ࡱ> O ҅bjbj;; DlQWilQWi]?80008hL0&!^!("""""# #JLLLLLL$lp9#""##p""9)9)9)#j""J9)#J9)9)"p{#60vb 7o' 7 &78##9)#####pp{(#######7#########X :   500 Grand Concourse, Bronx, New York 10451 (718) 518- 4121 or 4267 LPN HANDBOOK Rev/Updated: 09/07/2023 HEGIS CODE 5209.20 This page left intentionally blank TABLE OF CONTENTS The Practical Nursing Program: An overview: 6 Philosophy of the Nursing Program 7 Program Objectives 11 Entrance, progression, retention, transition 12 Transition Course of Study 21 Description of the Clinical Simulation Laboratory 22 Conceptual Framework 22 Code for Licensure Practical/Vocational Nurses 26 Curriculum/Curriculum Pattern 26 Evaluation of Faculty Courses 31 Advisement 31 Conference Notes 32 Examinations and Quizzes 32 Assessment Technologies Institutes Examinations 33 Policies for Written Work 37 Attendance/Lateness 38 Withdrawal from a Nursing Course 38 Academic Probation 39 Course Failure 39 Conflict Resolution 40 Health Requirements 40 Malpractice 41 Conduct and Dismissal 41 Nursing Disciplinary Committee 42 Dress Code 42 Clinical AreaPolicies 44 Clinical Simulation Laboratory Protocol 45 Pinning 47 Licensure 47 Acknowledgment 49 This page left intentionally blank THE LICENSED PRACTICAL NURSE CERTIFICATE PROGRAM Dear Nursing Student: Welcome to the Certificate Program in Practical Nursing. Please familiarize yourself with the contents of the Nursing Student Handbook. It is designed to help you understand your responsibilities as a student and how you can best ensure your achievement in the program. Additional information concerning your rights and responsibilities as a student is contained in the College Catalog and Student handbook. The Nursing Faculty and other college resources are available to facilitate the learning process and to promote student progression in the program. If ever you need anything, please do not hesitate to come to a faculty member for assistance, or for a referral to the appropriate office for help. Additional information concerning your rights and responsibilities as a student are contained in the Colleges Catalog and website. Other college resources are available to facilitate the learning process and to promote student progression in the program. If ever you need anything, please do not hesitate to come to a faculty member for assistance, or for a referral to the appropriate office for help. On behalf of the faculty, we wish you success. Sincerely, Nursing Faculty THE PRACTICAL NURSING PROGRAM: AN OVERVIEW The Allied Health Sciences Department of ҹ糡 offers three career programs: Dental Hygiene, Radiology Technology, and Nursing, (the A.A.S. RN. and the Certificate Program in Practical Nursing). The Certificate Program in Practical Nursing admitted the first class in January 2000 who then completed course work in December 2002. The curriculum fulfills the requirements of and is registered by The New York State Education Department. (HEGIS code 5209.20). The Program includes a two-semester clinical course of study. Upon completion of the program, the college awards the students a Certificate in Practical Nursing. A licensing examination is required to practice as a Practical Nurse and graduates are eligible to take the National Council Licensure Examination for Practical Nurses (NCLEX-PN). The Practical Nursing Program embraces the Wellness-Illness Continuum. Emphasis is placed on cultural and ethnic diversity. Legal aspects of nursing are stressed throughout the curriculum. The student learns the principles of therapeutic communication and how to establish therapeutic interpersonal relationships. An understanding of these concepts enables the student to perform skills needed to make the transition from student to graduate practical nurse. Nursing courses are developed around a needs approach. Models for nursing care are drawn from alterations in needs. The dimensions of Practical Nurses are identified in the course objectives and provide for the unification of concepts and threads throughout the program. The roles of the Practical Nurse are emphasized as well as selected components of the nursing process, which are incorporated and stressed in all areas of the program. Students learn to provide care for patients of all ages in a variety of settings such as the acute care hospital and long-term care facilities in the community. Students must assume responsibility for ensuring that the course requirements for the program are met in a timely and sequential fashion. The curriculum at ҹ糡 assures that graduates are competent, safe, beginning practical nurses. Overall, the curriculum includes liberal arts, urban health, biological sciences, psycho-social sciences, and nursing courses, which afford the student a strong base for assuming the role of a beginning practical nurse. Nursing courses encompass lectures and clinical learning experiences. Basic nursing skills are learned and practiced at the entry-level course, NUR 110, LPN Clinical Nursing 1. Advanced nursing skills are learned and practiced in subsequent courses and nursing specialty areas. PHILOSOPHY AND MISSION OF THE PARENT INSTITUTION ҹ糡 is dedicated to providing health careers and liberal arts education opportunities to both English-speaking and Second Language students. Although a non-traditional college, its founding goes 130 years when the precursor of the City University of New York, the Free Academy, was established for the people of this city. At the core of the educational process at ҹ糡 is the concept that, to the extent that one is educated, one understands the world. ҹ糡 was founded to provide its students with the means to exercise control of themselves, their community, and their environment. Ultimately, the mission of ҹ糡 is to provide services that help the City of New York to be an urban community that works for all of its citizens. To do this, ҹ糡 challenges its students to remember constantly that their right to higher education is coupled with a serious responsibility. As noted in the College catalog, it invites students to critically examine themselves and their surroundings. The Nursing Program complies with the mission of the College and draws upon it for the development of the philosophy, purposes, and objectives of the program. PHILOSOPHY OF THE NURSING PROGRAM The philosophy of the Nursing Program reflects the facultys beliefs about the relationship between person, nursing education, and health. The Practical Nursing Program utilizes the framework of basic human needs which provides the structure for the development of the curriculum. The foundations of this framework are derived from nursing theorists Jean Watsons and Madeleine Leininger. Watson's theory of Human Caring promotes holistic nursing care that is grounded in compassion and unconditional acceptance. The Huma Caring theory incites nurses to cultivate caring moments while applying their knowledge as a way to promote health and healing. Madeleine Leiningers Culture Care Theory emphasizes the impact of nursing knowledge on the value and appreciation of the diverse patient population. Nurses are able to effectively provide patient care when they appreciate the value of culture and its influence on patients health and wellness. The nursing program considers the influence culture has on a patients health, wellness, and illness; therefore, the student is guided toward a better understanding of cultural awareness. We believe that nursing education is best achieved in the collegiate environment. This education provides a broad foundation in the physical, biological, behavioral, and social sciences, which are integrated into the nursing curriculum. Person The nursing faculty views a person as a unified whole with adaptive capacities; a cultural being who embodies specific beliefs, behaviors, and values which are expressed in patterned ways. A person constantly interacts with his/her internal and external environment challenging ones adaptive mechanisms. Ones bio-psychosocial and cultural needs are common, recurrent, and hierarchical in nature. We believe a person is a rational being who has the right to self-determination and collaborative decision-making in health and illness. Nursing The faculty believe that nursing is a creative, caring goal-directed profession and the person is the recipient of nursing care based on knowledge derived from the physical, biological, behavioral, and social sciences, acquired through clinical practice, collaboration with colleagues, and nursing research. The Associate Degree Nurse provides nursing care utilizing critical thinking, therapeutic use of self, and a high level of technical skills based upon principles from an ever-expanding body of scientific knowledge. Through its holistic view of the person, and by using the wellness-illness continuum, the nurse is able to meet the healthcare needs of individuals with consideration of their roles in families and in communities. Comprehensive nursing care is based on the use of the nursing process. This identification process includes assessing and prioritizing patients healthcare needs, developing plans of care, utilizing the nurses knowledge and skills when implementing specific interventions, then evaluating outcomes, and revising plans of care. Health The nursing faculty views health on the health-illness continuum as a state and offer a process of being and becoming. Health is an optimal level of overall physical, mental, social, and spiritual well-being manifested by wholeness, integrity autonomy, and satisfaction. Health is a constantly changing condition as alterations in a persons needs cause a discord of mind body and soul, which, may lead to stress and the development of illness. Illness is viewed as a deviation from the integrity of health wherein the individual is unable to fill his/her own needs. Environment The environment refers to all the internal and external factors, which influence the persons perception and response to life. A person is constantly interacting with ones own internal and external environment. The external environment includes physical, psychosocial, cultural, spiritual, economic, and political factors. Internal factors are the physical psychological and developmental states, including specific beliefs and values that motivate behavior. Changes within our environment can occur as a result of an increase in human knowledge, cultural diversity, resources, and technological advances. These changes affect the perceptions and responses of the individual and may lead to stress. Nursing Education Nursing Education is a continuous process involving both the instructor and the student. The role of the faculty is to facilitate learning. The role of the student is to be an active participant in the learning process and to assume responsibility for ones own acquisition of knowledge. The student is provided guidance and facilitated entry to a baccalaureate program. We expect that many of our graduates will initially work in the diverse ҹ糡 Community of the South Bronx, an area where healthcare needs are numerous. Therefore, the threads in our nursing curriculum are functional and practical elements with applicability to real-life situations. Faculty are also aware of the socio-cultural and economic circumstances many of the students bring to the learning environment and realize the impact of those influences on the student's readiness for entering the nursing profession. In this educational program, the faculty view students as adult learners who develop and use critical thinking skills such as problem-solving approaches for mastering their current nursing education as well as considering their future academic endeavors. If a student has disabilities or has an Individual Educational Plan (IEP), ҹ糡 offers services. Information about these services can be located at:  HYPERLINK "http://www.hostos.cuny.edu/Administrative-Offices/SDEM/Accessibility-Resource-Center-(ARC)" http://www.hostos.cuny.edu/Administrative-Offices/SDEM/Accessibility-Resource-Center-(ARC) Teaching/Learning Teaching/learning approaches are selected with the needs of the students, the patient, and the profession in mind. Student behavior is expected to be altered as a result of their ability to think critically in new situations and in the assimilation of new knowledge. Expected behavioral outcomes are shared with students in advance. Thus, they are able, with the assistance of the instructor, to plot the development of self-awareness, increase their ability to assume responsibility, act in self-directed ways, and become accountable caregivers. Faculty are responsive to the special needs of culturally and educationally diverse students. Serving as facilitators, faculty members guide and enable the student to actively participate and thrive in the teaching/learning environment. Motivational elements in each student, are sought. These elements are capitalized upon as students are encouraged to realize that learning is a life-long endeavor. Past experiences are drawn upon and made relevant to their educational progress. Faculty, functioning as professional educators and nurses in the classroom and clinical settings, serve as role models. The nursing process with its identifiable element provides the teaching/learning model for faculty and students. Students graduating from this program are prepared to take the National Council Licensure Examination-PN (NCLEX-PN). After passing the National Council Licensure Examination-PN, the student is licensed by New York State as a Practical Nurse. PROGRAM OBJECTIVES Upon completion of the course of study, the Licensed Practical Nurse Certificate will demonstrate the ability to: Use critical thinking skills to apply knowledge from the physical, biological, social, behavioral sciences, and the humanities to identify altered needs of culturally diverse patients across the lifespan who are experiencing health problems. Use components of the nursing process to deliver care to patients across the lifespan using therapeutic communication and a caring attitude. Use components of the nursing process to deliver care to clients across the lifespan. Function as a member of the interdisciplinary health care team. 5. Utilize technology to support evidenced based practice. Appropriately manage ones own nursing care and monitor the care provided by unlicensed caregivers. 7. Assume responsibility and accountability for ones nursing practice based on established standards and the Code of Ethics for the Licensed Practical Nurse. PRE-REQUISITES- To be eligible to enter the program of Nursing, students must: Pass the ACTR, ACTW, and MATH Compass (Parts M1 and M2) Tests with the completion of all remedial and pre-requisite courses prior to taking the ATI TEAS Test for admission. Successfully complete ENG 110, Expository Writing, and MATH 120, Introduction to Probability and statistics with a minimum grade of B- 80%. The student must maintain a 2.75 GPA in all the pre-requisite courses prior to entering the clinical portion of the LPN Certificate program. Credits will not be transferred from any nursing program. Students must complete all coursework. No incomplete grades are accepted for any required or elective courses at the time of registration. All science courses must have been completed within five years of beginning NUR 110. All nursing courses must be taken in the identified sequence. Entrance to the LPN Program Entry into the LPN Program is competitive. 1. The ATI Test of Essential Academic Skills (TEAS), a Pre-Nursing examination, must be taken when it is scheduled at ҹ糡. Only official scores taken at and released to ҹ糡 will be accepted. Students may repeat the ATI-TEAS examination, if necessary, after one year has elapsed when they are not accepted into the LPN Program. The ATI TEAS Test will be offered in the Spring and Fall semesters 2. Students who successfully complete all the pre-requisite courses with a G.P.A. of 2.75, and are currently registered at ҹ糡, have achieved a passing ATI TEAS Test, may be offered admission into the LPN Program on a space-available basis. 3. Students who achieve the highest combined scores on the ATI-TEAS Test, and cumulative GPA will be selected for available spaces in the LPN Program. To prepare for the ATI TEAS Exam, we recommend you begin to prepare for the exam during the prior summer and fall semesters. See the website: (  HYPERLINK "http://www.atitesting.com" www.atitesting.com for online practice materials and exams. A GPA of 2.5 must be maintained in order to progress within the program. If a student has ҹ糡 credits, a GPA of 2.75 is required to enter the program. A 2.0 (C grade) must be achieved in all non-nursing courses, with the exception of ENG 110 (B-required /80% and Math 120, B- required. There are fees for the ATI TEAS Exam and the preparation materials. Students are responsible for scheduling ATI TEAS testing at HCC. Only official test scores are accepted at ҹ糡 Students who achieve the highest score on the ATI exam will be selected for the available spaces in the LPN program. Each year the admission process begins anew. An applicant is considered an LPN candidate when selected by the Nursing ҹ糡 Committee. Currently, CUNY is committed to providing liability insurance to all students who qualify to enter the clinical phase of the nursing program. All applicants for admission into nursing clinical must provide documentation in one of the following categories: U.S. Citizenship Permanent Residency International Student with F1 Status Granted Asylum, Refugee Status, Temporary Protected Status, Withholding of Removal, or Deferred Action Status by the U.S. government. All undocumented students who indicate an interest in nursing are going to be strongly urged to consult with the CUNY Citizenship and Immigration Project, which provides free counseling and assistance to all CUNY students who need help with their immigration status. ( HYPERLINK "http://web.cuny.edu/about/citizenship.html" http://web.cuny.edu/about/citizenship.html). As of June 2020, the Office of Academic Affairs has issued this revised guidance for students seeking admission to CUNYs nursing programs to reflect current law, recently updated CUNY policy, and better reflect the Universitys strong support of non-citizen students and its long-standing reputation for creating a pathway to education for immigrants. To this, end, effective immediately, all CUNY nursing programs will consider students to be eligible for admission consistent with the regulations of the New York State Education Department (NYSED) that make professional licensure available not only to U.S. citizens but to non-citizens so long as they are not unlawfully present in the United States, including those with Deferred Action for Childhood Arrivals (DACA) and those who are permanently residing in the United States under color of law (PRUCOL). New Nursing Admission Eligibility Requirements To be admitted or advanced into a NYSED-approved nursing program in fall 2020 and beyond, students must provide documentation for one of the categories listed in the attached policy. Namely, applicants may demonstrate eligibility through documents that verify that they: 1) are U.S. citizens, 2) have legal permanent resident status, or 3) are in another eligible category set forth in the policy, generally through a presentation of an employment authorization document (see the useful document from U.S. Citizen and Immigration Services: List of Documents that Establish Identity and Employment Authorization). Nursing Admission Policy Communications Each campus must include the official criteria and documentation requirements cited in the revised policy in all virtual and written communications on admission eligibility for nursing students. This includes adding the new criteria to the list of other eligibility requirements for advancement into the nursing program (i.e., prerequisites, minimum GPA, etc.). The updated policy does not affect students who have advanced into the clinical component of CUNYs nursing programs, or those considered for advancement prior to summer 2020. Students who were not previously eligible for admission may re-apply for consideration under the revised policy, pending their satisfactory completion of ALL required admission criteria, as outlined and reviewed by the respective nursing program. Each campus must also disseminate the revised admission policy and criteria to faculty, academic advisors, career counselors, admissions, registrar, and other relevant staff. Student and Faculty Support Services Students may be directed to consult with CUNY Citizenship Now! for free and confidential immigration law services available to all members of the community (both CUNY students and non-students). Faculty are advised to consult with the College Legal Affairs Designee for any questions on eligible immigration categories and documentation to verify their status. TESTING FOR STUDENTS WITH DISABILITIES: In accordance with Section 504 of the Rehabilitation Act and the Americans with Disabilities Act, students with disabilities may be eligible for accommodations on CUNY Assessment Tests. Students must be registered with the colleges Office of Accessibility Resource Center (ARC), in the Savoy Building, which will certify eligibility and coordinate accommodations with the Testing Center. Students who think they may be eligible for accommodations and/or other services from ARC are urged to contact that office as soon as possible. For further information contact the ARC at 718-518-4454 and/or visit the offices website for additional important information.  HYPERLINK "mailto:arc@hostos.cuny.edu" arc@hostos.cuny.edu Office of Academic Affairs 205 East 42 Street, 9th Floor New York, NY 10016 646.664.8065 REVISED NURSING PROGRAMS ADMISSION POLICY June 24, 2020 Effective immediately, all CUNY nursing programs will consider applicants for admission who are eligible for licensing in New York under the regulations of the New York State Education Department. The regulation provides eligibility for citizens and non-citizens who are not unlawfully present, including those with Deferred Action for Childhood Arrivals (DACA) and those permanently residing in the United States under color of law (PRUCOL). Applicants may demonstrate eligibility through documents that verify that they meet the required criteria. The most common documents include: 1. Proof of U.S. citizenship through a birth certificate, U.S. passport, naturalization certificate, or certificate of citizenship. 2. Proof of legal permanent resident status with what is known as a Green Card. 3. Proof of various eligible categories, listed below, generally through an employment authorization document (EAD) or other satisfactory documentation. All nursing students in clinical courses are required to comply with the necessary Health Clearance, BLS, and Infection Control Certifications and background checks as outlined in the course syllabi. In addition, the student must be aware there are common expenses associated with the RN Program. Common expenses include the following: Approximate Ancillary Expenses per semester for License Practical Nursing Students * ATI TEAS Examination$ 115.00 AHA Professional Basic Life Support Certification .$100.00 Child Abuse/Infection Control Certificate.............................$50.00 Uniforms, (Shoes, Name Pin) $200.00 Instruments and Carrying Case...$125.00 Textbooks ...$1,000.00 *Malpractice Insurance. $50.00 * (if not provided by CUNY) Health Clearance depends on the students medical insurance NCLEX-PN or NCLEXRN Licensure Exam $200.00 NYS registration fee $165.00 ATI software program $627 per semester Castle branch (each semester): Background checks Medical records management: Medical Document Manager...$110.00 New students...$205.75 Returning students (each semester) $153.25 * These are current prices and are subject to change without notice. Students must submit all state-mandated documents and clinical requirements on the first day of class: Liability Insurance Health Requirements including proof of immunity, see annual Health Examination Required vaccinations as health care workers in clinical sites as outlined by the NYS Dept of Health, CDC, and/or facility preferences. AHA Professional Basic Life Support Certification Infection Control and Child Abuse Certifications* Satisfactory evidence of criminal background check STUDENTS ARE SUBJECT TO CRIMINAL BACKGROUND CHECKS BY CLINICAL AGENCIES. This process is additional to the Castle Branch certified background. It is completed at the students expense. The clinical agency may deny a student's entry into their facility. That student may not complete the Nursing Course. Anyone who fails a toxicology screening test must immediately withdraw from nursing courses. Ancillary expenses can be found in the College catalog and the student handbook. Prices are subject to change. Students are expected to read and adhere to all CUNY policies as outlined in the student handbook and the ҹ糡 School Catalog. Cell phones must be turned off and put away off of your person during every quiz and exam. Cell phones must be turned off and put away during clinical and lectures. Failure to do so will result in expulsion from the class. A medication Proficiency Examination will be given at the beginning of each clinical course. Additional evaluation will be conducted by clinical faculty. A student has three opportunities to achieve a grade of 80% or higher prior to administering medications. This requirement must be met prior to mid-term. Inability to do so results in administrative withdrawal from the nursing course. After successful completion, students are then eligible to administer medications with supervising faculty. At the end of the term, all clinical objectives must be met. Eligible immigration categories: 1. International student with F-1 status 2. Asylee 3. Refugee 4. Temporary Protected Status (TPS) 5. Deferred Action for Childhood Arrivals (DACA) 6. Individuals paroled into the United States whose parole has not expired 7. Persons residing in the U.S. pursuant to an Order of Supervision 8. Persons granted a stay of deportation/removal 9. Persons granted an indefinite voluntary departure 10. Persons on whose behalf an immediate relative petition has been approved 11. Persons who have filed an application for adjustment of status to permanent resident 12. Persons granted Deferred Action Status 13. Persons who entered and have continuous residency in the U.S. before 01/01/1972 14. Persons granted suspension of deportation or cancellation of removal 15. Cuban/Haitian entrants 16. Persons with a pending application for asylum, withholding of removal or deportation, protection under the Convention Against Torture (CAT), cancellation of removal, or TPS 17. Persons in T or U non-immigrant status 18. Self-petitioner under the Violence Against Women Act 19. Other persons living in the U.S. who are not unlawfully present NOTICE TO STUDENTS ON CRIMINAL BACKGROUND CHECKS Current laws generally permit a state licensing board or agency to deny a license to practice nursing if the applicant has been convicted of a felony or other specified crime. Like many state licensing boards, the Office of the Professions of the New York State Education Department requires that a criminal background check be conducted prior to granting a license to practice nursing. The Nursing Unit at ҹ糡 does not require a criminal background check for admittance, but the Nursing Units educational requirements include placement at one or more hospitals or other off-campus clinical training sites, and these sites frequently require a student to undergo a criminal background check before the student can be placed for clinical training. If, based on the results of a criminal background check, the site determines that a students participation in its clinical training program would not be in the best interest of the site, the site may deny that student admission to the training program. Even if the student has already begun the placement when the results are received, the site may elect to dismiss the student, regardless of the students performance while in the training program. There is no appeal from the clinical training sites decision. Each clinical training site that requires a criminal background check sets its own standards and procedures, and you may be asked by the site to pay the cost of the background check. You will have to complete more than one criminal background check during the course of the Nursing program at ҹ糡, depending on the number of sites where you are placed and the requirements of each site. Please note that if a clinical training site determines that you may not take part in its training program based on the results of a criminal background check, you will be unable to complete your course requirements and continue in the Nursing program. It is important for you to consider this before you enroll in the Nursing Program. ҹ糡 has no obligation to refund your tuition or fees to accommodate you in the event you are ineligible to complete your course requirements based on the results of a criminal background check, or if you are denied a license to practice nursing. Pre-Requisites for Transfer Students Transfer students seeking LPN certification must ensure that all transcripts and test results have been submitted to the ҹ糡 Office of ҹ糡 for review by that office. Transfer students must meet the following criteria: Overall GPAs of 2.75 in all courses are equivalent to those required in the LPN sequence. Students who are transferring from another college must meet the same testing requirements outlined above for first time-to-college freshman Transferring courses The Nursing ҹ糡 Committee will review transcripts of transfer students seeking to enter the LPN program Nursing courses taken at another college are not transferable to ҹ糡 Science courses more than five years old are not transferable ESL courses are not transferable Students who have failed out of an RN program may have an opportunity to enter the LPN program, on a space-available basis, if they meet all the above requirements. Students must successfully complete each course on the first attempt, or they will be dropped from the LPN program. Progression in the LPN Program Students must maintain a GPA of 2.5. The minimum acceptable grade for any required nursing course is a C, 73% The exception is NUR 111, Pharmacology; the minimum acceptable grade in this course is B-. All required nursing courses must be taken in the identified sequence. Students must complete all coursework by the time of registration. No incomplete grades are accepted for any required and/ or elective course. With the exception of NUR 110, Only one Nursing course that is failed may be repeated. If a student fails NUR 110 LPN Clinical Nursing 1, this course cannot be repeated. The student is dropped from the LPN Program. In the Clinical Course Sequence, only one required non-clinical course may be repeated. In the Clinical Course Sequence, only one clinical Nursing course may be repeated. A second failure in a clinical course results in the student being dropped from the LPN Nursing Program. All requirements of the LPN program must be completed within three years. All nursing students are required to pay for ongoing ATI testing each semester THE TRANSITION COURSE OF STUDY FROM LPN TO A.A.S. RN: Requirements for the Transition from LPN to A.A.S. RN Program. The transition from LPN to the A.A.S. RN program is another career option for Licensed Practical Nurses. The transition course is open to any Licensed Practical Nurse who fulfills the following criteria: 1. Successful completion of an accredited, practical nursing program. 2. Passed the NCLEX-PN Examination. 3. Completion of all the ҹ糡 RN pre-requisite courses. 4. Passed the NLN Mobility I Profile Examination prior to NUR 200. 5. Have a GPA of at least 3.0 to enter and a 2.5 GPA to progress through the Registered Nursing program. 6. Passed the ACT Reading, Writing, and Math examinations. 7. Have passed MATH Compass examination and successfully completed MATH 120. 8. COMPLETION OF Nursing Transitions course (NUR 200). Note: If not a graduate of ҹ糡' Certificate Program in Licensed Practical Nursing or a CUNY certificate-bearing Practical Nursing Program, the candidate must meet the entrance requirements as outlined in the RN Student Handbook. Description of the Clinical Simulation Laboratory The clinical simulation laboratory for nursing students is located on the fourth floor of the Allied Health Building. The laboratory simulates a hospital setting and provides a realistic environment for patient care and skills development. Students have the opportunity to learn and practice skills in a nurturing, safe, supportive, stimulating, and comfortable environment before attempting them in an actual clinical site. This promotes confidence and improves skills, as well as awareness necessary for providing safe patient care under supervision in the clinical area. The laboratory serves as an audiovisual / multimedia/computer area with authentic patient settings. Nursing faculty with Clinical Laboratory Technicians provide a total educational experience by using visual aids, anatomical simulators, and other faculty/staff-directed activities. Attendance during scheduled hours is mandatory. THE CONCEPTUAL FRAMEWORK FOR HOSTOS COMMUNITY COLLEGE PRACTICAL NURSING PROGRAM The Conceptual Framework is derived from the Philosophy and Program Objectives and is based upon the facultys beliefs concerning nursing education at the Practical Nurse level. The major curriculum concept is basic human needs utilizing selected components of the nursing process and incorporating the roles of the License Practical Nurse and selected curriculum threads. DEFINITION OF TERMS: NEEDS which include and are defined as: SAFETY - Freedom from threats to ones physical and Psychological well being ACTIVITY - The goal-directed use of time, energy, and attention. Human activity is classified into the categories of self-care, work, play and leisure, and rest and sleep. REST & SLEEP - Human activity that protects and restores body function. COMFORT - Mentally relaxed, free from worry, and physically calm. NUTRITION The adequate intake of nutrients to REGULATION allow the body to carry out metabolic processes. FLUIDS/ The balance between intake and output of ELECTROLYTES - fluids and electrolytes and their distribution in the body. OXYGENATION - The state of optimum oxygen delivery to the Cells through the mechanisms of ventilation, Perfusion and transportation of gases. ELIMINATION - The bodys removal of excess fluids and waste. PSYCHOSOCIAL - Adaptation pertaining to both psychological and social behavior. NURSING PROCESS - which is defined as: ASSESSMENT Collect and organize information which includes Observation and purposeful communication in order to gather data about patient needs. ANALYSIS Identify and validate patient needs in order to select an established nursing diagnosis. Both short- and long-term goals and expected outcomes are identified. PLAN Assist in designing strategies with patients and families to achieve their goals according top priorities. IMPLEMENTATION Perform actions skillfully to accomplish patient goals EVALUATION Assist in measuring patient responses to nursing actions against the expected outcomes established during planning and in making necessary modifications. Role of the LPN As a member of the discipline of nursing, the entry-level Practical Nurse is expected to demonstrate compliance with the appropriate role expectations for the practical nurse. The graduate is guided by ethics and laws which distinguish nursing practice. When appropriate, the graduate seeks expert assistance from other members of the health team. The licensed practical nurse provides skilled nursing care tasks and procedures under the direction of an RN, Physician, or another authorized healthcare provider. DIMENSIONS OF PRACTICE P = PATIENCE R = RESPONSIBILITY A = ACCOUNTABILITY C = COMMUNICATION T = TECHNICAL SKILLS I = INTEGRITY C = COLLABORATION E = EVALUATION THREADS that the faculty have selected are further integrated within each course. THREADS are defined as: WELLNESS-ILLNESS An ever-changing continuum where at the highest level a person feels satisfaction and a sense of contributing. At the lower level, there is an increase in unmet needs. GROWTH AND DEVELOPMENT-Those physical, bio-psych-social, and cultural changes an individual experiences across the life span beginning with conception and ending with death. CULTURE -A system of beliefs and practices that are shared by a group of people and passed down from generation to generation. Cultural ideas and perceptions about wellness and illness govern a person's health-related behaviors. PHARMACOLOGY -The art of accurately preparing and administering drugs. The study of the effect of drugs on a disease to diagnose, treat, cure, and prevent altered needs. ETHNICITY -The condition of belonging to a specific ethnic group, a set of Individuals who share a unique cultural and social heritage passed on from one generation to another. LEGAL AND ETHICAL ASPECTS - The legitimate expectations of persons within a society at a given time. Ethics serve to protect the rights of human beings. Each individual has rights and responsibilities. Nurses must adhere to definite standards of practice and conduct essential to the ethical discharge of professional responsibility. URBAN COMMUNITY - A geographical reference to city living with its identifiable presentation of different needs. The presented Conceptual Framework provides the structure for the development of the curriculum. Nursing courses are developed around a needs approach. Models for nursing care are drawn from alterations in needs. The dimensions of Practical Nurses are identified in the course objectives and provide for the unification of concepts and threads throughout the program. CURRICULUM Students must assume responsibility for ensuring that their course requirements for the program are met in a timely and sequential fashion. The curriculum at ҹ糡 assures that graduates are competent, safe, beginning practical nurses. Overall, the curriculum includes liberal arts, urban health, biological sciences, physical sciences, and nursing courses, which encompass lectures and clinical learning experiences. Basic nursing skills are learned and practiced in the entry-level course, NUR 110, LPN Clinical Nursing I. Advanced nursing skills are learned in subsequent courses and practiced in nursing specialties. General education combined with nursing courses affords the student a strong base for assuming the role of a beginning practical nurse. All learning in the program is centered on objectives, which are designed to be met through lectures and clinical experiences. This is in accordance with HEGIS code # 5209.20. CERTIFICATION AND LICENSURE Upon completion of the program, the College awards the graduate a Certificate in Practical Nursing. Graduates are eligible to take the National Council for Licensure Examination for Practical Nurses (NCLEXPN). The license is required to practice as a Practical Nurse. THE NATIONAL ASSOCIATION OF LICENSED PRACTICAL NURSES (NALPN) CODE Know the scope of maximum utilization of the LPN / VN as specified by the nursing practice act and function within this scope. Safeguard the confidential information acquired from any source about the patient. Provide health care to all patients regardless of race, creed, cultural background, disease, or lifestyle. Uphold the highest standards in personal appearance, language dress, and demeanor. Stay informed about issues affecting the practice of nursing and delivery of health care and, where appropriate, participate in government and policy decisions. Accept the responsibility for safe nursing by keeping oneself mentally and physically fit and educationally prepared to practice Accept responsibility for membership in NALPN and participate in its efforts to maintain the established standards of nursing practice and employment policies, which lead to quality patient care. From Nursing Practice Standards for the Licensed Practical / Vocational Nurse by National Association of Licensed Practical Nurses, Inc. (NALPN) 3801 Lake Boone Trail, Ste. 190, Raleigh, NC 27607, www.nalpn.org PROGRAM OF STUDY FOR THE LICENSED PRACTICAL NURSING (LPN) IN NURSING CERTIFICATE PROGRESSION INTO THE NURSING CLINICAL SEQUENCE The following criteria will be used in determining those students who will be accepted into the Nursing clinical sequence: All students must meet eligibility requirements for admission into the nursing program. Selection takes place during the spring semester. A minimum grade point average of 2.75 and a minimum passing score on the ATI TEAS examination are necessary to be eligible for the program. A students composite score of the GPA and ATI score will be used to admit students to the clinical sequence. Students will be selected from those with the highest scores. The composite GPA is determined by combining the students overall GPA and the GPA for Pre-requisite courses Suggested Pre-Clinical Course Sequence Semester I BIO 230 Anatomy & Physiology I 4.0 ENG 110 Expository Writing 3.0 MAT 120 Statistics 3.0 PSY 101 General Psychology 3.0 13.0 Semester II BIO 240 Anatomy & Physiology II 4.0 BLS 150 Ethnicity HLT & ILL 3.0 or SOC 101 Sociology* 3.0 PSY 110 Life-Span Development of Behavior 3.0 10.0 * SOC 101 is recommended for students wishing to later enter the RN Program Only one course below the minimum requirement is allowed to be repeated No Sciences older than 5 years will be accepted at the time of entry into NUR 110 *B- or higher is required in ENG 110 and MATH 120, all other prerequisite courses must be a C or higher. The overall G.P.A. must be at least 2.75. The ATI TEAS Exam is given at ҹ糡 during the Spring and Winter Date TBA. Faculty Committee reviews the ATI scores/Overall GPA /Science GPA to determine admission to the LPN Program. To prepare for the ATI TEAS exam, we recommend you utilize the: TEAS STUDY GUIDE FOR ATI See Website: www.atitesting.com Important Information 1. Students with more than one failure (more than one D or F) in pre-requisite courses (see above list) will not be selected for the clinical courses. 2. The passing score for the LPN-ATI is determined by the faculty committee. The ATI is ranked from the highest to the minimum score determined (allowed) by the committee. 3. It is recommended that students complete BIO 310 before taking the clinical course sequence. 4. A score of B minus or higher is required in English 110 and MAT 120 5. If a student fails NUR 110, he/she may not re-enter the LPN Certificate Program. Nursing Clinical Course Sequence FALL NUR 110 Clinical Nursing I 6.0 NUR 111 Pharmacology 2.0 NUR112 Maternal/Child 2.0 10.0 SPRING NUR 120 Clinical Nursing II 8.5 BIO 310 Microbiology* 4.0 12.5 *Completion of BIO310 is highly recommended before clinical courses EVALUATION OF FACULTY, CLINICAL PLACEMENTS, AND COURSES To guarantee student input into the evaluation and improvement of the Practical Nursing Program, students have the opportunity to anonymously evaluate Faculty, Clinical, and Curriculum at the end of each course through the college website. These evaluations afford the faculty valuable information for the overall improvement of the program, so each student is encouraged to participate. FACULTY-STUDENT ADVISEMENT Faculty advisement includes guidance in academic areas including: Periodic review of exams and assignment of grades. Review of student study schedules, study habits, and priority placement of socializing in the students lifestyle. Discussion of academic difficulties the student may be having with nursing or support courses. When a student fails an examination, the faculty will discuss the failure with the student and assist the student in identifying study needs and problem areas. Documentation of the conference may be placed in the student's file for follow-up. (Conference Notes). An exit interview is held at the completion of each clinical course. Student attendance is mandatory Clarification of academic policies, e.g., leave of absence, grievance, and academic determination related to lateness and absences in the clinical areas. Referrals for student counseling services are available at ҹ糡 (See current ҹ糡 Community Catalog). Assignment to tutorial services. Referrals for financial assistance. Course planning assistance. CONFERENCE NOTES A Conference Note that states the topic, discussion, and plan of action may be initiated during each student and faculty meeting. This is to allow follow-up and problem resolution. The Conference Note will be signed by both the student and faculty and will be placed in the students file. Policies Pertaining to Progression and Retention Course Sequence and Time Frame All required courses for the LPN Program must be completed within three years All required nursing courses must be taken in the identified sequence Students must complete all coursework by the time of registration. No incomplete grades are accepted for any required and /or elective courses. Required Grade Point Average of 2.5 for progression and retention in the nursing program If a student has disabilities or has an Individual Educational Plan (IEP), ҹ糡 offers services. Information about these services can be located at: http://www.hostos.cuny.edu/AdministrativeOffices/SDEM/Accessibility-Resource-Center-(ARC) EXAMINATIONS and QUIZZES Students must be present on any quiz or exam day; if absent without any notification sent to the nursing instructor, the student will receive a zero grade. The following are valid reasons for absences, including religious observances, illness, or family emergencies. Students must give written notice for an excused absence to the nursing faculty. Although a written note is required for illness for the make-up quiz or exam, students should not reveal the nature of their illness or injury. Students with course instructor-accepted excuses may be allowed to make up the exam or quiz. This may entail an alternative examination. If unable to take a quiz, unit exam, or final exam at the appropriate time, the student must notify the nursing instructor within 2 hours of the start of the examination or quiz and explain the reason for the absence. Exam and quiz make-up, students may be given the opportunity to retake the exam or quiz as scheduled by the instructor before the end of the semester. If students cannot take the make-up examination on the scheduled date the nursing faculty selects, they must produce a doctor s note or documentation of extenuating circumstances. Assessment Technologies Institute s Examinations All students are required to take the appropriate Assessment Technologies Institute s Examinations (ATI) at the end of each nursing course. These standardized examinations aid in preparation for the NCLEX-PN. They evaluate the students progress in relationship to students in other similar types of nursing programs. The students assume the expense of these exams and are informed at the beginning of the semester about the cost. Reports are supplied to the student and the school. ATI score reflects 10% of the total course grade. Assessment Technology Institute (ATI) Standardized Examination Process The Nursing Education Department at ҹ糡 has incorporated ATI into our curriculum, a comprehensive testing and review program to help students achieve their course and program learning outcomes. The nursing faculty use various tools to support the learning needs of students. Also, the ATI review program helps improve student test-taking abilities to prepare them for passing the NCLEX Licensure Exam. The Nursing Education Department at ҹ糡 will utilize the ATI program to assess student progress each semester. Therefore, formative and summative evaluations will be employed to evaluate students' learning outcomes through standardized, proctored, comprehensive predictor, and practice ATI assessments. Further, nursing faculty will utilize various teaching methods, including online Next Generation questions, case studies, assigned readings, V-simulations, and videos, to accommodate the diverse learning needs of students. ATI Standardized Examination The ATI Standardized Examination is incorporated through all nursing courses, which will be proctored or customized. These exams will evaluate a student's proficiency level. Students scoring below the National Mean must undergo remediation and retake the exam. ATI Comprehensive Predictor Exit Exam The ATI comprehensive predictor assessment helps predict the likelihood of graduate students passing the NCLEX licensure examination. It helps assess the end of the student program learning outcomes during the last nursing course. It is designed to predict a students performance on the NCLEX licensure exam and is administered at the end of the 4th semester. The students must score 90% or higher on the predictor exit exam. If students do not achieve this score, they are given a second chance to retake the exam. Students can remediate to complete a 90% score or higher for a third time. Furthermore, ҹ糡 Nursing Department mandates that all graduating students attend a mandatory three-day live review to prepare for the NCLEX licensure exam. Also, it will prepare them for entry into the nursing profession. Proctored Assessments The following Courses have proctored assessments: NUR 110, NUR 111, NUR 112, & NUR 120. ATI Practice Assessments A and B ATI Practice Assessments prepare students for the comprehensive exam and evaluate nursing students competency levels. The practice assessments are designed to mimic the content of the actual predictor exit exam and provide students with an opportunity to assess their knowledge and skills in various nursing topics they have learned. These practice exams are usually administered to students about 3 to 4 weeks before the comprehensive assessment. Based on the results of the practice assessment scores, a focused review may be required. Students are allowed unlimited attempts until they score 90% or above. Remediation: Students are required to have a minimum 1-hour Focused Review on the initial attempt. For each topic missed, students must complete an active learning template and/or identify three critical points to remember. ATI Proctored Predictor Assessment The ATI proctored predictor assessment is 10% of the student's grade. Proficiency Levels Level 3: is 9.5 points Level 2: is 8.5 points Level 1: is 7.5 points Below level 1: is 10% of the students exam grade Proficiency Levels TableProficiency LevelDescriptionScore RangeBelow Level 1 Scores below the Proficiency Level 1 standard can be considered below minimum expectations and indicate significant risk in this content area. ATI strongly advises these students to develop and complete an intensive plan for focused review and remediation, including ATI materials, textbooks, class notes, reference materials, and assistance from nurse educators.0.0% to 48.3% Level 1 Scores meeting the Proficiency Level 1 standard meet the absolute minimum expectations for performance in this content area. The content expert panel judged scores at this level to indicate a student was likely to meet NCLEX-PN standards in this content area. ATI advises these students to develop and complete a rigorous plan of focused review to achieve a firmer grasp of this content.50.0% to 63.3% Level 2 Scores meeting the Proficiency Level 2 standard can exceed minimum expectations for performance in this content area. The content expert panel judged scores at this level to indicate a student as fairly certain to meet NCLEX-PN standards in this content area. ATI advises these students to continuously review continuously to improve their knowledge of this content. 65.0% to 80.0% Level 3 Scores meeting the Proficiency Level 3 standard can exceed most expectations for performance in this content area. The content expert panel judged scores at this level to indicate a student was likely to exceed NCLEX-PN standards in this content area. ATI advises these students to continuously review continuously to maintain and improve their knowledge of this content.81.7% to 100.0%  Standardized Proctored Comprehensive Predictor Assessment Level 3 Remediation is required Minimum 1-h Focused Review on the initial attempt For each topic missed, complete a handwritten active learning templateLevel 2 Remediation is required Minimum 2-h Focused Review on the initial attempt For each topic missed, complete a handwritten active learning templateLevel 1 Remediation is required. Minimum 3-h Focused Review on initial attempt For each topic missed, complete a handwritten active learning templateBelow Level 1 Remediation is required. Minimum 4-h Focused Review on the initial attempt. For each topic missed, complete a handwritten active learning template.REMEDIATION Instructions: For the remediation, please see the video ATI Focused Review/Remediation (5 min) as a guide to complete the missed topics from the comprehensive predictor exam. Student Acknowledgement Initial all and sign below: _____ I have received a copy of and have read and understand [college]s ATI Assessment and Review Policy _____ I understand that I am responsible for utilizing all the review modules, tutorials, and online resources available from ATI, as designated by [college]. ________________________________________________________________________ Signature ___________________________________________________ ___________ Student printed name Date Testing for Students with Disabilities: In accordance with Section 504 of the Rehabilitation Act and the Americans with Disabilities Act, students with disabilities may be eligible for accommodations on CUNY Assessment Tests. Students must be registered with the college's Office of Accessibility Resource Center (ARC), in the Savoy Building, which will certify eligibility and coordinate accommodations with the Testing Center. Students who think they may be eligible for accommodations and/or other services from ARC are urged to contact that office as soon as possible. For further information contact the ARC at 718-518-4454 and/or visit the office's website for additional important information.  HYPERLINK "mailto:arc@hostos.cuny.edu" arc@hostos.cuny.edu DIVERSITY, EQUITY AND INCLUSION are taught throughout the Nursing Curriculum at ҹ糡. POLICIES FOR WRITTEN WORK All papers must be typewritten, double-spaced, and correctly documented regarding footnotes and bibliography. Written assignments are a significant element in the Nursing Program. Students are expected to write English clearly, accurately, and succinctly. Acceptable standards include competence in spelling and grammar, the capacity to utilize the vocabulary of the health sciences, and the ability to manage abstract concepts. Written papers should demonstrate logical organization, problem-solving originality, and relevant, appropriately documented research. Acceptable references and useful guides for standards of written work in the A.P.A. style (format, bibliographical, and footnote format) are located in the Publication Manual of the American Psychological Association. Formatting questions can be answered through the Nursing Faculty, the ҹ糡's Reference Librarian, and the resources located on the Librarys homepage, ATTENDANCE and LATENESS The statement concerning "Attendance" found in the current ҹ糡 catalog is observed. The Nursing Unit follows CUNYs attendance policy. In addition, the following are adhered to for the Nursing Program. Students are expected to attend and participate in lectures. If absent, the student is accountable for the content presented and related assignments. Attendance in Clinical Simulation Laboratory is mandatory. If too ill to attend the Clinical setting, the student must notify the Nursing Unit at the facility prior to the start of the assignment. The student may be dropped from the Nursing Program if absent more than two clinical days. A certified letter is mailed to the student after two Clinical absences. A third absence in Clinical Laboratory necessitates that the student appears before the faculty to ascertain if the student may continue in the Nursing Program. Lateness to the clinical area is not allowed. Lateness detracts from the students ability to meet specific learning objectives and is disruptive to the other students. Students are expected to be in clinical on time. Students who arrive late for clinical experiences can, at the discretion of the Clinical Instructor be sent home and marked absent. Students who are more than 15 minutes late will not be allowed to attend clinical practice and will be marked absent WITHDRAWAL FROM A NURSING COURSE If a student withdraws from a nursing course, then prior to any readmission, the student must take and pass an ATI comprehensive exam for the previously learned nursing courses. ACADEMIC PROBATION Students are expected to have mid and end-semester conferences with their respective nursing faculty. Those students, who are having difficulty in meeting the learning objectives and whose continuance in the program may be in jeopardy, will be placed on academic probation for the remainder of the semester. During this probationary period, the student will be expected to: Examine and redefine their priorities with regard to their desire for becoming a nurse. Complete and review with their faculty advisor their weekly study schedule including Simulated Laboratory and Library usage. Seek tutorial assistance. Have the option to meet with a Peer counselor located in the Office of Academic Advisement. Review and co-sign all counseling notations prepared by the nursing faculty. To remain in the students file. COURSE FAILURE A nursing course that is failed must be repeated prior to continuation in any subsequent nursing course. If the student fails to attain a minimum grade of 73% or C at the completion of NUR 110 he/she will be dropped from the Licensed Practical Nursing Program and the student will not be considered for readmission. The non-clinical nursing course (NUR111) or BIO 310 may be repeated only once. Students in the LPN Program, who failed the RN Program, are not allowed to repeat any LPN courses and must withdraw from the program. If a student withdraws from a nursing course prior to any readmission, the student must take and pass an ATI comprehensive exam for all previously learned nursing courses. COMMUNICATION CHANNELS FOR CONFLICT RESOLUTION Step I Discuss the problem as you perceive it with the person with whom the disagreement exists. Step II If the problem is not resolved to your satisfaction; make an appointment to meet with your course lead instructor. When your Lead Instructor is also the person involved in Step I, make an appointment to see the Nursing Program Coordinator. Step III If the problem is not resolved at Step II; make an appointment to see the Chairperson, Allied Health Division. The Nursing Program is part of this division. Step IV The next official to contact if the issue is not resolved at Step III is the Dean of Student Services. Step V The next official to contact and make an appointment is the Vice President of Academic Affairs. Step VI The President of ҹ糡 is the next official to contact. Bear in mind that all efforts should be made to settle the problem in Step I. Good communication will facilitate your successful completion of the course of study. There are certain issues that can only be resolved within the confines of the program, e.g., lateness, attendance, uniforms, and grades. In these instances, appeals to various levels may be of little assistance. HEALTH REQUIREMENTS All students are required to have a physical examination including selected laboratory tests and immunizations as outlined on the Health Requirement form prior to entering nursing courses with a clinical component. Health Clearance is required prior to the start of clinical placement. Failure to provide the above documentation prior to clinical placement will result in the student being marked absent. The health form is available from the nursing office. The physical exam must be done on an annual (calendar year) basis. The health requirements stipulated by the agencies are those mandated by the NY Health Department. If pregnant, notify your clinical instructor, and attendance in the clinical area depends on the policy of the clinical agency. MALPRACTICE INSURANCE As of January 2015, all students participating in a clinical Allied Health Program will be provided an inclusive malpractice insurance policy. This policy will provide coverage for all students who are practicing skills under the direction or supervision of clinical nursing faculty. If this policy changes, then each student must get their own Malpractice Insurance. EMPLOYMENT Students are advised not to work or to keep employment to a minimum. The academic program is rigorous and demanding. Thus, the students focus must be directed to meeting curriculum requirements. Students are to be available Monday through Friday 8:00 am 8:00 pm. CONDUCT AND DISMISSAL The Nursing Programs guidelines are consistent with those of the College in relation to the expected behavior of students. Additional specifications are imposed because the program leads to licensure and membership in the profession of nursing. All students are expected to become familiar with and adhere to the Code for Nurses as well as Henderson Rules. (CUNY) Failure to conform to stipulations of affiliation agreements established between clinical agencies and the College is grounds for dismissal. Integrity is a fundamental value of nursing practice and as a health care professional, it is critical to the student and nurses' duty to provide safe and effective care. Students are expected to, from their first day in the program, exhibit professional behavior. Dismissal from the Nursing Program may follow: The use of abusive, profane language in class, clinical area, or simulation laboratory. Sexual Harassment and/or Assaultive behavior Uncontrolled loss of temper or acting out behavior. Leaving the clinical area without the knowledge and consent of the instructor. Proven falsification of documents, e.g., hospital records. Plagiarizing is unprofessional and unacceptable. Engagement in the possession, sale, or use of controlled substances. Alcoholic intoxication or substance abuse of controlled drugs. Excessive absences, in accordance with CUNYs Policies. See Attendance/Lateness. Unsatisfactory/unsafe performance in the clinical area. Failure to conform with stipulations of affiliation agreements established between clinical agencies and ҹ糡, including HIPPA Violations. NURSING DISCIPLINARY COMMITTEE Students have the right to appeal decisions made by the faculty. The appeal is made to the Nursing Disciplinary Committee, which is convened, as necessary, by the Nursing Coordinator. The committee consists of nursing faculty members. This appeal hearing follows CUNY Regulations. It is recommended that students seek advice from the Dean of Students Services. A record of all proceedings will be documented and placed in the students file. Further appeals are outlined in the College Handbook and on the website. DRESS CODE All religious clothing items are permitted and will be respected. The requirements for dress mandate compliance without exception. A student who arrives at the clinical pre-conference in inappropriate attire will be deemed unprepared and dismissed by the Clinical Instructor. This will count as an absence. The student must present themselves to the clinical site in a clean, neat uniform with hair well-groomed. CLINICAL ATTIRE When students are on campus during "clinical times", they must be in full nursing student uniform. When students are in simulated laboratory practice, again, they must be in full uniform. Of course, when students are in clinical, they must be in full uniform. WOMEN Either a white dress uniform or white pants suit may be worn with a royal blue smock. The logo of the ҹ糡 Nursing Program must be worn on the smock. (New patches). The dress must be comfortable and accommodate the movements expected of the nurse in the clinical area. Acrylic nails or wraps are not permitted. Clean white shoes and plain, un-patterned, full-length white stockings are acceptable. Not acceptable are sneakers, pumps, high heels, clogs, or flat-heeled slippers. Head covering is acceptable as long as it is tucked into the blouse or scrub top. Facial covering in the clinical setting is not acceptable MEN A royal blue uniform is to be worn with white pants, white socks, and white shoes; The logo of the ҹ糡 Nursing Program is worn on the shirt. No sneakers, clogs, or jeans will be permitted. The ҹ糡 photo identification tag and name pin bearing title: Mrs., Ms., Mr., first initial, last name over ҹ糡 Nursing Student must be worn. WOMEN hair must be off the face and collar and contained. Plain combs or barrettes may be used. The only jewelry permitted is plain post earrings and plain wedding bands. Nails must be short. Clear polish permitted. No gum chewing is allowed. Students must carry black and red pens, stethoscopes, a watch with a second hand, and a small notepad. No personal items or valuables will be allowed in the clinical area. Cellphones and beepers must be on vibration when permitted. Cell phones must not be brought to the clinical area. CLINICAL AREA SUPERVISION Orientation will be provided to each clinical agency where students are assigned. The Clinical Instructor will identify the time period for breaks, meals, and post-conferences. Orientation to the clinical agency is an important adjunct to clinical practice. If a student misses the mandatory orientation, they may be dropped from the program. The Clinical Instructor will: Select and assign each student a patient. Guide each student through the steps of the nursing process to meet the needs of the assigned patient. Review and approve documentation of patient care (nurses notes) before the student makes an entry on the official hospital record. Evaluate the nursing care plan as prepared by the student for patient care. Schedule conferences during the semester to keep the student apprised of the progress toward meeting the objectives of the course. Evaluate the student's clinical performance at mid and end of the semester. The evaluation forms are signed by the student and kept as part of the student's academic record. (For more detailed information, See College Catalog) CLINICAL SIMULATION LABORATORY PROTOCOL The Nursing Clinical Simulation Laboratory, in which students practice skills, is located on the fourth floor of the A building. It is a spacious setting, which is divided into four (4) sections and an office space for the College Laboratory Technician. In the Clinical Simulation Laboratory, the students are provided with a variety of comprehensive learning experiences in a safe, comfortable, and supportive environment away from the clinical setting. The variety of learning media is audio-visual presentations and tutorials, interactive video and computer programs, audio presentations, faculty-directed activities, and anatomical simulators. This includes a human patient simulator which is a computerized manikin. Clinical Instructors demonstrate all techniques and procedures that students will be expected to perform in the clinical area. The College Laboratory Technician (C.L.T.) is responsible for supervising students during their Weekly mandated practice session in the Clinical Simulation Laboratory. The faculty will validate the acquired skills before the student is allowed to perform the skills in the clinical area. Attendance is mandated in accordance with CUNY Guidelines. Students are encouraged to utilize the laboratory for additional practice. Students may make appointments using the Clinical Simulation Laboratory. This assures that space will be available, and equipment assembled for their use. Description of The Clinical Simulation Laboratory The Clinical Simulation Laboratory, in which students practice skills, is on the 4th floor of the Allied Health building. It is a spacious setting, with a large practice area- storage room, and office space for the College Laboratory Technician C.L.T. The laboratory simulates a hospital setting and provides a realistic environment for patient care and skills development. Students have the opportunity to learn and practice skills in a nurturing, safe, supportive, stimulating, and comfortable environment before attempting them in an actual clinical site. This promotes confidence and improves skills, as well as awareness necessary for providing safe patient care under supervision in the clinical area. The laboratory serves as an area with authentic patient settings for simulated patient care. The students utilize advanced mannequins to simulate birthing, as well as the care of an infant, child, or adult. Nursing faculty with College Laboratory Technicians provide a total educational experience by using visual aids, anatomical simulators, and other faculty/staff-directed activities. Attendance during scheduled hours is mandatory. Clinical Instructors will demonstrate all techniques and procedures that students will be expected to perform in the clinical area. The C.L.T. is responsible for supervising students during their practice sessions in the Simulated Laboratory. The faculty will validate the required skills before the student is allowed to perform these skills in the clinical area. Students may make appointments using Clinical Simulation Laboratory. This assures that space will be available, equipment assembled for their use, and the C.L. Ts. attention can be focused on helping the student with their procedures. The faculty will then validate the acquired skills before the student is allowed to perform them in the clinical area. Certain protocols must be observed when using the Simulated Laboratory: Students are expected to treat the CLT, and their peers with respect. Return all equipment to the proper location. If it is not ready for the next student to use, alert the C.L.T. Clean up before leaving the area. Turn off all electrically powered equipment before you leave the room. Place all waste materials in the trash receptacle. Do not smoke, eat or drink in the laboratory at any time. Learn the fire code alert system for the area and familiarize yourself with evacuation procedures. Report all injuries, no matter how minor, to the C.L.T. at once. Be responsible for all equipment assigned or borrowed. Some equipment may be removed only with the EXPRESSED PERMISSION of the C.L.T. Use instruction materials issued by the C.L.T. when handling equipment. Students may not practice procedures on each other without the expressed permission of the Instructor or the C.L.T. Do not bring any valuables to the area as they will be your responsibility if damaged or stolen. Students are expected to evaluate the Clinical Simulation Laboratory at the End of each clinical rotation. (See Sample Page) PINNING As students complete the Certificate Program in Practical Nursing a formal ceremony, called Pinning is conducted. This is a very beautiful ceremony in which family and friends witness the graduates (in their white uniforms) receive their certificates and are "pinned" with the nursing school pin. LICENSURE The State Education Department of the State of New York regulates the nursing profession. To qualify for a nursing license, you must be of good moral character as determined by the State Education Department. For further information, you should contact the Nursing Program office of the State Board for Nursing at (518) 474-3843. NURSING CLUB All LPN students are encouraged to join the Gonzalez-Tubman Nursing Club at ҹ糡.  ACKNOWLEDGEMENT I have read the 2023 Student Handbook for the License Practical Nursing Program and I understand that I should also read and be familiar with the ҹ糡 catalog. I agree to adhere to the rules and regulations of the Nursing Program. Signature: ________________________________ Date: ____________________________________ This form must be signed and returned to the Coordinator on the second day of class.  CONFERENCE NOTES STUDENTS NAME: _____________________________________ STUDENTS CUNY FIRST ID: _____________________________ SEMESTER/COURSE: ____________________________________ All entries must be in ink; Please sign and date all entries Ms./Mr. _____________________________________has failed the unit exam in NUR. _____ This student has been counseled regarding his/her current academic standings. Recommendations have been given to student to: Join study groups. Re-assess study habits and schedule. Evaluate own strengths and weaknesses. CONFERENCE NOTES Student Signature:__________________________________ Date_______ Faculty Signature:___________________________________Date _______  LPN Nursing Program EVALUATION OF SIMULATED CLINICAL LABORATORY Directions: The information requested is needed to help improve the Nursing Program. Please answer as fully as possible using the following scale: Excellent = 4 Good = 3 Fair = 2 Poor = 1 RATING 1. Availability of supervision2. Access to equipment for practice3. Availability of equipment for practice4. Scheduled hours suitable for your needs5. Adequacy of space for demonstration/practice6. Skills improved as result of practice 7. Environment conducive to practicingComments, if any: Average amount of time you spent in lab this semester: Hours per week __________ Weeks per semester_______ .  LPN Nursing Program LABORATORY REFERRAL SLIP TO: (Student) FROM: RE: LABORATORY PRACTICE DATE: You must make an appointment with the Clinical Laboratory Technician within one week from the above date to practice: You must return the appropriate copy of this form to your Clinical Instructor prior to your next clinical experience. DATE: TIME IN: TIME OUT: COMMENTS: R.N.s SIGNATURE:  LPN Nursing Program Directions: The following information will be used to determine future usage of a clinical learning site. Answer all applicable items and add details at bottom under Comments. Evaluation will be discussed with appropriate agency representatives. Agency: _____________________NUR ______Dates at Site:__________ EVALUATION OF CLINICAL EXPERIENCE ITEMS CONSIDERED YES NO N/A Were the objectives for the students met? Were the objectives for the clinical experience shared with the Clinical Coordinator? Are nursing staff available as resource people? Do student and nursing staff interactions reflect a helping relationship? Did the nurses help to create a climate conducive to learning? Are we working toward developing a colleague type relationship beginning with students, nurses, interns and residents? Was there a sufficient variety of patients to provide a wide range of experiences? Do students chart and report to staff information relevant to patient care? Do students have adequate opportunity to pour, administer and chart medications? Was conference room space adequate? COMMENTS: ________________________________________ ____________ Clinical Instructor Date  LPN NURSING PROGRAM CLASSROOM EVALUATION OF FACULTY BY STUDENTS Course Name and Number: ___________________________________ Semester: Spring _____________Fall ______________Date:_________ Faculty Name: ______________________________________________ Directions: This evaluation is intended to aid faculty in improving their classroom lecture presentations. Please use the following rating scale: Excellent = 4 Good = 3 Fair = 2 Poor = 1 Not Applicable = 0 Rating 1. Knowledge of subject matter 2. Preparation, organization of content 3. Responsive to students questions, concerns 4. Use of teaching aids ex. Audio visuals, handouts 5. Overall teaching ability 6. Punctuality for lectures Comments if any:  LPN NURSING PROGRAM CLINICAL EVALUATION OF FACULTY Course Title and Number: ______________________________________ Semester: Spring ______________ Fall _____________Date _______ Clinical Setting/s______________, __________________,_____________ Directions: This evaluation is intended to aid Clinical Instructors in approving their roles in the clinical setting. Please use the following rating scale and write comments, if you wish at the bottom. Excellent = 4 Good = 3 Fair = 2 Poor = 1 Not applicable = 0 Rating 1. Understanding of individual students needs 2. Created environment conducive to learning 3. Availability for individual counseling 4. Use of clinical skills for teaching, demonstrating 5. Ability to constructively help students analyze their performances6. Ability to give guidance without dominating clients care7. Openness to suggestions made by students 8. Ability to support students interactions with hospital staff9. Ability to relate lecture content to clinical activities 10. Has reasonable expectations for student performances 11. Started and ended clinical activities on timeComments (optional)  FACULTY AND STUDENT EVALUATION OF AGENCY CLINICAL SITE FACULTY or STUDENT: COURSE:AGENCY CLINICAL SITE:SEMESTER: INSTRUCTIONS: Please complete the clinical site evaluation tool to provide constructive feedback on whether it can help assess the achievement of the student learning outcomes (SLOs). Use the scale below and respond to each item. 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