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BERKSHIRE COMMUNITY COLLEGE ASSOCIATE DEGREE NURSING PROGRAM STUDENT HANDBOOK Spring 2019 (revised) “Berkshire Community College is an affirmative action/equal opportunity institution and does not discriminate on basis of race, creed, religion, color, gender, gender identity, sexual orientation, age, disability, genetic information, maternity leave, military service, and national origin in its education programs or employment.” All inquiries concerning application of the above should be directed to Deborah Cote, Director of Human Resources, Affirmative Action officer, and Coordinator of Title IX and Section 504, at 413-236-1022.

Transcript of adn_student_handbook_1_15_19.pdf - Berkshire Community ...

BERKSHIRE COMMUNITY COLLEGE ASSOCIATE DEGREE NURSING PROGRAM

STUDENT HANDBOOK Spring 2019 (revised)

“Berkshire Community College is an affirmative action/equal opportunity institution and does not discriminate on basis of race, creed, religion, color, gender, gender identity, sexual orientation, age, disability, genetic information, maternity leave, military service, and national origin in its education programs or employment.” All inquiries concerning application of the above should be directed to Deborah Cote, Director of Human Resources, Affirmative Action officer, and Coordinator of Title IX and Section 504, at 413-236-1022.

TABLE OF CONTENTS INTRODUCTION ............................................................................................................................... 1 FACULTY WELCOME ........................................................................................................................ 1 MISSION STATEMENT ..................................................................................................................... 1 PHILOSOPHY OF THE DEPARTMENT OF NURSING .......................................................................... 1 MASSACHUSETTS NURSE OF THE FUTURE NURSING CORE COMPETENCIES ................................. 2 NURSING PROGRAM STUDENT LEARNING OUTCOMES ................................................................. 3 END-OF-PROGRAM STUDENT LEARNING OUTCOMES ................................................................... 3 ASSOCIATE DEGREE NURSING (ADN) PROGRAM OUTCOMES ....................................................... 4 NATIONAL STUDENT NURSES’ ASSOCIATION, INC. CODE OF ACADEMIC AND CLINICAL CONDUCT ........................................................................................................................................ 4 PLAGIARISM .................................................................................................................................... 5 PROFESSIONAL MISCONDUCT ........................................................................................................ 6 STUDENT BEHAVIOR/CIVILITY POLICY ............................................................................................ 6 LEGAL RESPONSIBILITY RELATED TO NCLEX- RN ............................................................................ 6 GENERAL INFORMATION ADN PROGRAM ...................................................................................... 6 COMMUNICATION .......................................................................................................................... 7 OFFICIAL BULLETIN BOARDS ........................................................................................................... 7 SNO BULLETIN BOARD .................................................................................................................... 7 EMAIL/INTERNET USE ..................................................................................................................... 7 LEARNING MANAGEMENT SYSTEM (LMS) ...................................................................................... 7 PERSONAL IDENTIFICATION INFORMATION ................................................................................... 7 PICTURE IDS .................................................................................................................................... 7 CORI/SORI REQUIREMENTS ............................................................................................................ 8 BORROWING LABORATORY EQUIPMENT ....................................................................................... 8 EXCEPTION/EXTENSION PROCEDURE ............................................................................................. 8 CURRICULUM MEETING STUDENT REPRESENTATIVE JOB DESCRIPTION: ...................................... 8 CLINICAL INFORMATION ................................................................................................................. 9 CLINICAL ABSENCES - REPORTING .................................................................................................. 9 CLINICAL SITES ................................................................................................................................ 9 COMMUNITY ................................................................................................................................... 9 PLANNING AHEAD ......................................................................................................................... 10 NO CALL/NO SHOW ...................................................................................................................... 10 LATEX ALLERGY ............................................................................................................................. 10 SMOKING POLICY .......................................................................................................................... 10 CLINICAL ASSIGNMENT ................................................................................................................. 10 CHANGE IN CLINICAL ASSIGNMENTS ............................................................................................ 10 CAMPUS LABORATORY/SIMULATION ........................................................................................... 10 DRESS CODES ................................................................................................................................ 11 MENTAL HEALTH EXPERIENCE DRESS CODE ................................................................................. 11 COMMUNITY EXPERIENCE DRESS CODE ....................................................................................... 11 ESSENTIAL FUNCTIONS ................................................................................................................. 11 FACILITIES FOR STORAGE OF COATS/VALUABLES OR EQUIPMENT STORAGE FACILITIES ............ 12

LEAVING THE CLINICAL SITE .......................................................................................................... 12 MANDATORY CLINICAL AGENCY REQUIREMENTS ........................................................................ 12 PARKING ........................................................................................................................................ 12 PROFESSIONAL LIABILITY INSURANCE .......................................................................................... 12 SUBSTANCE ABUSE/IMPAIRED STUDENT POLICY ......................................................................... 12 STUDENT INJURY/OCCUPATIONAL EXPOSURE INJURY ................................................................. 12 OCCUPATIONAL EXPOSURE .......................................................................................................... 13 STUDENT MEDICATION ADMINISTRATION ................................................................................... 13 CLINICAL CONFERENCES ............................................................................................................... 14 TRANSPORTATION ........................................................................................................................ 14 COLLEGE CLOSING POLICY ............................................................................................................ 14 EMERGENCY NOTIFICATION SYSTEM ........................................................................................... 14 SNOW & OTHER EMERGENCY DAYS ............................................................................................. 15 DELAYED OPENING ....................................................................................................................... 15 EVALUATION, TESTING, AND GRADING ........................................................................................ 16 GRADE APPEAL POLICY ................................................................................................................. 17 CONFIDENTIALITY/HIPAA LAW OF 1996 ....................................................................................... 17 NURSING COURSE DESCRIPTIONS/STUDENT LEARNING OUTCOMES .......................................... 18 NUR 102 PHYSICAL AND MENTAL HEALTH II ................................................................................ 18 NUR 106 LPN TO RN BRIDGE ......................................................................................................... 19 NUR 202 PHYSICAL AND MENTAL HEALTH IV ............................................................................... 20 NUR 206 NURSING IN TRANSITION ............................................................................................... 21 EXL 225 EXPERIENTIAL LEARNING (OPTIONAL) ............................................................................ 22 APPENDIX ...................................................................................................................................... 23 STUDENT NURSE ORGANIZATION (S.N.O.) BYLAWS OF ORGANIZATION AND PROCEDURE ........ 25 S.N.O. MISSION ............................................................................................................................. 27 ASSOCIATE DEGREE IN NURSING PROGRAM FORMS ................................................................... 29 ACADEMIC WRITTEN WARNING ................................................................................................... 31 CLINICAL ACTION PLAN FOR SUCCESS .......................................................................................... 33 CLINICAL PERFORMANCE CRITICAL INCIDENT .............................................................................. 35 PROFESSIONAL BEHAVIOR ............................................................................................................ 37 REQUEST FOR EXCEPTION/EXTENSION ........................................................................................ 39 STUDENT HANDBOOK STATEMENT OF UNDERSTANDING ........................................................... 41 ADN MATRICULATION FORM........................................................................................................ 43 LPN TO ADN MOBILITY MATRICULATION FORM .......................................................................... 47 POLICIES ........................................................................................................................................ 51 ADMISSION POLICY ....................................................................................................................... 53 ADVANCED PLACEMENT POLICY ................................................................................................... 57 ATTENDANCE POLICY .................................................................................................................... 59 CLINICAL EVALUATION AND FINAL EVALUATION OF STUDENT LEARNING OUTCOMES POLICY . 61 PROCEDURE FOR THE USE OF THE CLINICAL EVALUATION TOOL (CET) ....................................... 63 COLLEGE LABORATORY POLICY ..................................................................................................... 65 COURSE EXEMPTION POLICY ........................................................................................................ 67 CPR POLICY .................................................................................................................................... 69

EDUCATIONAL MOBILITY POLICY .................................................................................................. 71 EXAMINATION POLICY .................................................................................................................. 73 GRADUATION POLICY .................................................................................................................... 75 HEALTH AND IMMUNIZATION POLICY .......................................................................................... 77 HESI POLICY ................................................................................................................................... 79 PROGRESSION POLICY ................................................................................................................... 81 READMISSION POLICY ................................................................................................................... 83 REMEDIATION POLICY ................................................................................................................... 85 STUDENT RIGHTS AND GRIEVANCES POLICY ................................................................................ 87 TRANSFER POLICY ......................................................................................................................... 89 WITHDRAWAL POLICY ................................................................................................................... 91

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INTRODUCTION FACULTY WELCOME Welcome to the Associate Degree Nursing Program (ADN) at Berkshire Community College. Congratulations on your acceptance to a program designed to prepare you to enter a rewarding profession of caring and providing comfort to those in need. The faculty, staff, counselors, and administrators are here to support you throughout this journey. We are proud of BCC nursing program and will facilitate your education in becoming a professional nurse. MISSION STATEMENT Berkshire Community College Associate Degree Nursing Program promotes excellence in nursing practice through students’ academic success and community service. Our students are provided quality educational experiences that include clinical partnerships in diverse health care communities. BCC (ADN) graduates are prepared for licensure and practice as registered nurses (RNs). PHILOSOPHY OF THE DEPARTMENT OF NURSING The Massachusetts Nurse of the Future Nursing Core Competencies (NOFNCC)© - Registered Nurse (Massachusetts Department of Higher Education Nursing Initiative, revised March 2016) are utilized as the program’s end of program student learning outcomes (EPSLOs.)There are ten essential components of the NOF Nursing Core Competency Model, including patient-centered care, professionalism, leadership, systems-based practice, informatics and technology, communication, teamwork and collaboration, safety, quality improvement and evidence-based practice. All competencies are centered on nursing knowledge, which is placed at the core, to represent how nursing knowledge in its totality reflects the art and science of the nursing profession and discipline. There is no hierarchy in the model’s representation and each competency is of equal importance in practice. A broken line between the competencies reflects an overlap and the competencies are not mutually exclusive. Berkshire Community College nursing recognizes the art of nursing as based on a framework of caring and respect for human dignity. The NOF Nursing Core Competencies identify the link between the art and science of nursing as a compassionate approach to competent patient care. Using the NOF Nursing Core Competency model, faculty facilitates learning and students develop the knowledge, attitudes and behaviors, and skills (KAS) necessary to provide care. The NOF Nursing Core Competencies prepare the student to practice in a complex work environment and bridge the gap between nursing education and practice. Teaching the principles of evidence-based practice, safety, patient-centered care, professionalism, leadership, systems-based practice, teamwork and collaboration, communication, quality improvement, informatics and technology prepare BCC nursing graduates to be proficient in many nursing competencies and be ready to practice in a variety of settings. The nursing curriculum is developed to use the blue print of the current NCLEX-RN test plan to organize content, develop learning objectives for each nursing class, and prepare students for the post-graduation licensure exam.

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Massachusetts Nurse of the Future Nursing Core Competencies The Massachusetts Nurse of the Future Nursing Core Competencies (NOFNCC)© - Registered Nurse (Massachusetts Department of Higher Education Nursing Initiative, revised March 2016) are utilized as the program’s end of program student learning outcomes (EPSLOs).

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NURSING PROGRAM STUDENT LEARNING OUTCOMES END-OF-PROGRAM STUDENT LEARNING OUTCOMES The expected outcomes for the Berkshire Community College (BCC) Associate Degree nursing program (ADN) graduates align with the outcomes of the Nurse of the Future Nursing Core Competencies (NOFNCC). The Course Student Learning Outcomes determine student mastery of specific NOFNCC competencies at each course level and correspond to the recommended blueprint for National Council Licensure Examination (NCLEX-RN) learning competencies. Varieties of settings for learning are utilized including, classrooms, labs/simulation rooms, acute-care/medical-surgical units, public schools, long-term care, and community rehabilitation agencies. A systematic progression in the nursing curricula allows the learner to develop knowledge, attitudes and skills (KAS) to meet the educational outcomes of the Nursing Program. Students achieve the end-of-program student learning outcomes upon completion of the program. At the end of Associate Degree nursing program, graduates are able to comprehend, apply, analyze, synthesize and evaluate Nurse of the Future Nursing Core Competencies of:

• Patient centered care by providing holistic care that recognizes an individual’s preferences, values and needs and respects the patient or designee as a full partner in providing compassionate, coordinated, age and culturally appropriate, safe and effective care.

• Professionalism by demonstrating accountability for the delivery of standard-based nursing care that is consistent with moral, altruistic, legal, ethical, regulatory, and humanistic principles.

• Leadership by influencing the behavior of individuals or groups of individuals within their environment in a way that will facilitate the establishment and acquisition/achievement of shared goals.

• Systems based practice by demonstrating an awareness of and responsiveness to the larger context of the health care system, and will demonstrate the ability to effectively call on the work unit resources in providing client care at optimal quality, and value (Adapted from ACGME, n.d.).

• Informatics and technology by using advanced technology and to analyze as well as synthesize information and collaborate in order to make critical decisions that optimize patient outcomes. (National Academies of Sciences, Engineering, and Medicine, 2015)

• Communication by interacting effectively with patients, families, and colleagues, fostering mutual respect and shared decision making, to enhance patient satisfaction and health outcomes.

• Teamwork and collaboration by functioning effectively within nursing and interdisciplinary teams, fostering open communication, mutual respect, shared decision-making, team learning and development. ( Adapted from QSEN, 2007)

• Safety by minimizing risk of harm to patients and providers through both system effectiveness and individual performance (Adapted from QSEN, 2007)

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• Quality Improvement by using data to monitor the outcomes of care processes, and uses improvement methods to design and test changes to continuously improve the quality and safety of health care systems. (Adapted from QSEN,2007)

• Evidence based practice by identifying, evaluating, and using the best current evidence coupled with clinical expertise and consideration of patients’ preferences, experience and values to make practice decisions (Adapted from QSEN, 2007)

NCLEX-RN PREPARATION AND ACHIEVEMENT OF END-OF-PROGRAM STUDENT LEARNING OUTCOMES (EPSLOs) The ADN program prepares the student throughout the program for achievement of EPSLOs and attainment of licensure as an RN. An NCLEX-RN Live Review is given at the completion of NUR 202. Students receive additional information about the review at the beginning of NUR 202. The fee for the Live Review is included in the HESI package. ASSOCIATE DEGREE NURSING (ADN) PROGRAM OUTCOMES

• Licensure Examination Pass Rates- The program’s most recent annual licensure examination pass rate will be at least 80% for all first-time test takers during the same 12- month period

• Program Completion

o For the ADN program as a whole, 60 % of students will complete each program option within 150% of the program length of time.

o 60 % of the traditional students entering the first nursing course of the ADN program will graduate within six semesters.

o 60 % of the LPN Bridge students entering the third semester will complete the program within four semesters.

• Job Placement Rates

o 90 % of graduates within one (1) year of graduation are employed in a Registered Nurse position.

NATIONAL STUDENT NURSES’ ASSOCIATION, INC. CODE OF ACADEMIC AND CLINICAL CONDUCT

Preamble Students of nursing have a responsibility to society in learning the academic theory and clinical skills needed to provide nursing care. The clinical setting presents unique challenges and responsibilities while caring for human beings in a variety of health care environments. The Code of Academic and Clinical Conduct is based on an understanding that to practice nursing as a student is an agreement to uphold the trust with which society has placed in us. The statements of the code provide guidance to the nursing student in the personal development of an ethical foundation and need not be limited strictly to the academic or clinical environment but can assist in the holistic development of the person.

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Code for Students As students are involved in the clinical and academic environments, we believe that ethical principles are a necessary guide to professional development. Therefore, within these environments we: 1. Advocate for the rights of all clients. 2. Maintain client confidentiality. 3. Take appropriate action to ensure the safety of clients, self, and others. 4. Provide care for the client in a timely, compassionate, and professional manner. 5. Communicate client care in a truthful, timely and accurate manner. 6. Actively promote the highest level of moral and ethical principles and accept responsibility

for our actions. 7. Promote excellence in nursing by encouraging lifelong learning and professional

development. 8. Treat others with respect and promote an environment that respects human rights, values

and choice of cultural and spiritual beliefs. 9. Collaborate in every reasonable manner with the academic faculty and clinical staff to

ensure the highest quality of client care. 10. Use every opportunity to improve faculty and clinical staff understanding of the learning

needs of nursing students. 11. Encourage faculty, clinical staff and peers to mentor nursing students. 12. Refrain from performing any technique or procedure for which the student has not been

adequately trained. 13. Refrain from any deliberate action or omission of care in the academic or clinical setting

that creates unnecessary risk of injury to the client, self or others. 14. Assist the staff nurse or preceptor in ensuring that there is full disclosure and that proper

authorization is obtained from clients regarding any form of treatment of research. 15. Abstain from the use of alcoholic beverages or any substances in the academic and clinical

setting that impair judgment. 16. Strive to achieve and maintain an optimal level of personal health. 17. Support access to treatment and rehabilitation for student who are experiencing

impairment related to substance abuse and mental or physical health issues. 18. Uphold school policies and regulations related to academic and clinical performance,

reserving the right to challenge and critique rules and regulations as per school grievance policy.

https://www.nsna.org/nsna-code-of-ethics.html Plagiarism Plagiarism, the claiming of the “words and ideas of another as their own”, is considered a violation of academic integrity. (APA Ethics Code Standard 8.11, Plagiarism). Students who plagiarize on assigned classroom and clinical assignments may be subject to disciplinary action. Disciplinary action may include failure on the assignment, which may result in course failure. Refer to Student Policy Guide. https://www.berkshirecc.edu/student-life/student-policy-guide/index.php#plagiarism-and-academic-dishonesty

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Professional Misconduct The school defines professional misconduct as behavior that jeopardizes or potentially jeopardizes patients, colleagues, the school or affiliating agencies. It includes, but is not limited to:

• Violation of confidentiality of information related to patients or affiliating agencies.• Behavior that may disrupt the normal activities of the school or affiliating agencies, or

violates their established policies and procedures.• Physical or verbal abuse.

Disciplinary action may include dismissal from the nursing program.

Student Behavior/Civility Policy Students are expected to conduct themselves in a professional manner in the classroom, campus lab, and clinical area. It is the responsibility of each student to behave in a manner that does not interrupt or disrupt the delivery of or receipt of education within the classroom, lab, or any clinical facility. The determination of disruptive behavior will be made by the faculty member as per college policy.

Talking with peers during formal presentations is disruptive to the class, and is unacceptable classroom behavior. All communication devices must be turned off or placed on vibrate during class lectures and examinations. If a student is expecting a call and must leave during class, the student should inform the instructor before class starts. Use of cell phones and PDAs in the clinical area must follow agency policies. Students with disruptive behavior will receive documentation of professional misconduct. Please refer to the Student Code of Conduct found in the Student Policy Guide Rights and Responsibilities for more information. https://www.berkshirecc.edu/student-life/student-policy-guide/

LEGAL RESPONSIBILITY RELATED TO NCLEX- RN Any applicant or current student with a criminal conviction needs to be aware that such conviction may prevent them from obtaining a nursing license at the time of graduation from the Massachusetts Board of Registration in Nursing. In the event of a conviction, it is the student’s responsibility to initiate the process to submit for determination of good moral character through the Massachusetts Board of Registration in Nursing. See Licensure Policy 00- 01: Determination Good Moral Character Compliance, https://www.mass.gov/service-details/good-moral-character-requirements-for-nursing-licensure

GENERAL INFORMATION ADN PROGRAM Students must comply with college policies described in the college course catalog and student policy guide. (www.berkshirecc.edu/catalog) (https://www.berkshirecc.edu/student-life/student-policy-guide/index.php)

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COMMUNICATION

Official Bulletin Boards Changes in school policy are posted on the bulletin boards.

Division: Lecture Hall (H-402) Nursing Department

(i) Nursing Lab (H-319) (ii) SIM & Respiratory Lab (H321)

Students may post communications on the student section of the bulletin board after receiving approval from Secretary to the Nursing Department.

SNO Bulletin Board Student Nurse Organization information is posted on the SNO Bulletin Board near the nursing lab (H-319). A list of meeting dates for the semester will be available on this bulletin board. See BYLAWS, Appendix, page 25.

Email/Internet Use All students are provided with a BCC student e-mail account. Students must activate and utilize this account as their official Berkshire Community College communication link even after college graduation. Faculty do communicate essential program information with students via this system.

Students are expected to follow the Internet acceptable use policy outlined in the BCC Student Policy Guide.

Learning Management System (LMS) Students will be provided access information for the current Learning Management System (LMS).

Personal Identification Information Students must provide current name, address, telephone number, and college email address at the beginning of each semester to the Department of Nursing Secretary.

Picture IDs Students are required to have a BCC picture ID for use in clinical agencies and during all course examinations.

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Criminal Offender Record Information (CORI) and Sex Offender Registry Information (SORI) Checks

CORI/SORI Requirements Each student accepted into the nursing program will be required to undergo CORI/SORI checks at the beginning of the fall semester or at the point of transfer into the nursing program. Students interested in participating in any academic program that involves working with children, the disabled, or the elderly; or that includes a clinical affiliation with a private or public healthcare provider, may be required to undergo Criminal Offender Record Information (CORI) and Sex Offender Registry (SORI) checks. Background checks may be required by some agencies. Depending on the contents of the CORI and SORI reports, participation in the program, or clinical affiliation related thereto, may be denied. CORI and SORI checks may be performed pursuant to Massachusetts General Laws, Chapter 6, Sections 167C and 178B; and consistent with guidelines promulgated by the Executive Office for Health and Human Services, and/or the Commonwealth’s Department of Public Health. For more information, contact Mary Martin, Assistant to the Vice President for Student Affairs and Enrollment Services, at 413-236-1602.

Borrowing Laboratory Equipment A student who wishes to borrow any equipment from the nursing laboratory should contact Professor Jennifer Wilczak, Office H 307, Phone 236-4639 and submit a written request.

Exception/Extension Procedure Nursing Faculty expect students to follow the policies and procedures and meet deadlines of the college and ADN program. If a student or faculty determines that there needs to be an exception or extension to a college policy listed in college catalog or ADN Student Handbook the student must complete and submit an Exception/Extension policy form. The form is countersigned by a faculty member and forwarded to the Director of Nursing. All exception/extension forms should be submitted to the Director of Nursing for consideration. Forms are located outside of Hawthorne 319.

CURRICULUM MEETING STUDENT REPRESENTATIVE JOB DESCRIPTION: A. Membership

1. Membership includes a voting student representative from the first and second year.2. Membership also includes one alternate non-voting member from each class.3. Students put their names forward at the beginning of the first nursing course, NUR 101,

and they remain a member for the duration of the nursing program unless they resign.4. NUR 101 students interested in being student curriculum representatives will attend a

September curriculum meeting. Between September and October, they are voted in bythe student body. The student receiving the most votes is the voting member; thestudent with the second-most votes is the non-voting member.

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B. Meetings

1. There shall be at least one meeting a month during the academic year, dates to be established at the beginning of each semester.

2. Special meetings may be called by the team leader or by petition of the majority of the department.

3. Meetings shall be chaired by team leader of the full-time faculty and shall be conducted according to Robert's Rules of Order.

4. The chair person will send at least one week in advance to the student representatives the proposed meeting agenda.

5. Student representatives will have an opportunity to add to the agenda. 6. Minutes will be distributed and presented for approval at the next regular meeting.

C. Functions

1. Providing a forum for the review and evaluation of the existing curriculum with input from the student constituencies.

2. Act as a single point of contact for communications within curriculum limits to bring to faculty at designated meetings.

3. Models nondiscriminatory practices in all activities. 4. Keep open communication between students and faculty.

CLINICAL INFORMATION

Clinical Absences - Reporting In the event of an absence from the clinical laboratory, the student is asked to take the following actions: Clinical Sites If patients have been assigned in the clinical area: the student will: (1) Notify the designated clinical area of his/her absence for that particular day. The student should obtain the name of the person to whom the absence is reported. (2) Notify the clinical instructor

Community (1) Notify the designated clinical area of his/her absence for that particular day. The student should obtain the name of the person to whom the absence is reported. (2) Notify the clinical instructor

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Planning Ahead If the student knows that he/she will be absent before the actual day on which clinical or data collection is assigned, student should notify the clinical instructor as soon as possible so that assignments are not made unnecessarily. No Call/No Show Failure to notify a faculty member of absence or tardiness according to the clinical call-in procedure demonstrates a lack of personal responsibility and will result in documentation of professional misconduct. Latex Allergy Every effort has been made to make the campus laboratory as latex-free as possible. A student who has a latex allergy must self-identify to the clinical faculty and the campus lab coordinator. Reporting must be made during the first week of school.

Smoking Policy A student in the Nursing Program is not allowed to smoke in uniform (or other identification denoting affiliation with BCC such as name badge).

Clinical Assignment When applicable, the dates and times when students are to report to a clinical facility will be announced as soon as possible near the beginning of each semester. Students may be scheduled for day, evening, or night assignments at various locations as determined by the program faculty or clinical instructors. Weekends may be included. Hours and days of clinical assignments are subject to change to allow for the best possible experience. All students are required to follow the clinical assignment schedule.

It is your responsibility as a student to make appropriate arrangements for transportation, childcare, personal business, etc. so you are able to attend all assigned clinical experiences required to satisfactorily meet clinical student learning outcomes. Change in Clinical Assignments Faculty reserve the right to change clinical facilities and/or assignments at any time during the semester to ensure students can satisfactorily achieve clinical student learning outcomes. The student will receive notification by the faculty of changes in clinical assignment.

Campus Laboratory/Simulation Attendance at scheduled campus laboratory and/or simulation laboratory is mandatory and is considered as a clinical absence. Student must notify the instructor if student anticipates being absent for any reason. Whenever possible, please notify and verbally confirm with the laboratory faculty. In the event of an emergency or inability to reach the faculty member in advance, please call the program secretary at 413-236-4634 first to relay the message.

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Dress Codes The BCC nursing uniform which is purchased from the designated uniform company is required for all experiences taking place in clinical settings. White lab jackets and sweaters may not be worn while giving direct client care. The clinical uniform consists of:

Standard navy skirt or slacks and ceil blue shirt. Stockings or socks (with slacks). Clean, white or black shoes; sneakers with no logos; clogs with backs/straps are not

acceptable. A white T-shirt or ¾ length sleeve T-shirt may be worn under the required uniform top.

Hair must be clean, neat, and off the collar. No fad designs or colors will be accepted. Hair cannot fall in front of the shoulders while providing patient care. Mustaches, beard, and or side burns must be neatly trimmed. No artificial nails, including but not limited to, bonding, acrylics, gels, tips, wraps, tapes or nail jewelry. Nail polish is permitted but must be freshly maintained and free from chips. No chewing gum during clinical time. Perfume, cologne or any other substance that could potentially create an offensive odor for patients or staff should not be used in the clinical site.

Accessories to be worn with the uniform include: Name pin – required Watch with a sweep second hand – required Plain wedding band Small, unobtrusive earrings may be worn; no visible body piercing and/or tattoos; no fad

devices may be worn

Mental Health Experience Dress code Business Casual/professional dress Clothing that is neat, clean, washable, and does not obstruct movement Shoes that have a back strap and non-slip soles; open-toed shoes are not acceptable No necktie/scarves, necklaces, chains, or dangling earrings Name pin – required

Community Experience Dress Code Each student must follow the dress policy of the specific agency as directed by faculty. Dress must be professional; no jeans, non-nursing sneakers, sweatshirts, T-shirts, short tops or low riding slacks exposing skin will be allowed at any time. A BCC name tag must always be worn by the student.

Essential Functions Each student is required to read and sign the Essential Functions form. Each student must be able to meet all the criteria stated on the form located in appendix.

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Facilities for Storage of Coats/Valuables or Equipment Storage Facilities Lockers or equivalent storage facilities may be provided at all county hospitals. However, the student is encouraged not to bring valuables into the clinical setting.

Leaving the Clinical Site Except in an emergency, a student may not leave the clinical area/hospital campus during the assigned work hours including breaks via automobile, public transportation, etc. The student is expected to utilize the designated hospital break area or cafeteria for all breaks. A student must contact clinical faculty in the event of a personal emergency that requires the student to leave the clinical site. Failure to notify the clinical faculty is considered abandonment of patient and will result in documentation of professional misconduct.

Mandatory Clinical Agency Requirements Each student must complete mandatory clinical agency requirements prior to the start of the clinical experience.

Parking Parking is available at all clinical sites. Each student is expected to adhere to the parking regulations for students at the facility.

Professional Liability Insurance Professional liability insurance is required by contract for the protection of the individual student, faculty members, and clinical facilities used by the nursing program. Each nursing student will assume the responsibility for payment of this insurance coverage which is charged by Student Billing to the student’s account prior to the first semester of each year of the program or upon admittance if mid-semester.

Substance Abuse/Impaired Student Policy Students enrolled in the program may be required by a clinical agency to undergo and pass a drug screening analysis in order to participate in a clinical experience at the site. Student Injury/Occupational Exposure Injury A student must immediately report any injury in the clinical area to the assigned clinical instructor. The faculty member and student will then contact the appropriate healthcare provider/or nursing supervisor for that agency. The agency shall provide work-related first-aid treatment to any student needing such care at no cost to the agency. The agency will bill the student’s insurance company; the cost of the deductible is the student’s responsibility. The agency shall not be obligated to furnish any other medical or surgical service. If a student wishes follow-up, the student should make an appointment with his/her own healthcare provider. A student who sustains any type of injury in the evening are required to go to the emergency department for first-aid treatment. The emergency department will bill the student’s insurance company of this visit in compliance with Berkshire Community College’s contracts with local

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agencies which state that the cost of these visits will occur at no cost to the agency. This means that the cost of the deductible is the student’s responsibility. Occupational Exposure The student is responsible for any cost incurred as a result of any occupational related exposure. This includes the cost of evaluation/testing, treatment, counseling, and follow-up care. In the event of a needle stick or occupational exposure to body fluids in the acute care setting, the student is required to immediately contact the appropriate faculty member and fill out an agency incident report. Testing of the student and the source will be done by Occupational Health/Employee Health Services. After regular business hours of Occupational Health/Employee Health Services, the student will be directed to the emergency department if the source is known HIV/positive. In the event of needle-stick or occupational exposure to body fluids in an assigned community agency, the student is required to immediately contact the appropriate faculty member and follow agency protocol for documentation. Permission for, and testing of the source, will be carried out according to the agency’s policies. The student is responsible for his/her own care via primary care provider for evaluation/testing, treatment, counseling and follow-up. The student’s primary care provider is responsible for contacting the agency regarding confidential results of testing from the source. Student Medication Administration Students will administer medications in the clinical setting under the direction of the clinical faculty. All medications must be checked by the faculty member prior to administration. The degree of supervision by faculty members is dependent upon the level of the student and the completion of various medication psychomotor skills. The student may have a licensed nurse on the clinical unit supervise medication administration upon approval by the clinical faculty and facility policy. The student may administer oral/topical, IM/SC/IV medications upon successful completion of formalized psychomotor skills in the college laboratory. This verification can be found in the student’s clinical portfolio, psychomotor skill reflection sheets. The student must be deemed competent by clinical faculty in clinical calculations prior to medication administration. In NUR 101 this will be done with a math exam which will count towards the student’s final course grade. In NUR 102/201/202 a math quiz will be administered during the first week of clinical orientation. A student must achieve a score of 100% to be deemed competent to administer medications. If the student does not score a 100%, then a remediation plan will be established. Math calculation questions are incorporated throughout all the exams in NUR 102/201/202. The student is directly supervised in all aspects of the administration of IV medications, including tubing and IV dressing changes by a faculty member/RN. As per agency policy, the student may mix and administer IV meds (by drip), change, and flush IV tubing including PICC, midline, and central catheters; and perform central line IV dressing changes.

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The student may administer IV push medications upon successful completion of the formalized psychomotor IV administration skill in NUR 201. Administration of IV push medications must be directly supervised by the faculty and in adherence to agency policy. The student should never administer any IV medication (including the administration of blood products) without the direct supervision of the clinical faculty. However, the student may perform assessments related to the administration of blood products. Documentation is to be completed on the Medication Administration Record as per agency policy. Signatures for all medications administered must be legible and include full legal name and title (i.e. Jane Jones, BCC SN). Clinical Conferences Pre-conference may be held prior to the clinical experience at the discretion of the faculty. The purpose of the pre-conference will be to address the assessment and planning phases of the nursing process specifically related to the student’s client care assignment for that clinical day. Post-conference may be held at the end of the clinical experience at the discretion of the faculty. The purpose of the post-conference will be to address the intervention and evaluation phases of the nursing process specifically related to the student’s client care assignment for that clinical day. Post-conferences may be held on a class day for the entire class. The purpose of these post-conferences will be to correlate clinical experiences with classroom content. Each student is expected to actively participate in all clinical conferences. Transportation Each student is responsible for transportation to and from clinical agencies. A student may be placed in clinical agencies throughout Berkshire County during the clinical portion of each nursing course.

COLLEGE CLOSING POLICY

Emergency Notification System BCC has installed an Emergency Notification System (ENS) that quickly sends messages to all registered users via cell phone email, text message and regular phone lines.

• Available to BCC students, faculty and staff, the ENS notifies registered users directly about school closings and other time-sensitive situations. A notification will immediately be sent out upon the confirmation of a significant emergency or dangerous situation involving an immediate threat to the campus. In the event of a serious or ongoing threat, BCC Administrators will issue a “timely warning.”

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• To receive ENS messages, log into your BCC WebAdvisor account and fill in your contact information in the “Emergency Notification” link under “User Account.” For more information, contact the ENS Helpdesk (ext. 3014).

Snow & Other Emergency Days On days when there is severe weather, the Dean of Administration and Finance, in consultation with the Director of Facilities and the Dean of Academic Affairs, will determine if the campus is safe enough to hold classes and other activities and make a recommendation to the College President, who will make a decision.

• The decision will be based not only on the conditions of the parking lots, but also on the conditions of access roads, both in north and south counties, and by considering information gathered through consultation with appropriate state, county, and local officials.

• Whenever possible, this decision will be made prior to 6 AM for day activities and prior to 3 PM for evening activities.

• If no announcement is made, assume the college is open. • Since there will usually be snow and other emergency days during the course of the

year, we will use days as available at the end of the semester to make up classes.

Delayed Opening On occasion, due to inclement weather or some similar emergency, it may be necessary to delay the opening of the College. In that event, the following procedures will be incorporated:

• The decision-making process and communication to the public will be the same as those procedures for closing (generally made by 6:00 AM, and announced on the College telephone, website, social media, app, ENS and area media).

• In the event of a delay, the opening time will be the top of the hour (9:00, 10:00, etc.). • For classes with other start times, as is the case on Tuesdays and Thursdays, the next full

class session will meet (e.g. for a 9:00 opening, the 9:25 class will be the first to convene; for a 10:00 opening, the 10:50 class will be the first to meet).

• Any classes that were scheduled to start prior to the stated opening time will be considered canceled.

Announcements regarding snow and other emergency days are made on local radio stations. PLEASE DO NOT CALL CAMPUS SECURITY OR THE RADIO STATIONS!

• For Nursing Students (ADN): Students and faculty should check with the Emergency

Notification System, radio, TV, before leaving their home for a clinical site. If the school is closed, for both day and evening classes, there is no clinical (day or evening).

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• If school is open: For students and faculty traveling a distance during inclementweather, a window of 2 hours (from 6:00 AM) will be allowed for late arrival. If studentsarrive BEFORE faculty, they should wait in a common area until the faculty memberarrives. If the faculty member does not arrive within the 2-hour time period, andnotification to students has not been made, students should LEAVE the clinical site.

BCC Evening and Saturday Classes A decision will generally be made by 3:00 p.m. if BCC evening classes are cancelled and by 7:30 a.m. on Saturday.

• Evening Classes Cancellation:Keeping in mind that evening clinical start at 3:00 PM, faculty and students on their wayto clinical sites should be alert to the possibility of school closings and listen to the radiostation carrying school closings. (See list below)

• If Saturday classes are cancelled, clinical is cancelled. Sunday clinical is at thedetermination of the DON and Dean based on forecasts and experience. If Sundayclinical is cancelled, faculty will be notified and should initiate the phone tree to alertstudents of the cancellation.

Early Closing - Employees should await notification from the Human Resource Office regarding early release due to inclement weather. Employees who leave before notification must use vacation, personal, or comp-time.

Internet Sites, TV, and Radio Stations For cancellations or delay in openings, check the following:

BCC: 413-499-4660 www.berkshirecc.edu

Station School Closing Network WBEC 1420 AM / Live 95.5 FM WUPE 1110 AM / WUPE 96 FM WBRK 1340 AM / STAR 101.7 FM WSBS 860 AM WNAW 1230 AM WMNB 100.1 FM

Capital News 9; The Times Union; WFLY – Fly -92; WGY 810 WGY; WNYT TV; WRGB TV; WRVE-The River; WTEN TV; WYJB-B95.5; WXXA TV WKZE 1020 AM / 98.1 FM WTIC/WRCH/WZMX – CBS RA – Hartford Storm Center WWLP – Channel 22

EVALUATION, TESTING, AND GRADING A student will receive a numerical grade for the theory and a satisfactory grade for the clinical component. In order to pass the nursing course, a student must achieve both a final grade of 75% or above in theory, a passing grade for college laboratory and a passing grade in clinical. See: Examination Policy, Appendix pg. 73; College Laboratory Policy, Appendix pg. 65; Clinical Evaluation Tool (CET) Policy, Appendix pg. 61; and Procedure for the Use of the CET, Appendix pg. 63.

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GRADE APPEAL POLICY A student who believes and error or an injustice in the grading process has occurred may file a grievance under the Student Grievance Procedure. For the purposes of a grade appeal, the Vice President of Academic Affairs or said designee shall serve as the Student Grievance officer throughout the grade appeal process. See the Student Policy Guide. https://www.berkshirecc.edu/student-life/student-policy-guide/index.php#StudentGrievanceProcedure CONFIDENTIALITY/HIPAA LAW OF 1996 Students are expected to respect the rights of others and maintain confidentiality of all information. Any instance of failure to maintain confidentiality will be referred to faculty for action with the potential of faculty-initiated withdrawal. All students will be required to sign a statement of confidentiality. Students are expected to comply with the Health Insurance Portability and Accountability Act of 1996 (HIPAA). This law protects the unauthorized use of information acquired by any health care professional. Violation of HIPAA will result in disciplinary action by the health care facility and/or action by the college.

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NURSING COURSE DESCRIPTIONS/STUDENT LEARNING OUTCOMES NUR 102 Physical and Mental Health II A. Course Description

The development of the Nurse of the Future Nursing Core Competencies with a greater understanding and application of nursing knowledge, therapeutic communication, safety, quality improvement, and informatics and technology. The focus is on patient-centered care of individuals with acute and chronic physiological and psychosocial alterations across the life span. Critical thinking skills are enhanced in the collection and analysis of more complex types of data. Assessment and psychomotor skills with increased dexterity are utilized in the planning and provision of patient-centered care in varied settings. The concepts of system-based practice and evidence-based practice are utilized along with the role of the nurse as a health care professional and leader with an emphasis on the developmental needs of patients. Student learning activities include journaling, case studies, pediatric case presentations, learning management system online assignments and test taking skills. Service learning activities are continued in this course and focus on health promotion and maintenance in a supervised setting.

Prerequisites: BIO 201 and ENG 101 or ENG 103 and NUR 101 and PSY 107

Co-requisites: BIO 202 and BIO 207 and PSY 204

B. Course Student Learning Outcomes At the completion of the course, the students will:

1. Apply knowledge from the various disciplines to provide safe, patient-centered care emphasizing health promotion, maintenance and wellness for a diverse group of clients across the life span.

2. Recognize differences in communication styles when interacting with the client, family

and/or significant others to provide culturally sensitive care. 3. Utilize increasing dexterity to perform basic assessment and psychomotor skills. 4. Demonstrate skills to work collaboratively within the health care system while applying

resolution strategies to improve health care quality and outcomes. 5. Apply professional standards of nursing practice in planning the use of informatics and

technology to provide evidence-based nursing care.

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NUR 106 LPN to RN Bridge

A. Course Description

An introduction to the ADN Nurse of the Future Nursing Core Competencies, including nursing knowledge, therapeutic communication, safety, quality improvement, informatics and technology. Development of critical thinking skills to collect and analyze complex data is discussed. The concepts of system-based practice and evidence-based practice are introduced along with the role of the nurse as a health care professional and leader with an emphasis on the developmental needs of patients. Basic assessment and psychomotor skills are reinforced. The role transition from LPN to ADN nursing is emphasized.

Prerequisites: Current LPN licensure and admission into the nursing program Co-Requisites: PSY 107, PSY 204, BIO 201, BIO 202, BIO 207, ENG 101,

B. Course Student Learning Outcomes

At the completion of the course, the student will:

1. Apply knowledge from the various disciplines to provide safe, patient-centered care

emphasizing health promotion, maintenance and wellness for a diverse group of clients across the life span.

2. Recognize differences in communication styles when interacting with the client, family

and/or significant others to provide culturally sensitive care. 3. Utilize increasing dexterity to perform basic assessment and psychomotor skills. 4. Demonstrate skills to work collaboratively within the health care system while applying

resolution strategies to improve health care quality and outcomes. 5. Apply professional standards of nursing practice in planning the use of informatics and

technology to provide evidence-based nursing care. 6. Discuss the role transition experienced by practical nursing students bridging into the RN

program.

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NUR 202 Physical and Mental Health IV A. Course Description

The course continues to build upon the Nurse of the Future Nursing Core Competencies with analysis of nursing knowledge, critical thinking, therapeutic communication, conflict resolution, quality improvement and evidence-based nursing practice, as well as increased proficiency in basic and advanced psychomotor skills. The focus is on adult patients and families experiencing multisystem illnesses in a variety of settings. Competence in the role of the professional nurse as a leader within the health care system is obtained through teamwork and collaboration to achieve desired patient-centered outcomes. A capstone nursing care plan, older adult assessment and/or service learning project reinforce learning and proficiency in the application of the Nurse of the Future Core Competencies in a variety of settings. Prerequisites: COM 104, COM 105, COM 106 or COM 107, NUR 201 and SOC 105. Co-requisites: ENG 102 or ENG 104, NUR 206, and an elective in history or

humanities and fine arts. B. Course Student Learning Outcomes At the completion of the course, the student will:

1. Incorporate knowledge from the various disciplines to provide safe, patient-centered care emphasizing health promotion, maintenance and wellness for a diverse group of clients across the life span.

2. Choose and adapt appropriate communication techniques when interacting with the

client, family and/or significant others to provide culturally competent care. 3. Competently and proficiently perform entry-level assessment and psychomotor skills. 4. Evaluate barriers to working collaboratively within the health care system while

contributing resolution strategies to improve health care quality and outcomes. 5. Incorporate professionalism and leadership in evaluating the effectiveness of

informatics and technology in providing evidence-based nursing care.

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NUR 206 Nursing in Transition A. Course Description

The Nurse of the Future Nursing Core Competencies of professionalism, leadership, teamwork and collaboration are further analyzed. The role of the nurse is emphasized in relation to the historical development of the profession, legal, cultural and ethical issues faced by today’s nurses. The various educational, employment and community service options in nursing and the transition from the student to a professional nurse are also recognized. Prerequisite: NUR 201 Co-requisite: NUR 202 Spring Semester

B. Course Student Learning Outcomes At the completion of the course, the student will:

1. Recognize historical factors related to nursing advancement that influences current practice.

2. Incorporate current strategies of system-based practice utilizing informatics and

technology to improve the quality and safety of patient-centered care. 3. Recognize professionalism and leadership activities to increase political and societal

awareness of health care system trends, proposing reforms to areas adversely affecting health care consumers and providers.

4. Contribute to quality improvement and evidence-based practice in the health care system. 5. Adapt legal and ethical principles to current dilemmas encountered in nursing practice. 6. Select credentialing activities related to licensure and continuing education. 7. Evaluate educational, employment, and community service options available to the

associate degree graduate nurse.

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EXL 225 Experiential Learning (Optional) A. Course Description EXL 225 includes an intensive clinical practicum designed to reinforce the Nurse of the

Future Nursing Core Competencies acquired during the first two introductory nursing courses. Application of nursing theory to clinical practice is strengthened under the direct supervision of an experienced professional nurse. Development and utilization of basic assessment and psychomotor skills continues. The role transition from NUR 102 to NUR 201 is emphasized.

Prerequisite: Permission of Instructor Summer and Intersession B. Course Student Learning Outcomes At the completion of the course, the student will:

1. Utilize the Nurse of the Future Core Competencies achieved in NUR 101/NUR 102 in caring for a small group of clients for an average of 24 hours a week for four/six weeks (64/128 hours).

2. Plan and begin to prioritize clinical activities designed to provide quality patient-centered

care under the supervision of the professional nurse. 3. Utilize increasing dexterity to perform basic assessment and psychomotor skills. 4. Utilize strategies to work collaboratively within the health care system while applying

resolution strategies to improve health care quality and outcomes. 5. Apply professional standards of nursing practice in planning the use of informatics and

technology to provide evidence-based nursing care. Course student learning outcomes will be defined by the student on an individual basis in conjunction with the course clinical faculty. Objectives will be discussed and adjusted as necessary within the parameters of the course. Course student learning outcomes will be mutually agreed upon by the student and the assigned professional nurse working with the student.

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Appendix

Student Nursing Organization S.N.O. Bylaws S.N.O. Mission Forms Academic Written Warning Clinical Action Plan for Success Clinical Performance Critical Incident Professional Behavior Request for Exception/Extension Student Handbook Statement of Understanding Matriculation Forms:

ADN Matriculation Form LPN to ADN Matriculation Form

Policies Admission Advanced Placement Attendance Clinical Evaluation Tool (CET) Clinical Evaluation Tool (CET) Procedure College Laboratory Course Exemption CPR Educational Mobility Examination Graduation Health and Immunization HESI Progression Readmission Remediation Student Rights and Grievances Transfer Withdrawal

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STUDENT NURSE ORGANIZATION (S.N.O.) BYLAWS OF ORGANIZATION AND PROCEDURE Preamble The Student Nurse Organization is an integral part of the Associate Degree Nursing Program of Berkshire Community College. The bylaws of the Student Nurse Organization reflect the college policies and are designed to promote purposeful functioning of the organization within the Associate Degree Nursing Program. ARTICLE I Section 01 – The name is the Student Nurse Organization of Berkshire Community College ARTICLE II PURPOSE The purpose of The Student Nurse Organization is to provide an environment for nursing students to meet and network; to support student nurse activities of the college and through community service; to plan the graduate nurse Pinning Ceremony; and to plan and present educational programs that enhance the nursing program curriculum. ARTICLE III MEMBERSHIP Section 01 - The membership shall be all first year and second year Associate Degree Nursing Students and advisors from the Associate Degree Nursing Program faculty. Section 02 – The membership will elect officers in September at the first meeting of the academic year. Officers will include President – second year student; Secretary – First Year Student; and Treasurer – First Year Students. Section 03 – Advisors are faculty members of the Associate Degree Nursing Program. Section 04 – Meetings are open to full membership and each member shall have one vote

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ARTICLE IV MEETINGS A. 1. There shall be at least one meeting a month during the academic year, dates to be established after the first meeting in September. 2. Special meetings will be held when warranted – fundraising and pinning plans require extra meetings. 3. Meetings shall be chaired by either a co-president or co-chair and shall be conducted according to Robert’s Rules of Order. 4. A majority of the voting members shall constitute a quorum. 5. Secretary and Treasurer will keep records and give reports as needed/requested. 6. Minutes will be distributed and presented for approval at the next regular meeting. Approved minutes will be kept on file for official use; posted on SNO bulletin board; and a copy given to Department Secretary for distribution to students via e-mail. B. Functions: 1. Business shall include all matters related to the functioning of the SNO. 2. Functions of the officers/advisors during these meetings shall include, but not be limited to recommendations concerning: a. SNO Tea b. Fundraising Activities c. Educational Programs d. Community Service e. Pinning Ceremony ARTICLE V REVISIONS AND/OR AMENDMENTS Section 01 – Revisions and/or amendments of these bylaws shall be circulated in writing to the membership and voted on at the next regularly scheduled meeting. A two-thirds majority of those present is required to pass the amendment. Section 02 – The bylaws of the Student Nurse Organization shall be reviewed yearly by the officers/advisors. September 2013

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Student Nurse Organization (SNO)

Advisors: ADN Faculty Members Lynn Pettit, Joanne Heaton Officers: Officers are voted on at the Annual Tea in September/October (the first meeting of the academic year) They include: Co-Chairs: Co Secretary: Treasurer:

S.N.O. MISSION · To provide an environment for nursing students to meet and network · To support student nurse activities of the college and community service · To plan the graduate nurse Pinning Ceremony · To plan and present educational programs that enhance the program curriculum FINANCIAL SUPPORT Funded in part by the College Student Government and fund raising efforts of the membership

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Associate Degree in Nursing Program Forms Academic Written Warning Clinical Action Plan for Success Clinical Performance Critical Incident Professional Behavior Request for Exception/Extension Student Handbook Statement of Understanding Matriculation Forms:

ADN Matriculation Form LPN to ADN Matriculation Form

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ADN NURSING PROGRAM

ACADEMIC WRITTEN WARNING

Student: Date: Instructor(s) Nursing Course #/Concept(s):

Area(s) of Concern: check all that apply (Refer to ADN Nursing Student Handbook.)

� Incomplete assignments

� Exam Grade <75%

� Math exam < 80%

� Frequent Absenteeism

� Excessive Tardiness

� HESI exam score < 850

� Others – Please Specify

Comment(s): ______________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________ Expected Outcome(s): ________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________ Please schedule an appointment with instructor(s): ______________________________________________________________________________Director of Nursing (if checked, please refer student) Instructor Signature(s) ________________________________________________________ Signature indicates that student has read and understands the above information. Student Signature_________________________________ Date___________________ Approved ADN Faculty Committee, 1/8/19

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ADN NURSING PROGRAM

Clinical Action Plan for Success

Student: Instructor(s): Date: Nursing Course # Area(s) of Concern: Check all that apply. (Refer to ADN Student Handbook.)

Clinical competencies:

� Patient centered care

� Professionalism

� Leadership

� Systems based practice

� Informatics and technology

� Communication

� Teamwork and collaboration

� Safety

� Quality improvement

� Evidence based practice

Faculty Comment(s): Student Comment(s): Student Plan for Success: □ Student request for meeting with Director of Nursing □ Faculty request for meeting with Director of Nursing Instructor Signature(s) ________________________________________________________ Signature indicates that student has read and understands the above information. Student Signature_________________________________ Date___________________ Approved ADN Faculty Committee, 1/8/19

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Clinical Performance Critical Incident

Student: Date: Clinical Faculty: Site: This form is to be used/but is not limited to the following areas of concern in the clinical area: Unsafe administration of medications Unsafe patient care Professional misconduct Ineffective/unprofessional communication Unprepared with assigned work for clinical Required clinical assignments insufficient/late/not completed Non-adherence to dress code Description of Incident: _____________________________________________________________________________ _____________________________________________________________________________ _____________________________________________________________________________ Action Taken: Faculty met and discussed the seriousness of taking notes and interacting with other students during a proctored secure exam. ____________________________________________________________________________________________________________________________________________________________ ______________________________________________________________________________ Follow up: Date Notified: _ _________Method of Notification: ___________________________ Clinical Faculty Signature: Date: __________________ Clinical Faculty Signature: Date: __________________ My signature below indicates that I have read and understand the above information Student signature: ____________________________Date:_______________________

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Professional Behavior

Student: Date: Instructor: Site: Class: Date of incident: The unprofessional behavior as described below is unacceptable. Please refer to the Student Behavior/Civility Policy found in the ADN Handbook, which states:

“Students are expected to always conduct themselves in a professional manner in the classroom, campus lab and clinical area. It is the responsibility of each student to behave in a manner which does not interrupt or disrupt the delivery of or receipt of education within the classroom, lab, or any clinical facility. The faculty member, according to college policy, will make the determination of disruptive behavior”. Also, “Students with disruptive behavior will receive documentation of professional misconduct. Repeated incidences of professional misconduct may result in further action including dismissal from the program. Please refer to the Student Code of Conduct found in the Student Policy Guide for more information”. Description of incident: ________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________Action Taken: __________________________________________________________________________________________________________________________________________________________________________________________________________________________________________ Follow up: ____________________________________________________________________________________________________________________________________________________________ ______________________________________________________________________________ Date Notified: Method of Notification: Instructor signature: Date: My signature below indicates that I have read and understand the above information Student signature: Date:

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Request for Exception/Extension

Date Received: Confidential Student Name Directions: This form is used to request an extension of established deadlines or an exception to a written policy in the Associate Degree Program in Nursing Student Handbook. Complete each step of this form. Attach any information you feel may help the reviewer(s) make a balanced decision. Be sure to write legibly and refer to the school handbook for guidelines. Course or clinical related requests are submitted to the faculty member. Requests related to School policies are submitted to the Nursing Director.

1. State the policy and attach a photocopy. Provide a description of the policy if it has not been published. Highlight or underline the part in question.

2. Describe the exception or extension you are seeking.

3. Describe the circumstances that you feel warrant an exception or extension. Include any problem solving or resources you have used to try to meet the policy/deadline as stated.

4. Submit materials with this form to the faculty member if it is course/clinical related. All others are submitted to the program Director.

Advisor Signature: Date: Completed by reviewer(s)

Action and follow-up plan as needed. STUDENT NOTIFICATION: Reviewer name Method of Notification Date

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ASSOCIATE DEGREE NURSING PROGRAM Student Handbook Statement of Understanding

My signature below indicates that I have received a copy of the Revised Student Handbook for the Associate Degree Program in Nursing for the Spring 2019 program. I have read the information within and understand that I am responsible for the policies and procedures and agree to abide by them while enrolled in the Associate Degree Nursing Program. Printed Name Signature

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ADN Matriculation Form (The form is the following four pages.)

ADN

Matriculation Procedure Associate Degree Nursing (ADN) Program, Fall 2019

Matriculation Form Submission Deadline: June 1, 2019

Contact Information It is the student’s responsibility to provide Berkshire Community College with any changes to contact information.

NAME

ADDRESS

CITY STATE ZIP

STUDENT ID TELEPHONE

EMAIL

Important Information Students who have met all admission requirements must submit a completed matriculation form by June 1 to be considered for the fall semester.

Acceptance into the ADN program is competitive and while published minimum standards may have been met, it does not guarantee admission. The College reserves the right to make changes at any time with respect to course offerings, degree requirements, services provided, cost of attendance, or any other subject.

Students who have met all ADN admission requirements by June 1 will be considered for admission. Admission decisions are made in mid-June for the fall semester and students are notified of their acceptance by mail. Students with two nursing course failures (taken at another institution, at BCC, or in combination) will not be admitted to the program.

The following criteria are considered in the admissions process: The success in science courses; the number of additional required courses completed; the student’s overall GPA; and completion of additional college degrees. Students entering the ADN program are required to follow the immunization policy for BCC health students. Students must submit proof of compliance with immunization by the first day of class.

Any prior criminal offense could hinder placement in clinical agencies. See CORI/SORI Requirements in the current BCC catalog for details.

BCC will not admit students concurrently into any two of the following degree or certificate programs: Physical Therapist Assistant, Respiratory Care, Practical Nursing or Associate Degree Nursing.

LPN mobility candidates: Please request an LPN Mobility Matriculation Form from the Admissions Office.

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Admissions Criteria Associate Degree Nursing Program

– Initial each line below indicating completion before submitting to the Admissions Office.

1. Apply to BCC. Admissions Office, F-114, 413-236-1630

– Submit application

– Submit official high school, GED, or HiSET transcript(s)

– Submit official transcripts from previous colleges attended 2. Complete program admission requirements.

GREEN COURSES are BCC courses

– Math: High school graduate within the past two years with a GPA of at least 2.7 and a minimum grade of B (80) in Algebra II or Accuplacer placement into college-level math or successful completion of the Mathematics Challenge Assessment or completion of a college- level math class with a minimum grade of C (MAT-123 Statistics recommended for transfer)

– English: Readiness to take ENG-101 as demonstrated through the Accuplacer or completion of a college-level composition course (ENG-101) with a grade of C (73) or better

– Chemistry: Completion of college chemistry (CHM-150 or CHM-101) prior to January 2018, with a grade of C (73) or better or one year of high school college preparatory chemistry with a grade of C (73) or better, completed within the last seven years. After January 2018, students must complete the course with a grade of C+ (77) or better.

– Support Courses: Complete with a C (73) or better a minimum of 10 credits of college- level ADN support courses.

IMPORTANT NOTE!

Students who have not completed BIO-201, BIO-202, BIO-207 and/or CHM-150 or CHM-101 prior to January 1, 2018 will be required to earn a grade of C+ (77) or better to be eligible to apply for admission to the ADN program.

– Attend a Mandatory Pre-Nursing Information Session: Attach verification form to this sheet. Register online at www.berkshirecc.edu/nursinginfo.

Rev. Jan. 2019

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Immunization Requirements:

Admissions Criteria Associate Degree Nursing Program

Students entering the Associate Degree in Nursing program are required to follow the immunization policy for BCC health students. Students must submit proof of compliance with immunizations by the first day of school. The college immunization policy can be found in the BCC College Catalog. (www.berkshirecc.edu/catalog)

Please note: The Hep B series may take up to six months to complete. Students should plan accordingly. Immunization information (not medical history) may be shared with the Director of Nursing and assistant, Department Chair and contracted agencies to allow for clinical experiences.

MANDATORY HEALTH REQUIRMENTS - IMMUNIZATION POLICY Berkshire Community College Nursing Program Immunization Policy

Hepatitis B

Recommended Immunization for Hepatitis B

3 doses of the Engerix-B or Recombivax--HB formulations of the hepatitis B vaccine on a 0, 1, and 6 month schedule, OR 2 doses of the Heplisav-B formulation on a 0 and 1 month schedule.

OR Test for hepatitis B surface antibody* (anti-HBs) 1–2 months after the final dose in the series to document immunity. (Obtain a titer to document immunity.)*

Those without immunity (anti-HBs <10 mIU/mL) should receive one or more additional doses of HepB vaccine and retesting.

Required Immunization Process for Hepatitis B**:

3 doses of hepatitis B vaccination OR Laboratory evidence of immunity (titer)*

Other Required Immunizations:

Tdap

1 dose; and history of a DTaP primary series or age appropriate catch-up vaccination. Tdap given at ≥7 years may be counted, but a dose at age 11-12 is recommended if Tdap was given earlier as part of a catch-up schedule. Td should be given if it has been ≥10 years since Tdap.

MMR 2 doses; first dose must be given on or after the 1st birth- day and the 2nd dose must be given ≥28 days after dose 1

OR Laboratory evidence of immunity (titer)*

Varicella Medical proof of disease OR Laboratory evidence of immunity (titer)*

Tb (must be kept current throughout the program)

Tuberculosis negative test within the year OR Negative chest x-ray within the last five years

Flu shot Flu shot or declination form submitted by date in fall to be announced.

Meningococcal 1 dose; 1 dose MenACWY (formerly MCV4) required for all full-time students 21 years of age or younger. The dose of MenACWY vaccine must have been received on or after the student’s 16th birthday. Doses received at younger ages do not count towards this requirement. Students may decline MenACWY vaccine after they have read and signed the MDPH Meningococcal Information and Waiver Form provided by their institution. Meningococcal B vaccine is not required and does not meet this requirement.

*Antibody blood tests (titers) must include laboratory report as proof of immunity. **Nursing students must comply with the immunization requirements of their clinical site. If a clinical site requires a positive hepatitis B titer result but allows a waiver, students must either document immunity or submit the required waiver form.

(BCC Immunization policy developed according to MDPH Immunization Program 2018-2019 School Year and clinical agency contractual requirements)

Waiver If a student is unable to receive an immunization due to medical reasons, they must discuss a medical waiver with the Director of Nursing and provide a doctor’s notice. If a medical waiver is granted, documentation from the student’s physician must be filed in the Immunization and Medical Records Office. It is also highly recommended that these students have blood testing done to show possible immunity. The medical declinations must be renewed on the appropriate forms annually. If a student cannot complete clinical, then he/she cannot complete the course.

Drug Screening Please be advised that students enrolled in certain programs which require clinical or fieldwork study may be required by the placement affiliate agency to undergo and pass a drug screening analysis in order to be eligible. Students who either fail to pass, or refuse to submit to a drug screening analysis will be deemed ineligible for clinical placement, which may affect their status in the program.

History and Physical In addition to the Immunization and Medical Record requirements for ALL students those enrolled in any Nursing program are required to have a history and physical report which is to be completed only on the BCC approved health and physical form and submitted prior to beginning classes.

Failure to Comply A student will not be allowed to participate in the clinical experience without ALL health requirements fully complete.

Submit requirements to Donna Connors in the Immunization Records Office at BCC, Room A-100 located in the Susan B. Anthony building. You may reach her by telephone at 413-236-1614. You may also fax records to 413-499-4576

Revised: ADN Faculty Committee, 1/8/19

46

Berkshire Community College is an affirmative action/equal opportunity institution and does not discriminate on basis of race, creed, religion, color, gender, gender identity, sexual orientation, age, disability, genetic information, maternity leave, military service, and national origin in its education programs or employment, pursuant to Massachusetts General Laws: Chapter 151B and 151C; Title VI, Civil Rights Act of 1964; Title IX; Education Amendments of 1972; Section 504; Rehabilitation Act of 1973; Americans with Disabilities Act; and regulations promulgated thereunder, 34 C.F.R. Part 100 (Title VI), Part 106 (Title IX) and Part 104 (Section 504). All inquiries concerning application of the above should be directed to Deborah Cote, Vice President for Human Resources and Affirmative Action Officer; and Coordinator of Title IX and Section 504, at 413-236-1022, SBA Annex, Room A-20.

Rev. Jan. 2019

Office Use Only

ADMIT STATUS DATE SUBMITTED

APPROVED

47

LPN to ADN Mobility Matriculation Form (The form is the following four pages.)

LPN>ADN

Matriculation Procedure Associate Degree Nursing, LPN Mobility Applicant, Fall 2019

Matriculation Form Submission Deadline: June 1, 2019 Contact Information It is the student’s responsibility to provide Berkshire Community College with any changes to contact information. NAME

ADDRESS

CITY STATE ZIP

STUDENT ID TELEPHONE

EMAIL

Important Information Students who have met all admission requirements must apply beginning March 1 and application received by June 1 to be considered for the fall semester. Acceptance into the ADN program is competitive and while published minimum standards may have been met, it does not guarantee admission. The College reserves the right to make changes at any time with respect to course offerings, degree requirements, services provided, cost of attendance, or any other subject. Students who have met all admission requirements are considered for acceptance after review of all applications received by the admissions committee by June 1. Students are notified of acceptance by mail. The following criteria are considered in the admissions process: The number of required science courses completed and grades received; the number of ADN program and general education courses completed and grades received; ADN program course GPA; HESI exams, and completion of additional college degrees. The supporting science courses and chemistry may only be repeated once. All students entering the Mobility program must provide proof of immunization for Hepatitis B (or be in the process) by March 1 prior to the academic year for which they are seeking admission. (Beginning the process by January 1 or before is strongly recommended). Current Practical Nurse (PN) students may be considered for admission contingent upon successful completion of program requirements subsequent to students currently holding a PN license. Students with two nursing course failures (elsewhere, at BCC, or in combination) will not be admitted to the program. Any prior criminal offense could hinder placement in clinical agencies. See CORI/SORI Requirements in the current BCC catalog for details.

48

Admissions Criteria Associate Degree Nursing Program, LPN Mobility Applicant

Initial each line below indicating completion before submitting to the Admissions Office.

1. Apply to BCC. Admissions Office, F-114, 413-236-1630

Submit application

Submit official high school, GED, or HiSET transcript(s)

Submit official transcripts from previous colleges attended

2. Complete program admission requirements. GREEN COURSES are BCC courses

Chemistry: Completion of college chemistry (CHM-150 or CHM-101) with a grade of C (73) or better or one year of high school college preparatory chemistry with a grade of C (73) or better, completed within the last seven years.

Biology: BIO-201, BIO-202 (Anatomy &

Physiology, 4 credits each); with a grade of C (73) or better within seven years.

IMPORTANT NOTE! Students who have not completed BIO-201, BIO-202, BIO-207 and/or CHM-150 or CHM-101 prior to January 1, 2018 will be required to earn a grade of C+ (77) or better to be eligible to apply for admission to the ADN program.

Math: High school graduate within the past two years with a GPA of at least 2.7 and a minimum grade of B (80) in Algebra II or Accuplacer placement into college-level math or successful completion of the Mathematics Challenge Assessment or completion of a college-level math class with a minimum grade of C (MAT-123 Statistics recommended for transfer)

ENG-101, PSY-107, and PSY-204 with a grade of C (73) or better Applicants who are not requesting admission immediately following completion of an LPN program

must have evidence of employment in a clinical setting within the last five years. Attend a Mandatory Pre-Nursing Information Session. Attach verification form to this sheet. Register

online at www.berkshirecc.edu/nursinginfo 3. Proof of LPN licensure as of September of admitting year (attach copy of licensure) 4. Completion of Challenge Exams: Completion of Hesi LPN-ADN Entrance Exam within two years of admission. Students must achieve the

recommended passing score to be considered for admission. Note: BCC and McCann LPN students who are immediately entering the Associate Degree program following graduation may use their successful NCLEX exam as a substitution for the challenge exams.

5. Successful completion of NUR-106

49

Health Requirements Associate Degree Nursing Program

Requirements: According to the Commonwealth of Massachusetts (Chapter 76, Section 15C, General Laws of Massachusetts), BCC policy, and Nursing Program Policy:

� Hepatitis B: Recommended Immunization for Hepatitis B: 3 doses of the Engerix-B or Recombivax--HB formulations of the hepatitis B vaccine on a 0, 1, and 6 month schedule, OR 2 doses of the Heplisav-B formulation on a 0 and 1 month schedule. Test for hepatitis B surface antibody* (anti-HBs) 1–2 months after the final dose in the series to document immunity. (Obtain a titer to document immunity.)* Those without immunity (anti-HBs <10 mIU/mL) should receive one or more additional doses of HepB vaccine and retesting. Required Immunization Process for Hepatitis B**: 3 doses of hepatitis B vaccination OR Laboratory evidence of immunity acceptable.*

Other Required Immunizations: � Tdap: 1 dose; and history of a DTaP primary series or age appropriate catch-up vaccination. Tdap given at ≥7 years

may be counted, but a dose at age 11-12 is recommended if Tdap was given earlier as part of a catch- up schedule. Td should be given if it has been ≥10 years since Tdap.

� MMR: 2 doses; first dose must be given on or after the 1st birthday and the 2nd dose must be given ≥28 days after dose 1 OR laboratory titer proof of immunity*

� Varicella Medical proof of disease OR laboratory evidence of immunity acceptable * � Tb: Tuberculosis negative test within the year OR a negative chest x-ray within the last five years (Must be kept

current throughout the program) � Influenza — 1 dose of TIV IM or LAIV intranasally every flu season is required when available (usually

September/October), for all nursing students. � Meningococcal: 1 dose; 1 dose MenACWY (formerly MCV4) required for all full-time students 21 years of age or

younger. The dose of MenACWY vaccine must have been received on or after the student’s 16th birthday. Doses received at younger ages do not count towards this requirement. Students may decline MenACWY vaccine after they have read and signed the MDPH Meningococcal Information and Waiver Form provided by their institution. Meningococcal B vaccine is not required and does not meet this requirement.

*Antibody blood tests (titers) must include laboratory report as proof of immunity. **Nursing students must comply with all immunization requirements of their clinical site. Timeline Requirements must be submitted to Donna Connors in the Immunization Record Office at BCC, Room A-100, located in the Susan B. Anthony building. You may reach her by telephone at 413-236-1614. You may also fax records to 413-499-4576.

� August 1 — for all students admitted to program prior to July 1st. � August 31 — for students admitted to program between July 1st and August 15th � After August 15 admittance — please see the Director of Nursing for assistance in meeting this requirement in

sufficient time to attend clinical experiences. Consequences of failure to comply Students who do not meet all health requirements by the required dates will be removed from the program and will need to apply for readmission. A student will not be allowed to participate in the clinical experience without ALL health requirements fully completed. Student Signature By signing this form, I agree to and acknowledge the admissions criteria and requirements listed in this document. I have read the health requirements and understand that it is my responsibility to fully comply with the stated deadlines. SIGNATURE DATE

50

Office Use Only ADMIT STATUS DATE SUBMITTED APPROVED

Berkshire Community College is an affirmative action/equal opportunity institution and does not discriminate on basis of race, creed, religion, color, gender, gender identity, sexual orientation, age, disability, genetic information, maternity leave, military service, and national origin in its education programs or employment, pursuant to Massachusetts General Laws: Chapter 151B and 151C; Title VI, Civil Rights Act of 1964; Title IX; Education Amendments of 1972; Section 504; Rehabilitation Act of 1973; Americans with Disabilities Act; and regulations promulgated thereunder, 34 C.F.R. Part 100 (Title VI), Part 106 (Title IX) and Part 104 (Section 504). All inquiries concerning application of the above should be directed to Deborah Cote, Vice President for Human Resources and Affirmative Action Officer; and Coordinator of Title IX and Section 504, at 413-236-1022, SBA Annex, Room A-20.

Rev. Sept. 2018

51

Policies Admission Advanced Placement Attendance Clinical Evaluation Tool (CET) Clinical Evaluation Tool (CET) Procedure College Laboratory Course Exemption CPR Educational Mobility Examination Graduation Health and Immunization HESI Progression Readmission Remediation Student Rights and Grievances Transfer Withdrawal

53

Berkshire Community College Associate Degree in Nursing Program

Admission Policy Admission into BCC’s Associate Degree of Nursing (ADN) Program is competitive and restricted to applicants who meet the requirements and space availability in the program. Students applying to this program must complete and submit the same college application form as other students applying to the college plus an ADN matriculation form. Applications and matriculation forms must be received by the BCC Admissions Office by June 1 of the year to be considered for entry in the fall semester. This program has a selective admission process. Only students who have met all ADN admission requirements by June 1 will be considered for admission. Admission decisions are made in mid-June for the fall semester of the same year. Students are notified of their acceptance by mail. Decisions are mailed to students by mid-June. Applicants must ensure that their contact information is accurate and up-to-date at all times. Students will have up to three days to respond to BCC. Accepted students may defer one time for a one year period. Students offered readmission to the ADN program are not eligible to defer. Students with two nursing course failures (taken at another institution, at BCC, or in combination) will not be admitted or readmitted to the program. Students will not be admitted concurrently into any two of the following degree or certificate programs: Physical Therapist Assistant, Respiratory Care, and Practical Nursing. Admissions Requirements: The student’s overall GPA, success in science courses, the number of additional required courses completed, and the completion of additional college degrees are considered and do influence the admission decision. Admission specific criteria are as follows:

• Math: High school graduate within the past two years with a GPA of at least 2.7 and a minimum grade of B (80) in Algebra II or Accuplacer placement into college-level math or successful completion of the Mathematics Challenge Assessment or completion of a college-level math class with a minimum grade of C (MAT-123 Statistics recommended for transfer);

• English: Readiness to take ENG-101 as demonstrated through the Accuplacer or completion of a college-level composition course (ENG-101) with a grade of C (73) or better;

• Chemistry: Completion of college chemistry (CHM-150 or CHM-101), prior to January 2018, with a grade of C (73) or better or one year of high school college preparatory chemistry with a grade of C (73) or better, completed within the last seven years;

• Support Courses: Completing a minimum of 10 credits of college-level ADN support courses. • Students who have not completed BIO-201, BIO-202, BIO-207 and/or CHM-150 or CHM-101

prior to January 1, 2018, will be required to earn a grade of C+ (77) or better in these courses to be eligible for admission to the ADN program. Courses taken prior to January 1, 2018 require a C (73 or better). These four science courses, (BIO-201, BIO-202, BIO-207 and CHM), must be completed within seven years of entry into the program. Any waivers to this provision require

54

direct approval from the Director of Nursing (contact Admissions Office to begin waiver process).

• Attend a Mandatory Nursing Information Session. Register online at www.berkshirecc.edu/nursinginfo.

Determining Acceptance to the ADN Program Each spring, a maximum of 56 students are conditionally admitted to the program. A Selective Admission Rubric is used, following non-discriminatory practice, for admission into the ADN program The rubric does not contain any identifying student characteristics besides the student BCC ID number. Applicants with the highest scores are accepted in rank order. The following components are the basis of ranking:

1. Program GPA – Students are awarded points for GPA to the hundredth decimal point (e.g., GPA of 3.14 = 3.14 points, GPA of 3.27 = 3.27 points). The GPA is calculated only on courses required for the program.

2. Science courses and general education course according to the Selective Admissions Rubric.

3. Completion of a minimum of 10 credits of college-level ADN support courses (science and general education courses) prior to submitting the ADN matriculation form. Science (A&P I and II, Microbiology, and Chemistry) must be completed within seven years of admittance to the program.

4. Number of required program courses are reflected in the overall score relative to the number of courses.

5. Other degrees: A student who possesses a(n) Associate Degree, Bachelor Degree, Master’s Degree, and/or Doctorate will be awarded a maximum of one point, regardless of the number of degrees held.

Space Available List If a top-ranked student, offered admission into the program, decides to defer or decline admission, an alternate list (Space Available List), of the second tier of qualified students, is developed. Individuals on the Space Available List will be identified only by their BCC ID. To remain eligible, individuals on the Space Available List must continue to meet all eligibility requirements up until August 1st of the starting semester, at which time individuals on the space available list may be notified of their admission to the program. If not admitted, those students on the Space Available List must reapply to the program each year. Individuals on the list must ensure that their contact information is accurate and up-to-date at all times. Individuals, from the Space Available List, offered admission, will have up to three business days to respond to the offer. Immunization Requirements: Students entering the Associate Degree Nursing program are required to follow the immunization policy for BCC health students. Students must submit proof of compliance with immunizations by the first day of school. The college immunization policy can be found in the BCC College Catalog. www.berkshirecc.edu/catalog . Please note: The Hep B series may take up to four months to complete. Students should plan accordingly.

BCC ID:

Grade Points GPA#N/A 0.00

Grade Points GPA0 0.000 0.000 0.00

Science Points/GPA #N/A #DIV/0!

GPA SCIENCE #DIV/0!

Grade Points GPA0 0.000 0.000 0.000 0.000 0.000 0.00

Gen Ed Points/GPA 0 #DIV/0!

Y=1, N=0#N/A Total points before GPA #N/A

3.0-3.39=.5 pts, 3.4-3.69=1 pt, 3.7-4.0=1.5 pts. GPA* POINTS

#DIV/0! #DIV/0!#DIV/0! #DIV/0!

#DIV/0!

ADDITIONAL POINTS

PSY-204

Course

Intro to Sociology-105COM 104, 105, 106, 107

English Composition-101English Composition 102Intro to Psychology-107

EVALUATOR

TOTAL POINTS

Previous Degree

GEN EDSSCIENCE COURSES

GPA POINTS

A=3pts, B=2 pts, C=1 pt, 0=0 pts, IP=0 pts.

A=4pts, B=3 pts, C=2 pts, 0=0 pts, IP=0 pts

A=2 pts, B=1 pt, <B=0 pt, IP=0 pts

BERKSHIRE COMMUNITY COLLEGESELECTIVE ADMISSION RUBRIC

ASSOCIATE DEGREE NURSING PROGRAM - FALL 2019

Course

GENERAL EDUCATION COURSES

Microbiology (BIO-207)Anatomy & Physiology II

ChemistryCourse

Anatomy & Physiology I

SCIENCE COURSES

Acceptance into the ADN program is competitive and while published minimum standards may have been met, it does not guarantee admission. The College reserves the right to make changes at any time with respect to course offerings, degree requirements, services provided, cost of attendance, or any other subject. Students who have met all ADN admission requirements by June 1 will be considered for admission. Admission decisions are made in mid-June for the fall semester and students are notified of their acceptance by mail. Students with two nursing course failures (taken at another institution, at BCC, or in combination) will not be admitted to the program. The following criteria are considered in the admissions process: The number of required science courses completed and grades received; the number of ADN program and general education courses completed and grades received; ADN program prerequisite and corequisite GPA; and completion of additional college degrees. Students are awarded points for GPA to the hundredth decimal point. All students are required to follow the immunization policy for BCC health students and have submitted proof of compliance by the first day of school; the policy can be found in the BCC College Catalog insert link. The Hep B series may take up to four months to complete, students should plan accordingly. The rubric does not contain any identifying student characteristics besides the student BCC ID number, allowing selection using non-discriminatory

Grade PointsA 2.00B 1.00 Grade GPA

C 0.00 A 4.00

IP 0.00 B 3.00

C 2.00

IP 0.000 0.00

Grade PointsA 4.00B 3.00C 2.00IP 0.000 0.00

Grade PointsA 3.00B 2.00C 1.00IP 0.000 0.00

N 0.00Y 1.00

1.00 0.00

1.10 0.00

1.20 0.00

1.30 0.00

1.40 0.00

1.50 0.00

1.60 0.00

1.70 0.00

1.80 0.00

1.90 0.00

2.00 0.00

2.10 0.00

2.20 0.00

2.30 0.00

2.40 0.00

2.50 0.00

2.60 0.00

2.50 0.00

2.70 0.00

2.80 0.00

2.90 0.00

3.00 0.503.10 0.503.20 0.503.30 0.503.40 1.003.50 1.003.60 1.003.70 1.503.80 1.503.90 1.504.00 1.50

rhuyghue 8/14

Additional Points

GPA Points

Chemistry

Other Sciences

Gen Eds

Previous Degree

ALL COURSES

57

Berkshire Community College Associate Degree in Nursing Program

Advanced Placement Policy

1. Any LPN graduate bridging directly from an approved program within one year of

graduation can utilize their successful NCLEX PN exam as their challenge exam, in lieu of the HESI Specialty LPN to ADN Mobility exam. Students successfully completing NUR 106 will be accepted and placed into NUR 201.

2. Any LPN graduate wishing to bridge into NUR 201 more than a year past their

graduation will need to take the HESI Specialty LPN to ADN Mobility exam and score an 850 or above. Students successfully completing NUR 106 will be accepted and placed into NUR 201.

Revised: ADN Faculty Committee, 12-18-18

59

Berkshire Community College Associate Degree in Nursing Program

Attendance Policy Class Attendance This is an on-campus, face-to-face program and class attendance is essential to academic success, safe clinical performance and competency. The faculty expect students to attend and actively participate in all scheduled lectures. A student who misses class is responsible for the content and assignments for the class, regardless of the reason for missing the class. (Weekly class hours are specified in each course’s syllabus). Excessive absenteeism may result in course failure by not meeting student learning outcomes. Class Promptness Students are expected to be seated and ready to participate in activities at the start of each class. If a student is late and the instructor has started the lecture, such student should enter the classroom in the least disruptive manner and sit in the designated late seats. Students should make every effort to wait until break to leave class as leaving during class time and re-entering is disruptive to classmates and faculty. Campus Laboratory Attendance College labs are critical to optimal client care and for practicing skills prior to clinical experiences. Each student is expected to attend campus laboratory on time and for the full number of hours as designated in the clinical schedule Students must be prepared for all college laboratory sessions. A student who is absent from a campus lab or dismissed due to lack of preparation is responsible for making up the content of that lab. Clinical skills lab absences must be made up during designated make-up time. It is the responsibility of the student to contact and schedule make-up time with the lab faculty. All skills lab absences must be made up within one week or the student may not be able to progress to the next skill. Clinical/Data Collection Attendance Clinical courses provide experienced-based learning that supports the acquisition of essential clinical skills and knowledge. The credits allotted to each course determine the number of clinical hours required. Each student is expected to attend each clinical day on time and prepared for the full number of hours designated. Clinical tardiness will not be tolerated. Any student who arrives after the designated time, per instructional hours, will not be allowed to participate in clinical activities. This will be counted as a clinical absence. Students are expected to attend all clinicals as assigned. Students will be required to make up any clinical absence. The ability for makeup to occur depends upon clinical faculty availability, appropriate clinical site availability, and enough time at the end of the semester.

Revised: ADN Faculty Committee, 12/10/18

61

Berkshire Community College Associate Degree in Nursing Program

Clinical Evaluation and Final Evaluation of Student Learning Outcomes Policy

Clinical Evaluation of student learning is conducted on an ongoing basis throughout each nursing course to assess how well the student is attaining the course and end-of-program student learning outcomes (EPSLOs) leveled for each course. The program utilizes the Nurse of the Future Nursing Core Competencies (NOFNCC) as the essential framework for its EPSLOs. Evaluation of the student’s achievement of course and end-of-program student learning outcomes occurs through the clinical evaluation process using the Clinical Evaluation Tool (CET). Faculty evaluate students weekly on the clinical student learning outcomes. Students complete a weekly self-evaluation as well. This process occurs at midterm, and at the completion of the clinical rotation(s) for each course. Each competency is defined by essential elements that faculty believe to be essential to the attainment of its associated competency. The Expected Level of Achievement (ELA) of each essential element is leveled for each nursing course utilizing Bloom’s Taxonomy to demonstrate progression of the knowledge, attitude and skills needed to attain the EPSLOs at the course level. The Clinical Evaluation Tool (CET) and the Final Evaluation Summary (FES) are the methods used to assess the competencies in the clinical setting. The CET is used for weekly and midterm evaluation. The FES is used for final clinical evaluation. The faculty version and student version of the tool are identical for evaluation purposes; the difference being the references to the author of the tool’s implementation. The CET measures the attainment of each essential element, the associated competency and EPSLOs on a 1.0-5.0 Likert scale as follows: 5 Consistently meets all essential elements/competencies/EPSLOs 4 Meets most essential elements/competencies/EPSLOs 3 Developing skills to meet essential elements/competencies/EPSLOs 2 Needs improvement in meet essential elements/competencies/EPSLOs 1 Does not meet essential elements/competencies/EPSLOs The ELAs for each student learning outcome is a score of 4.0 out of a possible 5.0 on a Likert scale, equating to an 80%. Each week the scores for the essential elements are averaged to determine the overall score for its associated competency for that week. The weekly ELA for each competency is the achievement of a score of:

• 2.0 - 5.0 for week one through the week prior to midterm • 3.0 - 5.0 a midterm • 4.0 - 5.0 by the final week of the rotation for each competency

Faculty are required to comment on any rating (essential element and/or competency) of a 2.0 or below. Students are encouraged to comment on any rating (essential element and/or competency) of a 2.0 or below. A student who does not reach a score of 3.0 by midterm, on any of the competencies, is required to meet with the faculty, and together complete the Clinical

62

Action Plan for Success form. This form is filed in the student’s folder per the student record policy.

The ELA for the FES is an average score of 4.0/5.0, for the last three weeks of the rotation, for each competency. . The final score for each competency is documented on the FES along with a summary evaluation of the student’s performance for the rotation. A comment section on the student CET and a feedback section on the faculty CET allow clinical faculty and student to enhance their feedback. There is a check off box to request a meeting between clinical faculty and student, as needed. The not applicable (N/A) column indicates a particular essential element and/or competency was not evaluated for the week. A student who does not attain a score of at least 4.0/5.0, for each EPSLO, by the end of the clinical rotation, as indicated on the FES, will result in a clinical failure for that rotation. . The CET and FES are managed electronically, as an Excel document, through the college’s LMS. The signature/date areas are typed each week by clinical faculty and student when completing the evaluation. Above the student signature line is a statement reading, “My typed signature and date indicate that I understand the above information.” The FES is hand signed by the clinical faculty and student before filing in the student record and is maintained in the student record per the student record policy. Revised: ADN Faculty Committee, 12/10/18

63

Berkshire Community College Associate Degree in Nursing Program

Procedure for the Use of the Clinical Evaluation Tool (CET)

Goal: In each clinical course, a course specific Clinical Evaluation Tool (CET) will be done each week by the clinical faculty and the student. The course specific CET measures the attainment of the essential elements, the associated competency and EPSLOs on a 1-5 Likert scale as follows:

5 Consistently meets all essential elements/competencies/EPSLOs 4 Meets most essential elements/competencies/EPSLOs 3 Developing skills to meet essential elements/competencies/EPSLOs 2 Needs improvement in meet essential elements/competencies/EPSLOs 1 Does not meet essential elements/competencies/EPSLOs

Students will have 48 hours after the completion of clinical to complete and submit the weekly Clinical Evaluation Tool on the LMS. Each element of each component must be evaluated weekly. If, due the clinical experience, the student has not had an opportunity to encounter an element than an N/A will be acceptable. Faculty will complete and submit to the student the faculty Weekly Clinical Evaluation Tool by the day before the next clinical. The instructor’s evaluation of the student’s performance of the psychomotor skills will be included. Refer to the Student Clinical Evaluation Tool evaluation policy in ADN Student Handbook. Approved: ADN Faculty Committee, 1/8/19

65

Berkshire Community College Associate Degree in Nursing Program

College Laboratory Policy The formalized psychomotor skills progress in complexity, and are interrelated with one another. Students must successfully complete one skill before progressing to the next scheduled skill. See LMS for Formalized Psychomotor Skill Testing Schedule. Formalized psychomotor skills will be evaluated on a satisfactory/unsatisfactory basis according to the criteria developed and identified for each skill by the nursing faculty. Students are expected to meet the key steps identified (bolded) on formalized psychomotor skill sheets. The formalized psychomotor skill of Hand Hygiene is tested in the first week of the semester and must be completed successfully to enter into clinical agencies. If the student is unsatisfactory in campus lab psychomotor skills testing, the student must complete a Psychomotor Skills Remediation Form. Students are expected to attend at least one session of remediation lab. Students will have the opportunity to retest one time. Multiple retesting of skills is dependent on faculty availability and on a space available basis. Students at all levels of the program will not be allowed to participate in simulation experience until the required psychomotor skills have been successfully completed. It is possible for students to run out of time in the semester to successfully complete formalized psychomotor skills if multiple failures or lab absences occur. Failure to successfully complete individual formalized psychomotor skills will result in a failure to meet student clinical learning outcomes for clinical, campus lab, and the student will receive an “F” course failure.

Revised: ADN Faculty Committee, 12/17/18

67

Berkshire Community College Associate Degree in Nursing Program

Course Exemption Policy

The Associate Degree in Nursing Program adheres to the Advanced Standing and Non-Traditional Credit Options as specified in the college catalog. (www.berkshirecc.edu/catalog) A student may petition the Director of Nursing if they would like to pursue this option for non-nursing courses. Revised: ADN Faculty Committee, 12/11/18

69

Berkshire Community College Associate Degree Nursing Program

CPR Policy Students must have proof of current certification in cardiopulmonary resuscitation (CPR). Students are responsible for ensuring that their CPR certification is always current throughout the years in the program. The following CPR courses are acceptable for meeting this requirement:

• American Heart Association: Basic Life Support (BLS) for Healthcare Providers (2-year certification)

• American Red Cross: CPR/AED for Professional Rescuers and Healthcare Providers (2-year certification).

Reviewed: ADN Faculty Committee 1/8/19

71

Berkshire Community College Associate Degree in Nursing Program

Educational Mobility Policy Admission Requirements:

• Licensed Practical Nurses (LPNs) who apply to BCC’s Associate in Science degree in Nursing may challenge the first two nursing courses (NUR-101 and NUR-102) through a standardized theoretical test (NCLEX or HESI mobility). The LPN who immediately enters the Associate Degree program within one year of graduation from an approved PN program may use their successful NCLEX exam as the standardized theoretical test. The LPN who does not immediately enter the Associate Degree program within one year of graduating from an approved PN program, will be required to pass the HESI Mobility Exam with a score of 850, within one year of admission into the Nursing Program. Applicants who pass the challenge examinations will receive 17 credits for NUR-101 and NUR-102 upon admission.

• Applicants must have proof of licensure as a practical nurse, by August 10 of the year of admission into the Associate Degree in nursing program.

• Admission into the Associate Degree in nursing program requires the successful completion of a “bridge” course (NUR-106) during the summer of the year of admission.

• A minimum of five (5) seats are reserved for students who declare intention to transit to LPN/and mobility pathway and have met all ADN admission requirements.

• Attendance at a nursing information session is mandatory. • Submission of an LPN/ADN matriculation form by June 15 of the year of application into

the Associate Degree in nursing program.

Admission Criteria: • Minimum GPA OF 2.0 • Completion of prerequisite courses, including;

o Chemistry: Completion of college chemistry (CHM-150 or CHM-101) with a grade of C (73) or better or one year of high school college preparatory chemistry with a grade of C (73) or better, completed within the last seven years, or a (77) or better after January 2018.

o BIO-201, BIO-202 (Anatomy & Physiology 4 credits); each with a grade of C (73) or better within seven years

o Important Note: Students who have not completed BIO-201, BIO-201, BIO-202, BIO-207 and/or CHM-150 or CHM-101 prior to January 1, 2018 will be required to earn a grade of C+ (77) or better to be eligible to apply for admission to the ADN program.

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o Math: High School graduate within the past two years with a GPA of at least 2.7 and a minimum of B (80) in Algebra II or Accuplacer placement into college-level math or successful completion of the Mathematics Challenge Assessment or completion of college-level math with a minimum grade of C (MAT-123 Statistics recommended for transfer)

o ENG-101, PSY-107, and PSY-204 with a grade of C (73) or better • Students not matriculating within one year of graduation must have proof of

employment as an LPN for a minimum of 6 months to 1 year of clinical experience within two years of admission into the Associate Degree in nursing program.

RN/BS (University of Massachusetts, Amherst): • BCC provides students with a dedicated RN/BS in nursing program advisor, in

collaboration with the University of Massachusetts, Amherst RN/BS in nursing program. Students can complete through their junior year at BCC and transfer to the University as seniors. There are two program completion options, a one year full time and a two year, part time option. The advisement and the senior year are administered face to face. See BCC catalog specific details of program completion options and graduation requirements (www.berkshirecc.edu/catalog).

Revised: ADN Faculty Committee, 12/18/18

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Berkshire Community College Associate Degree in Nursing Program

Examination Policy Students are expected to meet course objectives. Examinations for all nursing courses are developed around the major concepts of the course organizing framework. A minimum grade of 75% in all nursing courses must be maintained in order to progress in the nursing program. Students must achieve a cumulative average of 75% on all exams (modular/unit assignments and final exams). During the semester, grades are not rounded. Only final grades of 75 or higher will be rounded up or down to the next whole number (+/- .05), therefore a final grade of 74.9 or lower will be considered a failing grade. Exams fall into these categories: class quizzes, unit examinations, mathematics examinations, and final examinations. All exams are the property of the College. Student Guidelines for Didactic Testing:

• Each student is required to bring BCC picture ID for entry into all course examinations. • All personal items must be placed in the front of the classroom or testing center:

Bags/purses/wallets Coats/hats/scarves/gloves Medical aids/devices Food or drink, gum/candy Lip balm

• The following items may not be accessed at all during your examination appointment (including breaks and until you leave the classroom/test center at the conclusion of your exam): - Any educational, test preparation or study materials, cell/mobile/smart phones,

tablets, smart watches, MP3 players, fitness bands, jump drives, cameras or any other electronic devices

• All exams must be completed on the scheduled date. • Any student arriving late will be allowed to write the examination providing no other

student has finished the examination and has left the room. However no extra time will be granted, and the student will be expected to hand in the examination at the expiration of the examination scheduled time.

• If exam is missed as a result of an emergency or unforeseen circumstance, the student must contact all faculty in the course by email within twenty-four hours of the exam date. Failure to contact the designated instructor within twenty-four hours of the exam date will result in a grade of zero.

• Documentation of the emergency or unforeseen circumstance may be required.

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• The exam must be made up before the next class or clinical experience. • An alternate format of the exam will be used. • There are no retakes of any nursing exam.

Exam Review – Individual and/or Group Group review of examinations will be held at a time determined by individual faculty teams and within two weeks from date of exam. Faculty will not conduct individual exam reviews. Students may not record or transcribe any test question information. Exam reviews sessions follow the same student guidelines for didactic testing as explained in the above. Revised: ADN Faculty Committee, 1/8/19

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Berkshire Community College Associate Degree in Nursing Program

Graduation Policy

The Associate Degree in Nursing Program follows the college’s general graduation requirements as detailed in the college catalog (www.berkshirecc.edu/catalog), as well as ADN program-specific graduation requirements as noted in the college catalog (www.berkshirecc.edu/catalog) and as indicated below: ADN Program Graduation Requirements The ADN program follows BCC policy with additional nursing program requirements. Nursing students must obtain a grade of 75% or greater in nursing courses and must pass clinical. To earn a degree in this program, a student must complete all program and general education credits, plus the following additional requirements:

Graduation Requirements To earn a degree in this program, a student must complete all

program and general education credits, plus the following additional requirements.

PROGRAM COURSES 50 CREDITS BIO-201 Anatomy & Physiology I .................................. 4 BIO-202 Anatomy & Physiology II ................................. 4 NUR-101 Physical & Mental Health I 1 .......................... 9 NUR-102 Physical & Mental Health II ........................... 8 NUR-201 Physical & Mental Health III 7 ........................ 9 NUR-202 Physical & Mental Health IV .......................... 9 NUR-206 Nursing in Transition ..................................... 1 PSY-107 Introductory Psychology ................................. 3 PSY-204 Human Growth & Development ..................... 3 GENERAL EDUCATION COURSES 19 CREDITS BIO-207 Microbiology .................................................. 4 COM Communication 2 ................................................. 3 ENG English Composition/Writing 3 .............................. 6 MAT Mathematics 4

SOC-105 Introductory Sociology ................................... 3 General Education Elective 5......................................... 3 ADDITIONAL REQUIREMENTS Core Competencies Portfolio ............................. 4 items FORUM ............................................................... 4 units Health/Fitness 6 ................................................ 30 hours Minimum Cumulative Average .............................. 2.000 Minimum Percentile Grade

Each NUR Course ................................... 75% All Other Courses ................................... 73%

Service-Learning, concurrent with each NUR Course

Revised: ADN Faculty Committee, 12/11/18

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Berkshire Community College Associate Degree Nursing Program

Health and Immunization Policy

Immunization Requirements: Students entering the Associate Degree in Nursing program are required to follow the immunization policy for BCC health students. Students must submit proof of compliance with immunizations by the first day of school. The college immunization policy can be found in the BCC College Catalog (www.berkshirecc.edu/catalog). Please note: The Hep B series may take up to six months to complete. Students should plan accordingly. Immunization information (not medical history) may be shared with the Director of Nursing and assistant, Department Chair and contracted agencies to allow for clinical experiences.

MANDATORY HEALTH REQUIRMENTS - IMMUNIZATION POLICY Berkshire Community College Nursing Program Immunization Policy

Hepatitis B

Recommended Immunization for Hepatitis B

3 doses of the Engerix-B or Recombivax--HB formulations of the hepatitis B vaccine on a 0, 1, and 6 month schedule, OR 2 doses of the Heplisav-B formulation on a 0 and 1 month schedule.

OR Test for hepatitis B surface antibody* (anti-HBs) 1–2 months after the final dose in the series to document immunity. (Obtain a titer to document immunity.)* Those without immunity (anti-HBs <10 mIU/mL) should receive one or more additional doses of HepB vaccine and retesting.

Required Immunization Process for Hepatitis B**: 3 doses of hepatitis B vaccination

OR Laboratory evidence of immunity (titer)*

Other Required Immunizations: Tdap

1 dose; and history of a DTaP primary series or age appropriate catch-up vaccination. Tdap given at ≥7 years may be counted, but a dose at age 11-12 is recommended if Tdap was given earlier as part of a catch- up schedule. Td should be given if it has been ≥10 years since Tdap.

MMR 2 doses; first dose must be given on or after the 1st birthday and the 2nd dose must be given ≥28 days after dose 1

OR Laboratory evidence of immunity (titer)*

Varicella

Medical proof of disease OR Laboratory evidence of immunity (titer)*

Tb (must be kept current throughout the program)

Tuberculosis negative test within the year

OR

Negative chest x-ray within the last five years

Flu Shot

Flu shot or declination form submitted by date in fall to be announced.

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Meningococcal 1 dose; 1 dose MenACWY (formerly MCV4) required for all full-time students 21 years of age or younger. The dose of MenACWY vaccine must have been received on or after the student’s 16th birthday. Doses received at younger ages do not count towards this requirement. Students may decline MenACWY vaccine after they have read and signed the MDPH Meningococcal Information and Waiver Form provided by their institution. Meningococcal B vaccine is not required and does not meet this requirement.

*Antibody blood tests (titers) must include laboratory report as proof of immunity.**Nursing students must comply with the immunization requirements of their clinical site. If a clinical site requires a positive hepatitis B titer result but allows a waiver, students must either document immunity or submit the required waiver form.

(BCC Immunization policy developed according to MDPH Immunization Program 2018-2019 School Year and clinical agency contractual requirements)

Waiver If a student is unable to receive an immunization due to medical reasons, they must discuss a medical waiver with the Director of Nursing and provide a doctor’s notice. If a medical waiver is granted, documentation from the student's physician must be filed in the Immunization and Medical Records Office. It is also highly recommended that these students have blood testing done to show possible immunity. The medical declinations must be renewed on the appropriate forms annually. If a student cannot complete clinical, then he/she cannot complete the course.

Drug Screening Please be advised that students enrolled in certain programs which require clinical or fieldwork study may be required by the placement affiliate agency to undergo and pass a drug screening analysis in order to be eligible. Students who either fail to pass, or refuse to submit to a drug screening analysis will be deemed ineligible for clinical placement, which may affect their status in the program.

History and Physical In addition to the Immunization and Medical Record requirements for ALL students those enrolled in any Nursing program are required to have a history and physical report which is to be completed only on the BCC approved health and physical form and submitted prior to beginning classes.

Failure to Comply A student will not be allowed to participate in the clinical experience without ALL health requirements fully complete.

Submit requirements to Donna Connors in the Immunization Records Office at BCC, Room A-100 located in the Susan B. Anthony building. You may reach her by telephone at 413-236-1614. You may also fax records to 413-499-4576

Revised: ADN Faculty Committee, 1/8/19

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Berkshire Community College Associate Degree in Nursing Program

HESI Policy HESI® Assessment and Exit Exams Students are expected to complete designated predictive HESI® assessment exams during each nursing course. All students will be required to complete the individualized remediation plan each semester.

NUR 101 – The Fundamental Exam will be used to expose students to Computerized Adaptive Testing (CAT). This exam is administered at the end of the semester. The grade associated with this will not be calculated into the course final grade. NUR 102 – Pediatric/Maternity Exam which will be administered at the end of the semester. The grade from this exam will be calculated into the final course grade. Students who obtain the benchmark score of 850 or above will receive a score of 100, thus receiving the full 2% toward their final grade. Students who score below 850 will be pro-rated (see examples outlined below). The following are examples of how scoring below 850 will be calculated:

•A grade of 700 will be divided by the 850 benchmark: 700/850=0.82 x .02=1.64% •A grade of 500 will be divided by the 850 benchmark: 500/850=0.59 x .02=1.18%

NUR 201 – Medical/Surgical Exam which will be administered at the end of the semester. The grade associated with this exam will not be calculated into the course final grade. NUR 202 - RN Exit Exam, an NCLEX-RN predictive exam. One version will be administered at the beginning of the semester. The grade associated with this exam will not be calculated into the course final grade. A score of 850 or above is the recommended performance on the HESI® for NCLEX RN success. Students who receive a score of less than 850 will be required to attend weekly ADN workshops which will take place during the same times as NUR 206 beginning after the semester break. A second RN Exit Exam will be administered at the end of the semester. The score from the second RN Exit Exam will account for 20% of the final course grade. Students who obtain the benchmark score of 850 or above will receive a score of 100, thus receiving the full 20% toward their final grade. Students who score below 850 will be pro-rated (see examples outlined below).

The following are examples of how scoring below 850 will be calculated:

• A grade of 700 will be divided by the 850 benchmark: 700/850=0.82 x 0.2 = 16.5% • A grade of 500 will be divided by the 850 benchmark: 500/850=0.59 x 0.2 = 11.8%

Revised: ADN Faculty Committee, 12-17-18

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Berkshire Community College Associate Degree in Nursing Program

Progression Policy

Progression through the ADN program is dependent upon successful completion of each course. To progress in the nursing program a student must maintain a minimum theory grade of 75%, pass clinical, complete all formalized psychomotor skills successfully, and meet the Course Student Learning Outcomes in all nursing courses. All prerequisite courses must be completed successfully (non-nursing and nursing courses) in order to progress to the next nursing course in the sequence, i.e., NUR 101, NUR 102, NUR 201, and NUR 202. Students must also achieve all End of Program Student Learning Outcomes (EPSLOs) in NUR 202. Progression within NUR 102 requires students to successfully complete clinical outcomes for each course section, specifically maternity clinical and pediatric clinical. If a student is unsuccessful in achieving the clinical outcomes of the first section of NUR 102, they will not be allowed to progress to the next section of the course which will result in a failure in NUR 102. Revised: ADN Faculty Committee, 12/04/18

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Berkshire Community College Associate Degree in Nursing Program

Readmission Policy

Students with two nursing course failures (taken at another institution, at BCC, or in combination) will not be admitted or readmitted into the program. Students whose dismissal was caused by unsafe clinical practice or unprofessional behaviors will not be readmitted into the program.

Readmission to the program can occur only within twelve months regardless of the reason for leaving. The candidate for readmission will be required to demonstrate retention of prior nursing knowledge by:

• passing a secured HESI computerized exam with a score of 850 or greater. A student requesting readmission to NUR 102 must achieve an 850 on the HESI Fundamentals exam. A student requesting readmission into NUR 201 or NUR 202 must achieve an 850 on the HESI Fundamentals and Maternity/Pediatric exams.

• passing formalized psychomotor skills testing: Skills include a sterile procedure consisting of either a sterile dressing change or urinary catheterization and medication administration of an insulin mix and an IM injection for readmission to NUR 102, NUR 201 or NUR 202.

Readmission to Program after a medical leave of absence In addition to following the readmission policy stated above, the student leaving the program due to a medical leave of absence must provide a medical health clearance stating they have no restrictions from a health care provider to return to class and clinical. Readmission Procedure The student will contact the Director of the Nursing Program via email by July 15th for the spring semester and the March 15th for the fall semester.

The Director will contact the applicant regarding scheduling of the HESI exam/exams. The HESI exam is considered a “secured” exam. Students may take each version of the HESI exam only once. There are two versions of the HESI exam for Fundamentals and two versions for the Maternity/Pediatrics exam; therefore, only one attempt for each version is permitted. Please note that any HESI tests that may have been taken in the classroom are not counted in terms of having taken the test. Only HESI tests taken at the Testing Center will be considered. If a student is repeating this exam, after having previously taking it at the Testing Center, the student will need the second version of this exam. The student must notify the Testing Center of the need of the second version of the exam at the time of scheduling the exam. All students will be charged the full cost of the exams scheduled whether or not the exam is taken.

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Students requesting readmission into NUR 201 or NUR 202 must successfully pass HESI Fundamentals and HESI Maternity/ Pediatric exams (a score of 850 and above). Students requesting readmission into 102/201/202, upon successfully scoring on the HESI, will be scheduled to complete the psychomotor portion of the readmission process. The psychomotor skills demonstrations are videotaped in the Simulation Center. Evaluation is conducted with two faculty members and the applicant. Students who are readmitted after an academic failure will be required to enroll in tutoring services throughout the nursing program. Approved: ADN Faculty Committee, 12/04/18

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Berkshire Community College Associate Degree Nursing Program

Remediation Policy

Purpose: To identify and assist students who demonstrate a knowledge deficit, psychomotor skills deficit, or clinical deficit to remediate through a non-punitive process.

I. HESI Examinations A. HESI remediation is mandatory for students who have not met the required

benchmark set forth for each specific test. Students who have not met the minimum score are required to independently review their online remediation report which provides individual scoring feedback and customized remediation for each exam taken.

B. The student is then required to schedule within one week of the exam a meeting with the team leader or a member of the ADN faculty to create a remediation plan. The student will be accountable for fully implementing/completing all components of the remediation plan developed in tandem with faculty.

C. Students who have not reached the required benchmark set forth for each specific test will be required to retake an alternate HESI examination based on the same content, at a time prescribed by faculty. The student is responsible to complete all remediation before the date of the alternate HESI examination.

II. Clinical and Psychomotor Skills Labs A. Students who are referred for remediation by their clinical/lab instructor will be

required to remediate in the Nursing Laboratory setting. B. Students who fail a tested psychomotor skill will be required to remediate and

retest that skill. C. Students are responsible to make an appointment with Nursing Lab faculty to

complete the required remediation. D. Once remediation is completed, the student is then eligible to make an

appointment to re-test and complete their competency in the area requiring remediation.

E. Any student who fails a particular psychomotor skill three times, despite remediation, will receive a laboratory failure for the ADN course; this will result in an overall failure of the course.

III. Didactic A. Any student who has frequent absenteeism, excessive tardiness, or does not

achieve a passing score on any examination will be required to set up remediation in conjunction with one of the full time ADN Faculty. The team leader will meet with faculty to discuss the numbers and needs of students requiring remediation. The team leader will delegate students to faculty for remediation. Remediation is at the discretion of the professor and may include

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group remediation in the form of test reviews, one on one review sessions, use of tutoring services, use of TRIO services, assignment of online materials, or any other services the professor deems would assist in the students success.

Approved: ADN Faculty Committee 1/8/19

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Berkshire Community College Associate Degree in Nursing Program Student Rights and Grievances Policy

The Associate Degree in Nursing Program follows college policy for student rights and grievances as published in the college Student Policy Guide. http://www.berkshirecc.edu/student-life/student-policy-guide/ Regarding the grievance policy, the associate degree nursing student is encouraged to address his/her grievance first by discussing the matter with program faculty and then, if needed, the student is encouraged to schedule a meeting with the Director of Nursing. If the matter continues to be unresolved by the parties, the student is encouraged to file a written grievance following the student grievance procedure per the Student Policy Guide. Revised: ADN Faculty Committee, 11/30/18

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Berkshire Community College Associate Degree in Nursing Program

Transfer Policy

The Associate Degree in Nursing Program follows the college policy for transfer students per current college catalog (www.berkshirecc.edu/catalog). The college provides nursing students with a dedicated RN-to-BSN program advisor in collaboration with UMass Amherst. Revised: ADN Faculty Committee, 12/10/18

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Berkshire Community College Associate Degree in Nursing Program

Withdrawal Policy

The Associate Degree in Nursing Program follows the college policy for withdrawal per the current college catalog (www.berkshirecc.edu/catalog). Revised: ADN Faculty Committee, 12/18/18