Pre-Certification Program Student Handbook 2015/2016... · Revised July 2015 3 Rubella Immunization...

BAKERSFIELD COLLEGE NURSE ASSISTANT

Pre-Certification Program

Student Handbook 2015/2016

Program Director Cindy Collier, MSN, RN

Nurse Assistant Program Coordinator

Jan Lewis, BSN, RN

TABLE OF CONTENTS CURRICULUM .........................................................................................................................4 PHILOSOPHY OF THE TEACHING-LEARNING PROCESS OF THE NURSE ASSISTANT FACULTY.......................4 UNIFYING THEME..................................................................................................................................................................5 NURSE ASSISTANT PROGRAM LEARNING OUTCOMES..............................................................................................5

STUDENT PARTICIPATION .................................................................................................5 STUDENT PARTICIPATION IN POLICY FORMATION.....................................................................................................5

GUIDELINES FOR PROFESSIONAL CONDUCT ..............................................................5 STUDENT CONDUCT..............................................................................................................................................................5 STUDENT COMPLAINT PROCEDURE.................................................................................................................................6

InformalStudentComplaintProcedure..................................................................................................................6 FormalStudentComplaintProcedure......................................................................................................................6

USE OF DRUGS........................................................................................................................................................................9 ACADEMIC DISHONESTY.....................................................................................................................................................9 DOCUMENTATION OF UNSATISFACTORY PROGRESS.................................................................................................9

Conference..............................................................................................................................................................................9 Probation.............................................................................................................................................................................10

STUDENTS IMPAIRED BY ALCOHOL, SUBSTANCE USE, AND/OR EMOTIONAL OR MENTAL ILLNESS...........10 ProcedurestobeobservedintheLectureandLaboratoryAreasforStudentsImpairedbyAlcoholorDrugs..............................................................................................................................................................10 ProcedurestobeobservedintheLectureandLaboratoryAreasforStudentsImpairedbyEmotionalorMentalIllness.......................................................................................................................................11 ProceduresforFurtherAction..................................................................................................................................11 MisconductProceduresoftheCollege...................................................................................................................11 ReferralofImpairedStudentstoAppropriateAgencies...............................................................................11 InformingStudentsofPoliciesRelatedtoAlcohol,DrugUseandEmotionalorMentalIllness.11

RESPONSIBILITIES OF STUDENT ....................................................................................11 CLASS REGISTRATION.......................................................................................................................................................11 COLLEGE PUBLICATIONS.................................................................................................................................................12 RECORDS...............................................................................................................................................................................12

StudentRecords...............................................................................................................................................................12 ClientRecordsinHealthcareFacilitiesUnits.....................................................................................................12 ClientRecordsinHealthcareFacilitiesRecordsOffice..................................................................................12

COURSE REQUIRED FOR COMPLETION........................................................................................................................12 REQUEST FOR TIME OFF...................................................................................................................................................13 DOCTOR’S RELEASE..........................................................................................................................................................13 RE-ENTRY POLICY.............................................................................................................................................................13 ATTENDANCE.......................................................................................................................................................................13 LABORATORY ABSENCE/LATENESS PROCEDURE....................................................................................................13 MAKE-UP ASSIGNMENTS.................................................................................................................................................13 ACCIDENTS/INJURIES........................................................................................................................................................13 OCCURRENCE REPORTS....................................................................................................................................................14 EMPLOYMENT......................................................................................................................................................................14 CURRENT ADDRESS...........................................................................................................................................................14 HEALTH REQUIREMENTS.................................................................................................................................................14

PhysicalExamination....................................................................................................................................................14 HepatitisBImmunization...........................................................................................................................................14

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RubellaImmunizationorTiter.................................................................................................................................15 VaricellaImmunizationorTiter..............................................................................................................................15 FreedomfromActiveTuberculosisExamination.............................................................................................15

DRUG/ALCOHOL SCREENING.........................................................................................................................................16 BASIC LIFE SUPPORT – FORMERLY CPR....................................................................................................................16 HEALTHCARE FACILITY SAFETY REQUIREMENTS...................................................................................................17 PREGNANCY OR EXTENDED ILLNESS...........................................................................................................................17

CREDIT FOR PREVIOUS EDUCATION AND EXPERIENCE .......................................17 GENERAL POLICIES GOVERNING CHALLENGE EXAMINATIONS..........................................................................17 CHALLENGE OF THEORY COURSES..............................................................................................................................17 CHALLENGE PROCEDURES FOR LABORATORY PROFICIENCY..............................................................................17 GRADING OF NURSING CHALLENGE TESTS...............................................................................................................18 TRANSFER CREDIT FOR NON-NURSING COURSES...................................................................................................18

GUIDELINES FOR PROFESSIONAL APPEARANCE ....................................................18 DRESS AND GROOMING....................................................................................................................................................18 GENERAL DRESS CODE....................................................................................................................................................18

Uniforms..............................................................................................................................................................................18 Grooming.............................................................................................................................................................................19 Jewelry..................................................................................................................................................................................19 Miscellaneous.....................................................................................................................................................................19

CAMPUS LABORATORY GUIDELINES ...........................................................................19

GRADING ................................................................................................................................20 LECTURE/LABORATORY COURSES...............................................................................................................................20 FINAL EXAMINATIONS......................................................................................................................................................21 LABORATORY SECTION....................................................................................................................................................21 GUIDELINES FOR LABORATORY PRACTICE EVALUATION.....................................................................................21 INCOMPLETE GRADES.......................................................................................................................................................22 TESTING.................................................................................................................................................................................22 INSTRUCTOR’S COURSE POLICIES.................................................................................................................................22

CLINICAL LABORATORY GUIDELINES ........................................................................22 STUDENT ORIENTATION TO HEALTHCARE FACILITY.............................................................................................22 LIMITATION OF STUDENT ACTIVITY – LABORATORY AREA................................................................................24 TRANSPORTATION..............................................................................................................................................................24 PHONE CALLS/CELL PHONES.........................................................................................................................................24

INSURANCE ............................................................................................................................24 MALPRACTICE INSURANCE:..............................................................................................................................................24 ACCIDENT INSURANCE:......................................................................................................................................................24 POLICY AGREEMENT – STUDENT RESPONSIBILITIES WHILE IN TRAINING...................26 POLICY AGREEMENT – CONFIDENTIALITY AGREEMENT...........................................................28 POLICY AGREEMENT –NURSE ASSISTANT STUDENT HANDBOOK..........................................28 POLICY AGREEMENT – DRUG/ALCOHOL SCREENING....................................................................29 POLICY AGREEMENT – STUDENT WAIVER OF LIABILITY............................................................29

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CURRICULUM Philosophy of the Teaching-Learning Process of the Nurse Assistant Faculty The Nurse Assistant Program is an integral part of Bakersfield College. The nursing faculty endorses the institutional mission through the application of our vision and goals, to empower our students and community to succeed by providing exceptional instruction and services in a supportive environment, as well as the goal of providing all students with the competencies necessary for learning and earning. Nurse Assistant is one of the allied health occupations providing services to the community. We believe that community college students vary widely with respect to their ethnic and cultural background, life experiences, learning styles, and maturity. The college setting provides the opportunity for students and faculty to participate in cultural, intellectual, and social activities which foster the continued self-growth of the individual. The faculty believes in self-growth, including ongoing self-assessment and evaluation. We believe that technological and social advances in the entire healthcare field create the ongoing need for adapting education to meet the changing needs of society. We provide learning experiences in settings, which assist the student to adapt to changing health needs. We believe that health is a dynamic state in which an individual adapts to his/her internal and external environments so that there is a state of physical, emotional, intellectual, social, and spiritual well being. Illness is an abnormal process in which any aspect of an individual’s functioning is diminished or impaired as compared with his previous state of health. Clients have the right to receive optimum healthcare delivered in a safe environment by a competent caregiver. We believe that nursing education is an active process of imparting knowledge and assisting in the facilitation of student learning. We believe that teaching is an ongoing process and an interaction between the instructor and the student. The faculty selects strategies, organizes content, arranges experiences, and facilitates learning, taking into consideration cultural factors, ethnic background, and individual learning styles of students. Learning is the process by which one gains new insight, understanding, and ability through reinforcement, practice, and experience. We believe that adult students perceive learning experiences as meaningful when instruction is directed toward pertinent, applicable goals. Effective learning is measured by identifiable changes in the individual. Learning occurs in an atmosphere of mutual respect where problem solving is encouraged and opportunities for guided practice exist. To assist students in meeting their career objectives, an Assessment Center, Counseling/Advising Center, Learning Resource Center, student Health Center, Re-entry Center, Supportive Services for the Disabled, and a Child Care Center exist on campus to meet individual student needs. Ethnic and interest clubs also contribute to the student’s total educational experience. The faculty believes that these support services enhance the teaching/learning process and refer students to them as necessary. The nursing faculty also supports upward mobility with opportunities for nursing students to move from one level of nursing practice to another without unnecessary duplication of previously learned content and

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skills. Because of this belief, the nursing faculty has developed a strong career ladder with opportunities for challenge and credit granted for prior learning.

Unifying Theme The unifying theme of the Bakersfield College Nurse Assistant Program is Maslow’s Hierarchy of Needs: physiological, safety and protection, love and belonging, self-esteem, and self-actualization. The intent of this curriculum is to: promote quality patient care provide entry-level skills for employment as a nurse assistant provide opportunities in healthcare occupations.

The principles of decision-making, team building, ethics, caring, and cultural sensitivity have been integrated in the curriculum. The curriculum meets OBRA and California Title 22 Guidelines for safe and quality care in long-term care settings and promotes consistency in training that responds to practice as reflected in the NATAP Test Plan. The nurse assistant, under the direct supervision of licensed personnel, provides direct care to the resident, promotes comfort measures, and collects, records and reports data. The nurse assistant is an important member of the healthcare team. Nurse Assistant Program Learning Outcomes The Bakersfield College Nurse Assistant Program is designed to prepare graduates to competently practice at the entry level. Upon completion of the program, the student shall, under the supervision of licensed personnel:

Provide direct care to the resident. Promote comfort measures. Collect, record, and report data.

STUDENT PARTICIPATION Student Participation in Policy Formation Students are encouraged to participate in the formation and revision of policies, which affect them. Many methods are available: communicating with instructors and/or program director and completing written evaluations of courses, program, clinical agencies, and instructors. GUIDELINES FOR PROFESSIONAL CONDUCT Student Conduct Students should conduct themselves in a professional and ethical manner at all times. Refer to the Bakersfield College Student Handbook and College Catalog for policies. Since public education is furnished by the people, it is a privilege. The Board of Trustees of the Kern Community College District, in support of public education and the exercise of general supervision of the campuses require that student conduct must reflect the standards of appropriate behavior as defined in pursuant sections. (Education Code Section 76037)

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Students shall respect constituted authority. This shall include conformance to Federal and State laws, Board regulations, College regulations, and applicable provisions of civil law. Accountability is expected from all nursing students and student privileges may be revoked if that accountability is not demonstrated. Students are expected to conduct themselves in a manner consistent with the educational purposes of the College. Student conduct should reflect consideration for the rights of others, and students are expected to cooperate with all members of the College community. Please refer to the Kern Community College District Board Policy Manual and the Bakersfield College Student Handbook for more information. Student Complaint Procedure Student Complaint Procedures are established so that students can resolve difficulties/problems they encounter in College-related activities. Student complaints are taken seriously; therefore, the complaint must be of a compelling, substantive, and verifiable nature (KCCD Policy 4F10).

Informal Student Complaint Procedure Since filing of complaints against any party is a serious undertaking, prior to filing a written complaint, and within ten (10) instructional days of the incident leading to the complaint, the student(s) should attempt to contact the staff member involved in an attempt to resolve the issue. The progression of an Informal Student Complaint for a student in the Nurse Assistant Program is as follows: Discuss the issue with Instructor and if not satisfied; Discuss the issue with the Program Director of the Nurse Assistant Program.

Formal Student Complaint Procedure In the event that a resolution cannot be achieved following the informal complaint procedure and a student maintains they have been treated unfairly; the student has the right, without fear of reprisal, to use a written procedure in their attempt to right an alleged wrong. This procedure applies to student complaints such as: Course content Access to classes Verbal or physical abuse by faculty, staff, or students Faculty member refusal to confer with student(s) Harassment

This procedure does not apply to student complaints, which involve: Unlawful Discrimination (See KCCD Policy 11D4) Sexual Harassment (See KCCD Policy 11D2) Assignment of grades (See KCCD Policy 4C4C for final grade changes)

The progression of a Formal Student Complaint for a student in the Nurse Assistant Program is as follows:

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Discuss the issue with Instructor and if not satisfied; Discuss the issue with the Program Director of the Nurse Assistant Program. Discuss the issue with the Dean of Learning

Complaints may not be filed after ninety (90) instructional days from the date of the incident leading to the complaint (KCCD Procedure 4F10a). Level I The student(s) should contact the office of the staff member’s immediate supervisor/designee. At the time of contact, the student(s) should complete and submit a Level I “Initial Student Complaint Form” which will be available in the office. The student(s) will be given an appointment to meet with the immediate supervisor/designee at this time. The appointment to meet shall be within ten (10) instructional days of notice of the occurrence to the alleged incident.

At the time of the appointment, the student(s) and the immediate supervisor/designee will attempt to resolve the issue in a satisfactory manner. All Level I conferences may be tape recorded with the concurrence of both parties. (These recordings shall be the exclusive property of the College/District and shall become part of the complaint file.)

If the complainant fails to appear for the scheduled appointment, the Level I complaint process shall be terminated and the complainant shall have no further recourse.

Subsequent to the student(s) meeting with the immediate supervisor/designee, the latter shall meet and confer with the staff member(s) involved in an effort to resolve the complaint. If possible, this meeting shall be within five (5) instructional days of the student(s) meeting with the immediate supervisor/designee meeting.

After meeting with student(s) and staff member(s), the immediate supervisor/designee shall notify the parties involved of his/her suggestion for resolution. If this resolution is acceptable to the complainant(s), the immediate supervisor/designee shall complete the Level I “Information/Disposition Form” and submit copies of it to the complainant(s), the staff member(s) and maintain the original in a suitable file.

If the immediate supervisor/designee does not resolve the complaint to the complainant’s satisfaction, the complainant may, within ten (10) instructional days of the decision, file with the appropriate administrator a request to move the complaint to Level II.

At the written request of the student(s), action on the complaint may be delayed until the term of the class is completed. In this event, the appropriate administrator may delay any further action on the complaint until the next semester.

In the event of a group complaint, at most two (2) students shall be chosen to carry the complaint forward.

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Level II Under certain circumstances, and in the interest of fairness to all parties, the immediate supervisor/designee may refer the complaint to Level II immediately. The immediate supervisor/designee shall notify the student(s), staff member(s), and appropriate administrator when the referral has been made to Level II.

If the complainant(s) choose(s) to move the complaint to Level II, he/she/they must complete a “Request to Appeal from Level I Recommendation” form.

Within fifteen (15) instructional days of receiving the request (either the immediate supervisor’s/designee’s referral or the student(s)’ appeal), the appropriate administrator shall investigate the allegations and convene a conference of the student(s), the staff member(s), and the staff member(s)’ immediate supervisor/designee.

All Level II conferences shall be tape recorded by the appropriate administrator. These recordings shall be the exclusive property of the College/District and shall become part of the complaint file.

If a complaint is filed within the last thirty (30) instructional days of the semester or the last ten (10) instructional days of summer school, the appropriate administrator may delay any further action on the complaint until the next academic term.

The student(s) bringing the complaint and the staff member(s) being complained against must be present at this conference. At this meeting, an attempt will be made to resolve the issue(s) and agree upon the remedy.

If the complainant fails to appear for this conference, except for good cause, the Level II complaint process shall be terminated, and the complainant shall have no further recourse. Under extraordinary, compelling circumstances this meeting may involve teleconferencing.

Following this Level II conference, the appropriate administrator shall, within five (5) instructional days, provide his/her written decision and the basis for the decision. Copies of this decision shall be sent to the student(s), the staff member(s), the immediate supervisor/designee, and the appropriate Vice President.

The student(s) bringing the complaint and/or staff member(s) being grieved against may challenge the Level II decision by proceeding to Level III.

Level III If the student(s) and/or the staff member(s) challenge(s) the Level II decision

he/she/they must file a written appeal (See “Request to Appeal from Level II Recommendation” form) within ten (10) instructional days of notification of the Level II decision. This Level III appeal shall be filed with the appropriate Vice President.

The appropriate Vice President must be provided with copies of all written materials, recordings, and any other documents generated regarding the complaint at Levels I & II.

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The purpose of Level III is to make one last attempt to resolve the issues to the satisfaction of the parties involved. To that end, the appropriate Vice President shall, within five (5) instructional days of receiving the referral assemble the complainant(s), the staff member(s), the appropriate administrator from Level II, the immediate supervisor/designee. (This meeting shall be tape recorded by the appropriate Vice President. These recordings shall be the exclusive property of the College/District and shall become part of the complaint file.) If the complainant(s) fail to appear for this conference, the complaint process shall be terminated, and the complainant(s) shall have no further recourse.

If the appropriate Vice President is able to resolve the difference(s)/complaint(s), such resolution shall be established in written form and shall be validated by the signatures of all parties involved. This agreement shall become part of the file and copies of the same shall be made available to the complainant(s), staff member(s), appropriate administrator, and immediate supervisor/designee.

If the appropriate Vice President is unable to resolve the difference(s)/complaint(s) he/she shall assemble the Hearing Panel within ten (10) instructional days of that determination. He/she shall provide the Hearing Panel with the procedure to be used and answer any procedural questions, which may arise. (See Student Complaint Hearing Panel Procedure 4F10(b))

Use of Drugs Bakersfield College recognizes that impairment by illegal drugs, prescription drugs, and/or alcohol among health professionals is a serious national problem, which compromises safe care of clients, as well as the mental and physical health of the professionals involved. Bakersfield College Allied Health Division is committed to being drug free. No drugs, which impair mental or physical performance, shall be taken while attending the clinical laboratory healthcare assignment! Any drugs used should be with physician prescription. Drugs may not be taken from laboratory areas. (Kern Community College District Policy). Academic Dishonesty If the instructor has reason to believe a student has committed an act of lying, cheating, or plagiarism, which is documented by anecdotal records, the student will be informed of the situation and it will be documented in writing. No credit will be given for the assignment, nor may the assignment be repeated. Documentation of Unsatisfactory Progress Conference A conference will be held for failure to transfer classroom knowledge to the bedside, adhere to healthcare facility policy, or follow generally accepted rules of personal cleanliness, professional ethics, and professional attitude and demonstrated knowledge, skill, and judgment at the expected level. The issuing instructor will confer with the student and discuss the reasons for, and means of, correcting the cause for the conference. If satisfactory progress is not made following the issuance of conference reports the student will be placed on probation.

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Probation Situations that warrant probationary status will be discussed with the student by the instructor. A probation report will be drawn up discussing the cause for probation, the terms of probation, and the length of time identified for improvement and re-evaluation. The original report will be placed in the student’s personal file in the Allied Health Division office, and the student will receive a copy. The instructor and student will discuss the situation with the Director of the NA Program. Failure to comply with the terms of probation will result in dismissal from the program. The Director of the Nursing Program will make the final decision for student dismissal, after consulting with the instructional dean. Students Impaired by Alcohol, Substance Use, and/or Emotional or Mental Illness

Procedures to be observed in the Lecture and Laboratory Areas for Students Impaired by Alcohol or Drugs All students must sign a statement that they agree to immediate monitored drug and alcohol testing upon request of an instructor, and/or the director of the program. This includes lecture courses as well as the laboratory setting. Drug and alcohol screening shall be requested whenever the instructor or Director feels there is reasonable suspicion that a student is under the influence of alcohol or drugs. "Reasonable suspicion" is a belief or judgment based on observations or other information that a student is under the influence of drugs or alcohol. Observations may include, but are not limited to:

Dilated or constricted pupils or nystagmus Alcohol odor on the breath The use of breath mints, mouthwash, gum, etc. to cover the odor of alcohol on the

breath Alterations in mental alertness Attendance problems Mood swings, especially inappropriate anger, paranoia, or agitation Poor performance Accident proneness Poor attitude Errors in judgment Inconsistent quality of work

The instructor or Director shall request that the student go for immediate monitored drug and alcohol testing. The instructor or Director will arrange for the student to be transported to the testing site by college security, or by taxi, or by other appropriate transportation. The instructor or director shall notify the testing facility of the student's impending arrival and request testing. This testing will be done at college expense. The instructor shall then document, in writing, the observations or information, which led to the request and submit the report to the Program Director. The Director shall proceed according to the Kern Community College District and College policy.


Procedures to be observed in the Lecture and Laboratory Areas for Students Impaired by Emotional or Mental Illness If in the instructor's judgment a student is impaired by an emotional or mental state, which interferes with the student's ability to function safely in his/her laboratory assignment, the instructor shall immediately withdraw the student from the assignment. If in the instructor's judgment a student is impaired by an emotional or mental state and is disruptive in the classroom, the instructor will ask the student to leave the classroom. The instructor shall document, in writing, the observations, which led to the withdrawal or exclusion of the student and submit the report to the Program Director. The Director shall proceed according to Kern Community College District and College policy. Procedures for Further Action The Program Director shall refer the issue to the Dean of Students for further action as outlined in the Bakersfield College Student Handbook. Misconduct Procedures of the College These procedures are published in the Bakersfield College Student Handbook. Referral of Impaired Students to Appropriate Agencies Students who are impaired by alcohol, drug use or emotional or mental illness will be counseled and referred to the appropriate community agency for assistance. Informing Students of Policies Related to Alcohol, Drug Use and Emotional or Mental Illness The Program Director will provide a copy of the College policy related to substance use and emotional or mental illness. In applying this policy, care shall be taken to observe the confidentiality of student records. RESPONSIBILITIES OF STUDENT Class Registration Only students who have officially completed registration may attend class. Students who have not completed registration by the last day of open registration will be dropped from the class and replaced by a waitlisted student.


College Publications Students are expected to read the Bakersfield College Catalog and the Bakersfield College Student Handbook and comply with all policies, particularly in areas of:

Admission and Registration Academic Regulations Student Personnel Services

Records Student Records A program file will be started when the student applies for admission and will contain the application, transcripts, and other data required for evaluation for admission. When the student is admitted the folder will become part of the program file. Upon completion of the program all official information will be transferred to the Admissions and Records office. All other information will be destroyed.

Student files will contain data such as student evaluations, conference or probation form, and other information to document progress within the program. These files will be kept in a proper file in the Allied Health Division office. All student records are confidential and information from them will only be given to authorized persons within the college. Data such as grades, health records, and laboratory evaluations may not be revealed without a student’s written consent. Information will be used only for the purpose of student evaluation and to document progress within the program. Students may inspect their file at any time under the direct supervision of a faculty member. Client Records in Healthcare Facilities Units Client records may be used only for the purpose of giving client care. They may not be removed from the unit. Information acquired from client records is confidential. Client Records in Healthcare Facilities Records Office To review client records all students must bring a note from their nursing instructor, on letterhead stationery, identifying the student and stating what record they may review. Healthcare facility staff cannot call and verify the identity of the student, so it is imperative that the student brings proper identification. Course Required for Completion MEDS B69 Basic Patient Skills/Laboratory 6 Units Students in the Nurse Assistant classes must meet the requirements of all the above classes in order to be eligible for the American Red Cross Certification Exam.


Request for Time Off Students requesting three (3) or more days off must submit a request in writing to the Director and make an appointment with the Director to discuss leave. After consulting with the student and the instructor, the Director will send a memo to the instructor and student with a final decision. If a leave is granted, the student must discuss “make-up” with the instructor. Doctor’s Release Any illness of three (3) days or more or any communicable illness or pregnancy will require a doctor’s release to return to the clinical area be submitted to course instructor. Any restriction of activity will be considered in terms of meeting program objectives. Re-Entry Policy Students dropped due to documented unsafe laboratory work will not be re-admitted. Attendance Students are expected to observe the attendance requirement of the College and instructor course policies: Minimum hours required are 60 lecture and 100 clinical. If a student is dropped from either the lecture or clinical portion of the class for any reason, they will not be allowed to progress in the course. Instructors require that absences be made up to meet course objectives even if the absences do not exceed College policy regarding attendance. Laboratory Absence/Lateness Procedure The student must notify the clinical instructor of a laboratory absence or lateness prior to the scheduled laboratory experience unless otherwise arranged with the instructor. This is necessary because a student’s presence in the initial part of the day is critical for successful laboratory performance, and client care. Repeated absences/lateness will be addressed as part of the individual student evaluation. A plan of correction will be addressed by means of a conference or probation form. Make-up Assignments If make-up assignments are required they shall consist of: 1. Theory - Discussion with instructor, case studies, independent study, written examinations,

computer instruction or reports. 2. Laboratory- performance evaluation or additional time in the laboratory area, or skills lab. Accidents/Injuries Facility accident reports must be completed according to the procedures of the individual facility as well as the District Safety Coordinator as follows:


Students are required to immediately report a work (class) related incident, injury or illness to their Instructor. Your Instructor or designee will contact the District Safety Coordinator, Sheila Shearer, at (661) 336-5135 or cell number (661) 747-1007.

The District Safety Coordinator will obtain the details of the incident from the student and/or Instructor and make the initial referral to the medical facility, physician or BC Student Health Center.

Students are required to provide to their Instructors a Physician’s Work Status report after attending the medical appointment. The Physician’s Work Status report indicates your ability to return to full work (class) activities, diagnosis, and date of your re-examination or follow-up appointment.

In addition, all accidents must be reported to the Allied Health Office, MS 178 Occurrence Reports Occurrence reports will be completed and placed in the student’s file when a safety violation occurs in the laboratory area. This will be done even if the facility does not require that a report be sent to the administration. The student and laboratory instructor must sign the report. Employment Due to the concentrated and intensified nature of the Program, full-time employment is not recommended. If a student does work, they will not:

Wear the Bakersfield College uniform. Accept assignments beyond the student’s level of certification. Bakersfield College has

no legal responsibility for student while they are working. Use the abbreviation "SNA" after name for legal purpose. Accept employment hours which conflict with class/laboratory time.

Current Address Each student must keep his/her current address and telephone number on file with the Allied Health Office. Be sure to include all applicable phone number (cell phone, emergency number, etc.). This information will be kept confidential unless the student requests otherwise. Health Requirements Physical Examination Students entering the Nurse Assistant program are required to have a physical examination performed by a medical doctor verifying physical and mental ability to perform the duties of a nurse.

Hepatitis B Immunization Students entering the Nurse Assistant program are at high risk for exposure to Hepatitis B. For this reason, the Hepatitis B Vaccine Series is a requirement. The series consists of three (3) injections given over a period of six (6) months. The Hepatitis B Surface Antibody will be drawn one (1) month after the last injection to determine effectiveness of the vaccine. The vaccination series will be done at the student’s expense. The vaccination series is presently available through the Bakersfield College Student Health Center. If the student refuses or has


reason to believe that the vaccine is contraindicated for her/him, the student must sign a declination form acknowledging the risk of Hepatitis B infection in a healthcare setting.

Rubella Immunization or Titer Students must provide proof of two Rubella Immunizations or a titer demonstrating immunity within four (4) years of the start of the program. Varicella Immunization or Titer Students must provide proof of varicella immunization or a titer demonstrating immunity. Previous illness will not be accepted as proof of immunity. You will be required to get an immunity titer, if titer is negative, you will need to get the vaccination.

Freedom from Active Tuberculosis Examination As a condition of admission and continuing enrollment in the Nurse Assistant program with a laboratory component, all students are required to undergo tuberculosis screening examination, which indicates freedom from active tuberculosis. This screening consists of submitting one of the following (demonstrated by immunization record OR lab report OR physician verification of results on school form):

Negative T-Spot (AKA QuantiFERON Gold) OR (Two-Step) Two negative tuberculosis skin tests must be administered three weeks

apart within three months prior to entering the program in Spring (1/1 – 5/31) or Fall (8/1 – 12/31). If you are entering program in the Summer (6/1 – 7/31) then two negative tuberculosis skin tests must be administered one week apart within three months prior to entering the program OR

Clear chest X-ray and a TB Questionnaire Note: Both TB skin test results must be negative, indicating freedom from active tuberculosis. Initial test MUST be 2-step, but 1-step can be done annually (every 12 months) thereafter. The renewal date will be set for one year from the date of the most recent skin test. The intradermal skin test is not an option for students who have converted to a positive TB exam result in the past. Therefore, a chest x-ray is required in lieu of the skin test. The chest x-ray is completed at the student’s expense and expires after two years from the date of the chest x-ray. If a TB test is positive, you must complete the following two steps:

1. Submit documentation of a clear chest X-ray (demonstrated by immunization record OR lab report OR physician verification of results on school form). The renewal date will be set for two years from the date of the chest X-ray.

2. Complete an annual TB Questionnaire (provided by the school). The renewal date will be set for one year from the date of the chest X-ray. Upload the documentation of a clear chest X-ray and a completed TB Questionnaire as one document.

Seasonal Influenza Immunization or Declination


Students must provide proof of a Seasonal Influenza vaccination or may sign a declination form. Tdap Immunization or Declination Students must provide proof of a Tdap vaccination within their lifetime or may sign a declination form. Drug/Alcohol Screening The Bakersfield College Allied Health Office maintains contractual agreements with clinical agencies used in the education of nursing students. These agencies require drug and alcohol testing of employees and students. For incoming nursing students, drug and alcohol screening is required as part of the pre-admission process. For currently enrolled students, drug and alcohol screening is mandatory when there is probable cause and/or reasonable suspicion to believe that the student is under the influence of drugs and/or alcohol while in the classroom and/or clinical settings. All students enrolled into the Nurse Assistant program will be tested for drug and alcohol use as part of the pre-admission process. If the applicant fails to appear for the pre-admission screening test, his/her enrollment into the Nurse Assistant program will be immediately rescinded. All students must further sign a statement agreeing to immediate monitored drug and alcohol screening upon request of the Nurse Assistant Director and/or a nursing instructor when there is probable cause and/or reasonable suspicion to believe that the student is under the influence of drugs and/or alcohol. Incoming and currently enrolled students with verified positive test results for alcohol, any illegal drug, or abuse of prescribed or over-the-counter medications or mind-altering substances will be given reasonable opportunity to challenge or explain the results. Where results are confirmed and no medical justification exists, incoming students will not be admitted to the course and currently enrolled students will not be allowed to participate in clinical activities; thus, they may not meet the objectives required for successful completion of the Nurse Assistant program. Re-application or readmission will be contingent upon the student’s satisfactory completion of an approved rehabilitation program. If a student who has been readmitted into the Nurse Assistant program after successfully completing a rehabilitation program fails a subsequent drug and alcohol screen, the student will be dropped from the program and will be disqualified for readmission. Basic Life Support – Formerly CPR Prior to the beginning of the Nurse Assistant program, and then throughout the course, students are required to show proof of a valid American Heart Association BLS – Healthcare Provider. This BLS card must be valid until the end of the current enrollment of the Nurse Assistant program. It is your responsibility to provide a copy of the current BLS card to the Allied Health Department and to carry a copy of this card while attending clinical in the healthcare facilities.


Healthcare Facility Safety Requirements The Bakersfield College Allied Health Office maintains contractual agreements with clinical agencies used in the education of nursing students. These agencies require that students annually complete workplace safety training (which must meet OSHA guidelines). The student must complete prior to clinical attendance:

Read and Understand the Safety Orientation Manual (obtained through the BC Bookstore or on-line on Student Page)

Successfully complete the Safety Examination and submit to the Allied Health Office prior to the first day of clinic

Sign and submit Blood borne Pathogens Certificate of Instructions and Certification of Student Instruction in Safety Education to the Allied Health Office prior to the first day of clinic.

Complete safety/confidentiality/sexual harassment/abuse reporting forms and submit to Allied Health prior to the first day of clinic

Pregnancy or Extended Illness

Any disability/illness of three (3) or more days or any communicable illness will require a doctor’s release to return to the laboratory area be submitted to course instructor and to the Allied Health office.

Any restriction of activity will be considered in terms of meeting program objectives. A physician’s written approval (without restrictions) is required for a pregnant student

to remain in the program AND again before the student can return to school following delivery.

Any change in health status or medication use must be reported to the Director of the Allied Health

CREDIT FOR PREVIOUS EDUCATION AND EXPERIENCE General Policies Governing Challenge Examinations All courses may be challenged by examination. Candidates for the challenge process may obtain preparatory materials anytime after notifying the Director of intent to challenge. These materials include copies of the course objective, course syllabus, and information regarding the format of the challenge examination. Challenge examinations for credit based on previous education/experience must be requested by the student six (6) weeks prior to the start of the semester in which the course is scheduled to be taught. Challenge examinations will be given one at a time according to curriculum sequence. Also refer to BC Academic Regulations 4C1. Challenge of Theory Courses The challenge examination for theory courses will be instructor-developed tests. The tests will be similar in content and length to the final examination given to students enrolled in the course being challenged. Tests will be updated periodically to include new information. Challenge Procedures for Laboratory Proficiency The nature of the challenge examinations for laboratory proficiency will vary with the area being challenged. They will be designed to validate: (1) a working understanding of the performance objectives for the subject matter being challenged; (2) ability to perform selected procedures in a simulated or actual client care setting.


Grading of Nursing Challenge Tests Grading for challenge tests will be exactly the same as for tests given to students enrolled in the program. The score of 75% is required for a "C" grade and will be the minimum score required for passing. Grading will be on a pass/fail basis only. If the student is successful "credit by examination" rather than a grade is recorded on the college transcript. Transfer Credit for Non-Nursing Courses The office of admissions grants transfer credit for non-nursing courses and records based on equivalency evaluation of official transcripts from a regionally accredited college. If a given course from a regionally accredited college is comparable in content and level to a course required, transfer credit is granted. Students are asked to submit course descriptions, course outlines, and/or syllabi for evaluation of content as necessary. GUIDELINES FOR PROFESSIONAL APPEARANCE Dress and Grooming Student dress and grooming will reflect the policies of the assigned healthcare facility, the technical and safety requirements of the task, and the positive image of the Nurse Assistant Program, and the professional image of nursing in the community.

Each faculty member is to inform the students of the specific dress code of each

assigned healthcare facility. Students are responsible and accountable to observe the dress code and grooming

regulations as delineated in the student handbook. Students are to adjust their dress and grooming prior to an assigned laboratory learning

experience. Uniforms must be clean and unwrinkled and shoes must be clean. Students will be excluded from the laboratory area for inappropriate dress and/or

grooming. Absences caused by such an exclusion will be counted in the total number of allowable absences.

Inappropriate dress and/or grooming will be discussed with the student by the instructor and the Director if necessary.

General Dress Code The following dress and personal grooming standards will be expected of all students in the Nurse Assistant program. Uniforms The uniform is Dickies brand red top with the BC logo and black elastic/drawstring

pants, or skirt. You may purchase the uniform where you choose, but Shirts by Unique offers the uniforms with the embroidered BC logo. You can reach them at (661) 444-0409 (ask for Bruce).

Hose are required with skirts; black socks may be worn with pants. Black, all leather, enclosed shoes are required. Clogs, sandals, canvas tennis shoes may

not be worn with the uniform.


A white lab coat with the BC Nurse Assistant logo may also be worn. Please make sure it is only hip length and has the embroidered logo. You may choose the brand for the lab coat.

Photo identification badges are considered part of the uniform and identify the wearer as a Bakersfield College student nurse. The photo ID badge must be attached to the clothing above the waist and visible at all times. Replacement photo ID badges are requested in the Allied Health Division office and a fee is assessed. Photo ID badges must be returned to the Allied Health Division office upon completion or termination of the program.

Bandage scissors, pen, penlight, watch with a sweep second hand or digital watch,

protective goggles, stethoscope, and B/P cuff are also considered part of the uniform and must always accompany the student while in the laboratory.

Grooming Students must be clean, free of odor and strong fragrances, and be well groomed. Hair must be clean, neatly groomed, and pulled back, off the shoulders and out of the

eyes. Hair color must be a natural color, NO extreme colors. No large, brightly colored or extreme hair accessories are permitted.

Mustaches, beards, and sideburns must comply with the regulations of the assigned healthcare facility. Students must be clean-shaven if not wearing a beard.

Fingernails must be short (no longer than 1/8 inch above the tip of the finger) and clean. Clear nail polish may be worn. Acrylic nails are not permitted.

Make-up must be conservative and in good taste. Chewing gum and smoking is discouraged and only permitted in designated places.

Jewelry One ring may be worn on each hand but students may be required to remove them in the

specialty areas or for certain procedures. Small post-type earrings may be worn but are limited to one per lobe. "Dangle" and

hoop earrings are not allowed. Visible body piercing is limited to the ears. Visible body piercing, including tongue piercing is not permitted.

Miscellaneous Bakersfield College healthcare facilities are not responsible for loss of valuables. It is recommended that items of value not be taken to class or to the laboratory areas. Stethoscopes may be worn over the shoulders, but not hanging from the neck since this may injure a client. CAMPUS LABORATORY GUIDELINES To perform a procedure in the laboratory area and/or to be assigned client care in the cooperating facilities, students will give evidence of mastery of the basic skills for safety, comfort, and welfare of clients, according to the established criteria. To accomplish this: The established criteria of each skill is delineated in student assignments.


Practice of each skill before each performance evaluation in the campus nursing laboratory will be a faculty expectation and a student responsibility. Mastery of each skill includes a time frame, which is consistent with the objectives. Repeat(s) of performance evaluations and/or specially arranged laboratory experiences will be given consideration according to the priorities of the objectives and other student’s needs and progression in the semester. Opportunity to repeat campus laboratory skills will be given. If repeat performances are necessary for two or more skills in a semester, a learning contract will be initiated. Learning deficiency of a skill(s) require evidence of improvement within the learning contract time frame. If evidence of deficiency continues, the student will not be assigned client care and there is an increased likelihood that the objectives of the community healthcare facility experiences will not be met. GRADING Lecture/Laboratory Courses A minimum of a "C" grade must be achieved in combination of lecture/laboratory sections to successfully pass the course. The percentage value of the alphabetical grading in lecture courses will be as follows:

A B C D F_ 100 89 79 74 69 99 88 78 73 98 87 77 72 97 86 76 71 96 85 75 70 95 84 94 83 93 82 92 81 91 80 90


Final Examinations The following policy is observed in all courses: All course final examinations will be comprehensive and designed to assess the knowledge and application of the subject matter. Upon successful completion of the final examination, a course grade will be given based on percent of total points accumulated during the semester. Recognizing that students have different learning styles and may need assistance for learning disabilities; students are encouraged to use College services and other resources available to them. These include:

assessment of learning disabilities tutoring practice in skills lab test-taking strategies ESL courses consultation with instructors computer programs in the Allied Health Computer Laboratory

Laboratory Section The laboratory section of the course must be passed with a 75%. Students will be evaluated on a periodic basis. Documentation of performance will be place in the student’s file. Repeated unsatisfactory evaluations in the laboratory course will warrant probation. Failure to show satisfactory improvement and/or comply with all the probationary terms will result in dismissal from the course with a non-progressing grade. A non-progressing grade in the laboratory section will prevent the student from continuing in the program until the deficiency is corrected. Determination of unsatisfactory performance in the laboratory course will be based on laboratory objectives, presented by the instructor, based on safe and competent practice. Students dropped due to documented unsafe laboratory work will not be readmitted.

Guidelines for Laboratory Practice Evaluation A laboratory evaluation will be written at least once each rotation. Evaluation by the student’s immediate instructor(s) shall include both areas that need to be improved and reinforcement of student’s positive accomplishments. Written evaluations are to be signed by both instructor(s) and student, and both parties shall have access to a copy of the evaluation. The following critical elements will be considered in evaluation of laboratory performance. Failure in any one of these areas may result in failure of the course: Failure to:

Provide for client’s psychological/physical safety including not abandoning client. Wash hands and maintain asepsis at appropriate times. Properly identify clients. Adhere to healthcare facility policy.


Report changes in client condition. Recognize and report any error or unsafe conditions. Maintain client confidentiality. Transfer classroom knowledge to the bedside. Demonstrate knowledge and skill at the expected level. Recognize own limitations and/or represent own abilities accurately. Act in a professional manner.

Incomplete Grades A grade of incomplete (INC) may be granted only under extenuating circumstance, and only when the student has maintained a satisfactory performance prior to the request for INC. An INC may not be assigned as a withdrawal grade.

Testing Under no circumstances will a student be allowed to retake a test in which they obtained an unsatisfactory grade. Instructor’s Course Policies Instructors’ additional course policies on grading, testing, and attendance will be followed. CLINICAL LABORATORY GUIDELINES Student Orientation to Healthcare Facility All students must be oriented to the facility where laboratory experience is provided. It is the responsibility of the instructor to provide this orientation either personally or by arrangement with staff members. Orientation shall include but is not limited to the following: Parking Regulations (include both daytime and evening rules) Cafeteria Procedure:

Times and duration of meal and coffee breaks Provisions for students carrying lunches Cost of meals

Restroom Facilities: Locker Facilities and/or proper location for books, outer clothing, purses, and valuables

storage. Safety and Emergency Procedures:

Fire regulations Codes Security guard service Reporting accidents and incidents Infection control and blood borne pathogen policies

Absences or Tardiness in the Laboratory Areas: Who to notify When to notify Where to notify How to notify


Paging System:

How to contact instructor When to contact instructor

Location in Facility of: Policy and procedure manuals Fire regulations Disaster plan

Location of Student Assignment and Daily Laboratory Objectives: Where posted, specific objectives, etc.

Learning Resource Material: Library - rules - privileges Staff Education Calendar PDR, Reference Manuals

Charting: Procedure for charting Place for charting Obtaining a chart in medical records

Supplies: Location of linens and supplies Method of ordering needed supplies Method of charging for supplies used

Orientation of Client Unit: Operation of beds and side rails Location of equipment

a. wash and emesis basins b. mouth care equipment, lotion, etc. c. combs, razors, grooming aids

Operation of signal and reading lights Operation of radios, TV’s, etc. Operation of special equipment; monitors, suctions, O2, etc. Visiting regulations

Introduction to Key Personnel: Nurse managers and staff on assigned units

Pre and Post Conference Facilities: Location of rooms Special regulations (need for quiet, etc.)

Communications During Laboratory Rotation: Contact in case of emergency Making outside phone calls Visiting clients Contacting other students


Information About Facility:

Pertinent history Bed capacity Charter Administrative personnel

Telephone Protocol Limitation of Student Activity – Laboratory Area Students are not to leave the nursing unit or department to which they are assigned without the permission of the instructor. Students may not undertake care of clients, which have not been assigned to them except in an emergency situation, and then only under the direction of the staff RN or instructor. Transportation Students are responsible for transportation to and from healthcare facilities. Students should park only in designated parking areas. Phone Calls/Cell Phones No personal phone calls should be made or received while in the laboratory areas. Emergency calls are directed to the instructor. Cellular phones are not allowed any of the laboratory areas. Phones must be kept in the car and only accessed during breaks. Also, students may not have visitors while in the laboratory area. Insurance Malpractice Insurance: Students are covered by malpractice insurance. The Kern Community College District purchases a policy covering all students. Accident Insurance: Bakersfield College students are covered by accident insurance. Students are covered by this policy for accidents that happen on campus or at college related activities including laboratory experience for students in Health Career programs. Students who are injured in laboratory or in any school related activity may be treated in the hospital emergency room by their personal physician. Treatment of students in the hospital emergency department is not free regardless of whether or not hospital personnel suggest you go there.


Student’s Responsibilities Regarding Student Training Program at HEALTHCARE

AGENCIES In consideration of the educational opportunity afforded to me by community healthcare facilities, and in respect to my activities while a student at these agencies; I agree to:

1. Provide proof of the following tests (to be submitted to and on file in the Bakersfield College Allied Health/Nursing Department) prior to entering the program:

a. Annual tuberculosis skin test and/or chest x-ray. b. Provide proof of Heb B, Varicella, Measles and Rubella immunization or titer,

Influenza and T-DAP vaccines. c. Physical Exam clearing student with no restrictions.

2. Conform to all applicable HEALTHCARE AGENCY’S policies, procedures, and regulations, and such other requirements and restrictions as may be mutually specified and agreed upon by the designated representative of HEALTHCARE AGENCIES and SCHOOL.

3. Be responsible for his/her own support, maintenance and living quarters while participating in the program and for any and all transportation to, from and while at HEALTHCARE AGENCIES.


POLICY AGREEMENT – STUDENT RESPONSIBILITIES WHILE IN TRAINING I understand the above statement of requirements for student responsibilities regarding student

training at hospitals/healthcare agencies and agree to abide by the requirements while in

training.

__________ Printed Name __________ Student's Signature Date


Confidentiality Statement In the normal course of business, any person connected with an organization has the potential to come into contact with confidential information. In some cases, exposure to such information is coincidental or incidental; in others it is an integral part of the job function. This information may be personal, clinical, financial, or other. It may be computerized (that is, in electronic form), or in hard copy, or even oral in nature. Examples of such confidential information include, but are not limited to: medical records, employee records, financial records and reports, information distributed to committee members to inform deliberation and decision making, and information found accidentally. It also includes information gained through discussion in committees, from employees, from patients and their families or friends, from external agencies, the media, or the medical staff, and so on. It is the policy of the Bakersfield College Nurse’s Assistant course to maintain confidential information in strict confidence, both while at clinic/skills lab/class and when off duty. Therefore, all students who have access to confidential information are prohibited from disclosing such information in any unauthorized manner. They must use this information only in ways that are consistent with this commitment to confidentiality. Consistent with the principle of “need to know”, it is also incumbent on all who are exposed to confidential information to see that they use only as much of such information as is needed to their job or perform their function. It is also the responsibility of any who have contact with confidential information to preserve such records against loss, destruction, tampering and inappropriate access and use, including inappropriate disposal. Any breach of confidentiality represents a failure to meet the legal, professional and ethical standards expected, and constitutes a violation of this policy. A breach need not take the form of a deliberate attempt to violate confidentially, but includes any unnecessary or unauthorized use or disclosure of confidential information-due to carelessness, curiosity or concern, or for personal gain or malice, including but not restricted to informal discussion. Such breaches may result in discipline and/or civil or criminal penalties.


DO NOT RIP THIS PAGE OUT OF YOUR HANDBOOK. The agreements below are examples and are only for your reference. These forms are separate agreements and will be given to you by your instructor on the first day of class. You will be required to sign and then return the original document back to your instructor and it will kept in a file in the Allied Health office. POLICY AGREEMENT – CONFIDENTIALITY AGREEMENT I understand the above statement of confidentially and agree to fulfill its expectations in my treatment of confidential information. Further, I understand that a violation or breach of this commitment to confidentially will be investigated and responded to in a manner to prevent a reoccurrence. I understand that I could also be subjected to disciplinary action that may include legal action. _______ Printed Name _______ Student's Signature Date POLICY AGREEMENT –NURSE ASSISTANT STUDENT HANDBOOK I have read the Bakersfield College Nurse Assistant Student Handbook and I certify that I understand the policies and agree to abide by them while a student in the program. __________ Printed Name __________ Student's Signature Date


DO NOT RIP THIS PAGE OUT OF YOUR HANDBOOK. The agreements below are examples and are only for your reference. These forms are separate agreements and will be given to you by your instructor on the first day of class. You will be required to sign and then return the original document back to your instructor and it will kept in a file in the Allied Health office. POLICY AGREEMENT – DRUG/ALCOHOL SCREENING I agree to submit to immediate monitored drug and alcohol testing upon request of a nursing program instructor and/or the director of the nursing program at any time while a student in the program.

I understand that drug and alcohol screening shall be requested whenever there is reasonable suspicion that I am under the influence of drugs or alcohol.

I also understand that all information regarding drug and alcohol testing results will be kept confidential and released only with my written consent. __________ Printed Name __________ Student's Signature Date POLICY AGREEMENT – STUDENT WAIVER OF LIABILITY In consideration of the educational opportunity afforded to me by HEALTHCARE AGENCIES, and in respect to my activities while a student at HEALTHCARE AGENCIES, I hereby waive any claim for damages against HOSPITAL, its employees, and/or agents, alleged to have resulted from any tortious acts or omissions of HEALTHCARE AGENCIES, its employees, and/or agents. _________ Printed Name _________ Student's Signature Date

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Pre-Certification Program Student Handbook 2015/2016... · Revised July 2015 3 Rubella Immunization...

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