assists clients to achieve the desired outcomes. Caring behaviors are nurturing, protective, compassionate, and person-centered. Caring creates an environment of hope and trust

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Upon completion of the practical/vocational nursing program the graduate will display the following program outcome:

Demonstrate a caring and empathic approach to the safe, therapeutic, and individualized care of each client.

Competencies which demonstrate this outcome has been attained:

1. Provide and promote the client’s dignity. 2. Identify and honor the emotional, cultural, religious, and spiritual influences on the client’s health. 3. Demonstrate caring behaviors toward the client and significant support person(s). 4. Provide competent, safe, therapeutic and individualized nursing care in a variety of settings. 5. Provide a safe physical and psychosocial environment for the client and significant other(s). 6. Implement the prescribed care regimen within the legal, ethical, and regulatory framework of practical/vocational nursing practice. 7. Assist the client and significant support person(s) to cope with and adapt to stressful events and changes in health status. 8. Assist the client and significant other(s) to achieve optimum comfort and functioning. 9. Instruct client regarding individualized health needs in keeping with the licensed practical/vocational nurse’s knowledge, competence, and scope of practice. 10. Recognize client’s right to access information and refer requests to appropriate person(s). 11. Act in an advocacy role to protect client rights.

F. Managing Managing care is the effective use of human, physical, financial, and technological resources to achieve the client identified outcomes while supporting organizational outcomes. The LP/VN manages care through the processes of planning, organizing and directing.

Upon completion of the practical/vocational nursing program, the graduate will display the following program outcome:

Implement patient care, at the direction of a registered nurse, licensed physician or dentist through performance of nursing interventions or directing aspects of care, as appropriate, to unlicensed assistive personnel (UAP).

Competencies which demonstrate this outcome has been attained:

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1. Assist in the coordination and implementation of an individualized plan of care for clients and significant support person(s). 2. Direct aspects of client care to qualified UAPs commensurate with abilities and level of preparation and consistent with the state’s legal and regulatory framework for the scope of practice for the LP/VN. 3. Supervise and evaluate the activities of UAPs and other personnel as appropriate within the state’s legal and regulatory framework for the scope of practice for the LP/VN as well as facility policy. 4. Maintain accountability for outcomes of care directed to qualified UAPs. 5. Organize nursing activities in a meaningful and cost effective manner when providing nursing care for individuals or groups. 6. Assist the client and significant support person(s) to access available resources and services. 7. Demonstrate competence with current technologies. 8. Function within the defined scope of practice for the LP/VN in the health care delivery system at the direction of a registered nurse, licensed physician, or dentist.

As approved and adopted by NAPNES Board of Directors May 6, 2007

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ANA Standards of Practice for the Registered Nurse

The six Standards of Practice describe a competent level of nursing care as demonstrated by the nursing process. 1. Assessment – The registered nurse collects comprehensive data pertinent to the health care consumer’s health and/or the situation.

2. Diagnosis – The registered nurse analyzes the assessment data to determine the diagnoses or the issues.

3. Outcomes Identification – The registered nurse identifies expected outcomes for a plan individualized to the health care consumer or the situation.

4. Planning – The registered nurse develops a plan that prescribes strategies and alternatives to attain expected outcomes.

5. Implementation – The registered nurse implements the identified plan. Elaborating this standard are four others: 5A. Coordination of Care, 5B. Health Teaching and Health Promotion, 5C. Consultation, 5D. Prescriptive Authority and Treatment.

6. Evaluation – The registered nurse evaluates progress toward attainment of outcomes.

The nine Standards of Professional Performance describe a competent level of behavior in the professional role. 7. Ethics – The registered nurse practices ethically.

8. Education – The registered nurse attains knowledge and competence that reflects current nursing practice.

9. Evidence-Based Practice and Research – The registered nurse integrates evidence and research findings into practice.

10. Quality of Practice – The registered nurse contributes to quality nursing practice.

11. Communication – The registered nurse communicates effectively in a variety of formats in all areas of practice.

12. Leadership – The registered nurse demonstrates leadership in the professional practice setting and the profession.

13. Collaboration – The registered nurse collaborates with the health care consumer, family, and others in the conduct of nursing practice.

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14. Professional Practice Evaluation – The registered nurse evaluates her or his own nursing practice in relation to professional practice standards and guidelines, relevant statues, rules, and regulations.

15. Resource Utilization – The registered nurse utilizes appropriate resources to plan and provide nursing services that are safe, effective, and financially responsible.

16. Environmental Health – The registered nurse practices in an environmentally safe and healthy manner.

American Nurses Association Nursing: Scope and Standards of Practice 2nd Edition, 2010

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DAKOTA NURSING PROGRAM – PN STUDENT ESTIMATED COSTS - 2015-2016 Practical Nursing Subtotals Uniforms Lab coat = $25.00 $2 1 5.00 1 pair program-designated scrubs WITH PATCH = $45.00 (you may want 2 pair) Clinical Specific Shoes = $50.00, Black Dress Shoes = $50.00 Dress Slacks = $20.00, Polo Shirt = $25.00 Equipment Stethoscope = $50.00 or more based on quality $113.00 Sphygmomanometer = $30.00 or more based on quality Watch with second hand = $25.00, Bandage scissors = $3.00, Penlight = $5.00 Textbooks and Fall semester = $960, Spring semester = $400, Summer semester = $0.00 - no new books. $1,360.00 Skyscape electronic The cost may vary depending on the general education classes you take each semester. reference books. Check your bookstores online site for book cost and ISBN numbers. ATI Access to Assessment Technologies Institute (ATI) online practice and proctored exams, $464.00 online resources (books and videos), and online skills modules. Payment due to college bookstore or business office Fall semester (1/2 total) and Spring semester (1/2 total). Program Fee $400.00 each semester = $1200.00 $1,200.00 Lab Fee $50 for each lab/clinical course ($150 for the PN program – NURS 122, 124, 126) $150.00 Background Check Must be done after a student is accepted but before designated date in the summer before $155.00 and Drug Screen they start class. ($42.50-$65.00 for the Background Check – you may also be charged $5– $15 for the fingerprints at the law enforcement agency and $50-$75 for the Drug Screen) NCLEX Fees for $130.00 to ND Board of Nursing, $42.50 to the FBI, and $200.00 to Pearson Vue testing $372.50 licensing exam service ND State Hospital $35.00 x 2 days food ($70) $220.00 Clinical $75.00 x 2 days - hotel (you may want to share a room to decrease expenses) Also consider other expenses such as travel costs and extra daycare. Full-time Tuition An example of the cost of tuition and college/IVN fees for 16 credits is $3,000 per fall, $7,500.00 and Fees at your $3,000 for spring semester and $1,500 for summer semester Please check with your campus campus - fees may for the exact cost. include liability, technology, **Part-time students please contact your individual campuses regarding tuition rates. The distance, etc. - fees way that you design your program of study may affect financial aid ** Individual Expenses Per individual student (may include travel to clinical sites), Others: Name badge if you lose Varies such as travel, child the first one - $10.00. care, etc. Nursing Program Pin per program - varies - check with coordinator Laptop Computer Students must have access to a computer and high speed internet which may entail $2,000.00 and Printer purchasing a laptop if they do not have one. Students at several sites must have their own computers to bring to class to complete exams and assignments. Handheld Electronic Students will access the Skyscape electronic references for clinical on a handheld electronic $200.00 Device device which may entail purchasing the device if they do not have one. Students in the past have found that the iPod Touch and iPhone are very compatible with this format. Other smart devices such as Blackberry or Android devices are also effective. Total Plan on costs from $11,749.50 to $13,949.50 Work with your financial aid officer and nursing advisor for an individualized estimation.

Please note that this is an estimate. To the best of our knowledge this form is complete. There may be unforeseen expenses that come up during the year. You will be responsible for all program expenses even if they have been inadvertently left off this form.

These costs are non-refundable if you are dismissed or voluntarily leave the nursing program.

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DAKOTA NURSING PROGRAM – ADN STUDENT ESTIMATED COSTS - 2015-2016 Associate Degree RN Subtotals Uniforms - you may already Lab coat = $25.00 $45.00 to have some of these items. 1 pair program-designated scrubs WITH PATCH = $45.00 (you may want 2 pair) $205.00 Clinical Specific Shoes = $50.00, Black Dress Shoes = $50.00 Dress Slacks = $20.00, Polo Shirt = $25.00 Equipment - you may Stethoscope = $50.00 or more based on quality 0 to $113.00 already have some of these Sphygmomanometer = $30.00 or more based on quality items. Watch with second hand = $25.00, Bandage scissors = $3.00, Penlight = $5.00 Textbooks and Skyscape Fall semester = $820 - $1250 $1020 - $1450 electronic reference books. *(Internal students who have already purchased Skyscape - $820) *(Incoming students who will purchase Skyscape - $1,250) Spring semester = $200 Check your bookstores online site for book cost and ISBN numbers. ATI Access to Assessment Technologies Institute (ATI) online practice and proctored $593.50 exams, online resources (books and videos), online skills modules and Virtual NCLEX Review. Payment (1/2 of total) due to college bookstore or business office each semester. Program Fee $400.00 each semester = $800.00 $800.00 Lab Fee $50 for each lab/clinical course ($150 for the AD program – NURS 227, 237, 259) $150.00 Background Check and Drug Must be done after a student is accepted but before designated date in the summer $130.00 Screen before they start class. ($42.50-$65.00 for the Background Check and $50-75 for the Drug Screen) NCLEX Fees for licensing $130.00 to ND Board of Nursing, $42.50 to the FBI, and $200.00 to Pearson Vue testing $372.50 exam service Conference Fee Students may be asked to attend a conference as a class for a clinical day if $50.00 appropriate. Cost varies but registration is approximately $50. Full-time Tuition and Fees at An example of the cost of tuition and college/IVN fees for 16 credits is $3,000 per fall, $6,000.00 your campus. $3,000 for spring semester Please check with your campus for the exact cost. Individual Expenses such as Per individual student (may include travel to clinical sites), Others: Name badge if you Varies travel, child care, etc. lose the first one - $10.00. Nursing Program Pin per program - varies - check with coordinator Laptop Computer Students must have access to a computer and high speed internet which may entail $2,000.00 and Printer purchasing a laptop if they do not have one. Students at several sites must have their own computers to bring to class to complete exams and assignments. Handheld Electronic Device Students will access the Skyscape electronic references for clinical on a handheld $200.00 electronic device which may entail purchasing the device if they do not have one. Students in the past have found that the iPod Touch and iPhone are very compatible with this format. Other smart devices such as Blackberry or Android devices are also effective. Total Plan on costs from $9161.00 to $12,064.00 Work with your financial aid officer and nursing advisor for an individualized estimation. Please note that this is an estimate. To the best of our knowledge this form is complete. There may be unforeseen expenses that come up during the year. You will be responsible for all program expenses even if they have been inadvertently left off this form.

These costs are non-refundable if you are dismissed or voluntarily leave the nursing program.

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Dakota Nursing Program Booklist for 2015-2016 The ISBN numbers for the books below are available from your bookstores. Check out the bundle prices for the fall Elsevier books/eBooks. Semester Elseivier bundle Course # Course PN Book Title Author Publisher Edition Year Notes ISBN eBook ISBN purchased ISBN for PN NURS 120 Foundations of Nursing Fundamentals of Nursing Text and/or Ebook Perry & Potter Elsevier 8th 2013 Fall 9780323079334 9780323096126 9780323342995 NURS 120 Foundations of Nursing Fundamentals of Nursing Study Guide Perry & Potter Elsevier 8th 2013 Fall 9780323084697 N/A 9780323342995 NURS 121, 127, 129 Practical Nursing I, II, III Foundations of Psychiatric Mental Health Nursing Varcarolis/Halter Elsevier 7th 2014 Fall 9781455753581 9780323222778 9780323342995 NURS 121, 127, 129 Practical Nursing I, II, III Health Assessment - Text and/or eBook Wilson and Giddens Elsevier 5th 2013 Fall 9780323091510 9780323101349 9780323342995 NURS 122, 124, 126 Clinical Practice I, II, III Saunders Comprehensive Review for the NCLEX-PN Silvestri Elsevier 6th 2015 Fall New ed. 9780323289313 NURS 121, 127, 129 Practical Nursing I, II, III Nutrition Essential for Nursing Practice Dudek, S. LWW 7th 2013 Fall 9781451186123 N/A N/A NURS 122, 124, 126 Clinical Practice I, II, III ATI-NCLEX Review Course/skills modules for PN ATI ATI N/A 2013 Fall N/A N/A N/A NURS 122, 124, 126 Clinical Practice I, II, III Medical Terminology Simplified Gylys, B & Masters, R. F.A.Davis 5th 2014 Fall 9780803639713 N/A N/A Revised NURS 122, 124, 126 Clinical Practice I, II, III Calculating Dosages Safely: A Dimensional Analysis Approach Horntvedt F.A. Davis 1st 2013 Fall Reprint 9780803644595 N/A N/A Nurse's Pocket Guide Diagnoses, Prioritized Interventions, and NURS 122, 124, 126 Clinical Practice I, II, III Rationales Doenges,M. F.A.Davis 13th 2013 Fall 9780803627826 N/A N/A Skyscape Nursing Constellation Plus for Electronic Handheld Device Includes: Davis Drug Guide, Diseases and Disorders, Laboratory and Diagnostic tests with Nursing Implications and NURS 122, 124, 126 Clinical Practice I, II, III Taber's Medical Dictionary Skyscape Skyscape Fall N/A N/A N/A NURS 127, 129 Practical Nursing II, III Understanding Medical Surgical Nursing - Text and/or eBook Williams & Hopper F.A.Davis 5th 2014 Spring New ed. Spring Spring Spring NURS 127, 129 Practical Nursing II, III Understanding Medical Surgical Nursing - Study Guide Williams & Hopper F.A.Davis 5th 2014 Spring New ed. Spring Spring Spring NURS 145 Intro to Maternal Child Intro to Maternity and Pediatric Nursing - Text and/or eBook Gloria Leifer Elsevier 7th 2014 Spring Spring Spring Spring NURS 145 Intro to Maternal Child Introduction to Maternity and Pediatric Nursing - Study Guide Gloria Leifer Elsevier 7th 2014 Spring Spring Spring Spring

Semester Elseivier bundle Course # Course AD Book Title Author Publisher Edition Year Notes ISBN eBook ISBN purchased ISBN for AD NURS 224, 259 Professional Role Deve Nursing Now Catalano F.A.Davis 7th 2015 Fall New ed. 9780803639720 N/A N/A NURS 225, 228 Alterations in Health I, II Medical Surgical Nursing - Text and/or eBook Lewis Elsevier 9th 2014 Fall 9780323086783 9781455743292 9780323343008 NURS 225, 228 Alterations in Health I, II Medical Surgical Nursing - Study Guide Lewis Elsevier 9th 2014 Fall 9780323091473 N/A 9780323343008 NURS 226 Maternal Child Nursing Maternal Child Nursing - Text and/or eBook McKinney Elsevier 4th 2013 Fall 9781437727753 9781455759897 9780323343008 NURS 226 Maternal Child Nursing Maternal Child Nursing - Study Guide McKinney Elsevier 4th 2013 Fall 9781455737499 N/A 9780323343008 NURS 227, 237, 259 Clinical Applications I, II Saunders Comprehensive Review for the NCLEX-RN Silvestri, Linda Anne Elsevier 6th 2014 Fall 9781455727551 N/A 9780323343008 NURS 227, 237, 259 Clinical Applications I, II Prioritization, Delegation and Assignment LaCharity Elsevier 3rd 2014 Fall 9780323113434 N/A 9780323343008 NURS 227, 237, 259 Clinical Applications I, II ATI-Review Package/Virtual review for RN ATI ATI N/A 2013 Fall N/A N/A N/A NURS 229 Health Promotion and Foundations of Nursing in the Community Stanhope, M Elsevier 4th 2014 Spring Spring Spring Spring The following four resources are only needed for incoming students - those students who are LPNs coming into the AD class.

NURS 229 Health Promotion and Foundations of Psychiatric Mental Health Nursing Varcarolis/Halter Elsevier 7th 2014 Spring Spring Spring Spring NURS 227, 237 Clinical Applications I, II Revised Calculating Dosages Safely: A Dimensional Analysis Approach Horntvedt F.A. Davis 1st 2013 Fall Reprint 9780803644595 N/A N/A NURS 227, 237 Clinical Applications I, II Nurse's Pocket Guide Diagnoses, Prioritized Interventions, and Rationales Doenges,M. F.A.Davis 13th 2013 Fall 9780803627826 N/A N/A Skyscape Nursing Constellation Plus for Electronic Handheld Device Includes: Davis Drug Guide, Diseases and Disorders, Laboratory and Diagnostic tests with Nursing Implications and NURS 227, 237 Clinical Applications I, II Taber's Medical Dictionary Skyscape Skyscape Fall N/A N/A N/A

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Dakota Nursing Program

Nursing Student Handbook Signature Form

This Nursing Student Handbook contains valuable information for your journey through the Nursing Program. It is vital that you read this handbook and follow the policies outlined within.

 Please note the separate confidentially policy and form that requires an additional signature. A copy of this form with your signature is shared with clinical agencies when you start clinical.

 Please also note the separate acknowledgement form related to understanding the Role of the Student Nurse and Essential Functions of the Student Nurse Documents that require your signature. The nursing program coordinator needs to be made aware of any conditions that may impact your practice as a student nurse.

I have received a copy of the Dakota Nursing Program Student Handbook and I understand that I am responsible for following the information, policies, and guidelines written within.

Student Name Student Signature Date

Please return this completed form to the Nursing Office on or before September 1st.

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Dakota Nursing Program

Nursing Program Confidentiality Statement and Handheld Electronic Device Use Signature Form

Please refer to the “Dakota Nursing Program Confidentiality Statement Policy” and the “Handheld Electronic Device Use Policy” found in the Students Professional Role Policies and Expectations area of this handbook.

I have read the “Dakota Nursing Program Confidentiality Statement Policy” and the “Handheld Electronic Device Use Policy” found in the Students Professional Role Policies and Expectations area of this handbook.

As a condition of my clinical assignments, I accept the principle that I have the responsibility to maintain the client /resident’s trust and confidence. Each clinical site guarantees to its client/resident the right to expect that all communications and records pertaining to all aspects of their care will be treated as confidential. I, as a student, will maintain the confidentiality that each clinical site guarantees.

This trust applies to everyone, on and off duty. Students/Faculty are charged with the responsibility of carrying this out by not disclosing any matters concerning a client/resident with other employees, students, friends, and/or relatives both in and out of the facility, unless required as a necessary part of the job.

Violation of this policy is serious and would render the need for immediate disciplinary action including the possibility of dismissal from the Dakota Nursing Program.

I agree to maintain strict confidentiality, as stated above, for any client/resident in my care including agreement to follow HIPPA and maintain strict confidentiality when using my handheld electronic device - iTouch.

Student Name Student Signature Date

Please return this completed form to the Nursing Office on or before September 1st.

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Dakota Nursing Program

Role of the Student Nurse and Essential Functions of the Nursing Student Statement Signature Form

Please refer to the “Role of the Student Nurse” and the “Essential Functions of the Nursing Student” found in the Students Professional Role Expectations area of this handbook.

I have read the “Role of the Student Nurse” and the “Essential Functions of the Nursing Student/Nurse” found in the Students Professional Role Expectations area of this handbook.

My signature below indicates that I am able to fully perform the role of the student nurse, including performing all essential functional abilities at the Dakota Nursing Program. If I am unable to perform in the role of the student nurse or am unable to perform all the essential functional abilities I am aware that I may be dismissed from the Dakota Nursing Program. I have informed my nursing coordinator of any inability to perform all essential functional abilities in the role of the student practical nurse or student nurse.

Student Name Student Signature Date

Please return this completed form to the Nursing Office on or before September 1st.

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