Read September 2004 text version



August 2010

Greetings, Welcome to the Nursing program at California State University, San Bernardino. The Department of Nursing faculty has developed information and written policies for all undergraduate nursing major students which are compiled in this Handbook. Additionally, policies are reviewed and updated yearly so it is important to get the new handbook each year. We suggest that you read this Handbook in the next few days to become familiar with these policies. Fill out the last page indicating that you have a copy of the Handbook and are familiar with the contents. Submit the form to the Department of Nursing front Office in HP-215 at the San Bernardino campus or at the Palm Desert Campus in HS-120 to be placed in your file. Keep the Handbook for reference throughout your time in the Nursing program. If you have questions about information or policies, contact your Nursing advisor or your student representative who attends faculty meetings. These policies are set by the faculty with student participation. Sincerely, Dr. Dwight P. Sweeney, Interim Chair Faculty: (Tenured & Full-Time Lecturers) D. Cohen, RN, MSN, Full-Time Lecturer C. DiPretoro, RN, MSN, Full-Time Lecturer T. Dodd-Butera, RN, Ph.D., Assistant Professor L. Leach, RN, Ed.D., Associate Professor S. McGee-Stehsel, RN, MSN, Tenured Assistant Professor P. Jean Nix, RN, Ph.D., Full-Time Lecturer, BSN Coordinator O. Robinson, RN, Ph. D., Assistant Professor M. Smith-Stoner, RN, Ph.D., Tenured Associate Professor Paula Spencer, RN, MSN, Full-Time Lecturer A.Taha, RN, Ph.D., Full-Time Lecturer

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Program Accreditation:

Board of Registered Nursing (BRN) The Board of Registered Nursing is a state agency established by law to implement and enforce the Nurse Practice Act in California. The Nurse Practice Act are laws related to nursing education, licensure, practice and discipline in this state. The BRN acts under the Department of Consumer Affairs which is established to protect public consumers. The BRN sets educational standards, approved nursing programs and evaluates licensure applications and takes disciplinary measures when necessary. American Association of Colleges of Nursing (AACN) The AACN is the national voice for America's baccalaureate- and higher-degree nursing Education. This organization sets quality standards for BSN, MSN and Ph.D. programs in nursing.



College Of Natural Sciences Department Of Nursing

San Bernardino Campus Generic BSN Program MSN Program

Palm Desert Campus Generic BSN Program RN to BSN Program

The CSUSB Department of Nursing offers Nursing programs in San Bernardino and at Palm Desert Campus. All Department policies and procedures apply to Students at both locations.

Department of Nursing 2010-2011 Dr. Dwight P. Sweeney, Department of Nursing Chair Dr. P. Jean Nix, BSN (UG) Coordinator Dr. Teresa Dodd-Butera, MSN (Graduate) Coordinator Dr. Lynne Leach, PDC Site Coordinator

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HELPFUL HINTS 1. Keep a copy of skills check-off lists from every quarter, with faculty signatures as appropriate. 2. Keep all journal articles. They will be useful in future courses. 3. Keep immunization records available and current and keep an extra copy in your records at home. 4. Keep a copy of each of your care plans. 5. Keep a class roster with your classmates` phone numbers. 6. Keep a Reference sheet of lab values and drug calculation formulas. 7. Keep up on assigned readings. Prepare BEFORE going to class and attend every lecture. DO NOT GET BEHIND IN READINGS. 8. Consult with your Nursing faculty advisor each quarter. 9. If you are going to get a physical at the Student Health Center, make your appointments as far in advance as possible. The Health Center gets really busy at the beginning of the quarter. 10. Schedule your CPR renewal course several months prior to the expiration of your current card. DO NOT LET IT EXPIRE. 11. In addition to the CSUSB library, journal articles can be found in hospital libraries, the library at Loma Linda University, the library at UCR, and online. 12. If you will be late or absent, notify the instructor as far in advance as possible. If you notify the instructor far in advance, remind him or her close to the date of your absence. 13. Make sure that, when you notify the instructor, you talk to him or her in person instead of leaving a message. 14. Avoid missing any classes, especially clinical days. It may not be possible to make up missed time and there may be severe consequences. 15. Make sure Compliance documents are up-to-date at all times. Plan ahead for items that must be renewed. 16. Plan your activities [vacation, reunions, weddings, etc,] for dates/times when CSUSB is not in session. DO NOT plan activities during Finals Week. You will not be excused from taking a Final Exam for a personal activity. 17. Follow the Chain of command- this is the professional and appropriate method to handle issues.

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WELCOME to the DEPARTMENT OF NURSING The nursing curriculum is planned to challenge you to grow intellectually, professionally, and personally. You have met the academic criteria for admission and are ready to begin your professional studies. Congratulations! This Handbook has been designed to support you in achieving your career goal. Read carefully. You are responsible for its contents. If the course work seems challenging and perhaps difficult at times, please remember that the faculty are concerned about your progress and are available to help you with the courses you will be taking. In addition, a faculty member will be assigned to serve as your advisor and assist you with your progression through the program of study. Vision To be a center of collaboration and innovation in nursing scholarship, education, practice, and service. Values We are committed to: Caring Excellence Integrity Knowledge Respect Mission To provide exemplary nursing education responsive to the health needs of diverse populations Motto To Learn...To Lead...To Transform

CSUSB Nursing:

TERMINAL PROGRAM OBJECTIVES/OUTCOMES The curriculum is developed in accordance with clear statements of expected results derived from the mission, philosophy and terminal objectives of the program. The six terminal BSN program objectives are: 1. Apply the Nursing process and nursing roles in caring for diverse clients across the life span. 2. Provide professional nursing care for clients with varying self-care needs in primary, secondary and tertiary settings. 3. Apply knowledge of nursing trends, theory and research. 4. Demonstrate leadership as a professional nurse in collaboration with other health care personnel. 5. Apply knowledge of ethical, legal, political, financial, behavioral and biological sciences, and the humanities in nursing practice. 6. Demonstrate responsibility and accountability for own learning and practice that serve as the basis for continued development as a professional nurse. COMMUNICATIONS The major means of communicating with students is through the CSUSB email and Blackboard system. It is the University's expectation that students check their CSUSB email account at least three times per

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week to keep current with pertinent university information. Official correspondence may include academic-related deadlines, registration, advising and graduation information, virus alerts, student government notices, etc. Additionally, faculty may direct course information, assignments, discussions, and clarifications to students through CSUSB email and the Blackboard system. The Department Chair may also use the Blackboard system for important communications with you. You are responsible and accountable for messages and information sent to you through these means. One major advantage of using your CSUSB email account is that, while your mailing address may change throughout the course of your enrollment, your email account can always be accessed via the World Wide Web. Remember to check your email frequently. Don't miss out! STUDY EXPECTATIONS In order to be successful in the Nursing Program, it is recommended that each student sets aside at least 35 hours of study time each week. This is about 2 hours/unit/week. Time in class and studying is equivalent to a 40 ­ 50 hour work week. Working, in addition to taking Nursing courses, is strongly discouraged. You can gauge whether you understand the material by being able to talk about the subject and teach it to someone else. If you can`t, then you don`t know the material. Please visit the appropriate support centers on campus BEFORE you encounter any problems (i.e. testing center, counseling center, financial aid, services to students with disabilities, learning center). FACULTY OFFICE HOURS In addition to lecture times, fulltime faculty members hold regularly scheduled office hours, which are posted outside their offices, and in course syllabi. A student who is unable to see a faculty member during class or the posted office hours may arrange an appointment by contacting the Faculty member. It is important to keep in contact with your instructors regarding your performance, issues making learning difficult, or clarification of information. STUDENTS ARE RESPONSIBLE FOR LEARNING! ACADEMIC ADVISING The Department of Nursing strongly recommends that each student be advised prior to registration each quarter. Academic advising is based on your academic standing. Freshman and Sophomore students are advised in the Fall quarter. Junior and Senior students are advised in the Winter quarter. Students must take responsibility for the decisions which affect their academic progress. Faculty are available to assist students by providing academic advisement during their office hours or by appointment. Schedule appointments directly with your assigned faculty member. Before meeting with your advisor, follow these steps: 1. Be knowledgeable about university and department policies, procedures and requirements. 2. Update and always bring an updated copy of the Program Advising Worksheet for Students (PAWS) to the advising appointment. 3. Develop a tentative course schedule using the University Bulletin, Class Schedule and PAWS. 4. Gather all relevant decision-making information such as time commitments. 5. Prepare a list of questions or topics to discuss. * ALL STUDENTS ARE REQUIRED TO SCHEDULE AND MEET WITH THEIR NURSING DEPARTMENT FACULTY ADVISOR AT LEAST ONCE EACH YEAR.* COURSE REGISTRATION CSUSB`s Records Office will mail to each student notification of registration dates and times using the MyCoyote system. Class schedules are available for purchase by students each quarter in the Bookstore.

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You may register for General Education (GE) courses first, and then add Nursing courses later, after course sections have been finalized by the department. Your place in nursing classes is guaranteed each quarter, as long as you have passed the previous quarter`s Nursing courses. New students are also advised to purchase a current copy of the CSUSB Bulletin of Courses in the Bookstore. The Bulletin, also known as the university catalog, contains all CSUSB course descriptions and academic policies which will apply to them throughout the Nursing program. ATTENDANCE AND CONDUCT As stated in the CSUSB Catalog under Class Attendance, regular attendance is expected of all students. Specific standards are set by the instructor and stated in each course syllabus. A student absent from classes is responsible for arranging to make up missed class work and assignments. In cases of prolonged absence, the student should investigate the feasibility of withdrawal. Please refer to the Bulletin of Courses for the information regarding dropping, withdrawal, or leave of absence. Professional and courteous student behaviors are expected for both lecture and clinical settings. This is based on, but not limited to, the professional values of altruism, autonomy, human dignity, integrity, and social justice as identified by the American Association of Colleges of Nursing (AACN) ­ BSN Essentials. Such behavior includes active participation in class without interruptions and showing courtesy and respect to others. A copy of the BSN Essentials is in the Department of Nursing office. Students are expected to keep patient confidentiality outside of the hospital setting. This includes, but is not limited to: disclosing or discussing any patient information on social networking sites ( Facebook, Twitter, etc.), taking any photographs of a patient (even if it does not reveal their identity) or their charts/data, and/or sharing them via the internet or cellular devices. Students should not communicate with past or present patients via social networking sites. Lecture Attendance Students are expected to attend all class sessions as scheduled and are responsible for all information covered in lectures and for classes. Specific requirements for attendance may be determined by each course instructor. Clinical Attendance Clinical attendance is required for successful completion of the Nursing program. The Board of Registered Nursing (BD-B-02) determines general attendance requirements (i.e. students in a four unit clinical course must complete 120 clinical hours, and a three unit course requires 90 hours). The required hours are met by spending time in the skills lab and at the assigned clinical site. Specific requirements are set forth by the Department of Nursing so that all of the required hours are achieved. Students are required to attend all clinical experiences for the duration scheduled and to be on time. Students must notify the clinical instructor, at least 1 hour before the experience begins, if they will be late or absent. Missed clinical days cannot be made up and may lead to failure of the course. Failure to notify the instructor of an absence in advance is considered an unexcused absence. A second occurrence of an unexcused absence within the quarter will lead to immediate failure of the current course. A third occurrence within the nursing program will lead to termination of participation in the Nursing program. Students with absences that cause the student to not achieve the core competencies will fail the course and then must reapply to the Nursing Program (See Readmission of CSUSB Nursing Students). Students who foresee a prolonged absence must meet with the faculty advisor and/or course instructor prior to the absence to discuss possible options (i.e. leave of absence or withdrawal from the program).

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Dropping/Withdrawal from a Class or the University Please refer to the Bulletin of Courses for the specific information regarding dropping, withdrawal, or leave of absence. If a student drops/withdraws officially from the University or from a class by the end of the third week of classes (see University Calendar for exact date), the course is not recorded on the permanent record. Withdrawal after the third week is permissible only for serious and compelling reasons. Permission to withdraw during this time period must be obtained from the instructor and the College Dean. Poor performance or poor attendance in the course is not an acceptable reason to withdraw. Withdrawal will not be permitted during the final three weeks of instruction except in cases such as documented personal problems, accident, serious illness, employment change or military orders where the cause of withdrawal is due to circumstances clearly beyond the student`s control and the assignment of an incomplete grade is not practical. Withdrawal during this period requires the approval of the instructor and the College Dean. A grade of W will be assigned for approved withdrawals occurring after the third week of instruction. Nursing students will not be allowed to continue with nursing courses, and may reapply to the nursing program. (See Readmission of CSUSB Nursing Students). Leave of Absence Please refer to the Bulletin of Courses for the specific information regarding dropping, withdrawal, or leave of absence. Any student who plans to be absent from the University for more than two terms must file a leave of absence to preserve the student`s current catalog rights. The leave of absence policy covers interruptions which are involuntary (medical) or voluntary (military, personal or planned educational leave) if related to the undergraduate student`s educational objective. With an approved leave of absence the student may be absent from the campus without losing rights to specific degree requirements under an earlier catalog, which may be more advantageous for the student. Petitions for leaves of absence should be filed in advance of the interruption in enrollment. READMISSION OF CSUSB NURSING STUDENTS Students must attain grades of C or better in all NURS courses required for the nursing major in order to progress in the program. Students who drop, withdraw, or fail a nursing course may not progress in the nursing program until readmitted through the following procedure. Nursing courses in which students earn less than a C, (defined as failure in this document) may be repeated for credit only once, and this repetition requires both Departmental consent and the appropriate university petition. Students who are administratively dropped or failure of two (2) nursing courses (the same course twice or two (2) different courses [within one quarter {i.e. NURS 220 and 221 or NURS 220 and 380} or two (2) separate quarters]) during their nursing curriculum can not apply for readmission to the nursing program (defined as dismissal in this document). A drop or withdraw from a nursing course, with appropriate documentation described in the CSUSB Bulletin of Courses, will not be counted toward dismissal, which is described above.

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Procedure: When a student is dropping, withdrawing, is administratively dropped, or has failed a nursing course (as defined by the CSU bulletin of courses): 1. That student must meet with a nursing advisor and/or the lead instructor of the course at the time of the drop, withdrawal, or failure and complete all necessary University documentation. 2. A student will be notified at the time of the above meeting that the factor that determines whether a student is readmitted into the Nursing Program is space availability. 3. A Readmission Request Letter must be received in the Nursing Department office by the deadline below. The office staff will date stamp letters and compile a list of students for the Admission Committee. Readmission in: Fall Quarter July 1st Winter Quarter November 1st Spring Quarter February 1st Summer Quarter May 1st 4. If the drop, withdrawal, or failure occurs after the above date, the student must schedule an immediate meeting with an advisor and/or lead instructor and submit the Readmission Request Letter in order to be considered for the consecutive quarter. 5. Upon review of student`s file [including, but not limited to; faculty advising notes, skills check off documentation, dosage calculation exam score, attendance, and Readmission Request Letter;] the Admission Committee will determine readmission of the student to the Nursing program. Testing of skills/knowledge and other conditions may be required and established for readmission, especially if the student has been out of the program for greater than one (1) quarter. Costs for any testing will be the responsibility of the student. 6. A student who has withdrawn, dropped, or failed the clinical portion of the paired nursing class and clinical (NURS 200/201, 204/205, 220/221, 334/335, 332/333, 400/401, 322/323, 406/407, 404/405), must audit the paired theory course. 7. Students must meet all current compliance requirements in place at the time of re-entry. 8. A student may be excluded from readmission if documentation finds them in violation of the student handbook; disciplinary actions; or university policies. 9. If more than one student has submitted a Readmission Request Letter for the same class that has limited space available (less spaces than the number of students applying for readmission), the students` files will be considered on a case by case basis by the Admission Committee when choosing which student(s) are readmitted. 10. Students will be required to follow the course sequence of the cohort they are readmitted. Readmitted students will progress on a quarter-by-quarter basis based upon space availability. No student shall be permitted advanced sequence or fast track of BS in Nursing Requirements found in CSUSB Bulletin of Courses. 11. Any student who must drop/withdraw for Military service will be given priority during the readmission process. (See Bulletin of Courses catalog and Title 5, Section 40401 for details.) 12. It is highly recommended that the re-admitted student regularly visit their instructor and/or advisor for analysis of their performance and that the student use support services outside of the Nursing Department (testing center, counselor, financial aid) for assistance in order to maximize his/her chances of success in the program. RCH Partnership Student readmission 1. Must follow the same process. GRADING The Department of Nursing follows the CSUSB policy on grades set forth in the CSUSB catalog except that students are required to obtain a grade of at least a C in all nursing and required support

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courses in order to progress in the program. Separate letter grades are given for theory and clinical courses since they are listed in the catalog as separate courses.

Suggested Grades & Percentages: Grades Percent A 93-100% A90-92% B+ 87-89% B 83-86% B80-82% C+ 77-79% C 73-76% _________ Below 73% is NOT PASSING C70-72%

Grade Grievance Procedures Information concerning academic matters may be obtained from the Undergraduate Studies Office. Generally, grade grievances must be initiated by the student within no more than 40 calendar days after the grade is recorded. (See Bulletin of Courses) Academic Dishonesty 1. Nursing students will be administratively dropped from a course for fraudulent enrollment, failure to complete the pre-requisites, or falsification of records. 2. Cheating on an examination or assignment either by looking at another student`s answers, copying, using crib notes, or obtaining illegal access to the exam before it is administered, will cause the student to receive an F in the course ­ at the discretion of the instructor or the Department Chair. A second incident of academic dishonesty will result in expulsion from the nursing program. 3. A nursing student breaking examination security, i.e., keeping or obtaining a copy of a secure examination with the intent to substantially benefit oneself or another, is subject to the same disciplinary action as stated in #2 above. These acts are inconsistent with professional conduct. 4. Plagiarism may not occur when writing papers for nursing classes. CSUSB`s statement on plagiarism and cheating from the Bulletin of Courses is: Plagiarism is the presentation as one`s own, the ideas and writing of another. Cheating is the act of obtaining or attempting to obtain credit for academic work through the use of any dishonest, deceptive, or fraudulent means. Plagiarism is academically dishonest and subjects the offending student to penalties up to and including expulsion. Students must make appropriate acknowledgements of the original source where material written or compiled by another is used. 5. Any dishonesty, deception, and/or misrepresentation in nursing class or clinical course will result in failure of the course and referral to the Judicial Affairs office. ATI/COMPETENCY TESTING All students in the BSN program will be required to have ATI/Competency testing materials. Certain quarters during the time students are in the program, ATI/Competency test will be administered by the appropriate faculty. The results of each test will be available to each student immediately after completing the test. Faculty will have access to both individual test data and group data which will be used to determine individual student progress as well as to make changes to improve course outcomes and student competencies. Students purchase ATI materials through the Coyote Bookstore. The best

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value and lowest price for the ATI/Competency materials achieved by purchasing the materials as a package deal. COMPLIANCE REQUIREMENTS Students are required to provide the Nursing Department with copies of documents for the following areas: Professional Liability Insurance[after paying CSUSB for policy], CPR certification, Physical Exam and Proofs of Immunity, Health Insurance, CA Driver`s License and Auto Insurance, and Background Check. Without these documents, students will not be allowed to continue in the Nursing program. Failure to conform to these policies may result in an administrative drop from courses, and the student will have to reapply to the nursing program. (See Readmission of CSUSB Nursing Students) The Nursing Department staff will try to contact each student, as a reminder, when required documents need renewal. However, IT IS THE RESPONSIBILITY OF THE STUDENT TO MAINTAIN CURRENT DOCUMENTATION OF THESE COMPLIANCE REQUIREMENTS WITH THE NURSING DEPARTMENT, AND IT IS RECOMMENDED THAT THE STUDENT KEEP THE ORIGINAL DOCUMENTS. Liability Insurance Each student in the Department of Nursing is required to pay for Student professional liability insurance through CSUSB. It is the student`s responsibility to pay for the policy annually as billed by CSUSB. A copy of proof of payment (certificate) for liability insurance (obtained from the Bursars Office) must be submitted to the Department office. The student WILL NOT be allowed in the program without the required liability coverage. Cardiopulmonary Resuscitation (CPR) Certification Each quarter (or at orientation for new admits), students must have a current American Heart Association CPR card (copy to be submitted to Department office) for the Health Care Provider/Professional. It is the students` responsibility to maintain a current, valid certification card. The Nursing department staff will try to remind you when your CPR card expires, but this reminder is not guaranteed. Physical Exam and Immunizations Each student is required to prove immunity to the rubeola and rubella viruses, varicella (chicken pox), mumps, and hepatitis B. Each student upon admission must provide documentation that they have had a physical exam within the past month and are free of contagious disease. A two-step with yearly 1step renewal PPD or tuberculosis skin test is required. Any student with a positive PPD skin test (indicating exposure to TB) must get a chest x-ray. Annual chest x-rays are not recommended unless the student exhibits signs or symptoms of active disease. Upon conversion from a negative to a positive skin test, students must seek medical advice and consider an appropriate medication regime as recommended. Students must complete the Hepatitis B vaccine series and submit post-proof of immunity with a titer. In addition, proof of up-to-date Tetanus Diphtheria and Pertussis (Tdap), proof of a completed polio immunization series as well as proof of influenza immunization or declination are required. In addition, some clinical agencies may require their own test and lab studies be done. Driver's License and Automobile Insurance and Health Insurance A valid California driver`s license and proof of minimum California state auto insurance and health insurance are required. Fingerprinting/Background Checks A background check is required with the cost being the responsibility of the student. Due to requirements mandated by our clinical facilities throughout San Bernardino and Riverside Counties, all

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students in our BSN program will be required to have a BACKGROUND CHECK COMPLETED BEFORE THE START OF THE NURSING PROGRAM. The Nursing Department uses a certain vendor to perform the background check and maintain the records at this time. Information regarding how to complete this requirement is available in the Nursing Department office. The entire process can be done online and should not take more than a few days. Students are responsible for paying for the background check and for making sure the department gets the information by the due date. If a student has not obtained the background check by the due date, the student will not be able to participate in the Nursing program. If a student does not obtain a "clear" background report, the student needs to report to the Department Chair immediately. If the student's background check cannot be cleared by the time classes start, the student may be dropped from the program. There will be NO EXCEPTIONS TO FULFILLING THIS MANDATORY REQUIREMENT. If a student is arrested for any offenses that are deemed unacceptable or prohibited by the school`s affiliated clinical facility, the student may be barred from performing further clinical assignments and responsibilities at or in the clinical education site(s). In addition, if a student discontinues or suspends participation in the program, a background check will be required upon re-instatement of the program (Based on BRN Policy #8.21.1, Approved 6/05). A student must notify in writing the Nursing Department Chair of any arrests, violations and/or convictions that occur after the Background check is completed and report submitted. Such notifications must occur within 48 hours of arrest, violation and/or conviction. Arrests, violations and/or convictions may result in denial by clinical agencies of the student for clinical experiences which are required for successful completion of the nursing program. Arrests, violations and/or convictions may or may not violate University and/or department policies and/or standards which could result in sanctions. Failure to notify the Dept. Chair will be deemed as a deception and/or a misrepresentation by the student and will be handled as a form of academic dishonesty in addition to any other consequences. Some clinical agencies [including, but not limited to Tenet hospitals (DRMC & JFK), Veteran`s Administration, public health agencies] require additional background checks [may include LIVE SCAN]. Students may be responsible for paying for these additional background checks. CLINICAL EXPERIENCE Nursing clinical lab sections will include a variety of clinical agencies and clinical days and hours. The student must be prepared to have evening and/or day assignments, weekday and/or weekend assignments, and to change groups and/or car pools as needed. It is the student`s responsibility to make transportation, childcare, or work arrangements to meet these assignments. Each student will receive a list of skills to learn for each clinical course. Students are expected to demonstrate competency for the skills as defined in the syllabus and are expected to perform these various nursing procedures in the skills lab and/or the hospital/clinical setting. Instructors validate student competency by initialing each skill demonstrated and signing the student`s skills check-list. IT IS THE RESPONSIBILITY OF THE STUDENT TO MAINTAIN CURRENT DOCUMENTATION OF HIS/HER SKILLS VALIDATION (A COPY OF THE MOST RECENT SKILL CHECK-LIST FOR CLINICAL COURSES COMPLETED) IN THE NURSING DEPARTMENT FILES THROUGHOUT THE NURSING PROGRAM. Students are encouraged to maintain the original skills check-lists for their personal files. In addition to the skills check-lists, the clinical evaluation form is completed by the instructor at the end of each clinical course. DRESS CODE Uniforms: In order to assure professional appearance during clinical experiences, the CSUSB Nursing Program has adopted a required standard uniform for male and female students. Students will be given specific information at Orientation regarding ordering uniforms. When choosing your size, remember that you will be carrying many items in your pockets during clinical so it is best to have your uniform fit loosely rather than snugly.

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CSUSB nursing student uniforms must include a CSUSB photo ID badge and CSUSB identifying patch SEWN on the left upper sleeve. White or neutral color hosiery, or white socks must be worn with uniforms. Shoes must be all white and clean. Athletic shoes may be worn, but they must be all white - no colored logos/designs or extra adornments, and no colored shoelaces. You are encouraged to buy quality, well-supporting shoes with enclosed toe and heel for your comfort. For off-campus clinical activities, there is approved nursing attire. Uniforms/lab jackets will be worn to all clinical assignments and to clinical lab classes on campus. * Lab Jackets: A white lab jacket is required when practicing in clinical activities that may not involve patient care, such as preclinical visits to the hospital. Lab jackets are not usually needed until second quarter, but may be worn over the standard uniform for warmth, and may be used for various occasions throughout the program. Lab jackets must also display the CSUSB Nursing patch SEWN on the left upper sleeve. Lab jacket must be the jacket style, which is a collared, hip-length jacket. The lab coat, which is knee length, is not acceptable. Hair is to be up off the shoulder and/or tied back and contained so it does not interfere with patient care. Beards must be neatly trimmed. Nails must be clean and trimmed to a short length that will not place the client at risk for injury. Only clear or pale natural-pastel colored nail polish (i.e. pink, beige, peach) may be worn. Acrylic nails are prohibited. No dangling or hoop-style earrings are allowed. Only one small stud/post type earring per ear is allowed. Visible body piercing, including tongue jewelry, is NOT allowed. Tattoos must be covered by clothing. Make-up and perfume must be kept to a minimum. Appropriate undergarments must be worn (designs and colors will not show through). STUDENTS WILL BE SENT HOME FROM CLINICAL IF NOT IN REQUIRED ATTIRE. THIS WILL CONSTITUTE AN UNEXCUSED ABSENCE. CSUSB Badges and patches: The CSUSB patch can be purchased at the Coyote Bookstore and is mandatory on uniforms and lab jackets. It must be attached to the upper left sleeve of the uniform or lab jacket. Photo ID badges are mandatory on uniforms at all times. Patient Assignments Students may be required to choose their patient(s) the day before clinical in order to be prepared for patient care the following day. Students may encounter clients with contagious diseases during clinical experience. The nursing faculty supports the National League for Nursing and the American Nurses Association ethical guidelines that state: The nurse provides service with respect for human dignity and the uniqueness of the client unrestricted by considerations of social or economic status, personal attributes or by the nature of health problems. ­ Nursing Code of Ethics It is the nursing student`s responsibility to provide care for all patients assigned to them. Refusal to care for specific patients (i.e. contagious, potentially violent) is contrary to the ethics of the nursing profession. Students are provided with current information about Standard Precautions and modes of transmission of organisms and are given supervision during the clinical experience. Counseling will be provided in those instances where fear and apprehension interfere with the student`s ability to care for contagious clients, resulting in failure to meet the clinical objectives. In the event that such fear continues to interfere with clinical performance, the student will be counseled regarding the appropriateness of pursuing a nursing career. NURSING LAB POLICIES The nursing labs (on campus) are available for independent study and mastery learning. Nursing faculty may recommend or require students to use the laboratories during various times in the nursing program for skills practice, viewing of audiovisuals or computer assisted instruction.

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Guidelines for the nursing labs include the following: 1. 2. 3. 4. 5. Do not eat, drink, smoke or play around in the lab; Put away equipment used and keep the labs neat and clean, i.e. remake disheveled hospital beds; Properly dispose of any sharps, used IV supplies or blood contaminated materials in the appropriate containers. The lab assistant or instructor has the final say in whether children or friends can accompany students to the lab or if they can stay; General rules for equipment check-out are: a. Videos are not to be taken out of the computer lab and cannot be checked out by students. They should be rewound after use. b. Most lab equipment cannot be checked out of the lab by students ­ the exception may be blood pressure cuffs and equipment used in community or home nursing. c. Certain skills lab equipment may be checked out for up to one quarter depending on course and equipment. d. Failure to return equipment promptly will result in revoking a student`s checkout privileges. Skills Lab Policies The Skills Lab is located in HP-234 and 239 at San Bernardino and at PDC in the Health Sciences Bldg. The Skills Lab is used to practice nursing procedures during clinical hours. It may also be open at various times with supervision present. Students practicing skills must have that skill taught/demonstrated to them by a nursing instructor before practice time. Students will not be allowed to practice skills which are above their clinical level, i.e., a first quarter sophomore practicing venous puncture. Computer Lab Policies The Nursing Computer Lab is located in HP-246 at San Bernardino. At PDC student computer labs are located on the 1st floor of Mary Rodgers Building and in Health Sciences Bldg Room 103. This lab is used for viewing audiovisuals and utilizing computer assisted programs. Students are required to sign in and out when using the computer lab. They must also turn off computers and printers after use and keep the lab clean. The computers are for Nursing students [declared Nursing majors] only. If the demand is high and other students are waiting, students will be limited to one hour on the computer. CORE COMPETENCIES Core competencies are skills and knowledge to ensure safe and professional nursing practice. These competencies include critical thinking, communication, assessment, and technical skills as identified by the American Association of Colleges of Nursing (AACN) in the BSN Essentials. Failure to Meet Terminal Objectives Course objectives are written to ensure safe and professional nursing practice. A student failing to pass one or more (terminal) course objective(s) will receive a failing grade in the course. Medication Tests: Mandatory medication calculation tests are given during each quarter. All students must pass these tests with a 100% score in order to progress to the next clinical course. Usually, three (3) attempts are given (at the discretion of the course coordinator). This requirement is to ensure mathematical competence and safety in the clinical setting.

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Dishonest, Deceptive & Misrepresentation Student Behavior Any student who engages in dishonest, deceptive and/or misrepresentation behavior/activity in any nursing (NURS) course will fail the course in which the behavior/activity occurred. The CSUSB Judicial Affairs Office will also be notified of the behavior/activity and student`s name. If the student applies for re-entry into nursing program after the related above course failure and appeal consideration by Judicial Affairs Office, re-entry will be denied. Approved by Nursing Faculty June 2008 Removal of a Student for Unsafe Clinical Practice Unsafe Clinical Practice is defined as: 1. 2. 3. Gross error (extreme departure from the standard of care which, under similar circumstances, would ordinarily be exercised in clinical performance which places a patient in actual or potential jeopardy). Failure to promptly report (in writing or verbally to faculty or their designee) changes in patient condition or nursing errors which may have occurred. Lack of precautions for patient safety, which places a patient in actual or potential jeopardy.

Observation by faculty of one or more of the above behaviors may be cause for immediate dismissal from the clinical area, failure in the course or administrative drop. The faculty person will counsel the student and document the unsafe clinical practice in the student`s file. The student, having been counseled: 1. 2. Is required to honor faculty decision. May be asked to officially withdraw from the nursing course, and then may be readmitted to the nursing program on a space available basis (See Readmission Policy in this handbook). If a student chooses not to withdraw, and the infraction is either severe or multiple, the student may be administratively dropped from the course. Any student so dropped or failed may file a grievance following CSUSB policy and procedure (Appendix C).


In the event a student withdraws from a clinical course as the result of unsafe practices, he/she: 1. May not progress in the nursing sequence. 2. May only re-enroll on a space available basis (See Readmission Policy in this handbook). 3. May be required to satisfactorily complete a clinical performance test prior to reenrollment. If a clinical agency refuses to accept a CSUSB student because of unsafe practices, every attempt will be made to place the nursing student at another facility before refusing a student enrollment or readmission. If a student is deemed to be an unsafe practitioner the second time, he/she may not enroll in additional nursing courses at CSUSB. Suspected Drug or Alcohol Abuse or Emotional Illness In the interest of the student and patient care and as suggested by the BRN (Appendix B), the following guidelines for intervention are followed at CSUSB Nursing Department.

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Student behaviors are documented in the student`s file that may be related to alcoholism, drug abuse and/or emotional illness. a. Sudden decrease in academic performance b. Unsafe clinical nursing practice c. Increased absenteeism d. Drastic change in behavior or mood e. Physical signs and symptoms of alcohol or drug abuse Faculty actions beyond documentation include: a. Document steps outlined for dealing with the behavior in the student file. b. Consult with student and the department chair or designated faculty member regarding observations, decreased academic performance, and/or unsafe clinical nursing practices. c. With the chair or other faculty member present, refer student to CSUSB Health Center and/or Counseling Center, or student may choose personal resource for rehabilitation. Follow-up: a. If a student`s behavior, academic and/or clinical performance improves, no further action is necessary. b. If student`s behavior does not improve and academic and clinical performances are not adequate or safe, follow the policy on Removal of Student for Unsafe Clinical Practice. c. See also BRN Policy on Denial of Licensure. DRUG SCREENING OF STUDENTS DURING A CERTAIN TIME



CSUSB contracts with clinical agencies that retain the right to perform drug screen testing of CSUSB Nursing students during clinical experience time for cause. A Nursing student should comply with a clinical agency if he/she is informed that drug screen testing will occur. The student should immediately notify his/her clinical faculty. If adverse information is disclosed on the results of the drug screen testing, the student will be immediately removed from the clinical agency. The student should then report to the Chair of the CSUSB Department of Nursing within 24 hours. REQUIRED BACKGROUND CHECKS If a Nursing student does not complete the appropriate background check and/or submits a printed Report that contains adverse information and does not meets the requirements of the Department, the student will be informed of such and given the opportunity to clear` his/her record within a reasonable amount of time prior to being administratively dropped from the Nursing program. However, the time needed to clear` the record may result in a delayed admit/entry for the student. If a student`s background check Report contains adverse information and does not meet the requirements of a particular clinical agency, the Department of Nursing will attempt to place the student elsewhere for clinical experiences while the student attempts to clear` his/her record. However, the Department is not required to guarantee clinical placements of a nursing student who does not complete the required background check or whose background check Report contains adverse information and is not acceptable to the Department or a clinical agency. A Nursing student must complete all requirements, including clinical/lab requirements, for a Nursing degree program in order to be awarded the degree. A Nursing student who cannot participate in required clinical experiences according to the established curriculum due to adverse information in his/her background check report, will be informed of this situation prior to being administratively dropped from the program.

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The Department of Nursing currently uses a certain vendor for background checks. This vendor prepares a package of items in the background check specific to CSUSB Department of Nursing requirements. The background check includes the following: Social Security Number Verification; Sex Offender Registry Search; Professional License Verification; Previous Employment Verification; OIG/GSA Exclusion List; Education Verification; Elder Abuse Registry Search; All Names, All Counties Criminal Search 7 years. Because this is a customized package, no other background check and/or Report is accepted by the Department of Nursing. It is the student`s responsibility to pay for the background check which currently costs less than $60.00. Background check Reports submitted by students to the Department of Nursing become the property of the Nursing Department. Once submitted to the Nursing Department, students will not be able to request a copy at any time. All submitted Reports will be maintained in a secured location with limited access for confidentiality purposes. ELIGIBILITY FOR CERTIFICATION AS CNA Eligibility Requirements To obtain certification as a Certified Nursing Assistant (CNA) in California, you must successfully complete a nursing assistant or equivalent training program and pass the federal competency exam. Training requirements for nursing assistants are 50 hours of theory (classroom) and 100 hours of supervised clinical. These hours must be obtained through an Aid and Technician Certification Section (ATCS) approved certification training program in California. Upon successful completion of training, programs directly sponsor students for competency testing. Upon successful completion of competency testing with the testing vendors, and the vendor`s notification to the Department, the California certificate will be issued by the Department. The initial certificate is issued for a minimum of 13 months to a maximum of 3 years. CSUSB nursing students may qualify to take the CNA exam after the second quarter in the program. SCHOLARSHIP STANDARDS Scholarship Standards for Undergraduate Students For purposes of determining a student`s eligibility to remain at the University, quality of performance toward the degree objective shall be considered. Such eligibility shall be determined by use of grade points and grade point average. a. b. An undergraduate student shall be subject to probation if, in any academic term, the student fails to maintain a cumulative grade point average or a grade point average at CSUSB of at least 2.0 (grade of C). An undergraduate student shall be subject to disqualification if, while on probation the student`s grade point balance either cumulative or at CSUSB displays a deficiency in excess of the number permitted for the student`s class level pursuant to deficiency levels established by the Chancellor (CSUSB Bulletin of Courses, pg. 57 see Retention).

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DEPARTMENTAL STUDENT AWARDS Awards Criteria A. Graduating Seniors 1. Departmental Honors As stated in the CSUSB Catalog: A graduating senior will be awarded departmental honors in nursing after meeting the following requirements: a. Achieve a minimum GPA of 3.6 in all upper division courses taken at the University. b. A clear demonstration of ability to do independent work in nursing, and recommendation by the faculty of the Department of Nursing. A list of students awarded Departmental Honors will be displayed in the Department. 2. Student Leadership Each year faculty selects one student to receive the Student Leadership Award. Criteria for selection are: a. CSUSB GPA of 3.25 b. Demonstration of leadership while in nursing program. c. Demonstration of valuing professional education, e.g., uses what is learned. d. Commitment to professionalism, e.g., active in campus, community, or professional organizations. 3. Perseverance Award Each year, faculty selects one or more students to receive the Perseverance Award. Criteria for selection are: Student has displayed perseverance against extreme odds to complete the program, i.e., personal or professional hardship. 4. Outstanding Scholarship Award Each year faculty selects one student with a high GPA and excellence in nursing practice. NURSING ORGANIZATIONS Nursing Honor Society, Sigma Theta Tau International, Rho Beta Chapter The CSUSB Nursing Honor Society was established in 1994. In the spring of 2000, the society became the 408th Chapter (Rho Beta) of Sigma Theta Tau International ­ The Honor Society of Nursing. The purposes of Sigma Theta Tau International are to recognize superior achievement, recognize the development of leadership qualities, foster high professional standards, encourage creative work, and strengthen the commitment to the ideals and purposes of the profession. Membership is by invitation during the eligible student`s junior and senior years. Criteria for membership are a CSUSB cumulative GPA of 3.0 or above, demonstrated leadership, creativity and overall ability in nursing. Membership is limited to the upper 35% of the senior nursing class and the upper portion of this 35% of the junior class. The eligibility committee will extend invitations to candidates in the winter quarter; the induction ceremony is held during the spring quarter. There is an

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annual fee for membership in a Sigma Theta Tau International Chapter, part of which is returned to Rho Beta to support local programs. All nursing students may attend program meetings of the Nursing Honor Society. Student Nurses Association The Coyote Nurses` Association and Coyote Nurses` of the Desert are the student organizations on campus recognized by the Associated Students, Inc. (ASI). All enrolled Nursing majors are automatically members of the Coyote Nurses. (CN) or Coyote Nurses of the Desert (CND) are also the local chapters of the National Students Nurses` Association (NSNA) and the California Students Nurses` Association (CSNA). These professional organizations offer opportunities for growth and development in the professional areas of Nursing. They also offer opportunities for leadership and political involvement in health care decision making at the state and national level. At this time, there is a membership fee for members of the CN and CND to join NSNA. This fee entitles the student to many valuable benefits, discounts and enables CSUSB to send delegates to the state and national conventions to represent our school. Membership information and applications are given to incoming sophomores. Additional information is available about activities of the CN and CND and ASI. Officers of the CN and CND are elected each spring in a general election. While membership in NSNA is voluntary at this time, all officers are required to join NSNA. The purpose of the CN and CND is threefold: a) professional development, b) student-faculty communication and c) social activities. A Faculty Advisor is available to help with this organization. Coyote Nurses also provides services to the students such as campus-wide publicity and representation on standing Faculty committees and the Associated Students, Inc. CN also supports a student Mentorship program for the Department of Nursing and its generic BSN students. Coyote Nurses apparel is available for purchase with funds going toward delegate representation at State and National Conventions. POLICY ON DISABLED STUDENTS Americans with Disabilities Act: July 26, 1990 Because the U.S. Rehabilitation Act of 1973 states No otherwise qualified handicapped individual...shall solely by reason of his (her) handicap be excluded from the participation in, be denied the benefits of, or be subjected to discrimination under any program or activity receiving federal financial assistance (P.L. 93-112, Title Section 504) and because a lack of general criteria...causes inconsistency (when decisions are made on a case by case basis) and individual assessment consumes a great deal of time--the faculty of the Department of Nursing has set the policy below based on the considerations of both the public`s right to safe care and the applicant`s right to an education. Admission To progress successfully through the nursing curriculum and function as a professional nurse after graduation, an applicant must have minimal physical disability: 1. Sufficient visual acuity with corrective lenses to identify cyanosis, absence of respiratory movement and to read a mercury thermometer; 2. Sufficient auditory acuity with hearing aids to hear normal speaking voices (without viewing the speaker`s face to lip-read), to hear heart sounds, lung sounds, and bowel sounds. 3. Sufficient upper body strength to do manual chest compressions during cardiopulmonary resuscitation and endurance to maintain this activity for five minutes; 4. Enough manual dexterity to prepare and administer injections safely; 5. Sufficient lower body mobility to respond quickly in emergencies and endurance to stand for 15 minutes;

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6. Sufficient speaking ability to be able to question the patient about his/her condition and to relay information to others. Progression Before disabled students are admitted, they will submit a statement from their physician regarding whether or not we can expect their functional ability to improve, be variable or to deteriorate. Each quarter these disabled students will be evaluated to determine if they still meet the above criteria. Every attempt will be made to assist disabled students to meet all course objectives successfully, however, like any other nursing student, the disabled student is expected to provide a level of nursing care consistent with professional standards of safety and competence. Disabled students will be given guidance regarding appropriate career goals and their prospective employability in order that the nursing profession may be strengthened as a whole. Disabled students cannot expect nor should they be given more supervision and assistance than any other nursing student in the clinical group. BRN POLICY ON DENIAL OF LICENSURE The BRN Policy on Denial of Licensure is included as Appendix A of this handbook. The purpose in so doing is to alert students if there are potential licensure problems--specifically for those students who have been convicted of crimes ­ sex crimes, drug crimes, crimes of violence, insurance fraud--or have a mental or physical illness. In our experience, some typical offenses which have delayed licensure have included: Driving under the influence of alcohol or drugs Assault Accessory to a felony without conviction Suspected child abuse without conviction

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APPENDIX A STUDENT MEDICATION ADMINISTRATION POLICY Approved September 2008 Philosophy: Nurses are legally and ethically bound to provide safe care to the public and clients they serve. It is required that all nursing students assume accountability for the safe and knowledgeable administration of medications in their student nurse role as they prepare for their professional role. Purpose: The purpose of this policy is to provide a means of ensuring that students are competent in medication administration and the knowledge needed surrounding that task. Learning and evaluating emphasis will be in two main areas. One will be on the development of competent medication administration skills that includes abilities in basic mathematics and conversion measurement systems for the accurate calculation of medication dosages. Second will be the emphasis on students` competencies in critical thinking, assuming responsibility, being accountable for their actions, and understanding the serious consequences of medication errors to clients` safety. Policy: Students in all clinical courses following the first quarter are expected to administer medications in the clinical setting. Prior to administering any medications, each student must satisfactorily demonstrate fundamental knowledge and skills competency in the laboratory setting on campus or designated site. Students will be required to take a medication examination each quarter encompassing the mathematical calculations and conversion measurement systems for the accurate calculation of medication dosages. Depending upon the course, students will be required to take an examination of the didactic knowledge needed in that quarter to prepare the medication (i.e. 3 checks/7 rights, whether a medication can safely be crushed), to assess the client (i.e. pertinent history, physical exam, lab values before and after administration), current protocols/standards of care of administration (i.e. 3 checks, 7 rights, I.V. complications, blood administration), and medication information (i.e. name, dose, side effects). Students must earn a score of 100% on the comprehensive examination and are given three opportunities to meet this expectation. Remediation (for students that do not earn 100%) will be provided in the form of individualized instruction, self-learning packet, web-based instruction, textbook assignment, etc. (chosen by the course coordinator). Only the section of the test that the student failed, didactic knowledge and/or mathematical calculation, will be retested. If a student does not earn the score of 100% after 3 opportunities, they will earn an F in the course and will not be allowed to continue in the course. Students will also be required to perform return demonstrations of the fundamental skills encompassing safe medication administration (i.e. PO/NG, topical applications, eye/ear drops, opening ampules, reconstituting meds, insulin mixing, spiking/priming IV tubing, intradermal, subcutaneous, intramuscular, and intravenous injections). Under the supervision of the clinical instructor, the student must demonstrate complete competency in drug administration first in the learning laboratory setting or other approved alternate site, followed by the clinical setting. Competency includes administration skill, as well as both verbal and written evidence of understanding for each medication classification used in the clinical setting (refer to Procedure below). Students in the first quarter are not to administer any medications.

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Students in the second quarter of nursing school will be expected to administer medications orally, intramuscularly, intradermally, subcutaneously, and via topical route. Students are not to administer any intravenous medications during this quarter. Students in the third quarter of nursing school and in successive quarters will be expected to administer all medications, including intravenous medication. Students are not to administer any blood product. Students may assist the RN in carrying out nursing cares specific to blood product administration (i.e. monitoring vital signs, assessing for adverse reaction to blood product administration and evaluation of effectiveness). Medication errors are defined as any error related to the seven rights of medication administration. After a medication error has been identified, the student must immediately report the incident to the staff nurse, the clinical instructor, the physician and the nurse manager. Failure of the student to report any and all clinical errors will result in dismissal from the program. a. Students must complete an agency incident report and a CSUSB department of nursing incident report with the clinical instructor. (See Student Safety Policy Manual) b. A copy of the incident report will be placed in the students` file and the original will be sent to the nursing department chair, immediately. c. A medication error may result in failure from the course and/or dismissal from the program. Procedures: 2. The student must complete a medication card with the information individualized for the client being attended. That information will include: generic/trade name, therapeutic and pharmacologic classification, indication, action, onset, peak, duration, contraindications, precautions, adverse reactions, side effects, potential interactions with client`s other medications, route, dosage, and nursing implications (i.e. assessment [history, physical examination, lab results, etc], implementation [how to administer], teaching, and evaluation [history, physical examination, lab results, etc]). a. Different clinical courses will require different forms of medication cards but the information needed remains the same. 3. This information must be presented to the faculty prior to administration of the medication. 4. The student must follow the agency`s policies surrounding administering and documenting medications. This information will be given to the student via printed or oral communication during orientation to the clinical facility. 5. The student administers medications only to client(s) that are assigned to or chosen by the student. The student only administers medication he/she has prepared. 6. If more than one patient is assigned or chosen, the student is to prepare medications for one patient at a time. 7. Students must prepare and administer all medications (intramuscular, oral, topical, intravenous) each and every time in the physical presence of the clinical instructor. Instructors must directly supervise every step of the preparation and administration of medications. 8. In the ninth quarter, the student`s preceptor, an RN designated by the facility, will directly supervise the student in every step of the preparation and administration of medication. Faculty and Student's preparation phase: Med check # 1 a. b. c. d. Obtain Medication Administration Record (MAR). Check MAR with original order. Check medication drawer for each medication listed on MAR; check expiration date. Review each medication for 7 rights. 1. Right Client 2. Right Medication 3. Right Dose

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4. Right Time 5. Right Route 6. Right Reason/Education 7. Right Documentation e. Request any missing medications from pharmacy. f. Gather medications. Never leave medications unattended or medication cart unlocked. Faculty and Student preparation phase: Med check # 2 a. Place medications (leaving in original container or packaging until checked by faculty) due for administration on MAR: top to bottom sequence. b. Student is to present assessments related to medication administration to faculty (i.e. BP, HR, INR, PT/PTT, labs). Many assessments must be performed immediately before medication administration (i.e. apical pulse). c. Student prepares injectable or IV meds with direct faculty observation. d. Heparin/insulin dosages are to be verified by two licensed nursing personnel following the agency`s policy. Student and Faculty administration phase: Med check # 3 a. Med check # 3 occurs at the bedside with the MAR: student must review each medication with the client, going through 7 rights. At this point, oral medications are to be opened or poured. (If medication is to be prepared for NG or PEG administration, med check #3 would occur at the med cart with appropriate crushing device.) b. The student/faculty is to confirm patient`s identification with two methods per JCAHO requirements (i.e. patient bracelet, medical record number, and birth date). c. The student/faculty is to confirm patient`s allergies by asking the patient if they have any allergies and/or assess chart`s information (particularly for patients that are unable to verbally respond). d. The student/faculty will witness the client swallow oral medication and verify by looking in the mouth, if necessary. Never leave medications unattended or medication cart unlocked in client`s room. e. Faculty must accompany the student at the bedside for all medications. Documentation phase a. Students will follow agency`s policy regarding MAR documentation. b. Usually, the policy is: 1. Documentation occurs at the time of or immediately following medication administration. Never before administration. 2. A paper MAR is to be signed by student with their first initial and last name followed by the abbreviation, SN, CSUSB. The faculty will also sign for the medications given with the student using the abbreviation RN, CSUSB following their name. Initials are placed next to the time the medication was given. 3. Students should provide appropriate objective data on MAR, if applicable (i.e. BP, HR, labs) 4. Fluid intake must be recorded for clients being monitored. 5. Focus charting must be completed with as needed (PRN) medications (i.e. pain medications) Narcotics a. Students may only obtain narcotics in the presence of faculty. b. Narcotic count for the medication to be given is completed by the faculty and student nurse and signatures of all individuals must be documented.

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c. Students are not permitted to set up or refill PCA/PCE equipment. "Health Fair" Medication Administration: Students that participate in Health Fairs in which multiple medication administrations may occur (i.e. Flu Shots), the following procedure must be adhered to: 1. The student must not administer a medication by a route that has not been learned in their clinical courses. 2. The student must complete a medication card with the information individualized for the client being attended. That information will include: generic/trade name, therapeutic and pharmacologic classification, indication, action, onset, peak, duration, contraindications, precautions, adverse reactions, side effects, potential interactions with client`s other medications, route, dosage, and nursing implications (i.e. assessment [history, physical examination, lab results, etc], implementation [how to administer], teaching, and evaluation [history, physical examination, lab results, etc]). a. Different clinical courses will require different forms of medication cards but the information needed remains the same. 3. This information must be presented to the faculty or designee prior to administration of the medication. 4. The student must follow the agency`s policies surrounding administering and documenting medications. This information will be given to the student via printed or oral communication during orientation to the health fair site. When signing the documentation, the student will sign with their first initial and last name followed by the abbreviation, SN, CSUSB. 5. Students must review administration skill(s) of the medication(s) in the physical presence of the clinical instructor or designee. 6. Instructors must directly supervise every step of the preparation and administration of medications. 7. Review each medication for 7 rights. a. Right Client b. Right Medication c. Right Dose d. Right Time e. Right Route f. Right Reason/Education g. Right Documentation 8. The student is to confirm client`s allergies by asking the client if they have any allergies and/or assess health information (particularly for patients that are unable to verbally respond). 9. The student will witness the client swallow oral medication and verify by looking in the mouth, if necessary. Students must never leave medications unattended.

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APPENDIX B BOARD OF REGISTERED NURSING POLICY STATEMENT ON DENIAL OF LICENSURE The California Board of Registered Nursing protects the public by screening applicants for licensure in order to identify potentially unsafe practitioners. Statutory authority for denial of licensure is set out in Business and Professions Code Sections 480-487, 492, 493, 496, 810, 820-828, 2750-2765, and 27952797. The law provides for denial of licensure for crimes or acts which are substantially related to nursing qualifications, functions, or duties. A crime or act meets this criterion if, to a substantial degree, it evidences present or potential unfitness to perform nursing functions in a manner consistent with the public health, safety, or welfare (California Code of Regulations, Section 1444). The Board may deny licensure on the basis of: Conviction of crime substantially related to the practice of nursing. Any act involving dishonesty, fraud, or deceit with intent to substantially benefit self or another or to substantially injure another. Any act which is grounds for revocation of a license. Making a false statement on the application for license. Breach of examination security. Convictions The Board considers most convictions involving sex crimes, drug crimes, and crimes of violence to be substantially related to nursing practice. Board regulations list examples of such crimes or acts to include, but not limited to: Conviction of child abuse. Violation of Nursing Practice Act. Conviction as a mentally disordered sex offender. Crime or act involving narcotics, dangerous drugs, or dangerous devices. Conviction of assault and/or battery. Rehabilitation If the Board determines that an act or crime is substantially related to the practice of nursing, then it is the responsibility of the applicant to present sufficient evidence of rehabilitation. When considering denial of license, the Board takes into account the following criteria to evaluate the rehabilitation of the applicant. (California Code of Regulations, Section 1445). 1. 2. 3. 4. 5. Nature and severity of the acts or crimes. Additional subsequent acts. Recency of acts or crimes. Compliance with terms of parole, probation, restitution, or other sanctions. Evidence of rehabilitation submitted by applicant.

The Board has developed the following list of suggested evidence of rehabilitation for applicants whose licensure is in question. It should be noted that the board applies the same denial criteria for applications for interim permits and temporary license as it uses for permanent licensure.

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In summary, the Board of Registered Nursing screens applications fairly but cautiously, applying the above criteria. Schools of nursing are encouraged when counseling prospective nursing students to make them aware that there could be potential licensure problems due to serious acts or convictions as described above. In this manner, students have the opportunity to explore other career options prior to investing substantial time in a nursing program if it appears that a prior serious act or conviction may jeopardize licensure due to its substantial relationship to the practice of nursing. 12/95 (Retyped 1/99, 9/00) 7/05

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ATTACHMENT A BOARD OF REGISTERED NURSING EVIDENCE OF REHABILITATION At the time of application for licensure, the burden of proof lies with the applicant to demonstrate sufficient competent evidence of rehabilitation to establish fitness to perform nursing functions in a manner consistent with public health, safety, and welfare. The following list itemizes types of evidence which the applicant should consider providing to the Board. All items should be mailed directly to the Board by the individual or agency that is providing information about the applicant. 1. Copies of court documents pertinent to conviction, including documents specifying conviction and sanctions, and proof of completion of sanctions. 2. Letter from applicant describing underlying circumstances of arrest and conviction record as well as any rehabilitation efforts or changes in life since that time to prevent future problems. 3. Letters of reference from nursing program instructors concerning attendance, participation, and performance in nursing program. 4. Letters of reference from past and/or current employers. 5. Letters from recognized recovery programs attesting to current sobriety and length of time of sobriety if there has been a history of alcohol or drug abuse. 6. A current mental status examination by a clinical psychologist or psychiatrist. The evaluation should address the likelihood of similar acts or convictions in the future, and should speak to the suitability of the registered nursing profession for the applicant. 7. Letters of reference from other knowledgeable professionals, such as probation or parole officers. 8. Copy of Certificate of Rehabilitation or evidence of impingement proceedings. 9. Evidence of compliance with and completion of terms of probation, parole, restitution, or any other sanctions. 10. For endorsement applicant, copies of: a. Formal accusation and determination of other state, b. Copies of evidence presented to other state in order to obtain reinstatement of license or reduction of penalty, c. Terms of probation and evidence of current compliance if currently on probation in another state. 12/95 (Retyped 1/99, 9/00) 7/05

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ATTACHMENT B BOARD OF REGISTERED NURSING STATUTORY AUTHORITY FOR DENIAL OF LICENSURE (Summarizer Version of Business & Professions Code) Grounds for Denial 480 (a) Board may deny a license on the basis of: (1) Conviction of a crime, after time for appeal, irrespective of a subsequent order under Section 203.4 of the Penal Code. (2) Any act involving dishonesty, fraud or deceit with intent to substantially benefit self or another, or substantially injure another. (3) Any act which is grounds for suspension or revocation of registered nurse`s license. (b) May not deny license solely on basis of felony conviction if there is certificate of rehabilitation. (Penal Code 4852.01) (c) May deny license if applicant knowingly made false statement of fact required in application. Criteria for Related Crimes Required 481 Board must have criteria to assist in considering denial, revocation, suspension of license in order to determine whether a crime or act is substantially related to nursing qualifications, functions or duties. (BRN criteria specified in Section 144 of California Code of Regulations) Criteria for Rehabilitation Required 482 Board must have criteria to evaluate rehabilitation when considering (a) denial or (b) suspension or revocation of license. Board must consider all competent evidence of rehabilitation furnished by applicant or licensee. (Section 1445 of California Code of Regulations) Attestations of Good Moral Character Not Required 484 No applicant can be required to submit attestations of good moral character. Procedure for Board Upon Denial 485 Upon denial the Board must (a) serve a statement of issues or (b) notify the applicant of the denial stating the reasons and the right to a hearing. The right to a hearing is waived if a written request is not received within 60 days. Reapplication After Denial 486 Upon denial the Board must inform the applicant of the earliest date for reapplication, state that all competent evidence of rehabilitation will be considered upon reapplication, and send a copy of the criteria for rehabilitation. 487 492 If a hearing is requested it must be conducted within 90 days of request, except for OAH extensions or at applicant`s request. Successful completion of any diversion program under the Penal Code or successful completion of an alcohol and drug problem assessment under the Vehicle Code does not prohibit the Board from denying or disciplining a license based upon the underlying misconduct. The record of the conviction of a crime shall be conclusive of the fact that the conviction occurred and the Board may inquire into the circumstances surrounding the crime in order to fix the degree of discipline or to determine if the conviction is substantially related.


Violations of Exam Security 496 Board may deny, suspend, revoke, or restrict license on grounds that applicant for licensure subverted or attempted to subvert administration of examination.

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ATTACHMENT C REGULATIONS RELATING TO LICENSE DENIAL (Summarized Version of California Code of Regulations) 1444. Substantial Relationship Criteria A crime or acts is considered substantially related to the practice of nursing if, to a substantial Degree, it evidences present or potential unfitness of a registered nurse to perform nursing functions in a manner consistent with the public health, safety, or welfare. Such acts or crimes include, but are not limited to: (a) (b) (c) (d) (e) Conviction of child abuse. Violation of Nursing Practice Act. Conviction as a mentally disordered sex offender. Crime or act involving sale, gift, administration, or furnishing of narcotics, dangerous drugs, or dangerous devices. Conviction for assault and/or battery.

1445. Criteria for Rehabilitation (a) When considering denial of license, the board is to consider the following criteria in evaluating the rehabilitation of the applicant and his/her present eligibility for a license. (1) (2) (3) (4) (5) Nature and severity of acts or crimes. Evidence of any additional, subsequent acts which also could be considered grounds for denial. Time that has elapsed since commission of acts or crimes. Extent to which applicant has compiled with terms of parole, probation, restitution, or other sanctions. Evidence of rehabilitation submitted by applicant.

12/95 (Retyped 1/99, 9/00) 7/05

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APPENDIX C IMPAIRED NURSING STUDENTS GUIDELINES FOR SCHOOLS OF NURSING IN DEALING WITH THE MATTER OF NURSING STUDENTS IMPAIRED BY ALCOHOLISM, DRUG ABUSE, AND EMOTIONAL ILLNESS In the matter of nursing students impaired by alcoholism, drug abuse, and emotional illness, the California Board of Registered Nursing recognizes that: (a) (b) These are diseases and should be treated as such; Personal and health problems involving these diseases can affect one`s academic and clinical performance and that the impaired nursing student is a danger to self and a grave danger the patients in her or his care; Nursing students who develop these diseases can be helped to recover; It is the responsibility of the nursing student to voluntarily seek diagnosis and treatment for any suspected illness; Confidential handling of the diagnosis and treatment of these diseases is essential.

(c) (d) (e)

Therefore, the Board of Registered Nursing expects schools of nursing with students impaired by these diseases to offer appropriate assistance, either directly or by referral. Furthermore, the Board expects that schools of nursing will ensure that instructors have the responsibility and authority to take immediate corrective action with regard to the student`s conduct and performance in the clinical setting. It is outside of the Board`s scope of function to endorse or recommend a particular course of therapy; however, it does wish to inform nursing students of the importance of seeking voluntary aid for conditions that could, if left unattended, lead to disciplinary action and may prevent them from being licensed to practice nursing in the State of California. As a preventive measure, schools of nursing are asked to provide factual material to incoming students regarding school policy on drug or alcohol abuse and mental illness among nursing students. (Board Approved 11/84 ­ EDP-B-03) BRN 9/99 updated: 8/09

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APPENDIX D GRADE/ACEDEMIC GRIEVANCE PROCEDURE Information concerning grade grievances and other academic grievances may be obtained from the Office of the Associate Dean of Undergraduate Studies, AD-183. Generally, a grade grievance must be initiated by the student within no more than 40 calendar days after the grade is recorded. The complete policy statement is available at the Office of the Dean of Undergraduate Studies, UH-368, or the Office of the Associate Dean of Undergraduate Studies, AD-183. Information concerning nonacademic matters may be obtained from the Office of the Vice President for Student Affairs, UH-231, the Women`s Resource Center, the Adult Re-Entry Center, the Cross-Cultural Center, Vice Presidents` offices, and the College Deans` offices. A grievance or complaint must be filed within no more than 40 calendar days after the student learned or reasonably should have learned of the occurrence of the grievance/complaint event. These policies can also be accessed at CSUSB 2004-2005

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BSN Program Student Handbook Signature Form*

I have received a copy of the Department of Nursing/BSN Program: Student Handbook . I have read its contents and have had the opportunity to ask questions in order to better understand the information.

Name___________________________ Signature___________________________________ PRINT Date___________________________ CSUSB email address __________________________

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September 2004

33 pages

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