WELCOME TO THE ASSOCIATE OF SCIENCE IN NURSING ORIENTATION

WELCOME TO THE ASSOCIATE OF SCIENCE IN NURSING ORIENTATION SUMMER 2016

FRESHMAN ASN ORIENTATION SUMMER 2016 IMPORTANT INFORMATION & DATES Please make arrangements to complete and submit the information noted below to the Pitt Bradford Nursing office as soon as possible. The materials are required of all students prior to entering a clinical facility. Failure to comply will result in an unexcused clinical absence. You are required to meet the deadlines! PLEASE MAKE A COPY OF ALL MATERIALS FOR YOUR RECORDS! 1.) Health Evaluation Form A completed health evaluation form must be received by Nursing, 244 Swarts Hall, 300 Campus Drive, Bradford, PA 16701, no later than August 5, 2016. 2.) Health (medical/hospitalization) Insurance Validation Form A completed form must be received by Nursing, 244 Swarts Hall, 300 Campus Drive, Bradford, PA 16701, no later than August 5, 2016. 3.) Cardiopulmonary Resuscitation (CPR) Certification* All students are required to have American Heart Association CPR for the Healthcare Provider Certification (2-year certification). A CPR card must be received by Nursing, 244 Swarts Hall, 300 Campus Drive, Bradford, PA 16701, no later than August 5, 2016. (American Red Cross: CPR Adult, Child & Infant and AED Adult & Child) CPR classes at Bradford Regional Medical Center: total cost is $31.95 (2 separate fees: $15 class fee and $16.95 book fee) Classes are offered Monday, June 13 (8:30 am -11:30 am & 12 noon 3:30 pm), Tuesday, July 5 (8:30 am -11:30 am & 12 noon 3:30 pm), Monday, August 8 (8:30 am -11:30 am & 12 noon 3:30 pm). The fee for this class is $15.00 and payable to BRMC. Class size is limited, so please register early. Contact Beth Price at 814-368-2056 or e-mail at bprice@brmc.com In addition, each student will need to purchase and review an AHA BLS for Healthcare Providers manual prior to class. Books can be purchased from HeartStrings Gift Shop in the BRMC lobby. Book cost is $16.95 including tax. HeartStrings is open from 8:00am 4:00pm, Monday through Friday. 4.) Background Clearances and Checks Refer to pages 7 8 in this packet for information related to clearances and checks. 5.) Liability Insurance All students are required to participate in blanket professional liability coverage offered through the University. The annual cost has been $12.00 per year. The cost of the policy will appear on your student account in the fall term. 6.) HIPAA Training Refer to page 10 in this packet for information related to HIPAA Training requirements. The Certificate of completion must be received by Nursing, 244 Swarts Hall, 300 Campus Drive, Bradford, PA 16701, no later than August 5, 2016. Thank you! 2

FRESHMAN ASN ORIENTATION SUMMER 2016 STUDENT HEALTH EVALUATION INFORMATION The University of Pittsburgh at Bradford, in keeping with the rules and regulations of the State Board of Nursing and health care agencies, requires all nursing students to complete certain health screening procedures. If you have any questions relating to the requirements, please call the Nursing office (244 Swarts Hall) at 814-362-7640. 1.) Students are required to have a health evaluation upon admission to the Nursing program. The health evaluation must be completed within three months prior to attending the first clinical class. 2.) Health evaluations may be done either by a private physician or a certified registered nurse practitioner (CRNP-Certified by the Commonwealth of Pennsylvania to provide adult primary health care). 3.) The Hepatitis B Vaccine Series must be completed six months after entering the program (March 1, 2017). Failure to comply will prohibit the individual from progressing in the program. 4.) Students are responsible for seeing that health evaluations are completed and on file at the University of Pittsburgh at Bradford prior to the beginning of classes. YOU ARE EXPECTED TO MEET THE DEADLINE. 5.) Only the health evaluation form supplied by the university is acceptable. 6.) Please check the health form for completeness including signatures before you leave your doctors office and make a copy for your records before returning the form to the university. PITT BRADFORD NURSING HEPATITIS B REQUIREMENT Hepatitis B is one of the major infectious occupational hazards for health care workers. The Center for Disease Control (CDC) recommends that workers, who perform tasks that involve exposure to blood or blood-contaminated body fluids, should be vaccinated. Consequently, health care agencies are increasingly requiring all workers who may be at risk to be vaccinated. In addition, health care agencies used as clinical practice sites increasingly require Hepatitis B immunity for students. Since Hepatitis B is preventable by immunization, Nursing is implementing the requirement that all students should be immunized for Hepatitis B. If for some medical or other reason you have decided not to be immunized against Hepatitis B, please contact the Program Coordinator to sign the REFUSAL OF IMMUNIZATION AGAINST HEPATITIS B form. 3

TO: NURSING STUDENTS DATE: SUMMER 2016 RE: HEALTH INSURANCE VALIDATION According to the University Health and Safety policy related to blood borne pathogens, the University is committed to limiting or preventing student exposure to blood and other potentially infectious materials. This policy clarifies the University's program for education, prevention, post-exposure medical treatment and follow-up provided for employees and students who have been exposed to blood borne pathogens as a part of work place or other programmed activity. Students will have access to appropriate evaluation and treatment of exposures at the student's or student's health insurer's expense. Consequently, according to the policy, nursing students, as well as other students who enroll in a University programmed activity which may involve exposure to blood or other potentially infectious materials, must now carry medical/hospitalization insurance validated each term that would cover payment of treatment and follow-up procedures. Therefore each term, beginning with Fall Term, all nursing students must verify that they have health (medical/hospitalization) insurance coverage by submitting the attached Health Insurance Validation Form to Nursing, 244 Swarts Hall, 300 Campus Drive, Bradford, PA 16701, prior to entering clinical experiences. Any student who has not met this requirement will not be able to attend any clinical courses or be involved in any educational activity with a clinical component. In determining whether your policy offers such coverage, you should ask your agent if coverage in the form of treatment and follow-up is provided in the event of exposure to a needle stick or blood borne pathogen. We realize that this requirement can present a financial hardship for some students. If you have applied or are applying for financial aid and now must purchase health insurance as a condition of enrollment, you have the opportunity to request that the University Office of Admissions and Financial Aid include the cost of mandatory health insurance in your financial aid budget. Please contact the Financial Aid Office for assistance with this matter. If you wish to have a brochure on the University of Pittsburgh-endorsed Student Health Insurance Policy (available to all full-time students at a supplemental cost), please contact Pitt-Bradford s Student Health Service (226 Frame-Westerberg Commons), 814-362-5272. Please contact us if you have any questions about this. Thank you for your understanding of the University's need to implement this policy. 4

POLICY NO. 40 POLICY: HIPAA TRAINING & CERTIFICATION REQUIREMENTS The Programs in Nursing and Radiological Science require that all students, faculty, and staff within the Unit complete online training and certification related to the HIPAA Privacy and Security. The online training module required by the University of Pittsburgh can be accessed at the link below. If you do not have an account, you must create one in order to access the required online training module. Please use the link below to create an account: https://www.hsconnect.pitt.edu/hsc/home/create-account.do Once you have created an account, access the HIPAA Modules folder. The required training module is noted below. Upon completion of the online training, print the respective certificate, and forward to the Unit in Nursing. UPMC Information Privacy and Security Awareness Training for Physicians and non-physician practitioners who provide clinical services, or staff and students who are not employed by UPMC but encounter protected health information at UPMC facilities. https://cme.hs.pitt.edu/iser/servlet/iteachcontrollerservlet?actiontotake=loadmodule&moduleid=1392 1 STUDENTS WILL NOT BE PERMITTED IN THE CLINICAL AREA WITHOUT HAVING COMPLETED THE ONLINE TRAINING AND SUBMITTED CERTIFICATION OF COMPLETION. Students are expected to comply with HIPAA and the policies and procedures of the affiliating clinical agencies. Any violation of this policy is subject to disciplinary action and may include suspension or dismissal from the program. Certificates of completion are due by Friday, August 5, 2016. 5

FRESHMAN ASN ORIENTATION SUMMER 2016 TO: RE: INCOMING NURSING STUDENTS ANTICIPATED EXPENSES FOR ASN STUDENTS In addition to costs related to tuition, fees, and textbooks, the following list depicts anticipated expenses for ASN students over the next two-four years. Costs are estimated based on the previous year, thus subject to change. Health Evaluation Fees if not done by your personal primary care practitioner Physical Examination (includes urinalysis & 2-step TST) $124.00 The physical examination and tests can be attained through Drs. D. Singh or V.R. Nadella, 6 N. Center St., Bradford, 814-368-7000. Call for an appointment. Payment is due at the time the services are rendered in the form of cash, check or money order. ** DO NOT have the Hepatitis B titer drawn until 6 weeks following the completed series of 3 injections. Immunization Fees TDaP/Tetanus Toxoid/ MMR/ Hepatitis B $5 fee (check or money order) These immunizations may be obtained through the Pennsylvania Department of Health, 84 Boylston St., 814-368-0426 if you are uninsured, or if your insurance plan does not cover the vaccination please check with you insurance company. Call for an appointment. You must bring the university health form and current immunization record to receive the service. Hepatitis B $ varies based upon your insurance coverage Out of pocket expense may be $300.00 Please make arrangements with your primary care provider (PCP) to begin the series of injections immediately as the entire series takes 6 months to complete. Upon receipt of each injection in the series, please forward a photocopy of the Hepatitis B Vaccine card to Nursing, 244 Swarts Hall, 300 Campus Drive, Bradford, PA 16701. Liability Insurance Fee $12.00 This fee will appear on your student account for the fall semester. 6

Background Clearances and Checks The Programs in Nursing require that students complete clinical rotations, fieldwork, and/or teaching assignments at facilities external to the university. Depending on the program or course, such facilities will or may require a criminal background check, an act 33/34 clearance (if applicable), and perhaps a drug screen to determine participant qualification or eligibility. Additionally, in order to become licensed, many states will inquire as to whether the applicant has been convicted of a misdemeanor, a felony, or a felonious or illegal act associated with alcohol and/or substance abuse. The student is advised to consult The National Council of State Boards of Nursing (NSCBN) website for further information regarding Licensure requirements and eligibility. https://www.ncsbn.org/licensure.htm All nursing students are required to submit the following three clearances at the beginning of the program: ~ PA Child Abuse History Clearance ~ PA State Police Criminal Record Check ~ FBI Federal Criminal Background Check Please retain original copies of the clearances and drug screen indefinitely as YOU ARE REQUIRED to submit xeroxed copies to the Unit in Nursing AND the Bradford Regional Medical Center (BRMC). BRMC requires that YOU submit the copies (in a sealed envelope with your name on it) to Human Resources, BRMC, on the day when the ID Badge Photo is taken (details will be provided during the course orientation). Failure to complete the clearances and checks will result in the cancellation of the clinical rotation. ~ PA Child Abuse History Clearance (Fee $8) Information and forms related to Child Abuse History Clearances are available on the Pennsylvania Department of Public Welfare website: https://www.compass.state.pa.us/cwis/public/home Print the form, complete it and mail with a $8 money order. http://www.dhs.pa.gov/cs/groups/webcontent/documents/form/s_001762.pdf ~ PA State Police Criminal Record Check Pennsylvania residents (Fee $10), please use the following website: https://epatch.state.pa.us Click on the SUBMIT A NEW RECORD CHECK to obtain your Criminal Background. You can print the processed form immediately. Non-Pennsylvania residents or PA residents less than 2-years (Fee $25.75) must complete the Pennsylvania Department of Aging FBI Criminal History Background Check. Fingerprint-based background check - To complete this clearance, you must first register online for the background check at: https://www.pa.cogentid.com/index_pdanew.htm 7

Cogent Fingerprint locations in the State of Pennsylvania are located under the Find a Print Location link. The closest site to Bradford is the Intermediate Unit 9 in Smethport, PA. ~ FBI Federal Criminal Background Check (Fee $27.50) ~ FBI Federal Criminal Background Check. Fingerprint-based background check - To complete the PA Department of Public Welfare FBI Criminal History Background Check, DO NOT COMPLETE THIS PROCESS THROUGH THE DEPARTMENT OF EDUCATION. You must first register online for the fingerprint service at: https://www.pa.cogentid.com//index_dpw.htm Please carefully read the Registration Procedures and Register Online links. Cogent Fingerprint locations in the State of Pennsylvania are located under the Print Locations and Hours link. The closest site to Bradford is the Intermediate Unit 9 in Smethport, PA. * Note: For Non-Pennsylvania residents or PA residents less than 2-years, you can use the same set of fingerprints for each of the FBI Criminal History Background Checks. AT A MINIMUM, please plan 4-6 weeks to complete the background clearances and checks. Incomplete forms and errors will delay the process further. Do NOT wait until the semester begins to complete the clearances and checks! Please contact the Unit in Nursing, University of Pittsburgh at Bradford, or the Human Resources Office at the Bradford Regional Medical Center, 362-8575, if you have any questions about the applications for clearances. Students Will Not Be Permitted in the Clinical Area without a Current Criminal Background Check on File in the Nursing Office. 8

Text Book Fees For a list of course textbooks and prices, please see PeopleSoft Login < Self Serve < My Class Schedule < View Textbook Summary. Standardized Testing Fee KAPLAN Cost per semester $134.75 (Price is based on 2015 fees. Subject to change.) Included in this package is an NCLEX review course following graduation. Date, place, and time will be announced at the end of the last semester. Uniform Fees Uniforms see attached Scrub Order Form - Female tunic top from 28.00 - Male tunic top from 28.00 - Unisex navy pant from 20.00 Lab Coat see attached Scrub Order Form - Snap Front Cherokee from 30.00 Name Pin 5.30 Shoes ~50.00 Watch (with a second hand) ~22.00 Nurse Kit 33.29 (includes stethoscope, penlight, scissors and pen) Blood Pressure Cuff 25.87 Graduation Fees estimated Regalia $ 35 Pinning/Graduation Announcements $1.20 each Graduation Pin ~ approximates - 14 K gold $290-10 K gold $262 - Single gold-filled $ 79.50 NCLEX-RN Fees Licensing Fees (2 NCLEX fees; 1 TPP fee) $270 NOTE: Subject to Change 9

FRESHMAN ASN ORIENTATION SUMMER 2016 TO: RE: INCOMING NURSING STUDENTS CONTACT HOURS FOR NURSING COURSES Listed below you will find approximate contact hours for the classroom, laboratory, clinical and clinical conference components of each nursing course. Each nursing course is 15 weeks in length. There may be times when nursing classes are held 2-3 times in one week to make up for holidays and scheduling difficulties. Hours are averages throughout the semester. There is some week to week variation. Please review the contact hours carefully. - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - FIRST YEAR - FALL TERM SECOND YEAR - FALL TERM N 0111 6 hrs class/week N 0211 7 hrs class/week 4-8 hrs lab/week (half semester) 6 hrs lab/course 8-10 hrs clinical/week (half 14-16 hrs clinical/week (2-3 semester) days) NUR 0109 NUR 0106 1 hour class/week 1 hour class/week FIRST YEAR - SPRING TERM SECOND YEAR-SPRING TERM N 0112 8 hrs class/week N 0212 8 hrs class/week 9 hrs lab/course 2 hrs lab/course 8-12 hrs clinical/week (1-2 days) 16 hrs clinical/week (2-3 days) N 0113 3 hrs class/week NOTE: Subject to Change 10

University of Pittsburgh at Bradford Nursing Unit ASN Program Initial Health Requirements Report Form Name PeopleSoft ID# Date of Birth / / LABORATORY AND IMMUNIZATION INFORMATION (to be completed by student or healthcare provider) Tuberculosis Screening Hepatitis B HBsAb titer to be drawn at least 6 weeks after series 2-step Tuberculin Skin Test (step 1 within 11 months, step 2 within 3 months, testing must be at least 7 days apart. Mantoux required) Date read / / Negative / Positive (circle one) Date read / / Negative / Positive (circle one) Chest X-Ray (Required if tuberculin skin test is Positive) X-Ray date / / Normal / Abnormal (circle one) Vaccine Dose 1 / / Dose 2 / / Dose 3 / / Titer Date / / Immune / Non-Immune * (circle one) *If non-immune provide booster date / / Varicella Vaccine Dose 1 / / Dose 2 / / Titer Date / / Immune / Non-Immune (circle one) Measles, Mumps, Rubella Vaccine Dose 1 / / Dose 2 / / Rubella Titer / / Immune / Non-Immune* (circle one) *If non-immune provide booster date / / Tetanus-Diphtheria (TdaP) Booster Immunization Date / / PHYSICAL EXAMINATION AND EVALUATION (to be completed by healthcare provider) I have obtained a health history, performed a physical examination and reviewed the student s immunization status and required laboratory tests. In my opinion this student is able to fully participate in the UPB Nursing Program. Date /_ /_ Signature of MD/CRNP/DO/PA Phone Number of MD/CRNP/DO/PA Limitations/Recommendations: HEALTH INSURANCE VERIFICATION (to be completed by student) I verify that I carry, and will carry for the entire duration of my program, health insurance that will cover payment of treatment and follow-up procedures related to bloodborne pathogens, other potentially infectious materials, and any illness or injury that could occur during class or clinical. Date /_ /_ Signature of Student 5/2016 11

Nursing Scrub Order Form Deadline: Friday, July 29, 2016 See additional size charts. # Item Description for REQUIRED items: Size Qty Price Total 1 #5600M Ladies Quattro Top White XXS-3XL $ 28.00 2 #7400 Men's Cherokee Top White XS-3XL $ 28.00 3 #4350 Snap Front Cherokee Jacket XXS-3XL $ 30.00 4 Magnetic Photo ID Tag Price Includes Tax 1 $ 5.30 5 #5310M Poplin Unisex Pant Navy XS-3XL $ 20.00 6 #5500M Ladies Quattro Pant Navy XXS-3XL $ 20.00 7 #5500P Ladies Quattro Pant Petite Navy XXS-L $ 20.00 8 #5500T Ladies Quattro Pant Tall Navy XXS-L $ 20.00 9 Sprague Nurse Kit: Includes stethoscope, penlight, scissors, 4 color pen, and Medimeter Price Includes Tax $33.29 10 Premium Aneroid Sphygmomanometer Price Includes Tax $ 25.87 11 12 Complete Kit with Carrying case Complete kit includes: #9, #10, and Carrying Case Price Includes Tax $ 68.54 Pitt Watch with second Hand Watch previewed at www.thepanthershop.com Price Includes Tax $ 21.15 Grand Total: Name: Received Items: Date & Signature: Pitt e-mail: Please return this form with payment to The Panther Shop by July 29, 2016. Space Below for Store Use Only Date Paid: Trans. # Clerks Initials: 12

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