PN Printable Handbook 2023 Practical Nursing Student Handbook 2023-24Items marked with a are Massachusetts Board of Registration in Nursing (BORN) required policies. The origins of the above nursing pin are unknown, however it is probable that the distinctive caps and pins were adopted by early nurses to confirm that they had been trained. The use of pins is was not without controversy because during the 19th century, nurses were rebuked for wearing any ornamentation on their uniforms. It has been suggested by E. Krohn-Hermann, nurse historian that the precedent began when Queen Victoria presented a brooch to Florence Nightingale in 1855. As nurse training schools developed in the late 1800’s, administrators began to award graduates an official pin to distinguish their graduates from others. The earliest known United States school of nursing pin which was presented to graduates from the Bellevue Hospital Training School in New York, was said to “preserve the identity and uphold the standing of the school ... and to be a mark of character as well as achievement” (Bellevue, 1923, n.p.). The Practical Nursing Certificate pin was designed in 1992. In order to maintain a connection with the original pin, the blue enameled Florence Nightingale lamp set on a book remains in the center. The book symbolizes knowledge while the lamp has come to represent the light that Miss Nightingale brought to the profession of nursing. On the edge of our pin are the words: “The right to think, the will to learn” which are adapted from Greenfield Community College’s legacy school seal. These words are surrounded by laurel leaves, also symbolizing learning and knowledge, and reflecting the college’s commitment to our principles of education. Introduction & Overview GCC Mission & VisionVision GCC aspires to be an agent for a more equitable, just, vibrant, and resilient world through education. Mission Greenfield Community College provides a high quality education to all who seek the knowledge and skills necessary to thrive and effect positive change in their lives, communities, and the world. With excellence, innovation, and an unwavering commitment to teaching and learning together in an inclusive and caring environment, we empower all learners to reach their full potential. Purpose Teaching and learning together Core Values Inclusion Transparency Creativity Integrity Innovation Sustainability OutcomesThe specific nursing curriculum is organized and based on concepts and principles aspired to by GCC’s Principles of Education. The curriculum design flows from these principles as seen below. Program Outcomes The PNC graduate will: Patient-Centered Care Provides holistic care that recognizes an individual’s and family’s preferences, values, and needs, and respects the client or designee as a full partner in providing compassionate, coordinated, age and culturally appropriate, safe and effective care. Professionalism Deliver standard-based care that is consistent with moral, altruistic, legal, ethical, regulatory and humanistic principles. Leadership Guide the behavior of individuals or groups within their environment in order to facilitate the establishment and achievement of shared goals. Systems Based-Practice Demonstrate the ability to effectively apply work unit resources to provide care that is of optimal quality and value while maintaining awareness of and responsiveness to the larger context of the healthcare system. Informatics and Technology Use technology and information to analyze as well as synthesize information to make decisions that optimize patient outcomes. Communication Interact effectively with patients, families, and colleagues, fostering mutual respect and shared decision making, to enhance patient satisfaction and health outcomes. Teamwork and Collaboration Function effectively within nursing and interprofessional teams, fostering open communication, mutual respect, shared decision-making, team development. Safety Minimize risk of harm to patients and providers through individual performance within health care systems. Quality Improvement Uses data to monitor the outcomes of care processes, and recommend improvement methods to design changes to continuously improve the quality and safety of the health care systems. Evidenced Based Practice Integrate the best current evidence coupled with clinical expertise for the delivery of optimal health care. Expected Level of Achievement for Approval 80% of students will pass the NCLEX PN exam within 12 months after completion of the program. 85% of students will complete the program within 36 months of enrollment in the first nursing course. 80% of students who respond to the post-graduation employment survey will be employed 16 hours or more within 6 months after graduation. 100% of students enrolled on the first day of classes are filled by qualified applicants meeting the PN nursing admission requirements. 0% of complaints to the MA Board of Registration in Nursing. Program PhilosophyThe GCC Practical Nursing Program aspires to be an agent for a more equitable, just, vibrant, and resilient world through education and development of a diverse and inclusive workforce. Our vision is to prepare practical nurses who are capable of meeting the basic psychosocial and physical needs of all individuals and their families with common, well-defined health problems in a manner in which personal preferences and beliefs are honored. The GCC Practical Nursing Certificate Program is committed to providing individuals the education necessary to become an integral part of the health-care team and assume positions as practical nurses in structured health-care settings. Practical nursing education is a planned sequence of teaching-learning activities utilizing the nursing process and clinical judgment as clinical reasoning and problem-solving techniques. A graduate of the Practical Nursing Certificate Program will be prepared to practice basic therapeutic, restorative, and preventive nursing in a safe, caring and competent manner. We believe that nursing is an art and science that assists, guides and supports individuals and their families in adaptive responses that promote well-being. Individuals and their families are by nature whole, complex, multidimensional systems. Holistic health is the state of well being of the whole person. Adaptive responses between the individual and their internal and external environment promotes health, improves the quality of life and allows for dignity in death. Our faculty appreciates the diversity and individuality of our students. We encourage them to actively participate in their own learning which we view as a life-long process in an ever-changing health-care environment. Concept of Nursing Education Nursing: The faculty views nursing as an art and a science. The art of nursing is the expression of nurturing, caring, and comforting. Science is the application of relevant theory, practice, and principles. The nurse uses professional communication to integrate the application of knowledge and the maintenance of individuality and culture in providing services to individuals and families. Humanity: Persons are physical, intellectual, emotional, and spiritual beings. The faculty teaches this holistic approach to the person throughout the curriculum. Nursing courses emphasize assessment of individuals and their potential for growth. Liberal arts courses and the biological sciences provide the student with a foundation to understand the dimensions of the individual. Environment: Environment includes internal and external elements that affect the individual. Nursing focuses on the person(s) in relation to their total environment. There is constant interaction between internal and external environments; it is impossible to separate the person from the environment. Health/Illness: Health and illness are dynamic and ever changing throughout the lifespan. They are separate but may co-exist as is represented by a continuous line called the health-illness continuum. This continuum spans highlevel wellness, common health problems, and severe illness and death. We support the GCC Principles of Education in that we value the process of learning as much as the knowledge gained. Nursing education is a life-long learning process which continually provides for the acquisition and application of knowledge, skills, and attitudes. The faculty affirms the individuality of each student, the complexity of their life experiences, and their ability to actively participate in the learning process. We believe that each encounter with students in the learning environment should engage compassion and concern. Curriculum Course Credits Lecture Hours Lab Hours Clinical Hours Weekly Hours Fall Semester NUR 103 * Fundamentals of Practical Nursing 10 9 hrs 3 hrs 12 hrs BIO 103C *Fundamentals of Practical Nursing Clinical 2 8 hrs 8 hrs BIO 194 ** Comprehensive Anatomy & Physiology 4 4 PSY 101 Principles of Psychology 3 3 hrs 3 hrs January Term NUR 105 * Practical Nursing Practicum 2 24 hrs 24 hrs Spring Semester NUR 107A* Nursing Care of Clients and Families 9 9 9 NUR 107C Nursing Care of Clients and Families 4 12 12 PSY 217 Human Growth and Development 3 3 hrs 3 hrs May-June Term NUR 109A * Advanced Concepts in Practical Nursing 2 6 hrs 6 hrs NUR 109C Advanced Concepts in Practical Nursing Clinical 3 22.5 22.5 hrs * Offered only in the semester listed ** BIO 215 plus BIO 216 may be used in place of BIO 194 Occasionally, students will have taken comparable non-nursing courses which may be eligible for transfer. Nursing courses are not accepted for transfer. It is the student's responsibility to ensure that any course they wish to be considered for transfer does meet the requirements of the Practical Nursing Certificate Program. Students will be registered for all required courses according to the program curriculum plan unless an official transcript has been received and accepted by the college. For more information, refer to the transfer credit policy in the Greenfield Community College catalog. A grade of “C” or better is required in all courses and science courses must have been taken within the last five years before entrance into the program. A 2.0 grade point average must be maintained to move from one semester to the next. Course Descriptions NUR 103A Fundamentals of Practical Nursing – 10 credits Monday, Tuesday, Wednesday 8-11 am Introduces the nursing process as a holistic approach to studying physiological and psychosocial adaptations common to individuals and families experiencing health problems across the lifespan. The course explores foundational concepts underlying practical nursing practice such as patient-centered care, cultural competency, evidence-based practice, legal and ethical responsibilities, and role of the practical nurse in the complex healthcare environment. The course presents knowledge fundamental to safe and effective nursing practice including physical assessment techniques, the aging process, safety and infection control, medication administration and pharmacodynamics, wound and ostomy care, nutrition and therapeutic diets, implications for the patient undergoing surgery, pain management, therapeutic communication, end of life care and grieving. Students may receive credit for NUR 103 or NUR 103A but not for both. Special Requirement: Concurrent enrollment in NUR 103C required. (Offered: Every Fall) Prereq: ENG 101 with a C or better. Either a C or better in BIO 194 taken within the last 5 years or concurrent enrollment in BIO 194; or a C or better in BIO 216 within the last 5 years, or concurrent enrollment in BIO 216. PSY 101 with a C or better or concurrent enrollment in PSY 101. This course is limited to Practical Nursing majors only. Recomm: PSY 217 NUR 103C Fundamentals of Practical Nursing Clinical – 2 credits -- Thursday 7am-3pm Provides clinical learning opportunities in long-term care settings. The course emphasizes interview techniques and nursing assessment of older adults. Clinical experience provides the opportunity to practice fundamental nursing skills that facilitate safe, and effective patient-centered care. Students may receive credit for NUR 103 or NUR 103C but not for both. Special Requirement: Students need to arrange travel to and from clinical sites and observation sites. (Offered: Every Fall) Prereq: ENG 101 with a C or better. Either a C or better in BIO 194 taken within the last 5 years or concurrent enrollment in BIO 194; or a C or better in BIO 216 within the last 5 years, or concurrent enrollment in BIO 216. PSY 101 with a C or better or concurrent enrollment in PSY 101. Concurrent enrollment in NUR 103A. This course is limited to Practical Nursing majors only. NUR 105 Practical Nursing Clinical – 2 credits -- Monday-Thursday 7am-3 pm Provides clinical learning opportunities in structured health care settings. The course focuses on nursing assessment and interview techniques of adults experiencing common, well-defined health problems. Clinical experience provides the opportunity to continue to practice fundamental nursing skills that facilitate safe, and effective patient-centered care. Special Requirement: Students need to arrange travel to and from clinical sites and observation sites. (Offered: Every January) Prereq: NUR 103A (NUR 103) with a grade of C or better and successful completion of NUR 103C, BIO 194, PSY 101 NUR 107A Nursing Care of Patients and Families – 9 credits Monday, Tuesday, Focuses on the role of the practical nurse in the delivery of basic preventative, therapeutic, and restorative nursing care in structured health care settings. The course emphasizes patients and their families as holistic beings adapting to common well-defined health problems. The student uses nursing process as a framework to study physiological and psychosocial responses to actual and potential health problems in patients of all ages. The course provides review of anatomy and physiology and instruction on pathophysiology across the lifespan, nursing assessment, diagnosis and interventions, diagnostic tests and procedures, common therapeutic measures, and patient education. The course includes trends and entry into nursing practice. Students may receive credit for NUR 107 or NUR 107A, but not for both. Special Requirement: Concurrent enrollment in NUR 107C (Offered: Every Spring) Prereq: Successful completion of NUR 105, PSY 217 with a C or better or concurrent enrollment in PSY 217. This course is limited to Practical Nursing majors only. NUR 107C Nursing Care of Patients and Families Clinical – 5 credits Wednesday, Thursday Provides clinical learning opportunities in subacute settings. The course emphasizes application of the nursing process in the development of clinical reasoning skills. Clinical experience provides the opportunity to practice the delivery of preventative, therapeutic, and restorative nursing care for patients adapting to common well-defined health problems. Students may receive credit for NUR 107 or NUR 107C but not for both. Special Requirement: Students need to arrange travel to and from clinical sites and observation sites. (Offered: Every Spring) Prereq: NUR 105, PSY 217 with a C or better or concurrent enrollment in PSY 217. Concurrent enrollment in NUR 107A. This course is limited to Practical Nursing majors only. NUR 109A Advanced Concepts in Practical Nursing – 2 credits Monday, Tuesday Continues to develop the knowledge and skills necessary for utilizing the nursing process to deliver holistic nursing care to individuals and their families as they adapt to common, well-defined health problems. Course topics include maternal, child and family nursing as well as leadership skills. Students may receive credit for NUR 109 or NUR 109A, but not for both. Special Requirement: Concurrent enrollment in NUR 109C (Offered: Every Spring) Prereq: NUR 107A (NUR 107) with a grade of C or better and successful completion of NUR 107C. PSY 217 with a C or better. This course is limited to Practical Nursing majors only. NUR 109C Advanced Concepts in Practical Nursing Clinical – 3 credits Wednesday, Thursday Focuses on the integration and application of the nursing process in the final clinical course of the program with opportunities to practice leadership and delegation skills in the clinical area. The course emphasizes consistent utilization of the nursing process and implementation of clinical reasoning skills. Students may receive credit for NUR 109 or NUR 109C, but not for both. Special Requirement: Students need to arrange travel to and from clinical sites and observation sites. (Offered: Every Spring) Prereq: NUR 107A (NUR 107) with a grade of C or better and successful completion of NUR 107C. PSY 217 with a C or better. Concurrent enrollment in NUR 109A. This course is limited to Practical Nursing majors only. Policies General Policies Academic/Clinical Honesty The practice of nursing demands a high standard of personal and professional integrity. Dishonesty, cheating, fraud, and plagiarism are unacceptable. Any instance of these behaviors in the academic or clinical setting may result in dismissal from the program after due process has been exercised and readmission will be prohibited. Please also refer to the GCC Standards of Behavior along with the Student Code of Conduct . Dishonesty in any form will not be tolerated and is considered unethical. The GCC Nursing Handbook details what constitutes a breach of the standards of professional and student conduct. This includes cheating on tests, discussing exam/quiz questions before the exam is graded, posting test content online, screenshots or photos of online exams, disseminating/discussing content of practicums or simulations, copying partial or full assignments, plagiarizing from published sources, or allowing others to copy from you. All assignments are individual work unless specifically noted by the instructor to be a group assignment. Disciplinary action will be taken in the event of academic misconduct and may include permanent dismissal from the nursing program per the student handbook. If you think it may be wrong, it probably is! Academic misconduct includes, but is not limited to, cheating and plagiarism. It is expected that every student will produce his/her original, independent work. Any student cheating on or plagiarizing any assignment will receive an “F” on that assignment and will be reported for disciplinary action. Any assignment assigned a failing grade because of academic integrity violation is ineligible for make-up. All incidents will be reported to the Dean of Nursing and if found to be in violation the student will be dismissed from the program. Student dismissed for an academic integrity violation will be ineligible for re-admission. For your protection, please avoid even the appearance of academic dishonesty. • Admission Students are admitted to the program based on meeting all of the GCC and PNC nursing program admission criteria including the health requirements of the MA Department of Public Health (DPH) and affiliated clinical agency requirements. • Advanced Placement There are opportunities for graduates to pursue advanced standing in the GCC Associate Degree Nursing Program or baccalaureate level. Please speak to your advisor or contact the Nursing Pathways Advisor or download the Associate Degree in Nursing Information Packet. • Attendance & Participation Students are expected to attend all classes, skills labs, clinical experiences and conferences, and all other related activities, such as service learning. All students are expected to arrive on time and stay until the end. Please refer to the course syllabus regarding additional attendance information. If a student misses a nursing class or a class ticket, he/she is accountable for the content covered in those activities missed. Classes are student-centered and consist of lecture, discussion, and in-class activities. Everyone is expected to participate in these activities. Your unique perspective and ideas are valuable, and may bring something to the conversation that nobody else has considered. In addition to calling on volunteers, instructors will issue regular invitations for individual students to participate in our discussions and everyone is expected to accept those invitations at least some of the time. If this represents a problem for you for some reason, please reach out to your instructor in person or via email and we will find a way to get you involved so we can hear your good ideas and questions. Clinical absences are strongly discouraged. Students missing more than one clinical day are at risk for not meeting course objectives. It is the responsibility of the student to notify the instructor of an intended absence or tardiness prior to the start of the clinical day. A clinical absence or tardiness without prior notification will result in a written warning. Please refer to the syllabus in each course for specific procedure as to who to contact if missing clinical (see academic and clinical attendance policy). All students are expected to arrive at clinical start time “fit for duty.” If the student arrives late, they may be sent home and this will be recorded as a clinical absence. If a student is deemed “unfit for duty” they will be sent home, and this will be recorded as a clinical absence. Any student demonstrating a pattern of lab or clinical absence, tardiness, unpreparedness, or failure to notify the instructor in advance of same, may be required to meet with the Program Coordinator of Practical Nursing and the Dean of Nursing to discuss their standing in the program. (See course specific Clinical Absence Policy) Skills/SIM Lab absence will be handled like clinical absences. Arrangements must be made with the lab coordinator before the next scheduled lab for an assigned make-up lab. Students who currently have military service obligations should contact the Dean of Nursing to discuss any absences related to this. In the event of a clinical instructor absence, make-up assignments will be determined by the nursing faculty. Cardiopulmonary Resuscitation (CPR) Certification The American Heart Association (AHA) Basic Life Support (BLS) is the only CPR certification that is accepted. Students are responsible for maintaining certification currency while in the nursing program. Expiration of CPR certification will result in removal from clinical. Copies of updated cards must be submitted to your Castlebranch account upon receipt. Career Services Career Services provides support for career exploration and decision-making, preparation for an effective job search, and improving overall employability. Students are encouraged to identify goals early and create career/academic plans, which include relevant Career Services events and resources. Employment resources include an online Job Board, opportunities to network with employers, mentorship connections, online GetA-Job resources, assistance with TOP Applications (for unemployed students who qualify), and referrals to unemployment agencies. To find out more, please visit the Career Services website or contact careerservices@gcc.mass.edu. TOP Program If you are a full-time student at GCC and you have an open unemployment claim with the Department of Unemployment Assistance (DUA), you may qualify for the DUA Training Opportunities Program (aka TOP or Section 30). If the DUA approves your TOP application, you could get up to a 26-week extension of unemployment benefits and have your job search requirement waived. To find out more, please review the resources and steps listed in the GCC TOP/Section 30 web page, then email careerservices@gcc.mass.edu to schedule a brief orientation about next steps. For best results, meet with Shannon Doran in Career Services prior to meeting with your GCC advisor about scheduling classes. For more information, go to gcc.mass.edu/career-services. Cell Phones Cell phones must be silenced in the classroom, laboratory, and clinical setting. Texting is also not allowed during class, lab or clinical. Use of the cell phone, to the extent it disrupts the learning environment may result in the offender being told to leave the room. In case of emergency, students will be located and given messages. Incoming emergency calls should be made to the Nursing Program Administrative Assistant (775-1753) or the Dean (775-1763). Appropriate cell phone use will be defined by the course/clinical faculty. Class Representatives Each class will identify at least two classmates to represent them at monthly faculty meetings to put forth program questions and concerns. Roles and Responsibilities: Students are elected from the class. It is a fundamental responsibility of a Student Representative to ensure that the students they represent are aware of who they are and that they are available for students to share concerns, complaints, or positive experiences. Student Representatives are a vital channel of communication between the college and students- representing, communicating and giving feedback on college and student matters. They act as a representative leader. Representatives should act as a bridge between the college and the students. They are not authorized to make any formal or informal decisions on behalf of the nursing faculty of the college. Responsibilities: Be a voice for the students to ensure that they have a qualitative learning experience at GCC in the PNC program Act as a key contact between faculty and fellow class members regarding safety, facilities and student welfare needs Maintain confidentiality and adhere to data protection of any shared information Attending monthly faculty meetings: Brings ideas, interests, and concerns of their classmates to the meetings Reports back to the class regarding what was decided at a meeting It is the responsibility of the Student Representative to fairly, accurately, and effectively represent their classmates. Student Representatives are expected to become aware of the issues concerning the students they represent and communicate these issues appropriately. Student Representatives are subject to the same rules and regulations as other students in the college. Being a Student Representative does not afford the Representative any academic or personal privileges not given to other students Class Preparation & Study Time In order to succeed in the program, students must be prepared for the amount of study and class preparation that is required. In addition to the exams and written assignments noted on the course calendar/syllabus, there are daily homework and class preparation assignments as well as required readings as noted on the module outlines. We strongly advise that students do not work more than 20 hours/week and make adequate day-care plans for dependents. Code of Conduct All students will adhere to the Massachusetts Community College System Code of Conduct. Professional comportment is expected of all nursing students in all program activities. All student policies and procedures regarding conduct and behaviors on campus and online including the GCC student grievance procedure can be found in the appendices and at gcc.mass.edu/academic-affairs/students/policies/. Additionally, nursing students are expected to comply with the American Nurses Association Code of Ethics (refer to ANA Code of Ethics for Nurses in the appendices). Communications All email communications with the program and faculty are required to be through the GCC email system. GCC uses the student email system as the official means for student communications. Students are expected to check their GCC student email DAILY during the entire course of the program including semester breaks. The program will only use this system and the GCC Moodle platform for student contact. Students are also expected to check their Moodle course sites daily and during school breaks. Students are responsible for all content that is emailed and posted on Moodle, including deadlines. When emailing faculty and staff, students are required to use Professional Communication Etiquette which includes an opening and closing address (example: Dear Professor Smith, and From, John Smith, first year student). Be specific and concise in your communications and be sure to respond to all communications addressed to you or your email address. If a student’s contact information changes, the student must notify the GCC Registrar AND the Nursing Programs Assistant. Cell phones must be silenced in the classroom and in the clinical setting. In case of emergency, students will be located and given messages. Incoming emergency calls should be made to the Nursing Programs Assistant (413-775-1753) or the Dean of Nursing (413-775-1758). Appropriate cell phone use will be defined by the course/clinical faculty. Faculty mailboxes are in the East 120 office suite. Faculty office hours are posted outside of their offices. Confidentiality Confidentiality is the protection of the patient's privacy in all written and oral communication and is covered under the Health Insurance Portability and Accountability Act (HIPAA). In addition, the American Nurses Association "Code of Ethics for Nurses" (see Appendix IV) requires that the nurses abide by the laws related to patient confidentiality. Consistent with ethical practice, it is imperative nursing students maintain the highest level of confidentiality regarding patient records and circumstances. Important information regarding the patient must be communicated to the designated faculty or staff member in a timely manner. All patient records must be kept confidential, accurate, legible, secure, and free from unauthorized access. Discussion of a patient's condition or personal affairs is confidential and will only be held in the presence of the patient and/or those persons to whom the patient has given permission and the staff involved in the patient’s care. Students shall not: Take or post on social media any pictures of patients Give information concerning patients or internal hospital information to newspaper reporters, lawyers, photographers, their families, law enforcement, or others not connected with the health care agency. Any person seeking information must be referred to the agency staff. All students will comply with current HIPAA regulations. Students who violate HIPAA regulations will be subject to disciplinary action by the affiliating agency, the Nursing Program or both. GCC complies with Family Educational Rights and Privacy Act (FERPA) regulations, which protects students’ information. This means that faculty and the program do not give out information about you without your permission. Counseling Services Greenfield Community College understands that students face stressors that can impact their academic success. No matter what your circumstances, meeting with a counselor can often assist students to identify personal and academic issues and can help develop a plan to ensure student's success. The Wellness Center/Counseling services has a Learning Support Counselor available to aid students with any personal problems. We offer one-on-one counseling, web-based counseling tips and mental health information and resources to promote student's wellness while pursuing academic goals. Short-term on campus counseling is available. This service is available to all current GCC students at no cost. Call (413) 775-1332 for an appointment or contact . If the need is immediate GCC has available a 24/7 hotline: 1-833-434-1217 If students are looking for long term counseling or additional support, referrals can be made to counselors or therapists in the local community. Computer Use Access to a computer and printer is required. Students must have a proficient level of computer and technology literacy. We provide a computer lab for students’ use in our classroom and the computer labs are available on the Greenfield campus. All college computers are to be used for educational purposes only. Printing of non-school related materials is not allowed. Foul language, profanity, and disruptive behavior are not allowed, and use of the computer system for personal or commercial gain is strictly prohibited. Such use may result in a formal reprimand, suspension, or removal from the program. • Course Exemption There are no exemptions from any PN Program courses or content. Criminal Offender & Sex Offender Record Info (CORI/SORI) Although all students have passed the CORI check prior to enrollment in the Nursing Program, CORI checks may be repeated throughout the program. As stated in the GCC Catalog, "Applicants need to know that individuals with a record of conviction by a court of law will be required to provide a complete explanation to the Board of Registration in Nursing in order to be permitted to take the National Council Licensing Exam (NCLEX) after graduation." This refers to the Board of Registration in Nursing in any state you might seek initial licensure (see Good Moral Character (GMC) in the appendices). Individual affiliating agencies may require their own CORI/SORI checks. Fingerprinting for students going into the public school system for clinical is required at the student’s expense. Students may not be able to continue in the program based on the results of the CORI/SORI or fingerprinting. NOTE: Upon completion and registration for the NCLEX, the Massachusetts Board of Registration in Nursing conducts an additional CORI/SORI as well as a review of DCFS Report files. Drug & Alcohol Policy GCC does not require drug testing. However, there are affiliating clinical agencies that require it. Nursing students are required to have urine drug screening prior to beginning clinical in the program (see the appendices). As stated in the GCC student handbook, “The College prohibits the use, possession or sale of a controlled substance or alcohol on the campus, or at any college sponsored activity of Greenfield Community College. Students who violate these restrictions will be subject to disciplinary action up to and including suspension from the college. Students may also be subject to criminal prosecution under State and Federal laws.” Recognizing the nature of nursing student responsibilities in the clinical setting, the Nursing program sets standards different from the general college policy related to drugs and alcohol. When the nursing student is on campus, the college policy will be followed. In the clinical setting, agency policies will apply. When drug or alcohol abuse is suspected in the clinical setting, the following procedure will be carried out: 1. If an individual appears intoxicated or under the influence or is in possession of a controlled substance or has the odor of alcohol on their breath, the individual will be dismissed immediately from the clinical unit. The substance abuse policies of the clinical facility will be followed to provide confirmation of status. 2. Written documentation of the incident will be completed by the clinical instructor and maintained in the student's file. The Assistant Dean will be informed. At this time, the student will be notified that a second clinical incident will result in dismissal from the program. For any student for whom this is not considered a single incident or symptom, a meeting and referral for treatment will follow. The Dean or designee, Clinical Instructor, and the student will all be present at the meeting. 3. With acceptance of referral and treatment, the following assurances will be given to the student: The addictive disease will be treated as any other health problem in relation to sick leave, absence from the program. Confidentiality of records, except for mandatory reporting requirements to state and federal authorities for any diversion of controlled substances, will be maintained. Requesting or undergoing treatment will not affect readmission in the Nursing Program at a later date on a space available basis; and The readmitted student will be required to show evidence of compliance with the agreed upon plan of care and follow-up in order to be readmitted and remain in the program. 4. Without acceptance of referral and treatment, the student will be ineligible for readmission. Educational Assistance Each nursing student is assigned a nursing faculty member as an advisor. Nursing faculty are available to provide guidence to students who need additional help in nursing courses. It is the student’s responsibility to seek help when they do not understand a concept or need to make up course work. Students may make appointments with their advisors for registration purposes and/or any time during the academic year. Faculty advisors are available during office hours. The role of the advisor may include advice on the selection of appropriate courses to fulfill program requirements, information about college policies and procedures, guidance in the admission and transfer process, and referral to other services and support on campus. Every effort will be made to meet individual learning needs. Personal counseling is also available to students through the GCC Wellness Center. Refer to gcc.mass.edu/advising for more information. Institutional Services Disability Statement Greenfield Community College values inclusion and equal access to its programs and activities and is committed to fostering an environment of respect and full participation. Our goal is to create learning environments that are equitable, inclusive, and welcoming. If there are aspects of the instruction or design of this course that result in barriers to your inclusion or accurate assessment or achievement, please notify the instructor as soon as possible. If you are a student with a disability and may need reasonable academic accommodations, please contact the Office of Disability and Accessibility Services (ODS) or call (413) 775-1332. The ODS is located on the fourth floor of the Core in C423. Early identification and interventions will help you realize your goal to succeed in this program. Some accommodations might require additional assessment and significant lead time to obtain. Failure to pursue accommodations promptly might necessitate deferral of enrollment or negatively impact a student’s ability to succeed in the program. Please note that accommodations reasonable for a classroom setting may not be reasonable for a clinical practice setting. Reasonable accommodations are adjustments or modifications of course/program requirements that 1.) do not fundamentally alter the nature of the course/program, and 2.) do not compromise patient safety, health, and well-being. If a nursing student requires a learning accommodation of any kind, has concerns about a course, or has other related issues, the student should make an appointment with their instructor or advisor as early in the semester as possible. Nursing students with accommodations are responsible for obtaining and submitting their special accommodation form from Disability and Accessibility Services to the course coordinators at a minimum of 24 hours before the accommodation is necessary. Students may need to inform clinical instructors of any accommodation needed during clinical participation. Students can also contact the Coordinator of Disability Services for further information regarding learning accommodations. Nursing Peer Tutors and Professional Tutors Nursing Peer Tutors are available to assist students with the acquisition of skills, completion of course assignments, and test preparation. Contact information for peer tutors will be posted in each Moodle class and available through your advisor. The college also provides tutors for math and writing through Peer Tutoring. The Library is meant to provide tutoring services. Professional Nursing Tutors are provided for second year and PN nursing students. Professional tutor information will also be available in Moodle, through course coordinator, and the Dean of Nursing for more information and contacts. There is a student log located in the Administration office. Once you have contacted and set an appointment to meet, please complete the log sheet and submit it to the Administrative Assistant. Make every effort to keep your appointments. The tutors have set aside that scheduled time to work with you. If you are a no-how for two scheduled appointments, you will need to meet with your advisor and/or the Dean of Nursing. Employment The Massachusetts Board of Registered Nursing has identified through research that the successful completion of a Nursing Program is enhanced if concurrent outside employment is less than 20 hours per week. While employment for the nursing student may be necessary, the student should not overextend themselves in a way that comprises their performance and progression in the program. Research indicates that working more than 12 hours in a 24-hour period increases the risk of error. Students who report for clinical having had worked within the last 8 hours prior to the beginning of their clinical shift may be deemed unfit for duty and sent home. This will count as a clinical absence. Certified Nursing Assistant Eligibility Federal legislation has led to the requirement that nursing assistants be certified as Certified Nursing Assistants (CNA). Once a student has successfully completed the first semester of the program, the student may request that a letter be written by the Dean stating that they have met the requirements that allow them to sit for the CNA exam. For out-of-state students, there may be additional requirements. Expenses Students should be prepared to budget for additional costs inherent in the nursing program, beyond tuition and usual fees. Additional costs are approximate and may be covered by financial aid: Program fees (per semester) $1900 AHA CPR for BLS $60 Malpractice insurance $15 Books and software $1200 *Mostly covered by Program GCC health insurance (per year) * $3599 Drug screening $65 Uniforms, shoes, etc. $150 Nursing pin (optional) $40 (may be covered by program) Licensure application $230 NCLEX PN testing $200 Laptop computer $1000 Fingerprinting $50 PNC Clinical Kit $100-125 Scholarship money may be available to help students cover extra fees. Financial Aid Financial Aid from federal, state, and private sources is available to assist students in the Nursing program to meet their educational expenses. The College participates in all of the major federal programs, including the Pell Grant, the Federal Supplemental Educational Opportunity Grant, Federal Work-Study, and the Stafford Loan Programs. The Commonwealth of Massachusetts has provided additional scholarship assistance and allowed the College to waive the tuition of some students with financial need. Awards from all of these programs are based solely on a student's demonstrated financial need. The Nursing Program and the GCC Foundation are proud to offer a variety of scholarships to nursing students including through the Jean Simmons Endowed Chair fund. Scholarships are available for both the PN and AD Program as well as to those who wish to continue on to obtain their Bachelor’s degree in nursing. For more information, please speak to the Dean of Nursing or Nursing Pathways Advisor or visit gcc.mass.edu/foundation/scholarships. • Grievance Before initiating the GCC Student Grievance Procedure, a reasonable effort shall be made by those involved in a dispute to resolve it amicably. A dispute is most effectively handled and resolved by those closest to the problem, having the best understanding of the issues, and having the ability to formulate a mutually acceptable resolution. Therefore, it is in the best interest of the student, the potential subject of a grievance, and the College to resolve disputes through open and cooperative dialogue. Students who believe that they have an academic or clinical grievance should first discuss the problem with the faculty or staff member involved. If following the discussion with the faculty or staff member, students continue to believe that they have not been dealt with fairly, they should move to the next step of the grievance protocol. Only when such efforts are unsuccessful should the Student Grievance Procedure as outlined in the student Student Code of Conduct be invoked. The following steps outline the grievance protocol for nursing students to follow: First: Meet with faculty involved Second: Meet with Course Coordinator Third: Meet with Dean of Nursing Fourth: Meet with the Vice President of Academic and Student Affairs Health Status & Immunizations The Massachusetts Board of Registration in Nursing’s regulation 244 CMR 6.04(3) stipulates that all candidates for admission to a nursing program are required to provide satisfactory evidence of compliance with the immunization requirements as specified by the Massachusetts Department of Public Health. Additionally, students must complete the requirements of the Centralized Clinical Placement System (CCP) to attend clinical. GCC utilizes the Castlebranch program for all students to track immunization compliance. At the time of your admission you would have received a welcome email from Castlebranch inviting you to set up an account. In this system you can see program and clinical requirements and your progress to completion. Each requirement has a deadline to complete. Make sure that your requirements are uploaded to the system and accepted or you will not be able to attend clinical. It is the responsibility of each student to submit original copies of all immunizations to Castlebranch, and to keep copies for their own personal files. Although all student health records are completed prior to admission, each student is responsible for keeping all health records current and updated annually. All student health records are maintained according to Health Insurance Portability and Accountability Act (HIPAA) regulations. COVID testing and vaccination requirements are dictated by clinical facilities, not GCC. Students will be notified of any testing requirements by their clinical instructors. Any student traveling to a foreign country while enrolled in the program is advised to refer to the CDC guidelines for health considerations and contact the Dean of Nursing of Nursing for further information. At this time, students will be required to be fully vaccinated two weeks prior to the start of the fall semester. Students are responsible for notifying their instructors if they are not able to attend class, lab, or clinical. In the event that a student anticipates being out of class, lab, or clinical for more than one week due to a change in health status including but not limited to pregnancy, hospitalization, surgery, major injury or illness, the student is required to submit the Return to Clinical Studies Following a Change in Health Status Form (see Appendix IV) to the Dean of Nursing. If the student anticipates that this change in health status may persist, they should contact Disability Services. It is the responsibility of the student to send all health-related documents and information to Castlebranch and respond to all related emails. Inclement Weather The decision to cancel or delay classes or clinical due to emergencies or adverse weather conditions is decided by the President of the College. Cancellations will be provided on local TV and radio stations, the College’s “weather line” at 413-775-1010 and on the college’s website. If GCC cancels or delays opening the PN program will follow that directive. Faculty reserve the right to delay, cancel, or release students early from clinical if surrounding area weather conditions are considered dangerous. Program Completion Students will be considered to have completed the PN Nursing program when all required coursework has been completed and grades are submitted to the GCC Registrar. Certificates are conferred at a GCC pinning ceremony. Students must complete the Plan to Graduate Form available in MyGCC in February of your Graduation Year. Failure to complete this form will delay your ability to test for your NCLEX. • Readmission If you withdraw from the program or are unable to successfully complete a course in the PN Program, you will receive a Withdrawal Letter from the Assistant Dean of Nursing that will include conditions you must meet if you choose to request readmission to the program. Consideration for readmission is given to any student who has previously been enrolled in the program. The student would be eligible to re-enter the program into the course that was not completed. A student may apply for readmission for up to two years after leaving the program. After two years, the student may only re-enter the program if they reapply for program admission as a new PNC student and begin the program over from the beginning. Students will be considered for ONE readmission only (unless special circumstances exist which would require appeal and approval by the Dean of Nursing). Readmission to the program is only possible when a space becomes available. There is no guarantee that a space will be available, nor is it possible to notify applicants about their status until an opening occurs. For readmission into the program, students must meet all College and program readmission requirements: Complete the Readmission Application Follow the instructions on the Readmission Application Submit a CORI/SORI request form Submit a copy of a current CPR certification Complete all health and immunization records requirements Have a 2.0 GPA or higher at the College See gcc.mass.edu/admissions/health-careers/ for more information. Students who have left the nursing program for any reason and are requesting readmission into the program must submit a letter electronically to the Dean of Nursing that addresses the following: The semester you are petitioning to reenter The reasons and conditions which led to your withdrawal from the program Specific nursing education activities and courses that you intend to complete before re-entering the program. A plan that outlines exactly how you intend to ensure your success in the program this time. The student must be up to date on program requirements (see Program curriculum) All deadlines found on the health occupations website will be adhered to. Safe Nursing Practice All students in the Practical Nursing Certificate Program are expected to demonstrate safe and ethical nursing practice at all times. The college may take disciplinary action against the student upon the student's failure to demonstrate safe and ethical nursing practice. Safe and ethical nursing practice includes, but is not limited to compliance with the regulations listed below and/or any other laws and regulations related to the practice of nursing. All students must: Practice within the guidelines and outcomes of the Practical Nursing Certificate Program at Greenfield Community College as described in this handbook, the GCC catalog and student handbook and in course description and clinical evaluation tools. Adhere to the rules and regulations of affiliating health care agencies as described during clinical orientation. Practice within the NAPNES Standards of Practice (see the appendices). Adhere to all state laws and Board regulations governing the practice of nursing and all other state and federal laws and regulations related to such practice. Social Media The PN Program has adopted the NCSBN’s stance on the use of social media. Read their position statement here: https://www.ncsbn.org/public-files/NCSBN_SocialMedia.pdf Student Evaluations of Courses, Faculty & Facilities Near the conclusion of each nursing course, students will have the opportunity to complete the following surveys: The Course Evaluation Survey Clinical Facility Evaluation Survey College generated Course and Clinical Faculty Evaluation Surveys Graduates will be asked to complete a Nursing Program Evaluation Survey six months after graduation via email. These forms are confidential and anonymous. Students should respond to these evaluations in a truthful, mature, and constructive manner. Faculty evaluation summaries are made available to the faculty member, Dean of Nursing, and the VP of Student and Academic Affairs. Students are required to produce verification of survey completion. Faculty incorporate students’ suggestions in their syllabi and course activities whenever possible. Pertinent feedback regarding clinical facilities is shared with the nursing administrators of those facilities. Graduate survey data is essential to our continuing approval from the Massachusetts Board of Registered Nursing (BORN). Technology Students must have a laptop and reliable access to the internet and software programs to complete nursing program assignments and meet program objectives. At Clinical Sites Only approved technology by the facility and the clinical instructor will be allowed in the clinical area. Use of computers in the clinical setting is for client specific information ONLY. Cell phones may be used only to access nursing databases for references. Improper use of technology in the clinical area may result in dismissal from clinical and possible dismissal from the program. In the Classroom Videotaping in the classroom is not permitted without prior faculty approval. Any approved recording cannot be posted anywhere except the course specific Moodle course site. No course information should be posted on any outside social media website without course coordinator approval. Please be aware that course content is the intellectual property of the individual faculty member. Computer use in the classroom is reserved for academic purposes only. Laptop Requirements for ALL Students All students are required to have a personal laptop computer that meets the minimum specifications as follows: Windows 10 OR OS 10.15 for MAC Intel i5 Processor 8GB RAM 256 GB solid state (SDD) hard drive Suggested Laptop Models Hewlett Packard: HP ProBook 430 or 440 G6, HP Spectre X360, HP ProBook X360 440 G1, HP Elitebook 850 G5 Dell: Inspiron 14 3000, Inspiron 14 5000, Inspiron 14 5000 2-in-1, Inspiron 14 7000, Inspiron 14 7000 2-in-1 Lenovo: IdeaPad 330S 14″, IdeaPad 730S 13″, Yoga 730 13″, ThinkPad X390 NOTE: Chromebooks are not recommended and may be incompatible with certain learning platforms Students may consider accessing financial aid funds if laptops are purchased through the GCC Bookstore. Please contact the GCC Bookstore Manager at 413-775-1190 or for details. Students may also consider the GCC Library for technology loaners. • Transfer A student wishing to transfer to another nursing program is advised to meet with their advisor or the Dean to discuss their transfer. Students are advised to contact the admissions office at the institution to which they wish to transfer for any information regarding transfer credits. Transportation Students are responsible for providing their own transportation to all clinical areas and program related activities. Please be aware that bus transportation may not be adequate to meet required clinical start times or skills lab start times. It is not always possible for students to carpool to clinical sites. Students must be able to drive to their assigned clinical agencies within a 50 mile radius of the Northampton campus. • Withdrawal Students may withdraw from the College any time before the posted last day to withdraw date. Students withdrawing during the second third of the semester will receive grades of “W” for all courses in which they were enrolled. After the posted withdrawal date, students who stop attending class will receive the grade assigned by the instructor. Students cannot withdraw from a class that ended prior to the submission of a withdrawal request. Students considering withdrawing from GCC should consult with their academic advisor. To withdraw officially, students must complete a withdrawal form to the Registrar’s Office. Stopping attending class or telling instructors of plans to withdraw does not officially withdraw a student from the program and may jeopardize eligibility for tuition refunds, financial aid, and future enrollment at GCC. If extraordinary circumstances force a student to consider withdrawal during the last third of the semester, they may discuss the possibility of an exception to the policy with the Dean. Academic PoliciesThese policies are specific to the practical nursing students and are in addition to policies in the general GCC Student Handbook. • Educational Mobility The GCC Practical Nursing Program believes graduates of our program should have the option to progress in their nursing education. We acknowledge that some students may be interested in other pathways and to this end the Endowment Fund provides a Nursing Pathways Advisor to help students in exploring other educational and career options (e.g., LPN to BSN programs). Graded Assignments All course materials, due dates, and exam dates will be posted on Moodle including: class presentations, activities, faculty notes, assignments and if available, videos and links to case studies or other required activities. Exams Computerized exams will be given on the date and time scheduled on the course calendar. Exceptions must be arranged with faculty prior to testing. Prompt arrival on the day of the exam is required. Ear plugs are permitted but listening devices are not. Cell phones, smart watches, backpacks, coats, hats, keys, and all items unrelated to testing are not allowed in close proximity to the test taker.. During the exam, the student’s face and hands must be easily visible to the test proctor at all times. Students may have an opportunity to review tests after grading. Missed Exam Make up exams must be taken at the Testing Center on GCC main campus. Arrangements for missed exams are the student’s responsibility and are at the instructor’s discretion. STUDENTS WILL BE PERMITTED ONE MAKE-UP EXAM OR QUIZ PER YEAR WITHOUT PENALTY. If a student exceeds this limit, then five points will be deducted from the grade per academic day until the test is completed up to seven days; if not completed within this timeframe, the student will receive a zero for the exam. Make up exams may be a different version of the original exam. In extenuating circumstances, exceptions to this policy may be made at the determination of the faculty. Written Assignments All written work submitted by students shall be graded for composition, spelling, and grammatical errors, as well as essential content. This work must be typed unless specified by the professor and use APA for formatting, references,and citations. All written assignments submitted shall represent the student’s own work. Plagiarism is prohibited and will be viewed as cheating. This includes violation of copyright regulations. A student submitting another person’s work as their own will face disciplinary action. Rewrite Policy: Rewrites are eligible to earn up to a maximum grade of 74%. Failing assignments must be submitted with revisions within one week. Late Paper Policy: It is the responsibility of the student to communicate with the course coordinator before the due date via email to prevent loss of assignment credit. Rewrite policies for failed papers are based on individual course syllabi. No papers will be accepted after the due date without penalty, except with prior approval of the course faculty. All written assignments include written directions and a time and date they are due. Five points will be deducted each day an assignment is late up to 10 days. After 10 days, a zero grade will be entered for the assignment. In extenuating circumstances, exceptions to this policy may be made at the determination of the Program Coordinator and faculty. • Grading/Academic Progression Students are required to pass every course with a minimum grade of “C” in accordance with the sequence of courses in this handbook. In nursing courses a student must receive a grade of 74 in class work and pass clinical in order to pass the course and continue in the program. Additionally, students must pass clinical and demonstrate competency in the skills lab as indicated in each skills lab outline. Remediation opportunities will be provided in order to fully support student outcomes. If a student is not successful in meeting academic objectives, they will receive a progress note. Every attempt is made to keep students fully informed of their standing in the course, so the student should expect that verbal and written clinical evaluations and progress notes may also be given at any time during the semester deemed necessary by the instructor. The student will also submit an action plan outlining the steps that they will take to meet the indicated learning objectives to the instructor for approval. Grades are based on a combination of assessment types and assignments. The course syllabus identifies the exact combination and weight of these assignments. Partial course credit will not be granted, and assignments are never “curved”; no “extra credit” is given. Grades are never rounded. Textbooks & Electronic Resources Your ATI bundle is paid through fees and resources through GCC. Clinical Policies Client/Patient Confidentiality Confidentiality is the protection of the patient's privacy in all written and oral communication and is covered under the Health Insurance Portability and Accountability Act (HIPAA). In addition, the American Nurses Association "Code of Ethics for Nurses" (see Appendix IV) requires that the nurses abide by the laws related to patient confidentiality. Consistent with ethical practice, it is imperative nursing students maintain the highest level of confidentiality regarding patient records and circumstances. Important information regarding the patient must be communicated to the designated faculty or staff member in a timely manner. All patient records must be kept confidential, accurate, legible, secure, and free from unauthorized access. Discussion of a patient's condition or personal affairs is confidential and will only be held in the presence of the patient and/or those persons to whom the patient has given permission and the staff involved in the patient’s care. Students shall not: Take or post on social media any pictures of patients Give information concerning patients or internal hospital information to newspaper reporters, lawyers, photographers, their families, law enforcement, or others not connected with the health care agency. Any person seeking information must be referred to the agency staff. All students will comply with current HIPAA regulations. Students who violate HIPAA regulations will be subject to disciplinary action by the affiliating agency, the Nursing Program or both. GCC complies with Family Educational Rights and Privacy Act (FERPA) regulations, which protects students’ information. This means that faculty and the program do not give out information about you without your permission. Clinical Assignment Preparation All students must complete the Centralized Clinical Placement (CCP) requirements each semester for each clinical agency including agency-specific content prior to attending clinical. Complete the CCP at http://www.mass.edu/mcncps/orientation/welcome.asp. Clinical preparation includes collecting information regarding the assigned patient/client(s). This includes demographics, allergies, medical and nursing diagnoses, history of the current problem, medications, activity level, laboratory and diagnostic data, and current treatment orders. Students are expected to utilize the Nursing Process in planning patient/client care and identifying patient problems. Clinical preparation requirements are written and specified by faculty member and the course objectives. Preparation for clinical may require obtaining the patient/client assignment prior to the experience according to the plan specified by the instructor. When obtaining patient/client data during periods outside the actual clinical lab time, students must wear name pins, dress professionally and identify themselves as GCC Nursing Students to unit staff. Clinical preparation time is not included in the scheduled clinical time. Students may be expected to be at the clinical agency up to one hour prior to the beginning of the clinical day. Students are expected to begin clinical on time. Students who are late for clinical will be excluded from patient care until the instructor is satisfied that the student is adequately prepared. Inadequate preparation may result in dismissal from clinical and will be considered a clinical absence. Clinical Group Assignment: Students are assigned to their clinical group by the course faculty. Faculty consider program and course needs. Written Clinical Assignments: The written clinical assignments are essential assessments of the student learning outcomes. Written clinical assignments must be submitted according to assignment guidelines. Clinical Performance & Grading Clinical grades are pass/fail and are based on nursing assessments, care plans, nursing case studies, clinical performance and clinical worksheets. Clinical competencies are the guidelines used by all clinical instructors, and students are advised to review them at the beginning of a clinical course. Clinical performance is documented using the clinical evaluation tool and the “5 P’s” which contains the required clinical competencies and are reviewed by the clinical instructor with the student at mid-term and end of course. If a student is not successful in meeting clinical objectives, they will receive a progress note as soon as possible. Every attempt is made to keep students fully informed of their standing in the course; verbal and written clinical evaluations and/or progress notes may be given at any time during the semester deemed necessary by the instructor. The student will also submit an action plan outlining the steps that they will take to meet the indicated learning objectives to the instructor for approval. Clinical performance is graded on a met/not met clinical objectives. Evaluation tools are kept on file and may be reviewed by faculty, administration, or accrediting bodies. If the student does not meet the clinical objectives, they cannot progress in the program. Clinical performance is graded as either met or having not met the course outcomes. Evaluation may occur at the clinical site, lab, simulation and service learning. Service-Learning commitments must also be fulfilled, as they are a part of clinical. Each clinical evaluation tool describes the required course outcomes. They are maintained on file and may be reviewed with the appropriate faculty members. Met – The student has met all the course outcomes and passes. Not Met – The student who does not meet all the course outcomes fails clinically and is unable to progress in the program. A failure in a clinical course requires the student to withdraw from the associated academic course. Course outcomes are the guidelines used by all clinical instructors for evaluation of student progress and students are advised to review them at the beginning of a clinical course. Program outcomes are evaluated throughout the curriculum. Clinical faculty will meet and discuss students’ clinical performances near the midterm of the clinical experience and discuss students’ progress. Final clinical evaluations will be done at the end of the clinical experience. Criteria for Evaluation To pass the clinical rotation, a student must meet ALL essential course outcomes and maintain competencies achieved in all prior nursing courses. Students MUST meet course math requirements in order to participate in medication administration. Failure to pass this requirement successfully will prevent the student from engaging in medication administration and lead to clinical failure. Meeting a competency requires demonstration of steady and progressive improvement towards its attainment. If a student does not meet a course outcome, they will receive a progress note indicating which objectives they did not meet and a date by which they must meet the objective. Any student failing to meet one or more course outcomes will receive verbal and written warnings with opportunities for remediation. Clinical failure can occur at any time during or at the end of the rotation in the event of lack of progress toward course outcome attainment. Clinical Simulation Simulation lab is part of the clinical component of the program. Students are expected to treat the SIM experience as a traditional clinical experience. They will be evaluated in the same manner. In addition, students may be filmed during the simulation experience for the purposes of evaluating and analyzing their performance. Confidentiality is essential to the learning process with simulations; therefore students must not discuss any element of the simulation process outside of the individuals involved in their specific simulation. Students are expected to come to simulations in full uniform with all equipment required in an off-site clinical facility. Uniform Policy Greenfield Community College Practical Nursing Certificate Program’s uniform policy is explained below. You may purchase uniforms anywhere you like but they must meet the guidelines in the policy. Uniforms may be purchased in the GCC bookstore using financial aid. All students are expected to meet uniform standards in all clinical settings, lab, and simulation. School Uniform Code During clinical, and in public settings, students are representing the nursing profession. Extremes of fashion, hair, and jewelry are not allowed. The student’s appearance must be professional, neat and clean. Natural nails must be trimmed to a short length, artificial and nail extensions are not permitted. Hair must be pulled back and off the collar for infection control purposes. Students may be asked to cover tattoos at the discretion of the faculty and the clinical facility. The school uniform code for clinical, lab, and simulation is: Professional hunter green scrub pants of appropriate fit (length must be above the sole of the shoe and not be excessively loose fitting nor tight) Professional white or hunter green scrub top. If you choose to wear a garment underneath the scrub top, it must be white or black. White or black closed-toe nursing shoes or all-white or all-black leather sneakers kept clean Socks Official school identification visible at all times Optional: Solid white or hunter green scrub jacket OR white lab jacket (NO sweatshirts or hoodies) Watch with sweep second hand Students who must visit a cooperating agency on school related matters, i.e., research or obtaining an assignment, must wear name tags and uniforms. In certain specialized experiences, the dress code will be determined by the facility. Students should carry at all times a watch with a second hand, bandage scissors, a stethoscope, a blood pressure cuff, pocket-sized notebook and a black ballpoint pen. WHILE IN UNIFORM, THE FOLLOWING ARE NOT ACCEPTABLE: Hair length or style which is likely to be a safety or contamination hazard including facial hair. Bare feet or inappropriate footwear including open-toed shoes. T-shirts, sweatshirts, midriff tops, or tank tops. Blue jeans or sweatpants Attire in which underclothing and/or skin is exposed in the conduct of normal duties. Strong body odor, including cigarette smoke odor, excessive scents, or poor personal hygiene. Long, dangling, or other inappropriate jewelry likely to be a safety hazard Artificial nails or natural nails that are longer than ¼ inch beyond the finger tip. Visible body or facial piercings; stud earrings and 1 minimal nose stud are permitted. Licensure & Progression • Advanced Placement (AP) for Licensed GraduatesPlease see the AD Nursing Information Packet for details on advanced placement for LPNs. • Educational & Career ProgressionStudents may be interested in exploring continuing education and/or career options in nursing. The Jean Simmons Endowment Fund provides a Nursing Pathways Advisor for students interested in exploring educational and career options. Out of State LicensureGraduates from the GCC PN Program are qualified to work in the state of Massachusetts once licensed. However, other states such as Vermont and Connecticut, may require additional requirements. If you intend to obtain a license in another state you are encouraged to review the NCSBN website for eligibility. As a GCC Nursing Student, if you are considering licensure in a state other than Massachusetts you are encouraged to consult with the Dean of Nursing and/or the PN Faculty about your options. Appendices Appendix I - Academic Calendar View the official academic calendar at gcc.mass.edu/academics/calendar Download and print the academic calendar Appendix II - Faculty & Staff Contact InformationGreenfield Community College Practical Nursing Certificate Program 168 Industrial Drive Northampton, MA 01060 Charles Jordan, Vice President of Academic and Student Affairs S332A (413) 775-1471 Sue Belcher, Chief of Staff S332B (413) 775- 1205 Associate Degree and Practical Nursing Certificate Programs Melanie Ames Zamojski, Dean of Nursing Program East 120C (413) 775-1763 Melissa Davis, Nursing Programs Assistant East 120B (413) 775-1753 Faculty Rebecca Wolf, MSN-Ed, RN, CNE PN Coordinator wolfr@gcc.mass.edu Crista Klein, MSN, RN Professor kleinc@gcc.mass.edu Rachel Porter, BSN, RN Nursing Instructor porterr@gcc.mass.edu Please note: For urgent questions during the summer please email Melanie Ames Zamojski, Dean of Nursing at zamojskim@gcc.mass.edu OR Melissa Davis, Nursing Programs Assistant at davism@gcc.mass.edu Appendix III - Important Phone Numbers Appendix IV - Student Handbook AcknowledgementNursing students must acknowledge that they have read and understand the Nursing Student Handbook each semester of enrollment. Complete the acknowledgement form here. Appendix V - Return to Clinical Studies Following a Change in Health StatusDownload and complete the Return to Clinical Studies Following a Change in Health Status form. Appendix VI - GCC Nursing Programs Mandatory Drug Screening PolicyPatient safety is a paramount concern in the healthcare arena both nationally and locally. Anyone engaged in patient care must have a level of health and mental focus to provide safe and quality care to the public. In response to this, some facilities and agencies engaged in patient care require mandatory, random drug testing of all their employees and any affiliated groups. Negative drug screening is necessary for participation in these clinical settings. Procedure Students attending specific clinical sites are required to have a drug-screen panel and a negative result or the student will NOT be allowed to attend clinical. Students will be responsible for arranging, participating, and paying for this drug screening process via CastleBranch. Positive results will be followed-up by the testing site. For a student taking prescribed medications which may result in a positive urine drug screen, the testing site will follow-up with the student to obtain prescription information, then with the student's health care provider. If lab result values are in accordance with dosage and drug prescribed, the final document is noted as negative. Students with negative results will be allowed to begin the clinical course. Students with positive or questionable results not validated by a prescriber confirmation will be contacted by the Dean of Nursing. Positive results may result in a student being required to withdraw from the program. Any further questions can be addressed to the Dean of Nursing or Student Services at CastleBranch. Frequently Asked Questions Does the testing have to be done at the testing sites identified? The answer is YES. They have experienced and certified collectors. What about if I am taking medications which might "show up" on the results? The answer is IF your screen is positive for a certain medication, the lab will follow-up with the student and their health care provider/prescriber of the medication in question, to verify. It is important to return any call from the lab immediately so the process can be completed in a timely manner. If validated, the result will then be reported as negative. This process is confidential and follows HIPPA protocols. Will the nursing faculty know about my results? The answer is NO. Results are managed by CastleBranch. The Drug and Alcohol Policy guidelines in the GCC Nursing Student Handbook will be followed, as well as any additional guidelines in the general GCC Student Handbook. Will the clinical facilities know about positive results? The answer is NO. Do I need to have the testing results done by the date designated in CastleBranch? The answer is YES. The clinical facilities require we send all student information to them prior to students attending clinical. Performing the test by the due date given for your class is essential to meet practice facilities requirements. Additional questions and concerns may be to be sent to the Assistant Dean at 413-775-1763 or at zamojskim@gcc.mass.edu. Appendix VII - GCC Standards of BehaviorDownload GCC's Standards of Behavior. Appendix VIII - American Nurses Association (ANA) Code of Ethics Provision 1 The nurse practices with compassion and respect for the inherent worth, and unique attributes of every person. Provision 2 The nurse's primary commitment is to the patient, whether and individual, family, group, community, or population. Provision 3 The nurse promotes, advocates for and protects the rights, health and safety of the patient. Provision 4 The nurse authority, accountability and responsibility for nursing practice; makes decisions, and takes action consistent with the obligation to promote health and to provide optimal care. Provision 5 The nurse owes the same duties to self as to others, including the responsibility to promote health and safety, preserve wholeness of character and integrity, maintain competence, and continue personal and professional growth. Provision 6 The nurse, through individual and collective effort, establishes, maintains, and improves the ethical environment of the work setting and conditions of employment that are conducive to safe, quality health care. Provision 7 The nurse, in all roles and settings, advances the profession through research and scholarly inquiry, professional standards development, and the generation of both nursing and health policy. Provision 8 The nurse collaborates with other health professionals and the public to protect human rights, promote health diplomacy, and reduce health disparities. Provision 9 The profession of nursing, collectively through its professional organizations, must articulate nursing values, maintain the integrity of the profession, and integrate principles of social justice into nursing and health policy. © 2015 American Nurses Association Appendix X - MARILN-MA/RI League for Nursing JEDI Statement and PledgeView the Equity, Diversity, Inclusivity (JEDI) Statement, and Pledge here. Appendix XI - Good Moral Character (GMC)Learn more about the Commonwealth of Massachusetts Board of Registration in Nursing (BORN) licensure policy on determination of good moral character here. Appendix XII - NAPNES Standards of Practice for LPNsDownload the National Association for Practical Nurse Education and Service (NAPNES) Standard of Practice for LPNs. Print • • •Items marked with a are Massachusetts Board of Registration in Nursing (BORN) required policies. Greenfield Community College is an affirmative action/equal opportunity employer and does not discriminate on the basis of race, color, national origin, sex, disability, religion, age, veteran status, genetic information, gender identity or sexual orientation in its programs and activities as required by Title IX of the Educational Amendments of 1972, the Americans with Disabilities Act of 1990, Section 504 of the Rehabilitation Act of 1973, Title VII of the Civil Rights Act of 1964, and other applicable statutes and college policies. The College prohibits sexual harassment, including sexual violence. Inquiries or complaints concerning discrimination, harassment, retaliation or sexual violence shall be referred to the College’s Affirmative Action and/or Title IX Officer at humanresources@gcc.mass.edu, the Massachusetts Commission Against Discrimination, the Equal Employment Opportunities Commission, or the United States Department of Education’s Office for Civil Rights.