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					UNIVERSITY OF NEW MEXICO-GALLUP

    DEPARTMENT OF NURSING

   STUDENT NURSE HANDBOOK

            Fall 2005
                                                                                2
                                       TABLE OF CONTENTS

Mission Statement University of New Mexico-Gallup                          4

Vision Statement of the University of New Mexico-Gallup                    4

Mission Statement of the University of New Mexico-Gallup Nursing Program   4

Philosophy of the Nursing Department                                       4

Nursing Practice                                                           4

Role of the Associate Degree Nurse                                         5

Nursing Education                                                          5

Program Threads and Terminal Objectives                                    7

Curriculum Framework                                                       8

Program Degree Plan                                                        9

Services Available to Students                                             10

Student Nurses Association                                                 10

Progression and Grading Policies                                           10

ATI Requirements                                                           11

Behaviors Resulting in Probation or Dismissal                              12

Disciplinary Committee Policy                                              13

Readmission and Advanced Standing Policy                                   13

Attendance Policies                                                        14

Uniform Policy                                                             14

Dress Code                                                                 15

Scope of Practice                                                          15

Dishonesty Policy                                                          16

Policy on Outside Employment                                               16

Confidentiality Policy                                                     16
                                                                              3
Pregnancy Policy                                                         16

Hospitalization Policy                                                   16

Weather Situation                                                        17

Graduation Requirements                                                  17

Applying for Licensure                                                   17

Medication Error Policy                                                  18

Academic Rights and Responsibilities of Students                         18

Malpractice (Liability) Insurance Policy/Needle Stick Insurance Policy   19

Health Insurance                                                         19

Conflict Resolution                                                      19

Cell Phone and Pager Policy                                              20
                                                                                                              4
                             UNIVERSITY OF NEW MEXICO-GALLUP
                                 STUDENT NURSE HANDBOOK

I.      Mission Statement University of New Mexico-Gallup

UNM Gallup develops lifelong learners in a context that is responsive to cultures of this region.

II.     Vision Statement of the University of New Mexico-Gallup

UNM Gallup, working in partnership with the region, will demonstrate and promote excellence in
education to enhance the region’s social and economic foundation.

III.    Mission Statement of the University of New Mexico-Gallup Nursing Program

The UNM-Gallup nursing program assists lifelong learners to develop clinically competent and culturally
sensitive nursing care for clients in rural health care settings.

IV.     Philosophy of the Nursing Department

The nursing program assists the student to attain the competencies of a UNM-G graduate through the
integration of related and supportive concepts and teaching methodologies. These competencies are: 1.)
to think critically and make reasoned choices by acquiring, analyzing, synthesizing and evaluating
knowledge; 2.) to read, listen, write, and speak effectively; 3.) to understand and use quantitative
information; 4) to clarify personal strengths, values, and goals in relation to cultural values; 5.) to have the
knowledge and skills necessary for effective citizenship; 6.) to recognize the value of moral and ethical
perceptions; 7.) to recognize the value of health promotion and disease prevention across the life span.

Our statement of philosophy represents a synthesis of our beliefs about nursing practice, the practice of
the associate degree graduate and nursing education.

V.      Nursing Practice

The nursing faculty at UNM-G defines nursing practice by using the American Nurse’s Association’s
definition of nursing. “The diagnosis and treatment of human responses to actual and potential health
problems.” We view the individual experiencing an actual or potential health problem in psychological,
emotional, social and spiritual dimensions.

There are several nursing theorists who are reflected in the UNM-G nursing curriculum, that closely
resemble what we as faculty define as nursing. We believe nursing is a way of thinking, judging, and
relating to clients. This relationship is carried out in a variety of practice settings.

The structure for nursing practice in this curriculum is based on the nursing process with the belief that
the client has a right to personal choice and shared decision making for health care. This nursing practice
is directly influenced by the social and economic conditions of the community.

The purpose of the nursing program at UNM-G is to prepare beginning Registered Nurse practitioners.
The faculty supports the various levels of nursing practice. Our graduate will be expected to function
independently, dependently, and interdependently within the legal parameters of a beginning level
Registered Nurse practitioner in a variety of practice settings.
                                                                                                           5
The goal of the UNM-G nursing program is to prepare the graduate to provide direct health care to
culturally diverse people of all ages and developmental stages. We believe nursing practice includes
health promotion as well as delivery of care to the client who is acutely or chronically ill. The faculty
believes the education of students requires clinical experience be offered in a variety of settings and
community gathering places. Throughout the educational process, emphasis is placed on the importance
of recognizing the social, economic and developmental issues which influence the delivery of health care.

VI.     Role of the Associate Degree Nurse

The role of the associate degree graduate is to be an effective provider of care, manager of care and
member of the discipline.

Provider of care: The UNM-G graduate will provide culturally competent care to clients using critical
thinking and innovation to arrive at appropriate client centered clinical decisions. The care is delivered
using a collaborative model. The emphasis of this model is shared decision making involving the client,
family, significant others and the health team members. We believe our graduates will provide care using
behaviors that support and reinforce a caring approach to the delivery of health care. These caring
behaviors will be demonstrated through the use of the therapeutic helping relationship and effective
communication skills. The graduate will use the nursing process to structure decision making. These
decisions are based on the graduate’s current knowledge of nursing concepts, principles and skills.

Manager of care: The practice of the UNM-G will incorporate the role of manager of care. Our belief is
the graduate will manage the care of clients in both an accountable and organized way. The graduate will
be a strong client advocate who demonstrates respect for both client and coworkers. In addition, the
graduate will use therapeutic communication techniques to foster an environment of collegiality and
genuine respect for each member of the health care team. Additional management skills will be
demonstrated as the graduate provides direction and guidance to other members of the health team.
Delegation responsibilities will be seen in many settings, dependent on changing client needs and
environmental requirements. The graduate will seek assistance when needed and will understand the
legal and ethical parameters of nursing practice for self and other members of the health care team.

Member of the discipline: In order to insure a high standard of nursing practice, the faculty believe our
graduate must demonstrate a commitment to the profession through involvement in professional
organizations at both the local and national level. The involvement includes using and/or participating in
nursing continuing nursing education needs and recognizing the possibility of educational mobility.
Issues of community involvement are also an important part of the graduate’s commitment to service.
The graduate must identify roles and responsibilities of the registered nurse in the community based
health care system as well as roles and responsibilities of being a fiscally and socially responsive citizen
and consumer of health care. An additional responsibility of the UNM-G graduate is to recognize ethical
dilemmas in the health care delivery system and become involved in resolution of these dilemmas in a
moral, legal and ethical manner.

VII.    Nursing Education

We believe the mission of nursing education is to provide a basic knowledge of the science and art of
nursing. Our responsibility as faculty is to provide an autonomous, and when needed, a guided
environment to educate a caring and critical thinking health professional that will deliver culturally
competent care to a diverse population of individuals.

In the educational process, the faculty uses the student’s previous experiences; educational background
and understanding of ethics to enhance the process of learning. We believe the faculty-student
                                                                                                           6
relationship is one of partnership and collegiality within the teaching-learning setting. As a clinical
teacher, we believe that we act as role models in the area of provider of care, manager of care and as a
member of the discipline of nursing.

We believe teaching occurs in a way that both teacher and student learn together with the ultimate
responsibility of learning resting with the learner. The student is encouraged to use inquiry to enhance
learning and develop innovative responses to situations.

Qualified individuals should have an opportunity for upward mobility in nursing. As faculty it is our
responsibility to provide learning experiences that build on the student’s previous educational experience
in nursing as well as provide an opportunity for the graduates to further their education by articulation
with a university system.

The UNM-G Nursing Program has a responsibility to assess and serve the community’s health needs.
This service by the faculty will take many forms. Individually each faculty is involved in nursing in
many unique ways. The faculty believes that to be a role model for students we must be actively involved
in community service.

Additionally, we believe it is the responsibility of UNM-G faculty to determine the changing focus health
care and prepare a graduate who is prepared to work in a variety of health care settings. Through active
community involvement, the faculty can best determine the needs of the community we serve as a
community college.

Adopted, January, 2002.
Revised, January, 2003
Reaffirmed, January, 2004
                                                                                                                                                               7
 Program Threads and Terminal Objectives
                         1st Semester             2nd Semester                 3rd Semester                 4th Semester             Terminal Outcomes

Culture/            Identify concepts of      Differentiate concepts   Demonstrate understanding       Integrate cultural           Provide culturally
Spirituality        spiritual and cultural    of spirituality and      of how culturally learned       beliefs, practices, and      appropriate care in a
                    diversity as they are     cultural diversity as    values, customs, life           spirituality into the plan   variety of settings to a
                    influenced by the         they relate to the       experiences, and spirituality   of care for the client,      diverse population.
                    student’s life            client’s life            affect client and family        family, and community.
                    experiences, health       experiences, beliefs,    health beliefs and practices
                    beliefs, practices, and   practices and            in their environment.
                    environment.              environment.

Nursing Process     Identify and define the   Document client          Develop and implement a         Develop and implement        Evaluate and adapt
                    steps of the nursing      assessments and          plan of care by interpreting    a plan of care for           nursing care plan to the
                    process and explain       formulate an             assessment data and             clients with complex         client, family, and
                    the use of the nursing    appropriate nursing      selecting a nursing diagnosis   conditions.                  community.
                    process as a decision-    diagnosis, outcome       for a specific population.
                    making tool.              and intervention.


Communication       Identify and              Utilize appropriate      Prepare teaching plan based     Utilize effective            Demonstrate caring
                    demonstrate the           therapeutic              on the client’s needs using     communication in             behaviors through the
                    various                   communication            the appropriate                 collaboration with other     use of the therapeutic
                    communication             techniques in the        communication modality.         disciplines to deliver       helping relationship and
                    modalities.               nurse/client                                             client care.                 effective
                                              relationship.                                                                         communication skills.

Critical Thinking   Identify the basic        Apply critical           Use critical thinking to        Use critical thinking        Use critical thinking as
                    elements of critical      thinking in decision-    analyze concepts,               skills to prioritize         a framework to provide
                    thinking.                 making regarding         assumptions, and                complex client care.         safe and effective client
                                              client care.             implications of nursing                                      care.
                                                                       interventions.

Professionalism     Discuss roles and         Articulate role          Demonstrate behaviors           Implement the role of        Display professional
                    responsibilities of the   differentiation and      associated with a               manager of client care       behaviors appropriate
                    professional nurse.       nursing scope of         professional nurse including    in appropriately             for the role of associate
                                              practice.                legal and ethical               delegating and               degree nurse including a
                                                                       responsibilities.               directing client care.       commitment for lifelong
                                                                                                                                    learning.
                                                                                                       8
                                    CURRICULUM FRAMEWORK




                      STUDENT                                   EDUCATOR

                                            NURSING




        Provider of Care                  Manager of Care                 Member of the
                                                                           Discipline




                                                            Health Care
Nursing Process            Culture/Spirituality             Continuum                Professionalism
                                                                                                                                 9
VIII.     PROGRAM DEGREE PLAN

Admission Requirements:
          1.        Hold A High School Diploma or GED.
          2.        Be a current student attending UNM-G, or a transfer student in good standing.
          3.        Complete prerequisites with a C or better in each course.
          4.        Complete high school chemistry or CHEM 111, with a C or better, within the last five (5) years.
          5.        Hold current CPR card for “professional” which must include adult, child, and infant CPR.
          6.        Have certification as a Certified Nursing Assistant (CNA) or Licensed Practical Nurse (LPN). Other
                    licensure or certification in a health-related field may satisfy this requirement.
          7.        Apply to the Nursing Program and take the nursing admission test when scheduled. Students may take the
                    entrance exam twice in a one year period. Therefore, if the student still does not pass the exam, the student
                    may take the exam for two additional times within the next two years (total of four (4) attempts.
Note: Completing the Admission Requirements makes the student eligible to apply to the UNM-G Nursing Program but does not
assure admission. Admission into the Nursing Program is competitive. The final decision for admissions is made by the Nursing
Admissions Committee and is based on the nursing entrance test results and grade point average of prerequisite courses. The
number of students to be admitted at any one time is limited by the capacity of the program to provide quality instruction to those
admitted. Students not accepted into the Nursing Program after two admission attempts will be advised regarding their
educational options.

PROGRAM REQUIREMENTS:

Prerequisites
BIOL 136 & 139L Human Anatomy and Physiology for Non-Majors or ( BIOL 237/227L)                               4 credits
PSYCH 105 General Psychology                                                                                  3 credits
ENGL 101 Composition I: Exposition                                                                            3 credits
HCHS 111 Medical Terminology                                                                                  3 credits
Elective (Please see advisor for approved list)                                                               3 credits
                                                                                  Total Credits              16 credits
First Semester
BIO 201 T Human Anatomy & Physiology for Health Related Sciences or (BIOL 238/228L)                           4 credits
NURS 115T Nursing Fundamentals (6-2-8)                                                                         8 credits
HCHS 125T Pharmacology                                                                                        3 credits
                                                                                  Total Credits              15 credits
Second Semester
PSYCH 220 Developmental Psychology                                                                            3 credits
NURS 130T Medical-Surgical Nursing I (3-2-5)                                                                  5 credits
NURS 131T Principles of Mental Health (3-1-4)                                                                 4 credits
                                                                                  Total Credits               12 credits
Third Semester
ENGL 102 Composition II: Analysis and Argument                                                                3 credits
NURS 230TL Women’s Health Nursing (3-1-4)                                                                     4 credits
NURS 232TL Pediatric Nursing (3-1-4)                                                                          4 credits
Medical-Surgical Nursing II (3-2-5)                                                                            5credits
                                                                                  Total Credits               16 credits
*NURS 200 (2-0-2) Role Transition

Fourth Semester
NURS 243TL Medical-Surgical Nursing III (6-3-9)                                                               9 credits
NURS 245T Professional Seminar                                                                                2 credits
NURS 242 TL Nursing Practicum (Lab)                                                                           2 credits
                                                                                            Total Credits     13 credits

                                                                      TOTAL                                  72 credits

Computation of Credit Hours:
        Theory = 1 credit for each 50 minute class period
        Laboratory/Clinical = 3 hours of lab/clinical per 1 credit

*NURS 200 (2-0-0) Transition course for LPNs in preparation to enter 4th semester.
                                                                                                          10

VI.     Services Available to Students

Refer to UNM-G Student Handbook for a complete listing of services available to all students.

Nursing Program phone numbers (office only)
    Kathy Head, Program Director                                                (505) 863-7514
    Lenette Sheyka, Nursing Administrative Assistant                            (505) 863-7514
    Anne Galanis, Nursing Program Specialist                                    (505) 863-7599

VII.    Student Nurses Association

Student Nurses Association (SNA) is a local branch of the State Chapter and National Organization. The
function of the local chapter is to promote nursing in the community, provide accepted student nursing
services to local health fairs, raise funds for Pinning and graduation exercises, and to promote student
nurse awareness through statewide meetings with other SNA chapters. The SNA is a nonprofit
organization and is listed in the student organizations located on the UNM-Gallup campus. SNA has a
faculty advisor that assists the officers and members in planning and implementing activities.

VIII.   Progression and Grading Policies


Progression Policy: Students must have passed all non-nursing and nursing courses (both co- and
requisite courses) before they are allowed to progress to the subsequent semester. This is to include
health careers/nursing-related courses such as Pharmacology and Biology. (Progression Policy created
and approved, December 14, 2004.)

Theory Grading Policy: Tests administered in the nursing courses and used to calculate course grades are
multiple-choice. These exams will constitute 90% of the student’s final theory grade (each theory course
will have a minimum of 4 tests). There are no exam retakes or dropping of the lowest grade. Other
methods of evaluation will amount to no more than 10% of a student’s total theory grade and will not
substitute for a passing grade in the testing component of the grade calculation. A student’s examination
average must be at least 75% in order to the next semester. A failing grade will not be rounded to a
passing grade (ex: 74.99% does not round to 75%, however a 79.99% will round to 80%).

Assignment Grading Policy: Assignments will be lowered one (1) letter grade for each day the
assignment is late. No assignment will be accepted if more than three (3) days late. All assignments are
to be turned in at the Administrative Assistant’s desk to be time stamped and logged in.

Math Grading Policy: To insure the safety of the clients, FIRST (1ST) SEMESTER students must
successfully pass a dosage/calculation test with a minimum of 90% after maximum of two (2) attempts
before they are permitted to enter the clinical setting. At the beginning of the FOURTH (4TH)
SEMESTER the student must pass a dosage/calculation test with a minimum of 90% after maximum of
two (2) attempts before they are permitted to enter the clinical setting. The inability to successfully pass
the dosage/calculation test in the maximum attempts will result in a clinical failure that requires
remediation prior to applying for readmission. Remediation consists of successfully passing an approved
nursing dosage/calculation course. There will be dosage and calculation math questions on all theory
examinations.

Incomplete Grades: The Nursing Department adheres to the policy regarding incompletes (“INC” ) in the
University of New Mexico-Gallup Catalog. Refer to the current UNM-G Catalog.
                                                                                                            11

        Grading Scale

        100 – 92 = A

        91 – 83 = B

        82 – 75 = C

        74 – 69 = D

        68 – 0 = F

Clinical Grading Policy:
        All clinical rotations well be graded at a “Pass/Fail”. To Pass, the student nurse must successfully
        meet 75% of the stated objectives located in the clinical evaluation tool. Failure to pass the
        clinical component will result in a failure of both theory and clinical components.

        Preventing injury and ensuring the patient’s or client’s safety is a necessary component of
        practice. Even while learning and practicing skills, all activities must protect the patient and
        never endanger the patient’s welfare. Explicit instructions, both verbal and written, are given to
        students during each clinical experience regarding safe and unsafe behaviors. Faculty, as
        professionals and educators, must exercise judgment as to the behaviors and activities of the
        student in matters of safety.

        A student, who in the faculty’s judgment, behaves in an unsafe manner that endangers the safety
        or confidentiality of a patient, will be dismissed from the clinical area immediately. The faculty
        will document the incident within 24 hours, signed by the student, and copies given to the student
        and the Director of the program. The student will be referred to the Disciplinary Committee.

        ATI REQUIREMENTS

        Toward the end of the nursing courses, students will take the ATI standardized examination for
        the course. This examination will constitute 5% of the grade for the course. Students must score
        at the 50th percentile or above in order to receive the full 5%. Failure to achieve the 50th
        percentile or above will result in required remediation and retesting with the student required
        to achieve a score which corresponds to the 50th percentile or greater. The maximum credit for
        successful retesting will be 2.5%.

        A comprehensive Predictor Examination is required prior to graduation from the Associate
        Degree (ADN) program. The examination date and required passing score are determined by the
        department and will be announced verbally and in writing. The student must complete the
        Predictor Examination with a minimum passing score or receive and “INC” until the Predictor
        Examination is successfully completed.

        The student who does not meet the minimum passing score is required to meet with his/her
        instructor to initiate a self-study plan and schedule a re-test date. Upon meeting the required
        score, the Registrar’s office will receive written notification. The Registrar’s office will issue the
        required documentation to the Board of Nursing for student eligibility to take the NCLEX-RN
        licensure examination.
                                                                                                             12

IX.       Behaviors Resulting in Probation or Dismissal Revised 1/2004

Any student may be reprimanded, temporarily suspended, and eventually dismissed from the UNM-G
nursing program for conduct involving his or her attitude or competency that jeopardizes patient care or
safety at any time during the two-year nursing school cycle; or, whose personal behavior prevents
desirable relationships or is disruptive or disrespectful in any way within the clinical health care facility or
the Department of Nursing including its classrooms, buildings and the grounds surrounding the nursing
department.

UNM-G full-time permanent or full- or part-time adjunct nursing faculty have the authority to suspend a
student for infractions contrary to those stated in this handbook with the written consent of the
Department Chairperson.

Behavior which interferes with other students’ morale or ability to learn or with
agency/staff/faculty/community relationships may be cause for dismissal from the program.

      1. Breakdown of behavior policy: Students are responsible for their own behavior and learning in
         the classroom and clinical areas.
             a. It is the responsibility of the faculty to promote a classroom environment which is
                  conducive to learning.
             b. Student conduct which disrupts this environment will not be tolerated.
             c. The faculty may remove a disruptive student at the faculty member’s discretion.
             d. The student’s inappropriate behavior will be seen as a serious infraction upon everyone in
                  the classroom which is counterproductive to the classroom’s milieu.
             e. Emotional responses that inhibit learning and/or functioning of the classroom or in the
                  patient care situation may be cause for dismissal from the program at any time before,
                  during or after contact.
             f. Students must behave in a professional manner to each other, to UNM-G nursing faculty,
                  UNM-G nursing staff, clinical faculty, preceptors, patients, and patients’ families at all
                  times while in the UNM-G nursing program.
                       i. This behavior includes courtesy, honesty, ethical actions and responsible
                           interpersonal communications.
             g. Students are asked to speak honestly about the nursing program to community members,
                  as well.
                       i. This includes taking personal responsibility for the student’s own individual
                           performance if discussing it with family, friends, co-workers, potential new
                           students or other community members at large. (Revision approved/added Dec.
                           14, 2004.)

      2. The following is a list of additional clinical- and/or classroom behaviors that could result in a
         student being placed on probation or dismissed:
             a. Repeated incidence of being unprepared for clinical or lab or continued lack of
                 improvement in clinical;
             b. Any action that could endanger a life or interfere with recovery or maintenance of a
                 client’s health;
             c. Failure to report immediately a medication or patient-care error or incident to the faculty
                 or nursing staff;
             d. Charting of false information;
             e. Unprofessional behavior including any conduct while in any clinical or non-clinical
                 facility which adversely reflects on the UNM-Gallup nursing program;
                                                                                                           13
            f. Violation of confidentiality or inappropriate communication;
            g. Any violation of the Policy on Academic Honesty outlined in the UNM-Gallup Student
               Handbook;
            h. Persistent tardiness or absenteeism;
            i. Coming to class or clinical while under the influence of drugs or alcohol.

An occurrence of any of the above behaviors that results in probation will result in the student being
referred for disciplinary action by the disciplinary committee.

X.     Disciplinary Committee Policy

The disciplinary committee is composed of one member each of the first and second year nursing classes;
a faculty member teaching first year students and another teaching second year students; a non-nursing
faculty member and the Director of Student Services. The nursing program director will chair the
meetings of the committee and vote only in the event of a tie.

The disciplinary committee will provide specific directions and a timeline for correcting inappropriate
behavior to any student who is placed on probation. The committee may recommend any or a
combination of the following:
        1) Additional clinical time
        2) Additional lab time
        3) Repeat performance or testing of a clinical skill
        4) Written paper work
        5) Other activities that the committee deems appropriate for correction of the problem

The student will remain on probation until the nursing faculty has determined that the student has
completed the recommendations of the committee. If the student does not satisfactorily complete the
recommendations of the committee, the student fails the course. Readmission to the course is contingent
on available space and approval of the disciplinary committee.

XI.     Readmission and Advanced Standing Student Policy
Students may be admitted to advanced standing or be readmitted after withdrawal and/or failure of a core
course.

A student who fails the first semester must reapply to the nursing program after waiting one semester. In
addition, two points will be subtracted on the selection tool and they must retake the admission test,
regardless of their previous scores. Before students reapply, they must develop and present a plan that
indicates what they have done and will do to be successful in nursing school. Approved/Revised 4/29/05.

Admission will be contingent on availability of space in the class. The following procedure will be
followed when selecting qualified students for readmission or advanced standing:

                First Priority: Students in the program taking the course for the first time.
                Second Priority: Students repeating the course who have successfully completed any
                 remediation.
              Third Priority: Advanced standing students who meet all the requirements and are in
                 good academic standing (Transfers, LPNs, etc)
Failure of a nursing course will result in the student not progressing to the next level. A student may
repeat the failed nursing course one time only. If the student fails the repeated nursing course, or fails any
other subsequent nursing course, the student will be dropped from the Nursing Program.
                                                                                                             14
If a student is admitted to the nursing program and exits for any reason other than failure in the course,
he or she must return within one year or must reapply for admission.

A student who withdraws before the sixth week of class (third week of an eight week course) in order to
avoid failure in a course may do so one time only and must return the following semester. Failure in a
successive course will result in dismissal from the nursing program.

Students who have been out of the nursing program for more than ONE ACADEMIC YEAR (spring and
fall) will be admitted as BEGINNING STUDENTS.
               Re-admittance after withdrawal, failure or drops
               Students who withdraw, fail or are dropped from a course ARE NOT GUARANTEED
                 READMISSION. Some factors, which could affect readmission are
                      o cumulative GPA,
                      o number of students matriculating from previous semester, and
                      o individual need for additional support courses.
A student who fails a core course twice must drop from the program for a period of one year. During this
time the student will be advised of courses which might be taken to insure greater success. The student
will be readmitted as a BEGINNING STUDENT and must follow current admission criteria.

The consequences of a second failure by a 4th semester student will be evaluated on a case-by-case basis
by the entire faculty. Approved/Revised 4/29/05.

XII.    Attendance Policies

Attendance in both the class and clinical settings is expected of the student. Nonattendance may result in
failure of a class. Professional behavior requires the nurse to be accountable for his or her actions in any
setting. Behaviors that are established in the Nursing Program will prepare the student for the role of
graduate and registered nurse. The following policies delineate expected student behaviors.

Theory: Classroom attendance is expected. More than two (2) absences in a 16-week course and one (1)
absence in an 8-week course may result in dismissal from the class. If a student is absent the day of a
scheduled exam, the student may be required to take an alternative form of the exam at a time set by the
faculty. Other obligations, such as jury duty, active military service or reserves service, will be
accommodated upon verification of such obligations.

Clinical: Attendance is MANDATORY. There are no excused absences in clinical. In case of
emergency, the student must report directly to the faculty and not through a message at the clinical site.
Students are to report in uniform to the clinical setting at the appointed time. A student who arrives late
may be sent home. More than one (1) absence in clinical may result in failure of the clinical component of
the course and failure of the course.

Revised 1/2004

XIII.   Uniform Policy

The UNM-Gallup nursing program uniform may only be worn by students in designated nursing school
clinical settings and activities. Students are required to purchase two uniforms that include the royal blue
top and plain white pants. Students must also wear all white shoes (may be tennis shoes) and white socks.
Students will purchase the nursing insignia from the UNM-Gallup bookstore and attach it to the left front
of the uniform top. When in uniform students must wear their student ID badge. ID’s will be issued each
semester before students go into the clinical setting.
                                                                                                       15

XIV.    Dress Code

Provocative or immodest dress interferes with both classroom and clinical settings. Dress at all times
should be modest and non-provocative. Specifically, it should be without display of offensive language
and/or graphics both in the classroom and in clinical situations. (Revision approved/added Dec. 14,
2004.)

As a nursing student at the University of New Mexico-Gallup, you will be in the public eye every time
you are in uniform. Nursing students represent the college and the nursing program therefore; students are
expected to look their best at all times. The following is a list of expectations regarding grooming and
dress. Students not meeting dress code requirements may be dismissed from clinical.

-Daily bathing and the use of deodorant; oral care
-Clean, neatly styled hair, off the collar and away from the face
-Minimal jewelry, including watch, wedding ring and small post earrings
-Tasteful use of makeup, especially eye makeup
-Clean, ironed uniforms
-Clean white shoes, no open toes or open backs
-Short, unpolished fingernails – NO ARTIFICIAL FINGERNAILS
-No visible tattoos or other body piercing

XV.     Scope of Practice

The student may not perform these activities:

               Take telephone/verbal physician orders.
               Transcribe physician orders without direct supervision.
               Witness consents.
               Obtain/administer blood products without supervision of the faculty.
               Prepare/administer chemotherapeutic agents, oxytocin, MgSO4, lidocaine, levophed,
                nitroglycerin, nipride, dopamine.
               Perform unsupervised skills before being supervised and checked-off by faculty.
               Operate hemodynamic monitoring equipment.
               Remove subclavian, jugular without supervision of the faculty
               Remove arterial lines or chest tubes.
               Operate or remove temporary pacemakers.
               Administer medications before confirming the five rights with preceptor/faculty.
               Sign out narcotics without supervision.
               Remove drains without supervision.
               Insert IV’s in children under five years of age.
               Administer medication to children under two years of age without direct supervision.
               Assume responsibility for client’s valuables.
               Act as a primary circulating or scrub nurse.
               Take unsupervised charge of a unit.
               Change setting on infusion pumps without checking within five minutes by a licensed
                person.
               Perform client teaching on procedures, surgery, diagnostics before clearing with faculty
                or preceptor.
               Provide test results to client/family without direct supervision.
               Perform vaginal examinations related to labor.
                                                                                                             16
              Complete or assist with incident reports unless directly supervised by faculty.
XVI.    Dishonesty Policy

As a professional nurse, ethical behavior is imperative. UNM-Gallup student nurses will adhere to the
Policy on Academic Dishonesty in the UNM-Gallup Student Handbook (page 77) and the following:

                Any student found cheating on exams or assisting other students to cheat or failing to
                 report cheating will be dismissed from the nursing program.
                Plagiarism will not be tolerated and will result in a “0” for the assignment and may result
                 in dismissal from the program.
                Failure to report clinical errors to the faculty or charting false information will result in
                 dismissal from the program


XVII. Policy on outside employment

Students enrolled in the Nursing Program may engage in outside employment. However any student
working outside the student nurse role is not allowed to wear the student uniform, name tag, or other
identifying insignia while performing outside job duties. Working students are still expected to attend
class, clinical, and perform other student nurse activities competently, successfully, and on time.
Tardiness or leaving class/clinical early to fulfill outside job duties will result in the student meeting with
the nursing faculty and director for counseling. Current research indicates that there is a correlation
between the number of hours a nursing student works and successful completion of the nursing program.
Students are cautioned to limit work to 20 hours or less per week, if possible.


XVIII. Confidentiality Policy

Confidentiality is extremely important in the clinical setting. The student is privileged to a vast amount
of personal data when caring for individuals. For that reason, the student must respect the client’s privacy
by not divulging information to unauthorized persons. Failure to maintain confidentiality will result in
student counseling and possible dismissal from the program. Students must sign and return the
confidentiality statement included with this handbook and within each course syllabi.


XIX.    Pregnancy Policy

To help protect the unborn child and mother from potentially harmful chemicals and activities, any
student who is pregnant or believes she may be pregnant, is responsible for reporting her condition to the
nursing faculty so that reasonable accommodations may be made. Students who require hospitalization
during the pregnancy for complications or those students delivering during the semester are required to
complete all missed clinical or class activities or she will receive an incomplete for the semester until the
clinical and class components can be completed.


XX.     Hospitalization Policy

Any student hospitalized for any reason must obtain written permission from the physician to return to
class/clinical. This document must explain any restrictions or special needs the student requires. A date
of return must be included. Failure to present this document to the nursing faculty upon return will
prohibit the student from gaining access to class or clinical.
                                                                                                            17

XXI.    Weather situations

If inclement weather presents during a class/clinical day these steps should be taken:
               Listen to the radio or watch local news. Information regarding the school will be given.
                UNM-G is not on the Gallup-McKinley County Schools closure schedule.
               Closure of school will be announced as “UNM-Gallup campus closed.” The entire
                campus will be closed and no classes will be held.
               Class cancellation refers to classes being canceled but the rest of the campus being open
                for service.
               School Delays. Unless otherwise announced, UNM-Gallup is still open and will operate
                at normal hours. Students will need to notify the Nursing Program of tardiness and give
                estimated time of arrival. If the student is absent, follow the call-in procedure for class
                absence. Tardy will not be counted on days UNM-Gallup is open during inclement
                weather.
               If weather is questionable and a student feels that he/she cannot travel, notify the Nursing
                Program of absence. If student is scheduled for clinical and cannot travel, follow clinical
                call-in procedure. Clinical time must be made-up at faculty’s discretion. Class content
                must be obtained by the student from faculty.
               Any clinical agency that closes during inclement weather will be announced by radio or
                television. If assigned to this agency for clinical experience, notify faculty of closure and
                receive new assignment for the day.

XXII.   Graduation Requirements

The University of New Mexico-Gallup grants an Associate Degree in Nursing to the student who has
successfully completed the nursing program. All requirements for the nursing program must be satisfied
before the degree is issued. During the 3rd semester of nursing, the student will need to meet with the
academic counselor to address any deficiencies in the required course work and complete an application
for graduation.
        A comprehensive Predictor Examination is required prior to graduation from the Associate
        Degree (ADN) program. The examination date and required passing score are determined by the
        department and will be announced verbally and in writing. The student must complete the
        Predictor Examination with a minimum passing score or receive and “INC” until the Predictor
        Examination is successfully completed.

        The student who does not meet the minimum passing score is required to meet with his/her
        instructor to initiate a self-study plan and schedule a re-test date. Upon meeting the required
        score, the Registrar’s office will receive written notification. The Registrar’s office will issue the
        required documentation to the Board of Nursing for student eligibility to take the NCLEX-RN
        licensure examination.

A nursing pin with the nursing program symbol is available for purchase to each graduating student.

XXIII. Applying for Licensure

               Three months before graduation, the student will obtain a graduate packet from the State
                Board of Nursing and notify the Board of Nursing where he/she wishes to hold licensure.
                Numbers for the State Boards can be viewed on the Internet.
               If you have a history of felony conviction or drug/alcohol abuse contact the State Board
                of Nursing to inquire about regulations and rules governing this content.
                                                                                                             18
               Application for licensure should be submitted within twelve months of graduation.
                NOTE: Students taking the NCLEX within the first six months of graduation retain a
                higher knowledge base than students taking the exam later.
               Graduate work permits are granted to the facility, not the graduate. Work permits are
                only granted to graduates and their first place of employment. Work permits are
                nonnegotiable. Work permits are valid until the graduate takes the licensure exam or
                twenty-four weeks from graduation, whichever comes first.

XXIV. Medication Error Policy

Medication errors are defined as any error related to the five rights of medication administration. After
identifying a medication error the student must report the incident to the staff nurse and faculty. Failure to
report an error will result in dismissal from the program. Students may not fill out incident reports
without faculty/preceptor supervision. In the event a medication error occurs when the student is with a
preceptor, the preceptor will notify the faculty.
A student who makes a medication error may be placed on probation. Future medication administration
performed by the student will not occur until the following steps have been completed successfully:

               A written explanation of reason for error; how to correct; information on medications
                given in error to include classification of drug, adverse reactions, nursing implications.


XXV. Academic Rights and Responsibilities of Students

Implicit into the student’s entry into a health career program is his/her agreement to act as a responsible,
professional person. The assumption of this responsibility should enhance his/her freedom to learn and to
be creative.

In 1969, the Board of Directors of the National Student Nurse’s Association developed a Student Bill of
Rights. Some of the statements that it contained are pertinent to this discussion.

        1.      “The freedom to teach and the freedom to learn are inseparable facts of academic
                freedom: Students should exercise this freedom with responsibility.”
        2.      “Each institution has a duty to develop policies and procedures which procedures will
                provide and safeguard the students’ freedom to learn.”
        3.      “The institution has an obligation to clarify those standards of behavior which it
                considers essential to its education mission and its community life.”

The purpose of this document is to specify the guidelines for responsible behavior within which the
student is expected to function.

The student is legally responsible for his/her own acts and should assume responsibility and
accountability for those acts. When a nursing student performs duties that are customarily performed by a
registered nurse, the courts have held the nursing student to the higher standard of care of the RN. The
reason for this is that a patient (client) has a right to assume that all professionals receive training,
education, and safety skills. Therefore, “the nursing student must exercise reasonableness of conduct in
carrying out nursing responsibilities as measured against that of other reasonably prudent nurses in
professional performance under the same or similar circumstances.

The student is expected to be aware of his/her limitations of ability, training, education, and experience.
He/she is expected to transfer learning to new situations and to apply previous learning. For instance, if
                                                                                                               19
he/she is assigned a task in a clinical area for which he/she is unprepared, it is his/her responsibility to
recognize this and review the material or seek guidance from a faculty member or appropriate staff
member of the clinical agency.

A student nurse is legally responsible for his/her own acts. All students in the nursing program are
covered by UNM under student liability insurance. However, this insurance is in effect ONLY when the
individual is functioning as a student. A student employed by an outside agency is not covered by this
policy.

The nursing program supports the concept of patient rights. The patient or client has the same legal rights
as any other person plus some that are specific to his/her being a patient. These include privacy, freedom
from injury (safe care), protection of his/her belongings, and the right to competent professional cares.
The rights will not be violated in the student’s interest.

        “National Student Nurses’ Association, Inc. Student Bill of Rights.” (DeLane, S., and Ladner, P.
         (2002). Fundamentals of nursing: Standards and practice. (2nd ed) Albany, NY: Delmar.

XXVI. Malpractice (Liability) Insurance Policy/Needle Stick Insurance Policy

UNM-Gallup nursing students are required to purchase student nurse malpractice and needle stick
insurance. These are included in your scheduled fees for the Nursing Program. The fee for the needle
stick insurance will be automatically charged to the student’s account through UNM-Albuquerque. Proof
of payment for the malpractice (liability) insurance is required before students go to clinical. Malpractice
insurance is purchased annually through Nurses Protection Group. Applications will be distributed at the
beginning of the first semester.

XXVII.     Health Insurance

All students are encouraged to have health insurance. Health insurance may be obtained through UNM-
Gallup. Information is available from Student Services. UNM-Gallup does not assume any liability for
health expenses incurred due to participation in the nursing program.

XXVIII. Conflict Resolution

Before meeting with the Department Chair, the Dean or filing a Grievance with Student Services of
UNM-G (See UNM-G Student Handbook), the student must follow Steps 1-3 identified here. The UNM-
G Grievance policy states that the student must attempt to resolve the issue prior to filing a grievance.
The following steps allow for resolution of a conflict at a number of points before a grievance is filed
through Student Services.

1. When a student disagrees with a clinical evaluation, assignment/project grades or other
   actions the student must:
        a. write a statement explaining his/her disagreement and attach any supporting documentation;
            and
        b. meet with the faculty involved; and
        c. consult with an advisor (not the Chair) as necessary; and
        d. initiate the above process within 10 working days of the identified conflict.

2. If the above process does not resolve the conflict, the student must:
         a. meet with the Program Director for mediation
         b. initiate above process within 15 working days of identified conflict.
                                                                                                           20

3. At this point, if resolve has not occurred or continues to be unsatisfactory for the
   student, the student must:
        a. meet with the Chair of the Department
        b. initiate above process within 20 working days of the identified conflict

4. If the above process remains unsatisfactory and the student wishes to continue the
   matter, the student must file a grievance petition in accordance with the UNM-G
   Grievance Policy. Refer to the policy in the UNM-G Student Handbook.

created and approved 1/13/2004

XXIV. Cell phone and pager policy

Students are permitted to bring cell phones and pagers to class only if these devices are set in the silent
mode. Ringing phones and pagers are extremely disruptive and are not permitted in class. If a cell phone
rings in class, students will be asked to check their phone in at the front desk until class is completed. No
cell phones are permitted in the clinical areas. Students are asked to inform family and friends of their
class schedule so that students are not interrupted during class or clinical. If there is an emergency,
messages may be left with the nursing program secretary and the student will be notified immediately.

created 4/2001
revised 1/14/03
revised 8/18/03
revised 1/13/04
revised 12/14/04
revised 4/29/05


**FERPA Rules and Regulations are strictly adhered to in the Department of Nursing.
                                                                                                21




                                           NURSING

                                    STUDENT HANDBOOK

                    STATEMENT OF RECEIPT AND UNDERSTANDING


I acknowledge that I have received a copy of the UNM-Gallup Nursing Student Handbook that
contains the mission, philosophy, objectives and policies of the nursing program. My signature
indicates that I have read and understand the policies contained in the handbook. I understand that
this handbook is a supplement to the UNM-Gallup Student Handbook and that I am subject to the
UNM-Gallup campus policies as well as those of the nursing program. After being signed and
dated, this form will be retained in my permanent student file.




__________________________________________
Student’s Printed Name

__________________________________________                                __________________
Student’s Signature                                                              DATE

				
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