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					Montana State University-Northern Department of Nursing

Department of Nursing RN-BSN Completion Nursing Student Handbook

Updated JANUARY 2009

Montana State University-Northern Department of Nursing RN-BSN STUDENT HANDBOOK Page DEPARTMENT OF NURSING’S MISSION, PURPOSE & GOALS .......................................................1 DEPARTMENT OF NURSING’S PHILOSOPHY.....................................................................................2 GOVERNANCE ..........................................................................................................................................3 Policy, Procedures, and Forms Committee ............................................................................................5 Curriculum and Instruction Committee .................................................................................................5 Program Evaluation Committee .............................................................................................................5 Admissions Committee ..........................................................................................................................6 Student-Faculty Communication Committee.........................................................................................6 ORGANIZATIONAL CHART....................................................................................................................8 ORGANIZING FRAMEWORK. .................................................................................................................9 Organizing Framework for the Curriculum Model .............................................................................12 RN-BSN Education Plan......................................................................................................................13 RN-BSN Educational Outcomes..........................................................................................................14 STUDENT BILL OF RIGHTS ..................................................................................................................14 RN-BSN COMPLETION Articulation Model...........................................................................................16 PROGRAM INFORMATION & POLICIES.............................................................................................17 A. Requirements for the RN-BSN Completion Program ..............................................................17 B. Policy for Disabilities ...............................................................................................................18 C. Professional Issues ...................................................................................................................18 D. Student Nurse Association .......................................................................................................18 E. Estimated Expenses/Fees for RN-BSN Completion Program ..................................................19 F. Email ........................................................................................................................................19 G. Software ...................................................................................................................................20 H. Cell Phone Usage .....................................................................................................................20 I. Student Records Policy ..............................................................................................................20 J. Accidental Exposure..................................................................................................................20 K. Disability ..................................................................................................................................20 ACADEMIC POLICIES ............................................................................................................................21 A Progression Through the Major. ...............................................................................................21 B. Attendance ................................................................................................................................21 C. Academic Committee Representatives.....................................................................................21 F. Academic Advisors ...................................................................................................................21 G. Academic Grievance Process ...................................................................................................22 H. Grading Scale ..........................................................................................................................22 I. Suspension from the Major. .......................................................................................................23 HIPAA Policy .......................................................................................................................23 Cheating/Dishonesty/Plagiarism ...........................................................................................23 J. Reinstatement to the Nursing Major .........................................................................................24

RN-BSN Nursing Student Handbook K. Graduation. ...............................................................................................................................25 L. MSU-Northern Pinning Ceremony ...........................................................................................25 CLINCIAL / PRACTICUM REQUIREMENTS .......................................................................................26 A. Clinical/Practicum Experience .................................................................................................26 B. Uniform Requirements. ............................................................................................................27 C. Equipment Requirements .........................................................................................................27 D. Transportation. .........................................................................................................................27 E. Health Care Information System Policy for RN-BSN Students ...............................................27 F. Preceptor Guidelines .................................................................................................................27 G. Criteria for selection of Preceptor ............................................................................................28 H. Procedures ................................................................................................................................28 1. Student’s Responsibility ...............................................................................................28 2. Instructor’s Responsibility ............................................................................................29 3. Preceptor’s Responsibility ............................................................................................29 I. Absences from Clinical/Practicum ............................................................................................29 CLINICAL EVALUATION CRITERIA NURS 349 ................................................................................30 CLINICAL EVALUATION FORM NURS 349 .......................................................................................31 CLINICAL EVALUATION CRITERIA NURS 441 ................................................................................32 CLINICAL EVALUATION FORM NURS 441 .......................................................................................33 CLINICAL EVALUATION CRITERIA NURS 447 ................................................................................34 CLINICAL EVALUATION FORM NURS 447 .......................................................................................35 CLINICAL NURSING COURSE CONFIDENTIALITY AGREEMENT................................................37 PRECEPTOR ACKNOWLEDGEMENT OF STUDENT ASSIGNMENT FORM .................................38 NORTHERN MONTANA HEALTH CARE Preceptor Acknowledgement form ..................................39 STUDENT EVALUATION OF PRECEPTOR .........................................................................................40 PRECEPTING SCHEDULE & DATA .....................................................................................................41

Montana State University-Northern Department of Nursing
AMENDMENTS These rules and regulations may be amended at any meeting of this organization by a two-thirds majority vote of the Department of Nursing members present. Ratified September 21, 1990 Revised September, 1991 Reviewed September, 1993 Revised May 11, 1995 Revised October, 1995 Revised September, 1996 Revised December, 1996 Revised August, 1997 Revised May 1998 Revised June 1999 Revised January 12, 1999 Revised August 1999 Revised January 2000 Revised May 2000 Revised December 2000 Revised January 2002 Revised May 2002 Revised August 2003 Revised June 2004 Revised December 2004 Revised July 2005 Revised July 2007 Revised June 2009 APPROVAL/ACCREDITATION

MSU-Northern Department of Nursing Associate of Science program is approved by the: Montana State Board of Nursing 301 South Park PO Box 200513 Helena, MT 59620-0513 Phone: 1-406-841-2340 www.nurse.mt.gov MSU-Northern Department of Nursing Associate of Science and the Baccalaureate of Nursing programs are fully accredited by: Northwest Commission on Colleges and Universities 8060 165th Avenue NE, STE 100 Redmond, WA 98052 Phone: (425) 558-4224 www.nwccu.org National League for Nursing Accrediting Commission 61 Broadway 33rd Floor New York, NY 10006 Phone: 800-669-1656 or 212-363-5555 www.nlnac.org

Montana State University-Northern Department of Nursing MISSION The mission of Montana State University-Northern Department of Nursing is to offer nursing programs of professional development emphasizing discipline mastery, critical inquiry, and social responsibility to meet the needs of the citizens of rural, north central Montana, and beyond. PURPOSE The purpose of the Department of Nursing is to prepare Associate of Science in Nursing (ASN) and Bachelor of Science in Nursing (BSN) graduates to function in professional registered nursing roles. The programs provide a foundation of learning, which promotes integration of clinical decision-making processes into the provision of nursing care for meeting the health/illness needs of patients across the life span.

DEPARTMENT OF NURSING GOALS The overall goals of the Department of Nursing reflect commitment to the mission of the Department of Nursing and are congruent with the mission statement of the University. The goals are as follows: 1. Provide undergraduate educational programs for the preparation of professional nurse generalists capable of practicing in diverse settings. 2. Provide a baccalaureate program that builds upon the associate degree competencies and lays the foundation for graduate education. 3. Facilitate educational mobility from the technical (LPN) to the baccalaureate level through the use of articulation agreements, distance learning strategies and other methods. 4. Contribute to the delivery of health care in Montanan and beyond by providing ASN and BSN registered nurses. 5. Prepare faculty and students for the future needs of a global society by developing community partnerships and integrating a humanistic understanding of diverse populations and cultures. 6. Engage in faculty development activities and the promotion of scholarship and service.

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Montana State University-Northern Department of Nursing PHILOSOPHY The mission, philosophy, and goals of MSU-Northern guide the philosophy of the Department of Nursing. The philosophy reflects the faculty beliefs about nursing, nursing education, and the role of the associate and baccalaureate degree nurse.

NURSING, as a professional discipline, is a process of caring for humans with actual and potential health/illness needs, based on scientific and humanistic principles. Nursing is concerned with the health/illness status of persons of all ages and groups from individuals, to families, to communities. Within the health care system, nurses respond to human health/illness needs through professional nursing practice. PROFESSIONAL NURSING PRACTICE involves using the nursing process and critical thinking in making clinical decisions, independent and collaborative nursing diagnoses. Nursing practice also requires a commitment to life-long learning. Integral components of care giving include effective communication, accountability, and ethical behavior. NURSING EDUCATION is an evolving process, responding to the changing needs of the individual and society. The scope of nursing practice requires a breadth and depth of knowledge and skills that are best provided in institutions of higher learning. The nursing educational process involves use of principles drawn from the biological/social sciences, humanities, cultural, nursing and from the liberal arts. The MSUNorthern faculty believe there is an identifiable base of knowledge and set of attitudes and skills upon which educational mobility is built, allowing for entry and exit at various levels. Teaching/learning is a multi-dimensional process. The faculty believe that students learn in different ways, and therefore, a variety of learning situations/strategies are utilized. Learning is facilitated through active involvement, positive reinforcement, and clinical practice/experience-based instruction. Faculty believe that learning is an active process for which the student is responsible. Learning is a lifelong growth process, which involves the development of human potential. The learner accepts responsibility for continued inquiry and learning and uses opportunities to increase knowledge, skill, and clinical competence. The faculty assist students through the educational process as students acquire knowledge and behaviors. The faculty strive to be sensitive to the needs of all students. A change of behavior, attitude, or thinking which endures over time indicates that learning has occurred. The BACCALAUREATE DEGREE NURSE is prepared as a generalist to practice as a registered nurse in all health care settings in the community. The scope of practice includes caring for individuals, groups and communities with simple to high risk-complex health/illness needs. As a practice discipline, baccalaureate nursing utilizes nursing theories and research. The faculty believe that new graduates have the potential to become creative change agents as holistic health care providers, managers, researchers, educators, and leaders of tomorrow.

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RN-BSN Nursing Student Handbook

GOVERNANCE

NAME OF ORGANIZATION: The name of this organization shall be the Faculty of the Department of Nursing in MSUNorthern’s College of Education, Arts & Sciences, and Nursing. OBJECTIVES: Provide members with the opportunity to take part in planning, implementing, and evaluating the nursing program. Provide members with a means of democratic participation in the Department of Nursing activities and in the formulation of Department of Nursing policies. Provide a forum for exchange of ideas between faculty and students. Promote personal and professional development of members through cooperative and collaborative efforts. FUNCTIONS: Formulate the statement of philosophy, mission, purpose, and goals for the Department of Nursing. Plan, implement, evaluate, and revise the curriculum within the framework of the philosophy and mission of the Department of Nursing and that of MSU-Northern. Act as one body in formulating, establishing, and implementing Department of Nursing policies within the limits defined by MSU-Northern. MEMBERSHIP: Voting members shall include all Department of Nursing faculty. There will be student representation on all committees. Non-voting members, including students, may be invited to participate at meetings at the discretion of the voting members. OFFICERS: The Department of Nursing Director shall be appointed by the Chancellor upon recommendation of the Provost. DUTIES OF OFFICERS: The Department of Nursing Director shall arrange for and preside at all scheduled meetings and has a vote as one of the members. The Department of Nursing Director shall assist with facilitating the processes of the standing committees.

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Montana State University-Northern Department of Nursing MEETINGS: The Department of Nursing secretary shall record minutes of meetings. The minutes will be prepared and distributed by the Department of Nursing secretary within 14 days. Faculty will proofread the minutes prior to the next faculty meeting at which time the minutes will be corrected and/or approved. The first meeting of the Department of Nursing faculty will be held during the first week of the academic year. A schedule for regular meetings shall be determined at the last meeting of the preceding academic year and any additional meetings shall be scheduled by the Department of Nursing Director as needed. Fifty-one percent of the voting members of the Department of Nursing shall constitute a quorum. A quorum must be present in order for any voting action to occur. Any action taken must have a majority vote of the members present. The term majority vote means more than half of the votes cast by persons legally entitled to vote at a regular or called meeting at which a quorum is present. STANDING COMMITTEES: The standing committees of the Department of Nursing shall consist of the following: a) b) c) d) e) Policy, Procedure, and Forms Committee Curriculum and Instruction Committee Program Evaluation Committee Admissions Committee Student-Faculty Communication Committee

The members of all committees will be selected at the beginning of each academic year. Faculty may submit requests or preferences. The chair of the Curriculum Committee will be elected by faculty consensus. Each committee will meet annually and/or as necessary. Minutes shall be recorded for all committee meetings and a copy of these minutes shall be placed in the Department of Nursing central file after each meeting. It shall be the responsibility of the committee Chairperson to see that minutes are kept, appropriately filed, and committee action reported to the total faculty. Recommendations from all committees will be brought to full faculty meetings for vote after a quorum has been established (see pg. 8).

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a)

Policy Procedure, and Forms Committee This committee shall consist of no more than three (3) faculty members (one member from each level). The Chairperson of the committee will be elected. Members will serve for one or more years. There will be two (2) student representatives; one (1) Associate Degree student and one (1) RN-BSN Completion student. Functions: 1. Participate in review of policies and procedures that impact the nursing program, it’s faculty and it’s students. 2. Develop policy, procedure, and forms to present to full nursing faculty for input and revision.

b)

Curriculum and Instruction Committee This committee shall consist of no more than three (3) faculty members (one from each campus). The Chairperson of the committee will serve for a two-year term. There will be two (2) student representatives; one (1) Associate Degree student and one (1) RN-BSN Completion student. Functions: 1. Review the philosophy and organizing framework as they relate to the curriculum and make recommendations to the full faculty for changes. 2. Regularly review the curriculum as it relates to the philosophy, organizing framework, and goals of the nursing program. 3. Make recommendations for revision or relocation of course content. 4. Consider curriculum requests from students, faculty, or others. 5. Provide assistance to the faculty for development and revision of course offerings. 6. Monitor the existing curriculum for currency, logic, and cohesiveness with regard to State Board standards and National League For Nursing Accrediting Commission standards. 7. Provide information to and receive feedback from the Program Evaluation committee. 8. Review elective course offerings for adherence to the established college guidelines.

c)

Program Evaluation Committee This committee shall consist of a minimum of three (3) faculty members (one from each level). The Chairperson of the committee will be elected. There shall be two (2) student representatives; one (1) Associate Degree student; and one (1) RN-BSN Completion student. Functions: 1. Facilitate and coordinate a system for evaluation of the total academic program. 2. Identify factors related to maintaining and improving the quality of the academic program. 3. Conduct a survey of graduates according to the college's master evaluation plan and report data to the faculty. 4. Provide summative reports on patterns of progression through the program annually and as necessary. 5

Montana State University-Northern Department of Nursing 5. Make recommendations to the full faculty or curriculum committee based on the needs identified in the evaluation data. 6. Conduct facility evaluations by survey and disseminate results to faculty and facility units as requested. e) Admissions Committee This committee shall consist of one faculty member from each campus and the Director of the Nursing Department will chair the committee. There will be one representative from each campus who may serve one or more years. During the summer and other times that all faculty members are not available and there is a need to review and evaluate an admission application, the Department of Nursing Director and available nursing faculty may review and evaluate the application for admission. Functions: Recruitment and Selection 1. Review, and if indicated, make recommendations for changes in criteria for admission, progression, and reinstatement. 2. Review all applications for admission for completion of all admission criteria. 3. Notify students that their applications are being considered. 4. Recommend applicants for admission. 5. Notify all applicants by letter regarding their acceptance, rejection, or pending admission 6. Monitor support mechanisms for high-risk students. f) Student-Faculty Communication Committee The Student-Faculty Communication Committee provides a forum for the faculty and students to dialog regarding concerns, suggestions, and questions regarding the nursing program, the curriculum and related issues. Meetings will be scheduled every other month during the academic year over the NorthNet. Activities of this committee include participating in the curricular evaluation and modification process as well as the textbook evaluation and selection process. The RN-BSN students are encourage to participate at the Student Faculty Meeting. Functions: Faculty Representatives: 1. Report committee activities to the Nursing Program Faculty. 2. Increase student awareness regarding program direction and faculty concerns. 3. Provide information and guidance regarding student concerns and participating in followup activities as indicated. 4. Foster student/faculty interaction during joint meetings.

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Student Representatives: 1. Increase class awareness regarding committee activities. 2. Solicit student information for committee agendas. 3. Participate in proposing methods to address agenda items. 4. Implement committee/faculty suggestions and report outcomes. 5. Contribute to program policy development. Meetings and announcements will be posted on the MSU-Northern Department of Nursing home page. www.msun.edu/academics/nursing or directly at http://msun.edu/academics/nursing/studentannouncements.htm

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Montana State University-Northern Department of Nursing

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ORGANIZING FRAMEWORK The organizing framework of the curriculum flows from the philosophy about people, environment, health/illness and nursing. The philosophy and organizing framework, and the American Nurses Association Standards of Clinical Nursing Practice (1998) and the National League for Nursing’s Educational Competencies for Graduates of Associate Degree Nursing Programs* provide the foundation for guiding the development of objectives and courses. Nursing, as a professional discipline, is based on knowledge from the biological and social sciences, and the humanities. A background in these related disciplines is required for entry and progression in the nursing curriculum. There is a particular emphasis on theories of human needs across the life span. The foundational concepts and the four major concepts of the nursing curriculum provide for unification of content and objectives within the curriculum. All concepts are introduced in the first semester of the program (Level I) and as the students progress through the curriculum, they learn to apply these concepts in greater depth and in more complex situations. Figure 1 depicts the organizing framework (conceptual) model, page 12.

The four (4) major concepts of the nursing curriculum are PEOPLE, ENVIRONMENT, HEALTH/ILLNESS and NURSING ROLES: PEOPLE People are unique, multifaceted beings, with common, identifiable basic needs. The individual is a blending of body, mind and spirit with life experiences. Each person’s needs are influenced by age, gender, ethnicity, beliefs, values, social and economic status. These range from basic survival requirements to self-actualization. Family or groups of people are related by a common ancestry, interest, location, or other factor. The person as an individual adult and/or elder is discussed in Level I. Level II continues with this focus, adding concepts of child/newborn, childbearing family, and groups. Individuals are considered across the lifespan. The Baccalaureate nurse recognizes that the client requires not only individualized care, but is also a member of the community, which may require intervention on multiple levels. ENVIRONMENT People exist in environments, which are both internal and external. People are in constant interaction with those environments. The internal environment includes the individual’s biophysical and psychosocial states. The external environment includes significant others, family and community. The interactions between people and their environments affect human health/illness states. HEALTH/ILLNESS Health and illness are actual and perceived dynamic states. Health includes the ability to use one’s own powers to the fullest in the pursuit of chosen life-goals. Illness includes deviations from the usual or perceived health status, the presence of unmet needs and/or environment deficits. The concepts of human needs, wellness, and health promotion, are introduced in Level I. Throughout Level I health issues related to common deviations/needs are explored. Level II content focuses on growth and development, increasingly more complex deviations/unmet needs (both acute and chronic) and concurrent health promotion, maintenance and restorative care. The Baccalaureate nurse focuses on the care of clients with complex health needs and multi-system involvement in both structured and non-structured settings. 9

Montana State University-Northern Department of Nursing NURSING ROLES The role of the nurse focuses on learned behaviors that facilitate the practice of nursing, professionalism, and leadership. Provider Of Care The role of the provider of care in the practice of nursing includes the ability to assess, plan, and implement appropriate nursing actions to evaluate patient outcomes in acute and community-based settings. Initially the student provides care for one patient as part of the health care team and progresses to the management of care for a group of patients within a structured setting. Beginning in Level I, students are introduced to basic nursing care which supports activities of daily living, basic needs, basic communication skills, and teaching/learning principles. During the second semester of Level I, the focus is on mastery of skills such as medication administration, physical assessment, and pathophysiology. Adults and elders with common health/illness needs are selected for care. During Level II, the focus is directed toward planning nursing care for newborns, children, childbearing adults/families and other adults with more complicated health/illness needs. The Baccalaureate nurse continues to develop skills to manage groups of patients in a structured and non-structured setting. Manager Of Care In the role of the manager, the nurse must prioritize, plan, delegate, and function as a member of the health team. The student must demonstrate accountability for their decisions and nursing interventions. In Level II, students develop skills in management of several patients. The Baccalaureate nurse continues to develop skills to manage groups of patients in a structured and non-structured setting. Member Within The Discipline Of Nursing The nurse as a member within the discipline of nursing is responsible for continued learning/growth, ethical behavior and participation in professional organizations and activities. As a professional, the nurse is responsible and accountable for the care of clients according to professional standards and legal criteria. Level I students are introduced to the role of the professional organizations, values, legal/ethical principles and confidentiality. During Level II students examine issues in nursing and health care delivery. The Baccalaureate nurse functions as a mentor, participates in research, and is politically active in patient advocacy. The FOUNDATIONAL CONCEPTS: The foundational concepts Nursing Process, Communication, and Health Promotion, Maintenance, and Restoration were selected for special emphasis in the curriculum. They are integral components of nursing care and salient to current trends in nursing practice. Nursing Process involves the skill of assessment, analysis (nursing diagnosis), planning (setting goals), implementing the plan of care and evaluating the patient outcomes. The nursing process requires the nurse to use critical thinking in making clinical decisions in providing care to individuals. In Level I, the nursing process is introduced and then applied throughout the curriculum as the framework for nursing care. Today, increasing emphasis is being placed on the nurse’s ability to use critical thinking in making appropriate decisions. Ennis (1985) defines critical thinking as reflective and reasonable thinking that is focused on 10

RN-BSN Nursing Student Handbook

deciding what to believe or do. Critical thinking implies problem solving and is a composite of attributes that include attitude, knowledge and skill: a) attitudes of inquiring that involve an ability to recognize the need for evidence in support of what is asserted to be true, b) knowledge of the nature of valid inferences, abstractions and generalizations in which the weight of accuracy of different kinds of evidence are logically determined, c) skill in employing and applying the above attitude of inquiry and knowledge. The faculty believe that critical thinking behaviors are enhanced by knowledge gained from practice and experience. Clinical decision-making is enhanced by critical thinking. It can be defined as the systematic process of problem solving that enables the professional to make decisions based on knowledge, skill and experience. Clinical decision making as an outcome of critical thinking should result in justifiable and insightful nursing diagnoses and subsequent nursing actions leading to therapeutic nursing interventions. Communication is the process by which information, such as thoughts, feelings, perceptions and ideas are exchanged through a common system of symbols, signs or behaviors. Communication takes place in various contexts, such as culture and family. Communication is first introduced in Level I as therapeutic communication, nurse-patient relationships, teaching/learning principles, information technology, cultural and developmental needs. Level II continues these and examines group process, group dynamics and collaborative communication. The Baccalaureate nurse communicates and advocates for quality health care in an interdisciplinary environment. Health Promotion, Maintenance and Restoration Nursing interventions are focused on maximizing the biophysiologic, psychosocial, cultural status and the goals of individuals, families and communities. In the current climate of health care, these interventions frequently focus on health promotion, maintenance, and restoration. a) b) c) Health promotion advances patterns of functioning that foster and encourage health. Health maintenance protects and preserves patterns of maximum health potential. Health restoration advances patterns of functioning from depleted to impaired health to health maintenance.

In Level I, patterns of health promotion are introduced. In Level II, health promotion and maintenance in children and families is investigated. Level II also addresses restoration in meeting illness and rehabilitation needs after such problems as heart attack, stroke, and trauma. The Baccalaureate nurse is concerned with health promotion, and restoration based on community needs.

*Standards of Clinical Nursing Practice (2nd ed.). American Nurses Association (1998). *Educational Competencies for Graduates of Associate Degree Nursing Programs: Council of Associate Degree Nursing Competencies Task Force, National League for Nursing, (2000

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Montana State University-Northern Department of Nursing

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RN-BSN Nursing Student Handbook

Bachelor of Science Degree in Nursing
120 Required Program Semester Credits – 39 Credits of Upper Division
(General Education and Nursing Program Course Requirements): Credits BIOL 241 Anatomy and Physiology I 4 BIOL 242 Anatomy and Physiology II 4 MATH 112 College Algebra (MATH 110 or Higher for BSN) 3 CHEM 112 Physiological Chemistry 3 BIOL 217 Microbiology 4 CIS 110 Introduction to Computers (CAT VII) 3 ENGL 112 *Written Communication II (CAT I) 3 CAT I SPCH 141 Fundamentals of Speech OR 3 SPCH 142 Interpersonal Communications 3 TOTAL CREDITS.......………………………………………………… 30-31 Level I Nursing: (Havre or Lewistown) Credits NURS 128 Introduction to Nursing 6 NURS 136 Health Needs & Nursing Practice 6 PSYC 101 Introduction to Psychology (Soc.Sc. CAT IV) 3 MATH 116, 140 *Applied Statistics or BUS 250*Business Stats 3 +CAT IV. – Social Science/History 3 +CAT V – Cultural Diversity 3 +CAT VI – Humanities/Fine Arts 6 TOTAL CREDITS.............................................................30 *Need prior to NURS 444

Lab/Clinical Hrs 90 135

Lecture Hrs 60 45

Level II Nursing (Great Falls, Havre or Lewistown) NURS 220 Psychiatric Mental Health/Illness 4 45 NURS 250 Adult Health/Illness Needs I 6 135 NURS 251 Maternal Child Health Needs 7 90 NURS 252 Adult Health/Illness Needs II 6 90 NURS 253 Adult Health/Illness III 6 135 NURS 254 Principles of Nursing Practice 1 TOTAL CREDITS ...................................30 ASN DEGREE RECEIVED RN-BSN Completion Program Courses (Online) Credits NURS 321 Theoretical Foundations of Nursing 3 NURS 322 Health Assessment 3 NURS 347 Health Education 3 or 4 NURS 344 Nursing Care Clients w/Complex Needs 3 NURS 349 Clinical Preceptorship 2 NURS 355 Intro to Health Care System (only if N347 3 cr) 1 NURS 440 Leadership and Management 4 NURS 441 Leadership & Management Practicum 2 NURS 444 Nursing Research 3 NURS 446 Community Health Nursing 4 NURS 447 Community Health Practicum 2 Nursing Elective 3 TOTAL CREDITS.............................................................33 Nursing Electives: NURS 305 Nursing Ethics 3 NURS 331 Nursing in Diverse Cultures 3 NURS 346 Concepts of Aging (was Gerontological Nursing) 3 NURS 350 End of Life Care 3 Lab/Clinical Hrs Online Hrs

45 45 75 60 45

45 45 45 45 90 15 60 90 45 60 90 45

45 45 45 45

All shaded areas are only required for the ASN degree 13

Montana State University-Northern Department of Nursing EDUCATIONAL OUTCOMES Baccalaureate Degree Nursing Program 1. Demonstrates competence while providing holistic nursing care in various settings to individuals, families, groups, and communities with increasingly complex health/illness needs. 2. Utilizes the nursing process as the framework for decision making to adapt nursing care to individuals and families with various needs from diverse environments. 3. Utilizes therapeutic communication with the individual and family to develop and implement comprehensive teaching plans emphasizing health promotion, maintenance, and restoration. 4. Utilizes computer technology to obtain research findings and to communicate new knowledge. 5. Demonstrates skill in collaborating with other health care professionals and consumers of nursing care. 6. Incorporates skill in leadership while taking individual responsibility and accountability for nursing decisions and actions based on ethical codes and standards of nursing practice. 7. Incorporates ethical, moral, legal, and economic values into nursing practice. 8. Applies appropriate research findings into professional nursing practice. 9. Participates in improving the health care delivery system, health care policy, and the profession of nursing. 10. Demonstrates synthesis of theories and knowledge as a guide for nursing practice with culturally diverse clients. STUDENT BILL OF RIGHTS Bill of Rights and Responsibilities for Students of Nursing by National Student Nurses' Association, 1978: 1. Students should be encouraged to develop the capacity for critical judgment and engage in a sustained and independent search for truth. 2. The freedom to teach and the freedom to learn are inseparable facets of academic freedom: students should exercise their freedom with responsibility. 3. Each institution has a duty to develop policies and procedures, which provide and safeguard the students' freedom to learn. 4. Under no circumstances should a student be barred from admission to a particular institution on the basis of race, creed, sex, or marital status. 5. Students should be free to take reasoned exception to the data or views offered in any course of study and to reserve judgment about matters of opinion, but they are responsible for learning the content of any course of study for which they are enrolled. 6. Students should have protection through orderly procedures against prejudiced or capricious academic evaluation, but they are responsible for maintaining standards of academic performance established for each course in which they are enrolled. 7. Information about student views, beliefs, and political association which instructors acquire in the course of their work should be considered confidential and not released without the knowledge or consent of the student. 14

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8. The student should have the right to have a responsible voice in the determination of his/her curriculum. 9. Institutions should have a carefully considered policy as to the information, which should be a part of a student's permanent educational record as to the conditions of this disclosure. 10. Students and student organizations should be free to examine and discuss all questions of interest to them, and to express opinions publicly and privately. 11. Students should be allowed to invite and to hear any person of their own choosing, thereby taking the responsibility of furthering their education. 12. The student body should have clearly defined means to participate in the formulation and application of institutional policy affecting academic and student affairs. 13. The institution has an obligation to clarify those standards of learning which it considers essential to its educational mission and its community life. 14. Disciplinary proceedings should be instituted only for violations of standards of conduct formulated with significant student participation and published in advance through such means as a student handbook or a generally available body of institutional regulations. It is the responsibility of the student to know these regulations. Grievance procedures should be available for every student. 15. As citizens and members of an academic community, students are subject to the obligations which accrue them by virtue of this membership and should enjoy the same freedoms of citizenship. 16. Students have the right to belong or refuse to belong to any organization of their choice. 17. Students have the right to personal privacy in their living space to the extent that the welfare of others is respected. 18. Adequate safety precautions should be provided by schools of nursing, for example, to and from student dorms, adequate street lighting, locks, etc. 19. Dress code, if present in school, should be established by student government in conjunction with the school Department of Nursing Director and faculty, so the highest professional standards possible are maintained, but also taking into consideration points of comfort and practicality for the student. 20. Grading systems should be carefully reviewed periodically with students and faculty for clarification and better student-faculty understanding.

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Montana State University-Northern Department of Nursing RN-BSN COMPLETION ARTICULATION MODEL For progression to the nursing Baccalaureate Degree:  Must meet program admission requirements  Must be a graduate of Montana Associate of Science Program or an out-of-state college program  RNs need current license or permit in good standing in the state where practicum will be attended  Diploma graduates and others will be evaluated on an individual basis  May transfer in or be awarded credit equivalent of approximately two years lower division nursing courses  The MSU-Northern Department of Nursing provides 30 credits of advanced placement nursing credit for nursing skills learned through an approved diploma program. The diploma graduate must also provide evidence of 2000 hours of nursing experience as a registered nurse. Advanced Placement credit for the diploma graduate will be posted on the RN-BSN student’s transcript upon the successful completion of 15 upper division nursing credits and all required general education courses.

VARIABLES APPLIES TO:

0-3 Years After Graduation All ASN Graduates and Diploma graduates Out-of-State: All ASN and Diploma graduates of NLN accredited programs International: Individual basis No testing required No work experience required Montana:

3+ Years After Graduation Montana: All ASN Graduates and Diploma graduates Out-of-State: All ASN and Diploma graduates of NLN accredited programs International: Individual basis During the last 3 years must have had the following:
(1) Nursing work experience of 2000

NURSING CREDITS:

hours, or
(2) An approved refresher course (or

equivalent). NON-NURSING Only non-nursing courses that carry college credit may transfer (subject to individual CREDITS: college policies). CLEP and portfolio of experiential learning are available. Only non-nursing courses that carry college credit may transfer (subject to individual college policies). CLEP and portfolio of experiential learning are available.

EFFECTIVE FALL 1996; Revised May 2000; Revised December 2004

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RN-BSN Nursing Student Handbook

PROGRAM INFORMATION & POLICIES
A. Requirements for the RN-BSN Completion Program 1. Admission to Montana State University-Northern. 2. Acceptance requires minimum cumulative GPA of 2.25. 3. Evidence of current licensure as a Registered Nurse (for the state where the practicum is done) or a scheduled NCLEX exam date (provide proof or registration). RN Licensure is required prior to enrolling in courses other than N321, N322, N331, N347, N444, and nursing electives as offered. See Articulation Model, (page 16). 4. Prior to starting clinical nursing courses and/or practicums, current documentation is needed on file in the nursing office. The student must provide proof that he/she has: a) current RN Licensure in the state where the clinical practicum will be conducted b) health insurance c) current CPR certification (Health Care Provider or Professional version) d) freedom from Tuberculosis (TB) skin test or chest x-ray - if the TB skin test is positive, the student will need a form completed by a health care provider or health care facility annually. e) physical examination verifying good health status, physical examinations are valid for 10 years f) immunizations or documented proof of immunity to the diseases of measles, mumps, and rubella (applies to students born after 1956) as required for admission to university g) current tetanus (Td) and diphtheria vaccination within the past 10 years according to Center for Disease Control guidelines h) Hepatitis B immunization series started or completed. A titre is required between six (6) wks and six (6) months following the completion of the vaccination series. Students declining the titre must have a signed waiver on file. Students whose vaccination series was completed more than six (6) months prior to admission are exempt from the titre requirement. i) professional liability insurance is provided

5. Throughout the nursing program, it is the student’s responsibility to maintain: a) current CPR certification (Health Care Provider or Professional version) b) health insurance c) documented freedom from tuberculosis d) current copy of Montana (or state you plan to do practicum in) RN licensure. e) current tetanus and diphtheria vaccine (Td) within the past 10 years according to the Center for Disease Control Guidelines 6. Health standards must be met as required by participating clinical facilities, which may include an influenza vaccination. Additional laboratory/diagnostic test results or verification of required health standards to document health status and practices as required by these facilities and the Department of Nursing faculty to document that such standards are met. 7. HIPAA Policy: Student nurses are legally accountable under the Health Information Privacy and Accountability Act (HIPAA) of 1996 to ensure the confidentiality of patient health information.
NOTE: Students will not be allowed to work in clinical areas until the above requirements are met. Failure to keep the above
items current are grounds for not allowing students to go to clinical which will result in a zero for each clinical day missed.

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Montana State University-Northern Department of Nursing
8. Course work being transferred from other colleges/universities must reflect current knowledge and practices; therefore, a student may be required to retake courses.

9. For students desiring to transfer into the Baccalaureate Degree Program from another school of nursing, placement in the program is determined on an individual basis through transcript and/or course evaluations. An overall GPA of 2.25 and a grade of “C” or better in each required course is necessary for admission to the nursing program. Registered nurses who graduated from a diploma program will receive 30 credits of advance standing upon successful completion of 15 upper divisionnursing credits and all required general education courses. The diploma graduate must also provide evidence of 2000 hours of nursing experience as a registered nurse. Even though all students need 120 credits to graduate with their BSN, 30 of these must be completed at MSU-Northern. 10. All students are required to demonstrate proficiency in the general education courses such as English, Math, and Computer Science regardless of waiver or possession of either baccalaureate or associate degrees. 11. Students must have access to a computer with Internet as all the nursing courses are offered online. To verify that WebCT CE 4.1 will work properly with your web browser you must go to the WebCT browser tune-up page at http://www.webct.com/quickstart/viewpage?name=exchange_browswer_tuneup and follow the instructions on the page for adjusting your settings. Microsoft Word ® is the required software for homework submitted electronically. Microsoft Word is available at a VERY nominal fee to students through the MSU-Northern’s Bookstore. B. Policy for Disabilities Nursing students must be physically and mentally capable of meeting course objectives, both in the classroom and in the clinical setting. Nursing students must be able to perform functions that are required of the nurse such as lifting, transferring, standing for long hours, and communicating in written and verbal form. Students must have emotional stability in order to function appropriately under stress and must be flexible in order to adapt to rapidly changing environments. Reasonable accommodations will be made to meet the requirements of the American Disabilities Act of 1990. If a nursing student is unable to meet the physical and mental requirements of nursing, the student must meet with their advisor and the director of nursing to arrange for reasonable accommodations. If reasonable accommodations cannot be made, the student will not remain in the nursing program.. C. Professional Issues 1. Applicants to the RN-BSN Completion program are cautioned that professional and legal standards require nurses to conduct their lives lawfully and in concert with professional standards. Students enrolled in the RN-BSN Completion program who have been convicted of a felony or who have a history of abusing drugs or alcohol or engaging in any illegal activity should be aware that this could result in having their licensure revoked by State Board of Nursing in the state they are licensed. Students having concerns regarding any portion of the State of Montana Statutes and Rules relating to nursing requirements are advised to contact the Montana State Board of Nursing directly at 301 South Park, P.O. Box 200513/ Helena, MT 59620-0513; telephone number: (406) 841-2340 or www.nurse.mt.gov . 2. License Probation Or Reprimand Of Licensure 8.32.502 “(1) A licensee may be placed on probation or reprimanded based on grounds specified in ARM 8.32.413(2).” – Rules of Professional Conduct. D. Student Nurse Association Students are encouraged to join the local chapter of the National Student Nurses Association. The purpose of the SNA is to aid in the development of the individual student and to urge students of nursing, as future health professionals, to be aware of and to contribute to improving the health care of all people. SNA supports the nursing curriculum. The National Student Nurse Association is organized on the local, state, and national

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RN-BSN Nursing Student Handbook
level, and is an affiliate of the American Nurses’ Association. Local meetings are scheduled by the members at various times during the year. Being a member of the SNA prepares the student as a responsible member of a professional nursing organization. E. Estimated Expenses/Fees for RN-BSN Completion Program Estimated November 2008 please note that all University Fees are subject to change per Board of Regents. COURSE WORK INCLUDES 33 NURSING CREDITS Attending Part-time taking Online Courses Resident – 51 Upper Division Credits online Non-Resident – 51 Upper Division Credits online Attending Full time taking Online Courses Resident – 51 Upper Division Credits Online Non-Resident – 51 Upper Division Credits Online Lab Fees – Approximated Text Books – Approximated Scrubs and Name Tag –Approximated Total Cost Resident attending part-time online Total Cost Non-Resident attending part-time online ADDITIONAL EXPENSES ESTIMATED FOR GRADUATION Graduation Application Fees Cap, Gown and tassel Pinning (Pin) Depends on type Gas to travel to Havre, food, and lodging for Pinning/Graduation Total Estimated Additional Expenses

$13,098.00 $18,444.00 $14,272.00 $21,518.00 $ 75.00 $ 800.00 $ 100.00 $14,073.00 $19,419.00

$ 30.00 $ 20.00 $25.00 – $314.00 $ 150.00+ $225..00+

Tuition Northern students pay tuition according to the number of semester hours for which they register. (This includes courses taken for audit). Charges such as textbooks, laboratory fees, fines, parking, books, housing, and meals are not included in the tuition. Included in the tuition fees are:        Distance Learning Fee – expense of delivery method Computer Fee - used to purchase computer equipment for instructional use Building Fee - used to help pay construction and renovation costs Equipment Fee - used to purchase equipment for instructional use Network Fee - pays for an administrative software package Library Fee - used for enhancing library resources IT Fee - used for maintenance/replacement of the campus information technology infrastructure

Student Health Insurance All students are required to have health insurance. In order to keep insurance premiums as low as possible, the insurance is assessed to all students having 7 or more credits. If a student has other coverage, a waiver must be signed and the premium will not be charged. Students without health insurance who wish to purchase it from the University must pay $733.50 each for fall and spring semesters. Payment of these two premiums results in coverage for 12 full months. Family plans are available. More details: Student Health Insurance Plan. F. Email All students must have an MSU-Northern email account. Email must be checked at least every 48 hours. Faculty may require students to check their email more frequently, see course syllabus for specific information. WebCT is the preferred email account for students regarding individual class information.

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Montana State University-Northern Department of Nursing
G. Software Microsoft Word® is the software used by MSU-Northern’s Department of Nursing. It is the required software for homework submitted electronically. Microsoft Word software is available at a VERY nominal fee at the MSU-Northern Bookstore Cell Phone Usage Cell phone usage is not allowed at the clinical facilities. Student Records Policy All records are kept in a locked room and only the Department of Nursing faculty and staff have access to student records. Student files contain admission applications, clinical evaluations, health records, transcripts, and any course substitution or waiver forms submitted by the student. It is the policy of the Department of Nursing to maintain nursing students/graduates records for ten years after attendance in the nursing program. Transcripts can be obtained from the Registrars office indefinitely. Accidental Exposure Montana State University-Northern nursing students participate in clinical rotations in multiple facilities. Therefore, in the event of accidental exposure injuries, the policy of the facility where the incident occurs will be followed by the faculty and the students. It shall be the responsibility of the faculty in each facility to identify the location of institutional policies, Material Safety Data Manuals, and to identify the appropriate contact person in each facility before students begin clinical experiences. Neither MSU-Northern, nor participating facilities assume responsibility for the cost of testing in accidental exposure injury. The student will be responsible for the cost of evaluation, testing, and treatment if required. Disability Students who need assistance from student services for test taking, class work &/or clinical work accommodations must present the appropriate documentation and plan to the instructor at least 24 hours prior to the quiz/test/clinical. If your need arises from a disability including a learning disability, for which you request the above accommodation, please contact the Disability Support Services Office on campus so that the appropriate arrangements can be made. Any student, according to federal law requirements, requesting accommodation must provide documentation of his/her disability to the Disability Support Services counselor.

H. I.

J.

K.

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RN-BSN Nursing Student Handbook

ACADEMIC POLICIES
A. Progression through the Major 1. To continue in the program without interruption, the student must maintain: a) a cumulative grade point average (GPA) of 2.0 or better on a 4.0 scale b) a GPA of 2.25 or better in both the major and the minor c) a grade of “C” or better in each required course (nursing, support or general education) 2. Students who receive a grade lower than “C” in any required course may repeat the course one time. If a student receives a grade lower than a “C” in the same course (nursing, support or general education) twice, that student will be dropped from the nursing major and is ineligible for readmission. 3. RN-BSN Completion students must complete the program within five (5) consecutive years of being admitted. RN-BSN students may petition the faculty if an extension is needed. B. Attendance 1. Students are expected to attend every practicum course in which they are enrolled and to be present on time unless excused. Failure to do so may result in a lowered, unsatisfactory, or incomplete grade for a course. Online courses will have various requirements for participation; students are expected to log on when required by their instructor. 2. When absence is unavoidable, the student must notify the instructor and preceptor at the earliest possible time. 3. It is the responsibility of the student to make-up missed assignments. 4. The student must demonstrate good health status including emotional stability.

C.

Academic Committee Representatives Nursing students at the RN-BSN level are encouraged to serve as student representatives on the Department of Nursing committees: Policy, Procedures, and Forms Committee, Curriculum and Instruction Committee, Program Evaluation Committee, and Student-Faculty Communication Committee. Department of Nursing requests RN-BSN students to provide feedback concerning curricular issues. Feedback is used to make improvements. Surveys will be either mailed or distributed online to students.

F.

Academic Advisors 1. Faculty advisors are assigned to each RN-BSN Completion student. Academic advising will follow the university’s rules as stated in the catalog. New advisors may also be assigned as students progress in the RN-BSN courses. 2. The student is expected to meet with her/his advisor a minimum of twice per semester to discuss grades, academic plans or problems, course changes, etc. These meetings can take place face-to-face, by telephone, or by email, according to the student’s and instructor’s schedules and location. The student or the advisor has the right to initiate a change in the advising assignment. Students are encouraged to confer with advisors as academic problems, conflicts, or concerns arise.

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Montana State University-Northern Department of Nursing
G. Academic Grievance Process If a problem occurs within a course, the proper procedure for students to follow is the departmental grievance process. Please request a grievance form from the Department of Nursing office and refer to the university student handbook for other grievance policies and procedures. First, discuss the problem with the involved instructor. If the problem cannot be resolved, then the faculty advisor may be included. The next step, if a resolution does not occur, is to involve the Department of Nursing Director. If a satisfactory resolution is not attained using this departmental process, the student may initiate a grievance through the Montana State University-Northern grievance process. All departmental avenues must be exhausted prior to initiating a Montana State University-Northern grievance. (see NOTE). NOTE: The instructor for the course is totally responsible for assigning grades. No one else has the authority to assign a grade to a student. Differences in opinion over grade assignment should be handled between the student and the instructor.

Figure 2 MSU-NORTHERN DEPARTMENT OF NURSING ACADEMIC GRIEVANCE PROCESS | STUDENT || INSTRUCTOR || STUDENT’S NURSING FACULTY ADVISOR ||

DEPARTMENT OF NURSING DIRECTOR
|| MONTANA STATE UNIVERSITY-NORTHERN GRIEVANCE PROCESS

H. Grading Scale
100-92% 91-83% 82-75% 74-66% 65-below =A =B =C =D =F

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RN-BSN Nursing Student Handbook

I.

Suspension From the Major 1. Suspension Due to Grades a) If a student fails to maintain a grade of “C” or better in any required course for the RN-BSN, the student must repeat that course with a grade of “C” or better. The student may not take any courses that require the failed course as a prerequisite until the failed course is successfully passed ("C” or better). Students must maintain a grade of “C” or better in all required courses, a GPA of 2.25 on a 4.0 scale in the major, and a cumulative GPA of 2.0. If a student fails to maintain a grade of “C” or better in any course required for the RN-BSN Completion program, the student must drop out of the nursing major sequence and petition the Department of Nursing Director to repeat the course when it is offered again. If a student’s cumulative GPA falls below a 2.0, the student may be placed on departmental probation, for one semester. If an overall GPA of 2.0 is not attained by the end of the probationary period, the student may be dropped from the nursing program. A student may be terminated from a nursing course prior to its completion, if, in the judgement of the student’s clinical instructor, the student’s clinical practice jeopardizes client safety.

b) c)

d)

e)

2. Evidence of chemical (drug or alcohol) abuse is reason for immediate dismissal from the major. 3. Student nurses are legally accountable to maintain patient confidentiality. Students may be dismissed from the nursing program for violating HIPAA policy. Refer to the HIPAA policy at each individual facility 4. HIPAA Policy Student nurses are legally accountable under the Health Information Privacy and Accountability Act (HIPAA) of 1996 to ensure the confidentiality of patient health information. Student nurses are allowed to have access to protected health information for educational purposes and to provide safe nursing care to patient(s). When students obtain patient information while preparing to give patient care, they must omit full names, addresses, medical record numbers, and any other information that could be used to identify a patient. Students must not leave nursing care plans, concept maps, or other personal materials containing patient data unattended, nor should confidential information about patients be discussed with persons not directly involved with patient care or the student’s education. Nursing students are required to attend a HIPAA presentation at the clinical site and sign confidentially documentation before any clinical practicum. Violation of HIPAA regulations may result in dismissal from the program based on the judgment of the Privacy Officer at the clinical site and the Director of the Department of Nursing. A student could also be subject to criminal prosecution or civil lawsuit for breach of confidentiality under the HIPAA law. 5. Cheating/Dishonesty/Plagiarism a) Students who are suspected of or found cheating will be referred to the Department of Nursing Director for further action, which may include dismissal from the nursing major. The university policy will be followed. Cheating will be inclusive to mean receiving answers or information on examinations as well as copying someone else’s written assignments or committing plagiarism. Other examples of dishonesty or cheating may also be applicable. Dishonesty, such as cheating, plagiarism, or knowingly furnishing false information to the university or the department is reason for dismissal from the major. Students who are caught cheating will receive a zero on the assignment or exam and face possible expulsion from the university.

b)

c)

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Montana State University-Northern Department of Nursing
d) Plagiarism means to take intentionally and present as one’s own, material, a portion of the ideas or words of another or to present as one’s own, an idea or work derived from an existing source without full and proper credit to the source of the ideas or works. As defined above, “plagiarize” includes, but is not limited to:

i. The copying of words, sentences, and paragraphs directly from the work
of another without proper credit.

ii. The copying of illustrations, figures, photographs, drawings, models,
computer programs, or other visual and non-visual materials (including recordings) of another without proper credit.

iii. The presentation of work prepared by another in final or draft form as
one’s own without citing the source (e.g. research papers).

iv. Refer to MSU-Northern’s plagiarism policy in the university student
handbook. J. Reinstatement to the Nursing Major The student’s records, clinical performance, and other pertinent information will be reviewed. Faculty may require additional documentation of student’s current knowledge, such as, but not limited to, passing standardized exams and faculty constructed practical examinations. Students are assessed a fee for the standardized exams. If approval for reinstatement is made, the student will resume the nursing program at a point of entry which allows for smooth progression to the next sequence as determined by the faculty. The student may be advised to audit a previous nursing course so that transition can be made smoothly and student achievement enhanced 1. The student is ineligible for readmission if two grades below a “C” are received in any required course (nursing, support or general education). 2. Petition for reinstatement and conditions: a) b) c) d) Reinstatement is on space available basis. Required non-nursing courses must have a grade of “C” or better. Cumulative GPA consisting of the required courses (nursing, support and general education) must be 2.25 or better on a 4.0 scale. Required courses may be repeated only once (nursing and non- nursing).

3. Procedure a) b) Request reinstatement in writing, to the Department of Nursing Director. The letter should include the following:

i. The semester of requested reinstatement and the course(s) desired. ii. The last semester in attendance at MSU-Northern, the last nursing course
completed and the grade received in that course.

iii. Evidence of having achieved a “C” or better in non-nursing course(s) retaken. iv. Evidence that current cumulative GPA of required courses (nursing, support and
general education) is 2.25 or above, on a 4.0 scale.

v. Statement giving the faculty permission to review the student’s record to
determine the student’s eligibility to be reinstated and to determine which semester the student will need to re-enter the major.

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RN-BSN Nursing Student Handbook

K.

Graduation Students who are going to graduate need to follow all university policies and procedures relating to graduation as published in MSU-Northern’s catalog. The following are additional steps the nursing graduate needs. 1. Graduation applications must be completed during the semester preceding graduation and returned to the registrar’s office in Havre. Graduation applications are available through the Department of Nursing Administrative Associates or email rmunson@msun.edu to request an application. 2. To participate in commencement in May, gowns and announcements need to be ordered through the bookstore during the fall semester preceding graduation. 3. All students who have received financial aide during their college experience must have an exit interview with the Financial Aide Officer. 4. The official nursing pin from the MSU-Northern Department of Nursing can only be purchased from the university bookstore. A pin bought anywhere else is not official.

L.

MSU-Northern Pinning Ceremony 1. The nursing pinning ceremony is a celebration of the great achievement made in completing the hard work of this nursing program. The purpose is to recognize each graduate, along with his/her significant other(s) , by placing the school nursing pin on the graduate. 2. Only the official nursing school pin will be used in the MSU-Northern Nursing Pinning Ceremony. The official MSU-Northern nursing pin can only be purchased from our university bookstore. A pin bought anywhere else is not official. 3. Graduating nursing students must wear a professional all-white nursing uniform. 4. Students may participate in the Pinning Ceremony at either the Havre or Lewistown Campuses. Please contact the Department of Nursing Director, Mary Pappas prior to March preceding the ceremony. Pinning Ceremony is held the day before graduation.

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Montana State University-Northern Department of Nursing CLINICAL/PRACTICUM REQUIREMENTS
A. Clinical/Practicum Experience

1. Student participation in clinical areas is dependent upon space and faculty availability. If there are more
students than space available, a waiting list will be developed. Those students having the highest cumulative GPA will be given priority consideration. Faculty reserve the right to consider individual circumstances and other alternatives if space and sufficient numbers of faculty become limited. Clinical agencies also have the right to restrict student participation if patient census is low.

2. RN-BSN students may use health care facilities, close to their place of residence. Student hours for
practicums must not coincide with student's paid working hours.

3. Clinical Agency Agreements:
A written agreement with the clinical agency in which the RN-BSN student is to have a clinical experience must be signed and filed in the Department of Nursing office before the experience begins. Additional paperwork is necessary for IHS health care facilities. See procedures on page 25.

4. Students need to be licensed in the state in which the clinical practicum is located. 5. Clinical agencies safeguard patient welfare by assuring that students meet health requirements, have a
regard for professional ethics, comply with agency standards, and have the ability to carry out patient care assignments with required knowledge and skills. Should agency personnel determine that a student is unsafe in any way, they may refuse admittance to that student to practice at their facility.

6. Any student whose ability to function or to practice safely is questioned will not be allowed on the clinical
unit. The clinical instructor and/or preceptor has the right and obligation to determine the student’s ability to practice safely. Nursing management personnel may exclude a student from a clinical unit if they deem the student’s behavior unsafe.

7. Any student who has indication of chemical abuse will be dismissed from the unit and be required to
report directly to the Department of Nursing Director or designee for further evaluation and action. Abuse of chemical substances (drugs or alcohol) may be a cause for dismissal from the nursing major.

8. Any student who is asked to leave a clinical unit will be given a grade an “unsatisfactory” for that day. 9. The student must demonstrate good health status including emotional stability to be allowed to participate
in clinical assignments.

10. If there is any condition or circumstance, which constitutes an unreasonable risk to the safety and
well being of the patient/client, the faculty, or other students, a student may be removed from the program. The final decision regarding removal will be based on the judgment of the Department of Nursing faculty and the Department of Nursing Director.

11. Because students are scheduled in clinical agencies to provide patient/client care at varied times,
students who hold jobs must arrange with employers for flexibility in meeting schedules. The course schedules may involve rotations during the week, both morning and evening hours. Student’s personal and work circumstances must be flexible enough to permit students to maintain acceptable grades and to meet all class requirements.

12. Students will be responsible for the handling, care, and use of equipment and will be responsible for
leaving all work areas neat and orderly with materials returned to the appropriate cupboards or areas.

13. Students are required to obtain a student identification password for any computer they will use in a
clinical experience. If the RN-BSN student is employed at the facility where clinical is being conducted, the student must contact the information technology department and obtain a password that is different from the employee password. (see following Health Care Information Sysytem policy)

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RN-BSN Nursing Student Handbook

B.

Uniform Requirements 1. RN-BSN Completion students are required to wear the uniform specific and appropriate to the agency in which they are obtaining their clinical practicum 2. RN-BSN Completion students must wear a picture name badge identifying themselves as MSUNorthern students during clinicals. Pictures for the RN-BSN name badges can be taken at any MSUNorthern campus or students can email a digital head and shoulder picture of themselves with a colored background (no white backgrounds) to rmunson@msun.edu . Picture name badges cost $10.00. 3. Students must present a professional appearance. 4. No jewelry, other than wedding or engagement rings; maximum of two stud earrings per ear, no dangling earrings. Bring a large safety pin for pinning jewelry to clothing when rings must be taken off for certain clinical areas (i.e. surgery, OB delivery, nursery, etc.). 5. No visible tattoos. 6. No false fingernails.

C.

Equipment Requirements EACH student is expected to have the following: 1. Watch with a second hand 2. Stethoscope 3. Other equipment as required for the successful completion of their clinical practicum.

D.

Transportation 1. Students need to make their own arrangements for transportation to health care agencies for clinical. 2. Under no circumstances are students allowed to transport patients/clients in their private vehicles.

E.

Health Care Information System Policy for RN-BSN Students It may be necessary for RN-BSN students in the MSU-Northern nursing program to utilize the Health Care Information System (HCIS) to document client care. RN-BSN students doing their clinical practicum in the same facility that they are employed, must obtain an additional login and password with a student nurse designation. It is the RN-BSN student nurses responsibility to ensure that this policy is adhered to and to obtain and sign the necessary documentation. For clinical practicums done at Northern Montana Health Care in Havre, please contact Gerri Sternberg, MIS Manager at 262-1149. She is available between the hours of 7AM and 5 PM, Monday through Friday. For clinical practicums done at Benefis Health Care in Great Falls, RN-BSN students need to obtain the Log-In request form from Renae Munson, the MSU-Northern Department of Nursing administrative associate at 800-446-2698 or 406-771-4437. The student is then to contact Will Daniels, Privacy Officer/CIS Specialist at 455-5711. If computer documentation is required at other facilities, please contact the MIS administrator at that facility to make appropriate arrangements.

F.

Preceptor Guidelines A preceptor is highly proficient registered nurse, with a specific area of expertise, who can guide an RN-BSN student toward attainment of the course/student objectives. Selection is a collaborative effort between the student, faculty, administration, and preceptor. The preceptor functions as a resource person, consultant, and role model for the student, on a voluntary basis, and provides input into the student evaluation. The preceptor must be capable of providing an environment in which the student can participate in learning experiences required to attain course objectives. Feedback from

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Montana State University-Northern Department of Nursing
the clinical preceptor for the purpose of validating the clinical experience is an essential part of the evaluation process. G. Criteria for selection of Preceptor Preceptors are selected in consultation with instructor. Instructors can arrange for dual preceptors when necessary. 1. Registered Nurse or Advanced Practice Registered Nurse (APRN) with a specific area of expertise appropriate to course/student objectives. 2. Possesses a minimum of a Bachelor’s Degree (BSN), or Master’s degree (APRN). APRNs may possess a Bachelor’s degree if they meet the criteria set forth in 82.32.305 (1) (b) of the Statutes and Rules Related to Nursing. Other arrangements can be made with the faculty member if there is not a BSN prepared preceptor available. 3. Is employed in an organized health care setting. 4. The preceptor will be licensed in the state in which the clinical or practicum experience occurs. H. Procedures 1. STUDENT’S RESPONSIBILITY: a) A formal agreement between MSU-Northern and the desired facility for the practicum experience needs to be signed and on file prior to the beginning of the clinical experience. Facility Contracts are effective for three (3) years. Additional paperwork is necessary for IHS health care facilities. By the end of the second week of the semester, students enrolled in a practicum will be provided with a current list of facilities that have existing contracts with MSU-Northern. Students will need to contact Renae Munson with the following information to establish a contract with a facility not on the list. Establishing a contract usually takes 10 days or more. Students are encouraged to submit their request prior to the beginning of class.

i. ii. iii. iv.

Name of Facility Address Name of CEO or administrator Phone Number

b) Submit signed copies of the “Preceptor Acknowledgement of Student Assignment” form to Renae Munson, who will also forward a copy to the course instructor. (pages 38 & 39) c) Submit the “Precepting Schedule & Data” (page 41) to Renae Munson for schedule approval. NO STUDENT MAY ATTEND CLINICAL WITHOUT APPROVAL. d) Students are responsible for providing a copy of the “Precepting Schedule & Data” to the Nursing Manager of Agency/Facility. e) Students need to make an appointment with their preceptor for a performance skills evaluation. Non-attendance at scheduled performance skills evaluations must be excused to avoid a grade penalty. f) Upon conclusion of the practicum students need to complete and return to their instructor the “Student Evaluation of Preceptor” (page 40). g) Students will send the preceptor a formal thank you after the clinical experience.

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RN-BSN Nursing Student Handbook

2. INSTRUCTOR: a) Instructor verifies with administrative associate that a facility contract has been issued. b) Once the preceptor has been selected, the instructor or his/her designee will send the preceptor the following:

i. ii.

Syllabus which includes course objectives/expectations, Performance Skills Evaluation Form (pages 30-36)

c) Instructor will contact the preceptor in person, email, or by telephone to review the preceptor requirements and answer any questions. d) Instructor reviews practicum schedule with Department of Nursing Director for final approval. e) Instructor will send the preceptor a formal thank you after the clinical experience. 3. PRECEPTOR: a) Preceptor will sign a “Preceptor Acknowledgement of Student Assignment” (pages 38&39). b) Preceptor will review “Performance Skills Evaluation” (pages 30-36) with student – student may make a copy for his/her record. c) Preceptor will complete and return to instructor the Performance Skills evaluation (pages 3036) upon conclusion of practicum. I. Absences from Clinical

1. Due to the flexibility of RN-BSN student’s clinical assignments, it is expected they will be able to
make-up any missed clinical time.

2. If a student must miss a clinical day, the student must notify the instructor and their preceptor prior to
the beginning of the shift to which they were scheduled.

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Montana State University-Northern Department of Nursing MSU NORTHERN DEPARTMENT OF NURSING CLINICAL EVALUATION CRITERIA NURS 349 CLINICAL PRECEPTORSHIP CLINICAL WRITTEN WORK RATINGS Outstanding effort and thought are obvious. All required areas are addresses in a complete and thorough manner. Information is accurate INDEPENDENT 5 and presentation is professional in appearance. Assignments are turned in on or before due date. Overall, written work is complete and accurate but lacks depth. SUPERVISED Considerable thought and effort is evident. Presentation is professional in 4 appearance. Assignments are turned in on or before the due date. Most of the assigned areas are addressed but there are obvious gaps. Information is missing and/or not factual. Presentation is acceptable but ASSISTED 3 improvement needed. Assignments are turned in a timely manner or up to 24 hrs. late. Large or important pieces of information are missing and/or not factual. MARGINAL Little effort or thought is evident. Presentation is non-professional. 2 Assignment is turned in up to 48 hrs. late. Most of the information that was required has not been completed. DEPENDENT 1 Assignments are turned in greater than 48 hrs. late. CLINICAL PERFORMANCE EVALUATION CRITERIA SCALE/LABEL STANDARD PERFORMANCE QUALITY PROCEDURE INDEPENDENT Safe Proficient, coordinated, confident. Accurate Expedient time expenditure 5 SUPERVISED Safe Efficient, coordinated, confident. Accurate Expedient time period. 4 ASSISTED

ASSISTANCE Without Direction With occasional physical or verbal direction Frequent verbal and/or physical direction Continuous verbal and/or physical direction Continuous verbal and/or physical direction

3
MARGINAL

Mostly safe and accurate Questionable safe and questionable accurate Unsafe Inaccurate

Partial demonstration of skills. Inefficient or uncoordinated. Delayed time expenditure. Unskilled and inefficient. Considerable and prolonged time expenditure. Unable to demonstrate procedures. Lacks confidence, coordination and efficiency.

2
DEPENDENT

1

PERFORMANCE RATINGS MUST BE 3 OR ABOVE TO RECEIVE A PASSING GRADE FOR THE COURSE IN BOTH WRITTEN AND CLINICAL EVALUATION AREAS.

30

RN-BSN Nursing Student Handbook

NURS 349: CLINICAL EVALUATION FORM
STUDENT NAME: __________________________________________ MANAGER OF CARE Objective 1: Incorporate selected nursing roles in structured and unstructured health care systems. A. Identifies priorities of complex client’s needs in structured and/or unstructured health care systems Student Comments Preceptor Comments Faculty Comments Objective 2: Incorporate evidence-based practice with selected structured and unstructured health care settings with a specific patient population. A. Document and communicate research findings pertinent to a specific patient population. Student Comments Preceptor Comments Faculty Comments Grade: Grade:

FINAL CLINICAL GRADE SUMMARIZE FINAL EVALUATION FINDINGS

S_______ U________

_________________________________________________________________________________ _________________________________________________________________________________ _________________________________________________________________________________

Student Signature____________________________ Preceptor Signature___________________________ Faculty Signature____________________________

Date_________________________ Date_________________________ Date_________________________

31

Montana State University-Northern Department of Nursing MSU NORTHERN DEPARTMENT OF NURSING CLINICAL EVALUATION CRITERIA NURS 441 LEADERSHIP AND MANAGEMENT CLINICAL WRITTEN WORK RATINGS Outstanding effort and thought are obvious. All required areas are addresses in a complete and thorough manner. Information is accurate INDEPENDENT 5 and presentation is professional in appearance. Assignments are turned in on or before due date. Overall, written work is complete and accurate but lacks depth. SUPERVISED Considerable thought and effort is evident. Presentation is professional in 4 appearance. Assignments are turned in on or before the due date. Most of the assigned areas are addressed but there are obvious gaps. Information is missing and/or not factual. Presentation is acceptable but ASSISTED 3 improvement needed. Assignments are turned in a timely manner or up to 24 hrs. late. Large or important pieces of information are missing and/or not factual. MARGINAL Little effort or thought is evident. Presentation is non-professional. 2 Assignment is turned in up to 48 hrs. late. Most of the information that was required has not been completed. DEPENDENT 1 Assignments are turned in greater than 48 hrs. late. CLINICAL PERFORMANCE EVALUATION CRITERIA SCALE/LABEL STANDARD PERFORMANCE QUALITY PROCEDURE INDEPENDENT Safe Proficient, coordinated, confident. Accurate Expedient time expenditure 5 SUPERVISED Safe Efficient, coordinated, confident. Accurate Expedient time period. 4 ASSISTED

ASSISTANCE Without Direction With occasional physical or verbal direction Frequent verbal and/or physical direction Continuous verbal and/or physical direction Continuous verbal and/or physical direction

3
MARGINAL

Mostly safe and accurate Questionable safe and questionable accurate Unsafe Inaccurate

Partial demonstration of skills. Inefficient or uncoordinated. Delayed time expenditure. Unskilled and inefficient. Considerable and prolonged time expenditure. Unable to demonstrate procedures. Lacks confidence, coordination and efficiency.

2
DEPENDENT

1

PERFORMANCE RATINGS MUST BE 3 OR ABOVE TO RECEIVE A PASSING GRADE FOR THE COURSE IN BOTH WRITTEN AND CLINICAL EVALUATION AREAS.

32

RN-BSN Nursing Student Handbook

NURS 441: CLINICAL EVALUATION FORM
STUDENT NAME: __________________________________________ MANAGER OF CARE Objective 1: Analyze various management styles as they relate to nursing practice. A. Describes benefits of various management styles Student Comments Preceptor Comments Faculty Comments Objective 2: Formulate decision-making strategies to effect change in nursing service in a selected health care system. A. Relates concepts of change theory to an actual management situation. Student Comments Preceptor Comments Faculty Comments Grade: Grade:

FINAL CLINICAL GRADE SUMMARIZE FINAL EVALUATION FINDINGS

S_______ U________

_________________________________________________________________________________ _________________________________________________________________________________ _________________________________________________________________________________

Student Signature____________________________ Preceptor Signature___________________________ Faculty Signature____________________________

Date_________________________ Date_________________________ Date_________________________

33

Montana State University-Northern Department of Nursing MSU NORTHERN DEPARTMENT OF NURSING CLINICAL EVALUATION CRITERIA NURS 447 COMMUNITY HEALTH NURSING CLINICAL WRITTEN WORK RATINGS Outstanding effort and thought are obvious. All required areas are addresses in a complete and thorough manner. Information is accurate INDEPENDENT 5 and presentation is professional in appearance. Assignments are turned in on or before due date. Overall, written work is complete and accurate but lacks depth. SUPERVISED Considerable thought and effort is evident. Presentation is professional in 4 appearance. Assignments are turned in on or before the due date. Most of the assigned areas are addressed but there are obvious gaps. Information is missing and/or not factual. Presentation is acceptable but ASSISTED 3 improvement needed. Assignments are turned in a timely manner or up to 24 hrs. late. Large or important pieces of information are missing and/or not factual. MARGINAL Little effort or thought is evident. Presentation is non-professional. 2 Assignment is turned in up to 48 hrs. late. Most of the information that was required has not been completed. DEPENDENT 1 Assignments are turned in greater than 48 hrs. late. CLINICAL PERFORMANCE EVALUATION CRITERIA SCALE/LABEL STANDARD PERFORMANCE QUALITY PROCEDURE INDEPENDENT Safe Proficient, coordinated, confident. Accurate Expedient time expenditure 5 SUPERVISED Safe Efficient, coordinated, confident. Accurate Expedient time period. 4 ASSISTED Mostly safe and Partial demonstration of skills. Inefficient or accurate uncoordinated. Delayed time expenditure. 3 MARGINAL Questionable safe Unskilled and inefficient. Considerable and and questionable prolonged time expenditure. 2 accurate DEPENDENT Unsafe Unable to demonstrate procedures. Lacks Inaccurate confidence, coordination and efficiency. 1

ASSISTANCE Without Direction With occasional physical or verbal direction Frequent verbal and/or physical direction Continuous verbal and/or physical direction Continuous verbal and/or physical direction

PERFORMANCE RATINGS MUST BE 3 OR ABOVE TO RECEIVE A PASSING GRADE FOR THE COURSE IN BOTH WRITTEN AND CLINICAL EVALUATION AREAS.

34

RN-BSN Nursing Student Handbook
NURS 447: CLINICAL EVALUATION FORM STUDENT NAME: __________________________________________ PROVIDER OF CARE Objective 1: Conceptualize community health nursing practice using the clinical decision making process. A. Identifies changes in health care determined by community needs. Student comments Preceptor Comments Faculty Comments Grade:

B. Identifies the core functions of community health nursing. Student Comments Preceptor Comments Faculty Comments

Grade:

Objective 2: Formulate nursing strategies to meet health/illness needs of individuals, families, groups, and communities using tools and assessment techniques. A. Utilizes an evidence-based assessment instrument to identify community needs. Student Comments Grade:

Preceptor Comments

Faculty Comments

35

Montana State University-Northern Department of Nursing

MANAGER OF CARE Objective 3: Analyze contemporary community health issues as they relate to community health nursing. A. Identifies priorities for health care funding and other contemporary issues Student Comments Preceptor Comments Faculty Comments Objective 4: Differentiate between issues related to urban and rural/global community health nursing practice. A. Use evidence-based research to communicate variables of urban and rural/global community health Grade: nursing practice. Student Comments Preceptor Comments Faculty Comments Grade:

FINAL CLINICAL GRADE SUMMARIZE FINAL EVALUATION FINDINGS

S_______ U________

_________________________________________________________________________________ _________________________________________________________________________________ _________________________________________________________________________________

Student Signature____________________________ Preceptor Signature___________________________ Faculty Signature____________________________

Date_________________________ Date_________________________ Date_________________________

36

RN-BSN Nursing Student Handbook

Montana State University-Northern Department of Nursing Clinical Nursing Course Confidentiality Agreement
Students enrolled in the Department of Nursing recognize the importance of protection of confidential information about patients and their families and of the operations of agencies where students are placed for clinical experiences. It is the obligation of every student to protect and maintain confidentiality. All patient information is considered confidential. It is the ethical and legal responsibility of all students to maintain and comply with all confidentiality requirements of the agencies used for clinical experiences.

As a student at Montana State University-Northern Department of Nursing, I agree to the following:
1. 2. 3. I will protect the confidentiality of all patients, family and clinical agency information. I will not release unauthorized information to any source. I will not access or attempt to access information other than that information which I have authorized access to and need to know in order to complete my assignment as a student nurse. I will report breaches of the confidentiality agreement by others to my clinical instructor. I understand that failure to report breaches of confidentiality is and ethical violation and subjects me to disciplinary action. I will not put patient/family/clinical agency identifying information on any stored information (disk or hard drive) on my own personal computer or on any other public or private computer. I will not photograph or digitally record any patient/family/clinical identifying information. I will not have conversations outside of the clinical/post conference setting concerning clinical experiences.

4.

5.

6. 7.

Date

Signature

Printed Name

This form will be placed in student’s academic file; please keep a copy for your records.

37

Montana State University-Northern Department of Nursing PRECEPTOR ACKNOWLEDGEMENT OF STUDENT ASSIGNMENT
Student completes this Section
NURS Students Name ([ ]) ([ ]) Name of Course Faculty Home Phone Work Phone Nursing Course # YEAR FALL SPRING SUM Please Circle Semester

([
Student’s Signature Date

])

([

])

Work Phone

Home Phone

Preceptor
This is to acknowledge that I have agreed to serve as a preceptor for a student in the MSU-Northern Department of Nursing RN-BSN Completion program. I understand that services rendered by me, under the direction of the assigned course faculty member, are voluntary and without compensation. I agree to forward to the faculty member a completed student evaluation form at the end of the clinical experience. I understand that student hours must not coincide with the student’s paid working hours. I agree to serve as the preceptor for the above mentioned student

Preceptor Position/Title

Preceptor Name (please print)

([

])

([

]) Preceptor Signature Date

Work Phone

Home Phone

Feedback from the clinical preceptor for the purpose of validating the clinical experience is an essential part of the evaluation process. Upon completion of clinical, please rate the student according to the level of performance. The rating is based on a five point scale with “1” indicating unsatisfactory progress and “5” indicating outstanding progress. NA, if not applicable, not assessed or not appropriate to the clinical experience. Your personal comments of the student are appreciated. Guideline will be mailed to you upon receipt of this form. Thank you for your valued time.

Agency or Facility Information

([
Name of Agency/Facility

])

Phone of Agency/Facility

Address of Agency/Facility

City

State

ZIP

Return Completed Forms
Provide a copy to the Nursing Manager of Agency FAX TO: FAX: 406-771-4340 Phone: 800-446-2698 x4437 Email: rmunson@msun.edu Or MAIL TO: Renae Munson MSU-Northern 2100 16th Avenue South Great Falls, MT 59405

38

RN-BSN Nursing Student Handbook

Form for NORTHERN MONTANA HEALTH CARE only

PRECEPTOR ACKNOWLEDGEMENT
OF

STUDENT ASSIGNMENT
Student completes this Section
NURS Students Name ([ ]) ([ ]) Name of Course Faculty Home Phone Work Phone Nursing Course # YEAR FALL SPRING SUMMER Please Circle Semester

([
Student’s Signature Date

])

([

])

Work Phone

Home Phone

Preceptor
This is to acknowledge that I have agreed to serve as a preceptor for a student in the MSU-Northern Department of Nursing RN-BSN Completion program. I understand that services rendered by me, under the direction of the assigned course faculty member, are voluntary and without compensation. I agree to forward to the faculty member a completed student evaluation form at the end of the clinical experience. I understand that student hours must not coincide with the student’s paid working hours. I agree to serve as the preceptor for the above mentioned student

Preceptor Name (please print)

Preceptor Position/Title

([
Preceptor’s Signature

])

([

])

Work Phone

Home Phone

Feedback from the clinical preceptor for the purpose of validating the clinical experience is an essential part of the evaluation process. Upon completion of clinical, please rate the student according to the level of performance. The rating is based on a five point scale with “1” indicating unsatisfactory progress and “5” indicating outstanding progress. NA, if not applicable, not assessed or not appropriate to the clinical experience. Your personal comments of the student are appreciated. Guideline will be mailed to you upon receipt of this form. Thank you for your valued time.

Agency or Facility Information
Northern Montana Health Care 30 13t Street Havre, MT 59501

Name of Unit or Department

Required Signatures
X (Department Manager’s Signature) X (Karen Pollington, Vice President of Patient Service’s Signature) X (Sheila Wirt, Medical Coordinator’s Signature) Date Date Date

Return SIGNED Forms
Provide a copy to the Nursing Manager of Agency FAX TO: FAX: 406-771-4340 Phone: 800-446-2698 x4437 Email: rmunson@msun.edu Or MAIL TO: Renae Munson MSU-Northern 2100 16th Avenue South Great Falls, MT 59405

39

Montana State University-Northern Department of Nursing

STUDENT EVALUATION OF PRECEPTOR
Feedback is an essential part of the evaluation process. Upon completion of clinical, please rate your preceptor. Your personal comments are appreciated. Thank your for your valued time.
NURS Students Name ([ ]) ([ ]) Name of Course Faculty Home Phone Work Phone Nursing Course # YEAR FALL SPRING SUMr

Please Circle Semester

PRECEPTOR INFORMATION
Name of Preceptor Unit or Department Name of Agency/Facility City State ZIP

RATING SCALE
5 - Outstanding 4 - Above Average 3 – Satisfactory 2 – Unsatisfactory 1 – Unsatisfactory Exceeds student needs and/or expectations, always in a timely manner. Consistently meets student needs and/or expectations, usually in a timely manner. Usually meets student needs and/or expectations, fairly timely. Rarely meets student needs and/or expectations. Does not meet student needs and/or expectations.

EVALUATION
1. 2. 3. 4. 5. Guided student toward attainment of course objectives. Guided student toward attainment of student’s objectives. Functioned as a resource person, consultant, & role model. Provided student with evaluation about professionalism. Was available to the student in a timely manner. 1 1 1 1 1 2 2 2 2 2 3 3 3 3 3 4 4 4 4 4 5 5 5 5 5 NA NA NA NA NA

Comments

Return Completed Forms
FAX TO: FAX: 406-771-4340 Phone: 800-446-2698 x4437 Email: rmunson@msun.edu Or MAIL TO: Renae Munson MSU-Northern 2100 16th Avenue South Great Falls, MT 59405

40

RN-BSN Nursing Student Handbook

PRECEPTING SCHEDULE & DATA
COURSE NUMBER: ______________ COURSE TITLE: _______________________________________ INSTRUCTOR’S NAME: ____________________________________________________________________

Student Name: ____________________________ Home Phone # _______________________

STUDENT DATA

Address: __________________________________ Work Phone # _______________________ City: ______________________________ State: ____________ Zip: ___________________

If employed, where: ____________________________________________________________ Area of specialty/Unit: ____________________________For How Long __________________ Previous work experience: _______________________________________________________

Preceptor Name: _________________________ Title or Position Held: ____________________ Home Phone # ______________________________ Work Phone # ______________________ UNIT/Area of Specialty ____________________________ For How Long_________________ Previous Work Experience: ______________________________________________________ Agency Name: __________________________ City Located: __________________________ Preceptor email Address: __________________________

PRECEPTING TIME WITH PRECEPTOR: DATES TIMES ____/____/____ ______ TO _______ ____/____/____ ______ TO _______ ____/____/____ ______ TO _______ ____/____/____ ______ TO _______ ____/____/____ ______ TO _______ ____/____/____ ______ TO _______ ____/____/____ ______ TO _______ ____/____/____ ______ TO _______ ____/____/____ ______ TO _______ ____/____/____ ______ TO _______ ____/____/____ ______ TO _______

UNIT ____________ ____________ ____________ ____________ ____________ ____________ ____________ ____________ ____________ ____________ ____________

Total Hrs ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________

Preceptor Initials _____ _____ _____ _____ _____ _____ _____ _____ _____ _____ _____

DATES & TIMES

I plan to practice in the clinical setting during the hours indicated above. I understand that the hours must not coincide with student’s work hours. Cc: Agency President/CEO; Agency DON; Preceptor; and MSU-N Dept of Nursing Faculty. (Student is responsible to send copies of this form to above people).

41


				
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