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       TULSA COMMUNITY COLLEGE
           NURSING PROGRAM
          STUDENT HANDBOOK
               2009-2010
      Setting the Standard for Nursing Excellence in our Community




Rev 1/3/08
2009-2010
                                                                                                                                                   i


TCC Nursing Division Values ........................................................................................................ 1
TCC Nursing Division Conceptual Framework Model .................................................................. 1
Faculty and Staff ............................................................................................................................. 2
   Level 1 Faculty........................................................................................................................... 2
   Level 2 Faculty........................................................................................................................... 2
   Level 3 Faculty........................................................................................................................... 2
   Level 4 Faculty........................................................................................................................... 3
   Nursing Certificates Program - Faculty .................................................................................... 3
   LPN-RN Bridge Faculty ............................................................................................................. 3
   Other Faculty ............................................................................................................................. 4
   Administrative Staff .................................................................................................................... 4
Absences ......................................................................................................................................... 4
Academic and Clinical Performance Counseling ........................................................................... 4
   Counseling Policy ...................................................................................................................... 4
   Academic Dishonesty (definitions of) ....................................................................................... 5
      Cheating:............................................................................................................................... 5
      Plagiarism .............................................................................................................................. 5
      Fabrication ............................................................................................................................ 5
      Obtaining an Unfair Advantage............................................................................................. 6
      Aiding and Abetting Academic Dishonesty (Collusion)......................................................... 6
      Falsification of Records and Official Documents .................................................................. 6
Achievement/Assessment Tests ...................................................................................................... 6
Calculators ...................................................................................................................................... 6
Clinical Standards of Practice and Performance ............................................................................. 7
    U niform Standards for Clinical Experiences .......................................................................... 7
    Clinical and School Learning Activities Lab Attendance ........................................................ 7
    Punctuality and Preparedness ................................................................................................. 8
    Assignment to Clinical Areas ................................................................................................... 8
Clinical Errors ................................................................................................................................. 8
    When an error is discovered: .................................................................................................... 8
   Clinical Evaluation .................................................................................................................... 8
   Refer to the course syllabus for ................................................................................................. 9
Communication ............................................................................................................................... 9
Confidentiality ................................................................................................................................ 9
Course Syllabus ............................................................................................................................ 10
Exiting From the Nursing Program............................................................................................... 10
   Voluntary Exiting ..................................................................................................................... 10
   Involuntary Exiting .................................................................................................................. 10
  Procedure for Exiting ............................................................................................................... 11
Exposure to Body Fluids and Other Potentially Hazardous Materials ......................................... 11
   Student Responsibilities ........................................................................................................... 12
Using Protective Clothing and Equipment ................................................................................... 12
   Gloves ...................................................................................................................................... 12
   Barrier Aprons or Gowns ........................................................................................................ 12
   Masks and Goggles .................................................................................................................. 13


Rev 1/3/08
2009-2010
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Disposal of Used Needles, Syringes with Needle, IV Stylets, Lancets, Glass
   Vials/Ampules or Broken Glass............................................................................................... 13
When blood or OPIM Soil the Environment ................................................................................ 13
Hazardous Materials Exposure ..................................................................................................... 13
Post-Exposure Evaluation and Follow-Up for Students ............................................................... 14
   Procedure ................................................................................................................................. 14
Guidelines for Immediate Medical Care ....................................................................................... 14
Grades ........................................................................................................................................... 14
   Exams ....................................................................................................................................... 14
   Final Course Grade Appeal ..................................................................................................... 14
   Grading System ........................................................................................................................ 14
   Grade Rounding Policy............................................................................................................ 15
   Grade Posting .......................................................................................................................... 15
Health Related Policies ................................................................................................................. 15
   Illness, Injury or Hospitalization ............................................................................................. 15
   Procedure ................................................................................................................................. 15
   Student Injury in an Agency (Clinical) Setting ........................................................................ 15
   Pregnancy ................................................................................................................................ 16
Health Records and Competency Training ................................................................................... 16
   Procedure ................................................................................................................................. 16
Tulsa Community College Drug-Free Workplace and Drug and Alcohol
   Prevention Program for Students ............................................................................................. 17
Impaired Behavior and/or Suspected Substance Abuse in the Clinical Setting............................ 17
   Principles ................................................................................................................................. 17
   Definition ................................................................................................................................. 18
Procedure to Follow when the Student Appears to be Impaired in the Clinical Setting .............. 18
   Assessment and Treatment Plan .............................................................................................. 18
   Referrals ................................................................................................................................... 18
   Evaluation ................................................................................................................................ 19
   Documentation ......................................................................................................................... 19
   Compliance .............................................................................................................................. 19
   Reinstatement review ............................................................................................................... 19
Performance Standards for Admission and Progression in the Nursing Program ........................ 20
Professional conduct ..................................................................................................................... 21
   Expected behaviors .................................................................................................................. 21
   Unsafe Nursing Practice .......................................................................................................... 21
   Unprofessional conduct ........................................................................................................... 22
Violating the Ethical Code, Demonstrating Unsafe Nursing Practice, and/or
   Unprofessional Behavior ......................................................................................................... 22
Sanctions for Breach of Student Behavior, Professional Behavior and/or Standards
    of Nursing Practice ................................................................................................................ 23
Program Probation and Dismissal ................................................................................................. 23
   Initiation of Probation ............................................................................................................. 24
   Review of Probation ................................................................................................................. 24
Probation Categories ..................................................................................................................... 24
   Clinical Probation ................................................................................................................... 24

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2009-2010
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   Academic Probation and/or Provisional Admission................................................................ 25
   Academic Probation for a Re-Admitted Student ...................................................................... 25
   Academic Probation for all Other Students ............................................................................. 25
  Program Probation ................................................................................................................... 25
Progression in the Nursing Program ............................................................................................. 25
Readmission to the Nursing Program ........................................................................................... 26
Procedure for Readmission ........................................................................................................... 26
Student Assignments..................................................................................................................... 27
Scholarship Assistance.................................................................................................................. 27
Students Serving on Nursing Program Committees ..................................................................... 27
   Committee Benefits to Students and to the Nursing Program ................................................. 28
   Students .................................................................................................................................... 28
   The Nursing Program .............................................................................................................. 28
   How to sign up for a Committee .............................................................................................. 28
Student Membership in the National Student Nurses Association ............................................... 28
Questions, Concerns, or Complaints Regarding the Nursing Program ........................................ 29
APPENDICES
APPENDIX A - TCC Nursing Program Uniform Requirements ................................................. 31
APPENDIX B - Hospital Internet Policy...................................................................................... 33
APPENDIX C - Student Exposure Form ...................................................................................... 34
APPENDIX D - Student Exposure Form (instructions) ............................................................... 35
APPENDIX E - Instructor’s Report of Student Exposure ............................................................ 36
APPENDIX F - Post-Exposure Evaluation and Follow-Up for Students ..................................... 37
APPENDIX G - Health Status Release Statement ........................................................................ 38
APPENDIX H – Influenza Vaccine Declination .......................................................................... 39
APPENDIX I - National Student Nurses’ Association, Inc.- Code of Ethics .............................. 40
APPENDIX J- American Nurses Association-Code of Ethics for Nurses ................................... 41
APPENDIX K - Student Concerns Form...................................................................................... 42
APPENDIX L - Oklahoma Board of Nursing - Roles/Responsibilities ....................................... 43
APPENDIX M – Blackboard/Computer Requirements ............................................................... 44
APPENDIX N –Tulsa Community College Talent Release Form ............................................... 46
APPENDIX O - Program Policy Agreement ................................................................................ 47




Rev 1/3/08
2009-2010
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TCC Nursing Division Values

TEAMWORK: A group of people with complimentary skills who are committed to a shared
purpose and a team approach for which they hold themselves mutually accountable.

INTEGRITY: Individual and group behaviors which demonstrate adherence to a mutually
accepted set of values and beliefs.

ACCOUNTABILITY: Accepting ownership and consequences of one’s actions.

EXCELLENCE: Sustained superior performance.

RESPECT: Acceptance of each person’s worth with sensitivity to the unique qualities of self and
others.

TCC Nursing Division Conceptual Framework Model




Rev 1/3/08
2009-2010
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    Faculty and Staff

    Lisa Watkins, MS, RN
    Acting Associate Dean Nursing Program
    SEC 8199A
    (918) 595-8646
    lwatkins@tulsacc.edu

    Level 1 Faculty
    Linda Lyons Coyle           Kellee Fisher             Jim Hicks
    SE 8193                     SEC 8291                  SE 8295
    (918) 595-8694              (918) 595-8679            (918) 595-8689
    llyons@tulsacc.edu          kfisher@tulsacc.edu       jhicks@tulsacc.edu

    Rick Hollingsworth          Gretchen Hrachovec        Perry Montgomery
    SEC 8299                    SEC 8192                  SEC 8292
    (918) 595-8691              (918) 595-8695            (918) 595-8678
    rhollingsworth@tulsacc.ed   ghrachov@tulsacc.edu      pmontgom@tulsacc.edu
u
    Beverly Pyron               Radonna Tims              Mitzi Whitener
    SEC 8294                    SEC 8297                  SEC 8186
    (918) 595-8287              (918) 595-8297            (918) 595-8692
    rtims@tulsacc.edu           rtims@tulsacc.edu         mwhitener@tulsacc.edu

    Level 2 Faculty
    Cheryl Feken                 Stephanie Merritt        Dorothy Moaliitele
    Lab Coordinator              SEC 8190                 SEC 8290
    SEC 8195                     (918) 595-8697           (918) 595-8677
    (918) 595-8696               smerritt@tulsacc.edu     dmoaliitele@tulsacc.edu
    cfeken@tulsacc.edu

    Judy Moore                   Mary Ellen Sullivan       Angela Summers
    SEC 8197                      SEC 8293                 SEC 8289
    (918) 595-8648               (918) 595-8684            (918) 595-8676
    jmoore@tulsacc.edu          msullivan@tulsacc.edu      asummers@tulsacc.edu

    Chris Thoman
    SEC 8188
    (918) 595-8693
    cthoman@tulsacc.edu

    Level 3 Faculty
    Mary Helen Freter            Susan Goldsmith               Leslie Guthrie
    MC 328                       MC 435                        MC 338
    (918) 595-7205               (918) 595-7194                (918) 595-7387
    mfreter@tulsacc.edu          sgoldsmith@tulsacc.edu        lguthrie@tulsacc.edu

    2009-2010
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Rita Hansen                 Gwenn Hurlbut                Jan Jones Nolen
MC 433                      MP 252                       MC 354
(918) 595-7310              (918) 595-7210               (918) 595-7208
rhansen@tulsacc.edu         ghurlbut@tulsacc.edu         jnolen@tulsacc.edu

Sarah Plunkett
MC 525
(918) 595-7203
splunkett@tulsacc.edu


Level 4 Faculty
Carolyn Bednar                  Lisa Gerow              Anne McCarty
MC 333                          MP 208                  MP 224
(918) 595-7316                  (918) 595-7202          (918) 595-7075
cbednar@tulsacc.edu             lgerow@tulsacc.edu      amccarty@tulsacc.edu

Sherry McGeady                  Nancy Vitali
MC 455                          MC 437
(918) 595-7322                  (918) 595-7209
smcgeady@tulsacc.edu            nvitali@tulsacc.edu


Nursing Certificates Program - Faculty
Sandra Kuebler - Coordinator Pam Johnson – PCT          Debra Penrose
 MC501-B                       MP 228                   MP 456
(918) 595-8944                 (918) 595-7206           (918) 595-7254
 skuebler@tulsacc.edu          pjohnson@tulsacc.edu     dpenrose@tulsacc.edu

Virginia Terril
MC 540
(918) 595-7192
vterril@tulsacc.edu


LPN-RN Bridge Faculty
 Renee Harrison – coordinator    Christina George      Pat McCoy
 MP 212                          MC 517                MC334
 (918) 595-7204,                 (918) 595-8338        (918) 595-8918
 rharriso@tulsacc.edu            cgeorge@tulsacc.edu   Pmccoy2@tulsacc.edu

 Nancy Walker
 MC 337
 (918) 595-8952
 nwalker@tulsacc.edu



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Other Faculty

Gayle Cude– Special Projects Michelle Heritage- Marketing            Pati Wilson – Counselor
MP212                       MP228                                    MC 330
(918) 595-8907              (918) 595-_____                          (918) 595-7108
gcude@tulsacc.edu           mheritage@tulsacc.edu                    pwilson@tulsacc.edu



Administrative Staff
 Skylar Brown - Administrative Assistant          Rebecca Floyd – Administrative Assistant
 Nursing Certificates Program                     Nursing Admissions Coordinator
 MC 501                                           MP 256
 (918) 595-7324                                   (918) 595-7198
 sbrown4@tulsacc.edu                              rfloyd@tulsacc.edu

Deborah Johnson – Administrative Assistant       Vonetta Schiffman – Administrative Assistant
Nursing Program                                  Nursing Program
SEC 8199                                         MP 256
(918) 595-8646                                   (918) 595-7189
djohnson1@tulsacc.edu                            vschiffman@tulsacc.edu


 Debra Williams – Administrative Assistant
 LPN-RN Bridge
 MP 256
 (918) 595-7195
 dwilliam@tulsacc.edu


Absences (See clinical and school lab attendance)
Class attendance policy reflects the current policy stated in the TCC catalog and Student Policies
and Resources Handbook. Students are expected to attend classes in which they are enrolled.
Course syllabi identify class attendance standards.

When students call the Division Office to report an absence, the office staff will record the date,
time, student name, phone number and instructor’s name on a Student Absentee Report Form.

Academic and Clinical Performance Counseling
Counseling Policy
This policy requires a formal counseling conference with written documentation of an occurrence
or series of events, including recommendations for improving or changing the situation. Counseling
topics may include, but are not limited to, the following:
    Academic performance.
    Clinical/school lab performance.
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   Violations of the “Unsafe Nursing Practice Policy.”
   Issues related to professional conduct.

The student is expected to sign the form indicating s/he has read the form. A signature does not
indicate agreement. A student may write a response on the counseling form. The student is given
a copy of the completed form. See section under Program Probation in this handbook.

Academic Dishonesty (definitions of)

Admission to the Tulsa Community College Nursing Program requires adherence to the Nursing
Program’s standards of academic integrity. These standards may be intuitively understood, and
cannot in any case be listed exhaustively.
Incidents related to academic dishonesty will be addressed by Nursing Faculty in accordance
with the TCC Student Policies and Resources Handbook and Nursing Program Standards for
Professional Conduct (see page 22).
The following examples represent some basic types of behavior that are unacceptable:

Cheating: Using unauthorized notes, study aids, electronic devices, or information on an
examination; altering a graded work after it has been returned, then submitting the work for
regrading; allowing another person to do one’s work and submitting that work under one’s own
name; submitting identical or similar papers for credit in more than one course without prior
permission from the course instructors. Examples include taking an exam for another student
and/or having another person take an exam for you, discussing actual answers to test questions,
obtaining a disk with a care plan or an actual care plan from previous semester students, using
other’s process recordings, cheat sheets, or old quizzes.

Plagiarism
Plagiarism is academic theft. It occurs whenever one copies material from a book, journal or
computer source without acknowledging that the words or ideas are those of someone else.

An author’s work is his/her own property and must be respected by documentation. Credit must
be given: a) for every direct quotation; b) when a work is paraphrased or summarized in whole or
in part with one’s own words; c) for information which is not common knowledge. The student
commits plagiarism when submitting a purchased term paper or when submitting a paper that
was “cut and pasted” from ideas off of the Internet.

Fabrication
Intentional and/or unauthorized falsification or invention of any information, data or citation;
presenting data that was not gathered in accordance with standard guidelines defining the
appropriate methods for collecting or generating data and failing to include an accurate account
of the method by which the data was gathered or collected. Examples include making up,
verbalizing or documenting data on a client assessment such as vital signs, physical assessment
findings, interventions, implementation, or evaluation of a care plan where the reported activity
did not occur. Submitting a process recording or assessment paper from an interview that did not
occur. Utilizing assessment data obtained by the healthcare facility staff and stating it as your
assessment data. Citing a reference from which specific information was not obtained.

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Obtaining an Unfair Advantage
(a) stealing, reproducing, circulating or otherwise gaining access to examination materials prior
to the time authorized by the instructor; (b) stealing, destroying, defacing or concealing library
materials with the purpose of depriving others of their use; (c) unauthorized collaborating on an
academic assignment; (d) retaining, possessing, using or circulating previously given
examination materials; (e) intentionally obstructing or interfering with another student’s
academic work, or (f) otherwise undertaking activity with the purpose of creating or obtaining an
unfair academic advantage over other students’ academic work. Examples include giving a false
excuse for missing an exam or deadlines for assignments in order to obtain a higher grade;
borrowing another student’s written assignment to copy it and submit the assignment as one’s
own work.

Aiding and Abetting Academic Dishonesty (Collusion)
(a) providing material, information, or other assistance to another person with knowledge that
such aid could be used in any of the violations stated above; (b) providing false information in
connection with any inquiry regarding academic integrity; or (c) having knowledge about acts of
academic dishonesty committed by others and not reporting such acts. Examples include
allowing another student to copy a process recording, care plan or other required written
assignments; allowing another student to see their answers on an exam or transmitting exam
answers in any fashion. There is not distinction between those who commit dishonest acts and
those who willingly allow it to occur.

Falsification of Records and Official Documents
Altering documents affecting academic records; forging signatures of authorization or falsifying
information on an official academic document, grade report, letter of permission, petition,
drop/add form, ID card, or any other official college document, e.g., health forms, certifications
such as CPR, CNA, etc.

Unauthorized access to computerized academic or administrative records or systems; viewing or
altering computer records, modifying computer programs or systems, releasing or dispensing
information gained via unauthorized access, or interfering with the use or availability of
computer systems or information.

Achievement/Assessment Tests
Standardized achievement/assessment tests may be given in specific courses in the program as
listed in the course syllabus and/or calendar. These tests are mandatory for students to complete
the requirements of the course. As a required course element the test fee may be paid by financial
aid.

Calculators
Faculty oversees the use of calculators in exam and clinical settings. Students may use basic
function calculators for exams. Scientific calculators, PDAs, or other handheld devices are not
allowed in testing situations.




2009-2010
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Clinical Standards of Practice and Performance
Uniform Standards for Clinical Experiences
The nursing student is expected to demonstrate professionalism through appropriate personal
appearance. This applies when wearing the student nurse uniform or business attire with the
student nurse lab coat, in any location; i.e., clinical agencies, class or in transit.

The uniform is to be worn during clinical experiences unless appropriate business attire is
specified. (See Appendix A).

Regulations that apply in all clinical settings:
   Grooming and personal hygiene must be maintained.
   Facial cosmetics may be used with discretion. Use of cologne or perfume is prohibited.
   Aftershave and body lotions must be unscented.
   Nails should be kept short and clean. (Clear, unchipped nail polish may not be worn in any
   clinical setting. Artificial nails may not be worn in the clinical area.)
   The following jewelry may be worn: A maximum of two (2) plain (no projections) metal
   rings, ONE PAIR of small gold, silver, pearl or diamond studs for pierced ears, and a wrist
   watch with a sweep second hand. No other jewelry is allowed.
   Hair must be clean, neat and worn off the shoulder or pulled back and secured so that it does
   not interfere with work area.
   Decorative hair items; i.e., ribbons and ornate or colored barrettes and combs may not be
   worn. Beards, mustaches and sideburns must be neat and trimmed.
   Body piercing (other than ear lobes) is not acceptable. Tattoos must be covered.
   Chewing material is not permitted.
   Smoking is not permitted. Care must be taken that the odor of smoke does not linger on hair,
   clothing, body, etc.
   The uniform should always be clean and neat, including shoes that are clean and non-scuffed.
   To obtain clinical assignments students must either be in uniform or appropriate business
   attire and lab coat. The TCC nursing patch and name pin must be displayed on either the
   prescribed uniform or lab coat.

Appropriate business attire for the TCC nursing student is neat, clean and conservative in style. It
does not include jeans, T-shirts, sweatshirts, athletic shoes, sandals, shorts or see-through shirts/
blouses. Shirts/blouses will have sleeves.

When functioning outside the student nurse role, students cannot represent themselves as TCC
nursing students by using the title SN, TCC, nor may they wear any identifiable part of the
student nurse uniform, such as nametags, lab jackets with TCC patch, etc.

Clinical and School Learning Activities Lab Attendance
The student will attend clinical and school lab experiences as assigned, except in the case of
personal illness, death in the immediate family, and/or at the discretion of the instructor. In the
event of clinical or school lab absence the student must:



2009-2010
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   1) Call the clinical facility and Nursing Division Office at (918-595-7188) NO LATER
      THAN 1/2 HOUR BEFORE CLINICAL/LAB STARTING TIME. Note: A message
      may be left on the division office voice mail if the office is closed.
      AND
   2) Contact the clinical instructor to schedule the make-up experience to meet the clinical
      objectives. See course syllabus for further information concerning absences.

Punctuality and Preparedness
Tardiness is viewed as unprofessional behavior. Patterns of tardiness will result in unsatisfactory
clinical performance evaluation.
A student reporting to clinical unprepared or with inappropriate appearance or behavior may be
dismissed from the clinical/lab area. The missed experience will be counted as clinical absence.
Refer to course syllabus for make-up policy concerning clinical absences.

Assignment to Clinical Areas
Students are responsible for their own transportation to and from clinical sites. Students may be
assigned to any of a large variety of clinical sites in the Tulsa and surrounding areas. Clinical
assignments are based on pre-negotiated clinical availability and cannot be based on carpools,
public transportation or student preferences.

The student should be prepared for assignments to any clinical day, time and clinical facility
associated with the TCC Nursing Program. Clinical assignments may be any day of the week and
at any time of the day.

Clinical Errors
Errors are made by the best of nurses. Errors do not necessarily reflect clinical incompetence.
Reporting the error and learning from it are signs of competent practice. When a student makes
an omitted or committed error while providing care for clients, the error must be reported to the
health care facility. Notify the responsible staff nurse and clinical instructor immediately when
an error is discovered.

When an error is discovered:
  The student making the error will complete the paperwork required by the clinical facility
  and the TCC Nursing Program.
  The clinical instructor will assist and will sign the report along with the student and also
  complete any additional paperwork required by the division.
  A notation of an error and the manner in which it was handled will be documented on the
  student’s weekly clinical evaluation.
  The clinical instructor will assess the error and the circumstances surrounding the error and
  will consider this assessment in evaluating the student’s clinical performance.

Clinical Evaluation
Student clinical performance, behavior, and assignments are evaluated as satisfactory or
unsatisfactory. Written assignments, e.g. care plans, will be graded in accordance to criteria
published in the syllabus. Students receive a copy of the evaluation tool and syllabus for each
course.

2009-2010
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Under normal circumstances students may expect assigned nursing care plans to be graded as
part of their weekly evaluation on the Student Performance Evaluation Profile. Other written
assignments will be graded and returned in a timely manner as specified in the course syllabus.

The clinical evaluations reflect each course’s objectives. Student performance in relation to these
objectives is rated weekly on the Student Performance Evaluation Profile (SPEP) by the TCC
clinical instructor.

Refer to the course syllabus for
    Information on how satisfactory/unsatisfactory clinical evaluations are determined.
    Determination of unsatisfactory clinical performance and probationary status.

If a student fails clinical, the student will receive a “D” in the course and will be unable to
continue in the course.

The student will be informed through the clinical evaluation process of the clinical failure. The
student will receive a counseling form stating the practice related to clinical failure. The
counseling form will include an action plan for improvement.


Communication

MyTCC is the official electronic communication tool used by Tulsa Community College. Each
student is provided with an e-mail account, which is used by the college to communicate with
students. You may access the site at http://MyTCC.tulsacc.edu. Your user name is your eight
digit student ID number. Your password is the PIN you use to access the Student Web. (Your
PIN is initially set as month date and year of birth, using leading zeroes and the last two digits of
the year of birth. It is strongly recommended that you change your PIN the first time you access
the Student Web.)

If you wish to forward mail from MyTCC you may do so easily. Open the mail channel by
clicking on the e-mail icon in the upper right-hand portion of the welcome screen, or the e-mail
icon at the bottom of the e-mail channel. Once the e-mail channel opens, click on the options
tool at the top of the screen. On the left-hand side of the window that opens, click on Settings.
The bottom option allows you to forward e-mail to another account. Be aware that MyTCC does
not retain a copy of forwarded mail. If you change or close the account to which you have
forwarded mail you will have no record of communications sent by TCC.

Confidentiality
Protecting the privacy of clients and confidentiality of health status are important ethical
considerations for professional nurses. A student or faculty member of the TCC Nursing
Program, will not divulge any information learned through the carrying out of assigned duties,
program assignment, or observation. Specific guidelines, policies, and procedures of institutions
will be observed.



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Specific behaviors/actions to promote privacy and confidentiality include (but may not be limited
to):
     No discussion of any client or information pertaining to any client with anyone (including
     family and friends) who is not directly working with said client.
     No discussion of any client information in any place where it can be overheard by anyone
     who is not authorized to have this information.
     No mention of any client name or direct/indirect identification of any person as a client
     except to those authorized to have this information.
     No discussion of any client behaviors observed or learned about through association with the
     client or clinical assignment, except with those authorized to have this information.
     No use of any client identifiers except for gender and age. Identifiers include (but may not be
     limited to) name, initials, agency, physician, room number, nursing unit, family names, place
     of employment, proper names, etc.
     No contact of any individual or facility other than those to which assigned to obtain personal
     information about client. Should additional personal information be sought, a permission or
     consent form must be signed by client or an individual who has been legally authorized by
     the client to release information. The client will receive a copy of the consent form and one
     other copy of the form will be secured in the Tulsa Community College Nursing Division
     Office.
     Comply with the Security and Confidentiality policies and procedures of each clinical
     facility.

These standards apply to information transferred via any media including Internet and/or
handheld computer (such as PDAs). (See Appendix B, Hospital Internet Policy.)

In accordance with the Health Insurance Portability and Accountability Act of 1996 (HIPAA), all
TCC Nursing students and faculty participate in annual training and are accountable for all
sectors of this federal law.

Course Syllabus and Materials

When the course syllabus differs from statements in this Nursing Division Handbook, THE
COURSE SYLLABUS will take precedence. Level teams revise course syllabi as needed on an
annual basis. Recordings of lectures and use of copyrighted materials are for private use only
and are the property of Tulsa Community College and the instructor. The student must receive
permission from the instructor to duplicate or distribute, in any fashion, lecture recordings and
copyrighted materials.

Exiting From the Nursing Program
Voluntary Exiting
A student may voluntarily exit from the program at any time. The exit procedure described under
Procedure for Exiting must be followed.

Involuntary Exiting
A student cannot continue in the program if:
    Course requirements are not met as stated in the course syllabus.
2009-2010
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   The student receives a grade of "D" or "F" for any required nursing course or co-requisite
   course.
   The student violates specific ethical, professional or safety standards of behavior as stated in
    this handbook and/or the TCC Nursing Program Student Handbook.
   The student fails the clinical component of a TCC nursing course. A clinical failure results in
   a “D” in the course and dismissal of the student from the course.

Students who have received a grade of “D” or “F” for a total of ten (10) credit clinical hours are
not eligible for readmission or admission as a new applicant.

Students may not exit the program more than twice. Students failing 10 clinical hours or more
are not able to progress in the nursing program. Students can petition the Admissions Committee
in writing.

Procedure for Exiting
All students who are exiting the program, for whatever reason, are to do the following:
    Consult with their advisor concerning exit from the program,
    Schedule an appointment with the Learning Enhancement Representative (LER) of that level
    for a “planning for readmission session.” This is a requirement to re-enter TCC’s Nursing
    Program.
    Officially withdraw from the course in the Registrar’s Office. Failure to officially withdraw
    is recorded as a failing grade for the course.

Information about readmission process, time limits, etc. will be provided in writing by the
Learning Enhancement Representative. (See Procedure for Readmission page 27 of this
handbook).

The following constitutes a failure:
   Student has below a 76% average in theory and the date for “drop-add” has passed.
   Student receives a “D” or an “F” in clinical.
   Student receives final grade of “D” or “F” in a required competency.

Exposure to Body Fluids and Other Potentially Hazardous Materials
It has been demonstrated that there are infections and diseases that, while they are not transmitted
through casual person-to-person interaction, might be acquired through contact with an infected
person's body fluids/secretions. Because it is usually not known if the people who students and
faculty come in contact with during clinical activities are disease free. Therefore, it is assumed
that they all are infected with, or are carriers of, diseases such as Human Immunodeficiency
Virus (HIV), Acquired Immune Deficiency Syndrome (AIDS) or one of several strains of
hepatitis.

The purpose of these guidelines is to provide students and faculty with information to help
prevent inadvertent disease exposure. However, should a potential disease or a hazardous
chemical exposure occur, the steps to be taken in reporting the incident are identified. For these
reasons, all nursing students and faculty are expected to read these guidelines and to review them


2009-2010
                                                                                                 12


during orientation to each clinical rotation. Students will take the OSHA Standards and
Guidelines online test each semester.

Student Responsibilities
   Know and comply with the information in these guidelines during all clinical and school
   laboratory experiences.
   Use the protective devices the student has purchased, or that are available during all
   clinical/school laboratory activities.
   Report to the supervising faculty any potential disease or hazardous chemical exposure that
   may have occurred.

Using Protective Clothing and Equipment
As appropriate during school laboratory and clinical agency experiences faculty and students are
to wear the following:

Gloves
   Gloves are to be worn when students/faculty have any skin breaks on their hands and care is
   being given.
   Gloves are to be worn when it is likely that hands will come in contact with any blood or
   other potentially infectious materials (OPIM).
   Following the wearing of gloves for activities such as those described above, the soiled gloves
   are to be discarded in designated containers and the hands washed with soap and water
   before leaving the room.
   New gloves are applied (if needed) before caring for others.
   If ungloved hands become soiled with body fluids or OPIM, the hands are to be washed
   with soap and water with particular attention being given around and under the fingernails. If
   there are breaks in the skin on the hands, the faculty (or appropriate person in the clinical
   agency) is to be immediately notified. If it is determined that the agency's guidelines need to
   be implemented, the faculty is to take responsibility for seeing that these are initiated.

Barrier Aprons or Gowns
   Barrier aprons or gowns are to be worn when it is likely that clothing may be soiled with
   another person's blood, or OPIM.
   Soiled aprons and gowns are to be disposed of in the manner designated by the agency or
   the college.
   In the event that clothing becomes soiled with another's blood or OPIM, the soiled clothing
   is to be removed, double bagged and taken home for laundering separately from other
   household wash. It is also recommended that bleach be added to the water. Shoes can be
   washed with soap and water and wiped with bleach or sprayed and wiped with a disinfectant
   advertised to kill the HIV and Hepatitis viruses.
   If it is determined that the incident needs to be reported to the college/agency, the faculty is
   responsible for seeing that such a referral is initiated.

Masks and Goggles
  Masks and goggles are to be worn when it is likely that blood or OPIM may splash onto the
  face or into the eyes or mouth.
2009-2010
                                                                                                    13


   If such splashing occurs, the person is to thoroughly wash the face and dispose of the mask
   in a designated container. If the goggles are disposable, they are to be disposed of in the
   same manner as the masks. If they are not disposable, the product guidelines are to be
   consulted on how they are to be disinfected.
   If such splashing occurs and the person was not wearing a mask or eye protection, the
   incident is to be reported immediately to the faculty in the case of a student, or to the
   appropriate person in the clinical agency in the case of a faculty person. The face is to be
   washed thoroughly with soap and water. If splashing occurred into the eyes or mouth they are
   to be thoroughly flushed with water. Faculty have the responsibility to see that the incident is
   reported to the college and the agency's health service for appropriate follow through. (See
   Appendix C).

Disposal of Used Needles, Syringes with Needle, IV Stylets, Lancets, Glass
Vials/Ampules or Broken Glass
Such items are NOT TO BE RECAPPED OR THROWN INTO AN OPEN TRASH
CONTAINER, but are to be disposed of in a designated puncture-proof “sharps” container.

If a puncture proof container is not in the immediate vicinity, the one-hand-scoop method
of recapping needles must be used and the capped syringe placed in the nearest available
puncture-proof container.

Lancets, vials and broken glass are also to be placed in puncture-proof “sharps” containers.

UNDER NO CIRCUMSTANCES ARE STUDENTS TO EVER PLACE THEIR HANDS
INTO ANY “SHARPS” CONTAINERS OR INTO ANY WASTEBASKET-NOT EVEN
WHEN THEY ARE WEARING GLOVES.

If a student sustains an injury from a needle or other sharp instrument that has been
contaminated by the blood/body fluids of another person, it is to be reported immediately.
Faculty are to see that a referral of the incident is made to the college and the agency's health
service.

When blood or OPIM Soil the Environment
If blood or OPIM soil a small area, contain the spill with paper towels or a designated granular
material, then notify housekeeping. Gloves are to be worn when wiping up such spills. The area
is also to be wiped with a designated disinfectant, and the paper towels and gloves used in wiping up
the spill are to be disposed of in a designated container.

If a large area is soiled, housekeeping is to be notified.

If linens/gowns are soiled with body fluids or secretions, the appropriate agency guidelines
are to be followed. If such guidelines are not posted within the room, students are to consult
with their faculty.

Hazardous Materials Exposure
Each clinical agency, as well as the college, maintains information regarding hazardous materials
in the work area. If students believe they have come in direct contact with such materials, they

2009-2010
                                                                                                     14


are to immediately inform their faculty. If faculty believes they have been exposed, they are to
contact the person in charge of the clinical unit or Student Health Services if they are at the
college. Appropriate measures, as outlined in the Hazardous Materials Guidelines, will be
followed and the faculty member will report the incident according to agency/college protocols.

Post-Exposure Evaluation and Follow-Up for Students
Procedure
   The potentially exposed student must notify the supervising instructor and report immediately to
   the Student Health Services if on campus, or report to the employee health office if the
   exposure occurs in an off-campus health agency setting.
   Students who have been potentially exposed, either on campus or in a clinical agency area,
   must complete a Student Exposure Form. (Appendix C)
   If the potential exposure occurred while the student was in an off-campus agency, that
   agency’s forms must also be completed.
   Obtain health care as determined by the type of exposure.

Guidelines for Immediate Medical Care
    The student is responsible for medical and laboratory costs.
    The source individual’s blood will be tested as soon as possible. The student is responsible
    for medical costs related to this test if source will not pay for the test.
    The results of the source individual’s testing will be available to the student and the student
    will be informed of regulations concerning disclosure of the identity and infectious status of
    the source person.

Grades
Exams
Exams constitute 60-80% of the course grade for clinical courses.

Final Course Grade Appeal
If a student questions a final grade the student must petition the faculty who assigned the grade
in writing. The petition should include the student’s reasons for the petition and rationale for why
the student feels a grade change should be made.

Faculty should provide a response in writing. A copy of the petition and the faculty response is
maintained in the student’s nursing division file.

If the student is not satisfied with the faculty member’s response, the student may appeal the
decision in writing to the Associate Dean as described in the TCC Nursing Program Student
Handbook.

Grading System
The syllabus for each nursing course states how letter grades (A-F) are determined.

Students must receive a theory grade of “C” or better and a final clinical evaluation of “Satisfactory”
to continue in the Nursing Program.

2009-2010
                                                                                                    15



Grade ranges for course(s) whose passing grade is 76%:
A = 90-100
B = 80-89
C = 76-79

Grade Rounding Policy
The passing grade for TCC nursing courses is 76%. Each grade is recorded as earned (carried to
two decimal points) and carried forward until the final course grade is calculated. Standard
rounding rules are utilized when determining total exam averages and final grades. A rounded
exam average of at least 76% is required in order to include non-exam components into the final
course grade.

Grade Posting
All grades are posted on the TCC Blackboard course grade book to insure confidentiality.

Health Related Policies
Illness, Injury or Hospitalization
Student illness or injury of 3 days or more or requiring surgical intervention will require an
unrestricted release statement from a licensed health care provider before attending clinical labs,
learning activity lab, nursing experience, or clinical activities.

Surgery, illness, injury, childbirth or hospitalization that occurs outside of regularly scheduled
clinical weeks; i.e., holidays, clinical or semester breaks, will also require an unrestricted release
statement from a licensed health care provider before attending clinical labs, learning activity
lab, nursing experience, or clinical activities.

Procedure
   The Health Status Release Statement (Appendix D) must be completed by a licensed health
   care provider and submitted to the Nursing Division Office.
   Two copies of the completed release statement are to be made.
   The original statement is to be turned in to the Nursing Division Office for placement in the
   or student’s permanent file.
   Students: Give one copy to the CLINICAL INSTRUCTOR on the first day of return to the
   clinical area. The second copy is to be given to the nursing instructor conducting the first
   nursing class or school lab that the student attends following the illness, injury,
   hospitalization or delivery.

Student Injury in an Agency (Clinical) Setting
If a student sustains an injury in the clinical area, it must be reported and the required hospital
report filed. The faculty member will complete the appropriate division/college paperwork. The
following steps are to be implemented by the student:
     Report the injury to the clinical instructor and seek medical attention. This must be done
     IMMEDIATELY; otherwise time for implementing appropriate therapy may have already
     passed.

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                                                                                                      16


   If the injury is of such a nature that the student cannot provide safe patient care or might
   further aggravate the injury by returning to class or the clinical area within 24 hours of the
   injury, a Health Status Release Statement signed by a licensed health care provider will be
   required before the student is readmitted to class or the clinical area.
   If the injury is related to exposure to body fluids or to a chemical substance, the incident is to
   be handled as outlined in, TCC Nursing Student and Faculty Guidelines Concerning
   Exposure to Bodily Fluids and Other Potentially Hazardous Materials. (See Student Exposure
   Form, Appendix C).

Pregnancy
A student who believes she is pregnant will notify her course coordinator. The
student planning to continue her nursing education during pregnancy must be able to perform
all nursing activities in a manner which will not harm herself, her fetus or compromise patient
safety. For the protection of the mother and fetus, we recommend the student be assessed by a
licensed healthcare provider and provide a Health Status Release Statement during pregnancy.
Any complication that occurs during the pregnancy that limits performance in the clinical setting
will require a Health Status Release Statement.
Because there are a limited number of clinical absences that can be made up in any semester (see
the course syllabus), the pregnant student must make an appointment with the course coordinator
for the semester in which she anticipates delivery to discuss the absences. This appointment is to
be made prior to enrollment in the course.

Following delivery, prior to return to the nursing program the student will provide a Health
Status Release Statement.

Health Records and Competency Training

Annual Tuberculosis Testing (TB), CPR (Healthcare Provider or Professional Rescuer) flu
vaccination or flu shot declination form, OSHA/HIPAA training are required for all students.
Students also need to make sure that they are current on the Hepatitis B series.

Tuberculosis (TB) Testing may be performed at the Tulsa County Health Department or at
another official site such as a physician’s office. Students are responsible to obtain, pay for the
test and submit the official certificate to the Nursing Division office.

OSHA and HIPPA training is required of all nursing students before attending the orientation for
the semester level/course you are attending or before the start of class if no orientation is
scheduled for that level/course. OSHA and HIPAA training are required each semester for
students in every level. Students will take the online test available on the TCC Blackboard
under Nursing Connections. Use the name you used upon enrollment, no nicknames.

Readmitted and transfer students who are out of sequence must take the OSHA and HIPPA
training before attending any clinical rotation.

Procedure:
Student: A current copy of official documentation of TB screening, flu vaccine or a flu shot
declination form, CPR card must be submitted to the Nursing Division before classes begin
2009-2010
                                                                                                  17


each semester. An additional copy of the TB screening and CPR must be brought to
clinical.

Tulsa Community College Drug-Free Workplace and Drug and Alcohol
Prevention Program for Students
Tulsa Community College is a drug-free workplace and has established a program to aid in the
prevention of drug and alcohol abuse by students. Policies are in effect and provided to all
students in the TCC Policies and Resources Handbook (also referred to as Student Code of
Conduct). The practice set forth in the TCC Nursing Program Student Handbook is not meant to
supersede the policies set forth in the TCC Student Policies and Resources Handbook, but rather,
to supplement these policies in terms of the special nature of clinical rotations. The faculty and
students are held responsible for knowing and following the TCC Student Policies and Resources
Handbook.

Drug screening will be conducted on both the Metro and Southeast campuses for all students
enrolled in entry-level nursing clinical courses. The date and time of the drug screening will be
determined by the Nursing Program and students will be expected to comply with the screening
process. Drug screening will not be rescheduled. Failure to complete the drug screening will be
considered an unexcused clinical absence and may make the student ineligible for continued -
enrollment in the Nursing Program.

Should the Nursing Program be notified by the Medical Review Officer that drug screen has
been “confirmed positive”, the Associate Dean, or designee, shall immediately be required to
remove said student from attending the clinical rotation.. Absence from the clinical rotation due
to “confirmed positive” drug screen will be considered an unexcused absence as described in
the course syllabus. The student will be referred to the Counselor for Allied Health and Nursing
students Counselor that will coordinate an assessment by a community mental health
professional.


Impaired Behavior and/or Suspected Substance Abuse in the Clinical Setting
Principles
The general principles used by the Nursing Division faculty in developing this procedure are
that:
    Substance abuse and/or impaired behaviors compromise the education process, client care
    and the health care of the user.
    Addiction is a primary, progressive disease, which is fatal if untreated.
    The Nursing Program has a commitment to the welfare of both the students and the clients.
    Addicted persons need help to recognize the consequence of their substance use.
    Addiction is a treatable illness, and rehabilitative and therapeutic approaches are effective in
    facilitating recovery.
    Individuals with addictive illnesses and or/impaired behaviors should receive an opportunity
    for treatment in lieu of, or before, disciplinary action.




2009-2010
                                                                                                   18


Definition
Impaired behavior includes, but is not limited to, behavior in which the student’s judgment or
ability to safely perform requisite activities is limited. Causes may include chemical substances,
sleep deprivation, stress, illness or other factors.

Impaired behavior may jeopardize client safety and must be addressed when identified. The
specific observations that led to the suspicion will be documented by the instructor and shared
with the student.

Students who are at risk for substance abuse are encouraged to contact the counselor for Allied
Health and Nursing students.

Procedure to Follow when the Student Appears to be Impaired in the Clinical
Setting
The instructor will confront the student with the documented behaviors that could indicate that
she/he is impaired and/or under the influence of a chemical substance (illicit drugs or alcohol, or
in some cases, prescription medications), that is impairing the student’s ability to perform. The
specific observations that led to the suspicion will be documented by the instructor and shared
with the student.

Based on observed, documented behaviors, the student will be dismissed from the clinical setting
immediately and will submit a drug and alcohol screen. The student will remain under
supervision until the drug and alcohol screen is completed.

These rules will apply:
   Drug and alcohol screening will be conducted at the student’s expense either in the clinical
   facility ER or through onsite testing provided through a contract laboratory.
   Refusal of drug screen is cause for dismissal from the Nursing Program.
   A student suspected of impairment will not be allowed to return to the clinical setting until:
   -the drug and alcohol screen is obtained,
   -the assessment has been completed, and
   -the treatment plan, if recommended, has been initiated.
   A student suspected of impairment will be required to make transportation arrangements
   from the clinical setting with either an adult family member or by taxi cab at the student’s
   expense.
   The student will only be allowed to return to the clinical setting after undergoing an assessment
   and following through with all treatment(s) as recommended.

Assessment and Treatment Plan
The assessment and treatment plan will include the following elements: Referrals, evaluation,
documentation, compliance and reinstatement review.

Referrals:
   The counselor for Allied Health and Nursing students, will coordinate the assessment and
   treatment plan with a community mental health professional.
   The counselor for Allied Health and Nursing students, will also serve as a liaison between

2009-2010
                                                                                                19


   the Nursing Program and the treating mental health professional.

Evaluation:
The evaluation will be conducted by a licensed mental health professional, and will be performed
at the expense of the student.

Documentation:
All communication and documentation including drug screen results will be maintained in a
confidential file by the counselor for Allied Health and Nursing students.

Compliance:
The student must meet with the counselor for Allied Health and Nursing students within one
working day of the incident.

The student will comply with:
   All treatment recommendations resulting from the evaluation, at the student’s expense
   Documentation of compliance provided by the substance abuse treatment provider at least
   monthly until, in the judgment of the provider, treatment is no longer necessary, and
   Any additional documentation that may be required
   Following completion of treatment, if reinstated in the nursing program, the student must
   agree to undergo immediate drug and/or alcohol screen, via an approved laboratory at the
   student’s expense, when requested to do so in the clinical setting.
**The student must understand that random screening may be requested at any time during the
  remainder of the student’s nursing education at TCC. If the screen is positive, the student will
  be immediately terminated from the Nursing Program. The student’s refusal to agree to a plan
  including the elements described above will result in the student being dismissed from the
  Nursing Program.

Reinstatement review:
   Reinstatement in the Nursing Program following the time of treatment will be reviewed by
   the nursing faculty on an individual basis.
   The student may not return to the Nursing Program until treatment is complete and a full
   release is provided by the approved therapist directing the treatment.
   The student must be in compliance with the Nursing Program’s readmission policies.
   Readmission shall be on a space-available basis and shall be contingent upon agreement to
   cooperate with all elements of this procedure.
   In all cases involving impaired behaviors in the clinical setting, a counseling form will be
   written, and will be signed by the faculty member, the student and the Associate Dean of the
   Nursing Program. The counseling form will include the following:
       A description of the behavior that resulted in the need for a conference.
       A description of the conference and its outcomes.




2009-2010
                                                                                                                         20


          Performance Standards for Admission and Progression in the Nursing
          Program

          Candidates for admission and progression in the Nursing Program, who are otherwise qualified
          academically must also have the following abilities and demonstrate proficiency in the listed
          patient care skills prerequisites.


    ABILITY                              STANDARD                               SOME EXAMPLES OF NECESSARY
                                                                                  ACTIVITIES (not all inclusive)
Critical Thinking         Critical thinking sufficient for clinical        Identify cause-effect relationships in clinical situations.
                          judgment.                                        Develop nursing care plans. Demonstrate problem-
                                                                           solving skills. Adapt to stressful situations.
Interpersonal             Interpersonal abilities sufficient to interact   Establish rapport with clients and colleagues.
                          with individuals, families and groups from
                          a variety of social, emotional, cultural and     Recognize appropriate boundaries in relationships
                          intellectual backgrounds.                        with clients and colleagues.
Communication             Communication abilities for interaction          Explain treatment procedures, initiate health teaching,
                          with others orally and in writing.               document, interpret nursing actions and client
                                                                           responses.
Mobility                  Physical abilities sufficient to move from       Move around in client rooms/work spaces/ treatment
                          room to room, maneuver in small spaces           areas. Administer CPR. Provide physical assistance
                          & provide assistance to others.                  to clients and colleagues to ensure safety within the
                                                                           environment. Stand for extended periods. Walk for 1
                                                                           hour per day. Push/pull and/or lift/carry up to 20
                                                                           pounds. Exert up to 50 pounds of force occasionally
                                                                           and/or 20 pounds frequently and/or 10 pounds
                                                                           constantly.
Motor Skills              Gross and fine motor abilities sufficient to     Use supplies, safety devices and communication
                          provide safe, effective nursing care in a        equipment in the care of clients. Perform repetitive
                          timely manner.                                   tasks/motion.
Hearing                   Auditory ability sufficient to monitor and       Hear auscultatory sounds, monitor alarms, emergency
                          assess health needs.                             signals and cries for help.
Visual                    Visual ability sufficient for observation and    Observe clients for expected and unexpected physical
                          assessment necessary in nursing care.            and emotional responses to nursing and medical
                                                                           treatment regiment. Distinguish colors.
Tactile                   Tactile ability sufficient for physical          Perform palpation functions of physical exam.
                          assessment and to perform nursing duties         Administer oral, IM, subcutaneous and IV
                          in a timely manner.                              medications. Insert and remove tubes and perform
                                                                           wound care management.
          Adapted from Board of Directors of Southern Council of Collegiate Education for Nursing, 3/93.


          These Performance Standards should be used to assist each applicant and student, who is
          otherwise qualified, in determining whether accommodations or modifications are necessary for
          nursing class/clinical experiences. It is the policy of Tulsa Community College to provide
          reasonable academic accommodations for those with disabilities, including learning disabilities,
          health impairments, and other disabling conditions.

          NOTE: Those who have physical, mental or emotional limitations must make an appointment
          with the DisABLED Student Resource Center (MC 331-B, 595-7115 or the Assessment Center
          at SEC. Arrangements for special testing can be made through Stacy East, dSRC Counselor.
          2009-2010
                                                                                                  21


Stacy may be reached by telephone at Ext. 7659 or via email if you have further questions.) to
review their ability to meet these Nursing Program Performance Standards.

The assessment for meeting these standards MUST BE COMPLETED and the appropriate
documentation for accommodation received in the Nursing Program Office (MP 256 or SEC
8199) BEFORE a reasonable accommodation can be made for persons being admitted or
readmitted to TCC nursing classes and clinical labs.

Professional conduct
Students are held in compliance with the code of conduct stated in the Student Policies and
Resources Handbook (available online at tulsacc.edu/student services) and this handbook at all
times. Students represent the TCC Division of Nursing and the nursing profession.

The following behaviors are expected:
   Demonstrate responsibility and accountability for decisions and actions.
   Apply knowledge of legal and ethical aspects in implementing nursing care.
   Seek guidance and assistance upon recognizing personal, physical, mental, emotional,
   knowledge or skill limitations.
   Reflect positive response to constructive criticism.
   Alter behavior based on input from faculty and peers.
   Demonstrate punctuality for class, school labs and outside agency clinicals.
   Demonstrate preparedness for all assignments.
   Recognize client's rights to privacy, confidentiality and dignity.
   Demonstrate self-direction and professional growth through exploration and utilization of
   available resources.
   Demonstrate a positive attitude, verbally and non-verbally, in all class, lab and clinical
   settings.

Unsafe Nursing Practice
Unsafe nursing practice means jeopardizing a client's life, health or safety; engaging in
unprofessional conduct; or violating the ethical code for nurses. Jeopardizing a client's life,
health or safety is conduct that shall include, but is not limited to, the following:
   Failing to supervise adequately the performance of acts by any person working under the
   nursing student's direction.
   Delegating or accepting the delegation of a nursing or prescribed health care function when
   that delegation or acceptance could reasonably be expected to result in unsafe or ineffective
   client care.
   Performing unauthorized alterations of medications.
   Failing to use appropriate judgment in administering safe nursing practice based upon the
   expected level of nursing preparation.
   Failing to exercise technical competence in carrying out nursing care.
   Performing new nursing techniques or procedures without proper education and preparation.
   Failure to report through proper channels the unsafe or illegal practice of any person who is
   providing nursing care.
   Engaging in activities that do not fall within the realm of standardized nursing practice.

2009-2010
                                                                                                      22


   Endangering the welfare of a client through own physiological or mental health status.

Unprofessional conduct
Unprofessional conduct is nursing behavior (acts, knowledge and practice) which fails to conform to
accepted standards of the nursing profession and shall include, but not be limited to, the
following:
   Inaccurate recording, reporting, falsifying or altering client records.
   Verbally or physically abusing clients, other students, faculty or staff.
   Falsely manipulating drug supplies, narcotics or client records.
   Appropriating without authority medications, supplies or personal items of the client or agency.
   Falsifying documents submitted to the Nursing Program.
   Leaving a nursing assignment without properly advising appropriate personnel.
   Violating the confidentiality of information or knowledge concerning the client.
   Displaying conduct detrimental to the public interest.
   Demonstrating unfair bias in rendering of nursing care (based on race, gender, age)
   Aiding and abetting the practice of nursing by any person not licensed or certified to claim
   the title of LPN, RN or advanced practice RN.
   Impersonating a licensed practitioner, or permitting another person to use the nursing student's
   identification for any purpose.
   Aiding, abetting or assisting any other person to violate or circumvent any law, rule or
   regulation intended to guide the conduct of a nurse or nursing student.
   Forging a prescription for medication/drugs.
   Presenting a forged prescription.
   Selling or attempting to sell a controlled dangerous substance or otherwise making such
   drugs available without authority to self, friends or family members.
   Engaging in conduct with a client that is sexual or may reasonably be interpreted as sexual,
   or engaging in any verbal behavior that is seductive or sexually demeaning to a client or
   engaging in sexual exploitation of a client.
   Obtaining money, property or services from a client through the use of undue influence,
   harassment, duress, deception or fraud.
   Engaging in fraudulent billing practices, including violation of federal Medicare and
   Medicaid laws or state medical assistance laws.
   Allowing own value system to interfere with client care/well-being.

Violating the Ethical Code, Demonstrating Unsafe Nursing Practice, and/or
Unprofessional Behavior
Violation of TCC Nursing performance standards shall include, but not be limited to, the
following behaviors:
   Showing a lack of respect for human dignity and the uniqueness of clients regardless of their
   social or economic status, personal attributes or the nature of the health problems.
   Failing to safeguard clients' rights to privacy.
   Failing to assume responsibility and accountability for individual nursing judgments and
   actions.


2009-2010
                                                                                                 23


   Failing to exercise informed judgment and use individual competence and qualifications
   when seeking consultation, accepting responsibilities and delegating nursing activities to
   others.

Sanctions for Breach of Student Behavior, Professional Behavior and/or
Standards of Nursing Practice
The statements in this document have been adapted from the Oklahoma Nurse Practice Act and
the Code of Ethics by the American Nurses Association (Appendix E).

The National Student Nurses Association has adopted a code of ethics which is supported by the
TCC Student Nurses Association which is included in Appendix F.

Any unsafe behavior by TCC students is subject to academic review. Disciplinary actions stated in
the TCC Student Policies and Resources Handbook (available online at tulsacc.edu/student
services) can also be applied should students engage in behaviors identified in the “Unsafe
Nursing Practice Policy.”

If a nursing student demonstrates behaviors or performances not meeting TCC Nursing standards
for professional conduct in a course, courses, or clinical setting, the faculty WILL impose one or
more of the following:
   Counsel with the student verbally and place written documentation of the incident(s) in the
   student's permanent nursing file.
   Provide additional learning assignments, designed by the faculty, to contribute to the achievement
   of course objectives and change unsafe behavior.
   Immediately dismiss the student from the setting.
   Place the student on program, clinical, or academic probation.
   Administratively withdraw the student from the course and assign a grade of “F” at the end of
   the semester.
   Dismiss the student from the Associate Degree Nursing Program and assign a grade of “F” for
   the course. (Not eligible for readmission.)
   The TCC Nursing Program accepts this code and expects student compliance with its
   standards

Program Probation and Dismissal
Students may be placed on probationary status for academic, clinical performance, or breach of
professional/behavior/ethical standards. (See section on Professional Behavior or Conduct). The
purpose of probationary status is to formally notify the student that his/her performance is not
consistent with successful completion of the Nursing Program.

The student placed on probationary status is presented with specific behavior and expectations
and given feedback through scheduled conferences. This period of probation allows the student
to have opportunities to change problematic behaviors or conduct and to improve performance.

An instructor may recommend a review of a student’s nursing program performances based on,
but not limited to, the following:


2009-2010
                                                                                                   24


   Multiple consultations and/or counseling reports.
   One or more critical incidents.
   Patterns of behavior inconsistent with program outcomes.
   Breach of nursing program or college policy.

Initiation of Probation
     Instructor will call for a review of student’s nursing program performance by the course/
     level faculty.
     Course/level faculty will review data and make a recommendation. The faculty may
     recommend one of the following options:
     -Probation not necessary.
     -Place on probation, with the established status, time period and evaluation of criteria of
      probation included;
or

Instructor will complete a written counseling report and meet with the student in an urgent and
timely manner. The written counseling report will include:
    - rationale for probationary or dismissal decision
    - probationary time frame
    - specific evaluation criteria for evaluation at the end of the probationary period
    - approximate date(s) of follow-up

Review of Probation
At the end of the probationary period, faculty will review student response to the evaluation
criteria and recommend one of the following:
    Removal from probationary status.
    Removal from probationary status, with condition(s).
    Continuation of probationary status, with a second opportunity for evaluation.
    Dismissal from the Nursing Program

Probation Categories
Clinical Probation
Students who are on clinical probation may continue in the program; however, they cannot be
placed on probation again. Once placed on clinical probation, the student remains on clinical
probation through the remainder of the nursing program.

During the course in which the student is placed on clinical probation (for 2 weeks of overall
“Unsatisfactory” performance), he/she will be dismissed from the nursing program if he/she
earns another overall unsatisfactory “U” performance.
In a subsequent semester, since the student is already on probation and cannot be placed on
probation again, two (2) weeks of “Unsatisfactory” performance would constitute a second
clinical probation and require dismissal from the Nursing Program.




2009-2010
                                                                                                  25


Academic Probation and/or Provisional Admission
A student may be admitted into the Nursing Program with a Provisional Acceptance, which puts
that student on limited Academic Probation for 2 semesters. If at any time during those 2
semesters the student fails a clinical course, they will no longer be eligible to progress or be re-
admitted into the Nursing Program. After those 2 semesters have been completed satisfactorily,
the Probationary status is lifted and the normal program progression rules apply.

Academic Probation for a Re-Admitted Student
Any student who is re-admitted into the Nursing Program may be admitted (a) in “good
standing” with no restrictions, (b) with a continuation of their clinical or academic probation at
the discretion of the Admissions Committee or of their provisional status for a further
semester or (c) on full Academic Probation.

Academic Probation for all Other Students
Any student who is accepted into the Nursing Program can be placed on full Academic Probation
after one clinical course failure. This probationary period extends for the full length of the
students attendance – it cannot be lifted. If a second failure occurs then the student is no longer
eligible to progress or be re-admitted into the Nursing Program. See Progression within the
Nursing Program (see below).

Program Probation
Students may be placed on program probation for breach of professional, behavioral or ethical
standards. Once placed on program probation, the student remains on program probation through
the remainder of the nursing program. Any future incident will result in disciplinary action up to
and including dismissal from the nursing program.

Progression in the Nursing Program
Students must be able to complete the Nursing Program within four (4) years from the date they
enter their first clinical nursing course. This date does not change, regardless of any readmission
or transfer date(s). Students must satisfactorily complete all courses in a particular level before
progressing to the next level. Refer to Admission Packet, Appendix for Curriculum Plan and
required course sequence.

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

Any required general education courses in which a student earns less than “C” must be repeated
until a grade of “C” or better is earned. If the general education course is prerequisite to a
nursing level course, the student cannot enroll in the nursing courses for that level until the
general education course is passed with a “C” or better grade.

Students who earn a second failing grade (“D” or “F”) in any clinical nursing course are not
eligible for readmission to the program. To be admitted in the Nursing Program and to remain in
the program, the student must in “good standing” at TCC.


2009-2010
                                                                                                  26


Readmission to the Nursing Program
Applicants who have received a grade of "D" or "F" for two clinical nursing courses are not
eligible for readmission or admission as a new applicant. Failing two courses includes failing the
same course twice or failing two separate courses one time each. Students are eligible to enter a
course only twice.

A “D” or “F” received from any previous clinical nursing course in any nursing program will be
counted in computing readmission eligibility.

Applicants who are otherwise eligible for consideration for readmission must be able to complete
the program within four years from the date of entering their first clinical nursing course.

The first clinical course entry date does not change, regardless of any readmission or transfer
date.

Those who are eligible for readmission will be referred to the student Learning Enhancement
Representative (LER) for their level. The student must complete and return the “Readmission
Request Form,” and meet all required deadlines and activities/learning outcomes prescribed by
the student Learning Enhancement Representative who will communicate the readiness of the
student to readmit to the Admissions Committee for final consideration.

Candidates for readmission must meet all current Nursing Program admission criteria and
requirements.

If the upcoming semester class is already full, every effort will be made to place eligible students
in the next class. All readmission applicants will be notified in writing by the Nursing
Admissions Committee regarding their admission status.


Procedure for Readmission
    Student withdraws from, begins audit status, or fails course.
    Level/Course Coordinator places written notification in mailboxes of the Learning
    Enhancement Representative (LER) and Admission Committee’s Readmission Liaison.
    If student does not withdraw and fails, Course Coordinator will inform Readmission
    Coordinator in writing of failure.
    Readmission Liaison reviews appropriate student’s file to see if student is eligible for
    readmission (pre-reqs completed, no second failure, etc.)
    If eligible, Readmission Liaison sends student a letter telling them that they will need to
    contact their LER if interested in continuing in the program.
    Student contacts LER for a “Learning Prescription.”
    Student works with LER and completes “Learning Prescription.”
    If student desires readmission, LER completes release for admission and places a copy of
    the student’s release in Readmission Liaison’s mailbox.
    In addition, student submits release to he Nursing Division Office for review.
    Readmission Liaison reviews files of those with releases (to verify student still eligible).
    Reviewed list is re-submitted to LER/Course/Level Coordinator for final ranking by course/

2009-2010
                                                                                                    27


    level faculty.
    Student is readmitted on a space-available basis.

Student Assignments
Students are to turn in assignments/homework directly to their instructors by date/time specified.
Instructors should make arrangements to receive these in their offices or at clinical facilities.
Under special circumstances faculty may request students to turn work in at Nursing Division
Office. Adjunct faculty, who do not have offices, may have their students turn in work to the
Division Office to be placed in their mailboxes.

Scholarship Assistance
A number of financial aid grants, loans and veterans services are available to all TCC students,
including nursing students. Refer to the current TCC catalog for a description. In addition,
several times a year various organizations contact the Nursing Program and offer scholarship
assistance to nursing students.

The Nursing Program appoints an ad hoc Scholarship Committee that meets on an as needed
basis to assist organizations offering scholarships to make decisions.

Established guidelines ensure that discrimination is not practiced in awarding the nursing
scholarships, except as stipulated by the scholarship donor for a particular category of student.
When scholarship funds are available via this method, they are announced in the designated
classes and the information is placed on student bulletin boards or the TCC Blackboard.

Students Serving on Nursing Program Committees
The faculty is responsible for planning, implemention and evaluation of the curriculum of the
Nursing Program. Much of this is accomplished by use of a committee system. Specific issues
may be addressed by a task force. Student input is an important aspect of these processes.

The work accomplished in the committees and task forces is subject to review and modification
by the Faculty Council, which is the recommending body to the Associate Dean. Student input
may be provided individually to faculty members, to course/level faculty, or by participation on
specific committees and task forces, examples include:
    Each course/level committee meets regularly and students are encouraged to let the course
    coordinator know of interest in attending meetings.
    Curriculum Matters Committee may include student representation from Levels 2, 3 and 4.
    Faculty members choose a student interested in the overall planning of the program to
    participate.

    Student Forum consists of the Student Nurses’ Association President, students and faculty
    members, representing each level. Students elect student and faculty members of the
    committee by secret ballot each spring. The term of service is for one academic year to serve
    for the next academic year. Level 1 representatives are appointed by the faculty prior to the
    start of clinical rotations and elected by the students at the end of the semester for the
    following spring semester.


2009-2010
                                                                                                  28


The concern of the Students Forum is the learning environment of the Nursing Division. Faculty
may identify issues, but the primary agenda shall be issues generated by the student body.

Students serving on committees are eligible to attend Faculty Council meetings. Students may
serve on task forces that may be appointed by the Associate Dean at anytime during the
academic year to address specific issues.

Committee Benefits to Students and to the Nursing Program
The nursing faculty members have identified communication as a foundational concept to
nursing education. Clear, direct communication between and among faculty members and
students is critical to the success of the program and its students.

To promote the development of professional communication skills and to enhance program
effectiveness, students are encouraged to participate on a committee of their choice.

Students
    Acquire leadership skills
    Participate in professional meetings
    Gain experience in group processes
    Learn the organizational structure for creating change within TCC and the Nursing Program,
    Obtain a valuable employment, scholarship, and upper-division college transfer qualification

The Nursing Program
    Gains the benefit of input from the student perspective
    Acquires open and effective communication between faculty and students and
    Obtains valuable and immediate feedback regarding educational processes.

How to sign up for a Committee
Students have an opportunity to sign up or be selected for the committee and to attend the
Faculty Council meetings at the beginning of each academic year. It is the goal of the
committees to have a student representative from each of the program’s four instructional levels.

At the beginning of each semester, students may volunteer for committees by notifying their
level coordinator or nursing clinical advisor. A list of student volunteers will be used by the
Associate Dean to appoint students to nursing committees and task forces.


Student Membership in the National Student Nurses Association
The Tulsa Community College Student Nurses’ Association (TCC SNA) is a constituent of the
Oklahoma Nursing Student Association (ONSA) and the National Student Nurses’ Association
(NSNA) professional organizations for nursing students.

TCC SNA members can take advantage of educational programs, community outreach projects,
academic scholarships and leadership opportunities at the local, state and national levels.



2009-2010
                                                                                                   29


The membership in the organization is open to students currently enrolled in the nursing
program. Annual dues are required to be a part of the state and national organizations. TCC SNA
meetings are held on a monthly basis and special activities are scheduled periodically. The
ONSA and NSNA conventions are held annually for any member who would like to attend and
consider running for a state and national office.

Questions, Concerns, or Complaints Regarding the Nursing Program
Students are encouraged to seek answers to questions from any and all Nursing Division
Personnel, including the Associate Dean. Students seeking information regarding application to
the program should talk with counselors in the Counseling and Advisement Centers located on
each campus and/or with the office staff in the Nursing Division.

Students should direct questions regarding courses in which they are enrolled to the faculty
teaching the course. If a problem arises during the course, the student should first attempt to
solve the problem with the individual instructor. This person could be the assigned faculty
advisor, clinical or lab instructor, or theory class instructor. Subsequently, the student may
contact the level/course coordinator and request review of the issue by the course/level faculty
team. This request must be in writing and signed.

If the student believes that the issue/concern is not resolved by the level/course coordinator, the
student may request a review of the issue by the Associate Dean for Nursing. This request must
also be in writing and signed.

Problem solving is facilitated when the student specifically describes the problems and the
desired results. The Student Concerns Form (Appendix G) may assist the student in this process.

Use of this form is not required but is very useful for both student and instructors as request for
review of an issue/concern by the level/course coordinator or the Associate Dean must be
submitted in writing and signed.

Students have many opportunities to make a difference in the Nursing Program. These methods
include:
    Serving as a student representative on Nursing Program Committees.
    Completing evaluations on theory and clinical instructors in every nursing course.
    Completing course evaluations each semester and the program evaluation during Level 4
    courses.


    Following graduation, completing alumni surveys regarding the effectiveness of the
    program.
    Submitting comments, concerns, or compliments verbally or in writing to the Associate
    Dean at any time.

Complaints are handled in accordance with college policy as published in the TCC Student
Policies and Resources Handbook. Handbooks are available online at tulsacc.edu/student
services or in booklet form at the TCC Admissions Office at First Stop.


2009-2010
                         30




            APPENDICES




2009-2010
                                                                                                 31



                                        APPENDIX A
TCC Nursing Program Uniform Requirements

Students in the TCC Nursing Program have a designated uniform, which is to be worn during
clinical experiences. All items must meet the regulations stated below. Uniform tops with school
embroidery are only to be worn in the clinical area. All uniforms will be crisp and wrinkle-free
when worn with all components. All uniforms and embroidery must be from a standard vendor
and purchased at the TCC Bookstore.

Lab Coat/Jacket: White, collared, long enough to cover buttocks, button front, long sleeves,
official TCC Nursing patch sewn to the middle of the left, upper sleeve and with name tag on the
front pocket.

All uniform tops must be embroidered on the upper left portion with:
                                 Tulsa Community College
                                      Nursing Student
                               (Note: Name pin must be used)

Choices of uniform tops are:
      Polo shirt: navy, heavy weight, school embroidery on upper left portion available at TCC
      bookstore.
      Scrub top: navy, heavy weight, woven cloth (no knit or fabrics), with an inset sleeve;
      school embroider on left upper portion available at the TCC Bookstore.

Slacks/Trousers: Either navy scrub pants that match the top or navy slacks/trouser of
heavyweight, woven cloth with straight legs that touch the top of the shoe. Cannot be jeans or
jeans materials, knit fabrics or lycra.

Dress, Blouse or Skirt: Navy, scrub-style with school embroidery. Skirt must have pockets,
length to between bottom of knee and mid-calf. Cannot be culotte or jumper style. Nursing patch
sewn on left upper sleeve, and name tag on the left upper front.

Skirt: White, heavyweight, woven cloth (no knit or lycra fabrics), length to be between bottom
of knee and mid-calf. In seam pockets are preferred. Cannot be jeans, culotte, or over-all style.

Stockings: White, navy or flesh-toned, non-patterned hose for women; May wear white socks
when wearing slacks.

Shoes: White shoes (closed toes and heels) with minimal or no additional color or decoration.
Must be clean or freshly polished.

Equipment: Bandage scissors, ballpoint pen with black ink, small notepad, watch with a second
hand, stethoscope, 6” ruller, DTR hammer and penlight.


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2009-2010
                                                                                            32


Optional but recommended: 7” or smaller hemostat and goggles (OHHA appropriate).

TCC Nursing Name Pins: To be worn on the upper left of lab coat or uniform top during clinical.
Available at TCC Bookstore, using the TCC standard format.


              sALLIE ANN BROWN
               RN STUDENT
        TULSA COMMUNITY COLLEGE


Optional Item:
  PIN SIZE A
Turtle Neck Shirt: White or navy, without decorations may be worn under the top during cold
weather.




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                                                                                                            33


                                             APPENDIX B
HOSPITAL INTERNET POLICY

POLICY
Internet access is permitted only for authorized personnel who have a legitimate business reason for such
access. All Internet users must be familiar with, and abide by, confidentiality and security policies and
procedures as well as Internet policies and procedures. Questions should be directed to


__________________________________________________                                   ___ for interpretation.

This institution abides by all applicable federal, state and local statutes and regulations. All individuals
with Internet access are expected to abide by all applicable policies, statues and regulations. Misuse of
Internet privileges in violation of applicable laws and regulations may result in disciplinary action up to and
including fines and/or termination. In some instances, misuse can result in civil or criminal penalties.

Sending or receiving material in violation of federal or state laws is prohibited.
This includes, but is not limited to, copyrighted or trade secrets, threatening or obscene material,
confidential or unauthorized information and any intentional or unintentional disclosure of protected health
information in violation of HIPAA. Accessing, downloading or distributing obscene material is prohibited
and may result in termination and/or legal prosecution.

Sometimes it may become necessary and appropriate to transfer patient information via the Internet.
Such information is confidential and all hospital policies and procedures related to security and
confidentiality apply. In addition, policies and procedures relating to the duration, scope, and subject of a
signed consent or authorization apply to all patient communication, including Internet communication.

Protected health information relating to substance abuse, psychiatric treatment, contagious diseases
and/or suspected child abuse and neglect are considered extremely confidential and should only be
sent over the Internet in an emergency and then only if there is no safer method of transmission available.

Extremely Confidential Data Transmission
There may be rare instances where there is a need to transmit extremely confidential data via the
Internet. In such instances, patient consent or authorization, as appropriate, should first be obtained. This
data must be encrypted prior to transmission.

PROCEDURE
1. Confirm the existence of an appropriate patient consent or authorization.
2. Ensure the appropriateness of the request to transmit the information.
3. Ensure that if the information to be transmitted is extremely confidential, it is only sent in an
   emergency.
4. Transmit the information with a disclaimer and a warning to any recipient to treat it with
   utmost security and confidentiality.

                                              Student Name: ____________________________
                                             Student CWID # ____________________________

Draft:
Tulsa Hospital Council, Legal Sub-committee, 12/25/02



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                                                                                                          34

                                             APPENDIX C
STUDENT EXPOSURE FORM

1.
     Last Name, First Name, Middle Initial

2. CWID #: ____________________________________3. DOB:
4. Address:




5. Phone #: _________________________6. Division
7. Campus/Clinic/Lab/Room #:
8. Current major or course:
9. Date/Time/Place the exposure occurred:


10. Route of exposure (needlestick, bite, etc.)
11. Description of exposure:


12. Description of job being performed at time of exposure:


13. Identify blood/body fluid source (which lab, clinic, hospital or person did it come from)


14. Action taken following exposure:


15. Was protective equipment available?
16. List protective equipment worn (if not wearing PPE, why not?)


17. Treatment received and where:


18. Hepatitis B vaccination status (check one)
___ I have completed the Hepatitis B vaccine series       ____ I have taken one (1) injection of the series
___ I have taken two (2) injections of the series         ____ I have not taken the Hepatitis B vaccine series
19. Last date of tetanus booster:
20. ________________________________________________________________
    Signature of exposed student                                                            Date
21. _________________________________________________________________
    Signature of instructor                                                                 Date
22. __________________________________________________________________
    Signature of Associate Dean                                        Date



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                                                                                                35


                                          APPENDIX D
STUDENT EXPOSURE FORM (INSTRUCTIONS)

1. Exposed student’s name in full.
2. Identify student’s college wide number.
3. Identify student’s date of birth.
4. Identify student’s address.
5. Identify student’s telephone number.
6. Identify division responsible for student’s chosen major or course.
7. Identify student’s campus, lab/clinic by location.
8. Identify student’s curriculum, major or course.
9. Identify the date, time, and place where the exposure occurred. (Students identify location of
   clinic if off campus).
10. Identify the route of exposure (bite, needlestick, etc.).
11. Describe the type, degree, and duration of the exposure as completely as possible (i.e. blood
    covered hands for 20 minutes while assisting accident victim, etc.).
12. Identify the job being performed at the time of exposure.
13. Identify from whom, what, or where the blood or body fluid source was derived (i.e. clinic,
    hospital, person, etc.).
14. Identify the action taken after exposure.
15. Fill in yes or no.
16. List type of equipment being used or if not, why not.
17. Identify where treatment was received by clinic name and address.
18. Check the appropriate box to indicate exposed student’s hepatitis B vaccination status.
19. Identify the last date of tetanus booster.
20. Signature of student and date.
21. Signature of instructor, date and complete instructor’s report of student exposure form.
22. Signature of Associate Dean of Nursing and date.




Signature of Associate Dean                                                          Date


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                                                                                           36



                                         APPENDIX E
INSTRUCTOR’S REPORT OF STUDENT EXPOSURE

1. Student’s Name:
2. Student CWID #
3. Place of exposure: Metro __________ NEC __________ SEC __________ West
   Other (i.e., lab, clinic) Name:


4. Date of exposure:                           5. Type of exposure
6. Description of exposure (how the exposure occurred and the exposed student’s duties:)




7. Describe the route of exposure and actions taken immediately thereafter:




8. Name of hospital, clinic, or doctor sent to for treatment:




9. Name(s) of witnesses to the exposure:




10.
      Signature of Instructor                                         Date


11.
      Signature of Associate Dean                                     Date



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                                                                                                 37



                                          Appendix F
Post-Exposure Evaluation and Follow-Up for Students
Policy
1. The potentially exposed student must notify the supervising instructor and report immediately
   to the Student Health Services if on campus, or to the employee health office if the exposure
   occurs in an off-campus health agency setting.
2. Students who have been potentially exposed, either on campus or in a clinical agency area,
   must complete a Student Exposure Form.
3. If the potential exposure occurred while the student was in an off-campus agency, that
   agency’s forms must also be completed.

Procedure
1. Notify supervising instructor and report to Student Health Services or employee health office
   (if off campus).
2. Complete appropriate actions as determined by the type of exposure.
3. Complete appropriate exposure forms.

Guidelines for Immediate Medical Care
1. The student is responsible for medical and laboratory costs.
2. The source individual’s blood will be tested as soon as possible. The student is responsible for
   medical costs related to this test if source will not pay for the test.
3. The results of the source individual’s testing will be available to the student and the student
   will be informed of regulations concerning disclosure of the identify and infectious status of
   the source person.




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                                                                                                  38


                                        APPENDIX G

                                         Student Name: ____________________________
                                         Student CWID# ____________________________


HEALTH STATUS RELEASE STATEMENT

Release Date: _______________________________

TULSA COMMUNITY COLLEGE
PATIENT CARE TECHNICIAN PROGRAM
909 S. BOSTON AVE. MC-501
TULSA, OK 74119-2095

TCC Nursing Program:

                                                             is under my care for the following
condition(s);




I have reviewed the attached Performance Standards for Admission & Progression in the
TCC Nursing Program. I have examined and assessed the above individual and do certify that
he/she is able to return to class and perform ALL clinical nursing activities in a manner that will
not harm the student nor compromise patient safety.


Licensed Health Care Provider:

Signature:
Printed Name and Title:
Address:


Telephone Number:




2009-2010
                                                                                                           39

                                                Appendix H



                                          Nursing Division

                                Influenza Vaccine Declination
      I acknowledge that due to my occupational exposure I may be at risk of acquiring influenza. I
      have decided not to take the influenza vaccine at this time. I acknowledge by deciding not to take
      this vaccine, I continue to be at risk for acquiring influenza.

      Please fill out this form COMPLETELY if you are refusing influenza vaccine.

      Standard Contraindications for Flu Vaccinations: Check if applicable.
        Allergy to eggs………………………………………………………..……..                                   □

        Significant reaction to flu shot in the past……………………………………□

        History of Gullain-Barre syndrome………………………………………..…□

        Current Illness with fever…………………………………………………….□

      If any of the above contraindications are not applicable, you should have the flu vaccine
      administered to protect yourself, your patients, your family members and the community. You
      are strongly encouraged to do so.

      Declination
      If you decline flu vaccination for reasons other than the standard contraindications above, please
      state your reasons below.




      Print Name: _______________________________________

       Signature:
2009-2010             _________________________________________ Date:___________
      CWID#           _________________________
                                                                                                        40


                                               Appendix I

National Student Nurses’ Association, Inc.- Code of Ethics
Code of Academic and Clinical Conduct

Students of nursing have a responsibility to society in learning the academic theory and clinical skills
needed to provide nursing care. The clinical setting presents unique challenges and responsibilities while
caring for human beings in a variety of health care environments.

The Code of Academic and Clinical Conduct is based on an understanding that to practice nursing as a
student is an agreement to uphold the trust with which society has placed in us. The statements of the
Code provide guidance for the nursing student in the personal development of an ethical foundation and
need not be limited strictly to the academic or clinical environment but can assist in development of the
person.

As students are involved in the clinical and academic environments we believe that ethical principles are
a necessary guide to professional development. Therefore within these environments we:
    Advocate for the rights of all clients.
    Maintain client confidentiality.
    Take appropriate action to ensure the safety of clients, self, and others.
    Provide care for the client in a timely, compassionate and professional manner.
    Communicate client care in a truthful, timely and accurate manner.
    Actively promote the highest level of moral and ethical principles and accept responsibility for our
    actions.
    Promote excellence in nursing by encouraging lifelong learning and professional development.
    Treat others with respect and promote an environment that respects human rights, values and choice
    of cultural and spiritual beliefs.
    Collaborate in every reasonable manner with the academic faculty and clinical staff to ensure the
    highest quality of client care.
    Use every opportunity to improve faculty and clinical staff understanding of the learning needs of
    nursing students.
    Encourage faculty, clinical staff, and peers to mentor nursing students.
    Refrain from performing any technique or procedure for which the student has not been adequately
    trained.
    Refrain from any deliberate action or omission of care in the academic or clinical setting that creates
    unnecessary risk of injury to the client, self, or others.
    Assist the staff nurse or preceptor in ensuring that there is full disclosure and that proper
    authorizations are obtained from clients regarding any form of treatment or research.
    Abstain from the use of alcoholic beverages or any substances in the academic and clinical setting
    that impair judgment.
    Strive to achieve and maintain an optimal level of personal health.
    Support access to treatment and rehabilitation for students who are experiencing impairments related
    to substance abuse and mental or physical health issues.
    Uphold school policies and regulations related to academic and clinical performance, reserving the
    right to challenge and critique rules and regulations as per school grievance policy.

Adopted by the NSNA House of Delegates, Nashville, TN, on April 6, 2001.




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                                                                                                    41



                                           Appendix J
American Nurses Association-Code of Ethics for Nurses

1. The nurse, in all professional relationships, practices with compassion and respect for the
   inherent dignity, worth and uniqueness of every individual, unrestricted by considerations of
   social or economic status, personal attributes or the nature of health problems.

2. The nurse’s primary commitment is to the patient, whether an individual family, group, or
   company.

3. The nurse promotes advocates for, and strives to protect the health, safety, and rights of the
   patient.

4. The nurse is responsible and accountable for individual nursing practice and determines the
   appropriate delegation of tasks consistent with the nurse’s obligation to provide optimum
   patient care.

5. The nurse owes the same duties to self as to others; including the responsibility to preserve
   integrity and safety, to maintain competence, and to continue personal and professional
   growth.

6. The nurse participates in establishing, maintaining, and improving health care environment
   conducive to the provision of quality health care and consistent with the values of the
   profession through individual and collective action.

7. The nurse participates in the advancement of the profession through contributions to practice
   education, administration, and knowledge development.

8. The nurse collaborates with other health professionals and the public in performing
   community, national, and international efforts to meet health needs.

9. The profession of nursing, as represented by associations and their members, is responsible
   for articulating nursing values, for maintaining the integrity of the profession and its practice,
   and for shaping social policy.




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                                                                                                  42



                                        APPENDIX K
STUDENT CONCERNS FORM

Date:

Student Name:                                                        CWID#:                ______

Address:

City:                                                 State:                Zip:

Telephone (day)                                       Other:

Course Name & Number:                                 Call Number:

Instructor:

1. What is your concern? (Be specific. Include accurate details appropriate to the situation or
   problem. Present facts and avoid emotional or judgmental statements).




2. What are the contributing factors affecting the situation or problem?




3. Have you contacted the instructor by telephone or in person (if applicable)? If so, when,
   where, and what was the response?



4. Propose a solution to the situation or problem.




Submit completed form to appropriate faculty or the Nursing Division. Use additional sheets as
needed.

                                                                                   ___________
Student signature                                               CWID#


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                                                                                                   43



                                             Appendix L
  Oklahoma Board of Nursing - Roles/Responsibilities


The Tulsa Community College Nursing Education Program is approved by the Oklahoma Board of
Nursing. Graduates of this state-approved program are eligible to apply to write the National
Council Licensure Examination (NCLEX) for (registered or practical) nurses. Applicants for
Oklahoma licensure must meet all state and federal requirements to hold an Oklahoma license to
practice nursing. In addition to completing a state-approved nursing education program that meets
educational requirements and successfully passing the licensure examination, requirements include
submission of an application for licensure, a criminal history records search, and evidence of
citizenship or qualified alien status. Applicants for practical nurse licensure must also hold a high
school diploma or a graduate equivalency degree (G.E.D.) [59 O.S. §567.5 & 567.6]. To be
granted a license, an applicant must have the legal right to be in the United States (United States
Code Chapter 8, Section 1621). In addition, Oklahoma law only allows a license to be issued to
U.S. citizens, U.S. nationals, and legal permanent resident aliens. Other qualified aliens may be
issued a temporary license that is valid until the expiration of their visa status, or if there is no
expiration date, for one year. Applicants who are qualified aliens must present, in person, valid
documentary evidence of:

1.   A valid, unexpired immigrant or nonimmigrant visa status for admission Into the United States;
2.   A pending or approved application for asylum in the United States;
3.   Admission into the United States in refugee status;
4.   A pending or approved application for temporary protected status in the United States;
5.   Approved deferred action status;
6.   A pending application for adjustment of status to legal permanent resident status or conditional
     resident status.

The Board has the right to deny a license to an individual with a history of criminal background,
disciplinary action on another health-related license or certification, or judicial declaration of
mental incompetence [59 O.S. §567.8]. These cases are considered on an individual basis at the
time application for licensure is made, with the exception of felony charges. An individual with a
felony conviction cannot apply for licensure for at least five years after completion of all
sentencing terms, including probation and suspended sentences, unless a presidential or
gubernatorial pardon is received [59 O.S. §567.5 & 567.6].




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                                            Appendix M



              Blackboard
TCC Nursing Program instructors use Blackboard to organize their course materials and make
use of the study and communication tools offered by Blackboard, including course mail, an
outline calendar, chat rooms, discussion forums, grade book, quizzes, etc. Many nursing courses
use video-streaming and other technologies to enhance your learning. Registered users can
access Blackboard courses through http://bb.tulsacc.edu. If you don’t have an account but are
registered for an Internet course(s), contact the TCC Registrar.

Computer Requirements
To get the most out of you nursing education, you will need basic computer skills, a good
computer, a high quality connection. See below for specific details. While TCC offers computer
resources in the computer labs on each campus, many nursing students find that access to a
personal computer improves their time management and assists in their studies.

Recommended Hardware: Pentium III computer or higher              McIntosh running OS X
                         I Ghz                                    256 mb RAM
                         256 mb RAM                               sound card/speakers
                         Sound card/speakers

Internet Access:      Modem 56 kps
                      Broadband required for courses with streaming video (DSL, Cable)*
                          (Most nursing courses.

Recommended Software:
     Windows 98/2000/XP/Vista or Mac OSX operating system
     Internet Explorer 6 or greater (Internet Explorer available free on the Microsoft site)
     The browser MUST have 128 bit encryption.
     Integrated Office software (Microsoft Office XY, 2003, 2007) If you do not have
     Microsoft Office, then you may download a free office suite that is compatible with
     Microsoft Office.
         o Open Office: no registration required
                  Click here for instruction on how to save documents in OpenOffice so
                    that they are compatible with MS Office.
                  Click here for a handout on using OpenOffice for text documents.
     You may also download Microsoft Office as a student of Tulsa Community College.
     Login to Blackboard and Search for SoftwareInstall under the Organization Tab. Click
     Enroll and then access the Organization site and follow the instructions.

        Antivirus software, such as Norton or McAffee. If you do not want to purchase antivirus
        software, you may download one from a free web site.
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           o avast! 4
           o AntiVir
        JAVA (available free from Sun Microsystems)

NOTE: Tulsa community College does not recommend, endorse, or support any of the above
mentioned free software. The listings are merely provided for your convenience.

Streaming Video Requirements
    Broadband Internet access (DSL, Cable, T1)
    Windows Media Player 10 Series (Windows Media available free on the Microsoft site)

Web Browser      Most current version of Internet Explorer

Computer Resources at TCC – Fall Semester:
Metro        MicroComputer Lab   (MP200) M-Th 8am-6:45pm    Fri 8am-4:45pm
             x7146                       Sat 8am-12:45pm
             LRC (MC200) x7172           M-Th 7:30am-9:30pm Fri 7:30am-5pm
                                         Sat 9am-1pm
             Math/Science Lab (MC302) x M-Th 8am-9pm Fri 8am-5pm Sat 8am-
             6011                        5pm

Southeast    MicroComputer Lab (SE4231) x M-F 8am-7pm
             7643
             LRC (SE7200) x7701           M-F 7:30am-9:30pm      Sat 8:30am-
                                          5:30pm
             Math/Science Lab (SE8150) x M-Th 8am-9pm Fri 8am-4pm Sat 9am-
             7751                         1pm

Northeast    Testing Center x 7534               M-Th 8am-7pm Fri 8am-5pm Sat 8am-
                                                 1pm
             LRC (NE1135) x7501                  M-Th 7:30am-9:30pm Fri 7:30am-6pm
                                                 Sat 9am-1pm

West         MicroComputer Lab (i124) x8051      M-F 8am-7pm
             LRC (I266) x8010                    M-Th 7:30am-9:30pm    Fri 7:30am-5pm
                                                 Sat 8:30am-12:30pm
             Math/Science Lab (I120) x 8196      M/W 8:30am-5pm          T/Th/F 8:30am-
                                                 9pm
                                                 Sat 9am-5pm Sun 1pm-5pm


To contact the Help Desk: 595-2000




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                                          Appendix O


TULSA COMMUNITY COLLEGE TALENT RELEASE



I, hereby, give consent to Tulsa Community College to use my picture, or likeness, whether
photographic, electronic, or print, for use in promotional, educational, or other college activity. I
also give permission to the college to edit, copy, and distribute this material to any of its
campuses or to any location for college business.

I also consent to loaning this material to other non-profit organizations or to duplicate this
material as a gift to other non-profit organizations which may consider it useful.

In light of what the college proposes to do, I hereby give my permission to use my picture, my
name, audio, and/or visual from this point and hereafter for the college to use freely in
conjunction with its programs until that time I revoke my permission.


       Name                                                             CWID#

       Address

       Subject

       Signed


       Date: __________________________




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                                           Appendix N
PROGRAM POLICY AGREEMENT

Receipt of Tulsa Community College Nursing Program Student Handbook

I have received a copy of the Student Handbook. I understand that I will be held accountable
for complying with all policies and procedures of the Nursing Program. It is my responsibility
to ask for clarification regarding any policy or procedure I do not understand. I also understand
that it is my responsibility to read new policies or procedures issued by the program and to retain
the written copy with my Student Handbook. The Student Handbook includes, among other
items, professional conduct code of ethics, exposure guidelines, impaired behavior,
confidentiality and nondiscrimination.

I have received the Student Handbook. I have read the sections in the handbook enumerated
below. I understand what is required of me as a TCC nursing student, articulated in those
sections. I understand that breech of any part of the Student Handbook may result in counseling,
probation, and/or dismissal from the nursing program, depending on my actions.

Please insert date of receipt and the page number of the following items:

1.   Receipt of TCC Nursing Program Student Handbook                                    ______
2.   Professional Conduct                                                               ______
3.   National Student Nurses Association Inc., Code of Ethics
4.   American Nurses Association – Code of Ethics for Nurses
5.   Exposure Guidelines
6.   Impaired Behavior
7.   Confidentiality
8.   Nondiscrimination Policies
9.   Talent Release (Please include signed form)                                        ______
     Tulsa Community College complies with federal laws and regulations in practicing
     nondiscrimination and does not discriminate on the basis of race, color, national origin, sex,
     age, religion, handicap, or status as a veteran in any policy, practice, or procedure. This
     includes, but is not limited to, admission, employment, or educational services. I understand
     that I may follow the grievance procedure guidelines outlined in the TCC Nursing Student
     Handbook and the Student Policies and Resources Handbook if I wish to file a grievance or
     complaint.


Print Name                                                                                    Date


Signature                                                                      Date

________________________________
CWID #
THIS COPY IS TO BE SIGNED AND PLACED IN THE STUDENT’S PERMANENT FILE

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