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GRAND RAPIDS
COMMUNITY COLLEGE
ASSOCIATE DEGREE NURSING
AND
PRACTICAL NURSING PROGRAMS
STUDENT HANDBOOK
Summer Semester 2013
1
Introduction This Handbook has been prepared to assist students who are enrolled in the Associate Degree or the
Practical Nursing Program. Understanding the curricula, policies, philosophy, goals and objectives of
the program will assist you in the successful completion of the program. It is the responsibility of
students to know and follow the guidelines in this handbook. Students are also responsible for
information pertinent to the nursing programs found in the GRCC College Catalog and on the
GRCC website at www.grcc.edu Information about the nursing program is located in two areas –
one under Programs, Academic, Nursing and one on the Blackboard section at the lower left hand
corner under Nursing Information.
This Handbook is revised each semester by the Nursing Practice Committee which is composed of
nursing faculty.
2
CONTENTS PAGE
HOW TO SURVIVE 4
OTHER TIPS TO PROMOTE SUCCESS 6
AFFIRMATIVE ACTION STATEMENT 7
EQUAL OPPORTURNITY STATEMENT 7
ACCREDITATION 7
STUDENT CODE OF CONDUCT 7
NURSING CURRICULUM
A. Philosophy 8
B. Conceptual Framework 9
C. Program Goals AD 10
D. ANA Code for Nurses 11
E. HIPAA Policy 11
F. Program Goals PN 12
G. NAPNE Code of Ethics 13
ESSENTIAL COMMUNICATION PROCESS
A. Emergencies 14
B. Student Contact Information 14
C. Nursing Faculty Contact Information 14
D. Faculty Absences 14
E. Blackboard 15
F. GRCC Closures 15
PROGRAM COMPLETION
A. ADN 16
B. PN 17
GENERAL POLICIES AND PROCEDURES
A. Grading and Evaluation 18
B. Attendance Policies 19
C. Time Schedules 19
D. Honesty/Professional Ethics Policy 20
E. Social Networking Statement 20
F. Test Taking Policies 22
G. Academic Grievance Procedure (lecture appeal) 22
H. Clinical Practice Policies
1. Clinical Orientation 23
2. First Day of Clinical 23
3. Clinical Guidelines 23
4. Clinical Progression Record 24
5. Immunization Requirements 24
6. CPR Certification 24
7. Protocols for Medication Administration
a. ADN 25
b. PN 26
8. Health Guidelines 27
9. Criminal Background Checks 27
10. Student Injuries 28
11. Transportation 28
3
CONTENTS PAGE
12. Supplies 28
13. Dress Code 29
14. Additional Uniform Specifications 30
I. Children on Campus 30
WITHDRAWAL, RE-ENTRY AND GRIEVANCE POLICIES AND PROCEDURES 31
SAFE PRACTICE POLICIES AND PROCEDURES 36
STUDENT SERVICES
A. Transfer Credit 39
B. Scholarships 39
C. Advising 39
D. Challenge Examinations 40
COMMITTEES AND PROFESSIONAL ORGANIZATIONS
A. Committees 41
B. Nursing Club 41
C. Advisory Committee 41
D. Graduation and Other Celebratory Events 41
E. Professional Organizations, ADN 42
F. Professional Organizations, PN 44
GLOSSARY OF TERMS 45
APPENDIX
A. TB Annual Symptom Review 49
B. Student Immunization Record 50
C. AD Student Progression Record 52
D. PN Student Progression Record 54
4
JUST FOR STUDENTS
How to Survive in Nursing School
by Linda S. Smith, RN, MSN
Organize – Obtain a pocket calendar to record your many responsibilities, i.e., due dates for
assignments, exam dates, laboratory schedules and practice, etc.
Write lists and follow them – shopping and grocery lists, to do lists, etc. This will reduce your shopping
trips to less than once per week and all errands can be accomplished quickly, easily, and with a
minimum of extra travel.
Schedule – Schedule enough quiet time (and quiet space) for study. Inform family and friends that you
will be unavailable at certain times each day and week. This may mean leaving home to study at your
hospital library or school. Many hospitals will open their libraries during off hours and weekends if you
ask. The key here is advanced planning and scheduling.
Take Advantage of Every Possible Moment – Play class tapes ( or record your own class notes review)
whenever possible. Perhaps while doing dishes, cooking, folding laundry, jogging, cleaning, or traveling
(not a good idea if you’re the driver). Review flash cards at the grocery store check out line, bus stop, or
gas station.
Find and Use All Possible Resources – Now is the time to take advantage of any and all offers for help.
Relatives, neighbors, friends are often happy to assist with baby –sitting, cooking a casserole once per
week, giving that special book or journal subscription, etc. But you will have to ask for help. All
members of your immediate family can and will accept extra tasks – especially if their help is
appreciated and rewarded. Post a weekly list on the refrigerator and be sure to add incentives.
Now is also the time to have weekly family meetings to air concerns and promote good family
communication. Bring a pencil and write down the jobs various family members “volunteer” to
complete.
Also, do not hesitate to ask faculty for assistance. Often, they will gladly share books, subject files, and
special time to help you succeed. Remember that your success is the most important goal of your
program and instructors.
Your community also offers a wide range of options. Use libraries (hospital or public), and expert
resource persons (clinical nurse specialists, pharmacist, nurse practitioners). They will usually be glad
you asked and glad to help. If you are working in a health care setting, you have a marvelous
opportunity to tap the minds of people you work with. Ask questions and never stop searching for
answers.
Learn Good Study Skills – If offered, take advantage of any test-taking and How-To-Study courses at
your college. Studying, listening, researching, note-taking, and test-taking are skills which must be
learned. Quality studying can be even more important than quantity.
Say No – Say no to outside activities. Though difficult, volunteer work, social engagements, etc. will
need to be severely limited. Your priority is getting through nursing school, so take a rain check.
5
Overcome the Superhuman Syndrome – Lower your standards (just a little) for the perfect
housekeeper/spouse/parent syndrome. This is not the year to plant and preserve a two-acre garden or
sew every item of clothing for your entire family. Housecleaning can wait. Your time is too precious to
waste, so set priorities and stick to them.
Study Groups – If you study well within a group, join or start a study group early in the semester. Make
sure, however, that you: a) have a good ability mix, b) don’t get too many members, and c) use the study
time wisely. There is no time for gossip or lengthy complaining. Whether alone or in a group, set
specific goals for each study session.
Tune Into All Senses During Any Learning Experience – Hearing, writing, seeing, and speaking require
the use of different areas of the brain. Therefore, the more senses you actively involve while learning the
longer you will remember that material.
Keep A Healthy Body – Maximize cognitive functioning through a good exercise program. A minimum
of 30 minutes per day of aerobic exercise is needed. With exercise, you will find that you learn better,
handle enormous amounts of stress more easily, and rest/sleep more effectively. You will also want to
be sure to eat and sleep sensibly.
6
OTHER TIPS TO PROMOTE SUCCESS
Now that you have chosen a career in Nursing, being a successful student is very important.
Commitment, dedication, and motivation are just a few of the terms to describe a successful student. The
Health Program faculty and staff are available to assist you as you progress through your nursing
program. Listed below are some study tips and helpful suggestions for you to consider as you begin your
nursing classes:
Study with a buddy or a group.
Set aside some time to study each day. Cramming for a test the day before may be stressful.
Complete reading assignments in a timely manner. It is very difficult to “catch up”. It helps if
reading is done before class so that you may ask questions or have a better understanding of
lecture material.
Ask questions and be attentive in class.
Practice answering questions at the end of chapters in your textbook or from a workbook. It
helps reinforce material as well as provide you with test taking strategies.
Tape lectures if approved by your instructor.
Visit the Health Education Lab and use the many computer programs and video materials that
are available.
Ask the Health Lab Coordinator about tutoring. It is free and available to all students. Some of
the tutors may be students that have had the class before and may be able to offer helpful tips on
how they were successful.
Seek assistance early. It may be too late at the end of the semester.
Get to know your instructor.
Keep a positive attitude.
These are just a few tips that may be of help as you continue your progress through the Nursing
Program. If you have a disability or are experiencing problems (financial, English as a second language,
personal issues, etc.), the college has special academic support and counseling services available. Please
refer to your current college catalog for additional information regarding these special services that
available to you. In addition, please seek out your nursing instructors for assistance as needed.
7
AFFIRMATIVE ACTION STATEMENT
No student at Grand Rapids Community College is to be insulted, embarrassed, harassed, ridiculed,
intimidated or in any way made to feel discriminated against because of age, gender, sexual orientation,
race, religious preference, handicap or ethnic background.
EQUAL OPPORTUNITY AND NON-DISCRIMINATION STATEMENT
Grand Rapids Community College is an equal opportunity institution and does not discriminate on the
basis of gender, race, color, national origin, religion, height, weight, age, marital status, disability, sexual
orientation, status as a disabled veteran or Vietnam Era veteran, and/or any other legally protected class
not heretofore mentioned, in any of its education programs and activities, including admissions and
employment.
The above measures, in conjunction with other related state laws and the College’s policies and
procedures, will assure all individuals opportunity for consideration or redress of complaints of illegal
discrimination. Affirmative Action, Equal Employment Opportunity, and American Disabilities Act
information may be obtained from the:
Director of Labor Relations, AA/EEO, Room #404B CPP
Grand Rapids Community College
143 Bostwick Avenue NE
Grand Rapids, MI 49503-3295
(616) 234-3453
ACCREDITATION
The ADN and PN nursing programs are accredited by the National League for Nursing Accrediting
Commission, Inc. (NLNAC),
3343 Peachtree Road NE, Suite 500, Atlanta, GA 30326
1-404-975-5000
www.nlnac.org
STUDENT CODE OF CONDUCT
The Nursing Programs adhere to the College policy on Student Code of Conduct as defined in College
literature.
8
NURSING PROGRAMS PHILOSOPHY
Each PERSON is a holistic being – integrated in body, mind and spirit. As a member of a family,
community and culture, each person has common and specific needs, which may be modified
throughout the life cycle.
HEALTH is a dynamic of well being in which each person/family/community engages in deliberate,
voluntary behavior to maintain wellness and integrity.
NURSING is the protection, promotion and optimization of health and abilities, prevention of illness,
and injury alleviation of suffering through the diagnosis and treatment of human response, and advocacy
in the care of individuals, families, communities, and populations.
ASSOCIATE DEGREE NURSING is the provision of direct care based on the nursing process and/or
decision-making. The Associate Degree Nurse is a licensed registered nurse who functions ethically and
legally in structured health care and community settings where the policies, procedures and protocols for
health care are established. The Associate Degree Nurse maintains accountability for his/her own
practice and for aspects of care delegated to others. The Associate Degree Nurse utilizes therapeutic
communication when interacting with all persons. The Associate Degree Nurse recognizes the
influences of nursing research on the practice of nursing.
PRACTICAL NURSING is an integral part of nursing on the vocational level in which the practitioner
uses the nursing process always under the direction of health care professionals. The practical nurse is
an LPN who functions ethically and legally in various health care delivery systems providing direct
nursing care in stable situations and assisting in complex situations. The Practical nurse interacts with all
persons.
LEARNING is the active process of organizing, integrating, and applying information, as perceived
through the senses or recalled from memory, which has the potential for promoting change in the
learner’s behavior. Such behavioral change may occur in cognitive, affective, or psychomotor skills.
Learning results in a change in perception of old ideas or in the development of new ones. Cognitive
maturity and past experiences increase the ability to learn. Learning is a lifelong process and is
facilitated when goal directed, enhanced when evaluated in terms of its relevance for the learner and
when it is generalized into concepts and principles that may be applied to new experiences.
TEACHING is the planning and implementing of learning experiences, which foster the student’s
natural curiosity about self or the environment and self-directed learning. The outcome of teaching is the
acquisition of insight that enables the learner to think critically and to develop an awareness of patterns,
which promote the transfer of learning to new situations.
NURSING EDUCATION is a selective, systematic process, which empowers the learner to acquire
and apply nursing knowledge.
11/99, revised 3/00, 4/03, reviewed 3/07
9
NURSING PROGRAMS CONCEPTUAL FRAMEWORK
The conceptual framework supports the philosophy and program goals developed by the faculty*.
Nursing has as its focus the need for self-care action to sustain health, recover from disease/injury/crisis
and cope with the effects of these throughout the continuum of life. When the client is unable to meet or
fulfill a self-care requisite, he/she is said to have a self-care deficit. Priorities for nursing care are
established through the use of Maslow’s Hierarchy of Needs. The lower level needs are of greatest
priority and must be met first. The beliefs and values of the nursing faculty** are integrated throughout
the curriculum and are used as a foundation and source of direction for the students as they utilize the
nursing process. These values are an integration of the physical, psychological, sociocultural and
spiritual domains of nursing.
The faculty believes that decision-making is an integral part of the nursing process providing horizontal
strands applied throughout the curriculum. The Associate Degree Nurse uses the nursing process that
includes assessment, diagnosis, planning, implementation and evaluation. The Practical Nurse assists
with the nursing process that includes data collection, planning, implementation and evaluation.
Major vertical strands basic to all the nursing courses that increase in complexity in each level are
communication, critical thinking, health-illness continuum, issues in nursing and health care, and
community/transcultural concepts.
Communication with clients includes verbal, nonverbal and written communication, partnership
skills, and collaboration with other health care partners. Also included are confidentiality, client
teaching, and health promotion and maintenance.
Critical thinking includes clinical decision-making, leadership, teamwork, and delegation. The
Practical Nurse shares and assists in critical thinking under the supervision of a registered nurse,
physician or dentist.
The health-illness continuum comprises but is not limited to major health problems with related
safe and effective holistic nursing practice. The curriculum begins with simple health care needs
and progresses to more complex situations concerning health promotion and maintenance. It is
organized according to Gordon’s Functional Patterns. Clinical practice takes place in a variety
of settings throughout the community utilizing therapeutic nursing skills.
Issues in nursing and health care include historical perspectives, licensure, standards of conduct,
ethical/legal scope of practice, the political and socioeconomic climate, and trends for the future.
Also included are accountability, patient rights and safety.
Community/transcultural concepts are presented through the study of culture, multiculturalism,
values, beliefs and health care delivery.
The goal of the program is to prepare the graduate to practice nursing in a changing health care
environment with the necessary knowledge, skills and attitudes. 11/99, 2/03, /07
*Orem’s Self-Care Requisite Theory, Maslow’s Hierarchy of Needs Theory, and the Core Beliefs of the
Clinical Practice Model provide the theoretical base for this conceptual framework
***Nursing references in the MI Public Health Code, NLN AD and PN Competencies, and NAPNES
standards are used to inform the faculty beliefs and values.
10
PROGRAM GOALS: Associate Degree
Characteristics of the Graduate
1. CLINICAL DECISION MAKING
Develops a course of action based on the integration of data/information/knowledge to assure
health care that promotes wholeness in body, mind and spirit.
2. CARING BEHAVIORS
Employs caring behaviors and actions to assist individuals and groups to progress toward
mutually established goals.
3. COMMUNICATION AND COLLABORATION
Establishes effective communication and collaboration in achieving a holistic team approach to
client-centered care.
4. TEACHING & LEARNING
Provides health education to individuals and or groups to promote informed decisions, desired
outcomes and self-care activities.
5. MANAGING CARE
Organizes client-centered care for individuals and groups in diverse settings.
6. PROFESSIONAL ROLE
Demonstrates accountability within the ethical, legal and regulatory frameworks of health care.
11
ANA CODE FOR NURSES
The Code of Ethics for Nurses was adopted by the American Nurses’ Association in 1950 and has been
revised periodically. The current CODE is:
1. The nurse, in all professional relationships, practices with compassion and respect for the
inherent dignity, worth and uniqueness of every individual, unrestricted by considerations of
social or economic status, personal attributes, or the nature of health problems.
2. The nurse’s primary commitment is to the patient, whether an individual, family, group, or
community.
3. The nurse promotes, advocates for, and strives to protect the health, safety, and rights of the
patient.
4. The nurse is responsible and accountable for individual nursing practice and determines the
appropriate delegation of tasks consistent with the nurse’s obligation to provide optimum patient
care.
5. The nurse owes the same duties to self as to others, including the responsibility to preserve
integrity and safety, to maintain competence, and to continue personal and professional growth.
6. The nurse participates in establishing, maintaining, and improving healthcare environments and
conditions of employment conducive to the provision of quality health care and consistent with
the values of the profession through individual and collective action.
7. The nurse participates in the advancement of the profession through contributions to practice,
education, administration, and knowledge development.
8. The nurse collaborates with other health professionals and the public in promoting community,
national, and international efforts to meet health needs.
9. The profession of nursing, as represented by associations and their members, is responsible for
articulating nursing values, for maintaining the integrity of the profession and its practice, and
for shaping social policy.
From the American Nurses Association
Code of Ethics for Nurses with Interpretive
Statements
(1976, 1985, 1990, 2001, 2011).
HIPAA POLICY
Students are expected to adhere to the HIPAA requirements of all facilities. Be advised that any student
having a HIPAA violation may be unable to complete all of the clinical requirements necessary to
complete the nursing program.
GRCC Nursing Programs prohibits the printing of any medical records, electronic, paper or otherwise in
the clinical setting by students. This is a potential violation of HIPPA and could result in failure from the
course and/or removal from the nursing program.
12
PROGRAM GOALS: PRACTICAL NURSING
1. CLINICAL DECISION MAKING
Modifies a plan of care based on the integration of data/information/knowledge to assure health
care that promotes wholeness in body, mind and spirit.
2. CARING BEHAVIORS
Implements caring behaviors and actions to assist individuals and groups to progress toward
mutually established goals.
3. COMMUNICATION
Maintains a holistic approach to client-centered care through effective interpersonal relations and
partnerships.
4. TEACHING & LEARNING
Participates in health education for individuals and/or groups to promote informed decisions,
desired outcomes and self-care activities.
5. MANAGING CARE
Manages client-centered care for individuals and groups in structured settings.
6. PROFESSIONAL ROLE
Practices within the ethical and legal regulatory frameworks of health care.
13
NATIONAL ASSOCIATION FOR PRACTICAL NURSE EDUCATION AND SERVICE
(NAPNES) CODE OF ETHICS
The Licensed Practical/Vocational Nurse Shall:
1. Consider as a basic obligation the conservation of life and the prevention of disease.
2. Promote and protect the physical, mental, emotional, and spiritual health of the patient and his
family.
3. Fulfill all duties faithfully and efficiently.
4. Function within established legal guidelines.
5. Accept personal responsibility (for his/her acts) and seek to merit the respect and confidence of
all members of the health team.
6. Hold in confidence all matters coming to his/her knowledge, in the practice of his/her profession,
and in no way at no time violate this confidence.
7. Give conscientious service and charge just remuneration.
8. Learn and respect the religious and cultural beliefs of his/her patient and of all people.
9. Meet his/her obligation to the patient by keeping abreast of current trends in health care through
reading and continuing education.
10. As a citizen of the United States of America, uphold the laws of the land and seek to promote
legislation which shall meet the health needs of its people.
14
ESSENTIAL COMMUNICATION PROCESS
EMERGENCIES
Please inform family and child care givers of the phone number at the assigned clinical site, on campus,
give them the phone number for Campus Police (234-4010). Campus Police has computer access to
each student’s schedule.
STUDENT CONTACT INFORMATION
It is the student’s responsibility to provide their correct address and phone number to the college.
This can only be done by the student at the electronic student center on-line.
NURSING FACULTY CONTACT INFORMATION
A listing of current full-time and adjunct nursing faculty, including their contact information, is
available on the Nursing website. Faculty are able to obtain their phone and e-mail messages while
on/off campus. Please note that e-mail is the preferred method of communication. Phone messages are
automatically dated and timed so if calling please leave a name, a phone number and the reason for the
call. The nursing faculty offices are located on the 6th floor of the College Park Plaza Building (CPPB).
FACULTY ABSENCES
The College has a “Hotline” by which faculty absences are posted for that day. Call 234-3923, after 7:00
a.m. On-line access of faculty absences is located at www.grcc.edu – on the lower left hand side of the
page under Faculty Absences, click on the link to ‘see who is absent’.
A student may meet with faculty during office hours and/or by appointment. Faculty office hours will be
posted outside of the faculty offices, 6th
floor CPPB.
15
BLACKBOARD
Blackboard is the main communication area for faculty/students. Important course information, club
notices, hospital orientation schedules are just a few of the items communicated. ALL STUDENTS
ARE RESPONSIBLE FOR CHECKING THE BLACKBOARD ANNOUNCEMENTS DAILY.
ACCESS TO COURSE MATERIALS
Access to course materials in Blackboard is always available on campus. Off campus access may
require an upgrade to a student’s hardware or software. This is the student’s responsibility.
GRCC CLOSURES
If GRCC is closed due to inclement weather, students do not report for clinical or clinical prep that day.
Students can sign up for a notification service called RAVE which sends out notifications on email,
cellphone, test message or home phone whenever GRCC is closed or there is an emergency situation on
campus.
16
PROGRAM COMPLETION: Associate Degree
1. The official graduation ceremony is the College Commencement in May and all graduates may
participate regardless of their completion date. Seating is unreserved and an unlimited number of
guests may attend (see Graduation and Other Celebratory Events).
2. It is the student’s responsibility to apply for an audit of records at the Registrar’s Office the
semester prior to graduation to assure that all requirements are met. A college diploma will not
be issued to any student who has not completed this audit. An individual will not be allowed to
graduate or take the National Council Licensure Exam (NCLEX) if there are any unmet
requirements.
3. There is an NCLEX examination application (Pearson-Vue) fee of approximately $200.00 and a
$60.00 licensure fee payable to the STATE OF MICHIGAN 75 days prior to the examination.
Fees are subject to increase.
4. The official GRCC ADN pin may be purchased in the College Bookstore at the time of
completion at a cost of approximately $32-35.
5. The agency of the State of Michigan for Regulation of Nursing Education and Nursing Practice
is: Michigan Department of Community Health, Bureau of Health Professions, Board of
Nursing, 611 W. Ottawa, P.O. Box 30670, Lansing MI 48909, (517) 335-0918.
17
PROGRAM COMPLETION: Practical Nursing
1. The official graduation ceremony is the College Commencement held in May and all graduates
may participate regardless of their completion date. Seating is unreserved and an unlimited
number of guests may attend (see Graduation and Other Celebratory Events).
2. It is the student’s responsibility to apply for a graduation audit of records at the Registrar’s
Office the semester prior to graduation to assure that all requirements are met. A college
certificate will not be issued if an audit is not done. An individual will not be allowed to graduate
or take the NCLEX-PN exam if there are any unmet requirements.
3. There is a required NCLEX examination application (Pearson-Vue) fee of approximately
$200.00 and a $48.00 licensure fee payable to the STATE OF MICHIGAN 75 days prior to the
examination. Fees are subject to increase.
4. The official GRCC PN pin may be purchased in the College Bookstore at the time of completion
at a cost of approximately $32-35.
5. The agency of the State of Michigan for Regulation of Nursing Education and Nursing Practice
is: Michigan Department of Community Health, Bureau of Health Professions, Board of Nursing,
611 W. Ottawa, P.O. Box 30670, Lansing MI 48909, (517) 335-0918.
18
GENERAL POLICIES AND PROCEDURES
GRADING/EVALUATION
1. The grading scale is as follows for nursing courses:
90 to 100% = A
80 to 89% = B
70 to 79% = C
60 to 69% = D
Less than 60% = E
You must have a “B”, 80% to pass the course. No mathematical rounding of final grade averages
will be done. Examples: 79.9 does NOT equal 80% . (Approved 10/20/06)
2. The use of plus and minus grades (e.g., B+, A-) is at the discretion of each individual faculty
member.
3. Failure in one part of nursing courses that consist of two parts (clinical and theory) will result in
failure of the entire course.
4. It is an advantage to a student to discuss specific learning needs with the instructor as soon as
possible each semester.
5. Faculty monitor and confer together on student progress, mastery of performance objectives and
individualized learning needs of students as they progress throughout the nursing program in order
to facilitate student success.
6. Faculty may initiate a Student/Faculty Contract Form when a student has marginal and/or
unsatisfactory performance (other than unsafe practice) at any time in theory or clinical. The
instructor initiates the contract and meets with the student. The intent of this contract is to inform the
student of deficiencies in meeting course objectives and to clarify what behaviors are required to
meet course objectives. It is the student’s responsibility to complete the requirements of the
Student/Faculty Contract. Failure by the student to meet contractual requirements will result in the
student being dismissed from the course.
7. If a student has a concern in a particular class, it should be discussed with the instructor.
19
ATTENDANCE POLICIES
1. Students are expected to attend all classes as scheduled (theory and clinical).
2. Instructors for each course will provide students with written information concerning absences and
tardiness. See the current GRCC catalog for class attendance rules.
3. It is the student’s responsibility to notify the clinical facility when unable to attend clinical. The
student is expected to follow the procedures as outlined during clinical orientation.
4. Any student who is found unprepared for clinical will be dismissed from clinical. This clinical day
will be counted as an absence.
5. Any student who is absent from a theory class, will be responsible for obtaining the missed material
including the viewing of any audio-visual material and any handouts given in class.
6. Due to the disruption of class that these devices may cause, no cellular phones, players or other
electronic devices or audible beepers are allowed.
7. Use of cell phones, pagers, players or other electronic devices are prohibited in the classroom, as
they are disruptive to students and the learning process.
TIME SCHEDULES
1. All classes at GRCC are very important. Students are expected to attend all classes which include
both nursing courses and non-nursing courses. Students should not schedule evaluations or other
activities during a scheduled class whether it is a nursing or non-nursing class.
2. Employment – Due to the hours spent in the classroom and clinical laboratory during the nursing
program, each student is advised to limit employment to a part time basis. Each student needs to
determine what is reasonable. Program and/or course requirements will not be changed because of
conflict with the student’s employment.
3. Study – It is wise to plan for a minimum of two hours for each hour of theory and/or clinical
laboratory.
20
HONESTY/PROFESSIONAL ETHICS POLICY
Nursing students are expected to adhere to high standards of professional ethics and academic honesty.
Because of the nature of the work, these behaviors may affect the life and safety of clients. To that end, the
nursing faculty has adopted the following policy:
1. The following behaviors will not be tolerated: cheating, copying, lying, plagiarism, withholding
pertinent information, stealing, falsification of records, breach of confidentiality, giving false
information, etc. In addition, students are held accountable for the statements in the Nursing Student
Handbook-ANA Code of Ethics, NAPNES Code of Ethics, and GRCC’s Student Code of Conduct.
A student who is found to have violated this policy will be immediately dismissed from the course,
and may be permanently dismissed from the Nursing Programs, and/or the College.
2. The instructor involved with the incident of dishonesty will complete the Honesty/Professional
Ethics Policy Violation Notice and review it with the student. This report will be submitted to the
Director of the Nursing Programs.
3. The student may appeal the decision of the faculty to the Program Director within 2 school days by
submitting a letter containing pertinent information. (The Program Director may bring the instructor
and the student together). The Violation Notice and a written record of the interview will be placed
in the student’s file with copies to the student, the Director of Nursing Programs and the Assistant
Dean of School of Workforce Development.*
4. The Program Director will render a decision within two school days of the meeting.
5. The student may appeal the decision of the Program Director in writing, giving pertinent
information, by submitting a letter to the Associate Dean of the School of Workforce Development*
within two school days of receiving written notice of a violation of the Dishonesty/Violation of
Professional Ethics Policy.
6. The Associate Dean* will render a final decision on the matter within two school days.
* The Dean of the School of Workforce Development, or Vice-President of Academic Affairs will act in the
absence of the Program Director, Associate Dean or Dean.
SOCIAL NETWORKING STATEMENT
GRCC Nursing Department recognizes that social networking websites and applications, including but
not limited to, Facebook, and Twitter, are common and efficient means of communication. In an effort
to provide guidance regarding internet based social networking, students must be aware that the posting
of certain information via such websites may be illegal. Therefore, it is critical that students, who chose
to participate in social networking websites, recognize actions that violate existing laws and may expose
the offender to criminal and/or civil liability. Punishments for such violations may include fines and
imprisonment. Offenders may also be subject to adverse academic actions that range from a letter of
reprimand to dismissal from a clinical facility and/or the college. Further, when using social networking
websites and/or applications, GRCC Nursing Department strongly recommends that students create and
use a personal e-mail address, unrelated to their GRCC e-mail address, as their primary means of
communication.
21
For clarification, students should be aware that the following actions are strictly forbidden:
In regards to patient information collected as part of their role as a student nurse, students may
not reveal the personal health information of a client, assigned or otherwise, except as
specifically prescribed by law and regulation. It should be noted that removal of an individual’s
name when exposing personal health information, does not provide proper protection of a
client’s identification. Inclusion of data such as age, gender, race, dates, room numbers,
diagnosis, types of treatment, or the use of photographs (medical or otherwise), presents the
potential that the reader may recognize the identity of a specific individual. Students should
recognize this as a HIPAA violation, as well as, a potential violation of other laws.
Students may not share information regarding the academic performance of another student, as
this may be a violation of state or federal privacy laws. Such information may include, but is not
limited to, course grades, narrative evaluations, examination scores, or adverse academic/clinical
events or performance.
At no time, while posting information on social networking sites, should a student present
him/herself as another person, or as an official representative or spokesperson for GRCC, or the
Nursing Department.
When using social networking sites, individuals should make every effort to present themselves in a
mature, responsible, and professional manner. In addition to the absolute prohibitions for social
networking listed above, the actions listed below are strongly discouraged. Violations may be
considered unprofessional behavior and can be the basis for disciplinary action.
The use of vulgar language
The display of language, pictures, or photographs that imply disrespect for any individual or
group related to age, race, gender, ethnicity, sexual orientation, and/or any other group
characteristic.
The posting of personal photographs, or photographs of others, that may reasonably be
interpreted as condoning irresponsible use of alcohol, substance abuse, and/or sexual
promiscuity.
Students should be aware that no privatization measure is perfect. Despite the best efforts, the potential
exists that undesignated persons may gain access to one’s networking site; exposing information
intended to remain private.
In addition, it should be noted that future employers often review such internet sites when considering
potential candidates for employment.
Lastly, although posted information can be removed from the original social networking site, exported,
and otherwise downloaded information cannot be recovered. In other words, a digital exposure can
remain indefinitely, beyond its removal from the original website and continue to circulate in other
venues. Therefore, students are encouraged to think carefully before posting any information and/or
photographs on the internet.
22
TEST TAKING POLICIES
1. Students will be allowed to use calculators. Please refer to your course syllabus for specific
guidelines.
2. Time-limits for tests are set by the course instructor.
3. Test-taking situations in the nursing programs exclude extra credit questions – 100% will be the
maximum grade possible.
4. Computerized answer sheets are used for testing. Each student is responsible for bringing a #2
pencil and eraser.
5. Final examination week is considered instructional time. Testing times vary from the regular class
schedules. A schedule for final examinations week is posted on Blackboard each semester.
ACADEMIC (THEORY - LECTURE) GRIEVANCE PROCEDURE, APPEAL PROCESS
If a student believes that an academic problem (i.e. theory class) has occurred that requires resolution, the
student may exercise the grievance procedure found in the GRCC Catalog, or online at:
http://www.grcc.edu/grievance
23
CLINICAL PRACTICE POLICIES
CLINICAL ORIENTATION
Students have clinical laboratory experience in facilities located in and/or near the Kent County area. Some
of the clinical sites require assigned students to attend an orientation prior to the first day of clinical. Notices
about the orientations are posted well in advance on Blackboard on the GRCC website.
NOTE: Dates for these orientations vary and may not necessarily fall within the dates of the stated
semester. A hospital orientation may occur before the semester starts or at the end of the previous
semester.
FIRST DAY OF CLINICAL
Instructions for where to go, what to wear, etc., on the first clinical day of a course are posted on
Blackboard approximately two weeks before the course begins. Students are responsible for obtaining this
information BEFORE the first day of class. This information will not be given out over the telephone.
CLINICAL GUIDELINES:
1. ADN students will sign charts as: John Smith, SN, GRCC
2. PN students will sign charts as: John Smith, SPN, GRCC
3. Parking at each clinical facility will be outlined during the clinical orientation. Students must adhere
to the specific regulations. If students are assigned to clinical experiences at Spectrum Hospital-
Butterworth Campus, it is expected that they will use GRCC student parking.
4. Students must adhere to the rules and standards of the clinical facility. Stealing, falsifying records,
failure to follow local dress codes and other inappropriate behaviors will be reported to and dealt
with by the clinical facility. In some situations, action will also be taken by the College. The
Honesty/Professional Ethics Policy will be enforced.
5. Not all clinical facilities offer locked storage space for students’ personal belongings. Do NOT
bring valuables with you.
6. Each student is given a written evaluation at the end of the clinical experience during a scheduled
conference. The student and the instructor sign the evaluation as an indication that the conference
was held.
7. Students are discouraged from giving faculty members gifts at the conclusion of a semester.
Gratitude may be expressed with cards or notes.
8. Due to the disruption of the care process that these devices may cause, no cellular phones or audible
beepers are allowed during class or clinical time.
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CLINICAL PROGRESS RECORD:
The Student Progress Record is a tracking system that was created to provide consistent communication
between you and faculty as you progress from course to course. This record is your responsibility at all
times and will remain with you throughout the nursing program. This progress record does not replace
the clinical evaluation, but rather provides the opportunity to self reflect upon areas for growth, and
develop a course of action as you prepare for the next course. Identification and review of the action
plan between you and faculty allows faculty to better support and encourage your development. This
should not be considered a contract or an evaluation, but instead, an action-plan to promote your success
in the nursing program. Your clinical instructor (may include theory) will review and initial the record
on the first day of clinical, along with CPR, TB and flu documents, and again at the time of your final
evaluation meeting.
Upon successful completion of the nursing program, the progress record will be yours to keep.
STUDENT IMMUNIZATION REQUIREMENTS
It is the student’s responsibility to keep required immunizations current throughout the program. Please
reference the Student Immunization Record (Appendix).
A copy of the Student Immunization Record and documentation of completed immunizations will be
kept on record in the Nursing Office.
Students are required by our clinical facilities to have a seasonal flu vaccination every year. The
deadline for this will be November 30 of each year and will follow the CDC guidelines. Students with
fall and/or winter clinicals will be required to show proof of immunization to their instructor on the first
day of clinical. A copy of this documentation may be requested if a student’s name comes up for audit
by a clinical facility and needs to be produced upon request.
CARDIO-PULMONARY RESUSCITATION (CPR) CERTIFICATION:
Nursing students must have current (not expired) CPR certification prior to enrolling in NUR102 or
NUR103 (beginning clinical courses), and all subsequent clinical courses. CPR certification must be kept
current until graduation. Renewal requirements vary with different organizations. If CPR certification is
NOT current, the student will NOT be allowed to continue and will be dropped from the course(s)
immediately.
Evidence of CPR certification must be presented to each clinical instructor on the first day of each clinical
course, every semester until graduation.
The following are the acceptable cards and must designate the wording listed in italics because these are
the courses for healthcare providers. Other courses offered by these organizations may be for lay
rescuers.
American Heart Association: Course: BLS for Healthcare Providers
American Red Cross: Course: CPR / AED for the Professional Rescuer
On-line courses are not acceptable unless they include a skills demonstration with a certified
instructor.
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PROTOCOL FOR MEDICATION, INTRAVENOUS SOLUTION, AND BLOOD
ADMINISTRATION: Associate Degree
Students are subject to clinical agency policies and procedures for medication, intravenous (IV) solution, and
blood administration. In addition, students are subject to the following rules and regulations based on their
level of educational preparation. Students must have all medications verified before administration by
their instructor and/or licensed nurse according to clinical agency policy and procedures and policies of
the GRCC nursing program.
Word Definitions:
1.Monitor = assess the needle insertion site, dressing, flow rate, type and level of solution,
patient’s response and report concerns to instructor and/or RN
2. Blood = whole blood, packed RBC, blood components and/or blood substitutes.
3. IV Medications = Medications administered through any intravenous access.
4. IV Solutions = Solutions administered through any intravenous access.
Must document medications, IV solutions and blood administered according to clinical agency policies and
procedures.
May monitor patients receiving but may not administer oxytocic, anti-neoplastic or epidural medications, or
any others that are prohibited by the agency or unit.
.
May not perform percutaneous arterial puncture.
Must comply with unit and agency policies regarding use of central lines and arterial lines.
May monitor, initiate or discontinue blood and monitor the patient receiving blood at the discretion of and
under the direct supervision of the instructor and/or registered nurse.
NUR103 students may not prepare and/or administer IV solutions or medications.
Only AD 245/250 students may monitor, initiate and/or discontinue blood and perform venipuncture under
direct supervision of the instructor and/or registered nurse.
Reviewed 2/93; 4/97; 4/98; 6/01; 5/02; 6/05
Revised 12/93; 2/94; 2/99; 6/00; 4/03; 4/04; 12/06, 10/10; 12/12
26
PROTOCOL FOR MEDICATION, INTRAVENOUS SOLUTION, AND BLOOD
ADMINISTRATION: Practical Nursing
Students are subject to clinical agency policies and procedures for medication administration. In addition,
students are subject to the following rules and regulations based on their level of educational preparation.
Students must have all medications verified before administration by their instructor and/or licensed
nurse according to clinical agency policy and procedures and policies of the GRCC nursing program.
Word Definition:
1.Monitor = Assess the needle insertion site, dressing, the flow rate, type and level of solution,
patient’s response and report any concerns to instructor and/or RN.
2. Blood = Whole blood, packed RBC, blood components and/or blood substitutes.
3. IV Medications = Medications administered through any intravenous access.
4. IV Solutions = Solutions administered through any intravenous access
May not prepare or administer any IV solutions, medications or blood products or participate in
IV catheter insertion.
May monitor IV solutions being administered via peripheral venous lines and/or remove peripheral venous
catheters at the discretion of and/or under the direct supervision of their instructor and/or licensed nurse.
May monitor the patient receiving blood.
Must document medications administered according to clinical agency policies and procedures.
Revised 4/97; 6/00; 4/03; 12/06; 12/12
Reviewed 4/98; 2/99; 6/01; 5/02; 6/05, 10/10
27
HEALTH GUIDELINES
1. An Annual Mantoux TB skin test is required. Students with positive skin tests must complete a TB
Annual Symptom Review form. See appendix A.
2. Complete Student Immunization Record. See appendix B or on Blackboard under Nursing
Information/Program Documents.
3. A student who is pregnant is encouraged to inform the clinical instructor(s) each semester. The
student will be expected to meet all course objectives with reasonable accommodation.
4. If a student is absent from clinical based on doctor’s orders, a written statement from the attending
doctor giving medical consent to return to the clinical area must be obtained. The consent must be
given to the Nursing Program Director. A doctor’s excuse to be absent does not override the
course’s attendance policy. All course objectives must be met with reasonable accommodation.
Extenuating circumstances will be evaluated.
5. Each student needs to be aware of the Michigan Recommendation on HBV-Infected and/or HIV-
Infected Health Care Workers. Any infected student is encouraged to seek confidential counseling
from his/her personal physician and is not required to share this information with faculty or health
care providers in the clinical facility. Information and booklets are available in the Nursing Program
Office, or on the internet at http://www.michigan.gov/documents/InfectedHCW____4_106395_7.pdf
6. A history of chemical/latex or other sensitivities and/or allergies, which occur in the work or clinical
environment, is a potentially life-threatening situation and may limit or prohibit your ability to
complete the clinical requirements of the program.
CRIMINAL BACKGROUND CHECKS
Before being placed on the wait list for one of the Nursing Programs, students must complete a preliminary
criminal background check with GRCC. Forms are available online, in the Health Admissions Office, and
in the Nursing Department. Please mail, fax (616.234.4317), or bring the completed form to the Health
Admissions Office, Room 502 College Park Plaza Building. Please also be aware that before entering the
actual clinical courses, you will be required to undergo a more extensive criminal background check,
including fingerprinting, through GRCC Campus Police. There is a charge for this service.
MSDS: MATERIAL SAFETY DATA SHEETS
U.S. Department of Labor - OSHA
200 Constitution Ave., NW
Washington, DC 20210
1-800-321-OSHA (6742)
The address and contact information above is for the Occupational Safety and Health Administration. In
all clinical settings, prospective workplace hazards exist and are identified and described per site in the
MSDS or Material Safety Data Sheets. If you are concerned about your potential exposure to chemical,
magnetic, nuclear, or electrical environmental materials, these are available at each facility upon request.
It is also the student’s responsibility to make the faculty aware of any specific concerns that may
interfere with the opportunity to meet course objectives.
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STUDENT INJURIES
On-Campus
Whenever students are injured in classroom or lab experiences on campus, the faculty member assigned to
the class will notify campus police. Campus police will record the pertinent data in an incident report.
This is also true for injuries related to physical altercations between students and/or for exposure to blood,
body fluids or other potentially infectious materials. Students are responsible for resulting expenses.
Off-Campus
When students are injured at the clinical agency, the student must notify the faculty member immediately.
The faculty member assigned to the class will report the incident to the nurse in charge of the unit at that
time. Incident reports are usually required at the clinical facility. In addition, the faculty member will
contact GRCC Campus Police as soon as possible and complete a GRCC report of the incident. As
mentioned above, students are responsible for expenses resulting from such an injury.
In the case of a needle stick or student exposure to blood, body fluid and other potentially infectious
material, time is a critical factor. All clinical agencies have policies dealing with this and they must be
carefully followed. At the beginning of each clinical rotation, students will be told to report any injuries of
this type to their instructor immediately. The faculty will notify the nurse in charge on the unit, the staff
educator or student liaison as soon as possible. In addition, notify GRCC campus police to complete a
report of the incident. The faculty will obtain a copy of the agency incident report if possible. This is
typically not an emergent situation, but must be handled in a timely manner. Treatment should be sought at
an urgent care medical center or through the student’s own physician’s office.
TRANSPORTATION
Each student is responsible for transportation to and from clinical assignments. Regulations regarding
parking vary and will be part of the orientation at each clinical facility. Students must adhere to the parking
regulations. Each student is responsible for transportation to any field trips.
SUPPLIES
In addition to the required syllabus and text books for each course it is also required that students purchase
supplies that will facilitate their learning. These include, but are not limited to a stethoscope, blood pressure
cuff, gait belt, watch with second hand, and learning kits. Fees vary and announcements are posted on the
Nursing Information section of GRCC’s Blackboard as well as in the syllabus for the course.
Beginning in January, 2013, all incoming students must purchase Unbound Medicine/Nursing Central
software to be used in place of a drug book, lab book, and medical dictionary. This software must be
downloaded to a mobile device. Devices must be portable and must have internet capabilities. Smart
phones and the iPod Touch work well because they can easily fit in a lab coat pocket. Other devices like
the Google Nexus, Kindle, and Nook will work, but they are larger. It's important to note that the device
must have internet capabilities. For example, the basic Nook does not have internet - only a book
shopping option. Internet connection is only needed for downloading and updating the software and is
not needed otherwise for accessing the downloaded info. Advanced Standing students who were
previously successful in NUR101, NUR102 and NUR103, or have successfully challenged these
courses, will be charged a course fee for this software.
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DRESS CODE
A neat, clean, professional appearance in the clinical area is required. The dress code is established by the
Nursing Practice Committee, which is composed of students and faculty with input from clinical facilities’
dress codes for nurses. Instructors are responsible for enforcing the dress code. Any student who is not
appropriately dressed will be required to leave the clinical area. If this occurs during clinical time, the
student will receive an absence or a tardy for this absence. The purpose of a dress code is:
a. to limit the transfer of micro organisms from student to patients and vice versa
b. to provide for safety and limit injury
c. to identify the individual as a GRCC Nursing Student
d. to promote professionalism
UNIFORM REQUIREMENTS (approved 4/15/11)
Acceptable Unacceptable
Solid appropriately fitting navy
pants/scrubs White knee length uniform dresses,
skirts White full length nylons in good repair
for skirts/dresses Solid navy or white socks with pants so
that skin is not exposed
Clean neutral solid colored non canvas
shoes that are comfortable, supportive
and professional looking (Metro
requires predominately white athletic
shoes, nursing shoes/clogs)
Hip length white lab coat and white
scrub top must have the GRCC
monogrammed logo Hair: clean, well-groomed, neat, & off
the shoulder. Men: clean & neatly
trimmed facial hair Jewelry: one pair of dime size or less ear
jewelry; plain rings
Fingernails: clean & short with clear or
light & subdued colored nail polish
(Metro prohibits nail polish)
Cosmetics in moderation
Covered/concealed tattoos (arm & neck
tattoos must be covered with a long
sleeved turtleneck)
Plain navy or white T shirt or turtleneck,
short or long sleeved, under scrub top
Low cut scrub tops require a
white, crew neck t-shirt. Visible GRCC nametag with clip
Revealing or tight-fitting uniforms or
excessively large uniform top or pants Pants dragging on the floor Top that shows cleavage or midriff (this
includes with bending or movement) Open-toed shoes, sandals, flip-flops or clogs
with holes Fancy decorative hair apparel Unfastened hair on the shoulders Ear jewelry that hangs past the earlobe Multiple earrings per ear
Visible body piercings (other than the ear)
Unconventional hairstyles and hair colors
Rings with settings of fancy work Gum chewing in the clinical area
Tobacco in the clinical facility or smelling
of smoke Perfume, cologne or heavily scented
personal care products Acrylic nails (per unit or facility policy)
Exposed Tattoos
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Additional Uniform Specifications
1. The uniform is to be worn during assigned clinical experiences. Street clothes may be worn during
practice labs at the college. With permission from the nursing faculty, the uniform may be worn for
special activities. During clinical preparation and off-unit experiences, no jeans, shorts, tank or
halter tops may be worn.
2. Lab coat and scrub top with embroidered GRCC logo are required and must be purchased at the
GRCC Bookstore.
3. The GRCC white picture ID is to be worn on the upper left side of the uniform and/or lab coat. All
students must wear this GRCC picture ID when in the clinical setting. This ID is available from the
Student Life office in the Student Center. The ID identifies the student as a ‘Nursing Student’.
(Approved 4/29/09)
4. When obtaining a clinical assignment, the lab coat must be worn over the uniform or street clothes
with the GRCC Picture ID prominently displayed. Jeans, miniskirts, shorts, halters, cutoffs and
sweats are not considered street clothes in the clinical facilities.
5. Any student who is employed outside of school hours, may not wear the GRCC PICTURE ID or
the GRCC LOGO which signifies affiliation with the Nursing Program at GRCC.
Note: In addition to GRCC’s dress code, students will be held accountable for the uniform policy
requirements for all clinical facilities.
H. Children on Campus
Classroom Policy
GRCC prohibits bringing children to class or leaving them unattended on campus, such as halls, the library,
student center or computer labs.
Campus Policy
Children accompanying visitors, employees, or students of GRCC must be under the constant supervision
of a responsible adult while on GRCC property or on the site of any approved off campus class or other
GRCC event.
31
WITHDRAWAL, RE-ENROLLMENT, AND APPEAL POLICIES
Procedures have been established for withdrawal from a nursing course, re-enrollment into the nursing
program and appeal to resume clinical experiences. A copy of all written communications with the student
will be placed in the student’s file.
When students are unsuccessful in the practical nursing program and are withdrawn, they are not eligible
for admission into the associate degree program.
Conditions that will Result in Termination from either Nursing Program
1. Students admitted to either program will be allowed a maximum of one re-entry into any one
nursing course. If students are unsuccessful in two attempts at any one nursing course, their
enrollment will expire. (S)He will be withdrawn from the respective program and may apply for re-
enrollment. Extenuating circumstances will be considered on an individual basis. See the section
titled RE-ENROLLMENT AFTER WITHDRAWAL.
2. On the occasion of the 3rd unsuccessful attempt to complete any combination of courses in the PN
or ADN program the student’s enrollment will expire. This means any combination of
failures/withdrawals/attempts that add up to three. Extenuating circumstances will be considered on
an individual basis. See the section titled RE-ENROLLMENT AFTER WITHDRAWAL
3. The total time allowed for completing either the part-time or full-time PN program is 5 years with
no extensions. The total time for completing the ADN program is 5 years with no extensions.
Students who exceed these timeframes will be withdrawn from the respective program and may
apply for re-enrollment (approved 5/2/08).
4. All Students who fail to complete any or all Biology courses within two attempts with a grade of
C- or higher, will be withdrawn from the ready list and unable to reapply to the program until
successfully completing all required Biology courses. For Associate Degree Nursing students,
this includes: BI 121, 122, and 126 or 127. For Practical Nursing students, this includes: GH
125 & GH 126. This will also apply toward Practical Nursing students’ attempts at BI courses
(taken instead of GH courses).
5. More than two written NOTICES OF UNSAFE CLINICAL PRACTICE (either non-life
threatening or life threatening) will result in PERMANENT dismissal, and the inability to re-enroll
in either of the GRCC Nursing Programs.
Re-entry After an Unsuccessful Attempt At A Course
Any student receiving a grade other than a 80% or higher in a nursing course will be required to retake
the course and earn a passing grade before being able to proceed to the next level of the curriculum. A
passing grade is 80% or higher according to the grading scale of the GRCC nursing programs. A student
in this situation must email the Clinical Coordinator, Debra Veltkamp at [email protected] to make an
official request to retake the course. Spots become available when other students do not progress as
planned, and will be offered in order of the original ready dates of the students who are waiting to
reenter the course. To allow an opportunity for students to identify a plan for future success, students
must wait at least 7 weeks before repeating the course.
All seats in NUR101/NUR102 are previously committed to students with valid EDPs. These
seats are not open for re-entering students unless or until a student with a valid EDP voids that
agreement and releases their seat.
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Vacancies in NUR101/NUR102 occur during the semester before NUR101/102 begin. During
these times students who need to repeat either of these courses will be admitted into vacant seats in
NUR101/NUR102. If the student wishes, he/she can also re-apply and wait on the regular ready
list.
If students are unsuccessful in any course twice, their enrollment is terminated. They may re-
apply for enrollment to the program (ready list).
Withdrawal: Student Initiated
A student may withdraw for a variety of reasons. The following steps will be followed:
1. The student and instructor(s) will discuss the reason for withdrawal.
2. The student will submit a written statement of their intent to withdraw to all instructors involved and
to Debra Veltkamp [email protected]. Future plans for re-entry should be included. This
statement can be submitted electronically.
3. A student who withdraws at the Registrar’s office before 70% of the course has occurred will receive
a “W”. If this is not done, the instructor will assign the grade earned. (See GRCC College Catalog
for more details.)
Withdrawal: Instructor Initiated-Clinical
1. When a student no longer demonstrates satisfactory clinical performance, the instructor will initiate
the withdrawal procedure.
2. The instructor and student will review the written evaluation of clinical performance.
3. The instructor will provide a written evaluation of the student’s performance and the instructor’s
recommendations to the Director of Nursing Programs.
4. The student will make an appointment with the Director of Nursing Programs, to discuss future
plans.
5. If the student wishes to appeal to the instructor’s decision, they should follow the Clinical
Termination Grievance Procedure in this handbook.
6. A student may appeal the decision of the Director of Nursing Programs to the Associate Dean of
School of Workforce Development, who becomes the Hearing Dean, within one school day. The
student will provide the Associate Dean with the same written materials as listed in number 2 above
as they contain the basis for the appeal. The Associated Dean will render a decision within two
school days after receipt of the appeal. The decision of the Hearing Dean is final.
33
Nursing Programs Enrollment and Progression Policies
1. HESI – A score of 75% or greater for ADN students, and 70% or greater for PN students, is a
prerequisite in NUR101/NUR102.
2. Life science courses must have been completed within eight years of graduation/completion of the
specific Health program at GRCC.
3. Re-entry into the Nursing Program (after a Voided EDP) –
Students have a one-time opportunity to change their entry date to a later semester. This must occur
within one month after the appointment with the Student Intake Specialist where the EDP is developed
and the entry date is established. Changes made to the entry date within this time frame will not be
considered a voided EDP.
When students do not enter NUR101/NUR102 on or before the date on their Educational Development
Plan (EDP), their EDP is void. This can happen when personal issues arise or because a student has not
completed NUR100 /PY201/EN101, or BI121 for ADN, or GH125/GH126 for PN, during the
prescribed semester. If a student needs to drop for any reason, it is important to inform the Nursing
Department as soon as possible. Voiding an EDP less than 2 weeks prior to the start of classes prevents
another student from being able to enter the program, and may further delay entry into the program for
the student who voided the EDP. Regardless of the reason for the voided EDP, if the student wishes to
continue to pursue nursing, they must:
a. Inform the Student Intake Specialist, in writing, of their intent to continue in the nursing
program within 5 business days of voiding the EDP. Failure to communicate your
intentions following a voided EDP will result in removal from the program and the
student must re-apply for admission to the wait list. b. Take and pass NUR100 and/or PY201, and/or BI121 and/or BI122 for ADN, and/or
GH125/GH126 for PN with a grade of C- or higher, if not already done.
When these items are completed, the student will be placed on a standby list for vacant seats in
NUR101/NUR102. This list will be ordered by the student’s original ready date.
Vacancies in NUR101/NUR102 occur during the semester before NUR101/102 begin. When this
occurs, students whose EDPs are void will be admitted into vacant seats in NUR101/NUR102 in
order of ready date. If the student wishes, he/she may also re-apply and wait on the regular ready
list.
Requirements as indicated in (b.) above, must be completed within one year after the EDP was voided so
that the student is ready to enter the program should a spot become available. Students who do not
complete these entry requirements within one year after the EDP was voided will be removed from the
program and must re-apply for admission to the wait list.
4. Re-entry into NUR101/NUR102 (Previously Unsuccessful in a course) -- When students are
unsuccessful in either or both NUR101/NUR102 they should notify the Clinical Coordinator in writing
of their wish to re-enroll in the course/s that they did not pass.
Completion of BI122 for ADN students with a grade of C- or higher is required prior to re-entry
into these courses. Once this is complete, students will be placed on a waiting list for re-entry
into NUR101/NUR102 in order of their original ready date.
34
CLINICAL TERMINATION GRIEVANCE PROCEDURE:
A student who is assigned to any clinical setting must:
demonstrate safe practice and progress on attaining clinical objectives
follow the policies and procedures of the nursing programs
follow the College's rules and regulations
follow the policies of the individual clinical facilities
Because of the safety issues related to such placement, a student who is terminated for unsafe practice is
not allowed back at the clinical site, even though the termination is being appealed. It is the intent of
this procedure that it be carried out as soon as possible; the timelines established below reflect that
urgency:
1. The faculty member in charge of the clinical experience will notify the student of the clinical
termination in writing.
2. The student will notify the Director of Nursing Programs and the chair of the
Retention/Recruitment Committee in writing no later than one school day after notification of the
termination if desiring to grieve the termination. The notification shall contain the following
information:
a. Course number, course title, section number and name of instructor;
b. Name, address, telephone and e-mail address of the student making the appeal;
c. Copy of the instructor's summary of the reason for termination;
d. Reason or rationale for why the termination should not have occurred.
3. The Retention/Recruitment Committee will meet with the Student filing the appeal within three
school days. At that time, the Committee will:
1. review the termination documents, the student's letter and other relevant material;
2. provide the student with an opportunity to explain the issues or circumstances raised in the
letter;
3. interview the instructor;
4. submit a written report and recommendation regarding the hearing to the Director of Nursing
Programs on the same day the hearing is held.
4. A student may bring an observer to the Retention/Recruitment Committee meeting who cannot speak
on behalf of the student. A student is allowed to bring in witnesses who may speak if they have
first-hand knowledge of the issue in dispute.
5. The Director of Nursing Programs will notify the student in writing of the decision within one school
day. The student should indicate if they wish to pick up the notification or have it mailed to their
address.
6. A student may appeal the decision of the Director of Nursing Programs to the Associate Dean of
School of Workforce Development, who becomes the Hearing Dean, within one
school day. The student will provide the Associate Dean with the same written materials as
listed in number 2 above as they contain the basis for the appeal. The Associate Dean will render a
decision within two school days after receipt of the appeal. The decision of the Hearing Dean is
final.
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RE-ENROLLMENT AFTER WITHDRAWAL
Students who have been unsuccessful in three course attempts or in two attempts in the same course,
will be withdrawn from their program of study. They may apply to re-enroll into their program of study
one time. Students must successfully complete each required nursing course during the second
enrollment. Students will not be allowed to challenge any nursing courses during a second enrollment.
Students who believe that they have extenuating circumstances may request a waiver of the ‘three
course attempts’ or the ‘two failures of the same course’ rule. These requests will be considered on an
individual basis by a panel of nursing faculty. Students must submit the following to the Director of
Nursing Programs:
1. A letter requesting a waiver of the rule that includes the rationale for the request.
2. Any supporting documentation that is pertinent to their situation
The panel will review the documents submitted by the student. In addition, they will review the
student’s transcript, EDP, student file, and any other pertinent information. The decision of the panel
will be final.
UNSUCCESSFUL/VOIDED EDP READMISSION
Students seeking readmission after an unsuccessful attempt or a voided EDP will be offered a spot as
one becomes available. Seats will be given to returning students based on the course completion date of
their unsuccessful course, followed by their Ready Date. Students may pass on a readmission offer to a
course, one time. If the student has an extenuating situation, he/she may seek approval to designate a
future return/start date (not to exceed one year). While attempts will be made to offer the student a spot
for the requested time frame, it is important that the student recognize we cannot guarantee that a seat
will indeed, be available. A student’s enrollment in the nursing program will expire for any student
turning down a second offer for readmission to a course at any point in the program. Students
wishing to continue after this will need to reapply to Nursing Program.
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SAFE PRACTICE POLICIES AND PROCEDURES
SAFE PRACTICE POLICIES A copy of all written communications in relation to these policies will
be placed in the student’s folder.
Definition of Safe Clinical Practice
In the clinical setting, students will be expected to demonstrate safe clinical practice. Safe clinical
practice is defined as the correct application of scientific principles in performing nursing care.
Care is provided in a timely, reasonable and prudent manner providing for the welfare and well-being of
the patient.
Safe practice implies that the students can demonstrate awareness of the potential effect of actions and
decisions. Such actions and decisions shall not endanger the integrity of the patient.
Safe clinical practice is further defined as:
1. Being prepared for clinical assignments
2. Meeting objectives of the previous clinical rotations
3. Providing nursing care correctly as ordered for the client without injury to the client
4. Displaying a positive therapeutic student/staff/instructor/client/family relationship
5. Respecting the rights of patients
6. Following all safety rules, procedures and policies of the clinical institution
7. Communicating to the instructor regarding any threat to the well-being of any individuals
in the clinical are
8. Being free from all substances which could impair clinical performance, such as
intoxicants, legal or illegal drugs, and alcohol
Definition of Unsafe Clinical Practice
Unsafe practice is defined as, but is not limited to, the following: omissions, neglect, harmful acts, or
deficiencies as well as a repetition of such performance which has the potential for harm to any
individuals in the clinical area. This includes non-life threatening and life threatening categories.
Unsafe Clinical Practice
More than two written NOTICES OF UNSAFE CLINICAL PRACTICE (either non-life threatening or
life threatening) will result in PERMANENT dismissal, and the inability to re-enroll in GRCC Nursing
Programs.
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Consequences of Unsafe Clinical Practice – Non-Life Threatening
A student who demonstrates clinical practice which is unsafe (but not life threatening), as determined by
the clinical instructor, will receive a written NOTICE OF UNSAFE CLINICAL PRACTICE -- NON-
LIFE THREATENING from the clinical instructor as soon as possible after the occurrence. The clinical
instructor will present the situation with:
1) a copy of the information letter; and
2) a copy of the NOTICE OF UNSAFE CLINICAL PRACTICE – NON-LIFE THREATENING.
This written report describes the unsafe clinical practice, states recommendations for improvement, and
gives the date and time for re-evaluation of clinical practice. This date cannot be later than the last
clinical date of the course. It is the student’s responsibility to take the initiative in following the
recommendations for improvement.
Re-evaluation of Non-Life Threatening Unsafe Clinical Practice
The instructor and student will meet at the predetermined date and time for the re-evaluation process. If
the student fails to attend or fails to notify the instructor of the intended absence within 24 hours prior to
this conference, the student will be withdrawn from the course. The instructor will complete the re-
evaluation of UNSAFE CLINICAL PRACTICE at this conference and will provide the student with a
copy.
If 1) the recommendations for improvement have been satisfactorily met; and 2) the student’s current
clinical practice meets the clinical objectives, the student may proceed in the course. If either of the
above conditions has not been met, the student will be withdrawn from the course.
1. For re-entry to the course during a subsequent semester, the student must visit the Recruitment
Retention Committee. The student will submit a letter requesting re-entry to the Chairperson of the
Recruitment Retention Committee. The letter will contain the following information:
a. Course number and title;
b. Student’s name, address, phone number and e-mail;
c. Copy of the Unsafe Practice report and subsequent re-evaluations;
d. Brief summary of reason(s) for requesting re-entry;
e. Plan for prevention of further Unsafe Practice incidents.
2. The Recruitment Retention Committee will:
a. Review the written request;
b. Review the student’s file to determine previous performance;
c. Obtain information from the faculty member;
d. Interview student;
e. Submit a written report and recommendation regarding the re-entry to the Director of
Nursing Programs the same day of the meeting.
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3. The Director of Nursing Programs will make the final decision and notify the student in writing.
4. If allowed to re-enter the course, the student will make an appointment with the Director of Nursing
Programs, to discuss re-entry scheduling.
Consequences of Unsafe Clinical Practice – Life Threatening
A student will be withdrawn from a course immediately for any violation of the safe clinical practice
standard which is potentially life threatening. The student and clinical instructor will meet as soon as
possible after the occurrence. At this time, the clinical instructor will present the student with a copy of
the NOTICE OF UNSAFE CLINICAL PRACTICE – LIFE THREATENING. The clinical instructor
and the student will discuss the incident and the student will be withdrawn from the course.
1. For re-entry to the course during a subsequent semester, the student must visit the Recruitment
Retention Committee. The student will submit a letter requesting re-entry to the Chairperson of the
Recruitment Retention Committee. The letter will contain the following information:
a. Course number and title;
b. Student’s name, address, phone number and e-mail;
c. Copy of the Unsafe Practice – Life Threatening report;
d. Brief summary of reason(s) for requesting re-entry;
e. Plan for prevention of further Unsafe Practice incidents.
2. The Recruitment Retention Committee will:
a. Review the written request;
b. Review the student’s file to determine previous performance;
c. Obtain information from the faculty member;
d. Interview student;
e. Submit a written report and recommendation regarding the re-entry to the Director of
Nursing Programs the same day of the meeting.
3. The Director of Nursing Programs will make the final decision and notify the student in writing
4. If allowed to re-enter the course, the student will make an appointment with the Director of Nursing
Programs, to discuss re-entry scheduling.
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STUDENT SERVICES
TRANSFER CREDIT
It is not to be assumed that transfer credit for a course taken at another college is automatically granted.
Transfer of credit is ONLY ASSURED when official written confirmation is received and the
transferred course is posted to the student’s transcript.
SCHOLARSHIPS
1. Scholarships for students who are enrolled in nursing programs are available through the Grand
Rapids Community College Foundation. Application forms may be obtained from the Financial Aid
office each year after the Christmas/Holiday break.
2. The deadline for submitting applications for GRCC scholarships is March 15. Deadlines vary for
other scholarships. Criteria for each scholarship varies; please read the specific guidelines for each
one.
3. Award of any nursing scholarship is contingent upon the recipient being enrolled in a nursing
program in good standing.
ADVISING
1. If a student needs assistance, staff are available to help, including:
Instructors
Director of Nursing Programs
Clinical Coordinator
College Counselors
Financial Aid Officers
Learning Lab Coordinator
Student Intake Specialist
Student Tutors
Disability Support Services
2. Tutorial Assistance is available without charge through ACADEMIC SUPPORT SERVICES
(third floor of the Student Center), in the Health Sciences Resource and Tutorial Lab and
Reading & Writing Lab.
3. The Health Sciences Resource & Tutorial Lab is a reference/study/tutorial area for students in
the Health Programs at GRCC. For the summer of 2013, it will temporarily be located in Room
103 of the Calkins Science Center. The phone number is 234-4320. The hours are posted on the
Bulletin Board outside of the Lab and on the website. Audiovisuals, magazines, books and
computer programs are available for use in the Health Education Learning Lab. Some of these
are also available in the Library. An appointment can be made to work with a tutor at no cost.
This service is available and highly recommended before academic difficulty occurs.
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4. The Office of Disability Support Services offers assistance in counseling, support, study skills
and testing to students who have a diagnosed learning disability or handicap.
CHALLENGE EXAMINATION PROCEDURES (approved 6/12)
1. The philosophy at GRCC is that valid learning can occur in a number of different ways. Challenge
examinations have been developed for students who can document prior education and/or life
experience that is equivalent to the content of a specified course.
2. A student who takes and fails or withdraws from courses must re-take those courses. Challenge
examinations are not available as a vehicle for “making up” withdrawn or failing course grades.
3. Students re-enrolling are not eligible for challenge exams.
4. Challenge Exam Procedure for Nursing Programs:
Challenge exams in the nursing programs are limited to one attempt. If not successful, the student
must take the specified course. The only students eligible to take challenge exams for nursing
courses are those in possession of a current, unencumbered practical nursing license who are on the
Advanced Standing wait list. Students who meet the above requirements can demonstrate
competency and earn credit by taking a challenge examination for any of the three following courses
and performing a satisfactory skills demonstration for NUR 101 and NUR 103. Students must score
at least 80% to receive credit. The student must contact the Director of Nursing Programs, 234-4238,
to request permission to take the test and then contact the Assessment Center at 234-3413 to
schedule the test. Upon successful completion of the written test for NUR 101 and NUR 103, the
student must contact the designated course faculty to arrange the skills demonstration portion of the
challenge exam.
NUR101 – Jeanette Lochan
NUR102 – Laurie Arnswald (written only, there is no skills portion)
NUR103 – Cora Beute
Both portions (when applicable) must be completed not less than one month before the beginning of
the semester in which the course is due.
Students who have one year of full time work experience or its equivalent (2000 hours) in a clinical
specialty within the past four years may seek permission from the Director of Nursing Programs to
demonstrate competency and earn credit by challenge examination* in the following courses. These
courses have a written exam only. Students must score at least 80% to receive credit.
AD 175 The Older Adult*
AD 230 Mental Health Nursing *
AD 232 Obstetrical Nursing *
AD 243 Pediatric Nursing *
*Separate fees are assessed for taking
each exam. Only one challenge
attempt per course is allowed.
Students are not allowed to take
challenge tests for courses in which
they have been enrolled.
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COMMITTEES AND PROFESSIONAL ORGANIZATIONS
COMMITTEES
There are four committees for the Nursing Programs: Recruitment/Retention, Curriculum, Nursing
Practice and Professional Development.
One or two students are invited at the beginning of each year to attend and participate in the
following committees: Recruitment/Retention, Curriculum, Nursing Practice. Students do not have
voting privileges.
NURSING CLUBS
All GRCC Associate Degree and Practical Nursing students are members of this organization. The
purpose of this organization is to provide an opportunity for growth and personal enrichment.
Contact the Nursing Programs’ Office for a current listing of faculty advisors.
ADVISORY COMMITTEE
The nursing programs share an Advisory Committee composed of employers, professional nurses,
alumni, students, consumers and nursing faculty. A list of current members may be obtained from
the Nursing Programs’ Office. The purpose of this committee is to provide information about
current nursing practice in the community for the Nursing Programs.
GRADUATION AND CELEBRATORY EVENTS
The official graduation event for all students is the GRCC Commencement Ceremony held on the
Friday evening of finals week in the winter semester.
Any other celebratory event is not sanctioned by GRCC or the nursing programs. If such an event is
held, we request that the following statement appear on any/all printed materials:
“Today’s celebration is student-sponsored and is not an officially sanctioned GRCC event. The
official graduation event for all students graduating from GRCC is the GRCC Commencement
Ceremony held on the first Friday evening in May each year.”
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PROFESSIONAL ORGANIZATIONS: Associates Degree
The following are nursing organizations which are resources available to you.
1. National League for Nursing (NLN)
61 Broadway
New York NY 10006
Telephone Number: 800-669-1656
www.nln.org
2. Michigan League for Nursing (MLN)
2410 Woodlake Drive
Okemos, MI 48864
www.michleaguenursing.org
3. American Nurses Association, Inc.
8515 Georgia Avenue, Suite 400
Silver Spring, MD 20910-3492
www.nursingworld.org
4. Michigan Nurses Association (MNA)
2310 Jolly Oak Road
Okemos, MI 48864
www.minurses.org
5. Michigan Nursing Students Association (MNSA)
120 Spartan
E Lansing MI 48823
www.minurses.org
6. National Organization for Associate Degree Nursing
7794 Grow Dr
Pensacola, FL 32514
850-484-6948, 877-966-6236
www.noadn.org
7. National League for Nursing Accrediting Commission, Inc. (NLNAC)
3343 Peachtree Road NE, Suite 500
Atlanta, GA 30326
www.nlnac.org
404-975-5000
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Michigan Nursing Students’ Association (MNSA)
MNSA is the state organization of professional nursing students. Any GRCC ADN student may join
this organization and take an active role at the state level. Students are encouraged to support their
professional organization through membership and participation.
The yearly dues include local, state and national membership and are subject to change. The annual
state convention is held in February.
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PROFESSIONAL ORGANIZATIONS: Practical Nursing
The following nursing organizations are resources available to students and graduates:
1. National League for Nursing (NLN)
61 Broadway
New York NY 10006
Telephone Number: 800-669-1656
www.nln.org
2. Michigan League for Nursing (MLN)
2410 Woodlake Drive
Okemos, MI 48864
www.michleaguenursing.org
3. National Association of Practical Nurse Education (NAPNE)
1940 Duke Street, Suite 200
Alexandria, VA 22314
www.napnes.org
4. Michigan Licensed Practical Nurse Association (MLPNA)
5900 Executive Drive
Lansing MI 48911
517-882-6657 or 888-280-6576
www.mlpna.org
5. National League for Nursing Accrediting Commission, Inc. (NLNAC)
3343 Peachtree Road NE, Suite 500
Atlanta, GA 30326
www.nlnac.org
404-975-5000
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GLOSSARY OF TERMS
ACCOUNTABILITY: The liability for the extent to which actions taken were consistent with the
responsibility for which he/she contracted; it implies that the actual
performance will be judged against professionally established codes and
standards.
AGENT: The person taking action.
CLIENT/PATIENT: See patient.
CLINICAL
PRACTICE MODEL: A professional practice model that supports the practitioner in the delivery
of health care. It clarifies the scope of practice and establishes standards
of care that delineate those services that nurses provide in relationship to
nursing diagnosis and medical diagnosis.
COLLABORATION: The process of working one with another; cooperation.
COMMUNITY: A specific population living within a defined perimeter, or a group which
has common values, interests or needs.
CONCEPTUAL
FRAMEWORK: A group of interrelated concepts.
Horizontal Strands: A concept that is process-oriented and consistently
reinforced throughout the program. (Also called Pervasive Concepts)
Vertical Strands: A concept that is content-oriented and supports
progressive learning, and relates to all key concepts. (Also called
Progressive Concepts)
CORE BELIEFS: Articulation of what matters most about our professional commitment to
serve the health of humanity. They are:
Quality emerges in environments where individuals share mission,
values, and partnerships.
Each person has the right to health care, which promotes
wholeness in body, mind, and spirit.
Each person is accountable to communicate and integrate his/her
contribution to care.
Health care is planned, coordinated, and delivered in partnership
with the person/family/community.
New ways of thinking are essential to continually improve health.
Empowerment begins with each person and is enhanced by
partnerships and systems support.
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CRITICAL THINKING: The process of exercising careful judgment through reasoning and
analysis.
DECISION MAKING: The use of the problem-solving process to arrive at a conclusion.
ENVIRONMENT: All the conditions surrounding and affecting the development of an
individual; surroundings.
FAMILY: Two or more interdependent people who share life experiences and
accomplish goals through interaction.
GORDON’S FUNCTIONAL
HEALTH PATTERNS A nursing assessment framework.
GROUP: Two or more people who interact to accomplish common goals
which includes 11 patterns or individuals, families and/or communities.
HEALTH: A state of wholeness or well-being in which the individual engages in
deliberate, voluntary behavior to maintain self-care requisites.
HEALTH CARE
PARTNERS: Anyone in a relationship with the client who has an interest in his/her
well-being or ultimate outcome.
HEALTH CARE TEAM: A group of specially trained health care personnel/students, who work
together to assist people in reaching their optimal health.
ILLNESS: A deviation from normal structure or function resulting in self-care
deficits.
MULTICULTURAL
NURSING: The provision of nursing care in a manner that is sensitive to the needs of
individuals, families, and groups, and is based upon people’s cultural
values, beliefs and practices.
NURSING: A professional service which contributes to the restoration of the person
by the promotion of health and the prevention of illness through the
facilitation of informed decision making and self-care behaviors, and the
provision of care to clients and families.
NURSING DIAGNOSIS: A statement of the person’s actual and potential problems and the
causative and contributory factors resulting in development of the
problems.
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NURSING PROCESS: A deliberate, intellectual activity whereby the practice of nursing is
approached in an orderly, systematic manner. It includes the following
components:
Assessment: The process of date collection and analysis that results in a
conclusion or nursing diagnonsis.
Diagnosis: A statement describing the client’s actual or potential problems
or deficits.
Planning: The determination of what can be done to assist the clinet,
including setting goals, judging priorities, and designing methods to
resolve problems.
Implementation: Actions initiated to accomplish defined goals.
Evaluation: The appraisal of the client’s behavioral changes and goal
achievement due to the action of the nurse.
NURSING SYSTEMS: All the actions and interactions of nurses and patients in nursing practice
situations. Three basic variations are recognized:
Wholly Compensatory
Nursing System: A situation in which the client has no active role in the performance of
self-care.
Partly Compensatory
Nursing System: A situation where both nurse and client perform care measures or other
actions involving manipulative tasks or ambulation.
Supportive-Educative
Nursing System: A situation where the client is able to perform or can and should learn to
perform required measures of externally or internally oriented therapeutic
self-care.
PARTNERSHIP: “A nourishing relationship that evolves around accountability for a
common mission.” (CPM)
PATIENT/CLIENT: A recipient of care, who actively/mutually participates as they are able in
reaching their optimal health.
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RESPONSIBILITY: The obligation to fulfill the terms of implied or explicit contractual
agreement in accord with professional and legal nursing standards.
SATIFACTORY/UNSATISFACTORY PERFORMANCE:
S = Satisfactory – functions appropriately with supervision as required, in
a manner expected at the present educational level.
U = Unsatisfactory – functions inconsistently with frequent guidance from
instructor, in a manner below that which is expected at the present
educational level.
SELF-CARE: Activities that a person performs for him/herself (when able) for the
maintenance, restoration or promotion of health.
TEAMWORK: The work or activity of a number of persons acting in close association as
members of a unit.
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TB Annual Symptom Review
(For those testing positive on PPD tuberculin [TB] skin test)
Last name (print)______________________ first________________ date_____________
This assessment has 2 parts and is being done as an annual TB symptom review. If the health care provider completing PART 2 below deems necessary, further follow-up is indicated.
PART 1: (completed by student prior to seeing Health Care Provider)
Have you ever tested positive for tuberculosis? ……….................................Yes No If the answer is “Yes” you should have a record of your chest x-ray results or a physician statement of disease free status Have you ever been treated for tuberculosis disease or received preventative treatment? ……………………................................................................................................Yes No If the answer is “Yes” to this question you should have provider documentation of clearance
Are you currently experiencing any of the following symptoms?
-Productive cough greater than 3 weeks duration…………………………………… Yes No -Unexplained weight loss……………………………………………………………………… Yes No -Night sweats………………………………………………………………………………………. Yes No -Unusual tiredness………………………………………………………………………………… Yes No
-Fever or swollen glands not explained by other illness If the answer is yes to any of the last five questions you should see your provider for further follow up. Chest x-ray is required if newly symptomatic for Tb.
……………………………………………………………………………………………………………………………………………
PART 2 (Completed by Health Care Provider) Printed/Typed name of Health Provider (or legible stamp)
Assessment:______________________________________________________________________ _________________________________________ _____________________________ Signature of Health Care Provider date of annual review
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STUDENT IMMUNIZATION RECORD
Date: Semester/year Starting the Program
_____
ADN _____ ADS _____ LPN _____ RT _____ OTA _____DA _____ DH _____
Student Name: _______ Student ID#_______________________
Attach copy of immunization records or laboratory evidence of immunity:
Please note: copies will not be made by the office
Chickenpox disease: Yes _____(documentation required) No _____ or Uncertain _____
If you do not have documentation of disease, titer must be drawn to show immunity. If you have not had
the disease, or you are uncertain, you must have the vaccination.
Chickenpox (Varivax) Vaccines: #1 Date:________________ #2 Date:
Varicella Zoster Titer: Date Results :
Hepatitis B Vaccine series: #1 Date: #2 Date: #3 Date:
AND
Hepatitis B antibody titer: Date_______________ Results:_______________________________
(for best results, titer should be drawn within 1 to 6 months of third dose)
Tetanus/Diphtheria/ Pertussis booster within the last 10 years: Date: _____________________
OR one dose of Adacel (Tdap) within the last 10 years: Date: _____________________
Two doses of MMR vaccine on or after your first birthday are required. The doses must be at least thirty days
apart. All other doses are considered invalid doses. Date of Birth:__________ Dose #1:____________ Dose
#2: __________
(If measles vaccination received between 1963 – 1967, re-vaccination is required)
OR -- titers for all three:
Measle (Rubeola) titer Date Results :
Mumps titer Date Results :
Rubella Titer Date Results :
TB Test Results
Negative ______ Positive ______
Where obtained Date
If TB Test is Positive: Complete TB Symptom Form
Influenza vaccination, required annually (most affective when administered prior to flu season)
Date______________
This information reported is truthful to the best of my knowledge and according to medical documentation.
Student Signature: Date:
1.
2.
3.
4. 4.
5.
6.
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BSOBF DISEASE STANDARD FOR STUDENTS
Since transmission of several human diseases capable of causing significant illness and death may occur from direct contact
with “blood, saliva, or other body fluids”* (BSOFB), their droplets, aerosols and possibly contaminate laboratory wastes, it
is essential that standards of practice that will protect health student, their families and patients be put in place and enforced.
The realization of the risk of contracting BSOFB-borne diseases from patient should motivate health students to use the
recommended preventive measures that have been designed to minimize the risk of occupational transmission of these
potentially serious diseases.
The standards for such protection shall include:
1. A basic premise that all students, real or simulated, should be considered potential carriers of contagious disease.
2. The strong recommendation that all students obtain immunization, if available, against known diseases transmitted by
direct contact with blood, saliva or other body fluids to help prevent disease transmission.
3. The use of “Universal Precautions” including but not limited to the use of gloves, masks, eye protection, appropriate
clothing, and hand washing techniques, to be used at all times when working with any real or simulated patient.
4. The reduction of cross-contamination between treatment areas and non-treatment areas such as home and school.
Examples include but are not limited to wearing uniforms from a clinical area to the grocery store or the movies,
wearing a lab coat from a college class to another public place and so forth.
5. The proper aseptic management of contaminated environmental surfaces.
6. The proper sterilization or high-level disaffection of contaminated reusable instruments.
7. The proper use, care and disposal of sharp instruments and needles.
8. The proper management of contaminated waste material.
Hepatitis B virus (HBV) infection is a major cause of acute and chronic hepatitis worldwide. The U.S. Center for Disease
Control recommends “persons at substantial risk of acquiring HBV infection who are demonstrated or judged likely to be
susceptible should be vaccinated. They include (among others) health care workers, dentistry, nursing, laboratory
technology and other allied health professions.” (Center for Disease Control, MMWR, Morbidity and Mortality Weekly
Report, Vol. 34, No. 22, 1985, pg. 322).
The Health Program Directors and faculty therefore strongly recommend every health student to be inoculated with the
Hepatitis B vaccine before or during his/her first semester in a GRCC health program. Students who are unwilling to be
vaccinated will be asked to sign a statement indicating that they understand the high-risk situation they are entering but they
are declining the vaccine.
NOTE: It is important that students realize they may be excluded from certain clinical areas if they have not been
vaccinated, therefore impeding them from graduating from their respective program.
I have had or will get the Hepatitis B vaccine.
____________________________________________________ ___________________
Student Signature Date
Hep B Video _________________________________________ ___________________
Witness Signature Date
5/2009
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