Obtain an official copy of your PN transcript to submit with this packet.

Transcription

1 Advanced Placement Packet fr LPNs fr Spring 2018 Deadline fr packet submissin: 11/16/17 It is pssible t receive credit fr yur LPN experience and begin the RN prgram at Crning Cmmunity Cllege. Advanced Placement int the Nursing curses is nly fr the Spring semester. It is the student's respnsibility t cmplete the curse prerequisites and t submit a cmplete Advanced Placement Packet indicating their intent t enter Nursing II. Class size is limited; therefre, admissin t Nursing II is based n meeting all eligibility prerequisites and n a space available basis, s yu shuld submit yur packet early in the fall semester fr spring cnsideratin. Fr all LPNs prir t apprval t begin Nursing curses yu must: Apply t CCC, meet all admissin requirements and be accepted t the cllege. Yu will be accepted int the Nursing Prgram as yur primary prgram, but NOT apprved t begin nursing curses until this packet is cmpleted, submitted and apprved. Yu will als be accepted int a Liberal Arts prgram as a secndary prgram. Yu will receive a letter frm the Admissin s Office referring t this infrmatin and will include further instructins. Please read the infrmatin in this letter, as nt fllwing thrugh with the instructins culd impact yur apprval t begin nursing curses. Cmplete any CCC Placement Assessment Tests that yu are required t take. Please cntact the Admissin s Office at t set up a testing appintment. Submit high schl and cllege transcripts t the Admissins Office. If yu have attended ther clleges and have received cllege credits yu will need t request an fficial transcript frm each f the clleges attended and have them sent t the Admissin s Office. Obtain an fficial cpy f yur PN transcript t submit with this packet. Successful cmpletin f any develpmental curses. Cmpletin f Chemistry and Bilgy in high schl with 75% r higher OR cmpletin f a cllege curse with a minimum f a C r better (n shelf life fr either high schl r cllege curses). Place int MATH 1215 Cllege Math r higher by Placement Assessment Tests. PLEASE NOTE Any prerequisite and prgram elective MATH curse will require a C r higher. Students accepted t the Nursing Prgram, either upn acceptance t the cllege r changing prgrams t nursing, are required t take MATH 1215 r higher and receive a C r higher t meet the MATH elective fr the prgram.

2 Submit the Cllege Pre-Enrllment Health Frm t the Health Office lcated n the Main Campus in the Cmmns. This frm can be fund in MyCCC under the Student tab, n the left side f the page under Health Office, Immunizatin Requirements. In the verbiage yu will find, in the secnd paragraph, the sentence A pre-enrllment health frm can be dwnladed here. This infrmatin is required by the cllege. On ne f the fllwing pages in this packet yu will find hw t btain yur criminal backgrund screening and the Nursing Health Frm, bth thrugh Crprate Screening. Fllw the instructins t submit infrmatin fr yur criminal backgrund screening and hw t print the NURSING HEALTH FORM frm ImmuniTrax (the link is in the Crprate Screening site). This infrmatin is required by the clinical agencies and is required fr apprval t enter nursing curses. The Nursing Health Frm includes a self-assessment, physical exam & all screening/ immunizatins/titers required t participate in clinical lab. Infrmatin regarding which screenings/ immunizatins/titers are required are included in this packet. Physical exams and PPD results that are mre than a year ld, frm the start date f the initial nursing curse will nt be accepted. Cmplete the attached Student Infrmatin Frm, Essential Functins Frm and submit alng with the fllwing t the : a cpy f a current CPR certificatin fr the Prfessinal Rescuer ONLY American Heart Assciatin r American Red Crss certificatin will be accepted. a cpy f the cmpleted results f criminal backgrund checks by Crprate Screening Services, Inc. N results frm ther agencies/cmpanies will be accepted. N receipts will be accepted, nly final results are t be submitted. Further infrmatin n the prcess t cmplete backgrund checks is included in this packet. N results that are mre than a year ld, frm the start date f the initial nursing curse, will be accepted. a cpy f the results f Pennsylvania Child Abuse screening. N receipts will be accepted, nly results are t be submitted. Further infrmatin f the prcess t cmplete child abuse screening is included in this packet. N results that are mre than a year ld, frm the start date f the initial nursing curse, will be accepted. a cpy f yur printut frm ImmuniTrax, shwing cmpliance with the required health infrmatin. Yu may see a statement indicating that the cllege must apprve yur Immunitrax infrmatin. Yu can print yur frm and submit in yur packet, the infrmatin will be reviewed at that time. a cpy f yur current LPN license registratin shwing expiratin date evidence f recent wrk experience as an LPN, please cmplete the attached frm and submit with yur packet. Letter f reference frm a nn-family member. Cmplete at least 12 credits f prgram requirements, including Principles f A&P I GPA f 2.75 minimum.

3 All LPNs must register fr and pass the Advanced Placement Exam. the exam is given twice a year in April and in Octber nly. Please cntact the fr specific dates fr registering fr the exam, dates fr the exam, times, lcatin, and cst. Registratin is dne in the. This exam can nly be taken nce. Enter Nursing II NURS 1500 within three years f successful cmpletin f the Advanced Placement Exam. Register and successfully cmplete NURS 1511 Seminar fr Entry int Nursing II just prir t entering NURS 1500 Nursing II. Failure t successfully cmplete this curse may lead t yur inability t begin NURS 1500 Nursing II.

4 IMPORTANT INFORMATION REGARDING STUDENT HEALTH INSURANCE: As a Nursing student, yu are required t have health insurance. Crning Cmmunity Cllege ffers a cmprehensive student health insurance plan underwritten by Natinwide Insurance. Fr infrmatin abut this plan, visit their website at t view the current benefits brchure. All Nursing students enrlled in NURS 1100 Nursing I, NURS 1500-Nursing II, NURS 2100 Nursing III, r NURS 2500-Nursing IV are autmatically enrlled in CCC s Student Health Insurance Plan. There will be an annual premium charge autmatically added t yur billing statement. If yu have yur wn health insurance plan, yu may waive this cverage by prviding dcumented prf f cmparable cverage t the insurance cmpany. Waiver infrmatin By cmpleting the waiver, yu are certifying that yu have cmparable cverage and agree that yu will be respnsible fr yur medical expenses, and that neither the cllege nr the Student Health Insurance Plan will be respnsible fr thse expenses. When the enrllment perid pens fr academic year apprximately July 31, 2017 yu can lg in t the insurance website at t cmplete the waiver frm. Click n Members tab Click n Student Select Crning Cmmunity Cllege-Resident & Nursing Click n Waiver Cmplete frm Please have yur current health insurance ID card and a plan summary available as yu will need this infrmatin t cmplete the frm in rder t waive the plan. Upn cmpletin, submissin, review and apprval f this frm, the premium charge will be remved frm yur accunt. Fr Advanced Placement Nursing students the request fr waiver MUST be cmpleted by Mnday January 17 th, Fr additinal infrmatin n the Student Health Insurance yu can lg int MyCCC click n the Student tab under Student Resurces, click n Student Billing & Csts in the bdy f infrmatin click n Tips n Paying yur Bill (PDF)" then scrll t the area n Student Health Insurance. If yu d nt have cverage and wish t enrll, n further steps are required, as yu will be autmatically enrlled in the plan. This plan cvers just the enrlled student. Additinal infrmatin regarding cverage fr spuse/family will be fund n the insurance website AND an additinal fee will be charged that will NOT be cvered by financial aid. Please cntact the if yu have questins r need infrmatin n hw t meet these prerequisites. Crning Cmmunity Cllege 132 Denisn Parkway East Phne OR Ext 1323

5 CRIMINAL BACKGROUND & PENNSYLVANIA CHILD ABUSE SCREENING AND HEALTH FORM IMMUNIZATIONS/SCREENINGS/TITERS The fllwing infrmatin is required by clinical agencies and thus will be a requirement t enter nursing curses. Hwever, since this is required by the clinical agencies it is subject t change based n their requirements. Students will be ntified f any changes as sn as the has been ntified by the agencies. Criminal Backgrund Screening ALL nursing students will need t have a current criminal backgrund screening cmpleted prir t being apprved t enter their first nursing curses. Results f the backgrund check will need t be submitted with the Nursing I Eligibility Packet t the. The Nurse Educatin Department has cntracted with Crprate Screening Services, Inc. t cmplete the required backgrund checks. ONLY cmpleted results frm this cmpany will be accepted. This rganizatin is able t btain infrmatin natinally s regardless f whether yur clinical lab is scheduled in Pennsylvania r New Yrk State, yu will nly need t have this ne backgrund check cmpleted. As lng as yu cntinue t mve frm ne nursing curse t the next, cnsecutively, yu will nly need t have just this 1 check cmpleted. IF yu shuld leave the nursing curses, fr whatever reasn, and then petitin t return, yu will need t repeat the backgrund check befre being apprved t return. Results will reprt natin-wide inf $60 (Please nte this cst will include bth the Crprate Screening Services - fr criminal backgrund check fee and ImmuniTrax fr required Nursing Health Frm fee.) Hw lng befre the criminal backgrund results are ready apprximately 1 week. Hw t request the screening: fund n the fllwing page. What is t be submitted t the? All f yur cmpleted results printed frm the Crprate Screening Services, Inc. site. The is nt respnsible fr btaining the results yu will need t print the results and submit in yur packet. Pennsylvania Child Abuse Screening All Nursing students will als need Pennsylvania Child Abuse screening. Because Pennsylvania des nt allw a 3 rd party access t this infrmatin, yu will need t cntact Pennsylvania directly. In the bx marked Purpse f Clearance Check ne bx nly CHECK EMPLOYMENT WITH A SIGNIFICANT LIKELIHOOD OF REGULAR CONTACT WITH CHILDREN. Results will reprt ONLY Pennsylvania child abuse infrmatin. Cst - $10 Hw lng befre results are ready it can take 5-7 days fr prcessing. Required results Results are expected t be clear Cntact Infrmatin by using yu can request yur Pennsylvania Child Abuse Screening and print ut the result t be submitted with yur packet. Be sure t check the bx that best fits the nursing student.

6 NURSING PROGRAM STUDENT INSTRUCTIONS Befre Starting: A valid is REQUIRED 1. Getting Started: Have yur credit card/debit card (Visa/MasterCard/American Express/Discver) infrmatin ready in rder t prcess payment. Yur credit card will be charged $60.00 fr the service. 2. Lg nt ur website at 3. Use this special prmtinal cde: CCCNBGIMM 4. Cmplete prfile & e-sign frms as they appear 5. After cmpleting steps 1-4 as identified abve, yu will receive an frm immunitraxsupprt@medicat.cm cntaining instructins fr submitting yur health and immunizatin dcuments (via fax r electrnic uplad). [Please Nte: This part f the prcess is administered by ImmuniTrax pwered by Medicat. Yu will be able t lg in at If yu d nt receive an with instructins n hw t lg in t this site, immunitraxsupprt@medicat.cm.] *Please nte that this infrmatin is fr the sle purpse f backgrund screening fr this schl nly. Unauthrized use f ur service is prhibited* When ding ImmuniTrax yu MUST print ut the Health Page that states all required shts and infrmatin. Take this page t yur Health Care Prvider. Have this page filled ut entirely, signed and dated by the Prvider. Send this page ONLY t ImmuniTrax t ensure they can verify yur recrds, after yu have self-reprted these dates PRINT verificatin dcument and attach t the ther pieces f eligibility packet t turn in. This als includes CPR certificatin. NO NEED TO WAIT FOR CCC TO APPROVED THIS INFORMATION! HEALTH REGULATIONS: OUR HEALTH REQUIREMENTS DO NOT AUTOMATICALLY INCLUDE CCC S HEALTH REQUIREMENTS. YOU MUST ALSO DO THE HEALTH OFFICE QUESTIONNAIRE FOUND ONLINE UNDER HEALTH OFFICE. (REFER TO Health ffice immunizatins requirements.)

7 PENNSYLVANIA CHILD ABUSE HISTORY CLEARANCE INSTRUCTIONS (frm the Pennsylvania WebSite) Effective December 31, 2014 THE PENNSYLVANIA CHILD ABUSE HISTORY CLEARANCE APPLICATION CAN BE SUBMITTED ONLINE. ONCE YOU ENTER THE LINK BELOW YOU WILL BE DIRECTED TO THE CHILD WELFARE PORTAL WHERE YOU MUST CREATE AN ACCOUNT OR LOG IN IF YOU ALREADY HAVE AN ACCOUNT. NOTE: YOU WILL NEED AN ADDRESS TO CREATE AN ACCOUNT. THE PENNSYLVANIA CHILD ABUSE HISTORY CLEARANCE CERTIFICATE WILL NO LONGER BE ISSUED ON IVORY MARBLE SECURITY PAPER. ALL CHILD ABUSE HISTORY CLEARANCE RESULTS WILL BE ISSUED ON PLAIN WHITE PAPER AS OF DECEMBER 31, VOLUNTEERS ARE NO LONGER REQUIRED TO SUBMIT A COPY OF THE PROCESSED RESULTS OF THEIR REQUEST FOR CRIMINAL RECORDS CHECK (SP4-164) FROM THE PENNSYLVANIA STATE POLICE OR A COPY OF THEIR FBI RESULTS WITH THEIR PENNSYLVANIA CHILD ABUSE HISTORY CLEARANCE APPLICATION. IF WE RECEIVE COPIES ATTACHED TO THE PENNSYLVANIA CHILD ABUSE HISTORY CLEARANCE APPLICATION WE WILL NOT RETURN THOSE COPIES TO THE APPLICANT. ELECTRONIC SUBMISSION Child Abuse Histry Clearance Online: Creating an accunt and submitting yur clearance applicatin nline will give yu immediate access t yur results r the status f yur results if yur results cannt be prcessed immediately. Organizatins wh want t set up business accunts must first register fr a Business Partner User accunt using the Organizatin Accunt Access link n the Child Welfare Prtal. Organizatin accunts will allw businesses and rganizatins t purchase child abuse histry clearance payment cdes and distribute thse cdes t applicants. When an applicant uses a cde given t them by an rganizatin, the rganizatin will have access t the applicant s child abuse histry clearance results nce thse results are prcessed. Fr questins related t the Pennsylvania Child Abuse Histry Clearance, please cntact the ChildLine Verificatin Unit at r tll free at

8 STUDENT INFORMATION fr LPN seeking Advanced Placement: I am an LPN seeking Advanced Placement and plan t enter Nursing II Spring PACKETS ARE TO BE SUBMITTED BY NOVEMBER 15, 2017 TO NURSE EDUCATION OFFICE, 2ND FLOOR HEALTH EDUCATION CENTER AT 132 DENISON PARKWAY EAST. M - F 8-3 Please attach a cpy f the fllwing t this infrmatin frm prir t submitting the packet: Criminal Backgrund Screening results ImmuniTrax verificatin Pennsylvania Child Abuse Screening results Unfficial cllege transcripts Official cpy f yur PN transcript Current LPN license registratin shwing expiratin date Recent clinical experience frm Letter f reference Name: Last First Middle Initial Mailing address: Huse# / Apt# / P.O. Bx / Rural rute Street name City/State/Zip Cde Birthdate: CCC CID# C Last 4 f SS# Cunty f Residence: Chemung Schuyler Steuben Other - please identify Previus name(s) under which yur academic recrds are listed? High Schl Name & Graduatin Date / GED Date Previus degrees btained: HAVE YOU EVER ATTENDED NURSING I AT CCC? If yes, please prvide date(s) Phne # Daytime Hme Phne: Cell Wrk Phne Persnal Cllege address: HAVE YOU EVER BEEN CONVICTED OF A FELONY: Release and Signature: The infrmatin prvided in this applicatin is crrect t the best f my knwledge. Signature f Applicant: Date: Please read, sign, and submit the Essential Functins frm included n next page.

9 ESSENTIAL FUNCTIONS FOR NURSING STUDENTS I,, a prspective nursing student, verify that I am able t: Maintain emtinal stability, accept respnsibility, and be accuntable fr my wn actins. Signature: See: Must pssess near clarity f visin at 20 inches r less and far clarity f visin at 20 feet r mre. Hear: Must be able t hear verbal cmmunicatin, as well as sunds that indicate changes in a persn s cnditin (fr example: breathing sunds, heart sunds, heartbeat, bld pressure ). Speak: Speak t clients and members f the health team utilizing understandable English. Feel: Pssess sufficient sense f tuch t determine a persn s cnditin (fr example: changes in skin temperature, pulses ). Read and Understand: Read and understand English. Write: Use the English language t write legibly, thrughly, cncisely and apprpriately. Utilizes Infrmatics: Perfrm basic functins including use f a wrd prcessing prgram t cut/paste/cpy/frmat dcuments; create/respnd/attach dcuments t an ; search the internet; and dwnlad assignments, save, cmplete assignments and return t sender. Calculate: Use mathematical functins t accurately calculate (fr example: add, subtract, multiply, and divide - whle numbers, decimals, and fractins and use basic algebraic equatins). Mve: Mve freely t perfrm safe client care with bth grss and fine mtr skills. Lift: Lift and/r supprt a persn in rder t safely assist that persn t change psitin, mve and ambulate.

10 Think: Successfully cmplete the pre-requisites f the Nurse Educatin prgram. Have the ability t learn, assess, analyze, and slve prblems. Transprt: Transprt self (fr example: travel t cllege, cmmunity assignments, clinical facilities, and cmmunity agencies ). If any f the abve infrmatin changes, it is the respnsibility f the student t ntify the Nurse Educatin Directr. I verify that the abve infrmatin is true. Student Name - Printed Student Name Signature Date wrd/applicatinpacket/essentialfunctins revised 5/13

11 Recent Clinical Experience Frm Name Current Emplyer Address f Emplyer Number f years emplyed at the abve agency If nt currently emplyed at the abve agency, please prvide the date when yu left emplyment at the abve agency Brief descriptin f yur jb respnsibilities at the abve agency T the best f my knwledge, the abve infrmatin is accurate. Name (print) Signature Date