ASSOCIATE DEGREE NURSING EDUCATION PROGRAM STUDENT HANDBOOK

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1 ASSOCIATE DEGREE NURSING EDUCATION PROGRAM STUDENT HANDBOOK AY Disclaimer The contents of this Associate Degree Nursing Education Student Handbook are effective as of July 1, All information contained herein is subject to change. If you have any questions or wish to confirm information contained herein, please contact the Division of Nursing.

2 Upon review of this document, the Letter of Agreement, Chemical Substance Policy Acknowledgement, Degree Audit Agreement, and Nursing Skills Laboratory Agreement must be electronically signed within the designated background screening and compliance tracking database currently being used by the program for admission and progression within the nursing program. 2

3 Dear Nursing Student: On behalf of the faculty and administration, we welcome you to the Cuyahoga Community College Associate Degree Nursing Program. Upon successful completion of the program, you will meet the educational requirements for eligibility to take the National Council Licensure Examination for Registered Nurses (NCLEX-RN). The nursing curriculum at Cuyahoga Community College is challenging and rewarding, and requires significant outside time commitments in order to be successful. We understand that many students must continue to work as they seek to advance themselves academically, but it is critical that you take time to make the appropriate lifestyle adjustments prior to beginning the program and utilize the numerous resources available here at the College in order to ensure your success. The faculty and administrative staff are eager to help you throughout this program. We have developed this Student Handbook to facilitate the successful completion of the Associate Degree Nursing Program, and to assist you with preparation for the National Council Licensure Examination for Registered Nurses. The handbook includes a description of the program, the curriculum, and policies and procedures specific to the Associate Degree Nursing Program. You are encouraged to carefully read the handbook and keep it for future reference. If you have questions regarding content in the handbook, please feel free to clarify them with faculty or direct your questions to the Nursing Office staff. We wish you much success in your pursuit of a career in nursing! Sincerely, Vivian Yates PhD, MSN, RN Dean, Division of Nursing Ebony Drummer MSN, RN Associate Dean, Division of Nursing Joy Caldwell MSN, RN Program Manager, Division of Nursing Aprille Haynie MSN, RN Program Manager, Division of Nursing Meredith Walker MSN, RN Program Manager, Division of Nursing Wendy Batch-Wilson DNP, RN Director Nursing Skills Lab, Division of Nursing 3

4 TABLE OF CONTENTS PROGRAM INFORMATION... 5 STUDENT RESPONSIBILITY STATEMENT... 6 STUDENT COMMUNICATION POLICY... 6 NON-DISCRIMINATORY/DIVERSITY PRACTICES... 6 PHILOSOPHY... 7 ORGANIZATIONAL FRAMEWORK... 8 EDUCATIONAL AND PROGRAM OUTCOMES... 9 ORIENTATION, REGISTRATION, PROGRAM TRACK, REQUEST TO MOVE, PROGRESSION, WITHDRAWAL, AND READMISSION POLICIES AND PROCEDURES ORIENTATION REGISTRATION PROGRAM TRACKS TECHNICAL STANDARDS FOR ADMISSION, PROGRESSION, AND GRADUTION PROGRESSION PROCEDURE WITHDRAWAL PROCEDURE REQUEST TO MOVE READMISSION PROCEDURES READMISSION LIST PROGRAM COMPLETION AND LICENSING PROCEDURES POLICIES AND PROCEDURES: CLASSROOM, SKILLS, LAB, AND CLINICAL GRADING STANDARDS STUDENT NOTIFICATION OF UNISATISFACTORY PERFORMANCE EXAMINATIONS CLINICAL COMPENTECY EXAMINATION GRADE DISPUTE AND PROGRAM COMPLAINT POLICY ATTENDANCE NURSING SKILLS LABORATORY CLINICAL CLINICAL ATTENDANCE CLINICAL COMPLIANCE REQUIREMENTS DRESS CODE AND UNIFORM STUDENT ILLNESS AND INJURY PROCEDURE STUDENT EVALUATION OF NURSING COURSES AND CLINICAL SITES STUDENT CONDUCT AND PROFESSIONAL CODE OF ETHICS REGULATIONS AND GUIDELINES STUDENT SUPPORT SERVICES/RESOURCES

5 ASSOCIATE OF APPLIED SCIENCE DEGREE IN NURSING PROGRAM INFORMATION History of the Nursing Programs at Cuyahoga Community College In 1964, Cuyahoga Community College offered the first Associate Degree Nursing Program in the state of Ohio with the first class graduating in In 1968, the Ohio Board of Nursing approved a separate program at the interim Western Campus in Parma. These two programs served two different community profiles and held separate certifications, accreditations, curricula, advisory committees, and admission criteria. In 1977, the College Board of Trustees conducted an extensive review, analysis, and evaluation of the two programs. As an outcome of this process, one college-wide program was established in Since that time, the Cuyahoga Community College Associate Degree Nursing Program has remained a single entity. The Practical Nursing Program was a vocational program prior to The Program was under the auspices of the Cleveland Public Schools as The Jane Addams School of Practical Nursing. Cuyahoga Community College took over the program in 1997, and the program was converted to a college creditbearing program where students earn a Certificate of Proficiency. The Ohio Board of Nursing has continued to approve the nursing programs since their establishment. Accreditation from the National League for Nursing was achieved in 1982 for the Associate Degree Nursing Program, and has been maintained by the Accreditation Commission for Education in Nursing since that time. Associate Degree Nursing Program The Associate Degree Nursing (ADN) Program is a two-year program that admits students twice a year in a day or modified evening/weekend section. In consideration of the various stages of students education levels and experiences, there are three entry tracks into the ADN program. These entry tracks are: Generic Track: offered to students with classes scheduled in Day or Modified Evening sections at the Eastern, Metropolitan, and Westshore campuses. Accelerated Track: offered to students with a Bachelor s Degree or higher from an accredited institution. These students enter in the Fall day section at the Metropolitan campus only. LPN-to-RN Track: offered to qualified Licensed Practical Nurses through ACCESS. These students enter in the Spring modified evening section at the Eastern Campus only. Students progress through a curriculum based on nursing concepts and skills that enable the nurse to adapt in a changing society, Opportunities for student learning are diverse and enriched by exposure to various clinical agencies throughout Northeast Ohio. Students also have the opportunity to care for individuals of all ages in medical, surgical, pediatric, obstetric and geriatric settings. Upon completion of the program, graduates are eligible to sit for the National Council Licensure Examination for Registered Nurses (NCLEX-RN). The program prepares graduates to be able to provide nursing care to patients or groups of patients at home or in institutions, at the direction of a licensed physician, advanced practice nurse, dentist, optometrist or podiatrist. 5

6 STUDENT RESPONSIBILITY STATEMENT The Associate Degree Nursing Student is responsible for receiving this Handbook and adhering to the standards and procedures contained herein. Any information contained herein is subject to modification, deletion, or change. When there is a change in program or policy, the Handbook will be updated, and it will be communicated via the student s Tri-C along with an announcement on the ADN group site. Students are also responsible for having their current address and telephone number reported to the Enrollment Center at any campus. This information can also be updated through My Tri-C space. STUDENT COMMUNICATIONS POLICY Cuyahoga Community College (CCC) has established as an official and primary means of communication with students. An official Cuyahoga Community address is required for all students. The college expects that every student will receive at his or her CCC address and will read on a frequent and consistent basis. A student's failure to receive and read college communications in a timely manner does not absolve that student from knowing and complying with the content of such communications. Students may elect to redirect (auto-forward) sent to their CCC address. Students who redirect from their official CCC address to another address do so at their own risk. If is lost as a result of forwarding, it does not absolve the student from the responsibilities associated with communications sent to their official CCC address. NON-DISCRIMINATORY/DIVERSITY PRACTICES Diversity: At Cuyahoga Community College, we are fortunate to have a true mosaic of people that contribute daily to create a magnificent learning environment. The college s position is that diversity enriches not only the institution but society as a whole. We are committed to appreciating diverse perspectives and valuing the collective differences and similarities that make us who we are. Discrimination: Discrimination against any individual based upon a person s age, ancestry, color, disability, genetic, information, military status, national origin, race, religion, sex, sexual orientation, or veteran status is prohibited. Any employee, student or other person who wishes to report discrimination or harassment based on any of the aforementioned protected classes, should contact the: College s Office of Inclusion, Diversity & Equal Opportunity Compliance Cuyahoga Community College 700 Carnegie Avenue Cleveland, OH (216) or In addition, the College s Title IX (related to disability discrimination) and section 504 and Title II of the Americans with Disabilities Act (related to disability discrimination) Coordinator is the director of Inclusion, Diversity, and Equal Opportunity Compliance. The Coordinator can be reached at the above captioned address and telephone number. 6

7 PHILOSOPHY The Associate Degree Nursing Program within the Division of Nursing is an integral component of Cuyahoga Community College. The philosophy of the Associate Degree Nursing Faculty is consistent with the general mission of the College, which is to provide high quality, accessible, and affordable educational opportunities and services to all members of the community. The educational environment of the College and Nursing Program are designed to promote individual development and to improve the overall quality of life in a multicultural community. Additionally the philosophy of the Associate Degree Nursing Program encompasses concepts related to the individual, society, health, nursing, and teaching/learning. These concepts are an integral part of the Associate Degree Nursing Program. The Faculty believe: The Individual is a unique, biopsychosocial, spiritual being capable of thought, learning, and reflection who exists within the structure of a family, culture, society, and environment. The individual has human needs, the potential for growth and development along the age continuum, and the ability to reach their maximum potential to meet their self-care needs. These needs are affected by heredity, culture, socioeconomic, spiritual, and environmental factors. Orem not only views the individual as self-reliant but also as responsible for assisting dependents in meeting self-care needs. Dynamic external and internal forces influence the individual s ability to regulate factors that promote/maintain life, health, and well-being. Society is a complex, dynamic structure created by groups of individuals and influenced by cultural and environmental diversity. Within society, individuals and groups attempt to maintain health by meeting universal self-care needs, maintaining homeostasis, and achieving maximum potential. Cultural beliefs/values influence the way an individual meets self-care needs. Acknowledgment and acceptance of cultural diversity in society adds strength to its structure and function. A change in either the individual or the environment will affect one's ability to perform self-care. To promote health in an ever-changing society, the needs and goals of the individual and society must be recognized and analyzed. This improves the overall quality of life in a multicultural community. Health is a dynamic interactive balanced state among society, the environment, and the individual's biopsychosocial and spiritual needs. Health is a progressive movement toward the achievement of maximum potential, and is a state of optimal functioning or wellness unique for each person. To promote health throughout the life span, universal self-care needs, developmental self-care needs, and health deviation self-care needs must be addressed. Any disturbance in this interrelationship may result in an altered state of health or illness resulting the individual being unable to meet all of their self-care needs. Disease is an abnormal process, which occurs as the result of changes in the individual s biopsychosocial integrity. Nursing is an art and a science concerned with helping individuals, families, groups and society meet their self-care needs. Orem defines nursing as the giving of assistance to individuals when they are unable to meet their own self-care needs. Furthermore, nursing is a deliberate process that involves the utilization of cognitive, affective, and psychomotor skills. Nurses use critical thinking, the process of purposeful selfregulatory judgment, in conjunction with the nursing process, communication skills, and therapeutic nursing interventions to help people attain, regain, and maintain maximum health and cope with illness and death. Through collaborative and independent action, nurses protect, nurture, and facilitate change through patient centered care. Nurses respect human dignity and the uniqueness of the individual by providing safe, effective, and evidence-based quality nursing care. 7

8 The Associate Degree Nurse is a provider of care, manager of care, and a member of the discipline of nursing. The Associate Degree Nurse uses critical thinking to assess, analyze, plan, implement, and evaluate nursing care for groups of individuals and families in a variety of healthcare settings. As provider and manager of care, the Associate Degree Nurse collaborates and delegates as an independent and interdependent member of the healthcare team to provide technically competent care within the ethical/legal framework of the nursing profession. Teaching/Learning is an interactive process between teachers and learners, which results in change in cognitive, affective, and psychomotor behaviors. Learning is a lifelong process, which assists individuals to assimilate, integrate and synthesize information in such a way that it may be applied. Learning is an active process that is enhanced in a supportive environment that recognizes cultural diversity, societal needs and individuals abilities and learning styles. Based on these individual learning styles and abilities, the Associate Degree Nursing Education Division provides diverse resources to foster the progression of the learner. Teaching embodies establishing objectives, organizing materials, designing learning strategies, and evaluating student performance. The nursing education process proceeds from simple to complex, and provides essential teaching-learning strategies by which the student may achieve the goals of the program. The teacher's primary role is that of facilitator and motivator in the mutually shared teaching/learning experience. The Associate Degree Nursing Program at Cuyahoga Community College is a career-oriented program leading to an Associate in Applied Science Degree with a major in nursing. The program provides high quality, accessible, and affordable education, and is committed to extending broad educational opportunities to a non-traditional student body. The program is dedicated to providing equal opportunity for all students, promoting individual development, and improving the overall quality of life in a multicultural community. ORGANIZATIONAL FRAMEWORK The Faculty of the Associate Degree Nursing Program within the Division of Nursing have developed an organizing framework that provides direction for the nursing curriculum and promotes optimal student learning. The organizational framework is derived from the Philosophy and Dorthea Orem s Self-Care Deficit Theory of Nursing, and provides a basis for the content and sequence of courses. The organizational framework states that individuals function and maintain life, health, and well-being through self-care. Nursing focuses on the identification of self-care deficits, analysis, planning, implementation, and evaluation of the individual's ability to meet self-care needs. Family members or others may provide care until an individual is able to meet their own self-care needs. Also incorporated into this framework, are the concepts described within the Philosophy related to the individual, society, health, and nursing. Additionally six major themes have been identified and incorporated into the curriculum through the organizing framework. These themes are Nursing Process, Critical Thinking, Communication, Human Development, Cultural Diversity, and the Role of the Associate Degree Nurse. These themes are defined as follows: Nursing Process Nursing Process is central to nursing practice. The five steps of the nursing process: assessment, analysis, planning, implementation, and evaluation provide the framework for delivery of patient care and are the structure for course content in the Nursing Education Program. 8

9 Critical Thinking Critical Thinking is the process of purposeful, self-regulatory judgment. This process gives reasoned consideration to practice based on evidence, contexts, conceptualizations, methods, and criteria. Critical thinking, in conjunction with the nursing process, is the basis for making clinical decisions. Communication Communication is a dynamic, interactive process that encompasses the teaching/learning process. Communication is essential in collaborating with members of the healthcare team to meet the selfcare needs of patients. Effective oral, written, and non-verbal communication skills are necessary to apply the nursing process, to promote self-care, and to guide and teach patients. Teaching and learning techniques are incorporated throughout the program. Nursing students use therapeutic communication techniques with individuals, families, and groups to further the goal of self-care. Human Development All human beings have specialized growth and developmental needs and related tasks to accomplish at various stages of the life span. Individuals differ in their ability to meet self-care needs. The amount of assistance needed to meet self-care needs is affected by developmental stage and adverse effects of illness. Students are provided with opportunities to assist individuals to meet self-care needs at different developmental stages. Cultural Diversity Cultural and socioeconomic factors influence ability to meet self-care needs. Variations in self-care result from unique life experiences. Cultural norms are learned first in the family and then in societal groups. Students are exposed to the impact of socioeconomics and cultural diversity both in the classroom and in clinical agencies. Knowledge of cultural variation is incorporated when planning and implementing nursing care. Role of the Associate Degree Nurse Delivers safe, competent, and quality patient centered nursing care in the roles of: provider of care, manager of care, and member of the discipline of Nursing. The Nurse adheres to ethical and legal standards of the nursing profession. The Nurse applies knowledge of biopsychosocial and scientific principles when providing technically competent care. The Nurse collaborates with and delegates to others to manage the care of groups of individuals and families in a variety of healthcare settings. Educational Outcomes EDUCATIONAL AND PROGRAM OUTCOMES Upon completion of the Associate Degree Nursing Program, the graduate will: 1. Apply the nursing process in managing care for groups of individuals and families in a variety of healthcare settings. 2. Utilize information from multiple sources for managing safe, effective and quality nursing care for groups of individuals and families in a variety of healthcare settings. 3. Utilize critical thinking to apply evidence-based practice when managing care for groups of individuals and families in a variety of healthcare settings. 9

10 4. Apply effective communication skills to establish and maintain therapeutic and professional relationships in managing care for groups of individuals and families in a variety of healthcare settings. 5. Integrate principles of human development when providing nursing care for groups of individuals and families across the life span. 6. Incorporate knowledge of cultural and socioeconomic factors in the management of nursing care for groups of individuals and families in a variety of healthcare settings. 7. Deliver safe, competent and quality patient centered nursing care within the role of the Associate Degree Nurse as a: a. Provider of care: i. Integrate biopsychosocial and scientific principles when providing technically competent care for groups of individuals and families in a variety of healthcare settings. b. Manager of care: i. Collaborate as a member of the healthcare team to manage the care of groups of individuals and families in a variety of healthcare settings. ii. Delegate activities to manage the care of groups of individuals and families in a variety of healthcare settings. c. Member of the discipline of nursing: i. Practice within the ethical and legal framework of the nursing profession. ii. Formulate a plan for continuing professional development. iii. Identify resources for continuing professional development. Program Outcomes LEVEL I OUTCOMES Nursing Process Implement an individualized nursing care plan for individuals and families for health maintenance and restoration, based on self-care deficit theory. Critical Thinking Select information from multiple sources for planning safe, effective and quality nursing care for individuals and families. Utilize critical thinking skills to identify evidence based practice principles in the provision of safe, effective quality nursing care for individuals and families. Prioritize nursing responses/actions to patient care situations. LEVEL II OUTCOMES Nursing Process Apply the nursing process in managing care for groups of individuals and families in a variety of healthcare settings. Critical Thinking Utilize information from multiple sources for managing safe, effective and quality nursing care for groups of individuals and families in a variety of healthcare settings. Utilize critical thinking to apply evidence based practice when managing safe, effective and quality nursing care for groups of individuals and families in a variety of healthcare settings. Interpret data as to its reliability and relevance to particular patient care situations. 10

11 LEVEL I OUTCOMES Explain reasons for arriving at conclusions when providing quality nursing care for individuals and families. Communication Establish effective professional relationships with individuals and families using therapeutic communication techniques and appropriate teaching strategies. Human Development Apply knowledge of human development in providing nursing care for individuals and families. Cultural Diversity Recognize the impact of cultural, spiritual and socioeconomic influences affecting individuals with selected health care deviations. LEVEL II OUTCOMES Communication Evaluate effective communication skills to establish and maintain therapeutic and professional relationships in managing care for groups of individuals and families in a variety of health care settings. Human Development Integrate principles of human development when providing nursing care for groups of individuals and families across the life span Cultural Diversity Incorporate knowledge of cultural and socioeconomic factors in the management of nursing care for groups of individuals and families in a variety of health care settings. ADN Role Deliver safe, competent and quality patient centered nursing care within the role of the Associate Degree Nurse as a: Provider of Care Demonstrate technically competent care incorporating biopsychosocial and scientific principles, to meet the self-care needs of individuals and families with selected health care deviations. Manager of Care Interact with members of the healthcare team to meet patients needs. Construct a collaborative plan of care to meet the self-care needs of individuals and families based on principles of delegation. Member of the Discipline of Nursing Practice within the ethical and legal framework of the nursing profession. Demonstrate responsibility for own learning. ADN Role Deliver safe, competent and quality patient centered nursing care within the role of the Associate Degree Nurse as a: Provider of Care Integrate biopsychosocial and scientific principles when providing technically competent care for groups of individuals and families in a variety of healthcare settings. Manager of Care Collaborate as a member of the healthcare team to manage the care of groups of individuals and families in a variety of healthcare settings. Delegate activities to manage the care of groups of individuals and families in a variety of healthcare settings. Member of the Discipline of Nursing Practice within the ethical and legal framework of the nursing profession. Demonstrate responsibility for own learning. 11

12 ORIENTATION, REGISTRATION, COURSE SEQUENCE, PROGRAM TRACKS, MOVE REQUESTS, PROGRESSION, WITHDRAWAL, AND READMISSION PROCEDURES ORIENTATION Prior to beginning the nursing program, a mandatory orientation will be held to inform new students (also ACCESS and transfer students) about the program and the support services available. Students who do not attend this orientation will lose their reserved seat. Students who accept a slot in the nursing program (with a specific starting date for nursing courses) and do not attend orientation, decline a slot after orientation, do not attend the first day of class, do not meet all medical record, health insurance, CPR, and/or background check requirements will be required to restart the application process. Students admitted for a fall semester may reapply after Sept. 1 st ; students admitted for a spring semester may apply after February 1 st. Students must meet all current admission requirements at the time of application. NURSING REGISTRATION Information regarding nursing registration, start/end dates for classes/lab/clinical, and requested clinical sites is posted on the ADN Blackboard Group Site. Once nursing registration has closed and a clinical, lecture, or lab placement has been assigned to a student, students are not permitted to change their selections. Request for clinical, lecture or lab placement changes after the nursing registration process has closed, will be considered only for extenuating circumstances by the appropriate Program Manager or Administrator. A written explanation for the request and ALL supporting documentation of extenuating circumstances must accompany the request. If deemed appropriate, then the change will be granted on space available basis. ***The sale, bartering of services or the offering of an incentive between students to change a lecture, clinical, or lab placement is prohibited. If a student(s) has been found to have done so, this will be considered a conduct issue and will be subject to disciplinary action at the discretion of the Dean and/or Associate Dean of Nursing. 12

13 PROGRAM TRACKS ASSOCIATE OF APPLIED SCIENCE IN NURSING - GENERIC Course Program Admission Requirements Credit Hours BIO 1100 or CHEM 1010 & CHEM Introduction to Biological Chemistry Introduction to Inorganic Chemistry/Introduction to 3 4/ Organic Chemistry and Biochemistry ENG 1010 or ENG 101 College Composition or 3 H Honors College Composition I MATH 1240 Contemporary Mathematics 3 PSY 1010 or PSY 101 H General Psychology or Honors General Psychology 3 TOTAL First Semester BIO-2331 Associate Degree Nursing Program Generic Track Credit Hours 4 Anatomy and Physiology I (concurrent enrollment) NURS-1300 Health Assessment 2 NURS-1451 Self-Care Needs - Across the Life Span 7 PSY-2020 Life Span Development 4 (concurrent enrollment) TOTAL 17 Second Semester Credit Hours BIO-2341 Anatomy and Physiology II 4 (concurrent enrollment) BIO-2500 Microbiology 4 (concurrent enrollment) NURS-1601 Health Deviations I *** (blended learning format) 7 NURS-1701 Community/Home Nursing ***(blended learning 1 format) TOTAL 16 Third Semester Credit Hours ENG College Composition II 3 (concurrent enrollment) NURS-2301 Specialized Health Care 8 TOTAL 11 Fourth Semester Credit Hours NURS-2501 Health Deviations II ***(blended learning format) 8 TOTAL 8 NURSING PROGRAM TOTAL 52 13

14 ASSOCIATE OF APPLIED SCIENCE IN NURSING ACCELERATED Course Program Admission Requirements Credit Hours BIO 1100 or CHEM 1010 & CHEM Introduction to Biological Chemistry Introduction to Inorganic Chemistry/Introduction to 3 4/ Organic Chemistry and Biochemistry BIO 2331 & BIO 2341 Anatomy and Physiology I/Anatomy and Physiology 4/4 II BIO 2500 Microbiology 4 ENG 1010 or ENG 101 College Composition or 3 H Honors College Composition I MATH 1240 Contemporary Mathematics 3 PSY 1010 or PSY 101 H General Psychology or Honors General Psychology 3 TOTAL Associate Degree Nursing Program Accelerated Track First Semester Credit Hours NURS-1300 Health Assessment 2 NURS-1451 Self-Care Needs - Across the Life Span 7 PSY-2020 Life Span Development 4 (concurrent enrollment) TOTAL 13 Second Semester Credit Hours NURS-1601 Health Deviations I*** (Offered in a blended learning 7 format) NURS-1701 Community/Home Nursing***(Offered in a blended 1 learning format) TOTAL 8 Third Semester Credit Hours ENG 1020 College Composition II (concurrent enrollment) 3 NURS-2300 Specialized Health Care 8 TOTAL 11 Fourth Semester Credit Hours NURS-2501 Health Deviations***(Offered in a blended learning 8 format) TOTAL 8 NURSING PROGRAM TOTAL 40 14

15 LPN-to-RN TRACK Achieving Continuing Career Education for Success and Satisfaction (ACCESS) NURS-160A - Access to Registered Nursing and NURS-160D - Health Deviations I for LPNs are designed to meet the need for advanced placement of Licensed Practical Nurses (LPNs). NURS-160A, Access to Registered Nursing, is an 8-week course comprised of lecture and a college lab. Scheduled lecture and lab typically involve two evenings per week; additional time may be required to practice and test out of lab skills. Students must successfully complete NURS-160A in order to progress to NURS-160D. NURS-160A MAY NOT BE REPEATED. STUDENTS MUST COMPLETE ALL PRE-REQUISITE COURSEWORK WITH APPROPRIATE GRADES PRIOR TO PROGRESSION TO NURS *After successful completion of NURS-160A and while enrolled in NURS-160D, students will be required to complete the Award of Comparable Credit: Assessment of Prior Learning form requesting By-Passed credit for NURS 1300, 1451 and 1601 (16 credit hours) or if eligible apply for transfer of credit for NURS 1300, 1451 and 1601 (16 credit hours) through the Career Technical Assurance Guide (CTAG) process. Awarded comparable or CTAG credit will not affect a student s grade point average or quality points. Students MUST MAINTAIN TERM ENROLLMENT in order to receive this credit. Course Program Admission Requirements Credit Hours BIO 1100 or CHEM 1010 & CHEM Introduction to Biological Chemistry Introduction to Inorganic Chemistry/Introduction to 3 4/ Organic Chemistry and Biochemistry ENG 1010 or ENG 101 H College Composition or 3 Honors College Composition I MATH 1240 Contemporary Mathematics 3 PSY 1010 or PSY 101 H General Psychology or Honors General Psychology 3 TOTAL

16 Associate Degree Nursing Program LPN-to-RN Track First Semester Credit Hours BIO-2331 Anatomy and Physiology I 4 NURS-160 A Access to Registered Nursing*** 3 NURS-160 D Health Deviations I for LPNs**** 3 PSY-2020 Life Span Development 4 (concurrent enrollment) TOTAL 14 Summer Credit Hours BIO-2341 Anatomy and Physiology II 4 BIO 2500 Microbiology 4 TOTAL 8 Second Semester Credit Hours ENG 1020 College Composition II 3 (concurrent enrollment) NURS-2301 Specialized Health Care 8 NURS 1701 Community/Home Nursing*** 1 TOTAL 12 Third Semester Credit Hours NURS-2501 Health Deviations*** 8 TOTAL 8 NURSING PROGRAM TOTAL 42 TECHNICAL STANDARDS FOR ADMISSION, PROGRESSION, AND GRADUATION Physical and Mental Qualifications The following are the minimal physical and mental qualifications necessary to be considered for admission and progression through the Cuyahoga Community College Associate Degree Nursing Program. Performance Standard Examples of necessary activities (Not all inclusive) Physical strength Mobility The ability to assist in lifting or moving patients of all age groups and weights. The ability to move around the patient s room and in work areas. Lift up to 35% of recommended body weight Stand and/or walk six to eight hours a day Walk rapidly for a prolonged period from one area to another Bend or squat frequently Provide care for a patient in an elevated hospital bed or stretcher Perform one man CPR when necessary 16

17 Performance Standard Examples of necessary activities (Not all inclusive) Auditory acuity Motor skills Tactile Auditory acuity sufficient to hear instructions, requests and monitoring alarms, and to auscultate heart sounds, breath sounds and bowel sounds. Gross and fine motor abilities sufficient to provide safe and effective nursing care. Tactile ability sufficient for physical assessment. Hear sufficiently to detect subtle changes in patient s condition Hear sufficiently to interpret various equipment signals Perform physical assessment techniques including: inspection, auscultation, palpation and percussion. Calibrate and use equipment Position and turn patients Perform palpation, auscultation, percussion and functions of physical examination and/or those related to therapeutic intervention Communication Critical thinking Interpersonal Social behavior Professionalism Stress management The ability to provide effective written, oral and nonverbal communication with patients and their families, colleagues, healthcare providers and the public. The ability to speak, write and Comprehend the English language proficiently. Critical thinking ability sufficient for clinical judgment. Interpersonal abilities sufficient to interact with individuals, families and groups from a variety of social, emotional, cultural and intellectual backgrounds. Compassion, integrity, interpersonal skills, interest and motivation. The ability to adhere to ethical standards of conduct as well as applicable state and federal laws. Emotional maturity and stability to approach highly stressful human situations in a calm and rational manner. Explain treatment procedures, initiate health teaching, document and interpret nursing actions and patient responses. Give oral and written reports to other members of the healthcare team Identify cause-effect relationships in critical situations, develop nursing care plans Establish rapport with patients and colleagues Develop a mature, sensitive and therapeutic relationship with patients 17

18 A qualified person with a disability who can perform these essential functions with any reasonable accommodation will be considered for admission along with other qualified applicants. It will be the student s responsibility to contact the ACCESS/Disabled Student Services Office for further information and assistance. PROGRESSION 1. All health, CPR and ACEMAPP requirements must be completed, and maintained throughout the entire program. 2. Must have a current, completed, reviewed and cleared BCI. 3. A cumulative GPA of 2.0 is necessary each semester to progress through the nursing program. 4. A grade of C or better is required for all NURS courses: NURS 1300, NURS 1451, NURS 1601, NURS 160A/160D, NURS 1701, NURS 2301, NURS A grade of less than C for a nursing course results in a failure for that course. 6. Students must receive a satisfactory evaluation within all nursing skills lab and clinical experiences. Failure to obtain a satisfactory evaluation within the skills lab and/or clinical will result in failure of the course even if the student is passing the theory portion of the course. 7. One clinical nursing course (NURS 1451, NURS 1601, NURS 160D, NURS 2301, NURS 2501) maybe repeated one time only to improve a grade of less than C. 8. One non-clinical nursing course (NURS 1300, 1701) may be repeated one time only to improve a grade of less than C. 9. A grade of less than C for a nursing course results in a failure for that course. A student is permitted to retake any of the above courses one additional time if a grade of C or less is obtained. 10. Students retaking a course must apply for readmission. 11. Students who fail a nursing course must retake the specific course in its entirety (lecture, lab and clinical components) in order to obtain credit for the course. The course must be successfully completed with a C or better grade before the student can progress to a subsequent nursing course. 12. Students who have either failed a clinical nursing course or withdrawn from a clinical nursing course regardless of the reason are eligible to be readmitted one time. This does not include failures based upon the clinical calculation competency examination policy or ACEMAPP requirements. Readmission due to failures related to the clinical calculations competency examinations will be determined by the Clinical Calculations Competency Examination Procedure. Students noncompliant with ACEMAPP requirements are eligible for re-admittance one time only. An exception to this procedure is that LPN to RN students (ACCESS to Nursing) may not repeat Nursing 160A. 13. Concurrent Courses: Each semester concurrent courses have been assigned and must be taken as scheduled or prior to the designated semester as outlined in the ADN course sequences. Concurrent courses are to be completed with a grade of C or better. If a concurrent course was not taken prior to the designated semester then the student must be registered in the course(s) the first day of the term; any student not registered in a concurrent course will be administratively withdrawn from the program. If a student withdraws from any concurrent 18

19 course during the semester, then they must withdraw from the nursing program as well. Failure to do so will result in the student being administratively withdrawn from the program. 14. Only one of the required core science courses may be repeated once to improve a grade of less than C from the date of application to the program. Two grades of less than C in any science core course, will result in automatic dismissal from the program even if obtained prior to enrollment within the program. Once dismissed from the Associate Degree Nursing Program the student must apply for readmission. 15. Core science courses completed over 7 years prior to date of application to the Nursing Program cannot be used to meet program requirements. 16. An incomplete grade in any nursing course must be successfully removed with a C grade or better and approved by the faculty member prior to progressing to the next nursing course. 17. Any withdrawal from a nursing course no matter the reason will be considered equivalent to a final course grade of less than C for readmission purposes. 18. Associate Degree Nursing students that have not withdrawn by the official withdrawal date will receive a failing course grade per College policy. 19. Once enrolled in the first clinical nursing course, the Generic, and LPN-to-RN track students must complete the nursing program within four calendar years. The Accelerated track students must complete the nursing program within 2½ calendar years. WITHDRAWAL PROCEDURE Students may initiate withdrawal from a nursing course according to the college process. Students withdrawing from a nursing course(s) prior to the official college withdrawal date are responsible to: 1. Withdraw from the nursing course(s) in accordance with the Cuyahoga Community College withdrawal policy. Students must withdraw online or submit a completed withdrawal form to the Enrollment Center by the official college withdrawal deadline date. 2. Schedule a conference with the nursing faculty of record. 3. Obtain required faculty signature/date on the Documentation of Student Status at Time of Withdrawal form. 4. Complete/sign/date the Withdrawal Form including a written statement on the form outlining the reasons for withdrawal from any nursing course. 5. Submit the Documentation Student Status at Time of Withdrawal and Withdrawal forms to the Division of Nursing of Education. 6. If the student desires they may make an appointment with a Program Manager in the Division of Nursing to discuss their program options. 7. Upon withdrawal from any component of a clinical nursing course, the student will be withdrawn from all components of that nursing course. Any student who continues to act in the role of a nursing student after withdrawing from a clinical course, will be dismissed from the nursing program and be ineligible for readmission. 19

20 Administrative Withdrawal A student will be administratively withdrawn from a nursing course if any of the following circumstances exists: 1. A student has not submitted initial and/or annual health and CPR requirements and/or completed ACEMAPP requirements. 2. A student is enrolled in a nursing course without first satisfactorily completing all prerequisites. 3. A student is enrolled in a nursing course and does not maintain enrollment throughout the semester in all General Education co-requisite courses. 4. A student is enrolled in a nursing course and has not completed a General Education co-requisite course(s) with a grade of C or higher (as outlined in the program sequence). 5. A student is enrolled in a nursing course and is dropped by the College for non-payment of tuition and fees. 6. A student who exceeds the maximum absences for lecture, nursing skills lab, or clinical experience. REQUEST TO MOVE A student is permitted to request to move from one campus to another, and/or from the day section to the modified evening section or vice versa one time while in the nursing program. Below are the conditions for requesting a move transfer: 1. For students currently enrolled in a nursing program the Request to Move form must be completed and submitted to the Division of Nursing office at least six weeks prior to the beginning of the semester. 2. For new students accepted into a nursing program the Request to Move form must be completed and submitted on the day of orientation. 3. Regardless of the reason, a request shall be granted on a space availability basis. 4. In the event space is not available the request will remain on file until space becomes available. If the student no longer wishes to pursue the request they may have it removed by requesting via to nursing@tri-c.edu, or in writing to the Metro Campus Division of Nursing office, 2900 Community College Ave., Cleveland, Ohio READMISSION PROCEDURE Students seeking readmission into the Associate Degree Nursing Program must submit a Request for Readmission to the Nursing Education Program form in order to be placed on the readmission list. Readmission shall be subject to the following requirements and limitations: 1. Readmitted students must meet the program admission requirements effective at the time of readmission. 2. Students who fail a course or withdraw due to failing are advised to seek assistance through the Academic Counseling Center. Students are also encouraged to seek assistance through Student Support Services. 3. Submit the Request for Readmission form to the Division of Nursing Education Office. Once the form has been received by the office, then the student will be placed on the readmission list. 20

21 4. Must have a minimum of 2.0 cumulative GPA at Cuyahoga Community College, inclusive of all nursing courses. 5. Will be required to complete an additional BCI check with finger prints depending on length of time out of the program. 6. Students who have not attended clinical nursing courses for more than two academic years are not eligible for readmission, and must seek admission to the nursing education program as a new student. 7. Any student who has been dismissed from the nursing program for any reason, including, but not limited to, unsafe clinical performance, violations of HIPAA or patient confidentiality, ANA ethical violations, violations of the Ohio Board of Nursing Student Conduct rules, violations of the College s Student Conduct Code, excessive absences/tardiness, violations of policies and procedures of any institution or facility, and violations of the social media policy must petition the Admission and Progression Committee when seeking readmission into the nursing program. This procedure must be followed even if a student has not been readmitted previously. In these cases, the Admission and Progression Committee will make the decision for readmission. The Admission and Progression Committees readmission decision is final. 8. Students who have been recommended for a Withdrawal Exception by the Student Affairs Department (reserved for severe extenuating circumstances) are still subject to the readmission policy. 9. Readmission to the nursing program for a third time shall be approved only upon demonstration of extenuating circumstances beyond the reasonable control of the student which may include emergency or unanticipated medical condition of the student or a member of the student s immediate family; military service in which the student is called to active duty; court orders impacting the student where the student is not a party to the court action, or other extenuating circumstances beyond the reasonable control of the student. Students seeking readmission for a third time must submit a letter of petition to the Admission and Progression Committee requesting an exception to the readmission policy. The letter of petition should include a written explanation for the request to be readmitted, and all supporting documentation of extenuating circumstances to substantiate the petition. Documentation submitted after the original letter of petition has been submitted will not be considered. The Committee will review all submitted documentation, and make a decision regarding readmission. The Admission and Progression Committee s decision is final. 10. Students who were dismissed from the College for academic reasons must petition their Campus Appeals Board for readmission three weeks prior to registration. These students must also see a counselor or faculty advisor to establish goals and objectives, and they must complete an Application for Admission form and a Campus Appeals Board form before being considered for readmission. Readmission to the College does not mean readmission to the nursing program. 11. All readmissions, regardless of the reason, will be placed on the readmission list and shall be on a space available basis. 12. Any student who is not eligible for readmission to the ADN program, maybe eligible for admission into the Practical Nursing Program. Please refer to the Practical Nursing Program Information Packet for additional information. 21

22 READMISSION LIST Students who withdraw from a nursing course and are eligible for readmission to the nursing program must submit appropriate forms to the Division of Nursing Education. Students, who withdraw from a nursing course prior to the official college withdrawal date, need to submit the following completed forms: 1. Division of Nursing Withdrawal Form 2. Division of Nursing Documentation of Student Status at Time of Withdrawal; form must be signed by the faculty. 3. Division of Nursing Request for Readmission Form In order to be placed on the readmission list, all required forms must be submitted at the same time. Placement on the readmission list for students that withdraw prior to the withdrawal date will be placed in the order in which the completed forms have been received to the Nursing Office. Students who withdraw from a nursing course after the withdrawal date will be placed on the readmission list upon a random selection through a lottery process of all readmission request forms by the deadline date and time selected for the semester. Any student submitting a Request for Readmission form after the deadline date and time will be placed on the readmit list following those students who were part of the lottery process in the order they are received. ***All forms are located on the ADN Blackboard Group site. PROGRAM COMPLETION AND LICENSING PROCEDURES Program Completion Requirements Students must satisfactorily complete all of the course requirements, nursing and college, with a grade of C or better to be qualified to complete the program and receive an Associate of Applied Science in Nursing, as well as achieve a passing score on the standardized comprehensive nursing exam taken in NURS It is the student s responsibility to petition for a Associate of Applied Science in Nursing online through my Tri-C space, following the time and procedure requirements set by the College. Students need to consult a counselor as well as run a Degree Works Report to ensure completion of all the requirements. Additionally all obligations to the College must be reconciled before a degree will be awarded. Once confirmation has been received from the registrar that a student has meet all requirements and the degree has been conferred, and the student has attended an on campus NCLEX review course, a program completion letter from the Office of the Dean will be sent to the board of nursing of choice. Once the letter has been received, a student can then begin to apply for licensure and the NCLEX examination. 22

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