DIVISION OF NURSING & HEALTH SCIENCES STUDENT

8/1/23

Nursing &

Health Sciences

Division

STUDENT HANDBOOK

2023-2024

 
 
TABLE OF CONTENTS 
Contents 
TABLE OF CONTENTS ........................................................................................................................................................ 1 
STUDENT HANDBOOK DECLARATION FORM .................................................................................................................... 1 
Student Photo/ Video Consent ......................................................................................................................................... 2 
HEALTH AND BACKGROUND CHECK REQUIREMENTS ....................................................................................................... 4 
Health Requirements of NHS Students ................................................................................................................................ 4 
Declination of Immunization ................................................................................................................................................ 5 
Liability Insurance ................................................................................................................................................................ 5 
Personal Health Insurance ................................................................................................................................................... 5 
Background Check Policy ..................................................................................................................................................... 5 
CORONAVIRUS (COVID-19) POLICIES ................................................................................................................................ 8 
COVID-19 (revised 1-20-21).................................................................................................................................................. 8 
ACADEMIC POLICIES ......................................................................................................................................................... 9 
Academic Advising ............................................................................................................................................................... 9 
Academic Dishonesty ......................................................................................................................................................... 10 
Accountability by NHS Students ........................................................................................................................................ 11 
Grievance, Complaint, Grade Appeal ................................................................................................................................. 13 
NHS Student Code of Conduct & Responsibility ................................................................................................................ 13 
Misconduct Policy .............................................................................................................................................................. 15 
Disciplinary Process............................................................................................................................................................ 16 
Progression Policy .............................................................................................................................................................. 16 
NHS Grading Scale .............................................................................................................................................................. 18 
Re-Entry Policy ................................................................................................................................................................... 18 
CLINICAL POLICIES ...........................................................................................................................................................21 
Clinical Conduct/ Performance Expectations ..................................................................................................................... 21 
Evaluation of NHS Students: Clinical Practicum ................................................................................................................. 22 
Performance Improvement Plan (PIP) ............................................................................................................................... 23 
Clinical Conference ............................................................................................................................................................ 25 
Dress Code ......................................................................................................................................................................... 25 
Error/Incident .................................................................................................................................................................... 26 
Performance Standards ..................................................................................................................................................... 27 
Special Requirements ........................................................................................................................................................ 29 
Illness/Health/Safety of Student .....................................................................................................................................30 
Chronic or Unstable Medical/Emotional Illness ................................................................................................................. 30 
Excused Medical Absence .................................................................................................................................................. 30 
Medications: Personal Prescriptions .................................................................................................................................. 31 
Prevention of Transmission of Communicable Disease: Standard/Universal Precautions ...............................................31 
Clinical Exposure Policy ...................................................................................................................................................... 32 
Clinical Injury Policy ........................................................................................................................................................... 34 
Protection Orders (Order of Protection/Restraining Order) ............................................................................................35 

 
 
Clinical Resource Center Student Use Policy ....................................................................................................................35 
Clinical Resource Center Lab Definitions ........................................................................................................................... 36 
Simulation Lab ................................................................................................................................................................37 
Site/ Agency Policies .......................................................................................................................................................38 
OTHER POLICIES & INFORMATION ..................................................................................................................................40 
Assessment/ Program Evaluation Process ......................................................................................................................... 40 
Children in the Classroom .................................................................................................................................................. 40 
Confidentiality Statement .................................................................................................................................................. 40 
Consensual Relationships .................................................................................................................................................. 41 
Papers/Written Assignments ............................................................................................................................................. 42 
Pregnancy and Breastfeeding Statement .......................................................................................................................... 42 
References for NHS Students ............................................................................................................................................. 42 
Student Representation at NHS Meetings ......................................................................................................................... 42 
Transportation/ Expenses for Clinical ................................................................................................................................ 42 
Voice Recording ................................................................................................................................................................. 42 
APPENDIX ......................................................................................................................................................... 43 
NHS: General Appearance Guidelines .............................................................................................................................44 
NURSING & HEALTH SCIENCES DIVISION DRUG AND ALCOHOL TESTING POLICY .............................................................46 
NHS Course Status Form:  Course Grade Less than “C”/Course Requirement ..................................................................51 
NHS Course Status Form: Incomplete Course Status .......................................................................................................52 
Course Request Form: Re-entry Student .........................................................................................................................53 
Program Re-Entry Application .........................................................................................................................................54 
BSN Student Performance Improvement Plan Form ........................................................................................................55 
Incident Report ...............................................................................................................................................................56 
Immunization Declination Form Example ........................................................................................................................58 
Excused Medical Absence Agreement .............................................................................................................................59 
APPENDIX A ..................................................................................................................................................... 60 
BSN PROGRAM ................................................................................................................................................ 60 
Accreditation...................................................................................................................................................................61 
BSN Program Mission Statement ....................................................................................................................................61 
Vision ..............................................................................................................................................................................61 

 
 
Guiding Principles ...........................................................................................................................................................61 
BSN Foundation ..............................................................................................................................................................61 
Science of Nursing ...........................................................................................................................................................61 
Art of Nursing ..................................................................................................................................................................62 
Teaching/ Learning Environment ....................................................................................................................................62 
AACN Professional Values (2008) ....................................................................................................................................62 
American Nurses Association (ANA) Code of Ethics for Nurses* ......................................................................................63 
Nursing Code of Ethics and Social Networking Policy ......................................................................................................63 
BSN Student and Program Outcomes ..............................................................................................................................66 
BSN Standard Paper Rubric for Major Papers ..................................................................................................................67 
BSN Student Transfer Policy ............................................................................................................................................68 
Course Challenge Procedure............................................................................................................................................69 
Student Membership in Professional Organizations ........................................................................................................69 
BSN Program Testing Policy including HESI Testing and Remediation .............................................................................71 
NHS HESI Remediation Rubric: .............................................................................................. Error! Bookmark not defined. 
APPENDIX B ..................................................................................................................................................... 76 
RS PROGRAM ................................................................................................................................................... 76 
Radiographic Science Mission .........................................................................................................................................77 
Radiographic Science Program Expected Outcomes ........................................................................................................77 
Radiographic Science Program Philosophy ......................................................................................................................77 
ARRT/ASRT
® 
Code of Ethics for Radiographers ...............................................................................................................78 
Radiation Exposure/ Safety Policy ...................................................................................................................................79 
MRI Safety Screening Policy/Protocol .............................................................................................................................80 
Procedure for Acquisition and Replacement of Damaged/Lost Radiation Monitoring Devices ........................................80 
Declaration of Pregnancy Policy: Radiation Protection ....................................................................................................80 
Declaration of Pregnancy Form ......................................................................................................................................... 83 
Revocation of Declaration of Pregnancy ............................................................................................................................ 84 

 
 
Equitable Learning Opportunities Provided for All NHS Students Policy ..........................................................................85 
Direct vs. Indirect Supervision in Clinical Experience Courses ..........................................................................................86 
Escrow Credits: Radiography Students ............................................................................................................................86 
APPENDIX C CLINICAL RESOURCE CENTER AND SIMULATION LABS ............................................. 88 
RULES ..............................................................................................................................................................................89 
LAB EQUIPMENT .............................................................................................................................................................91 
MANIKINS ........................................................................................................................................................................... 91 
BEDS/EQUIPMENT ............................................................................................................................................................. 91 
MEDICATION CARTS ........................................................................................................................................................... 91 
CRASH CARTS ..................................................................................................................................................................... 91 
Simulation Lab / Clinical Rotation Experience/Waiver ....................................................................................................92 
 

STUDENT HANDBOOK DECLARATION FORM

To be completed by all NHS Students

All NHS Students accepted to a Nursing & Health Sciences Program must print a copy of this

form and upload a signed copy to their CastleBranch/ Complio account.

Accountability Statement

I, , hereby declare that I am responsible and

Print Full Name

accountable for the information set forth in the 2023-2024 NHS Student Handbook, including the

program specific content in the appropriate Appendix. I understand this handbook is subject to change.

I also understand that I will be informed via my LC Mail account or a posting to the division web page

(www.lcsc.edu/nursing) of any policy changes made during this academic year. My signature below

indicates my agreement to familiarize myself with the contents of this Handbook and abide by these

Nursing & Health Sciences policies to the best of my ability. I understand I am to refer to the LCSC

College Catalog for college-related policies and procedures. I understand I am to use LCMail for all

electronic communication with faculty and that I am responsible for accessing LCMail and the division

website on a regular basis.

Signature Program Date

Confidentiality Statement

I, , hereby declare that I have read the confidentiality

statement in this handbook. I have been provided the opportunity to ask questions and understand what

constitutes confidential information. I agree, as a student of Lewis-Clark State College, to keep

confidential, information to which I am exposed during all clinical and classroom experiences. This

includes information presented in clinical mid or post conference, case studies and classroom

discussions, as well as information associated with patients to whom I provide care. I understand that if

I am found to have shared confidential information with unauthorized individuals in any form (verbal,

written, electronic, or through any social medium), it may be grounds for immediate termination from

the NHS program.

Signature Program Date

Student Photo/ Video Consent

I consent for the Nursing and Health Sciences Division at Lewis-Clark State College to place my photo

in my NHS student file. The photo will be a replica of the one taken for my LCSC-NHS Student ID

badge. I understand the purpose is to help faculty and staff become acquainted with NHS Students and

to aid in identifying NHS Students should an emergency arise. I give Lewis-Clark State College

permission to copyright and publish all or any part of photographs, video, voice recordings and/ or

written/ spoken statements taken of me for use in any public relations and/ or marketing campaigns or

collateral for Lewis-Clark State College. I understand that I will receive no compensation for the use of

my likeness.

In addition, if I have supplied my testimonial, it has been done by my own free will, involving no

type of incentive or coercion. I understand that my testimonial may be used in connection with

promoting Lewis- Clark State College. I authorize Lewis-Clark State College to use my name, brief

biographical information, and the testimonial as defined on this form. Additionally, I waive any

right to inspect or approve the finished product, including written copy, wherein my likeness or my

testimonial appears.

I am 18 years of age or older, and I am competent to contract in my own name. I have read this

release before signing below, and I fully understand the contents, meaning and impact of this

release. I understand that I am free to address any specific questions regarding this release by

submitting those questions in writing before signing, and I agree that my failure to do so will be

interpreted as a free and knowledgeable acceptance of the terms of this release.

Signature Program Date

Student Code Violations Consent Disclosure

I hereby authorize the Vice President for Student Affairs to release any records of LCSC Student Code

violations that have occurred while I have been enrolled at the college. I understand that these records

will be reviewed as a part of a formal background check related to admission to my program of study.

Signature Program Date

Authorization for Release of Record

I hereby authorize the Nursing and Health Sciences Division to release information as requested by

clinical agencies. Such information may include, but is not limited to maintenance of health

requirements and background check results.

Signature Program Date

Drug Testing Consent

I, , have read the LCSC Nursing and Health Sciences

Drug and Alcohol Testing Policy. I understand and agree to comply with the policies and

procedures and specifically consent to Drug and Alcohol Testing as provided for in the Drug and

Alcohol Testing Policy. I understand some clinical agencies may require students to have an

additional drug screen or other testing performed prior to allowing students to complete their

clinical in their agencies. I further understand I am responsible for the cost of such testing.

Signature Program Date

The rights and responsibilities of all NHS students are detailed in the Lewis-Clark State College

Catalog, while policies and procedures specific to NHS students enrolled in one of the Nursing &

Health Sciences programs are detailed in the current year NHS Student Handbook. The NHS

Student Handbook is updated annually and as needed. Changes are communicated to all NHS

Students via LCMail, posting on department bulletin boards in Sacajawea Hall, and on the division

website.

In concert with LCSC, the Nursing and Health Sciences Division exists to facilitate the

development of outstanding healthcare providers committed to excellence in the delivery and

management of patient centered care.

Health Requirements of NHS Students

Immunization, CPR, and Background Check Requirements

All LCSC nursing and radiographic science students are required to provide official documentation of

immunization and other health requirements, and AHA BLS Provider CPR certification in preparation

for admission to the program. These requirements must be met and maintained at all times throughout

enrollment in the program. Immunization and CPR updates and documentation of such are the

responsibility of the student to maintain. Records must be uploaded to the required tracking system

(annual fees apply) as advised by the Division. Failure to complete the process and receive

confirmation of satisfactory completion by due dates may result in inability to attend clinical

practicum. Student records may be released to clinical agencies for audit and/or clinical

placement issues.

In addition to uploading immunization and CPR documentation, NHS students document this data

on the LCSC/NHS Student Clinical Passport form that is maintained by the student and

accompanies them to all clinical rotations for review as necessary by authorized agency personnel.

Current immunization and CPR requirements, as well as the Student Clinical Passport form, are

accessed under Student Resources on the NHS website.

HEALTH AND BACKGROUND CHECK REQUIREMENTS

NURSING & HEALTH SCIENCES DIVISION STUDENT

HANDBOOK

NURSING & HEALTH SCIENCES DIVISION MISSION

STATEMENT

Declination of Immunization

Declination of immunization is not recommended and some requirements may not be declined. If the

student chooses NOT to be immunized, s/he must sign the Immunization Declination Form for each

declined immunization (see Appendix). If there is an outbreak of an applicable communicable disease

(those for which NHS or the agency requires immunization) in a clinical facility, for his or her

protection, and the protection of clients in the community, the student will be removed from clinical

for the duration of the outbreak. By signing the declination form, the student acknowledges that in

some cases due to removal from the clinical setting to avoid exposure, s/he may not be able to

complete course or clinical requirements, including the required number of clinical hours. This may

affect the student’s ability to progress in the program. The student accepts full responsibility for this

declination and the consequences thereof.

Specific healthcare institutions may require vaccination without exception (e.g., no declination).

Some clinical agencies require any person that declines influenza vaccine to wear a mask at all times

when providing patient care during the entire influenza season.

COVID-19 Vaccination: as the healthcare environment continues to evolve, we continue to

collaborate with our clinical partners to provide the best practicum experiences for NHS students.

Many of our partner clinical agencies require COVID-19 vaccination for students completing

experiences at their facilities. Some clinical agencies will allow for approved medical or religious

exemptions. However, some clinical agencies require vaccination without opportunity for

exemption. A student requesting medical or religious exemption must contact the NHS Division

office for instructions. Approval of an exemption request is NOT guaranteed. Some clinical agencies

will evaluate requests for exemption through their own facility process. As such, an exemption

approved through the LC process may vary from the clinical agency process, and the clinical agency

has final authority. Be advised that clinical agency requirements may change at any time and as such,

there is no guarantee of clinical placement for a student that has received an approved exemption.

Inability to complete clinical requirements may result in inability to progress in the NHS program.

Liability Insurance

All NHS students automatically pay for liability insurance through student course fees. No student is

permitted in clinical settings without appropriate liability coverage.

Personal Health Insurance

All NHS students are required to maintain personal health insurance throughout enrollment in the

program. Students must provide documentation of coverage with health requirements.

Background Check Policy

Prior to admission to any NHS program and annually thereafter, all students enrolled in NHS

programs are required to undergo a criminal background check (BGC). Failure to comply with BGC

timelines will result in program dismissal. All NHS students must have a clear record on the BGC

before being fully admitted or progressing in an NHS program. The background check will be

obtained from an NHS designated third-party vendor and the student is responsible for costs

associated with the annual background check. Agencies may have additional, specific requirements.

NHS cannot guarantee clinical placement or the ability to complete clinical hours if the student does

not meet the agency requirements. Results of your background check may be released to authorized

agencies or clinical/field experience/ internship sites.

The background check will include the following:

Social security number and identity verification

Criminal search (7 years) national, state, and county

Violent Sexual Offender and Predator Registry Search

Office of Inspector General (OIG) List of Excluded Individuals/Entities

General Services Administration (GSA) List of Parties Excluded from Federal Programs

US Treasury, Office of Foreign Assets Control (OFAC), List of Specially Designated

Nationals (SDN)

Additional requirements may be added at any time

Derogatory information gathered as a result of a criminal background investigation, is the basis

for eliminating a candidate from consideration for NHS program admission or for program

dismissal, as clinical placement will not be possible and the student would be unable to complete

clinical requirements. Timeframe is for the last seven (7) years unless otherwise noted:

Felony convictions

Withheld judgments for felonies

Other plea agreements to felony convictions

Sexual assault, rape, indecent exposure, lewd and lascivious behavior, or any crime

involving non-consensual sexual conduct committed at any time

Child abuse, sexual exploitation of children, child abduction, child neglect,

contributing to the delinquency or neglect of a child, enticing a child for immoral

purposes, exposing a minor to pornography or other harmful materials, incest, or any

other crime involving children as victims or participants committed at any time

Homicide committed at any time

Any conviction related to illegal drugs such as (but not limited to) possession of drugs or

paraphernalia, or trafficking

Abuse, exploitation or neglect of a vulnerable adult (disabled or elderly) committed at

any time

Assault or Battery

Misdemeanor theft committed during the last 5 years or grand theft committed during the

previous seven years

Offenses involving substantial misrepresentation of any material fact to the public or an

employer including embezzlement, bribery, fraud, racketeering or allowing an

establishment to be used for illegal purposes

DUI within the last 3 years or more than one DUI in the past five years

Withheld judgement for DUI within the last 3 years or more than one withheld judgement for

DUI in the past five years

First or second-degree arson

Kidnapping

Mayhem, as defined by Section 18-5001, Idaho Code

Poisoning

Forgery or fraudulent use of a financial transaction card

Forgery and counterfeiting

Insurance fraud

Pattern of behavior deemed to be unprofessional, or that is felt to place patients, faculty

and/or NHS students at risk

NHS students will be provisionally admitted to the program, pending submission of a clear

background check. All provisionally admitted NHS students will be provided instructions

for obtaining a background check.

The initial and annual background check will be reviewed by the Division Chair (or

designee) to determine if the background check is free of derogatory information.

If the check is clear (without derogatory information), the student will be eligible for full

admission to or continuation in the program.

If the background check contains convictions for an offense listed above, or demonstrates a

pattern of behavior deemed to potentially put patients, faculty, and/or students at risk, the

student will be informed that derogatory information was identified as part of the background

check process. If the student is an applicant for an NHS program, she/he may no longer be

eligible for admission. If the student is currently in an NHS program, she/he may be

dismissed from the program.

Students applying to any NHS program or students in any NHS program who experience pending

charge(s) for crimes listed above, must disclose the pending charge(s)/arrests/convictions to the

Division Chair within 72 hours of the incident.

Background checks are maintained online by an approved third-party vendor. Those

background checks that lead to program dismissal will be maintained in a locked file cabinet in

NHS.

Results of a background check performed at another facility for employment reasons may not be

used in lieu of the division-approved BGC due to variances in quality and scope of background

checks. NHS has contracted with one company and all NHS students must complete the

specified BGC. By having all NHS students complete the same BGC, NHS can assure its clinical

agencies that the specific requirements of a BGC have been conducted uniformly and within a

reasonable timeframe.

NHS students who leave the program, regardless of reason, must repeat a full BGC prior to

being considered for readmission.

All NHS students will repeat a complete BGC annually in accordance with the above

guidelines. Failure to comply with BGC timelines will result in program dismissal.

10.

NHS will not address student questions about individual background checks results.

COVID-19 (revised 1-20-21)

The health and well-being of students is the priority. All NHS students are expected to follow college,

division, and clinical agency guidance and requirements in response to the coronavirus pandemic.

Updated information can be found on the college Coronavirus (COVID-19) webpage. Students are

encouraged to review the site on a regular basis.

Students are required to complete the Self-Screening Attestation (Appendix C) each day prior to

entering any NHS lab or clinical setting.

Prior to entering the clinical setting, students will be instructed in the proper use of personal

protective equipment (PPE) and procedures related to caring for patients in isolation precautions.

Depending on clinical facility requirements, students may be fit-tested and provided with N-95 masks

for use in the clinical setting. If approved by the clinical agency and the clinical instructor, students

may care for patients diagnosed with COVID-19. Students may also be allowed to participate in

COVID-19 vaccine clinics. Students agree to adhere to all clinical agency requirements, policies and

protocols.

CORONAVIRUS (COVID-19) POLICIES

Academic Advising

All NHS students enrolled in an NHS program are assigned an academic faculty advisor to assist

with registration procedures, class scheduling, graduation, and academic affairs. NHS students are

responsible for the college catalog and Nursing & Health Sciences degree and graduation

requirements. Each semester the student consults with his/her advisor to be released for registration.

Student Responsibilities

• Be proactive in the advising experience.

• Schedule appointments and make regular contact with advisor.

• Accept responsibility for your educational experience.

• Develop and record an educational plan, and monitor progression toward meeting program

requirements. Use the tools in Warrior Web/ Student Planning to assist in this process.

• Demonstrate professional behavior.

• Clarify personal and academic goals.

• Become knowledgeable about the NHS program, policies, and procedures.

• Access and utilize campus resources as needed or advised.

• Participate in evaluating the advising process.

• Notify advisor of any issues that may affect academic performance.

Academic Advisor Responsibilities

• Advise NHS students regarding educational goals and assist with the development of clear,

realistic educational plans.

• Maintain confidentiality.

• Inform NHS students of available resources.

• Identify NHS students requiring additional support, and refer accordingly.

• Use Warrior Web/ Student Planning to access official student documents such as transcripts,

TRER, and class schedule.

• Assist NHS students in maintaining educational records and auditing progression. Use

appropriate program Study Plan to track progress toward meeting program requirements.

Document all electronic mail, voice mail, and in person meetings.

• Assist NHS students in meeting LCSC core and graduation requirements.

• Assist NHS students in accessing and completing college forms.

• Assist NHS students in problem solving and in developing decision-making skills.

• Support NHS students in taking responsibility for their learning and educational experiences.

ACADEMIC POLICIES

Credit Transfer

Credits awarded by other colleges may be applied to meet degree requirements.

• NHS students must arrange for a copy of all college transcripts to be sent to LCSC’s

Admissions office.

• NHS students are notified when the transcripts have been received. NHS students may access

transcript information via Warrior Web Transfer Equivalency Guide (TRER).

• The TRER shows the evaluation completed by the Admissions office. NHS students/faculty

who wish to conduct an informal evaluation of courses may use the College Source: TES to

determine course equivalencies.

• NHS students/faculty should evaluate the TRER for courses listed as Elective that may be

applicable to the program.

• General education core and program requirements must be satisfied regardless of the number of

credits transferred.

• Refer to LCSC College Catalog for admissions policies and core requirements.

Petitions/Course Substitutions

An Internal Petition is used to address an NHS program requirement (program course, prerequisite,

or support course), providing flexibility for student progression in an NHS program or to address

unique circumstances that require faculty or administrative consideration. An External Petition

addresses general education core issues and is processed by the College Petition committee.

Appropriate forms and meeting dates are available on the Registrar’s web site. A Course

Substitution Form is used to address an NHS prerequisite when a comparable course has been

completed at another institution. Consult with your academic advisor for assistance.

Academic Dishonesty

Nursing & Health Sciences adheres to the policies described in the LCSC Catalog under Student Code

of Conduct. Consequences for academic dishonesty are determined by the course faculty in accordance

with NHS and College policies.

Academic dishonesty in any form is not tolerated. All work completed by NHS students in the

classroom, lab, or clinical facility must represent academic integrity and be the sole product of the

student’s original work. Academic dishonesty includes, but is not limited to:

Cheating: Using or attempting to use unauthorized materials, information, or study aids in any

academic exercise. The term “academic exercise” includes all forms of work submitted for a grade

earned in a course that generates credit hours.

Examples:

•

Use of unauthorized notes when demonstrating a skill in the lab setting.

•

Downloading or printing electronic copies of tests to a personal computer or as a paper copy.

•

Use of online papers, presentations, or other material represented as the student’s own work.

•

Copying answers off another student’s test or accessing unauthorized resources when taking an

online exam.

•

Using notes in a closed book exam.

•

Taking materials from the hospital (tubexes, tape, etc.) without returning them promptly.

•

Working with others when assignments are required to be completed independently.

Fabrication: Falsification or invention of any information or the source of any information in an

academic exercise.

Examples:

•

Making up research data or references for a scholarly paper.

•

Claiming that you have looked at a clinical policy/procedure in the healthcare setting and

then proceeding to perform a skill without having done so.

•

Charting assessments/ actions from another health care professional’s findings rather than

your own findings.

•

Charting medications as administered when they have not been given.

•

Failure to complete an incident report that should have been completed.

•

Charting patient care that was not provided; for instance, charting that a patient was

repositioned every two hours when the patient was repositioned only every four hours.

Collusion: Intentionally or knowingly helping or attempting to help another to commit an act of academic

dishonesty.

Examples:

•

Assisting another student in procuring or copying secure documents such as test questions.

•

Knowingly helping another student cheat, fabricate information, or plagiarize.

•

When serving as a peer evaluator, passing a fellow student on a clinical skill that was not

performed correctly according to skills criteria.

Plagiarism: The deliberate adoption or reproduction of ideas or words or statement of another person

as one’s own without acknowledgement. One sentence taken from any source that is not indicated by

footnotes or quotation marks constitutes plagiarism unless indicated by footnote or textbook reference

that the material is not original. Paraphrased material must have the proper reference cited at the end

of the thought or the paragraph. The Nursing & Health Sciences Division requires that all formal

papers be written using APA style. Please see Appendix for more detail.

Examples:

•

Use of online quotes, wording, or data without proper citation of the source.

•

Adopting or reproducing ideas or words of another person without acknowledgement in

formal papers, reports, or patient care documentation.

The examples noted do not constitute the entirety of offenses that would be examples of dishonesty. The

consequences of a violation of the academic dishonesty policy are independent of, and in addition to, any

adverse College disciplinary action, which results from the student’s conduct.

Accountability by NHS Students

Class Attendance

Due to the nature of the content in NHS program courses, it is expected that NHS students will attend

each class session. Refer to specific course syllabi for additional expectations regarding class

attendance.

Clinical Attendance

See Clinical/Lab Policies. Attendance is mandatory and required for all clinical experiences throughout an

NHS program.

Conduct in Classroom Settings

Civil behavior is expected in all Teaching-Learning situations, whether face-to-face, virtual, or

online classroom settings. Each faculty member has the right and the responsibility to set specific

ground-rules pertaining to each course at the beginning of the semester. Respectful freedom of

expression, conduct, and discourse is encouraged in class situations. Rude or discourteous behavior

or communication that disrupts the Teaching-Learning environment is regarded as uncivil and will

not be tolerated. Any behavior that negatively affects the Teaching-Learning environment or

faculty-student well-being will be addressed directly and fairly. In general, keep the following in

mind:

• Professional behavior is expected (e.g. timely submission of assignments, respectful

discussion posts).

• Under no circumstance is a student permitted to post publicly (Facebook, social media

venues, and other forms of electronic file sharing) any video or audio recording of an NHS

lecture or activity without the written permission of the course faculty.

• Cell phones and pagers should be turned off or set to silent mode.

• Minimize entering or leaving the classroom during instruction to avoid class disruption.

• Computers are to be used for note-taking or classroom activities only.

• Limit side discussions with your neighbor to points of clarification only.

• Electronic equipment is not permitted in the testing environment while test taking. Cell

phones and other texting/ electronic devices are to be placed well away from students and in

the “off” mode. Hats are not allowed, bags must be placed on the floor away from the desk, and

calculators may be used only with permission of faculty. NHS students using any notes or

communication during testing will be sanctioned using the college policy of “cheating”.

• Specific patient information discussed during class is to be kept confidential.

• Leaving the classroom during test taking will not be allowed.

Late Assignments

NHS students are expected to complete all course assignments in accordance with the course

syllabus and submit assignments by the stated due dates. Consequences for non-submittal of

an assignment may include course failure. The grade for an unexcused late assignment will be

reduced by 10% per day that the assignment is late. Assignments will not be accepted four or

more days after the due date.

Example 1 – 10 point assignment:

One day late = 1 point loss

Two days late = 2 point loss

Three days late = 3 point loss

Four days late = 4 point loss

>4 days late = No credit

If the student anticipates that s/he will not be able to submit an assignment on time, the student must

communicate by email message to the course faculty at least 24 hours prior to the date and time the

assignment is due. The message must include the reason(s) that the student is unable to meet the

deadline and request an extension to complete the assignment. The email request for extension will

be placed in the student’s file. The faculty member may approve or deny this request. If the request is

approved, the faculty member and student determine the new due date for submission of the

assignment. If the request for extension is denied, the original due date will be enforced and the

assignment grade will be reduced by 10% per day that the assignment is late. Individual faculty may

include alternate information regarding late or omitted assignments in course syllabi.

Missed Exams and Quizzes

If a student must miss an examination or quiz, a 15% grade reduction may occur. If the student notifies

the instructor prior to the exam or quiz, the faculty member will determine if the 15% penalty will be

invoked. If the student fails to communicate with the instructor, a 15% reduction will be made.

Individual faculty may include alternate information regarding missed exams or quizzes in course

syllabi.

Grievance, Complaint, Grade Appeal

NHS adheres to the Student Complaints/ Grievances policies of the College.

An appeal or formal complaint in NHS is defined as one submitted in writing through the

appropriate department channels. The complaint must include a detailed description of the

circumstances, the parties involved, and the action the complainant wishes to take.

The procedure for an appeal or formal complaint begins at the instructor/program/division level. There

must be written evidence of progression through the appropriate channels at each step of the

grievance.

Consistent with LCSC College policy, the appropriate channels are:

Course faculty member (attempt to resolve issue)

NHS Chair

College level (Student Affairs)

Related policies:

• Academic Dishonesty: Academic Policies

• Disciplinary Process: Appendix

• Performance Improvement Plan: Clinical Policies & Appendix

• Unsafe Clinical Practice: Clinical Policies

• Progression Policy: Academic Policies

NHS Student Code of Conduct & Responsibility

The Nursing & Health Sciences Division at Lewis-Clark State College upholds the following as

guiding principles for student responsibilities and accountabilities while at Lewis-Clark State College:

• College Student Code of Conduct Policy

The radiographic sciences students at Lewis-Clark State College have added accountability to the

following (Appendix B):

• American Society of Radiologic Technologist (ASRT)

• Joint Review Committee on Education in Radiologic Technology (JRCERT)

Nursing students at Lewis-Clark State College have added accountability to the following

(Appendix A):

• American Nurses Association Code of Ethics

• American Association of College of Nursing Professional Values

• Nursing Code of Ethics/ Social Networking Policy

The Nursing & Health Sciences Division has the mission in all programs to graduate students who

will demonstrate the inherent values of professionalism. The NHS Student Code of Conduct is

based on the understanding that to practice in the health professions is to uphold the trust that

society has placed in members of the health professions. The statements of the Student Code of

Conduct provide guidance for the student in the personal development of an ethical foundation for

academic, clinical, and personal environments.

The following are Standards for Conduct to be upheld by NHS students in nursing and

radiographic science programs in all settings:

Models the LCSC Student Code of Conduct.

Models the professional standards of conduct for individual NHS programs (nursing and

radiography).

Upholds personal accountability to act in a manner that reflects the highest moral and

ethical integrity in the classroom, clinical lab and clinical settings.

Models concern for the well-being of others through supportive interactions with peers,

faculty, and the community.

Models positive regard for the beliefs of others by acknowledging differences and

supporting ideals that respect humanity.

Demonstrates respect for the inherent worth of all individuals and teachings associated

with the programs within NHS.

Demonstrates honesty and safety in all activities associated with the program.

Communicates internally and externally in a truthful and accurate manner to ensure the

integrity of information and data associated with the college and programs.

Models respectful behavior and use of constructive communication techniques when

addressing problems.

Failure to comply with student conduct codes will result in disciplinary

action, which may include dismissal from the program.

10.

Uses every opportunity to improve faculty and clinical staff understanding of the learning

needs of NHS students.

11.

Abstains from the influence of alcoholic drinks or any substance that impairs judgment

in the academic and clinical setting. A positive drug screen may lead to dismissal from

the program.

12.

Models positive behaviors of citizenship to the individuals and communities we work beside

and serve, demonstrating compassion, fairness, and conscience without regard to age, gender,

citizenship, national origin, religion, race, socio-economic level, disability or sexual

orientation.

13.

Refrains from any deliberate action or omission of care in the academic or clinical setting

that creates unnecessary risk of injury to the client, self, or others.

14.

Refrains from use of social media communication that is in conflict with professional

standards of confidentiality, privacy, and respect. Use of social media respects the rights and

welfare of all individuals and holds in high regard individual integrity in all cases.

15.

Assists the staff nurse or preceptor in ensuring there is full disclosure and that proper

authorizations are obtained from clients regarding any form of treatment or research.

16.

Provides care for the client in a timely, compassionate and professional manner.

17.

Communicates client care in a truthful, timely and accurate manner.

References

National Student Nurses Association (2001). Code of academic and clinical conduct.

Retrieved from Code of Ethics.pdf (dropbox.com).

Misconduct Policy

Student misconduct is in direct conflict with the principles and philosophy of professional nursing.

Student misconduct of any type will not be tolerated as it lowers the standards of nursing practice,

and consequently jeopardizes the safe provision of client care, affecting the lives and well-being of

the public.

Academic Misconduct is based on academic performance as measured by grades or through

evaluation of clinical performance (see Progression Policy).

Discipline for Misconduct stems from the student’s failure to comply with Lewis-Clark State

College and Nursing & Health Sciences Division Codes of Conduct, Nursing Code of Conduct/

Social Networking Policy, or with any college or NHS clinical rules and regulations (syllabi or NHS

Student Handbook). Examples of misconduct include, but are not limited to, cheating, allowing

access to information to support cheating, plagiarism, alcohol or substance use, or behavior not in

alignment with the standards and ethics of the nursing profession.

Violations of the NHS Student Code of Conduct will be documented by the faculty member who has

witnessed the offense. Documentation will be shared with the student and the student will sign the

document, indicating the complaint has been shared with them. The complaint will be forwarded to

the Division Chair. Further actions both for improvement and discipline will be determined by the

Division Chair in conjunction with the course/ lead faculty. Violations of any NHS conduct policy

may also be referred to the Vice President for Student Affairs and may result in course or program

dismissal.

Disciplinary Process

NHS adheres to the LCSC Student Code of Conduct and follows the process outlined in the policy.

Purpose: Applied when a student violates the LCSC Student Code of Conduct, including

prohibitions against Academic Dishonesty, or violates any more stringent standard of conduct set

out in this Nursing & Health Sciences Student Handbook.

Progression Policy

Progression is the term used for advancing from one semester to the next while in an NHS

program. Many criteria must be met to facilitate program progression, including:

1. Background Check/ Health Requirements: Upon admission and throughout the program, NHS

students must maintain department/ clinical agency policies for health requirements, CPR, and

background checks.

2. Grades: NHS students must achieve minimum program grades in all required courses (general

education, support, and program courses). NHS students must earn a “Pass” in Pass/Fail

courses and the minimum required program or course grade in graded courses (73-80% for

BSN; 75% for RS).

a. NHS students earning a “Fail” grade or grade less than that required by the

program or the specific course (noted in course syllabus), are dismissed from

the program.

b. NHS students who are at risk for, or who have, failed a course should initiate a

meeting with their faculty advisor prior to the end of the semester in which the course

was taken to develop an academic plan. See Course Failure or Grade Less than “C” /

Program/ Course Requirement section below.

c. See the NHS Re-Entry Policy.

d. NHS students earning a failing grade in a course with the NU or RS prefix are eligible

to retake the course one time only (if re-entry is approved); if student is re-admitted to

the program and a course is failed after a second attempt, the student may not continue

in the program and the Re-Entry process does not apply.

Special Notes:

• NHS students who fail a clinical course mid-semester will not be allowed to continue in the

failed course. However, in special circumstances, the student may be allowed to complete

NHS theory/ lab courses in which they are enrolled that semester. Dismissal from the

program will be in effect at the end of the semester in which the course failure occurred.

• NHS students must successfully complete all courses in a given semester before subsequent

program courses may be taken (e.g., all J-1 or RS-1 courses must be successfully completed

before second semester classes may be taken).

Students who earn a failing grade in a nursing course must successfully repeat that course (if re-entry is

approved) prior to advancing to other nursing classes or programs.

Course Failure or Grade Less than “C” / Program/ Course Requirement

Faculty Roles:

Course Faculty:

• Makes course grades available at midterm for student awareness of risk of failure in

course

• Assists NHS students seeking help for remediation and plan for success

• At end of semester, completes Course Status Form: Grade Less than “C” for NHS

students failing to meet minimum course grade. Forwards to: Chair, Admissions and

Progression Committee; Student’s academic advisor

Academic Advisor:

• Advises student related to nursing/radiography major and course standing

• Meets with student to assess options and develop plan:

•

Potential change of major

•

Re-entry application to program

•

Completes necessary paperwork and forwards to appropriate faculty depending on

decisions (see Re-entry Policy)

Incomplete “I” Grade

A grade of “incomplete (I)” is assigned in cases when substantial progress toward completion of

coursework (including attendance requirements) has been accomplished at a satisfactory level, but,

because of extenuating circumstances, is not fully completed by the end of the semester. If “I”

timelines are not met, a ‘failing’ grade is earned and the student is dismissed from the program.

Faculty Roles:

Course Faculty:

▪ Notifies student of “I” grade.

▪ Completes Course Status Form: Incomplete Grade (Appendix or NHS faculty website),

including a written description of work to be finished together with relevant timelines.

▪ Distributes form as indicated, including a copy to the Student File and to the Academic

Advisor.

▪ Notifies student of all program decisions resulting from the academic plan.

NHS Grading Scale

(Course Specific Policies Apply*)

GRADE

QUALITY

POINTS

PERCENTAGE

BSN

PERCENTAGE

4.00

A-

3.67

B+

3.33

3.00

B-

2.67

C+

2.33

2.00

73-75*

Non-Progression

<73-80*

<80

**NHS uses the college grading scale as an overall minimum requirement. Within some courses there

is a higher minimum requirement to pass the course. Grading criteria for each course is clearly

defined and communicated to students through individual course syllabi.

Re-Entry Policy

Re-entry within two (2) academic semesters.

If qualified, NHS students who have been separated from an NHS program for two (2) or fewer

academic semesters may apply for re-entry using the Re-Entry Application. If the application is

approved, the student will re-enter the program at the level following the level that was last

successfully completed. Re-entry is not guaranteed.

Re-entry following more than two (2) academic semesters.

NHS students who seek to return to the program after an absence of more than two (2) academic

semesters must complete the regular program application and compete with all other applicants in

the admission cycle. Students in this situation are responsible to contact Financial Aid to understand

financial aid implications.

General Information

It is recommended that NHS students who separate from an NHS program for not meeting grade

requirements do not seek to immediately re-enter the program.

Re-entry is granted one time only and is not guaranteed. Re-entry is not granted in cases of

Academic Suspension. If re-entry is denied, the NHS internal petition process may not be used to

request further consideration.

Re-entry is generally not granted if any of the following conditions exist: The student:

• acquired more than one probationary status while in the program

• earned less than a “C” grade in more than one program course

• violated the Student Code of Conduct (College or Division)

Required Re-Entry Coursework (all BSN students):

1. Together with your Academic Advisor, complete the Course Request Form: Re-entry

Student.

2. Include the Course Request Form with your re-entry application.

3. See the following table for required coursework in each program and level. These

requirements apply to all applications for re-entry.

4. The NHS student is responsible to contact Financial Aid for the impact on any assistance

the student receives.

BSN Nursing

Theory

Clinical

Failed Course

Returning student in good

standing

Evaluate

J-1 semester

Failed any course in the J-1 semester

NU 325

NU 332

Yes

J-2 semester

Failed any course in the J-2 semester

NU 341

NU 342

Yes

S-1 semester

Failed any course in the S-1 semester

Evaluate

Yes

S-2 semester

Failed any course in the S-2 semester

NU 421

NU 477

Yes

RN to BSN Nursing

Evaluate

N/A

Yes

Radiography

Evaluate

Yes

NHS students enrolled in any nursing course are permitted access to

CRC Open Lab for practice of skills.

Re-Entry Requirements:

NHS Students in Good Standing

NHS students who separated from the program in good standing, including NHS students who:

Left the program for personal reasons or emergency situations

Successfully completed with passing grades, all program courses for which they

registered

Consistently demonstrated compliance with college and Division Code of Conduct and

NHS Student Handbook policies

Have no academic or behavior warnings or probations on file

NHS students submit the following:

Re-entry application (see procedure for all materials needed)

Letter explaining the request to return a written statement detailing a plan for the ability

to successfully complete the program.

At-Risk NHS Students

NHS students who have separated from the program and who have academic or conduct issues

include:

NHS students who have failed one or more nursing courses

NHS students whose record includes warnings or probationary status from the College or

NHS division

At-Risk NHS students submit the following:

Re-entry application (see procedure for all materials needed)

Narrative Plan of Action*

Course Request Form: Re-entry NHS students (available on Nursing & Health Sciences

website)

Re-entry Decisions

Decisions for re-entry of individual NHS students are based on:

Student’s overall performance in program coursework

academic performance

scenario testing

clinical evaluations

Student’s record of accountability and initiative taken toward successful resolution of

issues and problems encountered while in the NHS program

course failure or Grade Less than “C” form

advising and faculty records

record of professional communications and conduct

Student’s self-reflection and insight into the issues that contributed to leaving the program in a

Narrative Plan of Action.

identifies problems that led to course failure

identifies steps taken by the student toward resolution of the problem

Grade information from pre-program coursework

Available resources

*What is a Narrative Plan of Action?

This written plan thoroughly addresses reasons for leaving the program and a detailed plan for

academic success. A short narration to explain the following is required:

• Statement of the problem/situation that interfered with successful program/course

completion.

• Changes in circumstances that have occurred since exit from the program that correct

the initial situation that prevented completion.

• Action steps that that you have taken and observed improvements in the situation so

that success in re-entry is more likely.

Withdrawal from an NHS Program

Regardless of the reason, NHS students are encouraged to meet with their academic advisor prior to

deciding to withdraw from an NHS program. NHS students who elect to withdraw from an NHS

program must do so in writing to the Division Chair and should include the reason for withdrawal,

including date of withdrawal and terms of course withdrawals. Withdrawals (“W”) count as one

attempt in the course for application eligibility or Re-Entry purposes.

Clinical Conduct/ Performance Expectations

• Clinical attendance is required. Three (3) clinical ‘tardies’ are equivalent to one (1) clinical

absence.

• NHS students must fulfill the required number of course clinical hours to obtain a satisfactory

grade of “P” [73% in all categories of the clinical evaluation tool (CET) or 75% for radiography].

• The student is responsible for notifying the assigned clinical instructor and clinical agency (if

precepted experience) prior to absence. Radiography students notify the Clinical Coordinator and

the clinical agency (contact information is found in course syllabi).

• Absences may result in a course grade of incomplete or failure or may be made up at the

discretion of the faculty and the availability of clinical resources. If a radiography student fails

to follow the attendance policy, yet is allowed to remain in the program, the student will do so

under probationary status.

• Excused Medical Absences: See Excused Medical Absence Policy & Agreement in Appendix.

• Some clinical agencies require drug testing prior to students performing clinical/preceptorship at

their agencies. A positive drug screen may lead to academic dismissal from the NHS program.

• Nursing students are expected to be prepared for report promptly at the beginning of the

assigned shift.

• Radiography students may not go to clinical if:

o Film badge was lost and/or damaged (also includes if the student is awaiting

replacement badge).

Clinical Practice: Unsafe Clinical Practice

Definition of Safe Practice

The student will demonstrate patterns of professional behavior, which follow the legal and ethical

codes of the profession; promote the actual or potential well-being of clients, health care workers,

and self in the biological, psychological, sociological, and cultural realms; demonstrate

accountability in preparation, documentation, and continuity of care; and show respect for the

human rights of individuals.

Definition of Unsafe Clinical Practice

Unsafe clinical practice is any act, practice or omission during clinical practice that fails to

CLINICAL POLICIES

conform to the accepted standards of the nursing or radiography professions, which may directly or

indirectly cause physiological and/or emotional harm to others.

The following are examples (not a comprehensive list), of behaviors that may denote unsafe clinical

practice:

• Administration of medications or contrast media without knowing indications for patient

precautions or adverse effects

• Administration of medications or contrast media, or performance of invasive procedures

without notification of the clinical faculty prior to administration (direct supervision required

for all nursing and radiography students)

• Negligence in the care of a client which could reasonably cause injury or harm to a client or to

co-workers (Negligence is defined as the failure to do something that a reasonable person of

ordinary prudence who has been given a similar level of training would do in a certain

situation, or doing something that such a person would not do)

• Attempting activities without adequate orientation, theoretical or clinical preparation

• Attempting activities without appropriate assistance or supervision

• Use of patient care equipment without proper orientation

• Failure to report life-threatening changes in a patient’s status

• Failure to maintain confidentiality in interactions or records

• Dishonesty

• Use of any substance that may impair clinical judgment or be harmful to self or others

• Failure to display stable mental, physical, or emotional behavior(s) which may affect self or

other’s well-being

• Outside employment or other activities that, in conjunction with clinical hours (immediately

before or after clinical practicum), exceeds standard shift length (nursing and radiography)

• Unethical behavior of a serious nature

A student whose behavior denotes unsafe or potentially harmful clinical practice will be removed

from the clinical setting. In such cases, a final determination of “Unsafe Clinical Behavior” is made

by course faculty in consultation with the lead faculty and program coordinator/director/ leadership

team. The student may earn a grade of “Fail” for the clinical course when actions are deemed

“unsafe”, and may be dismissed from the program. NHS and College Grade Appeal processes are

available to the student who is assigned the grade of “Fail” as a result of “unsafe” practice.

Evaluation of NHS Students: Clinical Practicum

Clinical Evaluation Tools (CET) are used to evaluate student performance in clinical practicum

courses.

Each clinical course has an evaluation tool.

Performance is based on the student’s ability to perform consistently the behaviors listed on each of

the assessments.

(P) pass and (F) fail grading:

(P) = satisfactory performance indicates that the student has adequately met all criteria for

each objective with 73% or greater on the clinical evaluation tool (CET)

(F) = unsatisfactory performance indicates the student has not adequately met all criteria for

each objective, earning less than 73% on the clinical evaluation tool (CET)

The student is expected to maintain satisfactory performance gained in previous nursing courses

as s/he progresses through the program.

The student must adhere to the policies contained within the NHS Student Handbook under

“Clinical Policies” and specific course policies found in each syllabus.

When student performance is not at a satisfactory level in any area on the assessment tool or violates

NHS, agency, or LCSC policy, the clinical instructor will initiate the Performance Improvement

Plan (see Performance Improvement Plan) or the student may be dismissed from the program.

Performance Improvement Plan (PIP)

All NHS students are expected to perform within professional, program, and course guidelines for

student conduct. These guidelines are outlined within the NHS Student Handbook, course syllabi, and

Clinical Evaluation Tool, and include professional standards and clinical policies.

In the clinical, lab, or simulation setting, when conduct violates the above standards or policies, a

Performance Improvement Plan (Appendix) documents the issue, states the plan for performance

improvement and identifies the expected student outcome. This documentation becomes part of the

permanent NHS student file. Student conduct and performance that reflects the high standards set within

NHS is expected throughout the course of study. Therefore, faculty members examine student files for

trends or continuation of problem behavior. Accumulation of multiple Performance Improvement Plans

in the student file may result in further action, including probation or dismissal from the program.

The use of performance improvement applies to clinical performance. The nature of the problem will

determine the level of performance improvement required. Examples include but are not limited to:

• clinical performance that has not progressed to meet level standards

• failure to meet policies outlined in the Student Handbook

• conduct that is unprofessional or disrespectful to patients, NHS students, or faculty

• unethical behavior

Minor problems/issues, appearing once but do not present a concern for patient or student safety (such as

student appearance or absences) will be documented on the student evaluation form (CET) or in the

student file, and discussed with the student. If the problem is not corrected immediately, it may be

pursued as a violation of the Student Code or Nursing Code of Ethics and a Performance Improvement

Plan will be initiated.

Written Warning:

Indicates performance may not meet expected level in accordance with the course progress indicators or

fails to show progression in learning. Examples include, but are not limited to clinical skill inefficiency,

the need to continually look up common medications, lack of communication or patient teaching, the need

to repeatedly ask basic questions, or professional issues such as disrespect. Failure to complete the

Performance Improvement Plan may result in further action.

Probation:

Indicates the student’s performance 1) is deficient for critical behaviors listed on the course CET, 2) is

potentially endangering to patients, faculty, or NHS students 3) violates ethical/legal standards, or 4) is

consistently below expected standards for the course level. These behaviors indicate that the student is in

jeopardy of course failure. Examples include, but are not limited to: continued offenses requiring written

warnings; failure to remediate successfully; impaired practice; safety problems in skills involving

patients or hospital staff; medication administration errors, or blatant disregard for professional standards

of behavior.

During a probationary period, if the student remains below 73% for nursing or 75% for radiography in

any component of the evaluation form, the student will fail the clinical course.

Probation initiated near the end of a clinical course, when time for performance improvement is limited

may result in a clinical course failure. Probationary status for a student may be initiated only two (2)

times during the program. A third incident may result in a clinical course failure and dismissal from the

program.

Notes:

• NHS students must respond to the initiation of a Performance Improvement Plan within 48

hours by contacting the designated person who will assist them with the plan.

• Performance improvement is required for the partners in any Peer Skills Check-off for skills that

have been verified/checked-off by the partner and are later found to be deficient.

• If performance improvement relates to a clinical skill, that specific skill may not be performed in

the clinical setting until the Performance Improvement Plan is satisfied.

• If a plan involves a skill that is pervasive to the clinical experience, the student may be asked to

leave clinical until the Performance Improvement Plan is successfully satisfied. Any missed

clinical days count as clinical absences.

• NHS students must be self-directed for performance improvement since the skills have been

previously taught. This means that the independent use of class material, practice in Open Lab

hours, and use of supplemental video resources is expected. The lab faculty and/or CRC

Coordinator are to be used for clarifications or to answer questions. NHS faculty or the CRC

Coordinator must sign the Performance Improvement Plan indicating that the skill or

performance measure is successfully addressed/ completed.

Immediate Program Dismissal:

Immediate dismissal from the program may occur when a student demonstrates negligent or “unsafe”

clinical behavior. In this instance, a grade of ‘Fail’ for the course is posted immediately; the student may

not drop or withdraw from the clinical course if the clinical performance has been deemed unsafe. In

cases of questionable performance in the clinical setting the student may be asked by faculty to leave the

clinical area until a determination of course status is made.

Grade Appeal Process:

The Grade Appeal process is available to the student who receives a failing grade under this Performance

Improvement Plan policy.

Clinical Conference

Nursing

Clinical conference is a discussion and planning session that allows the group to focus on the learning

objectives for the clinical session. Time is allowed for NHS students to express their thoughts and

feelings, analyze their learning experience, share new learning, review the plan of care for assigned clients,

and clarify relationships between theory and practice. Student concerns are addressed and nursing actions

and learning experiences are identified.

• Attendance is required at all clinical conferences. Failure to attend is considered a partial clinical

absence.

• NHS students are expected to be punctual for conferences; punctuality is evaluated as a component

of time management skills.

• NHS students must be prepared for discussion and regular participation to attain satisfactory

performance grades for communication, analytical thinking, and teamwork in the clinical

evaluation. NHS students who are not prepared for the clinical conference may be asked to leave

the clinical setting. This will be treated as a clinical absence.

Radiography

Post-clinical conferences will be scheduled intermittently. Conferences provide NHS students an

opportunity to present interesting cases from their current clinical site. NHS students may present perfect

images, problematic images, or interesting pathology. This is also a time for NHS students to discuss

experiences that may elicit emotional responses (e.g., a behavior observed at the clinical site that students

felt to be inappropriate, death of a patient, etc.). Concerns are addressed and learning experiences are

identified. Attendance is required at all clinical conferences.

Dress Code

NHS faculty believes the image portrayed to the patients and public about our programs is of great

importance. The clinical uniform and personal hygiene practices exhibited by students can reinforce

our dedication to high quality, safe, and evidence-based care.

The dress code is in place to ensure:

NHS students are easily identifiable to the patient and staff to assure patient safety through the

consistency of the uniform and personal identification as a student.

NHS students present a positive personal and professional image to patients, visitors,

providers, staff and fellow NHS students.

NHS students present an image that promotes confidence and trust among others and

represents pride in LCSC while balancing comfort and practicality.

NHS students maintain standards of hygiene and universal safety precautions which

decrease the risks inherent in the role of apparel in the cross-transmission of pathogens

which may result in healthcare-associated infections.

Consequences of dress code violations:

NHS students arriving at the clinical agency improperly groomed or dressed or who violate any of

the NHS guidelines will be dismissed from the clinical setting. The absence will count as a clinical

absence. Inability to meet these policies must immediately be reported to the clinical instructor.

Ongoing violations will be managed through the Performance Improvement Plan process. Consistent

disregard for dress code policies may result in dismissal from the program.

Dress Code Expectations/Guidelines

NHS students wear the approved student uniform as outlined in the Appendix (determined for each

program) while in the clinical setting, during scenario testing and simulation, as well as in lab courses,

if so directed by course instructors.

• Professional-casual attire: situations may arise in which NHS students are present in a clinical

agency or healthcare setting on school-related visits in which a uniform is not required. In these

situations, NHS students are expected to dress in “professional casual attire”:

slacks/chinos/skirts (no jeans/sweats), blouse or buttoned shirt/sweater (no T-shirts/sweats),

casual socks/hose/shoes (no sneakers/Crocs/flip-flops). Program approved attire (polo

shirt/vest/jacket) with the LCSC/NHS logo may also be worn in these situations.

• The student uniform may be worn to and from the clinical setting but is not to be worn in

public on personal business (e.g. errands, shopping, visiting, classroom).

• When visiting relatives or friends who are hospitalized, NHS students should wear street

clothes and abide by established rules and regulations of the agencies. The student must make it

clear that they are not present in the role of a student nurse, but are present only as a friend or

relative of the patient. While assigned to the clinical setting, NHS students must obtain

permission from the respective clinical instructor to visit friends or relatives.

• The LCSC/NHS insignia is to be embroidered on the upper left sleeve of all uniform tops and

on the left chest of uniform jackets.

• Uniforms must be laundered after each clinical day.

• Shoes are to be reserved for clinical use only and a clean appearance must be maintained.

• NHS students are to wear LCSC photo nametag and “Student” identifying information at all

times when in the clinical setting (includes in-services, conferences, etc.). Nametags must

always be visible to patients and staff.

• Hospital-specific dress code policies may supersede NHS policy. Students assigned to such

locations are expected to follow agency-specific policy and be prepared to accommodate all

requests.

• NHS students must maintain personal appearance and hygiene that meets the guidelines stated

in this Handbook (jewelry, tattoos, hygiene, etc.).

• Chewing gum, tobacco products of any kind, and vaping are prohibited during the clinical

rotation.

• Personal medical equipment for nursing students includes stethoscope, bandage scissors,

goggles, timepiece with a second hand, pen, hemostat, and penlight.

• Personal medical equipment for radiography students includes right and left markers and

radiation detection devices (film badges).

• Other Personal Protective Equipment (PPE) may be required (i.e. face masks, surgical cap,

etc.). Obtaining and maintaining this equipment will be the student’s responsibility.

Error/Incident

• Any student who makes an error or is involved in an incident in the clinical setting must

notify the clinical instructor immediately.

• The student will complete the NHS incident report form (see Appendix) and the clinical

agency incident form within 24 hours.

• The clinical agency incident form is given to the charge nurse, clinical supervisor, or

radiography manager/director.

• The completed LCSC/ NHS form is given to the clinical instructor who will forward it to

the Program Coordinator/ Director with a copy to be placed in the student’s file.

Performance Standards

• The student must be capable of meeting the performance standards of NHS programs.

Reasonable accommodation may be made for some disabilities. However, NHS students are

expected to perform in a reasonably independent manner.

Category Description and

Standard

Examples

Critical thinking ability sufficient

to exercise sound clinical judgment

Reasoning skills sufficient to

perform deductive/ inductive

thinking for healthcare decision-

making

• Identify cause/effect relationships and make appropriate

judgments in clinical situations

• Develop health care plans/ concept maps

• Calculate medication dosages

Communication abilities

sufficient for effective interaction

in verbal and written form

• Able to obtain information, interpret provider orders, explain

treatment procedures, initiate health teaching, describe patient

situations, perceive nonverbal communications

Gross and fine motor function

sufficient to provide safe and

effective care

Gross Motor:

• Gross motor skills sufficient to provide the full range of safe and

effective patient care activities (move within confined spaces,

reach above shoulders {IV poles}, reach below waist {plug into

electrical wall outlets})

Fine Motor:

• Fine motor skills sufficient to perform manual psychomotor skills

(pick up small objects with hands, pinch/pick or otherwise work

with fingers {e.g., manipulate a syringe}, sustain repetitive

movements {CPR})

Physical Strength:

• Physical stamina sufficient to perform client care activities for

entire length of work shift (push, pull, support and lift 25 pounds

of weight, position, ambulate, and transfer clients; defend self

• against combative client, use upper body strength to perform

CPR)

Auditory ability sufficient to

monitor and assess needs of

clients

• Able to hear monitor alarm and emergency signals, able to listen

to breath sounds and to hear normal speaking level sounds

Visual ability sufficient for

observation and assessment

necessary for care

• Able to observe patients, and visualize physical alterations and

abnormalities

Tactile ability sufficient for

physical assessment

• Able to perform palpation of a pulse, perceive temperature and

functions of a physical exam

Mental Alertness sufficient to

interact appropriately with the

environment.

• Able to stay attentive and respond appropriately, wakeful, not

fatigued

Category Description and

Standard

Examples

Emotional health sufficient to

utilize totally her or his intellectual

abilities. Able to function effectively

during stressful situations. Able to

perform effective communication

and therapeutic interventions with

patients.

Interpersonal:

• Interpersonal abilities sufficient to interact with individuals,

families, and groups, respecting social, cultural, and spiritual

diversity

• Negotiate interpersonal conflict

• Establish rapport with clients and with co-workers

• Able to adapt to ever-changing environments: displaying

flexibility, learning to function in the case of uncertainty that is

inherent in clinical situations involving patients/clients

• Able to listen objectively to patient concerns, able to complete

communications without outbursts, tears, fears or other

encumbrances to patient interactions; personal judgments and

persuasions are not promoted; communication is based on

professional values and ethics

Professionalism that befits a student

healthcare provider and enables

proper conduct when representing

LCSC at clinical sites

• No vulgar/inappropriate language or actions

• Communication that is controlled, focused and respects the

serious nature of the healthcare environment

• Respectful interactions with staff, clients, and peers (polite, calm,

listening, accepting of feedback)

• Ability to attend clinical physically and psychologically rested

and ready to perform in the student role.

Special Requirements

• Nursing: All students who are to perform invasive, first-time, or any procedure specified by the

faculty must be directly observed by faculty unless prior arrangements are made by the faculty

and observation is delegated to a supervising RN.

• Radiography direct supervision: All students who are to perform invasive procedures, C-arm

procedures in the O.R. or the Pain Clinic, or any procedure specified by a patient requisition for which

the student has not yet earned a competency must be directly observed by a registered technologist.

• Prescription drug use or medical conditions that could alter judgment or clinical performance must be

reported to the clinical instructor prior to caring for any patient. The instructor will assess the student’s

ability to participate in patient care and will direct the student accordingly. If a safe assignment for the

student cannot be found, the student will be asked to leave the agency. This will count as a clinical

absence. The policy on clinical attendance will apply.

• Pregnancy: NHS students who are pregnant or may become pregnant should be aware that

certain clinical situations may not be appropriate for them. It is the student’s responsibility to

speak with their healthcare provider about limitations, to obtain written documentation of the

limitation, and to notify the instructor. A letter of release may be required from the student’s

healthcare provider. The instructor will assess the student’s ability to participate in patient care

and will direct the student accordingly (Radiography students: see Pregnancy Policy under

Radiation Safety in Appendix B).

• Illness/Injury/Surgery: Students who become ill, are injured, or have surgery during enrollment

in an NHS program should be aware that certain clinical situations may not be appropriate. It is

the student’s responsibility to speak with their health care provider about limitations, to obtain

written documentation of the limitation, and to notify the instructor. The instructor will assess

the student’s ability to participate in patient care and will direct the student accordingly.

• If a student has exited a workplace under disagreeable conditions, and if that site is a potential

clinical site for the student, the student should notify the instructor of this circumstance. This

avoids a potentially difficult situation for both the student and clinical site personnel.

Illness/Health/Safety of Student

Chronic or Unstable Medical/Emotional Illness

All NHS students who participate in practicum experiences must be of stable physical and

emotional health sufficient to provide patient care that upholds acceptable standards of safety

and professionalism.

It is the responsibility of the student to disclose to the Program Coordinator/Director any new or

chronic personal medical or emotional condition that could potentially jeopardize the maintenance

of a safe environment and safe care for the patient or student. See Performance Standards.

The Program Coordinator/Director, in conjunction with the student and academic advisor, will

determine a course of action which may include:

•

Notification of faculty and clinical staff who need to know about the situation for patient

and student safety.

•

Removal of the student from the clinical setting until the problem is resolved. Clinical

attendance policies apply if the student is unable to attend clinical.

•

Requirement of a primary healthcare provider’s release to document the student’s ability to

return to the clinical setting.

•

Referral to the College Accessibility Services and/or Student Counseling Center, as

appropriate, for additional resources and assistance.

•

Clinical agency policies apply and may exceed those of the nursing/radiography program.

• Examples include (but are not limited to) diabetes in which the student could suffer

hypoglycemia, frequent panic attacks, minor surgeries which could influence movement and

pain, seizure disorders, unstable asthma, chest pains, back injuries/disabilities.

Excused Medical Absence

• To earn a passing grade in a clinical course, all required clinical hours must be completed. Due

to the nature of the clinical experiences, it is very difficult to make up missed time. Absences

anticipated to extend longer than 2 clinical days place the student in jeopardy of failing a

clinical course.

• When extenuating circumstances present and the student has arranged in advance, faculty will

make every effort to provide opportunities for the student to acquire hours needed to fulfill

course requirements. It remains the student’s responsibility to meet the terminal objectives of

the course. If an equivalent and timely make-up experience cannot be provided, the student may

receive a grade of “I” (incomplete) for the clinical course. The student may not progress in the

program until the “I” is satisfactorily resolved. Clinical make-up experiences are typically not

available during official college breaks (Fall, Winter, Spring, and Summer breaks) or holidays.

Medications: Personal Prescriptions

All NHS students are responsible to know the effects and side effects of their personal medications. Any

influence from these medications that could potentially jeopardize the provision of safe patient care or

safety to the student must be reported to the clinical course faculty.

• In these circumstances, clinical faculty reserves the right to remove a student from the clinical

setting. Clinical attendance policies apply if NHS students are unable to attend clinical due to their

medication therapy.

• A primary healthcare provider’s release may be required to assure the student’s safety in some

situations.

Nursing & Health Sciences has a responsibility to maintain the standards of the program when

planning alternate experiences for the student. Therefore, the following will be considered when

absences are accrued:

Academic and clinical proficiency of the student

Type of experience that will be missed (observation vs. practice)

Equivalency/appropriateness of make-up experience

Availability of clinical space or appropriately qualified faculty to support the make-up

experience

Ability of the faculty of record to adequately observe and evaluate the student during the

“make up” hours.

See the Appendix for an Excused Medical Absence Agreement form. Following an excused

clinical absence, the student must provide a statement from a primary healthcare provider prior to

returning to clinical and/or beginning an alternate experience.

Communicable Diseases

If a student has a potentially communicable disease (e.g., COVID-19, hepatitis A, mumps, giardia,

shigella, salmonella, or similar), s/he must notify clinical instructor immediately and action will be

determined in consultation with Student Health Services and/or the Public Health Department.

Prevention of Transmission of Communicable Disease: Standard/Universal Precautions

Definition of Potentially Dangerous Fluids:

Avoiding occupational blood and other body fluid exposure is the primary way to prevent transmission

of hepatitis B virus (HBV), hepatitis C virus (HCV) and human immunodeficiency virus (HIV) in

health care settings. However, Hepatitis B immunization and post-exposure management are integral

components of a complete program to prevent infection following blood borne pathogen exposure and

are important elements of workplace safety.

An exposure that might place health-care personnel (HCP) at risk for HBV, HCV or HIV infection is

defined as a percutaneous injury (e.g. needle stick or cut with a sharp object) or contact of mucous

membrane or non-intact skin (e.g. exposed skin that is chapped, abraded or afflicted with dermatitis) with

blood, tissue or other body fluids that are potentially infectious.

In addition to blood and body fluids containing visible blood, the following fluids also are considered

potentially infectious: cerebrospinal fluid, synovial fluid, peritoneal fluid, pericardial fluid and amniotic

fluid.

Clinical Exposure Policy

NHS students who experience an exposure to bodily fluids (needle stick/sharps injury, splash, spills, etc.)

or who are exposed to other medical hazards while in the clinical setting must report the incident to the 1)

clinical agency and 2) clinical faculty/ NHS program Director/ Coordinator.

Any costs incurred due to a clinical exposure are the responsibility of the student.

NOTE: NHS students are required to follow all LCSC and clinical agency policies for

isolation procedures and universal safety precautions. The Clinical Exposure Policy should

be followed for treatment and reporting even if proper precautions were not followed.

Procedures: Exposures

Definition: Exposure to substances that are harmful or may be harmful to humans. This includes:

o Blood or bodily fluids received to mucus membranes or open skin through splash, needle

puncture, or spillage.

o Chemical agents received to skin, ingested or inhaled.

o Radioactive agents through improper protective or monitoring protocols.

o Viral agents highly contagious or harmful to pregnant individuals.

o Other unusual incidents or exposures out of the ordinary.

See area below for Initial Treatment Protocols.

Immediately notify LCSC clinical instructor (NHS students in an observation experience or

preceptorship, notify the agency RN/CI to whom you are assigned. That nurse/CI will assist

you to contact the LCSC clinical faculty).

Seek treatment if indicated.

Complete Incident Reports.

a. Agency Incident Report – work with assigned RN/CI to complete

b. LCSC Incident Report – see appendix for form; work with clinical instructor to

complete.

COVID-19 Protocols: if exposure to COVID-19 is suspected or confirmed, student will follow

guidance, policies, and procedures of the clinical agency, the college, and the local Public

Health Department (Coronavirus | Lewis-Clark State (lcsc.edu)).

Initial Treatment Protocols:

Clean Needle Stick

Definition: Needle or sharp instrument injury poking or penetrating the skin. Instrument has not been

used on a patient or other person; has been used only in preparation for injection or procedure.

Clean area, washing with soap and water.

Bandage as needed.

No prophylactic medications are needed.

No laboratory testing for HIV, hepatitis, etc. is necessary.

Contaminated or “Dirty” Needle Stick

Definition: Needle or instrument injury poking or penetrating the skin, regardless of depth.

Instrument has been used on a patient or other person.

Remove the instrument or needle; do not discard.

Wash the area immediately with soap and water. Encourage bleeding from the site with use of

gentle pressure.

Apply betadine or antibiotic ointment to the site.

Apply pressure to control any bleeding before bandaging.

Together with primary RN/CI and NHS clinical instructor, follow protocol of facility for

contaminated needle/sharps injury. Costs incurred for evaluation are the responsibility of the

student.

• If immediate care is required, go to the ER

• Notify/consult with Employee Health/Infection Control officer

• Ensure testing of source patient as determined by facility

• If non-emergent, seek care from primary care provider or Student Health for

testing (HBV, HCV, HIV, and/ or other as necessary)

Splashes or Exposure to Mucous Membranes

1. Flush splashes with water and wash skin with soap and water.

2. Irrigate eyes and flush mucous membranes with clean water, saline, or sterile irrigants.

Chemical Agents

Definitions: Exposure to hazardous chemicals used in the hospital setting through splash, spillage,

accidental ingestion, or inhalation.

Immediately wash or flush the agent from the skin/mucus membrane. Use MSDS

information sheets available on each unit. Chemical exposures require specialized

treatment.

Follow information provided on the MSDS sheet.

Visit the agency Emergency Department for emergency treatments needed (flushing of eyes,

reversal medications, etc.).

Radioactive Exposure (See Appendix B)

Definition: Exposure to radioactive particles through testing and patient care settings.

Follow MSDS sheets for skin or body contact with agents.

Other exposures will require follow up with a personal healthcare provider for evaluation and

treatment.

Viral Exposures

Definition: Exposure to viral agents known to be potentially harmful to humans (including fetus).

Exposure is typically reported to the student or NHS program once a patient is found to be

infected with a virus.

Treatment is directed by the hospital or healthcare agency.

NHS students who discover contact has occurred or who have questions should talk

immediately with the clinical instructor.

Faculty Responsibilities:

Refer student to the Emergency Department if emergency treatment is needed.

If emergency care is not needed, contact the agency’s nursing supervisor, or Safety/Infection

Control/Employee Health officer.

Follow the agency’s policies for immediate exposure care and assist student to complete

the needed action.

All contaminated needle sticks or exposures to blood or bodily fluid must be treated as if

there is potential risk of pathogen exposure.

Assist student to complete incident forms:

Agency’s Incident Report form

NHS Incident Report form

NHS students are responsible to follow the requirements of their individual insurance plans.

NHS students are encouraged to seek care from their personal care provider for necessary

post-exposure blood draw (HBV, HCV, HIV, etc.). All costs incurred in relation to the

exposure or events are the responsibility of the student.

Report incident and actions to NHS Chair and appropriate Program Director/Coordinator

through e-mail. Assure that the student provides the Incident Report to the appropriate

personnel.

Special Notes for Faculty:

Viral Exposures:

• If student exposure to a viral agent (e.g. Neisseria meningitis, Avian flu, H1N1, etc.) Is

reported to the clinical faculty by the agency, immediately report this to the NHS Chair.

• Report the actions being taken to protect the student(s).

• Complete an LCSC Incident Report for the NHS students involved in the exposure.

Clinical Injury Policy

NHS students who experience a physical injury while in the clinical setting must immediately report

the incident to the 1) clinical agency and 2) clinical faculty/ NHS program Director/ Coordinator. Any

costs incurred due to a clinical injury are the responsibility of the student.

Procedures:

Immediately notify the agency RN/CI to whom you are assigned and notify your LCSC faculty

Complete Incident Reports.

Agency Incident Report – work with assigned RN/CI to complete

LCSC Incident Report – see appendix for a copy; work with LCSC clinical instructor to

complete.

Initial Treatment Protocols:

Refer student to the Emergency Department if emergency treatment is needed.

If emergency care is not needed, contact the agency’s department supervisor, or

Employee Health/Infection Control officer.

Follow the agency’s policies for accidental injury and assist student to complete the

needed action.

Faculty Responsibilities:

Assist student to complete incident forms:

Agency’s Incident Report form

NHS Incident Report form

NHS students are responsible to follow the requirements of their individual insurance plans.

NHS students are encouraged to seek care by their personal care provider. All costs incurred

in relation to the injury or events are the responsibility of the student.

Report incident and actions to NHS Chair and appropriate Program Director/Coordinator

through e-mail. Assure that the student provides the Incident Report to the appropriate

personnel.

Protection Orders (Order of Protection/Restraining Order)

Any student who has obtained a protection order against another individual must notify and

provide a copy of the document to LCSC Campus Security. Campus Security will notify the

Division Chair, all involved faculty and staff, and the appropriate campus offices.

The clinical instructor will assist the student to notify the clinical site supervisor and document the

action and date in the student’s NHS file.

Clinical Resource Center Student Use Policy

NHS students who have a latex allergy must immediately notify their clinical instructor and

Clinical Resource Center instructor/personnel. Latex-free gloves are available for use in the

Clinical Resource Center.

NHS students are not to take ANY equipment or supplies from the Clinical Resource Center except

as approved by faculty. NHS students may never take from the lab any sharps or any other supplies

with needles.

Use of the Clinical Resource Center is restricted to posted supervised hours only. All NHS

students must sign in and out of the lab following announced lab protocols.

Children are not allowed in the Clinical Resource Center (labs).

If unsure how to operate equipment, ask for assistance from Clinical Resource Center personnel.

Damage resulting from improper use or abuse of equipment will be the financial responsibility of

the user.

When in the Clinical Resource Center, each student is responsible for maintaining lab

equipment/supplies. This includes:

repackaging supplies in a useable manner

refolding linen appropriately

notifying staff of need for additional/alternative supplies

replacing chairs to classroom format when done

recharging equipment when appropriate

obtaining clarification for proper use of equipment

Respect a quiet environment when fellow NHS students are practicing/ testing etc. Any student

causing a disturbance will be asked to leave the Clinical Resource Center by the Coordinator or other

authorized personnel. Repeat offenders will be subject to disciplinary action.

Recognize the role of Clinical Resource Center staff as one of resource and access, not one of

housekeeping.

If any injury or incident occurs in the Clinical Resource Center, immediately notify the Clinical

Resource Center staff. An NHS incident report must be completed by the student assisted by

CRC staff.

10.

No liquids or foods are allowed in the Clinical Resource Center, but are allowed in the

designated report rooms.

11.

Supplies and/or equipment inadvertently or intentionally taken from the CRC/SIM Lab setting

must be immediately returned upon discovery. Pilfering or misuse of lab supplies and/or

equipment is unacceptable and may be grounds for dismissal from the program and/or College-

level sanctions.

Clinical Resource Center Lab Definitions

Structured/Guided lab: Lab occurs as part of a course. Course instructors are present, skills of

specific content are taught, followed by student practice. Skills check-off may occur.

Independent Lab: Lab is a required component of a course. NHS students of that course bring skills

bags and independently practice previously learned course-specific skills. Course instructors are

present to answer questions and conduct skills-check off.

Open Lab: This lab is open to all NHS students for independent practice on learned skills. The lab

session is not formal and NHS students are encouraged to work with one another to refine skills and

ask critical thinking questions. Faculty, the CRC Coordinator or senior level NHS students are

available to assist with general questions and clarifications. Reference texts will be used to answer

skill-specific questions and other nursing questions. Skills check-off may be available by prior

arrangement and sign-up with the CRC Coordinator.

Skills Check-Off Process

• NHS students will use the Skills List provided in course syllabi for skills check-off.

• Faculty will use the Fundamental Skills text and procedure check-off lists used in the

clinical course as the reference for the steps to be taken in the evaluation of the skills

check-off.

• Individual NHS students will demonstrate their skills independently to an individual faculty

assigned to the Independent Lab session.

• At faculty discretion, NHS students may complete Skills Check-Off during a clinical

practicum if the student has previously learned the skill in the class/lab setting and the

clinical faculty member is available to evaluate the student.

Peer Skills Check-Off

• Certain skills have been designated by faculty members as ones that can be validated

through a peer check system.

• The Peer Skills Check-Off requires diligent observation by a partnered student.

• The “Peer” is responsible to assess the skill, dexterity, and confidence of their partner during

the demonstration of individual skills. The partner initials their approval of the peer

demonstration.

• If a student receives a Performance Improvement Plan for a skill that has been checked by

a peer, the peer may also be given a Performance Improvement Plan also. This

determination is made by clinical faculty.

Supply Bags

• NHS students use supplies contained in their skills bag for all lab practice.

• If a student forgets to bring their skills bag to lab for practice, students must share supplies

with a peer, returning the favor to the peer on another day.

• Faculty are not able to provide supplies from the storage area to NHS students who have

forgotten their personal supplies.

• Select supplies may be kept at each patient bay. These supplies are to be reused during

practice sessions. Supplies should be re-packaged at the end of use in preparation for the next

student.

Simulation Lab

Objectives:

To incorporate additional creative learning activities into basic nursing education

To provide NHS students exposure to situations encountered infrequently during

traditional clinical rotations

To allow NHS students to practice skills without risk of harm to actual persons

To foster critical thinking/clinical judgment

To foster effective group communication and interdisciplinary collaboration related to

patient care

To provide NHS students access to a range of simulated nursing experiences that will

complement their clinical education ensuring standards of quality and safety

Rules:

The simulation lab is a safe learning environment. The simulation lab is to be treated

like a REAL clinical environment and is part of your clinical experience. NHS students

participating in simulations shall have the respect and attention of all others in the room.

Situations in the lab are to be used as a learning tool and will not be discussed outside of

the simulation lab.

Professional behavior is expected at all times and clinical uniform is required.

All simulations are for learning purposes only. Information about simulation

scenarios will not be shared with other NHS students outside of your clinical

simulation group.

NHS students must wash hands before manikin contact and should wear gloves during

patient care. Products in the lab may contain latex; please notify the lab staff and your

clinical instructor if you have a latex allergy.

No food or drink in the simulation lab

No Betadine, ink pens or markers near simulation manikins.

As a healthcare professional, you are to treat the simulator like your patient:

You are expected to introduce yourself to your patient and provide your

credentials.

You are to inform your patient of their plan of care, lab results, procedures, and

medications as applicable.

You are to use professional communication to manage the simulation; including using

SBAR to give and receive report and update other members of the healthcare team.

When performing procedures, you are to perform them as taught during skills

instruction. You may not “pretend” to wash hands, use an alcohol swab, etc.

Actors are sometimes utilized in simulation as family members and patients, you are to

treat them with respect as you would in your clinical experience. Confidentiality

agreement includes the actors and your experience with the actors.

Site/ Agency Policies

• NHS students are expected to perform in accordance with basic rules of safety while in each

clinical setting.

• NHS students are required to follow the policies and procedures of the clinical agency in

which they are functioning for patient care. These policies are located at the agency for

student reference.

• Clinical agencies may impose additional requirements on NHS students beyond those identified

by LCSC for clinical practicum. Examples include COVID-19 vaccination, drug testing, and

fingerprinting. NHS students are expected to submit to all requirements at their expense.

• Confidentiality must be maintained at all times in accordance with LCSC and clinical

agency policies and HIPAA.

• The student is responsible to know these guidelines and review them as needed prior to each

clinical experience.

• Supplies and/or equipment inadvertently taken from the clinical setting must be immediately

returned upon discovery. Pilfering or misuse of hospital supplies and/or equipment is

unacceptable and may be grounds for dismissal from the program and/or College-level

sanctions.

• NHS students must remain in compliance with all CPR, health/immunizations, and

background check policies in order to attend clinical practicum experiences. NHS students

who are out of compliance may not be allowed in the clinical setting and will earn an

“absence” for all missed days. Clinical attendance policies apply.

• Parking at Clinical Facilities: Clinical facilities request that NHS students avoid parking in areas

designated for patients and visitors. NHS students participating in clinical courses at St. Joseph

Regional Medical Center should, whenever possible, park at LCSC and walk to clinical.

• Student Breakage/Waste Charges: Equipment belonging to a clinical facility that is broken

during the course of clinical practice should be removed from the patient care area and properly

tagged according to clinical agency policy. It is the student's responsibility to report the

breakage to the clinical instructor.

Assessment/ Program Evaluation Process

All LCSC students have the opportunity to evaluate faculty and each course using the college

Student Course Evaluation (SCE) process; NHS has included additional questions to more fully

assess the NHS students’ perspective of clinical, simulation and other program experiences.

NHS students also have the chance to provide informal feedback to faculty throughout the

semester via class discussion or informal feedback forms. Participation in the evaluation process

is strongly encouraged. It is recommended the student provide his/her comment(s) in an

objective, professional, and ethical manner.

End of Program Evaluations: All NHS students are required to participate in college and

program outcomes assessments, including completion of an exit survey.

Children in the Classroom

According to LCSC policy, “Disruption of the classroom is prohibited. NHS students have the

obligation to respect the education rights of others as they seek to maximize their learning” (See

LCSC College Catalog). To comply with college policy and minimize distraction, enhance learning,

and ensure safety, children are not permitted in the classroom, clinical, or learning laboratory settings

for any reason.

Confidentiality Statement

The College and Division abide by the Health Insurance Portability and Accountability Act

(HIPAA), specifically the areas of the law related to privacy and confidentiality of patient and

student healthcare information. As part of this law, the College and the student agree to not use or

disclose Protected Health Information (PHI) other than as permitted or required by this Agreement

or as required by law. The College and the student agree to use appropriate safeguards to prevent

use or disclosure of the protected health information other than as provided by this Agreement.

Protected Health Information (PHI) refers to individually identifiable health information held or

transmitted by a covered entity. All information related to healthcare clients in any agency setting is

strictly confidential. Any notes containing PHI used during clinical must be destroyed prior to

leaving the agency. Any student who knowingly or unknowingly reveals information related to a

healthcare client in other than appropriately designated settings will be referred to the Division

Chairperson. Such behavior could result in dismissal from the program. NHS students who need to

access patient records at clinical agencies must submit the appropriate facility request form.

Confidentiality is defined as action taken by the student or healthcare provider to preserve the

anonymity of the client. Information used for class presentations or post conferences will contain no

PHI. When copying any client records from any setting, all copies must have PHI removed.

Confidentiality also includes the security of any electronic data, e.g., hospital computers, telephone,

e-mail, fax, and cell phone conversations. Preparation forms, concept maps/care plans, and any other

data must contain no PHI.

OTHER POLICIES & INFORMATION

Consensual Relationships

The educational mission of the College and the Nursing & Health Sciences Division is promoted

by professionalism in student/faculty and student/clinical preceptor/facilitator relationships.

Policies on student/faculty relationships are addressed in the LCSC Faculty-Staff Handbook and

the Student Handbook.

Professionalism is fostered by an atmosphere of mutual trust and respect. Actions on the part of an

NHS student or NHS clinical instructor, preceptor/facilitator, which potentially endanger this

atmosphere of mutual trust and respect, must be avoided during the period in which the student and

preceptor are participating in an NHS course or clinical requirement. Students and clinical

instructors/preceptors/facilitators should be aware of the possibility that an apparent consensual

relationship with a student may be interpreted (either now or at a later date) as non-consensual and,

therefore, sexual harassment. The power differential inherent in student/preceptor relationships may

compromise the student's ability to decide and thus call into question the bonafide consensual nature

of the relationship.

The potential exists for the student to perceive a coercive element in suggestions regarding activities

outside those appropriate to professional relationships. Moreover, instructors, preceptors and

facilitators, particularly in relationships with NHS students under their supervision, must be aware of

potential conflicts of interest and the possible compromise of their evaluative capacity.

They also must also be aware that a relationship may give rise to a perception on the part of others

that the evaluative capacity of the clinical instructor/ preceptor/ facilitator has been compromised.

• It is a violation of this policy for a student to undertake an amorous relationship or permit

one to develop with an instructor, preceptor/facilitator or clinical agency staff member when

under that person’s supervision or evaluation, even when both parties appear to have

consented to the relationship.

• NHS does recognize that consensual amorous relationships may exist prior to the time a

student is assigned to a clinical instructor/ preceptor/ facilitator or is placed in a situation

where the preceptor/facilitator must supervise or evaluate the student. Should this occur, it

is the student’s responsibility to notify his/her clinical coordinator or lead faculty for

reassignment.

• A student should not be assigned to an instructor, preceptor or facilitator with whom that

student has or has had a recent consensual amorous relationship.

• A student who fails to follow this policy will be subject to the NHS Performance

Improvement Plan policy, with probation or program dismissal as a possible outcome.

• An instructor, preceptor/facilitator who fails to follow this policy shall be removed

from his/her clinical preceptor/facilitator status with NHS and Lewis-Clark State

College.

• Persons who are married, or were married, are included within the definition of those

persons having, or who have had, a consensual amorous relationship.

• A complaint alleging violations of the policy regarding consensual relationships may be

filed by any person.

Papers/Written Assignments

The original copy of student papers may be kept on file in the Nursing & Health Sciences

Division. NHS students are expected to keep a duplicate copy of all papers submitted.

The current edition of the APA style guide is to be used in writing and formatting formal papers.

The student is responsible to reference the most recent APA style guide in formatting papers. In

disputes about APA grading criteria, the current APA style guide will be used. Faculty preferences for

formatting that do not adhere to the APA style guide will be explicitly stated in the syllabus to be used

for grading.

Pregnancy and Breastfeeding Statement

Lewis-Clark State College and Nursing and Health Sciences Division supports the achievement of

the school/life balance of its students, and values the diversity of its student population. Reasonable

attempts to provide accommodations will be made for pregnancy and breastfeeding on a case-by-case

basis. Please notify faculty as early as possible of need for pregnancy leave and intentions to

breastfeed to ensure adequate opportunity for planning.

References for NHS Students

A student may request a professional reference for a job, scholarship, etc. Students that wish to use a

faculty member as a reference must first receive permission from the faculty member. Students must

then complete the “Recommendation Letter Request” form available on the Registrar’s website. Please

provide the faculty member with a current resume, which includes student name and address, career

objective, education, certification or licensure, work experiences, professional activities, special skills,

projects or course, honors, publications, contributions to the community and references. Provide faculty

with at least two weeks advance notice when requesting a reference.

Student Representation at NHS Meetings

NHS students are given the opportunity to select student representatives to participate on selected NHS

committees. It is each representative's responsibility to obtain input from peers prior to these scheduled

meetings and determine his/her classmates' requests and concerns and report any decision back to the

group. Student representatives are expected to be professional in their conduct. If confidential/personal

student material is being discussed during the faculty meeting, the student(s) may be excused.

Transportation/ Expenses for Clinical

NHS students are required to provide their own transportation and bear expenses for all travel and most

housing related to clinical experiences. LCSC is not responsible for any personal injuries or damages

incurred during travel.

Voice Recording

Students must request permission from individual faculty members if they wish to record a lecture.

Video and audio recordings of faculty lectures will only be permitted if permission is granted. Any

recordings made are to be used for personal use only. No posting of recordings shall be made to

any social media site or be shared among fellow students.

APPENDIX

All NHS Programs

NHS: General Appearance Guidelines

ACCEPTABLE

UNACCEPTABLE

Clothing

• Role-appropriate attire that is well-fitting

and appears professional in accordance

with uniform guidelines for each program.

• Long pants that appropriately cover the

torso.

• Undershirt without logo/lettering may be

worn.

• Clean socks or hosiery.

• Tight, ill-fitting, or inappropriate length

pants.

• Jogger style, workout, or yoga pants

• Sweatshirts and hoodies

• Stained, dirty, wrinkled attire

• Undershirt with logo/lettering.

• Bare skin/feet

Shoes

• Mostly white or black

• Close-toed

• Multi-colored

• Open-toed or sandals

Personal

Appearance

Grooming

• Appearance and grooming standards that

reflect highly upon LCSC and yourself.

• Use “no fragrance” products

• Neat, clean, & groomed hair.

• Hair longer than shoulder length must be

pulled back and secured when providing

patient care.

• Modest/natural colored hair

• Adornments which serve to hold hair in

place.

• Headgear r/t cultural or religious beliefs

may be worn

• Facial (and neck) hair must be neatly

trimmed and not interfere with Personal

Protective Equipment (PPE)

• Fingernails must be clean, short, trimmed,

& unadorned.

• Modest/natural-appearing makeup.

• Offensive odors of any kind, including but

not limited to the odor of smoke on

uniforms, breath or hair.

• Perfumes, after-shaves, and other scented

body care products.

• Non-naturally occurring hair color.

• Decorative hair adornments.

• Facial hair that interferes with PPE

• Artificial nails

• Nail polish, stickers, gel and/or acrylic

colored applications

• Excessive or unnatural appearing makeup.

Jewelry

• Small earrings minimal in number

• Other facial piercings or gauge holes will

be closed with plugs/studs that match the

skin tone.

• A single modest ring may be worn.

• Watch that complies with infection

control practices

• Dangling earrings or excessive in number

• Unnecessary adornments (necklaces,

bracelets, etc.)

Tattoos

• Follow specific clinical site policy

• Tattoos of any size which contain swear

words, racially or sexually inappropriate,

offensive, or gang related content.

LCSC

Nametag

• Worn at chest level. Facing upright and

visible

• Defaced, dirty, or difficult to read

NHS Program Specific Clinical Uniform

Basic BSN Track

Radiography

NHS Logo

Left Upper Sleeve

*Some tops in smaller sizes cannot

accommodate logo placement

Left Upper Sleeve

TOP

Color/ style

Any modest, solid black, appropriately

fitting scrub top. *Note that XS shirt

sleeves may not fit the mandatory logo in

all brands.

Wine

Any V-neck option

PANT

Color

Pants must match the scrub top in color

and material. No jogger style, workout, or

yoga pants.

Wine or Black

Optional Items

Warm-up

jacket

Color: Black

Style: Any

Color: Wine

Style: Any

Undershirt

Color: Grey, White, or Black

Situations not addressed here will be covered individually based on criteria stated above.

Philosophy/Statement of Purpose

The Nursing and Health Sciences (NHS) Division at Lewis-Clark State College (LCSC) is

committed to the physical and mental health and safety of the clients in the facilities where NHS

students practice. During the course of their training, NHS students in these programs are involved

in the provision of health care and work with equipment which can cause serious injury or death to

clients, the student, his/her fellow NHS students and instructors if not properly performed and/or

operated.

The safety of the client is our priority. The risk of injury to the client is substantially increased

if a student is Under the Influence of drugs or alcohol. For these reasons, the NHS is committed to

being a Drug and Alcohol-Free Program and has instituted this Drug and Alcohol Testing Policy

(“Policy’). Any student who is tested and is found to be Under the Influence, or who refuses to

undergo Drug or Alcohol Testing when directed to so pursuant to this Policy, or who attempts to

manipulate the results of any Drug or Alcohol Testing, is in violation of this Policy and may be

suspended or expelled from the NHS program.

II.

Definitions

“Drug or Alcohol Testing” means, for the purpose of this Policy, a drug or alcohol test a student

is required to submit to because a “Testing Event” has occurred.

“Illegal Drug” means any drug which is not legally obtainable in Idaho or which has not been

legally obtained or is not being used in a legally permissible manner. This includes prescription

drugs not legally obtained and prescription drugs not being used for a prescribed purpose or in the

prescribed dosage or being used by someone other than the person for whom it was prescribed. As used

in this policy, the term “drug” includes a drug, chemical substance or immediate precursor listed in

Schedules I through VI of Idaho Code § 37-2704 through § 37-2713 as from time to time amended. The

term also includes “designer drugs,” which are those chemical substances made where the molecular

structure of those listed drugs is altered to create a drug that is not explicitly banned by state law.

“Prescribed Drug” means a drug that has been prescribed by a licensed health care provider

and which is used for the prescribed purpose at the prescribed dosage.

“Participating in the Laboratory or Clinical Process” means, for the purpose of this Policy, that a

student is participating in an NHS laboratory or clinical course in any setting, including, but not

limited to, acute, long-term care, outpatient or community-based, and regardless of direct or

indirect instructor supervision, or in other educational activities which involves direct client

care, or in any additional off-campus educational activities (e.g., service-learning, volunteer

activities, directed learning, conference, ISNA) related to an NHS program.

“Reasonable Suspicion” means, for the purposes of this Policy, a belief based upon reliable,

objective and articulated facts derived from direct observation of specific physical behaviors,

odorous presence, or performance indicators and being of sufficient import and quantity to lead

a prudent person to suspect that a student is in violation of this policy.

“Under the Influence” means, for the purposes of this policy, having an Illegal Drug in one’s

system and/or having a blood alcohol concentration greater than 0.02. Being “Under the

NURSING & HEALTH SCIENCES DIVISION DRUG AND ALCOHOL

TESTING POLICY

Influence” is not limited to situations where a student misbehaves or where there is obvious

impairment of physical or mental abilities, such as slurred speech or difficulty in maintaining

balance. A finding that a student is “Under the Influence” can be established by

Drug or Alcohol Testing as described in this Policy. A student is conclusively presumed to be

“Under the Influence” if Drug or Alcohol Testing establishes that the student has in his/her

body at the time of testing Illegal Drugs at a level exceeding the scientifically accepted

confirmatory testing levels established from time to time, or if a confirmed breath or other

scientifically valid test establishes that the blood-alcohol concentration of the student exceeded

0.02 at the time he or she was tested.

III.

Policy

It is the policy of Lewis-Clark State College Nursing and Health Sciences Division that NHS

students shall be Drug and Alcohol Free while Participating in the Laboratory or Clinical

Process. NHS students are prohibited from Participating in the Laboratory or Clinical Process

while Under the Influence. To maintain this Drug and Alcohol-Free environment and uphold

the safety of clients, NHS Students, faculty, and staff, LCSC implements the Drug and

Alcohol Testing program set forth below.

The Division Chair or his/her designee may require Drug and/or Alcohol Testing of a

student for any of the following reasons, each of which is referred to herein as a “Testing

Event”:

(a)

When a Division faculty member develops a Reasonable Suspicion, based upon his or

her observations, that a student is Under the Influence while Participating in the

Laboratory or Clinical Process, which suspicion will be corroborated by consultation

with another Health Care Professional and promptly documented.

(b)

When a Division faculty member has received a report that a student is suspected to be

Under the Influence while Participating in the Laboratory or Clinical Process.

The Division Chair or his/her designee will then confer with the reporting party and then

personally corroborate that suspicion through observation of the student and promptly

document it.

(c)

When the student caused or contributed to an accident or injury occurring while

the student was Participating in the Laboratory or Clinical Process.

This policy shall apply to all NHS Students who register in any NHS Program for the Fall 2015

semester and thereafter. All such NHS students shall be required to read this policy and to sign

and return to the Division office a Drug Testing Policy and Program participation form

acknowledging receipt of a copy of this Policy and the student’s agreement to participate in the

Drug-Testing program outlined herein. A copy of that participation form is attached hereto as

Exhibit B. NHS students registering in the Fall of 2015 and thereafter will not be allowed to

to the Division office.

A student who is found to be Under the Influence while Participating in the Laboratory or

Clinical Process or who refuses to undergo Drug or Alcohol Testing when directed to so

pursuant to this Policy, or who attempts manipulate the results of any Drug or Alcohol

Testing, will be in violation of this policy and will also be deemed to have violated the NHS

and/or LCSC’s Student Code of Conduct. Any such violation will result in disciplinary

action which may include the student’s suspension or expulsion from any of the NHS

programs. The student shall have the same rights and be entitled to the same procedures

available to NHS students charged with violating the Student Code of Conduct. The student

shall be referred to the student judicial process as is outlined in the LCSC Student

Handbook. If student undergoes a Drug or Alcohol test pursuant to this Policy and it is

determined that the conduct which created the Reasonable Suspicion was the result of using

a drug prescribed for the student at the prescribed dosage, the student shall not be disciplined

pursuant to this Policy. However, the student may still face discipline pursuant to the NHS

Unsafe Clinical Practices Policy.

All information, interviews, reports, statements, memoranda and/or test results received by

Lewis-Clark State College through its Drug and Alcohol Testing program are confidential

communications and may not be disclosed in any public or private proceedings, except in an

administrative or disciplinary proceeding or hearing initiated pursuant to this Policy, or in civil

litigation arising out of Drug or Alcohol Testing conducted pursuant to this Policy, or in

response to a subpoena.

The Division Chair is responsible for the overall compliance with this Policy. The Division

Chair or his/her designee shall be responsible for administering the Drug and Alcohol

Testing program; determining when Drug Testing is appropriate; receiving, acting on and

holding confidential all information received from the testing services provider; and

collecting appropriate information necessary for the defense of LCSC in the event of legal

challenge.

IV.

Procedure

The Division Chair or his/her designee may require a Drug and/or Alcohol Testing of a

student when a Testing Event has occurred. See to Policy 2(a), (b) and (c) for the definition of

“Testing Event.” When the Division Chair or his/her designee requests that a student submit

to Drug and/or Alcohol Testing after the occurrence of a Testing Event, the student shall

immediately make himself or herself available for testing.

(a)

Testing must occur within no more than three (3) hours after the initial observation of

the Testing Event.

(b)

The Division Chair or his/her designee shall contact the testing facility and facilitate

expeditious testing.

(c)

The student, upon request of the testing provider, shall inform the testing provider of any

prescription or non-prescription medication which he or she has taken within the

timeframe specified by the testing provider and shall promptly present that medication to

the testing provider for examination for confirmation that it was prescribed to the student

and of the prescribed dosage.

Collection and testing services shall be performed by a Drug and/or Alcohol Testing Provider

chosen by LCSC or its designee. If the Testing Event occurs at a facility where testing can be

fairly and confidentially conducted, the testing should occur at the facility. If not, then the

student shall be transported to a location designated by the Drug and/or Alcohol Testing

Provider by a designee of the Division Chair, who shall wait with the student at that location

until the Drug and/or Alcohol Testing is completed and then transfer the student back to the

location from which the student was transported. The student may not transport themselves to

the Drug and/or Alcohol Testing facility.

The Drug and/or Alcohol Testing Provider shall comply with the following:

(a)

All specimen collections will be performed in accordance with applicable federal and

state regulations and drug and alcohol testing industry guidelines to ensure the integrity of

specimens and the privacy of the individuals tested.

(b)

Chain of custody forms shall be provided to ensure the integrity of each urine specimen

by tracking its handling and storage from the point of collection to final disposition.

(c)

Positive test results, other than positive alcohol breath tests, shall be confirmed by a

certified laboratory.

(d)

Blood alcohol testing shall be performed by the Drug and/or Alcohol Testing Provider

through use of a properly maintained and calibrated breath testing device, and positive

breath tests shall be confirmed with a second breath test conducted no earlier than

fifteen (15) minutes after the initial test, or through the use of any other confirmatory

test meant to demonstrate a higher degree of reliability.

(e)

The student shall be informed by the Drug and/or Alcohol Testing provider in writing

of any confirmed positive drug and/or alcohol test results, including the substance

involved. The Drug and/or Alcohol Testing provider shall then give the student the

opportunity to discuss and explain the positive test result with a medical review

officer.

(f)

If the student declines to speak with a medical review officer, or if the medical review

officer concludes after speaking with the student that the student’s explanation is not

valid, the positive test results shall be reported by the Drug and/or Alcohol Testing

provider to the Division Chair.

(g)

If the Drug Testing results are negative, or if the medical review officer concludes that

the NHS students’ explanation is valid, those results shall be reported by

the Drug Testing provider to the Division Chair as negative and no disciplinary action shall be

taken against the student related to the Drug Testing pursuant to this Policy. Provided,

however, that if it is determined that the student was using a drug prescribed for the student at

the prescribed dosage, that fact shall be reported to the Division Chair for evaluation of

potential discipline pursuant to the NHS Unsafe Clinical Practices Policy.

The Division Chair will meet with the student to discuss any positive Drug Testing results. The

student will be given the opportunity to explain the positive Drug Testing results. The student

may attend classes at the discretion of the Division Chair, but shall have no client contact until

the re-testing results have been returned.

Variations in the above procedures shall not invalidate any test result unless such variation

substantially compromises the integrity of the specimen/sample tested and/or the scientific

validity of the test result.

Exhibit A

The lab will test a panel that at a minimum, screens for:

phencyclidine (PCP)

cocaine

opiates

amphetamines

cannabinoids

benzodiazepines

barbiturates

ETOH

Methadone

10.

oxycodone

11.

buprenorphine

12.

MDMA

Panel may change from time to time depending on the company doing the testing. The screening

threshold and confirmatory threshold for above shall be the generally acceptable screening and

confirmatory thresholds employed in the drug testing industry.

Drug Testing

Students must consent to disclosure of drug screening results to all clinical agencies to which the student

is assigned or to which the student is requesting placement for a clinical experience. Any positive drug

screen test may lead to academic dismissal from the program.

If the student is unable to complete the required clinical experience due to a positive drug screen test

the student may be dismissed form the program.

NHS Course Status Form: Course Grade Less than “C”/Course Requirement

This is to be completed by course lead faculty when course failure is known.

Student Name ID#:

Sem/Yr

Student Contact

Information during

semester break

Course # Name

Grade:

Course faculty

Advisor

Course Faculty Comments (used during re-entry process): Please identify your assessment of student issues

that led to course failure and any help or actions taken by the student during the semester to avoid course failure:

⃝

First

failure

this

course

⃝

Second

failure

this

course

Signature of lead faculty: Date:

Advisor Comments (used during re-entry process): Please comment on your meeting with the student and

recommendations that will assist the admissions committee in decisions about re-entry.

⃝

Recommend

re-entry

⃝

Recommend

with

reservation

⃝

Unable to

support

re-entry

⃝

plan

re-enter

Signature of advisor: Date:

NHS Course Status Form: Incomplete Course Status

Completed prior to end of semester in which failing grade will be received. Forward to Program Coordinator/

Director prior to the end of the semester in which the failing grade is received.

Student Name/ID#

Semester

And Year

Student contact

information

during break

Course # Name

Grade:

Incomplete

Course Faculty

Advisor:

To Course Faculty: The grade of “I” indicates that work is satisfactory but, because of extenuating

circumstances during the semester, has not been completed by the end of the term. The grade is given at the

discretion of the instructor when the student has made substantial progress toward completion of coursework.

Course Faculty with student: List outstanding coursework and due dates (if attachment, add signature)

Student’s Initials ________ Faculty Signature_________________________________ Date___________

Student is to meet with course faculty and the Program Coordinator/Director prior to the end of the

semester in which an Incomplete grade is assigned in an NHS course. A plan will be developed to address

progression issues. Normal progression to the next semester in NHS program is jeopardized when

successful course completion has not occurred.

Program Coordinator/Director Plan:

Classes to register for:

Petitions needed:

Faculty contacts needed/reason:

Student Signature: Date:

Coordinator Signature: Date:

Date “I” Resolved: Initials: Change of Grade Form submitted to registrar:

Program Coordinator/Director sends copies to:

Assessment Director, Advisor, Adm Asst for NHS students (Lew or CDA), Coordinator/Director, Course Faculty, Student

Course Request Form: Re-entry Student

Today’s Date: ______________________ Request re-entry for: Fall SP SU Year ___

(circle one)

Student Name Student ID ___

Contact Information: Phone: LCmail:

Course Failed: (students failing >1 course do not qualify for re-entry)

Course Name

Semester/Yr

Grade

Instructor(s)

Academic Plan for returning semester (see policy for requirements):

⃝ Clinical Course: List

⃝ Failed course: List:

⃝ Clinical theory course: List:

Advisor Information:

⃝ Financial Aid review of resources Signature (Fin Aid) Date_____________

Advisor Comments:

⃝ Narrative from student attached ⃝ Re-entry application attached ⃝ Fee paid

⃝ Certified profile attached. ⃝ Basic Skills registration attached

⃝ Immunization, CPR, background check are in compliance

Student Signature Date

Advisor Signature Printed Name

Program Chair Signature Date

Program Re-Entry Application

Basic Track LPN to BSN Track RN to BSN Track

_____Radiography

Applying for: (See current program application on the NHS web site for application window

dates.)

• Fall Semester Admission (Year)

• Spring Semester Admission (Year)

Personal Information

First Name

Middle Name

Last Name

Maiden Name

Permanent Address (Street, Apt #)

City, State, Zip

Local Address (if different from above)

City, State, Zip

Primary Phone

Secondary Phone

LCSC Student I.D. Number

Social Security Number

E-mail Address

State of Legal Residence

Current Certificate or License (circle all that apply)

CNA LPN EMT Paramedic RN

Provide license # or certificate.

Person to contact in case of emergency

Telephone

Relationship

Submit application with other materials as a packet; requirements detailed in the NHS Student

Handbook.

Application Fee ($35)

Pay at the Cashier’s Office

Account 11-01-187602-41003

Receipt #

Date Cashier’s Initials

Student Performance Improvement Plan Form

Student Name: Program/Year: Course:

The purpose of this form is to notify you that your performance is not at the expected level for your level in the program.

To continue toward successful completion of the course, the steps outlined here must be achieved. Failure to do so may

result in course failure. Refer to the current year NHS Student Handbook.

Written Warning Probation

Description of Event/Performance & Date:

• (Add description of performance factors)

Date of Next Review:

Upon Initiation of PIP:

Student Signature: ____________________________________ Date: _____________________

Signature of Faculty initiating PIP: ___________________________ Date:_____________________

Date

Remediation

(Faculty to describe skill(s) or behaviors to be remediated

below)

Peer/Faculty Signature

Upon Completion of PIP:

Student Signature: ________________________________________ Date: _____________________

Receiving Faculty Signature: _______________________________________ Date: _____________________

Form initiated by course faculty with copies to: Academic Advisor, Course Lead Faculty, Program Coordinator/Director,

CRC Coordinator (if necessary), and student. Final Copies: Original completed, signed and placed in NHS Student file on

Redwood; Copies to Academic Advisor; Course level lead; BSN Clinical Coordinator; BSN Coordinator (if necessary).

LCSC: NURSING & HEALTH SCIENCES

Incident Report

Note: An agency incident report must also be completed.

NAME OF STUDENT: DATE:

COURSE:

LOCATION OF INCIDENT:

To be completed by student:

Describe in detail what occurred. Give specific times wherever possible.

What action was taken by you or others after this event occurred and who was notified. Give

specific times wherever possible.

What negative effect (if any) did this occurrence have on the patient? What assessment

findings validate your conclusion?

What suggestions do you have to either prevent this from occurring again or for alternative

ways to handle a similar situation?

To be completed by instructor and/or program coordinator/ director:

What needs to be done to correct this error?

Remedial action carried through. Cite dates when Performance Improvement Plan will be

complete and any further action taken.

Instructor

Date

Nursing & Health Sciences Chair

cc: Program Director/ Coordinator,

Assessment Director, Student file

To be completed by instructor and/or program coordinator/ director:

What needs to be done to correct this error?

Remedial action carried through. Cite dates when Performance Improvement Plan will be

complete and any further action taken.

Instructor

Date

Nursing & Health Sciences Chair

cc: Program Director/ Coordinator

Assessment Director

Student file

Revised 7/18

LCSC: Nursing & Health Sciences

Immunization Declination Form Example

_________________ VACCINE DECLINATION FORM

Insert vaccine name

The Nursing & Health Sciences Division at Lewis-Clark State College requires that all NHS

students demonstrate proof of immunity to (__________). Proof includes documentation of titers

(blood test to detect positive antibody).

NHS students not demonstrating immunity may not be admitted to clinical sites during

outbreaks of the illness to protect patients from student exposure.

I understand specific healthcare institutions may require vaccination without

exception (i.e. no declinations).

I choose not to take the (_________) Vaccine. I understand that the immunization is a

preventative measure in case I might become exposed to the (__________) virus during

my clinical experiences at Lewis-Clark State College. I accept the responsibility for

choosing not to be immunized.

I understand that due to my potential occupational exposure to the (_____) virus I may be at risk of

acquiring the illness/ disease. I have been given the opportunity to be vaccinated with (_______)

Vaccine. However, I decline (_______) vaccination at this time.

I understand that by declining this vaccine, I continue to be at risk of acquiring (______). If in

the future I continue to have occupational exposure to the (_______) virus and I want to be

vaccinated with (_____) Vaccine, I can receive the vaccination.

I understand that I may not be admitted to clinical sites during outbreaks of the illness and

that in some cases, I may not be able to complete clinical requirements.

I have read and understand the preceding Declination to be Immunized statement in the

NHS Student Handbook.

Signature: Date:

Witness: Date:

LCSC: Nursing & Health Sciences

Excused Medical Absence Agreement

I, , (Student Name) am

asking for a medical release from clinical, (Course Name and Number),

for (up to 4) clinical days. If granted this request, I will make up all hours and

experiences associated with these clinical absences. My proposed plan is attached on a separate

page. I understand there is limited opportunity to make up clinical hours and this may impact my

ability to complete clinical course requirements.

I understand I must provide a medical release from my health care provider prior to returning to my

regular clinical setting and schedule.

The release must state in writing that I am physically healthy and able to perform my duties as a

student nurse in the selected care setting for up to 12 continuous hours.

I am aware that I must always meet Nursing & Health Sciences Performance Standards.

Student Signature Date

Clinical Instructor Approval Date

Course Lead Faculty Approval Date

Program Director/Coordinator Approval Date

cc: Clinical Instructor

Academic Advisor

Student’s file

APPENDIX A

BSN PROGRAM

Accreditation

The BSN Program is fully accredited by the Commission on Collegiate Nursing Education (CCNE).

CCNE is officially recognized by the U. S. Secretary of Education as a national accreditation

agency; it is an autonomous accrediting agency that contributes to the improvement of the public's

health. CCNE ensures the quality and integrity of baccalaureate, graduate and residency programs in

nursing. CCNE serves the public interest by assessing and identifying programs that engage in

effective educational practice.

As a voluntary, self-regulatory process, CCNE accreditation supports and encourages continuing

self-assessment by nursing programs and supports continuing growth and improvement of collegiate

professional education and post-baccalaureate nurse residency programs

(http://www.aacn.nche.edu/ccne-accreditation). For accreditation questions or concerns please

contact CCNE, 655 K Street NW, Suite 750, Washington, DC, 20036, (202)-887-6791.

The Program is also approved by the Idaho Board of Nursing, PO Box 83720, 280 N. 8

Street, Suite

210, Boise, ID 83720-0061, 208-577-2476.

BSN Program Mission Statement

To provide a supportive student-centered learning environment that prepares nursing graduates with

the

❖ knowledge and skills to meet the nursing needs of the clients they serve

❖ ability to become engaged citizens, advocates, and lifelong learners

❖ competencies to be effective nurse leaders

Vision

To be recognized as a pioneering nursing program responsive to the needs and expectations of our

students and other stakeholders.

Guiding Principles

• We focus on Patient Safety and Quality of Care

• We embrace the art of nursing as reflected through Professional Values and Ethical

Principles

• We value Partnerships, Teamwork, and Inter-professional collaboration

• We emphasize the science of nursing through Quality Improvement and Evidence-Based

Practice

• We create an Inclusive environment that promotes Diversity

BSN Foundation

We believe the Science of Nursing and the Art of Nursing are synergistic and within the Teaching-

Learning environment, provide the foundational basis for the BSN program.

Science of Nursing

We believe that evidence-based practice guides the nursing process, providing a scientific

methodology whereby nurses plan and implement holistic care. It is the critical process of the

science of nursing, a deliberate problem-solving approach to meeting people’s health care and

nursing needs.

Art of Nursing

We believe that caring practices create a compassionate, supportive, and therapeutic environment.

Our aim is to promote comfort and healing, and to prevent unnecessary suffering for ourselves and

others.

Teaching/ Learning Environment

We believe that adult learning principals guide the curriculum, and that faculty develop curriculum

that facilitates learning responsive to the changing health care environment.

We believe in and strive to create an interactive environment that embraces various teaching

methods and modalities and takes into account student learning styles.

We believe in providing a safe environment that facilitates open communication where experiential

learning is encouraged.

We believe that professional, collegial relationships between faculty and students are essential.

We believe in fostering students’ intellectual curiosity and a commitment to lifelong learning.

We believe that the faculty’s teaching expertise, personal scholarship, professionalism, and clinical

excellence provide students with the tools to develop an expert level of practice as professional

healthcare providers.

AACN Professional Values (2008)

American Association of Colleges of Nursing (2008). The essentials of baccalaureate education for professional nursing

practice. Washington, DC.

Professional values and their associated behaviors are foundational to the practice of nursing.

The following professional values epitomize the caring, professional nurse. Nurses, guided by

these values, demonstrate ethical behavior in patient care.

Altruism is a concern for the welfare and well-being of others. In professional practice, altruism is

reflected by the nurse’s concern and advocacy for the welfare of patients, other nurses, and other

healthcare providers.

Autonomy is the right to self-determination. Professional practice reflects autonomy when the

nurse respects patients’ rights to make decisions about their health care.

Human Dignity is respect for the inherent worth and uniqueness of individuals and populations. In

professional practice, concern for human dignity is reflected when the nurse values and respects all

patients and colleagues.

Integrity is acting in accordance with an appropriate code of ethics and accepted standards of

practice. Integrity is reflected in professional practice when the nurse is honest and provides care

based on an ethical framework that is accepted within the profession.

Social Justice is acting in accordance with fair treatment regardless of economic status,

race, ethnicity, age, citizenship, disability, or sexual orientation.

American Nurses Association (ANA) Code of Ethics for Nurses*

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.

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

community.

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

patient.

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.

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.

The nurse participates in establishing, maintaining, and improving health care

environments and conditions of employment conducive to the provision of quality

health care and consistent with the values of the profession through individual and

collective action.

The nurse participates in the advancement of the profession through contributions

to practice, education, administration, and knowledge development.

The nurse collaborates with other health professionals and the public in

promoting community, national, and international efforts to meet health needs.

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.

*American Nurses' Association. (2015). Code for nurses with interpretive statements. Washington, DC: American

Nurses’ Association.

Nursing Code of Ethics and Social Networking Policy

NHS students in nursing programs are accountable to uphold the standards that apply specifically to

the practice of nursing. These standards are reflected in the ANA Code of Ethics for Professional

Practice, ANA Social Networking Policy, and AACN Professional Values statements.

ANA Code of Ethics

“Ethics is an integral part of the foundation of nursing. Nursing has a distinguished history of

concern for the welfare of the sick, injured, and vulnerable and for social justice. The Code of Ethics

for nurses, found in the BSN Appendix, serves the following purposes:

• It is the profession’s nonnegotiable ethical standard

• It is an expression of nursing’s own understanding of its commitment to society

• It is a succinct statement of the ethical obligations and duties of every individual who

enters the nursing profession” (NursingWorld Code of Ethics, 2015)

ANA Social Networking Policy

“Social networks are defined as “web-based services that allow individuals to 1) construct a public

or semi-public profile within a bounded system, 2) articulate a list of other users with whom they

share a connection, and 3) view and traverse their lists of connections and those made by others

within the system” (Boyd and Ellison, 2007). These online networks offer opportunities for rapid

knowledge exchange and dissemination among many people, although this exchange does not come

without risk. Nurses and nursing students have an obligation to understand the nature, benefits, and

consequences of participating in social networking of all types. Online content and behavior have

the potential to either enhance or undermine not only the individual nurse’s career, but also the

nursing profession.

ANA’s Principles for Social Networking

(ANA Fact Sheet, Navigating the World of Social Media, 2011)

• Nurses must not transmit or place online individually identifiable patient information.

• Nurses must observe ethically prescribed professional patient — nurse boundaries.

• Nurses should understand that patients, colleagues, institutions, and employers may view

postings.

• Nurses should take advantage of privacy settings and seek to separate personal and

professional information online.

• Nurses should bring content that could harm a patient’s privacy, rights, or welfare to the

attention of appropriate authorities.

• Nurses should participate in developing institutional policies governing online conduct.”

ANA Code of Ethics for Nurses, Provision 1.5

The relationships with peers, colleagues and others are of particular importance for the Student

Code for nursing students. “The principle of respect for others extends to all individuals with

Failure to uphold these standards will result in disciplinary action

which may include dismissal from the nursing program.

whom the nurse interacts. The nurse maintains compassionate and caring relationships with

colleagues and others with a commitment to the fair treatment of individuals, to fair integrity-

preserving compromise, and to resolving conflicts.” (NursingWorld, ANA Code of Ethics, 2001)

References

American Nurses Association (2011). ANA Fact Sheet: Navigating the world of social media.

Retrieved from: fact_sheet_-_navigating_the_world_of_social_media_web.pdf (nursingworld.org)

BSN Student and Program Outcomes

The BSN faculty has established the following Student and Program Outcomes. Additional

detail is available in the Program’s Systematic Plan for Evaluation.

Expected Outcomes

Tools/Indicators

Student Outcomes

Upon graduation, students are well prepared to function as a

baccalaureate nurse in various healthcare settings.

Nursing core competencies include:

• Solid base in liberal education

• Well-grounded in prevention and population focused care.

• Demonstration of professionalism through the application of

nursing’s professional values and standards.

• Ability to practice with patients, families, groups,

communities, and populations across the lifespan and across

the continuum of healthcare.

• Creation of a compassionate and inclusive environment.

• HESI® & other

Outcomes Testing

• NCLEX-RN® Pass Rates

• Exit Survey

• Alumni Survey

• Employer Survey

II.

Upon graduation, students are well-prepared to participate as a

member of interdisciplinary healthcare teams.

Nursing core competencies include:

• Demonstration of knowledge and skills in information

management and patient care technology.

• The ability to participate in inter-professional teams.

• Engagement in collaboration with inter-professional partners.

• Exit Survey

• Alumni Survey

• Employer Survey

III. Upon graduation, students are well prepared to understand

and assume leadership roles in the healthcare system.

Nursing core competencies include:

• Demonstration of leadership skills that emphasize ethical and

critical decision-making abilities.

• Participation in the completion of a quality improvement initiative

and/ or evidence-based practice project.

• Application of an understanding of healthcare policy to issues of

access, equity, and social justice.

• Demonstration of a desire for lifelong learning.

• HESI® & other

Outcomes Testing

• Exit Survey

• Alumni Survey

• Employer Survey

Expected Outcomes

Tools/Indicators

Program Outcomes

IV. Stakeholders who are satisfied with the BSN

curriculum and educational experience.

• Exit Survey

• Alumni Survey

• Employer Survey

• Course Feedback forms

• Employment rates

V. Students who successfully complete and graduate from the

program.

• Graduation rates

BSN Standard Paper Rubric for Major Papers

BSN papers are to be professional in nature reflecting concise and cogent expression of ideas in a consistent format. It is

recommended that 90% of the total points be assigned to content & quality of the paper; 10% of the total points be assigned

to APA formatting, grammar, spelling, and syntax.

Dimensions

Exceeds Expectations

Meets Expectations

Does Not Meet Expectations

Content

(40%)

37-40 Points

31-36 Points

0-30 Points

• The written work contains all

of the criteria listed in the

assignment.

• All objectives of the

assignment are met

• Work is complete and all

aspects of the topic are

addressed.

• The written work is

missing one to two critical

components of the

assignment

• One to two of the

objectives of the

assignment are not met

• The written work does not

contain 3 or more of the

components of the

assignment

• 3 or More objectives of the

assignment are not met

Critical

Thinking

(40%)

37-40 Points

31-36 Points

0-30 Points

• The written work

demonstrates an understanding

of the content presented.

• Contains original presentation

of ideas along with factual or

evidence-based content.

• There lacks a complete

understanding of the

content presented

• The written work lacks

original presentation of

ideas and facts and

evidence is weak or lacking

credibility

• There is a lack of

understanding of the content

presented

• The written work does not

contain any original

presentation of ideas. Facts

are weakly supported and

there is a lack of evidence-

based ideas.

Writing

Style

(10%)

9-10 Points

6-8 Points

0-5 Points

• Paper consists of an

introduction that provides

reader with foreshadowing of

paper’s content and

conclusion that provides

closure.

• There is a clear thesis or

theme of the paper

• Ideas transition smoothly and

fluidly

• Logical sequencing

• Style is appropriate for the

style of the paper

• The introduction is

recognizable and the

conclusion provides a

summary of the content but

it lacks clarity of a

beginning and an ending.

• The theme or thesis is

ambiguous or lacks clarity

and focus.

• Ideas are introduced

abruptly, lacking smooth

transition

• Sequencing lacks logic

• Style does not quite match

the subject matter.

• There is no real introduction

that sets up the content of

the paper and weak or no

conclusion

• No clear thesis

• Ideas are loosely connected

or not connected

• Illogical sequencing

• Lack of focus or coherent

ideas

• Style is inappropriate for the

subject matter

Grammar

and

Spelling

(5%)

5 Points

3-4 Points

0-2 Points

• Less than 2 errors in spelling

and/or grammar

• Less than 5 mistakes in

grammar and/or spelling

• 5 or more mistakes in

grammar and/or spelling

References

and

Citations

(5%)

5 Points

3-4 Points

0-2 Points

• Original thought with

appropriate APA citations.

• Uses 3(+) current journal or

peer- reviewed references with

high level of scientific

validity.

• Less than 2 errors in APA in-

text citations and reference

page.

• There are less than 5

citation mistakes within the

body of the paper and/or

there are fewer than 5

mistakes on the reference

page.

• Uses fewer than 3 current

journal or peer-reviewed

references

• There are 5 or more

mistakes in citations within

the body of the text and/or 5

or more mistakes on the

reference page

• Uses unscholarly references

BSN Student Transfer Policy

Students are considered for transfer into the BSN program after evaluation on a case-by-case basis.

Students requesting transfer to the LCSC BSN program must have successfully completed at least

one semester/quarter of a nationally accredited nursing program. Students who have not completed

at least one semester/quarter successfully, should apply as a new applicant during an open

application period.

NOTE: Graduates from the LCSC BSN program must meet all lower and upper division core

requirements, complete 32 residency credits, 36 upper division credits, and a total of 120 credits.

Transfer Request Process

Students requesting transfer to the LCSC BSN Basic Track program should make an appointment

with the Chair of the BSN Admissions & Progression subcommittee. The student will provide the

following at the meeting:

• Copies of unofficial transcripts from all colleges attended (pre-nursing and nursing

coursework included).

• Copies of syllabi from all nursing courses taken at the previous school.

• Clinical evaluations from all clinical courses in the previous school.

• Portfolio of samples of written work completed by the student in the previous program.

• A written statement from the student explaining the reason for transfer and plans for success in

the LCSC nursing program.

• A letter from the previous program’s nursing administrator highlighting the student’s

academic successes.

• A letter from the instructor of any failed courses outlining the documented problems

resulting in course failure.

Transfer Credits

• Students requesting transfer to the LCSC BSN Traditional Track must have completed the final

semester at the transfer school within two academic semesters of the application date at LCSC.

• Students must have earned a minimum grade of “C” in all BSN coursework in order for the

course to be considered for transfer.

• Students will successfully complete pre-nursing coursework required by the BSN Traditional

Track prior to application to the BSN program as a transfer student.

• BSN coursework will be evaluated by course faculty on a case-by-case basis for equivalency.

Non-equivalent courses may count toward total college credits for graduation, but not towards

the LCSC BSN program courses.

Application

The student will complete an application for the BSN Traditional Track and submit the

application during the usual application cycle.

Decisions for Admission

Decisions for admission are based upon:

Student’s record of overall academic ability

Student record of overall clinical performance

Overall performance in past coursework

The student’s insight into the issues that contributed to leaving the program

Actions taken by the student for resolution of the problem.

Student’s record of professional communications and behaviors

Grade information from pre-program coursework.

Decisions for placement are based on:

1. Evidence of clinical safety and competence as a BSN student

2. Alignment of course content between transferring programs

3. Grade information from pre-program coursework

4. Available resources

Course Challenge Procedure

Students may earn college credit for specific college-level learning achieved through life and work

experience. BSN students that meet requirements may apply to receive credit through a Challenge

Exam. Visit the Challenge Exam website to see what courses may be challenged by exam and meet

with your academic advisor to discuss the process.

Student Membership in Professional Organizations

(National Student Nurse Association and Idaho Nursing Student Association)

A student who is pre-nursing or nursing in any state approved program preparing for registered nurse

licensure is eligible and encouraged to join the National Student Nurses’ Association (NSNA).

Membership dues paid to NSNA will also enroll a student into the State Student Nurses’ Association

(INSA). Student who have paid these dues are considered members of the LCSC Student Nurses’

Association (LCSC-SNA) when an active chapter exists.

Professionalism for the bachelor’s prepared nurse embraces not only the work done as part of

employment but extends to include advancement of the goals of nursing, education, involvement in the

support of local communities, and fellowship with other nurses. Membership in NSNA, INSA, and the

LCSC-SNA promotes the development of these values held by the nursing profession. Active

involvement shows a commitment by BSN students to learn these values.

The NSNA is the only national organization for nursing students and the largest independent student

organization in the United States. The mission of the NSNA is to bring together and mentor students,

convey the standards and ethics of the profession, promote development in students, and advocate for

advances in nursing education and healthcare.

Membership benefits include:

Scholarships

Leadership opportunities

Awards and recognition

Discounts: On study tools/apparel/conferences/etc.

Subscription to Imprint: the only magazine published by nursing students for nursing students.

Building a professional network: Students will work with faculty and professionals within

these organizations. Both INSA and NSNA collaborate with or hold conventions independently

where students can capitalize on education, recruitment, and networking opportunities.

LCSC-SNA meetings are held on the main campus and scheduled so that there is no class conflict for

attendance. A faculty advisor(s) assists the student organization. Membership, attendance, and

participation is encouraged for all BSN students. Student members serve as LCSC-SNA officers by a

formal election process outlined in the bylaws. Additional details regarding this organization can be

found in the bylaws.

BSN Program Testing Policy including HESI Testing and Remediation

Purpose:

The BSN program is committed to implementing evidence-based strategies for program development and

improvement in regard to established program outcomes. Although there are multiple ways to assess a student’s

knowledge and ability to perform competently, high-stakes testing is one method used within the curriculum.

Testing is used to evaluate student achievement, support student learning, and to evaluate and improve teaching

practices and program effectiveness. This policy seeks to standardize testing processes across the curriculum in

accordance with the NLN Fair Testing Guidelines.

Academic and Testing Integrity

Students must complete all testing and remediation with academic integrity. Use of illegally obtained test

content, sharing of information, and working with other students without specific instructor approval is

considered academic dishonesty and may lead to student dismissal from the BSN program.

The NHS Division reserves the right to nullify scores and re-administer an exam, at student expense, based on

the results of an investigation indicating that student(s) may have had prior knowledge of the exam/question

content.

Accessibility

Students who require accommodations for academic purposes are responsible for connecting with the LC State

Accessibility Services Office to provide documentation. Faculty will honor accommodations as outlined by that

office for testing purposes.

Course Exams: Creation

NHS faculty should create course exams using the NLN Fair Testing Guidelines (2020) with the assistance of

textbook, publisher, and other academically validated resources. Faculty should recognize that textbook test

banks and previous versions of course exams may be easy for students to obtain. This could create skewed

assessment results and falsely elevated student scores. This requires intentional creation and use of exams,

standardized testing policies, and adherence to those policies.

Individual course exams should:

1. Be given using Respondus Lockdown Browser in the campus Learning Management System

2. Be “live” proctored (given in class or in an approved testing center)

3. Utilize exam settings recommended by eLearning

a. This includes question and answer randomization, one question at a time delivery without

backtracking, and restricted viewing of completed exams

4. Utilize challenging passwords that are changed for all exams

5. Follow the recommended exam delivery guidelines as outlined in this policy

Course Exams: Delivery

Course faculty are responsible for scheduling and administering course exams. This should include clear

communication with students to convey essential information via the course syllabus. Essential information

includes; scheduling, scoring, use of exams for decision making within the course, and the testing processes

(exam delivery and completion).

Alternate delivery plans should be considered and communicated with students each semester to account for

unforeseen instances including alternate course delivery or technical problems. Staggering start times for

classroom testing may limit internet connectivity issues. Exam availability for testers should be restricted by

physical date and time. If multiple dates must be utilized consider the use of a different exam version. When

utilizing alternate proctors, faculty are responsible for providing this and all testing related policies and

instructions regarding testing processes.

All individuals within a testing environment will be asked to utilize test etiquette which includes maintenance of

a quiet and distraction free environment. Bathroom breaks may be approved by a proctor during an exam;

however, only one student may leave the room at a time. Once students have completed and left the room no

bathroom breaks will be allowed.

Faculty:

1. Assign student seating

2. Assess student’s testing device prior to beginning an exam

3. Designate a central site for student belongings during exams

4. Distribute approved scratch paper

5. Walk throughout the entire exam room every 20 minutes

6. Ensure student’s testing device is logged out of exam browser and gather scratch paper before

dismissing student from the classroom

Students:

1. Sit in assigned seat

2. Ensure all electronic devices are silenced or off

3. Remove any hat/hoodies

4. Use earplugs (not music delivery devices) for convenience as desired

5. Place bags, phones, watches, and other electronic devices in a designated spot upon entering the

classroom

6. May have one drink on their desk during the exam. No snacks/food allowed

HESI Exams

To promote nursing program excellence, HESI evaluation data are used to drive the curriculum with the goal to

measure student achievement of course outcomes, determine gaps in the curriculum, compare student

achievement with like populations, and achieve consistently high NCLEX-RN pass rates.

HESI Specialty exams are determined by NHS administration (Chair, Program Coordinator(s), and Assessment

Director) and faculty based on the BSN curriculum and workplan. In an attempt to standardize processes as

recommended by the literature (Elsevier, n.d.; NLN, 2020; Riley & Gouveia, 2022) specialty exams will be

administered by course faculty with adherence to established policies and procedures.

1. Standardized proctored assessments are administered to all nursing students at each level.

2. The BSN Program benchmark score for all HESI exams is 850. This benchmark can be met utilizing

either version of a specialty exam.

3. Students who fail to accomplish the benchmark score on a Specialty Exam may not progress within the

BSN program without further assessment and remediation.

4. HESI proctored assessments will be weighted at 10% of the course final grade.

5. Failure to take a scheduled HESI exam (as established in a course) results in a zero grade for that exam.

NHS HESI Scoring Table:

HESI Scoring

Interval

Performance Level

Suggested Grade

Book Score

>1050

Recommended Performance

100

1001-1050

950-1000

900-949

875-899

Acceptable Performance

850-874

800-849

Below Acceptable

Performance

750-799

700-749

Needs Further Preparation and

Retesting

<699

HESI Remediation

Remediation is an effective strategy to improve student retention and academic success. Remediation is most

effective when it is multimodal, individualized, and there is a consistent process utilized across a curriculum

(Elsevier, n.d.; Elsevier, 2020 July). Each HESI exam provides students with targeted remediation study

packets to reinforce understanding of content, when the exam is completed. Faculty should allow adequate time

for remediation (approximately 2 weeks between the first and second versions of a specialty HESI). Students

who do not achieve required progression benchmark score on any HESI exam will complete remediation

according to the HESI Remediation Rubric on the next page and comply with course specific requirements as

posted in the syllabi.

NHS HESI Remediation Rubric:

1. Remediation is required for all exam scores.

a. Points will be assigned for remediation associated with any score <850

2. Details of the remediation requirements based on exam scores are listed below.

3. Time lines for completing remediation will be described within each course.

4. Second versions of a HESI exam may not be taken without complete remediation.

5. Incomplete remediation requirements may result in an incomplete grade in a course and failure to progress

in the BSN program

HESI Score

850 or above

HESI Score

800-849

HESI Score

750-799

HESI Score

700-749

HESI Score

<700

On Track

Below acceptable

performance

Below acceptable

performance

Needs further

preparation

At Risk

Remediation is required

Review your HESI exam results to determine areas of weakness. Create a personalized study guide

with this information.

Complete all HESI Essential remediation packets

Complete all assigned HESI Case Studies with a minimum score of 80%

Utilize Saunders Comprehensive review for the NCLEX-RN exam text to practice questions in your

area of weakness.

Create and submit

proof of 2 concept

area exams with

25 questions each

Create and submit

proof of 3 concept

area exams with 25

questions each

Create and submit

proof of 5 concept

area exams with

25 questions each

Create and submit

proof of 5 concept

area exams with

25 questions each

Meet with course

faculty/HESI

champion to

develop a course

specific

remediation plan

Meet with course

faculty/HESI

champion to

develop a course

specific

remediation plan

2 Points added to final HESI grade upon completion of remediation

References

Elsevier. (n.d.). HESI® implementation guide [PDF]. https://evolve.elsevier.com/education/training/hesi-exam-

testing/exam-administration/

Elsevier. (2020, July). HESI® remediation: Getting started guide.

https://evolve.elsevier.com/education/training/hesi-exam-testing/remediation/

Elsevier. (2020, December). HESI®: Next generation remediation. https://myevolve.us/HESIempowers

National League for Nursing. (2020). The National League for Nursing: Fair testing guidelines for nursing

education. https://www.nln.org/docs/default-source/uploadedfiles/advocacy-public-policy/fair-testing-

guidelines2e88cc5c78366c709642ff00005f0421.pdf

Riley, T.A. & Gouveia, C. (2022). 2022 scientific evidence for the HESI® Admission Assessment (A2) for

nursing and healthcare education programs [White Paper]. Elsevier. https://tinyurl.com/mnenvs5a

Shah, M., Fuller, B., Gouveia, C., Mee, C., Baker, R., & San Pedro, M. O. (2022). NCLEX-RN readiness: HESI

Exit Exam validity and nursing program policies. Journal of Professional Nursing, 39, 131-138.

https://doi.org/10/1016/j.profnurs.2022.01.010

Silvestri, L. (2022). Saunders comprehensive review for the NCLEX-RN examination (9

ed.).

Elsevier.

Created 1/11/2023; Updated 1/10/2024

APPENDIX B

RS PROGRAM

Radiographic Science Mission

To produce competent practitioners in the field of diagnostic imaging who demonstrate

professionalism and a commitment to high quality patient care.

Radiographic Science Program Expected Outcomes

Program Effectiveness Measures of the LCSC Radiographic Science Program include:

Graduates will pass the national registry on the 1

attempt

Graduate pass rates will meet the national average

Graduates will be gainfully employed within 6 months of graduation

Students will complete the program

Graduates will be satisfied with their education

Employers will be satisfied with the performance of newly hired technologists

Radiographic Science Expected Student/Graduate Outcomes

Upon completion of the program, Students/ Graduates will:

Demonstrate clinical competency

Demonstrate strong communication skills

Demonstrate critical thinking

Demonstrate professionalism & ethical judgment skills

Radiographic Science Program Philosophy

The philosophy of the Nursing and Health Sciences Division and the Radiographic Science program is

based on the synthesis of two concepts: the provision of appropriate care and the enhancement of

professional education in the academic and clinical arenas.

Appropriate Care:/Program Outcomes

The radiographic sciences program faculty believes that the provision of appropriate care as ordered by a

licensed medical professional is the underlying foundation that will lead to disease treatment and

enhanced patient care. From this perspective, the program outcomes of diagnostic imaging competence,

critical thinking abilities, professional radiography role development, communication abilities, and the

application of knowledge of human diversity are derived and realized by each program graduate.

Professional Radiographic Science Education

Radiology is “the branch of medicine concerned with radioactive substances, including x-rays,

radioactive tracers and ionizing and non-ionizing radiation, and the application of this information

prevention, diagnosis, and treatment of disease” (Tabers, 14

ed., p. 1215, 1983). Radiology is an

evolving discipline of art and science that anticipates and is responsive to changes in health care delivery,

economics, politics, and technology.

Radiography can be defined as” …the making of x-ray pictures” (Tabers, 14

ed., p. 1215, 1983). A

radiographer is “an individual who maintains and uses equipment to produce images of the human body

on x-ray film, computed images or digital images for diagnostic purposes. This individual may also

supervise or teach others” (Tabers, 14

ed., p. 1215, 1983). A vital role of radiographic science is to

enhance the well-being of individuals via the appropriate performance of diagnostic and/or therapeutic

imaging procedures.

Associate of Science Radiography Education

The radiographic science program faculty view education as a dynamic process of teaching and

learning. Learning is a continuous, life-long process of formal and informal, planned and unplanned,

structured and intuitive experiences through which knowledge, skills, and values are compared and

modified. The ASRT/ARRT Code of Ethics and Professional Conduct provide a framework that

explains how the student, through multiple learning experiences, transitions into the role of professional

radiographer. The interaction of teaching and learning shape the student’s future development and

efforts in learning throughout life. An associate degree in radiography provides the foundation for life-

long personal and professional growth in the imaging sciences. A broad base of education comprised of

courses in the arts, sciences, humanities, and radiographic science enables students to think critically,

empathize with patients, advocate for maximum patient benefit, and appreciate diversity of values,

beliefs, abilities and experience among persons.

ARRT/ASRT

Code of Ethics for Radiographers

The Code of Ethics forms the first part of the Standard of Ethics. The Code of Ethics shall serve as

a guide by which registered technologists and applicants may evaluate their professional conduct as

it relates to patients, health care consumers, employers, colleagues, and other members of the health

care team. The Code of Ethics is intended to assist the registered radiographer and applicants in

maintaining a high level of ethical conduct and in providing for the protection, safety, and comfort

of patients. The Code of Ethics is aspirational.

The radiologic technologist conducts herself or himself in a professional manner,

responds to patient needs, and supports colleagues and associates in providing quality

care.

The radiologic technologist acts to advance the principle objective of the profession to

provide services to humanity with full respect for the dignity of mankind.

The radiologic technologist delivers patient care and services unrestricted by concerns of

personal attributes or the nature of the disease or illness, and without discrimination on the

basis of sex, race, creed, religion or socioeconomic status.

The radiologic technologist practices technology founded upon theoretical knowledge and

concepts, uses equipment and accessories consistent with the purposes for which they were

designed, and employs procedures and techniques appropriately.

The radiologic technologist assesses situations; exercises care, discretion and judgment;

assumes responsibility for professional decisions; and acts in the best interest of the

patient.

The radiologic technologist acts as an agent through observation and communication to

obtain pertinent information for the physician to aid in the diagnosis and treatment of the

patient and recognizes that interpretation and diagnosis are outside the scope of practice for

the profession.

The radiologic technologist uses equipment and accessories, employs techniques and

procedures, performs services in accordance with accepted standards of practice, and

demonstrates expertise in minimizing radiation exposure to the patient, self and other

members of the health care team.

The radiologic technologist practices ethical conduct appropriate to the profession and

protects the patient’s right to quality radiologic technology care.

The radiologic technologist respects confidence entrusted in the course of professional

practice, respects the patient’s right to privacy, and reveals confidential information only as

required by law or to protect the welfare of the individual or community.

10.

The radiologic technologist continually strives to improve knowledge and skills by

participating in continuing education and professional activities, sharing knowledge with

colleagues and investigating new aspects of professional practice.

(http://www.asrt.org/docs/practice-standards/codeofethics.pdf, 2003)

Radiation Exposure/ Safety Policy

Proper radiation safety protocols are followed by LCSC Radiographic Science students & faculty in

both the laboratory and clinical environments. All faculty, staff and radiographic science students

adhere to As Low as Reasonably Achievable (A.L.A.R.A.) and the cardinal radiation protection rules

of Time, Distance and Shielding. To be treated as an unusual occurrence, a monthly exposure

reading must exceed 150mRem or an annual dose reading must exceed 1800mRem. In such cases,

an NHS Incident Report shall be completed by the individual receiving the high reading.

A copy of the Incident Report will be placed in the student’s NHS file.

It is important to note that once an accidental radiation exposure has occurred nothing can or needs

to be done from a medical perspective; the doses are low and there will be no radiation related

health effect that is discernible with current medical technology.

All documentation related to an incident of this nature shall go to the NHS Division Chair and to the

Idaho Department of Health and Welfare Laboratory Division.

Radiographic science students learn about proper radiation safety and operation of equipment in RS

240 Quality Assurance/Technical Imaging, RS 330 Radiobiology, as well as throughout laboratory

practice for RS 221&222 Radiographic Methods I & II. Training may be conducted as needed, for

all faculty and staff using x-ray equipment in the LCSC Radiographic Science suite to reduce the

likelihood of such occurrences.

Students must not hold image receptors during any radiographic procedure and should not hold

patients during any radiographic procedure when an immobilization method is the appropriate

standard of care.

MRI Safety Screening Policy/Protocol

Students are not permitted to enter any MRI zones until they have been appropriately screened for

magnetic wave or radiofrequency hazards. For students to gain access to any MRI zones, the student

is required to review magnetic resonance safe practices provided by the imaging facility. Upon

completion of the screening, the student is required to sign and submit a copy of the MRI screening

protocol. A new MRI screening protocol must be signed for each facility the student rotates through.

All students will watch a MRI video introducing the characteristics of MRI prior to attending any

clinical rotations.

Procedure for Acquisition and Replacement of Damaged/Lost Radiation

Monitoring Devices

NHS students purchase a personal radiation monitoring device in the first semester of the

ASRS Program. The device is used through the duration of the program.

When a device is damaged or lost, NHS students must notify the Clinical Coordinator

within 24 hours and are responsible, at their own cost, to purchase a replacement device.

Payment is made at the LCSC Cashier’s window.

NHS students may not participate in any clinical activities without a radiation badge device.

Declaration of Pregnancy Policy: Radiation Protection

Policy: To assure compliance with the revised Nuclear Regulatory Commission (NRC) regulations

pertaining to declared pregnant radiation workers, the following has been adopted by the

Radiographic Science program:

All students in the Radiographic Science (RS) program will be informed of the recommendations of

the NRC relative to radiation exposure limits established for the “declared” pregnant woman. The

NRC defines the “declared” pregnant woman as:

A woman who is an occupational radiation worker and has voluntarily informed her

employer, in writing, of her pregnancy and the estimated date of conception (see 10 CFR

20. 1003 and 20.1208).

In the event that a student declares pregnancy (in writing to any of the following: her program

advisor, the Clinical Coordinator, or the Program Director, collectively referred to as faculty)

specific training will be provided. Details can be found in the NRC Regulatory Guide 8.13. A

copy of this document will be provided to, and reviewed with, the student.

Program Responsibilities:

Provide training on “declared” pregnant category including the NRC’s prenatal radiation

exposure limits, and the specific steps that must be taken by the Program once a student declares

her pregnancy. The following information shall be emphasized:

According to the NRC, if the student voluntarily declares her pregnancy, she grants consent

to the program to limit her dose as measured on her radiation monitoring device to 0.5rem

(5 millisievert) to the embryo/fetus throughout the entire pregnancy. If no declaration is

made to the program, the occupational dose limits to the student remain unchanged.

The National Council on Radiation Protection and Measurements (NCRP) recommends the

monthly reading not exceed 0.05 rem (0.5 mSv) / month to the embryo/fetus for each month

after the pregnancy has been declared in writing. A monthly dose greater than 0.1 rem (1

mSv) should be recognized as a substantial variation above a uniform monthly dose rate.

If the dose equivalent to the fetus/embryo is found to have exceeded 0.5 rem (5 mSv), or is

within 0.05 rem (0.5 mSv) of this dose, by the time the student declares pregnancy to the

Program faculty, the program shall be deemed to be in compliance with NRC regulations if

the total additional dose equivalent to the embryo/fetus does not exceed 0.05 rem (0.5 mSv)

during the remainder of the pregnancy.

Provide a copy of the Declaration of Pregnancy form for the student to sign. The original will be

stored permanently in the student’s program file.

Instruct the student in correct use of the additional radiation monitoring device for fetal

exposure monitoring

Collect monthly reports to be stored in student’s program file.

Responsibilities of “Declared” Pregnant Student:

Complete and sign the Declaration of Pregnancy form and give it to the advisor, Clinical

Coordinator, or Program Director (faculty).

Receive additional, focused instruction for a declared pregnant student from faculty.

Purchase an additional radiation monitoring device for fetal monitoring

Review precautions to be followed to limit radiation exposure to the embryo/fetus

to below 0.5 rem (5 mSv) for the entire pregnancy

to under 0.05 rem (0.5 mSv) / month for each month following declaration of the

pregnancy

using protective devices (such as a lead apron) and following standard ALARA (As Low As

Reasonably Achievable) principles

Decide whether or not to continue in the Radiographic Science program – including clinical

experience courses – without modification of any activities. Alternatively, the student may

choose another option, such as:

Continue in the Program, but with the following modification:

Excused from fluoroscopic procedures in the Imaging Dept.

ii.

Excused from surgical procedures

iii.

Excused from pain clinic

iv.

Other

For the following duration:

Remainder of first trimester / Modifications to end on (date):

Duration of pregnancy

Step out of the clinical experience entirely

Until end of first trimester / date:

ii.

Remainder of the pregnancy

The “declared” pregnant student may revoke her declaration (in writing) at any time for any

reason.

LCSC Nursing & Health Sciences Division: ASRS Program

Declaration of Pregnancy Form

Student Name: ID # Date of conception (Mo/Yr): /

I am submitting this Declaration of Pregnancy to inform the Radiographic Science faculty that I am

pregnant. Under the provisions of 10 CFR Parts 20.1003 & 20.1208, I understand:

• I will be required to purchase an additional radiation monitoring device for fetal exposure monitoring, and

to turn in monthly reports to the Clinical Coordinator;

• my exposure will not be allowed to exceed 0.5 rem (5 millisievert) to the embryo/fetus during my

entire pregnancy from occupational exposure to radiation;

• this limit includes exposure I have already received since conception;

• if my estimated exposure has already exceeded 0.5 rem (5 mSv), I will be limited to no more than

0.05 rem (0.5 mSv) for the remainder of my pregnancy, spread evenly over the remaining pregnancy; and

• I may revoke this declaration at any time, for any reason, by signing the Revocation of Declaration of

Pregnancy at the bottom of this form.

I have received a copy of NRC Regulatory Guide 8.13, and instruction from faculty. I understand that I may

continue my clinical experience without modification, and may revoke this declaration at any time for any

reason (using the bottom portion of this form).

Student Signature: Date:

Faculty Signature/Title: Date:

Acknowledgement of Declaration of Pregnancy

Faculty Name & Title: /

I acknowledge that the above individual has submitted to me a Declaration of Pregnancy statement. I

understand that is my responsibility to ensure that this individual is properly trained with regard to radiation

protection, proper fetal exposure monitoring, and potential exposure risks to her unborn child.

Faculty Signature: Date:

100

Revocation of Declaration of Pregnancy

I formally wish to notify faculty of the Radiographic Science program that, as of this date, I am revoking the

Declaration of Pregnancy (top of this form). I have read and understand the written materials regarding the

potential health effects from exposure to ionizing radiation (NRC Regulatory Guide 8.13). The decision to

revoke my previous declaration of pregnancy is a personal choice, which I have made freely.

I understand that by making this declaration, the fetal dose limits specified above will no longer be

applicable for the remainder of this pregnancy.

Student Signature: Date:

Final Copies: Original should be completed, signed and placed in student file with signed Policy

attached.

Equitable Learning Opportunities Provided for All NHS Students Policy

To assure compliance with JRCERT Standard 1.2, no student will be afforded a unique learning

opportunity that is not provided to all students in the program. Clinical Rotations will be assigned

to provide equitable experiences, and daily clinical schedules and/or rotations will reflect the intent

of this standard as well.

Explanation from JRCERT Standards:

The provision of equitable learning activities promotes a fair and impartial education and reduces

institutional and/or program liability. The program must provide equitable learning opportunities for

all program students regarding learning activities and clinical assignments. For example, if an

opportunity exists for program students to observe or perform breast imaging, then all program

students must be provided the same opportunity. If evening and/or weekend rotations are utilized, this

opportunity must be equitably provided for all program students.

Program Responsibilities:

• Inform all students in the Radiographic Science (RS) program of the JRCERT Standard with

clearly defined examples of activities covered here.

• Remind students that they can only observe examinations that they have not been taught to

perform in Radiographic Methods classes.

• Observation of special procedures not addressed in Radiographic Methods is allowed, but

only if that observation is offered to all NHS students. Specifically, observation of exams

that are generally considered to be gender-specific, such as mammography or

hysterosalpingography cannot be offered to the female program students only.

• Inform Clinical Instructors of the JRCERT Standard 1.2

Discuss examples of how this standard is applied in clinical courses.

Expand education to new Clinical Instructors to include specific examples of this

standard.

Student Responsibilities:

• Sign the Student Handbook signature page, including the Equitable Learning Opportunities

page.

• If/when offered an opportunity to observe an exam of a traditionally gender-specific nature, the

student must question the CI to determine whether or not all classmates are offered the same

opportunity.

This serves as a reminder to the CI

Student accepts responsibility to uphold JRCERT Standard 1.2

Student failing to uphold Standard 1.2 is subject to dismissal from the program

Direct vs. Indirect Supervision in Clinical Experience Courses

Policy: All Radiographic Science program students will abide by the definitions of Direct &

Indirect Supervision as put forth by the JRCERT:

Standard 4.4: Assures that medical imaging procedures are performed under the direct

supervision of a qualified radiographer until a student achieves competency.

Explanation:

Direct supervision assures patient safety and proper educational practices. The JRCERT defines direct

supervision as student supervision by a qualified radiographer who:

• reviews the procedure in relation to the student’s achievement,

• evaluates the condition of the patient in relation to the student’s knowledge,

• is physically present during the conduct of the procedure, and

• reviews and approves the procedure and/or image

Students must be directly supervised until competency is achieved.

Standard 4.5: Assures that medical imaging procedures are performed under the indirect

supervision of a qualified radiographer after a student achieves competency.

Explanation:

Indirect supervision promotes patient safety and proper educational practices. The JRCERT defines

indirect supervision as:

Supervision provided by a qualified radiographer immediately available to assist

students regardless of the level of student achievement

“Immediately available” is interpreted as the physical presence of a qualified radiographer

adjacent to the room or location where a radiographic procedure is being performed. This

availability applies to all areas where ionizing radiation equipment is in use on patients.

Any student found to be working unsupervised at any location in the clinical site is subject to

immediate dismissal from the program.

Escrow Credits: Radiography Students

Escrow credits, which are a means for LCSC students to be granted academic credits for previous

radiography knowledge. These credits are held in “escrow” until the student successfully completes

the RSBS program. At that time, the student’s Academic Advisor calculates how many escrow credits

are needed to fulfill institutional policies for graduation.

These institutional policies include total number of credits needed for the RSBS, which is usually

120, as well as number of credits earned at LCSC, or “Institutional Credits,” which is 32. For

example, if a student transfers in 90 credits from a prior degree and completes 30 credits in pursuit of

his or her RSBS degree, that student will have earned 120 total credits. Since the student has earned

just 30 institutional credits, rather than the required minimum of 32, he or she will be granted two

escrow credits to accommodate the difference.

There is an administrative fee of $20.00 per escrow credit to have these credits appear on the

student’s transcript. In the example used above, this student would pay $20.00 each for two

escrow credits, or $40.00.

APPENDIX C

CLINICAL RESOURCE

CENTER AND

SIMULATION LABS

RULES

1. Children are not allowed in lab areas at any time

2. No food or drinks in the lab areas

• Food and drink are allowed only in REPORT ROOMS

i. Use a sturdy lid on cups and glasses

ii. Clean up spills & trash, use recycling bins for plastic products.

iii. Remember: this privilege is subject to change as the report rooms serve as a student

study area.

3. The report rooms are used as conference rooms during SIM training and will not be

available to lab students during that time.

4. Must have your SKILLS BAG—bring to EVERY LAB throughout the program.

LAB LINGO

Independent lab is for skills sign-off and is specific to NU 313 students only.

• Students should come prepared as if to teach the skill to the instructor.

• Instructors will advise further practice if students are not prepared in a skill.

Open lab is for skills practice

• All BSN and Radiography students may attend.

• Faculty and senior student workers will be available to assist with skills practice.

• Open lab is not intended for (Nursing) skills sign-off. On occasion open lab will

have sign-off times and those will be announced prior to the scheduled lab time.

**Health Assessment practice does not satisfy NU 313 required skills practice

hours**

SIMULATION

1. Personal recording of fellow students in simulation activities is prohibited.

2. Discussion of simulation scenarios outside of your simulation group and discussion of scenario

testing scenarios is prohibited.

ADDITIONAL LAB INFORMATION (BSN)

Assistance with a Performance Improvement Plan must be scheduled at least one day

in advance.

Make appointments with CRC Coordinator by email or in person in their office and

await confirmation. Ability to schedule appointments is at the discretion and

availability of the CRC Coordinator. CRC Coordinator will provide you with an

appointment confirmation slip when the appointment is officially scheduled. This is

your proof of a scheduled appointment and completion of appointments in the lab.

**Performance Improvement hours DO NOT count toward open lab and

independent lab hours for NU 313.**

2. Lab time may be scheduled above & beyond independent and open lab.

Make appointments with CRC Coordinator by email or in person in their office. CRC

Coordinator will provide you with an appointment confirmation slip when the appointment is

officially scheduled. This is your proof of a scheduled appointment and completion of

appointments in the lab.

Special lab hours may or may not count toward open lab and independent hours depending on

practice content.

WHERE TO FIND IT

Open lab hours are subject to change and changes will be communicated to students

• The schedule will be posted on Canvas for NU 313 students and is posted on the doors

of labs SAC 152 and 158

• Labs may be cancelled due to unforeseen circumstances

• Every attempt will be made to keep all scheduled labs

Scholarship opportunities and job listings may be posted on the NHS Student Opportunities

website and on the student bulletin boards in the SAC hallways.

BOOK BAG BINS

Book bags, coats and personal items may be kept in the book bag bins. These are located at the back

of the labs by the corridor between labs. Please keep labs free of book bags and personal items.

"Lost & Found" is a bin in the book bag bins area of lab 158.

SKILLS BOXES

Skills boxes will be available at the bedside on the first day of learning a new skill. After the

first day, boxes will be kept in the book bag bins of lab 152/ 158.

• You may use these boxes for practice

• Please return items to the correct boxes before returning them to the bins (A list of items for

each box is taped inside the box lid)

• Please notify faculty if replacement items are needed for a box

Medication, glucometer, syringe/needle and reusable manikin sharps skill boxes are kept in the

medication room in lab 152.

SHARPS CONTAINERS

Only needles or sharp items such as glass, needles with syringes, scalpels, vacutainer tubes,

syringes with blood, etc. are to be placed in sharps containers.

• Please do not put paper, cotton balls, syringes or other non-sharp items in the sharp

containers

• The following items with blood on them may be placed in regular trash, i.e.:

Items with small amounts of blood such as glucose test strips, cotton balls, paper

towels, sanitary wipes.

If in doubt please check with instructors or lab personnel before placing items in

sharps containers

Sharps Containers/Gloves/Hand Sanitizers/Sinks

• Please let faculty know if refills are needed or if sinks are not working properly

• Use and care for these items as you would in the clinical setting

LAB EQUIPMENT

MANIKINS

• No pens, pencils or printed materials on or near the manikins. These items will

permanently mark the manikin’s skin.

• Please remove all adhesives from manikins when finished with a skill

• Manikin and bed areas are to be clean, neat & tidy after each use

• Vital Sim manikin power packs and controllers may be signed out for use during lab

hours; request sign out from faculty

**Please treat the lab areas as you would a patient’s room while in clinical or in nursing

practice**

BEDS/EQUIPMENT

• Please let faculty know if beds and equipment are not working properly

• Use and care for these items as you would in the clinical setting

MEDICATION CARTS

• Become familiar with the carts during open labs

• It’s important to know where to find items in the med carts for easy use during scenario

testing

• Please DO NOT use items from the cart for lab practice

• Ask lab personnel if you need additional supplies

• All med carts in all the labs are set up similarly

CRASH CARTS

• These will be used during your senior year

• You may review the drawers of the crash carts at your leisure

• Please RETURN items used after lab practice

Simulation Lab / Clinical Rotation Experience / Waiver

Disclaimer/Waiver:

Simulation scenarios are video recorded by the simulation computer program for educational

purposes (i.e. group learning, performance evaluation). Such recorded sessions will not be accessed

by unauthorized persons and will not be posted to the Internet. Recordings for program levels will be

destroyed upon completion of the program and/or graduation.

Still photos of students and short video clips may be taken by approved NHS faculty/ staff with the

intention of use in public relations and/ or marketing campaigns related to Lewis-Clark State

College. These photos and video clips may be posted on the Internet via social media outlets.

I have read the above and agree to the content herein.

(Signature) (Date)

(Printed Name)

Latex allergy? (Please Circle) YES NO