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NURSING PROGRAM ADMISSION INFORMATION 2008-2009 Setting the Standard for Nursing Excellence in our Community

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NURSING PROGRAM ADMISSION INFORMATION

2008-2009

Setting the Standard for Nursing Excellence in our Community

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Table of Content

PROGRAM INFORMATION ................................................................................................................................... 4

APPLICATION PROCESS .................................................................................................................................... 4 LENGTH OF PROGRAM ....................................................................................................................................... 5 ADMISSION CRITERIA ......................................................................................................................................... 5 ADMISSION DECISION ......................................................................................................................................... 6 PROCESS FOR REQUESTING AN EXCEPTION TO THE ADMISSION CRITERIA ................................... 6 PROVISIONAL ADMISSION ................................................................................................................................. 7 PROGRESSION POLICY ...................................................................................................................................... 7 DEFERRALS ........................................................................................................................................................... 7 DENIAL OF ADMISSION INTO THE NURSING PROGRAM ........................................................................... 7 ACADEMIC PROBATION ...................................................................................................................................... 7 STUDENTS SEEKING READMISSION INTO THE PROGRAM ...................................................................... 8 PERSONS WITH ARRESTS/CONVICTIONS/PRIOR DISCIPLINARY ACTION .......................................... 8

NURSING CURRICULUM PLAN ............................................................................................................................ 9

PREREQUISITES TO NURSING & GENERAL EDUCATION COURSES ................................................... 10

ADVISEMENT INFORMATION............................................................................................................................ 11

APPENDICESAPPENDIX A ................................................................................................................................... 13

APPENDIX A ............................................................................................................................................................. 14

DOCUMENTATION OF CURRENT CERTIFICATION AS A PCT OR GT OR A NURSE ASSISTANT (CNA) OR

ACCEPTABLE SUBSTITUTE ............................................................................................................................. 14

APPENDIX B ............................................................................................................................................................. 16

APPENDIX C ............................................................................................................................................................. 17

PROCEDURE FOR STATE BUREAU OF INVESTIGATION BACKGROUND CHECKS FOR TULSA

COMMUNITY COLLEGE NURSING PROGRAM STUDENTS ...................................................................... 17 PROCEDURE FOR OBTAINING CRIMINAL HISTORY BACKGROUND AND SEX OFFENDER REGISTRY

REVIEW ................................................................................................................................................................. 18

APPENDIX D ............................................................................................................................................................. 20

HEALTH AND HAZARD EXPOSURE INFORMATION ................................................................................... 21

TUBERCULOSIS SCREENING ............................................................................................................................. 21

IMMUNIZATIONS/VACCINATIONS ...................................................................................................................... 21

INFORMATION ABOUT HEPATITIS B VACCINE ........................................................................................... 22 PERFORMANCE STANDARDS FOR ADMISSION AND PROGRESSION IN THE NURSING PROGRAM ................................................................................................................................................................................. 22

ADAPTED FROM BOARD OF DIRECTORS OF SOUTHERN COUNCIL OF COLLEGIATE EDUCATION FOR NURSING, 3/93. ........................................................................................................................................................ 23

APPENDIX E ............................................................................................................................................................. 24

HEALTHCARE PROVIDER CPR REQUIREMENTS AND VERIFICATION ................................................. 24

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NURSING DIVISION

Setting the Standard of Nursing Excellence in our Community Program Information

Our Nursing Program leads to an Associate Degree in Applied Science and was established in 1971 to meet the greater Tulsa area need for Registered Nurses. Since that time TCC (formerly Tulsa Junior College) has provided Tulsa and northeastern Oklahoma with thousands of excellent Registered Nurses. The five-semester Nursing Program is fully accredited by the National League for Nursing Accrediting Commission

1 and approved by the

Oklahoma Board of Nursing.2 Students are eligible to take

the National Council Licensure Exam for registered Nurses (NCLEX-RN) upon successful completion of the program.

Note: information in this packet is subject to change without notice

APPLICATION PROCESS Complete the Nursing Program Application Form and submit with the following attachments:

Nursing pre-application checklist, signed and completed by TCC counselor/advisor

PCT or GT completed within the last five years or current TCC enrollment records in PCT, GT or CNA or current CNA certificate card

Signed OSBI Memorandum (Appendix C)

DO NOT send the OSBI background check to Oklahoma City at this point.

Completed green health record with required immunization documentation attached (see Appendix D)

Copy of current CPR provider (Healthcare Provider or Professional Rescuer)card (see Appendix E)

Documentation of having taken the Nurse Entrance Test (NET) Submit to: TCC Nursing Division Metro Campus – MP 256 909 S. Boston Ave. Tulsa, OK 74119 (918-595-7188)

NOTE: In order to be reviewed for admission, applicants must have a completed portfolio and all attachments on file in the Nursing Division by the second Friday in February for Fall or by the second Friday in September for Spring. Individuals requesting an exception or substitution to TCC Nursing Admission criteria MUST be submitted at least one month prior to stated deadline.

1 National League for Nursing Accrediting Commission (NLNAC), 61 Broadway – 33rd Floor, New York, NY 10006 (216-363-5555, x 153) 2 Oklahoma State Board of Nursing, 2915 N. Classen Blvd., Suite 524, Oklahoma City, OK 73106 (405-962-1800)

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LENGTH OF PROGRAM The Nursing Program consists of four academic semesters with a prerequisite semester of general education requirements. The prerequisite courses must be completed before applicants can begin the nursing courses. Nursing courses in the curriculum (those with a NUR prefix) must be taken in sequence. Students who have family and work responsibilities often find it beneficial to complete as many of the required general education courses as possible prior to entering the Nursing Program. Because the nursing program is rigorous, students are strongly discouraged from working more than 20 hours per week. All courses in the nursing curriculum plan must be passed with a grade of “C” or better. ADMISSION CRITERIA 1. Cumulative grade point average of at least 2.5. NOTE: Upon recommendation of the Nursing Admissions Committee and approval of the Associate Dean, students may be admitted provisionally with a slightly lower grade-point-average. Provisional admission decisions are made on a case-by-case basis. (See: Process for Requesting an Exception to the Admission Criteria, pg. 5) Also, (See: Provisional Admission pg. 7) 2. Nurse Entrance Test (NET)

All applicants are required to take the Nurse Entrance Test (NET) prior to submitting their applications. Seating at each pre-scheduled test is limited, and applicants are registered on a first come, first served basis. Due to a limited schedule of NET tests, applicants are encouraged to register for a test date as early as possible. For more information see their webpage at www.eriworld.com. To register, applicants are to call Educational Resources, Inc. (ERI) at 1-800-292-2273. The cost of the test is $40.00, which may be paid with credit card or money order.

Cutoff dates for test registration are 14 days prior to the respective test date. 3. Completion of each of the prerequisite courses with a grade of “C” or higher. NOTE: Students enrolled in prerequisite course(s) in the semester in which they are applying to the program will be considered for admission pending course completion with a grade of “C” or higher.

ENG 1113 Freshman Composition I

PSY 1113 Introduction to Psychology

BIO 1224 Introduction to Biology for Majors

CHE 1114 Principles of Chemistry

BIO 2134 Human Anatomy

NOTE: Science courses, BIO 1224, CHE 1114, BIO 2134, BIO 2154, and BIO 2164 (or equivalent if transfer credit), must have been completed within five (5) years of date of application to the nursing program.

4. Successful completion of one of the following:

Patient Care Technician (PCT) or Geriatric Technician (GT) program successfully completed within the last five years, documentation of current enrollment in the PCT or GT program

OR current CNA certificate card (or approved substitution) - *if the CNA course was taken anywhere besides TCC, one of the following is required in addition: o successful completion of the Activities of Daily Living (ADL) class with documentation of skills

competency, o OR the Skills Competency Test (SCT) This must be completed prior to the start of classes. Although the one (1) credit hour ADL course is strongly encouraged, applicants may choose to test out of this course by demonstrating competency to the nursing faculty in basic skills. (see page11) Students interested in pursuing this option may contact the Nursing Certificate Program Office 595-7324 to schedule skills competency testing time.

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NOTE: Once you have submitted your application, you will schedule a competency test (unless your PCT, GT or CNA coursework was completed at TCC). Prospective students with a CNA certificate card or CNA substitution must demonstrate competency in specified nursing skills (See Appendix A, Documentation of Certification as a PCT or GT or a Certified Nurse Assistant (CNA) or Acceptable Substitute).

5. Submit a current CPR certification card. (Healthcare Provider, or Professional Rescuer)

6. Completed application portfolio including all attachments.

An incomplete submission will not be accepted by the Nursing Program. 7. Receipt of all previous transcripts by TCC Registrar prior to application deadline. 8. Sign the OSBI memo describing the criminal background check, including sex offender registry

clearance. Only after the student becomes accepted into the Nursing Program will a criminal background check process and clearance be needed.

8. Once accepted in the Nursing Program, a program enrollment session and orientation must be

attended. Information regarding these sessions will be included in the Acceptance Letter. NOTE: Attainment of the basic requirements for admission to the clinical component of the

program does not guarantee admission to the program. The number of applicants accepted is based on an average student-faculty ratio of 12:1 and the availability of appropriate clinical experiences.

ADMISSION DECISION

All completed applications received by the deadline, the second Friday in February for Fall or the second Friday in September for Spring, are reviewed by the Nursing Admissions Committee. A point system is utilized to determine admission. The point system is based on:

Cumulative GPA

Nurse Entrance Test (NET) scores

Science courses enrolled in or completed and grades achieved

Other pre-requisite courses enrolled in or completed and grades achieved

Other general education courses within the Nursing Divisions Curriculum must be enrolled in or completed and grades achieved

TCC PCT, GT (preferred over a CNA) or CNA

Completion of other curricular requirements (i.e., ADL course or Skills Competency Testing) PROCESS FOR REQUESTING AN EXCEPTION TO THE ADMISSION CRITERIA

The Admission criteria have been developed to identify those students most likely to succeed in the nursing program.

Applicants who do not meet the admission criteria and choose to request an exception (one exception only) must request an individual review by the Admissions Committee. Exceptions are evaluated on a case-by-case basis.

A request for exception must be submitted in writing to the TCC Nursing Admissions Committee with a completed application. Exceptions request and application must be submitted one month prior to the deadline, and includes the following:

1. Identify the criteria for which the exception is being sought. 2. Provide clear justification as to why the exception should be granted.

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An Applicant who is granted an exception is then included in the applicant pool. Admission is determined based on the point system (see Admission Decision). Admission preference is given to those individuals who fully meet the admission standards based on the point calculation. PROVISIONAL ADMISSION

The Nursing Admissions Committee may consider an applicant’s request for one (1) exception to the admission criteria on a case-by-case basis and if the exception is approved, they may grant provisional acceptance to the program.

Provisional acceptance will:

1. Be granted on a space-available basis. Preference will be given to candidates who fully meet the admission criteria. 2. Include referrals to available resources within the program in an effort to promote the candidate’s

success. 3. Include admission under Academic Probation. 4. Require the student to successfully complete all nursing courses during the first two semesters following

admission. Provisional acceptance may also include requirements for remediation and completion of course work and achievement of specific course grades.

PROGRESSION POLICY

For retention, progression, and graduation in the Nursing Program, a student must achieve a “C” or better in all courses of the Nursing Curriculum Plan, achieve a minimum cumulative grade point average of 2.0 prior to graduation and demonstrate ethical and professional behavior.

DEFERRALS

Applicants who meet the criteria for acceptance into the Nursing Program, but cannot be admitted because the class is full will be notified of this by written communication. To be included in the applicant pool for the next class, the Notice of Intent (enclosed with the notification letter) must be completed and returned to the Nursing Division Office by the deadline printed on the Notice of Intent. Otherwise the application will be consider inactive.

Applicants who are accepted into the Nursing Program, but who wish to defer admission, must complete and return the Notice of Intent (enclosed with the acceptance letter) or submit in writing their wish to defer and be considered for the next class. Applicants may defer acceptance to the program one semester. If an applicant defers, they will be placed in the applicant pool for the following semester. Applications are only kept active for two semesters.

Applicants who do not enter the program for the semester to which they applied, either because the class was full or they deferred, and who do not notify the Nursing Division Office of their intent in writing, as identified above, will be dropped from the applicant pool. A new application will be required if admission is sought at a later date.

DENIAL OF ADMISSION INTO THE NURSING PROGRAM

Following the application cutoff date of the second Friday in February or the second Friday in September, applicants who do not meet the Program Admission Criteria will be notified by mail. The letter will contain information on which criteria have not been met. Applicants who wish to reapply must submit a new application.

Applicants who have previously completed college-level nursing courses and received a failing grade (“D” or “F”) in two nursing courses with a clinical component are not eligible for admission.

ACADEMIC PROBATION

Applicants who have previously completed, college level nursing courses and received a failing grade (“D” or “F”) in one (1) nursing course, and who are otherwise eligible for admission, will enter on Academic Probation.

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If a student fails a clinical nursing course while on Academic probation, the student will no longer be eligible to progress or be readmitted in the Nursing Program. STUDENTS SEEKING READMISSION INTO THE PROGRAM Applicants seeking readmission or transfer of nursing course credits from another nursing program are referred to specific policies regarding admission for these categories. These policies are available in the Nursing Division Office or in the Nursing Program Student Handbook. PERSONS WITH ARRESTS/CONVICTIONS/PRIOR DISCIPLINARY ACTION Persons may not be approved by the Oklahoma Board of Nursing to take the NCLEX-RN licensure examination after graduation if they have:

A) Been arrested/convicted of any offense, including a deferred sentence. B) Been declared judicially incompetent. C) Ever been convicted of a felony. D) Ever had disciplinary action taken against another health related license.

For additional information regarding this topic see Appendix B or contact the Oklahoma State Board of Nursing at (405) 962-1800.

NOTE:

IT IS THE APPLICANT’S RESPONSIBILITY TO VERIFY THAT ALL APPLICATION DOCUMENTS HAVE

BEEN RECEIVED BY THE COLLEGE AND THE NURSING DIVISION OFFICE BY THE DEADLINE.

APPLICANTS & NURSING STUDENTS MUST NOTIFY BOTH THE NURSING DIVISION OFFICE AND THE

OFFICE OF THE REGISTRAR WHEN THEY HAVE A CHANGE IN THEIR ADDRESS, PHONE NUMBER OR

NAME. IT IS ALSO REQUESTED THAT APPLICANTS & NURSING STUDENTS KEEP THEIR

EMERGENCY CONTACT INFORMATION CURRENT WITH THE NURSING DIVISION OFFICE.

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NURSING CURRICULUM PLAN The Nursing Program consists of four academic semesters and one prerequisite semester. Prior to admission to the Nursing Program and enrollment in NUR 1446, students must have completed the prerequisite courses, the NET testing requirements, the TCC PCT or GT completed within the last five years, or CNA requirement and specific requirements for clinical courses.

1 Faculty encourage applicants to take as many of the general

education (GE) courses, identified in the plan below, as possible prior to enrollment in Level 1 “NUR” courses. See catalog course prerequisites and/or corequisites.

2 NOTE: All courses in the curriculum plan must be

completed with grades of “C” or better.

PREREQUISITE COURSES TOTAL CREDIT HRS.

GEN ED NUR

ENG 1113 Freshman Comp 13 3 cr. 3 --

PSY 1113 Introduction to Psychology 3 cr. 3 --

BIO 1224 Introduction to Biology for Majors

2

4 cr. 4

--

CHE 1114 Principles of Chemistry2,3

4 cr. 4 --

BIO 2134 Human Anatomy2,3

4 cr. 4 --

18 18 0

LEVEL 1

BIO 2154 Human Physiology 2,3

4 cr. 4 --

ENG 1213 Freshman Comp 23 3 cr. 3 --

NUR 1446 Foundations of Nursing Practice 6 cr. -- 6

NUR 1401 Nursing Issues & Perspectives 1 1 cr. -- 1

NUR 1431 Introduction to Pharmacology and Dosage 1 cr. -- 1

16 7 8

LEVEL 2

BIO 2164 Microbiology 2,3

4 cr. 4 --

PSY 2023 Developmental Psychology3 3 cr. 3 --

NUR 1457 Nursing of Adults w/Major Health Disruptions 7 cr. -- 7

NUR 1421 Nursing Issues & Perspectives 2 1 cr. -- 1

15 7 8

LEVEL 3

POS 1113 American Federal Government 3 cr. 3 --

NUR 2423 Nursing of Childbearing Families 3 cr. -- 3

NUR 2433 Nursing of Children and Their Families 3 cr. -- 3

NUR 2453 Nursing Promotion For Quality of Life 3 cr. -- 3

12 3 9

LEVEL 4

HIS 1483 American History 1492-1865 OR HIS 1493 American History 1865-Present

3 cr. 3 --

NUR 2512 Psychiatric/Mental Health Nursing 2 cr. -- 2

NUR 2543 Transition to Novice Nurse 3 cr. -- 3

NUR 2564 Advanced Medical-Surgical Nursing 4 cr. 4

12 3 9

TOTALS 72 38 34 Enrollment requires admission to Nursing Program

Has prerequisite courses (see next page)

1 See appendices for specific requirements related to CNA certificate card, criminal background check, health record and CPR certification.

2 The science courses–CHE 1114, BIO 1224, BIO 2134, BIO 2154, and BIO 2164 – must be completed no more than five (5) years prior to

nursing program application. 3 See TCC catalog for prerequisite courses and/or requirements which must be met before enrolling in these courses.

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PREREQUISITES TO NURSING & GENERAL EDUCATION COURSES

BIO 2134 Human Anatomy: BIO 1224 Introduction to Biology for Majors BIO 2154 General Physiology: BIO 1224 Introduction to Biology for Majors AND BIO 2134 Human Anatomy AND CHE 1114 Principles Chemistry OR CHE 1315 General Chemistry 1 BIO 2164 Microbiology: BIO 1224 Introduction to Biology for Majors AND CHE 1114 Principles of Chemistry OR CHE 1315 General Chemistry 1

ADDITIONAL NURSING COURSES/ELECTIVES4 NUR 1013 Critical Thinking and Decision Making in Nursing NUR 2993 Honor Health Care Informatics for Nurses NUR 2993 Honors Service Learning in Nursing NUR 2303 Pharmacology NUR 2403 Dosage Calculations for Nurses NUR 2990 Selected Topics in Nursing – In conjunction with the National Student Nurses Association, TCC offers Leadership University independent study courses. SNA Members work closely with a TCC nursing faculty mentor to achieve learning objectives. Leadership University topics include: Minority Healthcare, Health Education Needs of Oklahomans, Legislative Awareness, Self-Governance and Leadership, Nurse Entrepreneurship, as well as service learning opportunities. Contact the TCC Student Nurses Association for more information. . NUR 2993 Stress Management

4 Electives may be taken in addition to the core nursing program courses for students desiring increased depth in a subject area or

may be recommended as a remediation course for students experiencing difficulty with content area.

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ADVISEMENT INFORMATION

Curriculum Plan The Nursing Curriculum was developed to be completed in five semesters, with the first semester consisting of general education courses. That semester is referred to as the “prerequisite semester” to the Nursing Program. The nursing courses (those with an NUR prefix) start the second semester of the curriculum and are organized by levels (see Nursing Program Curriculum Plan). All courses (general education and nursing) identified for each level must be completed with a grade of "C" or greater before the student can progress to the next level.

Co-requisite General Education Courses The general education courses for a level are co-requisites, meaning that the course must be taken at the same time as, or prior to, the nursing (NUR) courses listed for that level. The general education courses that are co-requisite for one level in the curriculum plan become prerequisite to the next higher level.

Study Time The course of study in the Nursing Program is very concentrated (a lot of material is presented during class sessions). Therefore, it is recommended that students set aside 2 to 2½ hours for reading and study time each week for every hour they are enrolled in nursing classes. This means that if a student is taking 10 credit hours of nursing for the semester, approximately 20-25 hours should be set aside each week in study time for these classes. This guide is similar to the Recommended Academic Load guide that is in the College catalog. Students must have access to a personal computer with internet access.

Class, Clinical & Lab Activities During the first two semesters students spend between 4 to 7 hours in lecture classes, 2.5 to 3 hours in a nursing lab at the Southeast Campus and 6 to12 hours in off-campus clinical agencies, each week. These hours are not included in the 20 to 25 hours/week the student needs for studying and reading. Therefore, for students who must work or have other obligations, the faculty recommends that they complete as many of the general education courses as possible before beginning the nursing courses.

Schedule Planning So that students can plan their schedules, the faculty will inform them as early as possible regarding the days and times they must be in class, in labs and at clinical agencies. Many of these activities are conducted during the hours of 7am. to 5pm in the first two levels. However, in levels 3 and 4 the majority of clinical are evenings (5pm – 11pm, 6:30pm – 7am, and weekends 6:30am – 7pm). In most of the courses students will also spend time going to the clinical facility to obtain data that they need to plan the nursing care they will provide the following day.

Clinical Preparation The faculty strongly encourages students to obtain work experience in a healthcare clinical setting prior to beginning nursing classes. The skills gained from work experience will boost ability and confidence in the school setting.

Transportation Students will need to provide their own transportation to a variety of clinical experiences.

ADL (Activities of Daily Living) NUR 2991 Prospective students are strongly encouraged to enroll in this course early in the application process.

For Patient Care Technician (PCT) or Certified Nurse’s Aide (CNA) Career Ladder students and for CNA students who take the course(s) at TCC, this course is waived.

Non-TCC CNAs are permitted to challenge this course by demonstrating competency in specified nursing skills prior to beginning nursing classes.

1 The prospective student will sign up in the Nursing

Certification Programs Office (MC 501) for a specified time to demonstrate competency. The competency assessment will be held in the clinical nursing labs on the 3

rd floor of the Philips Building,

Metro Campus.

1 Students completing the PCT, GT or CNA program or ADL course at TCC complete the competency assessment during

these courses and do not have to schedule an additional competency assessment with the Nursing Division.

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ADL Competency Assessments

Students who do not successfully complete the skills competency assessment will be required to complete NUR 2991, Activities of Daily Living (ADL) Nursing Skills prior to starting nursing classes.

Non-TCC CNAs who choose to challenge the ADL course: At your scheduled time you will be required to demonstrate three of the following competencies:

Vital signs (BP, pulse, respiration, temperature)

Bathing (bed bath)

Transferring and ambulating (dangle)

Positioning and turning client in bed

Perineal care

Client grooming (mouth and eye care, dressing client, brushing hair)

Application of restraints (vest, side-rails)

Hand washing

It is strongly suggested that you review the following videos which are available to view in MC 2000.

Vital signs RT 73.5 M67B1 1095369

Bathing RT 73.5 M67B1 1095364

Body mechanics RT 73.5 M67B1 1095366

Hygiene & personal care RT 73.5 M67B1 1095368

Bed making RT 73.5 M67B1 1095363

Apply restraints RT 73.5 M67B1 1095365

Medical asepsis & infection control RT 73.5 M67B1 1095367

NOTE: It is noted that the expected performance of a nursing student providing basic skills and care may be different than what is expected in the role of the CNA in the community. These videos will demonstrate our expectations for success as you move into a professional nursing role.

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Appendices

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APPENDIX A

DOCUMENTATION OF CURRENT CERTIFICATION AS A PCT or GT or A NURSE ASSISTANT (CNA) OR ACCEPTABLE SUBSTITUTE

1

CNA DOCUMENTATION Submit a copy of your current certificate card along with the nursing application. The CNA can be for long-term care or home health.

OTHER ACCEPTABLE HEALTH TRAINING SUBSTITUTION OF HEALTH TRAINING COURSE FOR THE CNA REQUIREMENT

Submit a copy of your current certificate card. A copy of the documentation as requested below must be submitted along with the application. A. PCT: If completed at TCC, it is NOT necessary to submit documentation with application. B. GT: If completed at TCC, it is NOT necessary to submit documentation with application.

REQUESTS FOR SUBSTITION OF PCT, GT or CNA REQUIREMENT

To request approval of the substitution of one of the following training courses/programs, you must write a letter to the Admissions Committee including the documentation requested below. The letter and documents must be submitted at least one month prior to the application deadline to allow time for committee review of the request. Once review is completed, the Admissions Committee will send written notification of their decision. A. Active Duty Military Corpsman/Hospitalman Training: U.S. Army – 91B and 91C; U.S. Navy-NER-HN-001: Submit a copy of military discharge papers which show the completion of the course and its corresponding civilian job category. (Training must have been while on FULL - TIME ACTIVE DUTY and not part of the National Guard or reserve duty). B. Completion of a college level Foundations of Nursing course within the last 5 years. Grade earned must be “C” or better. Submit copies of nursing course competencies successfully completed. B. Tulsa Technology Center (TTC) Nursing Options: Submit a TTC transcript validating satisfactory

completion of the Nursing Options Course. D. Nurse Technician Course from local hospitals: Submit a copy of the Theory/Skills Verification, which

is the hospital’s official documentation regarding satisfactory completion of the course. Your name and dates of training must be legible. The Certificate of Accomplishment will not be accepted since it is not considered official documentation by the hospital.

1 Students who are currently enrolled in TCC’s PCT/GT program or have completed the PCT/GT program do not need to submit a CNA certificate card or

documentation of skills competency. Skills competency is documented as a requirement to pass these courses.

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HEALTHCARE PROVIDER PROGRAMS/COURSES THAT PARTIALLY MEET THE PCT, GT, or CNA REQUIREMENT

Acceptance of verification of completion, within the last 5 years, of the programs/courses listed below, along with satisfactory completion of the TCC 1-credit hour course, Activities of Daily Living Nursing Skills, and documentation of competency of specified skills, can be substituted for the CNA prerequisite requirement. Submit a letter along with the documents requested below for approval of partial substitution to the Admissions Committee. The letter and documents must be submitted at least one month prior to the application deadline to allow time for committee review of the request. Once the review is completed, the Admissions Committee will send written notification of their decision. If the Admissions Committee approves the partial substitution, you will need to contact the Nursing Division Office to receive permission to enroll in the 1-credit hour TCC Activities of Daily Living Nursing Skills course. After permission is received you must enroll at the Registrar Office. You will be contacted and provided with additional information regarding enrollment in the class. The programs/courses that partially meet the CNA requirement include:

A. Medical Assistant – Submit a college transcript or certification document. B. Medical Laboratory Technology – Submit college transcript or certification document. C. EMT Training (Basic or Advanced) – Submit transcript or certification document. D. Military Corpsman/Hospitalman; Navy-NER-HN-002 (reserve/national guard duty trained) –

Submit military records that document training received. E. Reserve or National Guard Training; U.S. Army 91B and 91C; U.S. Navy NER-HN001

Submit military records that document training received. F. Certified Surgical Technician – Submit transcript or certification document.

APPENDIX B

Oklahoma Board of Nursing 2915 N. Classen Blvd., Suite 524

Oklahoma City, OK 73106 (405) 962-1800

INFORMATION FOR APPLICANTS FOR LICENSURE OR ADVANCED UNLICENSED ASSISTANT

(AUA) CERTIFICATION WITH HISTORY OF ARRESTS, CONVICTIONS, OR PRIOR DISCIPLINARY ACTION

Applicants for licensure or AUA certification in Oklahoma who have ever been arrested for or convicted of any offense, including a deferred sentence or expunged offense; or have ever had disciplinary action taken against another health-related license or certification; or have ever been judicially declared incompetent are required to notify the Oklahoma Board of Nursing. Failure to report such action may be a violation of the Oklahoma Nursing Practice Act. All applicants for licensure as a registered nurse or licensed practical nurse must have submitted a criminal history records search conducted by the Oklahoma State Bureau of Investigation not more than three (3) months prior to submission of the application [59 O.S. §567.5].

Effective November 1, 2003, a candidate for a license to practice as a registered nurse or licensed practical nurse shall submit to the Oklahoma Board of Nursing “certified written evidence that the applicant has never been convicted in this state, the United States or another state of any felony, unless five (5) years have elapsed since the date of the criminal conviction or the termination of any probation or other requirements imposed on the applicant by the sentencing court, whichever shall last occur, or a presidential or gubernatorial pardon for the criminal offense has been received” [59 O.S. §567.5]. Therefore, applicants for licensure in Oklahoma with one or more felony convictions cannot apply for licensure for at least five years after completion of all sentencing terms, including probation and suspended sentences, unless a presidential or gubernatorial pardon is received.

The applicant must submit the following information to the Board: 1. Application for licensure and licensure fee 2. A signed letter from the applicant describing the location and circumstances of the offense, date, court action taken and current status 3. OSBI criminal history search not more than three (3) months old 4. If applicable, certified copies of the information sheet, charges, judgment, and sentencing, and verification that the sentencing requirements are complete (these documents may be obtained from the courthouse in the county in which the arrest took place). Please ensure that the copies are certified, e.g., they are stamped with the court seal. If the offense has been expunged, provide a letter from the court clerk verifying that there are no records on file regarding any arrest.

Failure to submit the above information in a timely manner may result in a delay in processing the application. After Board staff reviews this information, the applicant will be notified of any additional action that must be taken. The applicant may be required to appear before the Board. Additional documentation that may be requested prior to this appearance, includes, but is not limited to, letters of reference from a clinical faculty member, the director/dean of program, a probation officer, employer or others. Please be aware that an applicant may not be eligible for licensure or endorsement to surrounding states due to individual states’ restrictions, even if the applicant is able to be licensed in Oklahoma. Individuals who plan to apply for licensure in other states must check with that state’s board of nursing to obtain information on requirements.

Form X02 Revised 6/01, 11/02, 12/04

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APPENDIX C

MEMORANDUM ______________________________________________________________________

TO: All incoming Nursing Students FROM: Nursing Division

DATE: June 8, 2008

TOPIC: Criminal Background Check Procedure ___________________________________________________________________ Students that have been accepted into Tulsa Community College (TCC) Nursing Program are required to have clearance on a Criminal Background Check including Sex Offender Registry as a part of their program enrollment, and/or continuation. Currently enrolled students must maintain their clearance status to continue their enrollment in the courses/programs and may be required to resubmit clearance data. Students who “lose” their clearance are required to notify their program directors immediately. After a student receives an acceptance letter the procedure is as follows:

1. The Criminal History Information Request for a Background Check that includes the Sex Offender Registry is obtained from the Nursing Division, and is submitted to the Oklahoma State Bureau of Investigation (OSBI). If the student has been a resident of Oklahoma for less than one year, he/she is required to obtain a criminal history review and sex offender registry report from his/her last state of residency. International students are subject to the same criminal history information review as stated above. It may be necessary for the student to contact his/her embassy, or utilize a commercial investigative service in order to comply with this requirement. The international student is responsible for obtaining this clearance at his/her expenses.

2. Pay the associated fees.

3. Sign the Release for the Criminal History Information Request and Sex Offender Registration Utilization Form.

4. Ensure the OSBI Criminal Background Check and Sex Offender Registry stamps both are included and are not older than six months at the start of the program. If more than six months have passed since the background review, the student (including those applying for readmission) must pay for another review.

5. The ORIGINAL Criminal History Information Report and the Release for the Criminal History Information Request and Sex Offender Registration Form must be submitted to the Register’s office by the date on the Student’s Acceptance Letter. At that time, a copy of the document will be made for college records and the original will be returned to the student to retain for future reference.

STUDENT SIGNATURE:_____________________________ DATE:______________ PROCEDURE FOR STATE BUREAU OF INVESTIGATION BACKGROUND CHECKS FOR TULSA COMMUNITY COLLEGE NURSING PROGRAM STUDENTS If you have been a resident of Oklahoma for a year or more:

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1. Read the information and follow all of the directions on the enclosed form titled Oklahoma Open Records Act Policy and Procedure for the Oklahoma State Bureau of Investigation.

2. Complete all areas of the enclosed Criminal History Information Request form and mail to OSBI with $15.00 fee. Make sure to include a stamped, self-addressed envelope so the report can be returned to you.

3. Note that acceptable methods of payment include cash with in-person requests only, money orders, Visa, Mastercard, Discover, cashier’s checks, certified checks, government checks or warrants, and business checks imprinted with the company name and address and made payable to the OSBI. Personal checks are NOT accepted.

If you have been a resident of Oklahoma for less than one year:

You will need to file a request for a background check with the Bureau of Investigation of your previous state or country of residence. Call that state bureau for specific instructions for filing the request. You will be responsible for any fees and for having the original background report sent to Tulsa Community College.

International students who have lived in Oklahoma for less than one year will need to provide security clearance from their home country. This can be obtained through their embassy or through an approved commercial investigative service. The student will be responsible for any fees and for having the original background report sent to Tulsa Community College.

International students who have lived in Oklahoma for more than one year may use OSBI, but also must provide documentation to substantiate their address along with the OSBI clearance. This documentation may include past utility or telephone bills to an Oklahoma address, copy of a valid Oklahoma driver’s license, official dated college transcripts. All documents must be dated prior to one year before application and demonstrate an Oklahoma address.

Obtaining the criminal history background is the responsibility of the student at the student’s expense. Students may not enroll in any nursing courses until the background clearance has been received by TCC. Turning in your OSBI to the Registrars Office does not give you clearance. It may take up to two weeks to be cleared after your OSBI is received by the registrars.

PROCEDURE FOR OBTAINING CRIMINAL HISTORY BACKGROUND AND SEX OFFENDER REGISTRY REVIEW

NOTE: This information has been provided by OSBI. Please contact that agency with any questions.

1. Oklahoma open records act policy and procedure for the Oklahoma state bureau of investigation.

The purpose of the Oklahoma Open Records Act is to ensure and facilitate the public's right of access to and review of government records so they may efficiently and intelligently exercise their inherent political power. Thus, it is the policy of the Oklahoma State Bureau of Investigation to make available to the public Oklahoma criminal history information.

2. Members of the public requesting Oklahoma criminal history information must make application, using an OSBI Criminal History Information Request form (form #CHID 01), in person or by mail to the following address:

Oklahoma State Bureau of Investigation Criminal History Reporting Unit

6600 North Harvey, Building 6, Suite #140 Oklahoma City, Oklahoma 73116

3. Requests can be made in person Monday through Friday (except holidays) between the hours of 9:00 am and 5:00pm. 4. The person or entity who wishes to review or secure Oklahoma criminal history information shall provide to the OSBI the subject's full name and date of birth or approximate age. If available, the social security number, inked fingerprints and any other identifiers shall be provided.

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5. Searches for Oklahoma criminal history information shall be conducted by personnel of the OSBI only. 6. Requests for Oklahoma criminal history information from governmental agencies, businesses and private individuals solely for commercial purposes or which clearly would cause excessive disruption of the

OSBI's essential function will require a fee of $15.00 for each individual checked. Acceptable methods of payment include cash with in-person requests only, money orders, Visa, Mastercard, Discover, cashier’s checks, certified checks, government checks or warrants, and business checks imprinted with the company name and address and made payable to the OSBI. Personal checks are NOT accepted.

7. All requests received by mail shall include a stamped, self-addressed envelope.

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APPENDIX D

SAMPLE

HEALTH RECORD FORM

Student Name: _____________________________________ ID #:______________

PART I: Please read and sign important information on the back of this sheet.

PART II:

1. TB SCREENING

TB Skin Test Date ______________ (must be within the past 12 months)

Results were: ________ Negative _________ Positive

If Positive, last chest x-ray date was _________

(Attach copy of the completed screening/testing result form and/or copy of x-ray report)

2. RUBELLA

MMR date _________ OR Positive Titer date _________ (with documentation)

3. HEPATITIS B VACCINE

EITHER Date of first injection __________ )

a. Students Date of second injection __________ ) Attach

must have Date of third injection __________ ) documentation

started the series OR Titer Date __________ )

OR

b. MUST sign declination, below, prior to start of first clinical nursing course.

“I have read the information on the back of this sheet and I understand that due to occupational exposure to blood

or other potentially infectious materials, I may be at risk of acquiring HBV infection. However, at this time I

DECLINE the HBV series and understand that by declining, I remain at risk of acquiring HBV, a serious disease.”

Student Signature of Declination: ___________________ Date: ______________

4. VARICELLA (CHICKEN POX)

Check ( __ I was exposed to Varicella (chicken pox) at the age of: _____

one ( __ To my knowledge, I have never been exposed to Varicella

only ( __ I have been vaccinated against Varicella

(If possible, please attach a copy of documentary proof)

5. TETANUS IMMUNIZATION Last injection date: ____________________

( not required for admission; however, if you receive a puncture wound, you

must have a tetanus immunization if not obtained within the past 5 years.)

PART III: “I have been notified that documentation of my flu vaccine or a statement of reasons for declining must

be filed with the Nursing Office annually. I have been notified that prior to my first clinical rotation, I must pass a

random drug screening and that drug screening may be required at other times while I am enrolled as a TCC

Nursing student.” Student Signature: _____________________________ Date: _____________

PART IV: “The above information is true and accurate to the best of my knowledge. I understand that

misrepresentation of information may jeopardize my health and/or the health of others, and is grounds for denial

of admission to, or dismissal from the class. “

Student Signature: _____________________________ Date: _____________

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HEALTH AND HAZARD EXPOSURE INFORMATION

As a nursing student you will be participating in laboratory and clinical settings which may put you at risk of exposure to environmental and physical hazards. For example:

You may be exposed to diseases such as tuberculosis, hepatitis, mumps, measles, tetanus, AIDS, etc.

You may also inadvertently expose clients and others to these diseases. In order to meet these challenges and protect yourself and others from the potentially harmful effects of these exposures you must:

Be able to meet the Performance Standards For Admission and Progression in the Nursing Program (pages 24-25)

Have received the required immunization and tuberculosis screening/testing (see below). In addition to the above precautions, you will be taught how to use protective devices to maintain a safe environment for yourself and others.

TULSA COMMUNITY COLLEGE assumes NO RESPONSIBILITY for any expenses associated with personal insurance premiums, immunizations, personal protective equipment or other medical expenses related to testing, such as TB screening, associated with exposure to environmental or physical hazards during your nursing education.

TUBERCULOSIS SCREENING

Tuberculosis screening/testing MUST be obtained annually. A completed Health Record with an attached copy of official documentation must be submitted before entering the Nursing Program. These items must be received and on file in the Nursing Division office before it expires. Students will not be allowed to attend classes or to participate in clinical experiences without evidence of current TB Screening.

DRUG SCREENING

Random drug screening will be required of all nursing students prior to their first clinical experience in the TCC Nursing Program. Drug screen fees are included for all students enrolled in an entry-level nursing course. Transfer and readmitted students will also complete drug screening prior to attending a clinical course. Transfer and readmitted students are responsible for the payment of the drug screen fees.

IMMUNIZATIONS/VACCINATIONS

The following is REQUIRED for nursing student clinical practice and may be obtained from the health care provider of your choice. The completed Health Record with a copy of the attached immunization documentation must be on file in the Nursing Division Office by the designated deadline.

Rubella: must have a positive titer or MMR vaccine.

Flu vaccine (annual): a vaccination will be required of all nursing students at the beginning of each flu season, as it is for other health care workers who are frequently exposed to this disease.

Vaccinations can be obtained at Tulsa Public Health Service or at many local hospitals, OR sign a declination form.

The following is OPTIONAL for nursing student clinical practice and may be obtained from the healthcare provider of your choice. Documentation does not need to be provided.

Hepatitis B vaccine, while not required, is highly recommended and students must show dates of receiving the 3 injections necessary for immunization, OR show date of positive titer, OR sign a declination form.

Tetanus: while not required for enrollment, you will be required to obtain one if you receive a puncture

wound while in the program if you have not received the immunization within the past five years.

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INFORMATION ABOUT HEPATITIS B VACCINE

THE DISEASE Hepatitis means inflammation of the liver. Hepatitis B, which is a viral infection, is one of multiple causes of hepatitis. Most people with Hepatitis B recover completely, but approximately 5-10% become chronic carriers; 1-2% die of fulminate hepatitis. In a group of chronic carriers, many have no symptoms and appear well, yet can transmit the virus to others. The Hepatitis B virus (HBV) also appears to be a causative factor in the development of liver cancer. Thus, immunization against HBV can prevent acute hepatitis and also reduce sickness and death from chronic active hepatitis, cirrhosis and liver cancer. Acute hepatitis generally begins with mild symptoms that may or may not become severe. These symptoms include loss of appetite, a vague feeling of oncoming illness, extreme tiredness, nausea, vomiting, stomach pain, dark urine, and jaundice (yellow eyes and skin). Skin rashes and joint pain can also occur. Hepatitis B virus can be transmitted by contact with body fluids: blood (including contaminated needles), semen, tears, saliva, urine, breast milk, and vaginal secretions. Health care workers are at risk of acquiring Hepatitis B because of frequent contact with blood or potentially contaminated body fluids and, therefore, vaccine is recommended to prevent the illness.

THE VACCINES There are two vaccines available. The one that many physicians use is called “Energex B” and is a noninfectious subunit viral vaccine derived from Hepatitis B surface antigen (HbsAG) produced in yeast cells. It has been extensively tested for safety and efficiency in large-scale clinical trails with human subjects. A high percentage of health people who receive three doses of the vaccine achieve high levels surface antibody (anti-HBs) and protection against Hepatitis B. Persons having less response to the vaccine still develop antibodies. Full vaccinations with three doses of vaccine over a six-month period provides immunity for 96% of individuals tested. The duration of immunity is unknown at this time. Persons who have been infected with HBV prior to receiving the vaccine may go on to develop clinical hepatitis in spite of the immunization. HBV is now being administered to some newborns in the nursery, and is an entry requirement that is being phased in for children in Oklahoma public schools.

POSSIBLE SIDE EFFECTS The incidence of side effects is relatively low. The most frequently reported side effects are injections-site soreness, induration, erythema, fever, headache, dizziness, and fatigue. Other more serious adverse reactions have occurred infrequently.

CONTRAINDICATIONS

Hypersensitivity to yeast or any other component of the vaccine is a contraindication to receiving it.

PREGNANCY Animal reproduction studies have not been conducted with “Energix B.” It is also not known whether “Energix B” can cause fetal harm when administered to a pregnant woman or can affect reproduction capacity. “Energix B” should be given to pregnant women only if clearly needed.

NURSING MOTHERS It is not known whether “Energix B” is excreted in human milk. Because many drugs are excreted in human milk, caution should be exercised when “Energix B” is administered to a nursing woman. IF YOU HAVE ANY QUESTIONS ABOUT HEPATITIS B OR THE HEPATITIS B VACCINE, PLEASE CONTACT

YOUR PERSONAL PHYSICIAN.

PERFORMANCE STANDARDS FOR ADMISSION AND PROGRESSION IN THE NURSING PROGRAM

These Performance Standards should be used to assist each applicant and student, who is otherwise qualified, in determining whether accommodations or modifications are necessary for nursing class/clinical experiences. It is

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the policy of Tulsa Community College to provide reasonable academic accommodations for those with disabilities, including learning disabilities, health impairments, and other disabling conditions. NOTE: Those who have physical, mental or emotional limitations must make an appointment with the DisABLED Student Resource Center (MC 331-B, 595-7115) to review their ability to meet these Nursing Program Performance Standards. The assessment for meeting these standards MUST BE COMPLETED and the appropriate documentation for accommodation received in the Nursing Program Office (MP 256) BEFORE a reasonable accommodation can be made for persons being admitted or readmitted to TCC nursing classes and clinical labs. Candidates for admission and progression in the Nursing Program, who are otherwise qualified academically must also have the following abilities and demonstrate proficiency in the listed patient care skills prerequisites.

ABILITY STANDARD SOME EXAMPLES OF NECESSARY ACTIVITIES (not all inclusive)

Critical Thinking

Critical thinking sufficient for clinical judgment.

Identify cause-effect relationships in clinical situations. Develop nursing care plans. Demonstrate problem-solving skills. Adapt to stressful situations.

Interpersonal Interpersonal abilities sufficient to interact with individuals, families and groups from a variety of social, emotional, cultural and intellectual backgrounds.

Establish rapport with patients/clients and colleagues. Recognize appropriate boundaries in relationships with patients/clients and colleagues.

Communication Communication abilities for interaction with others orally and in writing.

Explain treatment procedures, initiate health teaching, document and interpret nursing actions and patient/client responses.

Mobility Physical abilities sufficient to move from room to room, maneuver in small spaces and provide assistance to others.

Move around in patient rooms/work spaces/ treatment areas. Administer CPR. Provide physical assistance to clients and colleagues to ensure safety within the environment. Stand for extended periods. Push/pull and/or lift/carry up to 20 pounds. Exert up to 50 pounds of force occasionally and/or 20 pounds frequently and/ or 10 pounds constantly.

Motor Skills Gross and fine motor abilities sufficient to provide safe, effective nursing care in a timely manner.

Use supplies, safety devices and communication equipment in the care of clients. Perform repetitive tasks/motion.

Hearing

Auditory ability sufficient to monitor and assess health needs.

Hear auscultatory sounds, monitor alarms, emergency signals and cries for help.

Visual Visual ability sufficient for observation and assessment necessary in nursing care.

Observe clients for expected and unexpected physical and emotional responses to nursing and medical treatment regiment. Distinguish colors.

Tactile Tactile ability sufficient for physical assessment and to perform nursing duties in a timely manner.

Perform palpation functions of physical exam. Administer oral, intra-muscular, subcutaneous and intra-venous medications. Insert and remove tubes and perform wound care management.

Adapted from Board of Directors of Southern Council of Collegiate Education for Nursing, 3/93, revised by TCC Nursing, 2003.

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APPENDIX E

HEALTHCARE PROVIDER CPR REQUIREMENTS AND VERIFICATION

CPR Class Requirements

Nursing students must attend a CPR certification class that includes the following: CPR and emergency choking measures for infants, children and adults AND both one-person and two-person rescuer techniques. Unless the course has this content, it is not the appropriate one required for healthcare providers. Note: online certification is not accepted.

CPR Certification Designations

The American Heart Association designates their certification as: BLS-Healthcare Providers. The American Red Cross designates their certification as: Professional Rescuer. Both of these courses meet the Nursing Program CPR requirement. Note: online certification is not accepted.

Non-Acceptable CPR Designation

Citizen CPR, Emergency Cardiac Care, First Aid Basics, any online and the Heart Saver course through American Heart Association are not acceptable substitutes for the required CPR certification.

Nursing Program Verification of CPR Card

A copy of the current CPR card (front and back) is to be submitted to the Nursing Division office by the designated deadline. The original CPR card must be carried at all times, as representatives of the clinical facility and/or nursing faculty may request verification at various times throughout the Nursing Program.

Card Expiration

Students must always have a current CPR card. If the card is due to expire before the end of the semester, make arrangements to take a Healthcare Provider CPR class well in advance of the expiration date. These classes often fill early, and students will not be allowed to attend clinicals without a valid CPR card. A current copy of the CPR card must be on file in the Nursing Division Office at all times.