Handbook of the Jackson Regional

Practical Nursing Program

TCAT 3-17 Revised

TCAT 8-16 Revised

TCAT 3-16 Revised

TCAT 8-15 Revised

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Students, You have chosen to enter the exciting complex world of nursing.

Your educational year will be full of challenges and new experiences. You will see and learn many new things, experience the joy and heartbreak of nursing, and grow as an individual. New friendships will be made; some enduring a lifetime.

Nothing I can say will prepare you for the adventure you are about to begin. Your

patients deserve the best that you can be as a human being and the best you can give as a nurse. Rely on your knowledge, trust your wisdom and listen to your instincts. It takes diligent effort and many years to grow into your skin as a nurse.

Good luck to each of you… when this program becomes too heavy remember to…

“Live in the sunshine, swim in the sea,

drink the wild air.”

Barbara Avent, B.S.N., R.N. Program Director

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Jackson Regional Practical Nursing Program Campuses

Barbara W. Avent, B.S.N., R.N.

Program Director 424-0691, Ext 120

TENNESSEE COLLEGE OF APPLIED TECHNOLOGY JACKSON 2468 Technology Center Drive, Jackson, TN 38301

731-424-0691

Dr. Jeff Sisk, Director

LEXINGTON EXTENSION CAMPUS: 230 South Broad, Lexington, TN 38351, 731-967-1795

HUMBOLDT CAMPUS: 1751 E. Main Street, Humboldt, TN 38343, 731-424-0691

HENDERSON CAMPUS: 1449 White Street, Henderson, TN 38340 731-967-1795

Nursing Faculty: Mrs. Meredith Cooper, A.D.N., R.N, Instructor, Jackson Campus

Mrs. Roslin Carlton, B.S.N., R.N., Clinical Faculty, Jackson Campus

Mrs. Paula Terry, M.S.N., R.N., Humboldt Campus Savannah Rushing, R.N., Clinical Faculty, Humboldt Campus

Mrs. Lori Akins, B.S.N., R.N., Lexington Campus Mrs. Kara Courtright, A.D.N., R.N., Clinical Faculty, Lexington Campus

Mrs. Rhonda Moses, B.S.N., R.N., Instructor, Henderson Campus Mrs. Fran Whitehead, R.N., Clinical Faculty, Henderson Campus

TENNESSEE COLLEGE OF APPLIED TECHNOLOGY WHITEVILLE PO Box 489, Whiteville, TN 38075

731-254-8521

Ms. Carolyn Beverly, Director

BROWNSVILLE EXTENSION CAMPUS: 401 Morgan Street, Brownsville, TN 38012, 731-772-8367

Nursing Faculty: Mrs. Terry Anderson, A.D.N., R.N., Whiteville Campus

TBA, Clinical Faculty, Whiteville Campus

Ms. Janis Hess, Instructor, Brownsville Campus Mrs. Jordan Presley, B.S.N., R.N., Clinical Faculty, Brownsville Campus

TENNESSEE COLLEGE OF APPLIED TECHNOLOGY CRUMP PO Box 89, Crump, TN 38327

731-632-3393

Stephen Milligan, Director

Nursing Faculty: Mrs. Teena Jenkins., R.N.

Mrs. Anna McKinnon., R.N., Clinical Faculty

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PRIVACY RIGHTS ACT OF PARENTS AND STUDENTS

Public Law 93-380 The Tennessee Colleges of Applied Technology adhere to guidelines developed by the Department of Health, Education and Welfare regarding privacy rights of parents and students. These institutions provide students and parents of dependent students access to official records directly related to students and limit dissemination of personally identifiable information without the student's consent. Students enrolled in the Tennessee Colleges of Applied Technology may review guidelines regarding Public Law 93-380 in the office of admissions.

POLICY ON AFFIRMATIVE ACTION / TITLE VI / TITLE IX / SECTION 504

AMERICAN DISABILITIES ACT OF 1990, PUBLIC LAW 101-336 The Tennessee Colleges of Applied Technology are equality opportunity institutions and offer equal opportunity for employment and admission to programs to all qualified persons without regard to race, sex, religion, national origin, age, disability, or veteran status.

STUDENT COMPLAINT PROCEDURE Students or prospective students who wish to file a complaint related to accreditation or regarding violations of state law not resolved at the institution may submit a Student Complaint Form to the Tennessee Board of Regents at 1415 Murfreesboro Road, Suite 340, Nashville Tennessee 37217, or by going on line and filing out the form electronically at http://www.tbr.edu/contact/default.aspx?id=2936. Under Tennessee’s open records law, all or parts of complaints will generally be available for review upon request from a member of the public. Complaints regarding accreditation can also be made by contacting the Council on Occupational Education (COE) at 7840 Roswell Road, Suite 325, Atlanta, Georgia 30350, telephone: 1-800-917-2081 (www.council.org). Complaints of fraud, waste or abuse may be made by email at reportfraud@tbr.edu or by calling the Tennessee Comptroller’s Hotline for Fraud, Waste and Abuse at 1-800-232-5454.

CONTINUOUS NOTICE OF NON-DISCRIMINATION The Tennessee Colleges of Applied Technology do not discriminate on the basis of race, color, national origin, sex, disability, or age in its programs and activities. The following persons have been designated to handle inquiries regarding the non-discrimination policies for the Jackson Regional Practical Nursing Program: John Hodgson, Assistant Director Jacquene Rainey, Student Services Coordinator TCAT Jackson TCAT Whiteville 2468 Technology Center Dr. PO Box 489 731-424-0691 ext 102 731-254-8521 John.hodgson@tcatjackson.edu Jacquene.rainey@tcatwhiteville.edu Henrietta Kellum-Lusk, Assistant Director TCAT Crump PO Box 89 731-632-3393 Henrietta.kellum@tcatcrump.edu

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SCHOOL MISSION The Tennessee Colleges of Applied Technology continue to serve as the premier provider for workforce development throughout the State of Tennessee. The colleges fulfill this mission by:

Providing competency-based training trough various types of instructional delivery systems of the highest quality that will qualify individuals for employment and/or advancement in jobs.

Providing high quality training and retraining of employed workers.

Providing high quality training that is economical and accessible to all residents of Tennessee, thereby contributing to the economic and community development of the communities we serve.

PROGRAM MISSION

The practical nursing faculty supports the mission and goals outlined by the Colleges of Applied Technology as reflected in the following program mission statement and philosophy. The mission of the Practical Nursing Program is to prepare individuals for successful mastery of the competencies required of the practical nurse and for successful completion of the national licensure exam leading to licensure as a licensed practical nurse.

PROGRAM PHILOSOPHY Education of the practical nurse is characterized by its emphasis on clinical – practical experiences necessary to meet common nursing problems. The curriculum is based on concepts from the biological and behavioral sciences in a planned sequence of correlated theory and clinical experience. This is achieved through selected learning experiences progressing from simple to complex. These experiences are provided in order to offer the practical nurse student the opportunity to develop knowledge skills and attitudes that are essential for the practice of practical nursing and for providing the foundation for continuing personal and professional growth and development. The nursing faculty subscribes to the belief that nursing is the expression of an art based on scientific principles which renders care to the individual, the family and the community by the promotion of wellness, the prevention of disease and the rehabilitation of the ill. The faculty also believes practical nursing to be a vital part of nursing and practical nurses integral members of the health team. The practical nurse must possess the basic skills and understanding necessary to safely care for persons in situations relatively free from scientific complexity and to assist the registered nurse, doctor or dentist in more complex situations. Education is an ongoing process of learning. Each individual is afforded the realization of his potential in a changing society enabling him to become progressively self-directed and self-disciplined. Practical nursing is a formal planned program of instruction which prepares the motivated person to assume his/her own role as a licensed practical nurse conscious of the need for continued vocational growth. This is achieved through selected learning experiences progressing from the simple to complex correlating theory with practice under the guidance of a qualified faculty.

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OBJECTIVES Based on the program mission and philosophy, graduates of the Practical Nursing Program will, upon completion of the course, be able to:

* Recognize the individuality of the patient.

* Provide nursing care in a safe and organized manner.

* Demonstrate sound technical skills reflecting current standards of nursing care.

* Identify and fulfill duties/responsibilities of a practical nurse as a health team member.

* Participate in promotion of health in the hospital and the community.

* Recognize the influence of a physical, psychosocial, and cultural milieu on health.

* Identify and implement basic scientific principles in giving nursing care.

* Recognize the need for continued self-direction in personal and vocational growth.

* Demonstrate competency in theory and clinical performance, leading toward eligibility in writing the licensure examination.

ADMISSION

Admission to the Practical Nursing program is not automatic even though the applicant may be academically qualified.

1. Applicants, age 18, seeking admission to the Practical Nursing program must:

a. Make application for admission to the College of Applied Technology. b. Submit evidence of high school graduation (regular diploma) HiSET or GED

equivalency. Transcripts of foreign students must be in U.S. equivalencies printed in English.

c. Obtain a passing score on the HESI entrance exam. Reading 70 / Math 70.

ACT: Math 19 / Reading 19 (ACT scores will be valid for two years post High School). HESI scores will be valid for 2 years from test date. Applicants cannot mix scores from HESI and ACT.

d. Upon acceptance, submit a physical examination by a licensed physician or nurse practitioner. (Physical must be current within 6 months of start of program)

e. Report for enrollment upon notification of acceptance.

2. The Nursing Advisory Committee shall review the application procedure for admission. 3. Qualified applicants not accepted may reapply and be considered for a subsequent class. 4. Upon acceptance, as mandated by the program’s clinical affiliates, students must

complete a panel 11 zero-tolerance drug screen and criminal background check. Students unable to meet these criteria will be unable to participate in clinical rotations.

**Students are responsible for the cost of drug testing and the background check.

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ADVANCED STANDING, LATE ADMITTANCE AND TRANSFER STUDENTS Individuals desiring to transfer from another nursing program and/or requesting advanced standing must follow the regular College nursing program admission procedure. Admission to the program will be on a space available basis. The school reserves the right to serve students within its service delivery area first. Individual requesting transfer must submit the following:

Transcripts and course descriptions from previous education institutions.

Two letters of recommendation from previous nursing instructors and one letter from the nursing director.

The applicant will be required to take a comprehensive Kaplan exam and score in the 60th

percentile to be given credit for the following subjects: Nursing Principles and Skills IV Therapy Maternal Child Nursing Geriatric Nursing Medical/Surgical Nursing Nutrition & Diet Therapy Pharmacology & Administration of Medications Psychiatric Nursing and Mental Health Concepts

The applicant may be required to demonstrate proficiency by performing sterile procedures. To graduate from the Jackson Regional Practical Nursing Program, a transfer applicant must complete two terms in the Jackson Regional Program. Students will pay all costs of the Kaplan exams.

READMISSION ALL READMISSIONS WILL BE CONSIDERED ON A SPACE AVAILABLE BASIS.

Any student who has exited the Jackson Regional Practical Nursing program, has an “84” average in each course attempted, achieved the 60th percentile in the corresponding Kaplan assessments, has “Satisfactory” clinical performance and attendance must reapply and be considered for admission. Each applicant will be considered individually and may be required to pass comprehensive exam(s) and demonstrate proficiency in the skills lab in order to obtain advanced status. Any student not meeting the above criteria may reapply to the program and compete with the applicant pool for admission. Previous credit will not be considered. Students who have been enrolled twice and/or suspended from a nursing program due to violation of attendance, academics, academic misconduct or clinical performance will be denied re-admission. After a period of five years from the date of the second termination, an individual may apply to the nursing program and compete with the applicant pool for admission. Advanced/transfer credit for this admission will not be considered. This policy extends to all previous enrollments in practical nursing programs under the Tennessee Board of Regents jurisdiction. . In extenuating circumstances, the Practical Nursing Program Director may review individual cases and recommend exceptions to the school Director. These exceptions require careful consideration and will be based on documentation provided by the student during the original suspension.

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WITHDRAWAL

To officially withdraw from the nursing program students must:

1. Notify the instructor or the program director in writing of the intent to withdraw 2. Complete an exit interview with student services 3. Submit an application if interested in re-application 4. Turn in any clinical facility ID badge

Failure to officially withdraw will influence any request for readmission.

DIDACTIC PROGRESS

A theory grade will be assigned at the end of each course and at the end of each term. The practical nursing grading scale is based on recommendations made by the Practical Nursing Directors Council and differs from the scale used in other programs in the school.

* A = 94-100 * B = 87-93 * C = 81-86 * D = 75-80* F = below 75

Academic grades A, B, and C demonstrate satisfactory progress. Grades D or F demonstrate unsatisfactory progress. A student who receives an unsatisfactory academic grade at the end of the course or term will be dismissed due to failure to progress. All grades/grade averages will be calculated to the tenths place. If the tenths place is 0.5 or greater the next whole numerical number will be assigned i.e., 80.5 = 81. If the tenths place is 0.4 or less the standing numerical grade will be assigned i.e., 80.4 = 80. Written assignments are to be turned in on their due date. A penalty of 5% each day will be placed on late assignments. Assignments will not be accepted after 2 days past due and a grade of zero will be recorded, or a penalty will be assigned at the discretion of the instructor for work not completed.

Vocational Relationships Psychiatric Nursing & Mental Health Concepts

Basic Science & Anatomy Maternal Child Nursing

Nutrition and Diet Therapy Pediatric Nursing

Nursing Principles and Skills Geriatric Nursing

Medical Surgical Nursing Advanced Vocational Relationships

Pharmacology Basic IV Therapy

If at the completion of the courses above (courses in BOLD include KAPLAN test* see below), a student has less than an 81 average he/she will be dismissed from the program. In the unit Pharmacology & Administration of Medications, students are required to pass a 100% Medications Calculations Test prior to administering medications in the clinical setting. A simple calculator is permitted, however, students are

required to show their work. The Medications Calculations Test is a clinical requirement and does not affect the Pharmacology Unit average. Students not achieving 100% are dismissed from the program. Students have a maximum of four (4) attempts to pass. Faculty is available to assist students remediate for the Calculation Test to ensure success!

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KAPLAN TESTING / REMEDIATION POLICY Purpose In a continuing effort to improve the quality of nursing education, the Jackson Regional Practical Nursing Program will use KAPLAN Testing and Remediation as an additional educational resource to its curriculum.

Purchase / Participation Purchase and participation in KAPLAN Testing and Remediation is mandatory for all students. To utilize the testing program each student must purchase an Access Code. The cost of the KAPLAN program has been added to books and supplies list and will be paid over three terms. Please refer to the cost analysis sheet. KAPLAN fees are paid the first day of each term and are non-refundable.

Components / Supplies KAPLAN provides students a supplemental text, The Basics, once the first term KAPLAN fee is paid. Students will

have access to web-based study materials. Access to a computer and internet service is encouraged. Computers will be available on school campuses at various times. Eight major areas of the nursing curriculum – Nursing Principles & Skills, Administration of Meds/ IV Therapy, Mental Health, Maternal Child Health (w/Pediatrics), Nutrition, Geriatrics, & Medical Surgical Nursing have proctored Kaplan exams.

Grading / Percentile Ranking Grades will based upon the Percentile Ranking and associated percentage grade achieved on each test. The KAPLAN exam will count as 10% of the course grade with the course test average counting as 90% of the overall grade. Students falling below an 81% after the Kaplan exam will be dismissed from the program

Nursing Principles & Skills

Nutrition

Geriatrics

Pharmacology I (includes Adm of Meds)

IV Therapy

Mental Health

Maternal Child Health (includes Pediatrics)

Adult Health

Pharmacology II (to be assigned)

Pharmacology III (to be assigned)

The Predictor *

*The Predictor will be given at the end of the year but will not be calculated in the GPA.

Percentile Rankings are reflective of national data compiled by KAPLAN and are indicative of how well the student has mastered the curriculum content and retained knowledge for that area. Students are expected to achieve a Percentile ranking of 60 or above in each of the eight major nursing areas. The following grade scale has been assigned to Percentile Ranks.

Percentile Rank

Unit Grade in %

90-99 98%

80-89 95%

70-79 90%

60-69 86%

50-59 80%

40-49 70%

30-39 60%

20-29 50%

10-19 40%

1-9 30%

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The following is an example utilizing KAPLAN scores as 10% of grade and course average as 90%: Subject area: Mental Health Students grades: Test 1 95 Test 2 78 Test 3 80 Test 4 72 Course Averg. 81.2 KAPLAN Proctored Exam: Percentile Rank 77 (90%) Course Average 81.2 X 90% = 73.0 KAPLAN Proctored Exam = 90 X 10% = 9.0 Total: 82 Course Final Grade I have read the KAPLAN Testing and Remediation Policy and agree to abide by the terms of the policy. I understand the purpose of this policy is to improve the quality of the educational process in the Jackson Regional PN Program. I understand I will be responsible for completing both paper and/or computer based remediation and testing. I understand the KAPLAN fees are to be paid the first day of each term and are non-refundable.

CLINICAL PROGRESS

As mandated by Board of Nursing guidelines, students must complete all required clinical hours for Geriatric, Psychiatric, Maternity, and Pediatric Nursing Courses. Students missing more than 18 hours during Medical Surgical Clinical will be referred for termination. Clinical evaluations will be completed monthly during the first, second, and third trimesters. Each evaluation statement is rated 'Satisfactory', 'Unsatisfactory', or 'Not Applicable'. All items on the evaluation form are of equal value. Students will be informed of “unsatisfactory” performance in a timely manner. Student will be counseled by the instructor or nursing program director and placed on clinical probation for the remainder of the month after 3 Unsatisfactory marks. Students will be referred to the Program Director for dismissal from the nursing program if no or minimal clinical progression is shown after the second month of probation or upon receiving five (5) unsatisfactory marks in a month. Dismissal will occur after collaboration with appropriate school officials.

POLICY ON MAKE-UP TESTS

Make-up exams are given for absences. The student must meet with the appropriate instructor the first day after the absence and request a make-up date. Scheduling will be done at the instructor’s discretion: Grading will be: 1st occurrence Student score or maximum of 95 2nd occurrence Student score or maximum of 90 3rd occurrence Student score or maximum of 85 Subsequent Student score or maximum of 81

If at the end of the term or close of the unit, the student has not scheduled a make-up test, a grade of 0 (zero) will be recorded. This policy is continuous, beginning day 1 of the first term and continues throughout the remainder of the year.

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COMPLETION REQUIREMENTS

Graduation from the Jackson Regional Practical Nursing Program requires the following requirements:

* progression through the required courses of the curriculum * maintenance of grade of "C" (81) or above in each the nursing courses

* maintenance of satisfactory clinical performance outlined in the clinical evaluation tool

* maintenance of attendance record according to requirements of College & nursing program

LICENSURE REQUIREMENTS

Effective June 1, 2006, students applying for a Tennessee nursing licensure must successfully complete a pre-licensure background check with fingerprints as stipulated by the TN Department of Health. This background check will be scheduled toward the end of the program. Results of the background check are sent directly to the Board of Nursing and are not shared with the school. Cost of the background check is $38.00. Certain outcomes may prohibit/impede Tennessee licensure as a nurse. The Program Director will assist students in filing proper applications. It is incumbent upon the student to supply proper documentation and meet filing deadlines. Failing to follow Board of Nursing procedures will affect timely licensure. Individual who do not submit documentation are not made eligible to test by decision of the Board of Nursing until documentation is received and their application is evaluated and considered to be ‘complete’. (Addendum A) Effective 2013, the “SAVE Act” requires the TN Dept of Health to verify every applicant applying for a nursing license is either a U.S. citizen, a “qualified alien”, or a nonimmigrant who meets the requirements in 8 U.S.C. 1621 by providing documentation selected from a list provided. This information is provided to students at the end of the program and is available upon request from the Program Director.

ATTENDANCE

The nature of the nursing program at the Tennessee Colleges of Applied Technology requires regular attendance. Excessive absenteeism will have an adverse effect on student progress.

a. After a student has been absent 24 hours in a 72-day period of instruction, the instructor will refer the student to Student Services for counseling.

b. When a student has been absent a total of 42 hours within a 72-day period of instruction, he/she will be suspended from school.

c. A student is considered tardy if not in the classroom at the designated time. The hours missed due to tardiness will be included in the accumulation of hours towards dismissal as well as handled separately as here indicated. 5 tardies-- documented warning by the instructor 6 tardies-- documented probation by the designated authority 7 tardies-- referred to Director

d. An attendance record for each student is maintained in the school office. e. All hours missed are required to be made up by the student. It is the responsibility of the

student to schedule make-up time with instructors. Make-up work must be made up within the term missed.

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CONDUCT

All students are expected to conduct themselves in an acceptable adult manner at all times and abide by the school’s policy on conduct.

CONDUCT IN CLASS

The instructor has primary responsibility for control over classroom behavior and can request the temporary removal or exclusion from the classroom any student engaged in conduct violating the regulations of the College.

Cheating and other forms of academic dishonesty are prohibited. Students guilty of such are immediately responsible to the instructor. In addition to disciplinary sanctions, the instructor has the authority to assign an unsatisfactory grade for the exercise or the examination.

Tape recorders or electronic devices are not allowed in the classroom. Exceptions for students with documented disabilities will be made. Personal electronic devices will remain off during classroom hours. Calls and text messages are allowed during break and lunch times. Electronic devices will be placed in a secured location during testing. Students violating this policy are responsible to the instructor and may receive a ‘Zero’ on an exam when possessing an electronic device during testing.

After the first instructor warning, students who sleep during class will be marked ‘absent’. After the second warning the student will be sent home.

CONDUCT IN CLINICAL

Student are to be in the clinical area promptly and in uniform (see Dress Code). Clinical days begin promptly as scheduled by the clinical instructor. Students must report absence or tardiness according to the instructor's preference and must speak directly with the clinical instructor. Do not call the facility and leave a message. Failure to notify the instructor of any absence or tardiness will be reflected on the student clinical evaluation. Students may not leave their assigned areas without permission from their instructor. On clinical days there will be one morning 15 minute break (if possible) and one 30-45 minute lunch break. There is no smoking

inside any clinical facility. Many clinical facilities have a “no smoking campus.” Cell phones/watches with

internet or camera, PDAs, IPODS or any other electronic devices are NOT to be brought into the

clinical facility. Students will be given a U and written warning 1st occurrence and will be given a U and sent home on subsequent occurrences. A grade of zero will be recorded for any assignment or test given during

the suspension. Visitors are not permitted on the clinical unit. In addition to school guidelines, students are subject to guidelines of the clinical facilities. These guidelines may include but are not limited to, proof of health insurance where applicable, drug testing (Addendum B), back ground checks (Addendum C), dress code, health requirements, conduct and ethical behavior. Hospital business and patient record information is protected by HIPAA (The Health Insurance Portability & Accountability Act, 1996). Students and faculty who violate HIPAA standards are subject to disciplinary action up to and including dismissal. Students are not permitted in the hospital on school business after clinical hours without written instructor permission. For more information on HIPAA visit www.hhs.gov for Understanding HIPAA Privacy. The Jackson Regional Practical Nursing program faculty reserve the right to remove from class or clinical area and refer to the Program Coordinator or School Director, any student who fails to conform to the program policies and guidelines. Excessive tardiness, inappropriate dress, use of cell phones, poor health, absenteeism, unsatisfactory grades in academics, poor clinical performance, general untidiness, falsifying records, drug abuse, intoxication, evidence of alcohol, violation of HIPPA, inappropriate attitude and/or behavior deemed detrimental to patient care or co-workers/staff are causes for discipline up to and including dismissal.

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MEDICO-LEGAL RESPONSIBILITIES: The unauthorized or unsupervised performance of procedures during clinical training will result in immediate disciplinary action, up to and including dismissal from the Program. This activity is against hospital regulations and the program’s policy. A physician or other person authorized to treat patients must request procedures before performance of the procedure. Unauthorized procedures also refers to accessing a patient record not assigned to you, allowing someone else to access a patient record not assigned to you, and performing procedures in the clinical setting not successfully completed in the laboratory with appropriate documentation.

The student may only perform procedures within your scope of practice for which you have been trained. The student may not perform any procedure in any clinical setting that you have not been checked off on

in lab. Medication administration, sterile and intrusive procedures require an instructor presence.

The student is an adult and responsible for his/her actions/omissions regarding patient care. The student can be sued. Ignorance is not an excuse.

DISMISSAL

A student is subject to dismissal on the following grounds:

Failure to meet minimum grading scale.

Exceeding the maximum number of hours of absence allowed.

Unsatisfactory clinical performance/attendance.

Failure to comply with the code of ethics and standards for continuation in the program leading to graduation. (refers to code of conduct, dress, dismissal codes, standards, set forth in the Practical Nursing Handbook).

Unprofessional Conduct, as identified in Chapter 1000-2-13, Rules, Regulations of Registered Nurses and

Licensed Practical Nurses, may result in dismissal. Defined as, but not limited to:

1. Intentionally or negligently causing physical/emotional injury to a patient, visitor, or co-worker; 2. Failure to maintain a record for each patient accurately reflecting nursing problems and interventions

for the patient and which accurately reflects the name and title of the nurse/student providing care; 3. Abandoning or neglecting a patient requiring nursing care; 4. Unauthorized use or removal of narcotics, drugs, supplies, or equipment from any health care facility,

school, institution or other work place location; 5. Being under influence of alcoholic beverages, or influence of drugs, (prescription or non-prescription)

which impair judgment while on duty in any health care facility, school, institution, or other work place; 6. Impersonating a licensed practitioner; 7. Permitting or allowing a person to use his/her school identification for purpose of nursing the sick or

afflicted for compensation; 8. Failing to supervise persons to whom nursing functions are delegated or assigned; 9. Aiding, abetting, assisting or hiring an individual to violate or circumvent any law or duly promulgated

rule intended to guide the conduct of a nurse or any health care provider; 10. Discriminating in the rendering of nursing service as it relates to age, race, sex, religion, national

origin, or condition of a patient; 11. Violating confidential information or knowledge concerning the patient, except when required by a

court of law; 12. Failing to take appropriate action in safeguarding the patient from incompetent health care practices; 13. Failing to report, through proper channels, facts known to the individual regarding incompetent,

unethical or illegal practices of any health care provider; 14. Performing nursing procedures without proper education/practice or supervision of the instructor; 15. Engaging in acts of dishonest related to the practice of nursing.

**Crime conviction may result in dismissal.

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DRESS CODE

Classroom Dress Code: During classroom hours students must follow classroom dress code as designated by the “school” or “instructor”. If there is no set dress code then the following applies: students may wear casual clothing that projects a non-offensive appearance to a diverse population. Clothing must cover the tops of the shoulders, cleavage, back, stomach, thighs and not conform to the body as a second skin.

Clinical Dress Code: Uniforms are to be clean, wrinkle-free, and in good repair. Dresses are to be worn knee-length. Shoes are to be clean, polished, in good repair, and impermeable to fluids. Daily non-offensive personal hygiene in the classroom and clinical area expected.

Complete uniform is worn with skin tone undergarments and plain white hose, knee-hi or trouser socks in all clinical areas except when given other instructions by the instructor. Hospital photo ID badge (when applicable) and name tag will be worn at shoulder level.

Hair is to be neat, clean, and off the collar. Extreme hair fashion, coloring and/or ornaments are not permitted.

Nails are to be clean and short. Nail polish and artificial nails of all kinds are unacceptable

Jewelry, in uniform, is limited to wedding rings and one set of small posts pierced earrings (females only) worn in the lower ear lobe, no bright colors. Visible body piercing hardware must be removed. Other piercings should not interfere with the performance abilities of the student. Tongue piercing implements are not allowed. Body tattoos must be tactfully covered when visible.

Perfumes/strong after shaves/colognes are not allowed. Gum chewing, eating or drinking is not allowed on the nursing units. Smoking is permitted only in designated areas. Some facilities are ‘smoke free’ properties.

Cell phones/camera watches with internet access are NOT to be brought to clinical facilities. In emergencies, families may contact the school and the school will contact student.

Any instructor may excuse a student from the clinical area if his/her personal appearance does not meet the appropriate dress code. The student may make the appropriate corrections and return. The student will be counted absent until he/she returns.

Outlying Clinical Areas:

Professional business dress and a lab jacket when requested by the agency. The following is prohibited: t-shirts, open shoes/sandals, clogs, boots with tucked-in pants, form fitting stretch pants, blue jeans, blue jean skirts or clothing that exposes the tops of the shoulders, cleavage, back, stomach, thighs and/or clothing that conforms to the body as a second skin. In all instances, clothing must project a non-offensive appearance to a diverse population. Some specialty areas may require specific attire.

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SOCIAL MEDIA

Purpose: To provide a guideline for acceptable use of social media by nursing students and faculty.

Considerations: Social media is commonly thought of as a group of Internet-based applications that allows the creation

and exchange of user-generated content or ideas. Examples of these applications are LinkedIn, Twitter, Facebook, YouTube and MySpace. Social Media enables two-way communication with your audience but is not limited by those boundaries. You have less control how materials you post are used or interpreted by others. There is no such thing as a “private” social media site. Comments and pictures posted can be forwarded or copied without your permission. Archival systems save information including deleted postings. Search engines can turn up postings years later. What you post today in anger or when taking a passionate stance about something may not be appropriate in your future as you apply for positions, establish relationships, and move through your life. Future employers will hold you to a high standard of behavior. Ensure content associated with you is consistent with your future professional goals, even if you did not post it. You are legally liable for what you post on your own site and on the site of others. Bloggers have been held liable for commentary deemed proprietary, copyrighted, defamatory, libelous or obscene. Employers are increasingly conducting Web searches on job candidates before offering employment.

Don’t use racial comments, personal insults, obscenity, pornographic images, or engage in behavior not acceptable in the professional workplace.

Policy: (applies to Jackson Regional nursing students engaging in internet posting/conversations.)

Protect confidential, sensitive, proprietary information: Do not post confidential or proprietary information about the school, staff, students, clinical facilities, patients/clients, or others with whom one has contact in the role of the Tennessee College of Applied Technology nursing student.

Respect copyright and fair use. Be mindful of the copyright and intellectual property right of other and the College of Applied Technology.

Do not use the College of Applied Technology or the Jackson Regional School of Practical Nursing logos or names on personal social media sites. Do not use the names or logos to promote products, causes, political parties or candidates.

Use of the school logo or name (posters, fliers, postings) for sanctioned events must have prior approval by administration.

At this time, the use of hand-held electronic devices (HEDs) in clinical is prohibited.

No personal phone conversation are allowed in patient/client areas or in the classroom.

Use of computers (PDAs, Notebooks/Pads, etc) during class is restricted to note taking and classroom activities.

No student shall videotape instructors or fellow students for personal or social media use without express written permission of the instructor or fellow student. At NO time shall patients/clients be videotape, photographed, or otherwise electronically recorded.

Be aware of your association with the College of Applied Technology and the Jackson Regional Practical Nursing Program. If you identify yourself as a student, ensure your content is how you wish to project yourself to others. Identify your views as your own. Do not speak on behalf of the school.

HIPAA guidelines must be followed at all times. Identifiable information concerning clients/clinical rotations must not be posted in any online forum or webpage.

Consequences: Violations of patient/client privacy with or without an electronic device will be subject to HIPAA procedures/guidelines and consequences. Students who share confidential or unprofessional information do so at the risk of disciplinary action including loss of clinical privileges, failure in a course and/or dismissal from the program. Each student is responsible for individual postings and may be subject to personal liability.

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GRIEVANCE PROCEDURES

Please refer to the school Student Handbook for explanation of the grievance procedures.

COUNSELING

Each student is assigned a faculty member for academic and clinical counseling. All faculty, however, are available for advisement and assistance. All matters discussed in counseling sessions will be kept confidential, except when it is determined a student’s well being may be in jeopardy. The ACT Center/Student Services is responsible for administering the entrance examination, initial interview, orientation of all students, informing students of available financial aid, counseling students regarding any personal needs, exit interviews, and follow-up.

CONTRACTS

There shall be a written agreement between the school and facility providing clinical experience for the students. This agreement shall be reviewed by the Vice Chancellor for Technical Education, and signed by the administrative authorities of the school and the clinical facility. It shall include a statement regarding the following:

* Responsibility of the school (student's experience to be under supervision of instructor). * The kind and amount of learning experiences to be provided by the clinical facility; and * The emergency care to be provided to a student in the event of an accidental injury while in

the clinical facility, i.e., care for needle sticks --any care given will be at student’s expense. * Clinical policy of the school. (Addendum D) The school of nursing, prior to clinical rotations, shall verify to the clinical facility that all currently enrolled students have on file with the school the following information:

1. evidence of negative TB skin test within one year or negative chest x-ray within 3 years 2. documentation of a completed series of Hepatitis-B vaccine or positive titer 3. documentation of 2 doses of MMR vaccine or positive titer 4. documentation of 2 doses of varicella vaccine or positive titer 5. evidence of negative drug screen – (zero tolerance Panel 11) 6. evidence of acceptable background check 7. evidence of professional liability coverage $1 million per occurrence/$5 million aggregate 8. evidence of health insurance where required by clinical agency 9. evidence of current flu vaccine, (to be given after October 1st) 10. evidence of American Heart Association BLS CPR card – valid for duration of course 11. evidence of current Tdap immunization 12. completed physical exam by a physican or nurse practitioner

EMPLOYMENT

Students are cautioned to limit out of school working hours to 24 hours a week while enrolled in the program.

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FINANCIAL AID

The school is approved for various programs of financial aid. Information and applications for aid/grants are available in the Financial Aid Counselor's office on each campus.

LIBRARY

Nursing reference books and journals are maintained on each campus for student use.

HEALTH SERVICES/EMERGENCY INFORMATION

First aid supplies and supportive first aid treatment are available. In the event of injury or other medical emergencies, the nearest instructor or staff member and the administrator on duty should be notified. Professional emergency care, if needed will be secured by the administrator on duty. In case of serious accident or injury, the TCAT will refer the student to the nearest hospital (or hospital of the student’s choice) for emergency care and will notify the student’s next of kin. It is to be understood that the student or student’s family will be responsible for the cost of such emergency care, including ambulance service, if in the opinion of the TCAT authorities such service is necessary.

GENERAL RULES

* All illnesses must be reported to the instructor. * If a student is absent with a serious illness or surgery, he/she must present a written

statement from his/her physician before returning to class/clinical. * It is suggested that all students maintain their own accident insurance. * Any student seeking accommodations must self identify to the individual specific to his/her

campus on the bottom of page 4 of this Handbook.

TELEPHONE

Classes will not be interrupted for calls for students unless it is an emergency or urgent business. If a student is expecting a call in an unusual circumstance (i.e., sickness in family, prospective employment) the instructor should be notified in order for the call to be forwarded. Please instruct family not to call except in cases of emergency.

WITHDRAWAL

An official withdrawal requires the following. Failure to comply with this policy will influence any readmission request.

*Immediate notification of the Nursing Program Director or Program Instructor. *Completion of an exit interview.

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EMERGENCY PROCEDURES

Refer to the evacuation procedures specific to each College of Applied Technology:

TCAT JACKSON TCAT WHITEVILLE TCAT CRUMP

CODE RED

Fire, Explosion, Chemical Spill, Gas Leak

CODE RED

Fire

CODE RED Fire

CODE YELLOW

Gunman, Hostage, Intruder

CODE ORANGE

Gas Leak, Chemical Spill, Explosion

CODE BROWN ,

Tornado, Severe Weather Earthquake

CODE BLACK

Bomb Threat CODE WHITE

Violence, Gunman, Police Emerg.

CODE BLUE

Medical Emergency, Suicide Threat

CODE W

Tornado, Severe Weather

CODE BLACK

Tornado

CODE YELLOW

Student Fight, Violence on Campus

CODE ORANGE

Student Fight, Disturbance, Suicide Threat

CODE BLUE

Medical Emergency

CODE BLACK

Active Shooter

CODE BLUE

Medical Emergency, Body Fluid Spill

CODE GREY

Intruder, Hostage

CODE GREEN Bomb Threat

CODE ORANGE Chemical Spill, Gas Leak

CODE WHITE “All Clear”

SAFETY AND INFECTION CONTROL

UNIVERSAL PRECAUTIONS: Using universal precautions with patient care is vital for future health. All students will adhere to universal precautions and wear PPEs (personal protective equipment) for all patient care, as indicated. Hand-washing between each patient is mandatory.

THE PRECAUTIONS RECOMMEND: Routine use of appropriate barriers to prevent contact with mucous membranes, blood, or any other

body fluid of a patient. Routine, proper, and thorough hand-washing. Immediate placing of used sharps and needles in biohazard puncture proof containers. Use of disposables in resuscitation procedures. Preclusion from direct patient care if you have a temperature, exudative skin condition (or other

contagious disease). You must notify your clinical instructor if ill and prior to being absent. Especially strict adherence to precautions during pregnancy.

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LAB/CLINICAL SAFETY GUIDELINES:

Proper hand-washing before and after procedures, before and after gloving, and immediately when

any skin surface has been contaminated with blood or body fluid is vital.

Gloving is always necessary when handling any blood or body fluid specimens.

Cover all scratches, paper cuts, or any breaks in the skin with a bandage after hand washing and before gloving for self-protection against possible contamination.

Never eat, drink, chew gum, smoke, or place hands or fingers to mouth, or place any item in your

mouth (such as pen or pencil) while working.

Wear protective gloves, mask, gown (or apron), and goggles when splashing of any blood or body fluids is possible while you are working.

Always recap or close bottles, jars, tubes, etc., immediately after desired amounts are obtained to

avoid spills, waste, and accidents.

Clean up spills immediately to avoid accidents. Spilled blood or body fluids should be flooded with a liquid germicide or bleach solution (1:10 ratio) before cleaning up with paper towels (wear latex gloves). Commercial preparations may also be used to solidify liquids to make cleanup easier.

Record lab test results and procedures immediately on charts or in logs to ensure accuracy.

Work in a well lit, properly ventilated, uncluttered, quiet area for better concentration.

Discard all hazardous waste in proper containers.

Discard all disposable sharp instruments, lancets, syringes and needles (intact) in proper biohazard

puncture-proof containers, (never break needles off, handle after use, or reuse). Place reusable metal instruments in a disinfectant solution after rinsing in cold water in preparation for proper cleaning and sterilization.

Make periodic checks of all electrical appliances and equipment for frayed wires or faulty operation

and tag for repair if needed.

Make sure that your hands are dry before using any electrical appliances or equipment.

Report all accidents to your Supervisor and Instructor immediately.

Do not wear loose-fitting or bulky clothing or jewelry that could contribute to accidents while working with machines or equipment in the lab or any area in the classroom or clinical area.

Designate a “dirty” and a “clean” area in equipment storage, cleaning areas.

Sharps containers will be used in lab/clinical settings.

Use proper body mechanics when lifting/moving patients. Know limitations, seek help when needed.

Because of liability issues, children are not allowed in the Nursing classroom / laboratory.

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OSHA SAFETY COLOR CODE:

I. Red shall be the basic color for the identification of:

A. Fire protection equipment and apparatus 1. Fire alarm boxes: (pull boxes) 2. Fire blanket boxes 3. Fire buckets or pails 4. Fire exit signs

5. Fire extinguishers 6. Fire hose locations 7. Fire hydrants (industrial) 8. Fire pumps 9. Fire sirens 10. Post indicator valves for sprinkler system 11. Sprinkler piping

B. Danger *Safety cans or portable containers of flammable liquids, flashpoint at or below 80 degrees F *Table containers of flammable liquids, excluding shipping containers, shall be painted red with some additional clearly visible identification either in the form of a yellow band around the can or the name of the contents conspicuously stenciled or painted on the can in yellow * Red lights shall be provided at barricades / temporary obstructions, as specified in red.

C. Stop Emergency stop bars on hazardous machines shall be red. Stop buttons of electrical switches used for emergency stopping of machinery shall be red.

II. Orange shall be used as the basic color for designating dangerous parts of machines or energized equipment which may cut, crush, shock or otherwise injure and to emphasize such hazards when enclosure doors are open or when gear belt, or guards around moving equipment are open or removed.

III. Yellow shall be the basic color for designating caution and for marking physical hazards such as: Striking against, stumbling, falling, tripping, and caught in between. Solid yellow, yellow and black stripes, yellow and black checkers (or yellow with suitable contrasting background) should be used interchangeably, using the combination which will attract the most attention in the environment.

IV. Green shall be used as the basic color for designating "Safety" and the location of first aid equipment (other than fire-fighting equipment).

V. Blue shall be the basic color for designating caution, limited to warning against the starting, the use of, or the movement of equipment under repair or being worked upon.

VI. Purple* shall be the color for designating radiation hazards. "Radiation" used in this subparagraph refers to radiation types such as X-ray, alpha, beta, gamma, neutron, proton, deuteron, and meson.

*Yellow should be used in combination with purple to mark tags, labels, signs, and floor markers.

VII. Black, white, or combinations of these two, be the basic color for the designation of traffic and housekeeping markings. Solid white, solid black, single color striping, alternate strips of black and white, or black and white checkers should be used in accordance with local conditions.

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ACKNOWLEDGE OF INFECTIOUS/COMMUNICABLE DISEASE CONTACT

AND

RESPONSIBILITY FOR MEDICAL CARE

Because you are entering a field that deals with human lives, you are at a risk of being exposed to hazards including infections, body fluids, chemicals, equipment, and other inherent occupational dangers. During the course of your training, you may be working with individuals and / or specimens from individuals who may have a communicable / infectious disease which may or may not be known to them, the health care team, or your instructors. In all patient care instances, you should observe Universal Precautions. Should you incur an injury during clinical an incident report is completed. Your instructor(s) or Program Director will assist you in seeking proper medical care if you desire assistance. However, you will be responsible for the cost of any treatment and follow up care rendered. Clinical facilities require students to have a physical examination with current vaccinations. You will not be allowed to attend a clinical rotation and therefore will not be able to successfully pass the Clinical component of the program if you do not have the required documentation. The deadline for this information is upon enrollment. The exception is completion of the 3rd Hepatitis B vaccine which may be done after entrance into the program.

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CURRICULUM

Instructional Units - Total Hours 1296

Theory Hours Vocational Relationships 30 Nutrition and Diet Therapy 30 Geriatric Nursing 30 Basic Science & Anatomy 102 Fundamentals of Nursing 132 Pharmacology 72 Basic IV Therapy 40 Medical Surgical Nursing 216 Psychiatric Nursing & Mental Health Concepts 30 Maternal Child Nursing 48 Pediatric Nursing 66 Advanced Vocational Relationships 12 ___

Total 808

Clinical Geriatric Nursing 36 Medical-Surgical Nursing 356 Psychiatric Nursing 36 Maternity Nursing 60 Pediatric Nursing 36

Total 488 Total Program Hours: 1296

CURRICULUM PLAN

JACKSON REGIONAL PRACTICAL NURSING PROGRAM

PROGRAM HOURS 1296 808 THEORY HOURS 488 CLINICAL HOURS

MAY and SEPTEMBER TRIMESTER PLAN

1st Trimester Theory Clinical Vocational Relations 30 Nutrition & Diet Therapy 30 Geriatrics 30 36 Basic Anatomy & Physiology 102 Fundamentals of Nursing 132 Pharmacology 72

________________________

396 36 Total Trimester Hours 432 _________________________

2nd Trimester Theory Clinical Basic IV Therapy 40 Medical Surgical Nursing 216 Med-Surg. Clinical I 176

_________________________

256 176 Total Trimester Hours 432 _________________________

3rd Trimester Theory Clinical Med-Surg. Clinical II 144 Maternal & Newborn Nursing 48 60 Pediatric Nursing 66 36 Mental Health Nursing 30 36 Advanced Voc. Relations 12

_________________________

156 276 Total Trimester Hours 432 _________________________

**The curriculum plan may vary from campus to campus depending on the availability of clinical sites.

CURRICULUM DESCRIPTIONS

COURSE TITLE

Vocational Relationships COURSE DESCRIPTION This course begins the study of human behavior and its pertinence to the milieu of the practical nurse. One's personal identification as a practical nurse begins to emerge. Nursing functions, roles, rights and responsibilities are defined. Trends in nursing and nursing education will be explored in the light of current realities with knowledge that nursing is a responsible social discipline and that all nurses must be concerned about health maintenance. Emphasis will be placed upon the practical nurse's functions, ethical and legal rights and responsibilities as a health care provider. COURSE OBJECTIVES Upon completion of this course, the student: 1. Recognizes the role of the practical and professional nurse and members of the health team. 2. Assumes personal responsibility for acquiring the knowledge and skills of the practical nurse. 3. Recognizes the ethical and legal responsibilities of the practical nurse as they relate to the patient,

family, physician, professional nurse, employer, and co-worker. 4. Identifies the extent of the responsibility and the protection afforded by the Nurse Practice Act. 5. Recognizes the importance of health organizations and the need of active participation in practical

nursing organizations. 6. Recognizes career opportunities as well as the need for continuing education.

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COURSE TITLE

Nursing Principles and Skills

Fundamental Nursing Principles and Skills (Core Clinical Competencies) Course Description This course is the foundation for all succeeding nursing courses and highlights basic nursing concepts and measures from simple to complex. The student is guided to formulate his/her identity as a beginning practitioner by careful correlation of biological, physical, and social sciences. Emphasis is placed upon understanding normal as a means of comprehending abnormal. In all instances, the comfort, safety and maintenance of health, recovery of the patient and the importance of the practical nurse as a member of the health team and significance that nursing is a social discipline is stressed. There is a planned schedule of laboratory experience away from the pressure of the clinical setting where students are given opportunity to practice and perfect basic skills. Clinical experience is selected and supervised by the instructor assigned to the student group. These skills will serves as the basis essential foundation for all clinical rotation. Course Objectives: Upon completion of this course, the student: 1. Identify and utilize scientific principles and fundamental skills underlying effective nursing. 2. Utilize observational skills. 3. Identify his/her role as a member of the health team. 4. Demonstrate beginning organizational skills. 5. Respects each patient as an individual. 6. Provides thorough nursing care, recognizing that all patients regardless of degree of illness have the same basic needs of personal care and hygiene. 7. Promotes health in the hospital and in the community. 8. Modifies nursing care to meet the unique needs of the chronically ill/disabled person. 9. Demonstrates expertise in cardiopulmonary resuscitation using the American Heart Association

Guidelines for its Healthcare Provider course and completes performance check-offs prior to entering clinical.

Clinical Competencies Students are expected to obtain and master proficiency in several basic skill sets which will be referred to as core

clinical competencies. 1. Attend pre conference, listen to report and note specific personal care, treatments, ambulation,

and status of assigned patients 2. Obtain additional knowledge of patient’s disorder from text or other references in formulating

patient care plan 3. Perform indicated bath, oral care, and all personal hygiene measures as performed in clinical lab

or adapting to individual needs after identifying to the instructor the rationale involved. 4. Obtain necessary equipment and supplies for patient care and replace them as necessary 5. Take vital signs ( TPR&BP) indicated by patients status and according to facility’s policy and

record them on appropriate forms and records 6. Assist patient to ambulate or up to chair as ordered by physician. 7. Observe & report safety measures or client needs 8. Change complete bed linens either with/without patient in bed according to clinical lab procedure

or adapting to the individual patient’s need 9. Provide necessary fluids and record I&O appropriately 10. Maintains an orderly and safe client environment 11. Completes a client assessments 12. Perform treatments/procedures as assigned by instructor including but not limited to:

a. Abdominal shave and prep b. Urinary catheterization c. Bladder irrigation

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d. Dressing changes simple, complex, and sterile e. Anti-embolic hose application f. Hand washing g. Vital signs

i. Temperature ii. Pulse iii. Respiration iv. Blood pressure v. Pain scale

h. Gastric tube care including insertion, and irrigation i. Application of heat and cold therapy j. Proper use and application of restraints k. Suctioning

i. Pharyngeal suctioning ii. Oral suctioning iii. Tracheal suctioning

l. Utilizes standard and transmission based precautions m. Administration of oxygen therapy

i. Cannula ii. Mask

1. Simple face 2. Venturi 3. Non-rebreathing

iii. Trach collar n. Assist with elimination

i. Enema administration ii. Catheterization

o. Document care per facility protocol p. Initiate IV Fluids and administer IVPB medications per facility protocol and program

guidelines

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COURSE TITLE

Nutrition and Diet Therapy COURSE DESCRIPTION Nutrition provides the student practical nurse with information related to the fundamental principles of normal nutrition. Included in the course is a study of the basic nutrients, the use of guides for the evaluation and planning of normal diets, principles for the safe and economic selection and preparation of food, and a study of selected food legislation. Factors such as age, cultural and religious practices and socioeconomic conditions are presented as influences on a person's nutritional well-being. The study of basic nutrition is presented as applicable to the students own daily living habits as well as to the patient care situations. The need for an understanding of normal nutrition as a basis for the study of therapeutic diets is discussed. COURSE OBJECTIVES Upon completion of this course, the student: 1. Recognizes that nutrition plays a vital role in the total well-being of an individual. 2. Identifies the functions, requirements, and sources of basic nutrients. 3. Uses basic guides for the evaluation and selection of normal diets. 4. Recognizes the influence of physical, cultural, religious and socioeconomic factors on nutrition. 5. Identifies ways a normal diet can be modified for therapeutic effect. 6. Identifies the uses and therapeutic effects of diets associated with common medical-surgical

disorders. 7. Describes the factors influencing the patient's ability to adjust to the prescribed diet therapy. 8. Assists in preparing the patient and his family to carry out the dietary regime. COURSE TITLE

Basic Science and Anatomy COURSE DESCRIPTION Basic Science for the practical nursing student is designed to familiarize him/her with the structure and function of the human body as well as the interrelationships and interdependency of the body systems to the maintenance of a homeostatic condition. The effects of microbes on the human body will be studied and well as the basic mechanics of biochemistry and biophysics as they are related to the systems. COURSE OBJECTIVES 1. Identify and define the basic sciences and how they affect the human body. 2. Define the association between the basic sciences and nursing. 3. Define microorganisms and how they reproduce. 4. Identify the complications caused by microorganisms and human pathology. 5. Become aware of the growth and maintenance of the human body. 6. Name and define body systems and how they work together as an integrated whole.

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COURSE TITLE

Pharmacology and Administration of Medications COURSE DESCRIPTION The purpose of this course is to acquaint the student with nursing skills relative to the safe administration of medications as well as the basic scientific principles underlying these skills. The student will be familiarized with the different types of medications and channels of administration, plus the purposes of drug therapy and its importance in maintaining and restoring health. A review of basic arithmetic will be included followed by mathematics of drugs and solutions. Emphasis will be placed upon the practical nurses' legal and ethical responsibilities in the administration of medications. COURSE OBJECTIVES Upon completion of this course, the student: 1. Recognizes the significance of medications in preserving and restoring health. 2. Performs simple arithmetic skills. 3. Computes dosages relating to the mathematics of drugs and solutions and recognizes that the

computation of fractional doses must be checked by a registered nurse before administration. 4. Utilizes selected scientific principles relative to the administration of medications. 5. Identifies and utilizes the rules for preparing and administering of medications. 6. Prepares and administers medications correctly under supervision. 7. Recognizes limitations and responsibilities relating to preparation and administration of medications. 8. Demonstrate expertise in dosage calculations by scoring 100% on a Medications Calculations Test

prior to administering medications clinically.

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COURSE TITLE

Psychiatric Nursing and Mental Health Concepts Course Description This course is a brief overview of the current concepts of psychiatric nursing. It will emphasize the role of the nurse in the prevention and treatment of mental illness. Included will be discussions of the nursing management of the neurotic and psychotic patient, the patient with organic brain syndrome, the suicidal patient, and the patient with a chemical dependency. The increasing role of community psychiatry will be stressed. Course Objectives Upon completion of this course, the student:

1. Identify current concepts of psychiatric nursing. 2. Identify and deals with some of the patient's emotional needs and problems as part of nursing care. 3. Recognize general characteristics of the common neurotic disorders. 4. Recognize general characteristics of the common psychotic disorders. 5. Identify mental health resources available in the community for the patient and his family.

Clinical Competencies The student under the guidance of the clinical instructor shall satisfactorily complete the following competencies: 1. Maintain proficiency of core clinical competencies 2. Observe and identify characteristics of neurotic behavior 3. Observe and identify characteristics of psychotic behavior 4. Distinguish between hallucinations and delusions 5. Observe and identify the therapeutic techniques used in the nursing care of psychiatric clients 6. Observe and identify nursing management of the client with organic brain syndrome 7. Identify resource available for the client with chemical dependency 8. Identify the current trend of care of the psychiatric clients 9. Identify mental health community resources available the client and family 10. Identify precautions used with the suicidal client

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COURSE TITLE

Geriatric Nursing Course Description This course introduces gerontological nursing and the leadership role of the Practical Nurse caring for older adults in long term care environments. The normal aging process is explored with emphasis on promoting, maintaining and restoring health in older adults. Besides the sociological, psychological and physiological aspects of aging, this unit will also incorporate the financial, safety, and pharmacological aspects of aging. The curriculum, using the nursing process and basic human needs as a framework, will integrate cultural diversity, legal/ethical considerations, and the communication process to provide holistic care to the geriatric client. Course Objectives Upon completion of this course, the student will be able to:

1. Identify developmental changes related to aging, incorporating the theories of Maslow and Erickson in the care of older adults.

2. Discuss the philosophy and theories of aging. 3. Apply effective communication when interacting with the geriatric client. 4. Discuss the administration of medications to the geriatric client. 5. Identify common alterations in health of the older adult and nursing interventions to promote

wellness. 6. Discuss the concerns of aging persons concerning socioeconomic, safety, security, cultural,

psychosocial and physical factors. 7. Demonstrate the leadership role and personal attributes of the practical nurse in long term care. 8. Discuss the care of older adults which reflects legal/ethical principles. Clinical Competencies The nursing student under the supervision of the clinical instructor shall have satisfactorily completed the following objectives by the end of the geriatric clinical rotation:

1. Maintain proficiency of core clinical competencies 2. Use observational, assessment and communication skills with the geriatric client to provide care 3. Complete an assessment on a geriatric client’s cognitive processes including memory,

communication, orientation, and problem solving 4. Identify common alterations in health (problems) presented by the client and be able to plan

nursing interventions and incorporate them into a written plan of care 5. Chart care, treatments, medications ( if applicable) assessments, and other pertinent

observations accurately and completely according to the facility’s policy and clinical manual 6. Demonstrate knowledge of the leadership role and personal attributes of the practical nurse,

prepare a client care assignment, and employee evaluation, and management of problem case study

7. Plan and perform nursing care on assigned clients recognizing physical, psychosocial, multicultural diversity, and developmental needs

8. Assist with a complete physiological assessment on a geriatric client’s common clinical problems including:

a. Alteration in Mobility b. Alteration in Elimination c. Alteration in Skin Integrity d. Risk for Falls e. Sleep Pattern Disturbances f. Alteration in Nutritional status

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COURSE TITLE

Basic IV Therapy

COURSE DESCRIPTION The course will present the basic concepts necessary to safely implement and maintain peripheral IV therapy and to administer selected drugs. Related anatomy and physiology, IV fluids, delivery methods, pharmacology and administration techniques related to selected drugs, preventing and monitoring for complications in IV therapy, legal and ethical issues, documentation standards, role of LPN, role of RN supervisor, and other topics will be covered. COURSE OBJECTIVES Upon completion of this course, the student:

1. Describes the role of the LPN and RN supervisor in peripheral IV therapy. 2. Relates concepts of anatomy and physiology critical to safe peripheral IV therapy. 3. Identifies legal, ethical, and professional issues in IV therapy. 4. Explains potential complications of IV therapy. 5. Relates appropriate nursing intervention for preventing and monitoring for complications of

peripheral IV therapy. 6. Calculates dosage and rate of flow. 7. Explains specific nursing implications in administering selected IV drugs. 8. Demonstrates appropriate administration techniques for selected IV drugs.

This course will not cover content related to IV push medications, i.e., chemotherapy, serums, oxytocics, tocolytics, thrombolytics, blood or blood products, titrated medications, moderate sedation, anesthetics, investigative or experimental drugs, or IV medications for obstetrics or pediatrics.

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COURSE TITLE

Medical-Surgical Nursing COURSE DESCRIPTION Medical-Surgical Nursing will provide the student practical nurse with theory related to selected medical-surgical problems affecting the adult patient. Classroom lecture and discussion will be reinforced and applied by related clinical experience and patient centered conferences. The student will develop the ability to provide safe and effective nursing care to patients under the direction and supervision of the clinical instructor. The cause, basic pathology, signs and symptoms, relative incidence and methods of diagnosis and treatment of selected conditions will be presented as a basis for understanding the purpose and methods of nursing care. Concepts of disease prevention and rehabilitation will be stressed in theory and practice. The concept of total patient care will be emphasized throughout the course. An introduction to the care of the complex surgical patient, the patient with cancer and patients with impaired functions of all vital organs' systems is included. The influence of physical, psychological, socioeconomic and spiritual factors on the patient and his family will be studied and applied in carrying out nursing care. All contributing members of the health team will be presented as necessary adjuncts to the administration of total patient care and the role of the practical nurse as an important member of the health team will be stressed. Pharmacology and nutrition will be correlated with Medical-Surgical Nursing. Drugs and diets pertinent to the medical-surgical curriculum will be discussed. Clinical experience will be utilized to integrate this theory with a safe and dependable beginning level performance in the area of administering medications and aiding the patient and his family with the dietary regime. Throughout the course concepts and skills learned in previous courses will be reinforced and applied to the theory and care of the adult medical-surgical patient. COURSE OBJECTIVE Upon completion of this course, the student: 1. Applies basic scientific principles of nursing to the care of the adult medical-surgical patient with

guidance. 2. Recognizes the individuality of the patient and individualizes nursing care accordingly. 3. Correlates the basic knowledge and skills of medical-surgical nursing with the practice of patient care. 4. Understands that nutrition plays a vital role in the prevention and treatment of selected disease

conditions. 5. Administers selected drugs in a safe and correct manner with direction. 6. Assists with teaching individuals and families measures for the maintenance and promotion of health. 7. Recognizes his/her roles and responsibilities as a member of the health team, the need for continued

self-direction in personal and vocational growth. 8. Recognizes the influence of a physical, sociological and psychological milieu on health. 9. Accurately uses hospital forms in carrying out patient care.

Clinical Competencies

During the Medical Surgical clinical rotation, administration of medication is considered to be

an essential clinical competency and will be address as separate competency. The student under

the supervision of the clinical instructor will be able to satisfactorily complete the following:

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1. Maintain proficiency of core clinical competencies

2. Assist with admission of a client, obtaining and recording data on the appropriate forms

3. Assist with formulating a care plan utilizing the nursing process

4. Integrate previous knowledge and skills in the prevention and treatment of disease,

including but not limited to :

a. Basic Science and Physiology

b. Nutrition and Diet therapy

c. Pharmacology

d. Psychosocial concepts

e. Fundamental skills

5. Implement nursing measures and assist with diagnostic studies as indicated in the care of

clients with alterations in respiratory, cardiovascular, endocrine, gastrointestinal, nervous,

integumentary, urinary/reproductive and musculoskeletal systems

6. Document and report care and treatments given and other pertinent observations

accurately and completely according to facility policy and procedure

7. Establish therapeutic nurse/client relationship

Administration of Medications Clinical Competencies for Medical Surgical Nursing

The student under the supervision of the clinical instructor will satisfactorily complete the

following:

A. Utilize drug information sources to identify dosage forms, the expected

actions of drugs, side effects and compete drug card for each medication

administered

B. Safely administer oral, topical including otic, ophthalmic, inhalation,

vaginal administration and parenteral medications including subcutaneous,

intradermal, intramuscular and selected IVPB administration according to

facility’s policy and procedure.

C. Demonstrates and utilizes sound nursing judgment in selection of sites and

equipment used to administer medication.

D. Calculates and converts accurate dosages between measurement systems

E. Properly identifies patients and allergies according to national standard of

care within the facility’s policy and procedure before administering

medications.

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COURSE TITLE

Maternal and Child Nursing Course Description The core material presented in this course is basically in a chronological order, allowing the student to develop a strong understanding of the interrelationships involved in the family unit from time of conception through prenatal, ante-partum and post-partum care. Clinical experience will be afforded each student in caring for mothers and newborn infants in normal and stable situations. Clinical rotations will also provide students with a clinical experience in labor and delivery and in the care of selected patients with complications of pregnancy and delivery. Nutrition is correlated with the Maternal Child Nursing course. Emphasis is placed upon normal nutrition and the importance of adequate nutrition during pregnancy, lactation and during different periods of growth and development in the child. Diet therapy, relative to the complications of pregnancy will be presented. Considerations will be given to the socioeconomic, cultural and developmental factors influencing dietary patterns. Pharmacology is correlated with the Maternal Child Nursing course. Emphasis will be placed upon the therapeutic uses and effects of commonly used drugs during the course of pregnancy. The nursing implications of the drugs will be stressed. Course Objectives

1. Recognize that the family is the basic unit of society and that a human being is intrinsically a member of such a unit.

2. Recognize that nutrition plays a vital role in the promotion of maternal and child health. 3. Identify the advantages and disadvantages of breast feeding. 4. Identify the effects that emotion, stress and environmental stimulation has on feeding. 5. Identify the diet appropriate for selected disease conditions of expectant mothers. 6. Identify the common drugs, their actions and effects that are used in the promotion of maternal and

child health. 7. Recognize limitations and responsibilities relative to administration of medications. Clinical Competencies: During the obstetric clinical rotation, competencies will be divided into 3 major areas: Labor, Delivery, &

Recover, Postpartum Care, and Nursery. Students will, under the supervision of clinical instructor, complete the following:

Labor Delivery and Recovery Competencies

1. Assist mother with relaxation exercise 2. Observer taking of FHT by RN or clinical instructor 3. Participate in timing of uterine contractions 4. Observe procedures performed in labor room to prepare for delivery 5. Observe administration of anesthetics 6. Identify medications administered by nurse in labor room; identify appropriate nursing

implications to be utilized as precautions with these meds to include assessing for action of drug, and side effects of drugs

7. Observe positioning of patient on delivery table 8. Observe and identify type of episiotomy performed 9. Observe delivery of neonate 10. Observe and identify stages of labor and delivery of placenta 11. Identify prophylactic measures performed on neonate 12. Note Apgar scores at 1 and 5 minutes intervals 13. Identify medications administered by nurse in delivery room ; identify appropriate nursing

implications to be utilized as precautions with these meds to include assessing for action of drug, and side effects of drugs

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14. Observe, massage and document condition of fundus during the recovery period post delivery

15. Obtain vital signs during the recovery period Postpartum Unit Competencies

1. Assist mother with personal hygiene 2. Instruct mother on proper perineal cleansing and care, breast care, and care of newborn 3. Perform physician ordered treatments including sitz baths, peri-light, tucks, and etc 4. Observe and document appearance of episiotomy, condition of breasts, amount color and

consistency of lochia 5. Observe, massage and document condition of fundus 6. Assist staff nurse with discharge teaching instructions for mother and newborn

Well Baby Competencies

1. Take and record vital signs according to facility’s policy 2. Weigh infant and record in appropriate record 3. Observe newborn noting the presence/absence of movement, skin color, cry, respiration,

position, feeding, elimination, cord, reflexes, and etc 4. Provide cord care 5. Perform bath as applicable 6. Transport infant to mother for feeding (if approved by the facility) 7. Feed and bubble ( burp) infant 8. Perform diaper care 9. Assist RN or physician with exams and procedures 10. Observe infant male circumcision

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COURSE TITLE

Pediatric Nursing Course Description This course will offer the student an opportunity to more fully appreciate her pediatric patient as being intrinsically a member of a family unit. Presented in chronological order and with an approach that emphasizes the normal healthy family member, the student enhances her/his ability to be able to recognize deviations and the effects of these deviations on the normal stages and developmental processes. Progressing from simple to complex, the course is presents the common health problems of children, emphasizing not only the disease and the nursing care appropriate to the particular condition but also the effects of illness on the development of the child. Nutrition throughout each of the developmental stages is discussed. The administration of medications related pediatric patients is discussed. The computation of pediatric dosages will be presented, stressing the difference between an adult and pediatric doses. Course Objectives After completion of this unit, the student should be able to do the following:

1. Recognize the influence illness may have on a child's developmental stage. 2. Identifies the diet appropriate for selected ages and disease conditions of children. 3. Recognize the difference between pediatric and adult dosages of drugs. 4. Identify characteristics of each developmental stage and behavior appropriate to each stage of development.

Clinical Competencies The student under the supervision of the clinical instructor shall demonstrate the following competencies

by the end of the clinical rotation: 1. Maintain proficiency of core clinical competencies 2. Safely and effectively apply scientific principle of nursing the care of the pediatric client 3. Utilize the nursing process to provide individualized nursing care 4. Review the client’s record in order to formulate and provide the appropriate plan of care utilizing

the nursing process 5. Obtain and record vital signs following facility’s policy and clinical manual 6. Observe safety measures appropriate for growth and development 7. Assist in assessment of nutritional status and dietary need specific to the developmental stage 8. Assist in peri-operative instructions and care according to individualized needs of client & family 9. Document care, treatments, and pertinent observations accurately and completely according to

facility policy and procedures 10. Utilize drug information sources to identify correct pediatric dosage, dosage forms, expected

actions and side effect –medications will NOT be given during pediatric rotation. 11. Incorporate appropriate age level play therapy into daily care regimen 12. Observe and document child/parent interactions 13. Demonstrate the ability to perform treatments/procedures including but not limited to

a. Vital signs b. Sterile dressing change c. Specimen collection d. Height/weight and plot on growth chart e. Isolation precautions f. Maintenance of traction g. Administration of medication h. Intake and output i. Feedings j. Monitoring IV infusions

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COURSE TITLE

Advanced Vocational Relationships COURSE DESCRIPTION This course deals with the students' ability to identify as a practical nurse; including his/her functions, rights and legal and ethical responsibilities within the health care team and within the nurse practice act. Skills for successful interviewing, employment and retention after employment are explored. COURSE OBJECTIVES 1. Identifies his/her function within the health team. 2. Identifies scope of practice as outlined in the nurse practice act. 3. Demonstrates proper conduct during an interview.

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Addendum A

Tennessee Board of Nursing Division of Health Related Boards

Rules and Regulations of Licensed Practical Nurses

Chapter 1000-2

Rule 1000-2-.13 Unprofessional Conduct and negligence, habits or other cause; paragraphs (2), (3) (4) and (5): (2) The Board of Nursing is concerned about the number of individuals with criminal conviction histories

who apply for licensure as licensed practical nurses. The Board’s concern stems from the fact that nurses care for clients and families in a variety of settings where there maybe no direct supervision. Individuals to whom care is given are often vulnerable, both physically and emotionally. The nurse has access to personal information about the patient and/or his/her family, has access to the client’s property and provides intimate care to the client. The Board believes that persons who receive nursing care in Tennessee should be able to have confidence that an individual licensed by the Board does not have a history of mistreatment, neglect, violence, cheating, defrauding the public, or otherwise taking advantage of another person. The Board will presume that an applicant is not entitled to licensure, and will therefore deny any application for initial licensure, temporary permit, or renewal following the provisions of the Administrative Procedures Act to a person who has been convicted, and on which conviction the time for appeal has expired, as an adult of any of the following crimes within five (5) years preceding said application or renewal:

(a) Aggravated Assault, as in T.C.A. 39-13-102; (b) First Degree Murder, as in T.C.A. 39-13-302; (c) Second Degree Murder, as in T.C.A. 39-13-207; (d) Voluntary Manslaughter, as in T.C.A. 39-13-211; (e) False Imprisonment, as in T.C.A. 39-13-302; (f) Kidnapping, as in T.C.A. 39-13-303; (g) Aggravated Kidnapping, as in T.C.A. 39-13-304; (h) Especially Aggravated Kidnapping, as in T.C.A. 39-13-305; (i) Robbery, as in T.C.A. 39-13-401; (j) Aggravated Robbery, as in T.C.A. 39-13-402; (k) Especially Aggravated Robbery, as in T.C.A. 39-13-403; (l) Aggravated Rape, as in T.C.A. 39-13-502; (m) Rape, as in T.C.A. 39-13-505; (n) Aggravated Sexual Battery, as in T.C.A. 39-13-504; (o) Sexual Battery, as in T.C.A. 39-13-505; (p) Statutory Rape as in T.C.A. 39-13-506; (q) Theft of Property, as in T.C.A. 39-14-103 or of services, as in T.C.A. 39-14-104, except as to

a Class A misdemeanor, as in T.C.A. 39-14-105(1); (r) Forgery, as in T.C.A. 39-14-114; (s) Falsifying of Educational and Academic Records, as in T.C.A. 39-14-136; (t) Arson, as in T.C.A. 39-14-301; (u) Aggravated Arson, as in T.C.A. 39-14-302; (v) Burglary, as in T.C.A. 39-14-302; (w) Aggravated Burglary, as in T.C.A. 39-14-404; (x) Incest, as in T.C.A. 39-15-302; (y) Aggravated Child Abuse, as in T.C.A. 39-15-402; (z) Sexual Exploitation of a Minor, as in T.C.A. 39-17-1004;

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(aa) Aggravated Sexual Exploitation of a Minor, as in T.C.A. 39-17-1004; (bb) Especially Aggravated Sexual Exploitation of a Minor, as in T.C.A. 39-17-1005; (cc) Assisted Suicide, as in T.C.A. 39-13-216; (dd) Rape of a Child, as in T.C.A. 39-13-522;

(3) The Board of Nursing will also deny an application for initial licensure, temporary permit, or renewal,

following the provision of the Administrative Procedures Act, to persons who were convicted as a juvenile of the following crimes within five (5) years preceding said application or renewal:

(a) First Degree Murder, as in T.C.A. 39-13-202; (b) Second Degree Murder, as in T.C.A. 39-13-207; (c) Kidnapping, as in T.C.A. 39-13-303; (d) Aggravated Kidnapping, as in T.C.A. 39-13-305; (e) Especially Aggravated Kidnapping, as in T.C.A. 39-13-305; (f) Aggravated Robbery, as in T.C.A. 39-13-402; (g) Especially Aggravated Robbery, as in T.C.A. 39-13-403; (h) Aggravated Rape, as in T.C.A. 39-13-502; (i) Rape, as in T.C.A. 39-13-503;

(4) Any individual who applies for initial licensure, temporary permit, or licensure renewal and supplies

false or incomplete information to the Board on an application for licensure regarding the individual’s criminal conviction record will be denied said initial licensure, temporary permit, or renewal.

(5) The Board considers any criminal conviction, whether or not listed in Rule

1000-2-.13(2) above, to be a violation of T.C.A. 63-7-115(a)(1)(B). If an applicant or

a licensed practical nurse already licensed by the Board is convicted of any crime, it is grounds for denial of licensure or disciplinary action by the Board.

Statutory Authority: T.C.A. 4-5-202, 2-5-204, 63-736, 63-7-101, 63-7-114, 63-7-115, 63-7-116, and 63-7-207. **Individual with questions regarding information contained in this Addendum should contact the nursing program director at 731-424-0691 x 120.

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Addendum B

Revised 11-2016 SUBSTANCE SCREENING POLICY

JACKSON REGIONAL PN PROGRAM Health programs must maintain an efficient academic environment for students, and must provide for the safe and effective care of health care clients. Therefore, the use or abuse of substances, lawful or otherwise, which interferes with the judgment or motor coordination of a student, is strictly prohibited. The use or misuse, or ‘being under the influence of’ such substances cited above poses an unacceptable risk of injury or death for students, colleagues, clients, the school and participating health care agencies. Substance abuse/misuse is defined as:

The use, possession, distribution, sale or manufacture of alcoholic beverages or public intoxication AND the unlawful use, possession, distribution, sale or manufacture, of any drug or controlled substance (including any stimulant, depressant, narcotic, or hallucinogenic drug or substance, or marijuana), OR being “under the influence” of any drug or controlled substance, OR the misuse of legally prescribed or “over the counter” drugs on property owned or controlled by the Tennessee Colleges of Applied Technology; at an institution-sponsored event; on property owned or controlled by an affiliated clinical site; or in violation of any term of the Tennessee Colleges of Applied Technology Drug-Free Schools and Communities Policy Statement.

For the purpose of this policy “being under the influence” means that the student’s judgment or motor coordination is impaired due to the presence or use of any chemical substance, including alcohol or any “over the counter” or prescription medication.

SUBSTANCE SCREENING 1. Testing in Connection With Clinical: Students should be aware that the clinical agencies of the Jackson Regional Practical Nursing Program

require that in connection with their participation with this program the successful completion of zero

tolerance Panel 11 drug screening. Students are hereby “put on notice” of the intent to drug test. Testing will be coordinated between the clinical agency and the program director or her designee.

* Testing positive will prevent the student from meeting the criteria set forth by the clinical agencies and thus result in possible termination from the program. Readmission would require mandatory participation in, and satisfactory completion of a drug or alcohol abuse program, or rehabilitation program.

* Students who refuse testing will be considered as testing “positive”.

* Students who hold a professional license or certification and test positive would be reported to the appropriate state licensing/certifying board. Full reinstatement of licensure / certification would be required for unrestricted return to the nursing program.

* Students whose urine sample is reported as “dilute specimen” will be required to submit another specimen per lab specifications. The cost of the additional sample will be at the student’s expense. 2. Testing for ‘Reasonable Suspicion’:

Nursing students engaged in clinical activity may be requested to undergo urine screening for drugs and/or

blood test for alcohol if “reasonable suspicion” exists to believe the student is using or is under the influence of drugs or alcohol such as to interfere with the safe performance of duties. Students may also be required to undergo testing at the request of a clinical agency. * Reasonable suspicion requires a particularly specific, objective basis that the student is using or is under the influence of drugs or alcohol. Reasonable suspicion may include, but is not limited to observable

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phenomena, such as direct observation of drug/alcohol use and/or the physical symptoms or manifestation of ‘being under the influence’ of such, or abnormal conduct or erratic behavior. If it is determined that the student cannot safely continue assigned tasks, the student will immediately removed from the clinical setting. The professional, in most instances the instructor, determining ‘reasonable suspicion’ will collaborate findings with another professional if available, i.e. a second instructor if available or professional nurse, and will immediately contact the Nursing Program Director and Student Services Office of the Tennessee College of Applied Technology and complete a detailed occurrence report. The Nursing Program Director and Student Services Office, in collaboration with the instructor/professional, shall be responsible for making the determination as to whether testing is appropriate and will take steps to implement testing. The student will be confronted with the findings and asked to sign a “Consent to Drug/Alcohol Testing” form and submit to a drug/alcohol test. * A student who refuses to undergo testing will be referred to the Student Services Office for disciplinary action. Based on the outcome of the test, the Student Services Office will also determine whether to initiate the disciplinary process. Pending test results, students enrolled in health related programs may attend campus classes but may not participate in clinical until cleared by the Student Services Office.

Summary of Testing Procedure: Prior to testing students will be asked to sign a Statement of Understanding and Consent to Drug/Alcohol screen. Students will incur the cost of all testing. An eleven panel urine drug screen will identify the following substances:

Amphetamines Cannabinoids Cocaine Phencyclidine

Opiates Alcohol Barbiturates Benzodiazepines Methadone Propoxyphene Oxycodone

Testing will be achieved through urine and/or blood testing by an independent lab. At no time will the school collect, transport or process test specimens. Specimens will be obtained at a site in the presence of an authorized test administrator or independent clinician. The collection of the specimen will be performed under reasonable and sanitary conditions. Individual dignity will be preserved to the extent practicable. Students will be asked to remove all unnecessary outer clothing (coats, purses) prior to entering the collection area. Students will obtain urine specimens with the collector present, but there will be no direct observation of the act of urination. EXCEPTION: The collector may observe directly if the collector suspects tampering or adulteration of the specimen for reasons such as: specimen out of temperature range, notation of chemical odors, physical evidence of adulteration, or specimen results are reported as ‘dilute’, etc. Specimen collection, storage and transportation will be performed in a manner reasonably precluding specimen contamination, substitution or adulteration. Chain of custody will be observed by the test administrator. The lab, to substantiate results, confirms all specimens testing positive. If the drug/alcohol test is positive and the confirmation test is also positive, the results are then reviewed by a Medical Review Officer, MRO. If the student cannot substantiate the positive results of the test by providing a prescription in the student’s own name dated prior to the date of the drug test the results will be upheld to be ‘positive’ and the student will be terminated from the nursing program. Refusing to submit to testing, adulterating or attempting to adulterate a specimen in any way will be considered a positive result and termination will be implemented. The student will be provided with information for counseling and rehabilitation. Upon request, students will receive a copy of the written test results. The results of testing will not be released to any person other than the student and personnel of the school who have a need to know unless the student gives express, written authorization to do so, specifying to whom the results may be released. If a student challenges the validity of a confirmed test, the student may request a portion of the specimen be sent to a secondary laboratory for further testing. Dilute specimens will be recollected and tested. The cost of

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further testing including any fees for processing and mailing will be at the student’s expense.

Revised 11-2016

REFUSAL TO SUBMIT Refusal to submit to any required drug or alcohol screen includes failure to provide adequate amount of urine for testing without a valid medical statement or engaging in conduct obstructing the testing process. Refusal to submit to testing will have the same consequences as if the student tested positive.

RAMIFICATIONS

A confirmed positive result will lead to disciplinary and academic penalties, up to and including termination from the nursing program. All disciplinary action taken will comply with the procedures outlined in the student handbook and will be pursuant to the advice of the Nursing Director, the Student Services office, the Director of the TCAT (or his designee). Students who have tested positive under the substance abuse screening policy who wish to re-enroll in the nursing program must have satisfactorily completed a drug or alcohol abuse program or rehabilitation program. Other criteria may be set by the school.

APPLICATION OF ‘THE AMERICANS WITH DISABILITIES ACT’ The American with Disabilities Act does not pre-empt student compliance with the substance screening policy. Due to the safety and health-sensitive nature of clinical nursing, it is not discriminatory to require nursing students engaged in clinical activities to undergo substance screening.

NOTE: The cost of all drug or alcohol screening/rescreening is the responsibility of the student.

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Revised 11-2016

ACKNOWLEDGEMENT

RECEIPT OF DRUG/ALCOHOL ABUSE POLICY FOR

TENNESSEE COLLEGE OF APPLIED TECHNOLOGY’S NURSING PROGRAM I hereby acknowledge receipt of Tennessee College of Applied Technology’s policy

governing the use and/or abuse of drugs and alcohol, its intention to test for such substances and the possible penalties for violation of that policy.

I understand the purpose of the policy is to provide a safe working environment for

persons (patients, students and hospital and school staff). Accordingly, I understand that in connection with my participation in the Practical Nursing program, I will be required to undergo drug screening of my blood or urine and am hereby “put on notice” of this intent. I further understand that I am subject to subsequent testing based on a “reasonable suspicion” that I am using or under the influence of drugs or alcohol such that it impairs my ability to competently perform the tasks required of me.

I agree to be bound by this policy and understand that refusal to submit to

testing or a positive result from testing under this policy will affect my ability to participate in a clinical experience and may also result in dismissal for academic reasons.

Additionally, I understand that should a positive result from testing occur indicating a

violation of Tennessee College of Applied Technology’s social discipline policy, disciplinary action up to and including dismissal from the program or Tennessee College of Applied Technology may result.

I hereby release Tennessee College of Applied Technology from any claim or liability

arising from such tests, including, but not limited to, the testing procedure, the analysis, the accuracy of the analysis or the disclosure of the results.

I also understand that I am subject to the terms of the general student social

disciplinary policy of Tennessee College of Applied Technology and to the Drug-Free Schools and Communities Policy of Tennessee College of Applied Technology, as well as, federal, state and local laws regarding drugs and alcohol.

______________________________________________ ___________________

Student’s signature Date

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Revised 11-2016

CONSENT TO DRUG/ALCOHOL SCREENING

STATEMENT OF ACKNOWLEDGEMENT AND UNDERSTANDING

RELEASE OF LIABILITY

I, ______________________, am enrolled in the Practical Nursing Program at the Tennessee College of Applied Technology. I acknowledge receipt and understanding of the institutional policy with regard to drug and alcohol testing, and the potential disciplinary sanctions, which may be imposed for violation of such policy as stated in the Practical Nursing Program Handbook. I understand the purpose of this policy is to provide a safe working and learning environment for patients, students, clinical and institutional staff, and property. Accordingly, I understand that prior to participation in the clinical experience I may be required to undergo drug/alcohol testing of my blood or urine. I further understand that I am also subject to testing based on reasonable suspicion that I am using or am under the influence of drugs or alcohol. I acknowledge and understand the intention to test for drugs and/or alcohol and agree to be bound by this policy. I hereby consent to such testing and understand that refusal to submit to testing or a positive result of the testing may affect my ability to participate in a clinical experience, and may also result in disciplinary action up to and including dismissal from the Tennessee College of Applied Technology. My signature below indicates that:

1.) I consent to drug/alcohol testing as required by clinical agencies or as directed by the Office of Student Affairs.

2.) I authorize the release of all information and records, including test results relating to the screening or testing of my blood/urine specimen, to the Office of Student Affairs, the Director of the Tennessee College of Applied Technology, and others deemed to have a need to know.

3.) I understand that I am subject to the terms of the general regulations on student conduct and disciplinary sanctions of the Tennessee College of Applied Technology, and the Drug-Free Schools and Communities Policy of the Tennessee College of Applied Technology, as well as federal, state and local laws regarding drugs and alcohol.

4.) I hereby release and agree to hold harmless the Tennessee College of Applied Technology and the Tennessee Board of Regents, their officers, employees and agents from any and all action, claim, demand, damages, or costs arising from such test(s), in connection with, but no limited to, the testing procedure, analysis, the accuracy of the analysis, and the disclosure of the results.

My signature indicates that I have read and understand this consent and release, and that I have signed it voluntarily in consideration of enrollment in the _Practical Nursing Program. In consideration of Paragraph 3 above, I am refusing to submit to the drug testing required by the clinical agencies or as directed by the Office of Student Affairs. Accordingly, I understand that refusal to submit to testing may affect my ability to participate in a clinical experience and may also result in disciplinary action up to and including dismissal from the Tennessee College of Applied Technology.

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Addendum C

AUTHORIZATION FOR RELEASE OF STUDENT INFORMATION AND

ACKNOWLEDGMENT

I, ________________________ hereby authorize _Tennessee College of Applied Technology (“Institution”) including all employees, agents, and other persons professionally affiliated with Institution having

information related to the results of my background check and credential check(s) as these terms are generically used by background check agencies, hospitals, clinics and similar medical treatment facilities, to disclose the same to such facilities and the appropriate Institutional administrators and faculty providing clinical instruction at such facilities, waiving all legal rights to confidentiality and privacy.

I expressly authorize disclosure of this information, and expressly release Institution, its agents, employees, and representatives from any and all liability in connection with any statement made, documents produced, or information disclosed concerning the same.

I understand that a hospital, clinic or similar medical treatment facility may exclude me from clinical

placement on the basis of a background check. I further understand that if I am excluded from clinical placement, I will not be able to meet course requirements and/or the requirements for graduation. I release Institution and its agents and employees from any and all liability in connection with any exclusion that results from information contained in a background check.

Any hospital, clinic, or similar medical treatment facility to which I am assigned may be required by the

Joint Commission on Accreditation of Healthcare Organizations’ policy to conduct an annual compliance audit of five percent (5%) or a minimum of thirty (30) background investigation files. I agree that, upon request from a hospital, clinic, or similar medical treatment facility to which I am assigned, I will provide the results of my background check to be used for audit purposes only.

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Addendum D JACKSON REGIONAL PRACTICAL NURSING PROGRAM CLINICAL POLICY

The Practical Nursing students and faculty of the Jackson Regional Nursing Program will adhere to the following guidelines while in the clinical setting:

1. Maintain patient confidentiality per HIPPA guidelines 2. Patient care is to be given under the supervision of the instructor. 3. The student must recognize his/her sphere of responsibility and function in the student role. 4. The student must be in complete uniform while in the clinical setting. 5. The student may NOT at any time:

Take a physician’s verbal or telephone orders

Serve as a witness for any document

Give medications or perform sterile or intrusive procedures without instructor

Access records, electronic or otherwise, outside his/her assignment without written consent 6. Absences or tardiness is to be relayed to the instructor, as directed by the instructor. Messages

are NOT to be left with the clinical agency. 7. Effective 11-1-2004, students may administer IV therapy with the following guidelines:

IV attempts are limited to 2 in the peripheral veins of the upper extremities (hands, forearms) and requires direct supervision of the instructor

Initial IV fluids must not exceed 125 ml/hour.

Initial fluids include both plain and premixed solutions with up to 40 meq of KCL and fluids containing MVI.

Medications administered piggyback, if prepared by pharmacist, may be administered over 30 minutes to 1 hour. Volume should not exceed 150 ml.

Initiate/maintain/convert existing peripheral IV line to heparin lock with saline/heparin flush

Tubing changes, site care, and discontinuation of a line may be performed on peripheral IVs in the upper extremities

Tubing changes, site care, and discontinuation of a peripheral line in the lower extremities is at the discretion of the instructor

8. Students and instructors WILL NOT

Perform site care on, connect fluids to, or discontinue central lines or other implantable infusion devices

Administer blood/blood products

Administer medications requiring titration

Administer piggybacks in excess of 150 ml fluid volume or rate > 125 ml/hour

Administer antibiotics requiring peak & trough levels

Administer TPN solutions

Initiate/change PCA medications

Administer a fluid bolus

Administer IV push medications with the exception of saline/heparin flush to initiate/maintain or convert an existing peripheral IV line to a heparin lock

Administer medications in Labor & Delivery

Administer medications to patients under the age of 18.

Students will not bring cell phone/ camera watch, or Handheld Electronic Devices to clinical

Possess weapons, drugs or alcohol at clinical sites or school / clinical sanctioned events

I have read / agree to follow the clinical policy of the Jackson Regional Practical Nursing Program.

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ACKNOWLEDGEMENT OF HANDBOOK

JACKSON REGIONAL PRACTICAL NURSING PROGRAM

I hereby state I have read and understand fully all the policies stated in the Jackson Regional Practical Nursing Program Handbook and agreed to abide by the rules and policies stated therein. Furthermore, I understand that because my training requires that I spend time in affiliating clinical agencies, I am subject to the codes and policies of those agencies and agree to abide by those policies unless it expressly interferes with policies set by the College or Jackson Regional Practical Nursing Program.

Information Release:

I give my permission for the Program Director / Instructor to provide verification of the following information as defined by the nursing program standards to my clinical agency(s) upon their request: Evidence of negative TB test or negative Chest Xray every 3 years Evidence of 2 varicella vaccinations or positive Titer Evidence of 2 MMR vaccinations or positive Titer Evidence of Hepatitis B Series or positive Titer Evidence of current Tdap vaccination Evidence of seasonal flu vaccination (given after October 1st) Verification of acceptable background check Verification of negative Panel 11 drug screen Verification of liability insurance Verification of current Healthcare Provider CPR card Verification of health insurance (if required) Please Initial: Nursing Handbook Acknowledgement ___________ page 47 KAPLAN Testing / Remediation Policy ___________ page 9-10 Social Media Policy ___________ page 15 Infectious/Communicable Disease Contact Responsibility for Medical Care ___________ page 21 Drug Testing Policy / Receipt of Policy ___________ page 43 Authorization / Release of Information ___________ page 45 (background check) Nursing Program Clinical Policy ___________ page 46 Information Release ___________ page 47 ____________________________________ ____________________________________ (signature) (date) ____________________________________ (print name)