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DACC Nursing Program Student Handbook 2012-20133.6.2 Advance Placement, Licensed………………………………………………………….....203.7 Progression/Retention…………………………………………………………………………….…203.7.1 Advisement…………………………………………………………………………….….203.7.2 Grading……………………………………………………………………………...….…203.7.2.1 Exam Averages……………………………………………………………….…213.7.3 In Good/Not Good Standing……………………………………...…………………….…213.7.4 Incompletes……………………………………………………………………………..…213.7.5 Request to Repeat a Nursing Course…………………………………………………...…213.8 Completion………………………………………………………………………………………......223.9 Withdrawal………………………...………………………………………………………………...223.10 Administrative Disenrollment………………………………………………………….…………223.11 Dismissal……………………………………………………………………………………….…...233.12 Graduation…………………………………………………………………………………….…….233.12.1 Commencement Ceremony………………………………………………………….…...233.13 Capping and Pinning Ceremony…………………………………………………………………....233.14 Remediation After Graduation……………………………………………………………………...243.15 Readmission…………………………………………………………………………...……….…...243.16 Licensure…………………………………………………………………………………….……...243.17 Confidentiality and HIPPA………………………………………………………………….……...243.18 Student Representatives………………………………………………………………….………....253.19 Student Nurses Association………………………………………………………………….……..253.20 Preclinical Competency Exams…………………………………………………………………….263.20.1 Dosage and Calculations………………………………………………………………....263.20.2 Skills……………………………………………………………………………………..263.21 Student Practice Standards………………………………………………………………………….273.22 Students with Health Restrictions…………………………………………………………………..273.23 Testing……………………………………………………………………………………………....273.23.1 Scheduled Tests……………………………………………………………………….....273.23.2 Individual Test Review…………………………………………………………………..273.23.3 Make-Up Tests……………………………………………………………………….......273.24 Student Improvement Plan……………………………………………………………………….....28CLINICAL POLICIES AND PROCEDURES………………………………………...…….………………294.1 Clinical Site Assignments…………………………………………………………………………...294.2 Clinical and Simulation Lab Attendance/Participation……………..……………………………….294.2.1 Attendance/Absences………………………………………...............................................294.2.2 Missed Clinical Hours………………………………………..............................................294.2.3 Preparation………………………………………...............................................................294.3 Uniforms/Personal Appearance……………………………………………………………………..304.3.1 Uniform Regulations…………………….…………………………………………...........304.3.2 Official Program Student Uniforms……………….……………………………………....304.3.3 Badges/Name Tags…………………….………………………………………….............314.3.4 Required Supplies…………………….…………………………………………................314.3.5 Personal Appearance…………………….…………………………………………...........314.4 Clinical Experiences……………………………………………………………………………...…314.4.1 Evaluation…………………………………………………………………………........…324.5 Clinical Incidents…………………………………………………………………………............…324 | P a g e

DACC Nursing Program Student Handbook 2012-20134.5.1 Student Error……………………………………………………………………............…324.5.2 Needle Stick Injury……………………………………………………………………..…334.5.3 Accident, Injury, or Illness……………………………………………………………...…334.6 Nursing Labs……………………………………………………………………………………...…334.7 Procedures and Treatments……………………………………………………………………….…344.8 Student Scope of Practice in All Clinical Facilities…………………………………………………344.9 Transportation…………………………………………………………………………………….…354.10 Unsafe Clinical Practice Determination………………………………………………..………...…354.11 Working Prior to Clinical……………………………………………….…………………………..354.12 Blood Borne Pathogens - Universal Precautions……………………….…………………………..364.13 Clinical Clearance Documentation Requirements……………………….………………………....374.14.1 TB Test Report……………………………...………………….………………………...374.14.2 Measles/Mumps/Rubella (MMR) and Varicella…………….……………………….......374.14.3 Hepatitis B Vaccine Series……………….………………………....................................374.14.4 CPR……………….……………………………………………………………………...384.14.5 Drug Screen……….…………………………………...………………………………...384.14.6 Criminal Background Check………………………...…………………………………...384.14 Change of Health Status…….…………………………………...………………………………….384.15 Communicable Disease…….…………………………………...…………………………………..38APPENDICES………………………………………...…….………………………………………………..40A Core Values (CV) of the DACC Nursing Program………………………………………………...…40B Content Leveled Program Outcomes……………..…………………………………………………..42C Licensed Practical Nurse Certificate Plan………..…………………………………………………...50D Associate Degree in Nursing Degree Plan………..…………………………………………………..52E LPN Certificate Courses and Credit/Clinical Hours………………………………………………….54F ADN Courses and Credit/Clinical Hours……………………………………………………………..55G Program Continuance Form…………………………………………………………………………..56H Nursing Program Student Practice Standards Form………………………………………………….57I Student Improvement Plan Form……………………………………………………………………....58J Clinical Incident Form………………………………………………………………………………....59K Immunization Form…………………………………………………………………………………...60L Annual TB Health Questionnaire Form……………………………………………………………....61M Change of Health Status Form……………………………………………………………………….62N Student Acknowledgment Form……………………………………………………………………...63O Release of Information Form…………………………………………………………………………645 | P a g e

DACC Nursing Program Student Handbook 2012-2013PROGRAM OVERVIEW1.1 INTRODUCTIONWelcome to the Doña Ana Community College (DACC) Nursing Program. We are pleased that youhave chosen to study Nursing and are delighted to have the opportunity to assist in achieving theacademic and personal goals of each student. This is an exciting and challenging time to prepare forentry into the practice of nursing. Students are encouraged to work diligently toward their goals to findpersonal and career fulfillment.The Nursing Program Student Handbook is a guide to the program objectives, policies and the degreeplan of the program. Designed as a guide to communicate information of vital importance to the student,it is reviewed annually and revised as needed by the nursing faculty and student representatives.Information about approval and/or accreditation of this program can be obtained from the following:State Approval:New Mexico Board of Nursing6301 Indian School Road NE, Suite 710Albuquerque, NM 87111Telephone: (505) 841-6349Website: www.bon.state.nm.usNote: DACC cannot guarantee approval status from the New Mexico State Board of Nursing will not change while the student isenrolled in the program. Students will be notified of any change.National Accreditation: N/ANote: The DACC nursing program is not nationally accredited. Graduating from an unaccredited program adversely impactspotential future academic and employment opportunities. Some employers have policies requiring applicants to be graduates of anationally accredited program. In addition, some RN-BSN programs, including NMSU’s, and other advanced degree programsrequire applicants to be graduates of a nationally accredited program. Students are encouraged to research their options prior toaccepting their seat within our program.1.2 VISION, MISSION AND VALUESCollege Vision: Dona Ana Community College (DACC) will be a premier learning college that isgrounded in academic excellence and committed to fostering lifelong learning and active, responsiblecitizenship within the community.Nursing Program Vision: To educate and prepare students of diverse backgrounds for lifelong learningthrough excellence in nursing education, thus allowing them to promote health and wellness in patientsacross the lifespan.College Mission: DACC is a responsive and accessible learning-centered community college thatprovides educational opportunities to a diverse community of learners in support of workforce andeconomic development.6 | P a g e

DACC Nursing Program Student Handbook 2012-2013Nursing Program Mission: Provide educational preparation opportunities for a diverse group ofstudents in response to community health care and nursing workforce needs.College Values: As a learning-centered community college, DACC is committed to the following corevalues:Education that — offers lifelong learning opportunities fosters dynamic learning environments designed to meet the needs of our students guarantees equality of rights and access ensures integrity and honesty in the learning process provides comprehensive assessment of learningStudents who will be — respected for their diversity provided with a safe and supportive learning environment challenged to become critical and independent thinkers expected to take an active role in their learning processEmployees who — practice tolerance and inclusiveness in decision-making and shared governance encourage and support professional growth demonstrate high ethics and integrity encourage collaborative interaction among faculty and staff practice responsible fiscal management and personal accountability ensure equal opportunities for a diverse faculty and staffCommunities that — build partnerships, including educational alliances strengthen industry partnerships to provide workforce development services andprograms in support of economic development develop and adapt instructional programs in response to changing economical needsNursing Program Core Values: Each discipline is guided by core values. The DACC nursing programutilizes a combination of beliefs to provide an eclectic curricular framework, allowing the program toreadily draw from bodies of knowledge outside of the nursing profession. Through this process, theprogram will maintain a foundation of evidence-based practice. The following is the statement of corevalues regarding the nursing profession as accepted by faculty and staff of the nursing program atDACC. For the Core Values (CV) of the DACC Nursing Program see Appendix A.1.3 PROGRAM FACULTY AND STAFFOffice Hours and Locations: Faculty members are available to students during office hours. Officehours for each faculty member are posted on the faculty member‘s office door and in course syllabi.All nursing offices are located in the DACC Health and Public Services Building. For a currentcampus map, visit http://dacc.nmsu.edu/us/layouts.shtm.7 | P a g e

DACC Nursing Program Student Handbook 2012-20134. 85% of graduates returning surveys will report that program met or exceeded expectationsfor preparation to practice within 1 year of licensure.5. 80% of employers returning surveys will report satisfaction with employed graduatespreparation for practice within 1 year of licensure.6. 70% of graduates seeking employment in role-related professional practice will be employedwithin 6 months of licensure (CNE, 2009).1.5 CURRICULUM PLANSFor the Nursing Program‘s academic degree plans, please See Appendix C for the core curriculum planof the LPN Certificate. See Appendix D for the core curriculum plan for the Associate Degree inNursing. For nursing course descriptions, please reference the current DACC Catalog athttp://dacc.nmsu.edu/students/. Credit and Contact Hours for the Nursing Program can be found inAppendix E for the LPN Certificate and Appendix F for the Associate Degree in Nursing.2.1 ACADEMIC INTEGRITYGENERAL ACADEMIC POLICIESNursing as a profession requires a high standard of ethics and integrity because the profession carriessignificant responsibilities for someone else's life and well being. Nursing students are held to the samestandards as those of a Registered Nurse. Dishonesty of any nature is a serious offense because it erodesthe bonds of trust and honesty between peers, faculty and members of the community, adverselyaffecting those who depend on the student‘s knowledge and integrity.Areas of Concern:a. General Concerns – Please reference the most recent edition of the DACC StudentHandbook (inside the DACC Catalog), Section I: Student Code of Conduct; Sub-Section III;Academic Misconduct: Sub-Section 3.2: Academic Misconduct.b. Scope Of Practice – The State of New Mexico Nursing Practice Act defines the scope ofpractice for students at each program level. Exceeding this scope shall not be permitted.c. Consequences for Academic Dishonesty: Academic dishonesty carries a serious penalty.Students found guilty of academic dishonesty shall have one or more of the followingconsequences, with or without eligibility for readmission, including but not limited to:Minimum penalty of a failing grade on the assignment in questionA failing grade in the course for the semester.Formal written reprimand.Dismissal from the Nursing Program with or without eligibility to reapply.Requirement to take a specific course not in the regular curriculum of the NursingProgram and/or completion of specific assignments not currently part of thespecific course of study.9 | P a g e

DACC Nursing Program Student Handbook 2012-2013Notation of academic dishonesty in the student‘s permanent record.2.2 COMMUNICATIONThe NMSU email/Canvas account shall be the official contact/communication methods for student andfaculty in the Nursing program. Each student and faculty member is responsible for maintaining theirNMSU email/Canvas account and checking it on a daily basis to ensure timely communication.2.3 NONDISCRIMINATIONIt is the policy of Doña Ana Community College not to discriminate on the basis of age, color,disability, gender, national origin, race, religion, sexual orientation, or veteran status in employment orother college-administered programs. This policy is in compliance with Title VII of the Civil Rights Actof 1964, Executive Order 11246 as amended by 11375 and section 504 of the Vocational RehabilitationAct of 1973, the Americans with Disabilities Act of 1990, and Title IX of the Educational Amendmentsof 1972 and subsequent revisions.Disability Statement: Doña Ana Community College is strongly committed to providing education toall citizens of Doña Ana County. The college‘s faculty and staff are dedicated to the goal of providingequal access to individuals with disabilities and to the spirit of the Americans with Disabilities Act(ADA) of 1990. The ongoing effort to reduce and remove physical and attitudinal barriers is designed toassist individuals with disabilities to enjoy the college‘s facilities, programs, and services to the fullestextent. We are dedicated to developing an educational environment free of discrimination.Policy of Nondiscrimination on the Basis of Disability: Doña Ana Community College does notdiscriminate on the basis of disability in the admission or access to, or treatment or employment in, itsprograms or activities. The ADA coordinator for DACC, located in room DAMA 117-A (telephone,575-527-7545), has been designated to oversee compliance with the nondiscrimination requirementscontained in Section 35.107 of the Department of Justice Regulations. Information concerning theprovisions of the Americans with Disabilities Act, and the rights provided there under, are availablefrom the ADA coordinator.2.4 STUDENTS WITH DISABILITIESThe Services for Students with Disabilities (SSD) program provides specialized support services tofulfill this commitment. This program may not be able to meet all needs; however, a reasonable effortwill be made to facilitate physical and programmatic access. To provide quality services, SSDprocedures include self-identification of persons with disabilities and determination of their eligibilityfor services. Students with disabilities must request services and provide appropriate documentationfrom schools, agencies, physicians, psychologists, and/or other qualified diagnosticians. If challenged bya disability, students may receive the following forms of free assistance/accommodations: sign-languageinterpreters, note taking assistance, readers, enlarged print, recordings for the blind and dyslexic,computer/software adaptations, alternative assessments and evaluations, alternative keyboards,accessible furniture, specialized career information, and referral and liaison for many of these services.Equipment and accommodations are obtained with the assistance of agencies such as the Division ofVocational Rehabilitation (DVR) and the Commission for the Blind. More information may be obtained10 | P a g e

DACC Nursing Program Student Handbook 2012-2013from the Services for Students with Disabilities Office, DAMA-117 (575-527-7548). Students may alsocontact the student services specialist at the East Mesa Campus (575-528-7250), the Gadsden Campus(575-882-6809), or the Sunland Park Campus (575-874-7787).2.5 STUDENT ACADEMIC AND NONACADEMIC GRIEVANCESFor the grievance process, please refer to the applicable Student Academic or Nonacademic GrievancePolicies sections in the DACC Student Handbook (inside the DACC Catalog). It is recommended studentsexhaust informal procedures before enacting the formal appeal process. The informal process begins withdiscussing the issue/concern with the individual faculty member and course lead faculty.2.6 FAMILY EDUCATION RIGHTS AND PRIVACY ACT (FERPA)Students at Doña Ana Community College are protected under the Family Educational Rights andPrivacy Act of 1974 (FERPA). The FERPA affords students certain rights with respect to their educationrecords (see DACC Catalog for the FERPA student rights). The Nursing Program maintains records ofall communication from the Nursing faculty to the student, such as (but not limited to):counseling forms for academic, laboratory or clinical incidentscounseling forms for other occurrences related to the students performance in the NursingProgramDACC follows the policy relative to the release of student information. The following directoryinformation on students will be released without a signed authorization from the student: name, address,and telephone number, date of birth, level of education, academic major and degree received. It is theresponsibility of the student to inform the Admissions and Records Office that any or all of the aboveinformation shall not be released. This request shall be filed in writing with the Admissions and RecordsOffice. The FERPA prohibits the disclosure of any information of the student regarding social securitynumber, class schedules, grades, etc., to any person, unless the person has a written release signed by thestudent. (Note: Including the parents of an adult student). Please see the DACC Student Handbook(inside the DACC Catalog) for additional information.2.7 SCHEDULE MODIFICATIONInformation in the printed course schedule is accurate at press time. If, or when, changes are made(cancellations, adds, time-date changes, etc.), the changes will be available via Canvas, electronicpostings (i.e., online schedule through myNMSU), verbal announcements, etc. Students are responsiblefor checking Canvas, with the nursing instructor or the Nursing Program class/syllabi on a daily basisfor provided changes.2.8 ACADEMIC OR BEHAVIORAL MISCONDUCT GUIDELINES2.8.1 General Concerns: Refer to applicable policies in the DACC Student Handbook (inside theDACC Catalog) for the following, but not limited to: Alcohol; Drug Free Workplace, Drug FreeSchools and Communities Act and Drug Free Workforce Rules; Drug Policies and Programs;11 | P a g e

DACC Nursing Program Student Handbook 2012-2013Firearms; Prohibition of Hazing and Hostile Misconduct; Mental Health; Prohibited Access;Restrictive Access; Vacating University Buildings or Property; Sexual Misconduct; StudentNonacademic Grievance; Student Special Care.2.8.2 Use of Electronic DevicesAny student caught violating the use of electronic devices shall be subject to the consequencesof academic dishonesty policy (2.1 Academic Integrity).2.8.2.1 Classroom and Skills Lab: Cell phones, pagers and watch alarms shall be turned offand stored in a location other than on their person during class, exams, and labtimes. Anticipated emergency situations in which the student may need to be contactedduring class time are to be discussed with the class instructor prior to class starting. Theinstructor shall discuss and handle specific situations on an individual basis with thestudent. If the student is allowed by the instructor to use a calculator during testing itshall be a simple, stand-alone model. Hand held computers (smart devices, etc.) andprogrammable calculators shall not be allowed during testing periods. Students shall notbe allowed to share calculators during any testing period.2.8.2.2 Clinical Rotation: Cell phones shall be used according to the clinical agency‘spolicy/preference on electronic devices during clinical rotations. Students are not toreceive personal calls or overhead pages while in the clinical area.2.9 TECHNOLOGICAL REQUIREMENTSBasic computer literacy skills are a requirement for program entry. Each student will need an NMSUemail and internet access. All nursing courses have web supplements. Program notices will be sent viathe NMSU email and/or posted on Canvas. It is the student‘s responsibility to check both sites on a dailybasis. Computer labs are available for currently enrolled students on all DACC campuses. Internetaccess and several software programs including Microsoft Word are available. Check with each lab forhours of availability. Support for students utilizing Canvas, including how to log in and navigate withinCanvas, is available through the Learning Technology Center.Minimum Requirements: Access to a computer with the following minimum requirements:Operating System: Windows XP or newer recommendedHard Drive Space: 10 GB or more available (for nursing course files)Monitor: Capable of 1024 x 768 full-color resolution or betterDVD Drive: 4X or faster (Rewritable drive recommended)Ports: At least 1 USB port availablePortable Storage: USB jump/thumb/flash drive at least 512 K or largerInternet Connection: High speed internet access is highly recommendedE-Mail: Ability to send/receive e-mail from official NMSU e-mail addressSoftware:o Microsoft Word 2007 (or newer)12 | P a g e

DACC Nursing Program Student Handbook 2012-2013o Microsoft PowerPoint 2007 (or newer - free download of PowerPoint Vieweravailable)o Internet Explorer 7.0 (or newer - free download)o Adobe Acrobat Reader Version 8 (or newer - free download)o Java with Flash Player (free download)o Anti-Virus software (strongly recommended)Printer: laser or inkjet recommendedDocument scanner: May use one from a lab, but will need to bring a portable storagedevice2.10 WRITTEN WORKAny student caught violating the written work policies shall be subject to the consequences ofacademic dishonesty policy (2.1 Academic Integrity).2.10.1 General Concerns: All written work is expected to demonstrate professionalism. Allpapers, unless specifically designated, are to be written using the current edition of theAmerican Psychological Association (APA) professional writing format guidelines. Studentsare responsible for knowing the due dates and late work may receive a penalty as specified inthe course syllabus. These dates may be found in the course syllabus or the tentative courseschedule. Exceptions to these guidelines shall be specifically noted in course syllabi. Allreferenced materials must be within a maximum period of five years from the date ofpublication.2.10.2 Cheating: Cheating is intentionally using or attempting to use unauthorized materials,information, study aids, or electronic devices in any academic exercise. This includes, but isnot limited to:i. Copying from another student‘s paper or submitting another person‘s work.ii. Allowing papers, tests or other assignments to be copied by other students.iii. Knowingly using, buying, selling, offering, transporting, communicatingelectronically or soliciting any of the contents of a test.iv. Collaborating with another student on any assignment without permission of theinstructor on online quizzes.v. Taking a test for another student or permitting someone else to take a test for thenursing student.vi. Intentional misrepresentation of facts or incidents relating to any event surroundingthe course or the program.2.10.3 Plagiarism: Plagiarism is the representation of the work of others as the student‘s own,including the use of papers or other work of the course written or done by others. Thisincludes, but is not limited to:i. The use of another's words, facts, ideas, or information without acknowledgment ofthe source. The degree of documentation may differ but all papers require13 | P a g e

DACC Nursing Program Student Handbook 2012-2013ii.iii.iv.documentation for source material. References shall be explicitly and clearly notedboth as references and within the paper/presentation.Parts of the work are taken from another source without reference to the originalauthor.The whole work/paper is copied from another source.Submission and/or presentation of work in one course which has also been submittedin another course (although it may be completely original with that student) withoutthe knowledge of or prior arrangement with the instructor involved. This rule alsoapplies to work that a student may have submitted at another college, university or ata high school.2.11 STUDENT SERVICESPlease see the DACC Catalog for additional information on the following: Financial Aid; Withdrawingor Change in Class Schedule; NMSU Services Available; Other Services, as listed.2.12 HEALTH CARE INSURANCE AND COSTHealth insurance is not a program requirement, but highly recommended, as medical costs are theresponsibility of the student. A student may become ill, injured or exposed to infectious orcommunicable diseases while engaged in clinical or laboratory practice activities. An associated illness,injury or exposure to disease may require, but may not be limited to: counseling, prophylacticintervention, diagnostic procedures and/or follow-up treatment. Doña Ana Community College, theNursing Program and affiliated clinical agencies will not be liable for health care costs associatedwith the student’s illness or injury resulting from clinical or laboratory practice.Student Health Insurance: All students may purchase a health insurance policy to supplement theStudent Health Center service, if they have already paid the health fee. Students may purchasedependent coverage under this commercial insurance company policy; however, dependents of studentsare not eligible to use the Student Health Center. This Doña Ana Community College insurance must bepurchased by the last date set for late registration at the DACC Cashiers Office, room DAMA-118, or atthe NMSU Business Office.Clinical Sites and Insurance: Certain clinical facilities used for clinical rotations may require anyoneentering the facility to have personal health insurance coverage. The Nursing Program will informstudents of which facilities require health insurance. In the event the student participates in a clinicalrotation requiring health insurance coverage, current proof of coverage is required to be provided to theprogram and shall be kept in the student‘s file. In the event the student is assigned to a clinical facilityrequiring health insurance, the student will be required to purchase health insurance.2.13 SMOKINGSmoking of tobacco products is prohibited in all buildings owned or leased by the University as well aswithin 25 feet of building entrances and exits, vehicles, and during some organized outdoor events onUniversity property. For more information on DACC‘s Smoking Policy, please reference DACC’sStudent Handbook (inside the DACC Catalog). Smoking is prohibited in or at:14 | P a g e

DACC Nursing Program Student Handbook 2012-2013i. All enclosed buildings and facilities including classrooms, offices, food service venues,lavatories, and most residence halls (in accordance with Housing and Residential Lifepolicies).ii. Within 25 feet of building entrances and exits (when reasonable) and fresh air intake grillsunless there is a specially designated smoking area.iii. Partially or fully enclosed walkways, corridors, elevatorsiv. Vehicles owned, leased or rented by the Universityv. Within 50 feet of any area where flammable materials are handled or stored, or where othersignificant fire hazards may exist.vi.vii.Indoor athletic or other University-sponsored or designated eventsNo-smoking signs or the international no-smoking symbol will be posted at major entrancesof all University buildings, except for those campus residences where smoking is permitted.2.14 EMERGENCY EVACUATION PLANThe Emergency Evacuation Plan for Health and Public Services Building and the Nursing Program isavailable and posted in DAHL, Room 190 (updated May, 2011). Please take time to review emergencyinformation. NMSU Emergency Phone Numbers, weather, and other information can be found athttp://www.nmsu.edu/safety/emergency.htm.NURSING PROGRAM POLICIES AND PROCEDURES3.1 STANDARDS OF NURSING CAREThe student shall engage in competent nursing care. The student is held to the same legal standardsof competent practice as outlined in the New Mexico Nursing Practice Act (NMNPA), the AmericanNurses Association (ANA) Standards of Practice and the ANA Code of Ethics. The Programbelieves the student shall perform within the realm of safe practice during the extent of their nursingeducation. The realm of safe practice is necessary to protect the health and welfare of the clientscared for by the student.New Mexico Nurse Practice Act: The student is responsible to know the laws governing nursingpractice in New Mexico. Infractions of the laws lead to disciplinary actions by the New MexicoBoard of Nursing. When practicing as a student or licensed nurse in a state other than New Mexico,the student and/or nurse is responsible to know the laws governing nursing practice in that state.Student Unsafe Practice or Behavior, and/or Incompetent Nursing Practice: The student shallbe aware of safe, competent nursing practice and comply with the policies of the Nursing Program aswell as practice nursing in accordance to the course/clinical objectives, requirements and studentscope of practice. Nursing course syllabi direct the student in meeting specific course objectives andpractice skills for safe practice. A student shall be responsible for demonstrating safe and competentnursing care under the direction of the nursing instructor and/or supervising nurse (preceptor). Thenursing instructor is responsible for determining the student‘s application of safe and competentnursing care. Noncompliance with the established policies, procedures, course objectives, clinicalobjectives, faculty instruction, supervising nurse direction or standard of practice; as well as, the15 | P a g e

DACC Nursing Program Student Handbook 2012-2013student scope of practice, may constitute an unsafe act or behavior on the part of the student. Anunsafe act and/or a display of unsafe behavior are defined as: a threat or potential threat to thephysical, emotional, mental or environmental safety of another person. A student committing anunsafe act or behavior, and/or engaging in incompetent nursing care shall be held accountable fortheir actions and disciplined according policy guidelines.3.2 CODE OF ETHICSThe ANA Code of Ethics is the standard of professional behavior that students and faculty in the DACCNursing Program shall adhere to:Code of Ethics for Nurses - American Nurses’ Association 23.3 CONDUCT1. The nurse, in all professional relationships, practices with compassion and respect for theinherent dignity, worth and uniqueness of every individual, unrestricted by considerations ofsocial or economic status, personal attributes, or the nature of health problems.2. The nurse‘s primary commitment is to the client, whether an individual, family, group, orcommunity.3. The nurse promotes, advocates for, and strives to protect the health, safety, and rights of theclient.4. The nurse is responsible and accountable for individual nursing practice and determines theappropriate delegation of tasks consistent with the nurse‘s obligation to provide optimum clientcare.5. The nurse owes the same duties to self as to others, including the responsibility to preserveintegrity and safety, to maintain competence, and to continue personal and professional growth.6. The nurse participates in establishing, maintaining, and improving healthcare environmentsand conditions of employment conducive to the provision of quality health care and consistentwith the values of the profession through individual and collective action.7. The nurse participates in the advancement of the profession through contributions to practice,education, administration, and knowledge development.8. The nurse collaborates with other health professionals and the public in promoting community,national, and international efforts to meet health needs.9. The profession of nursing, as represented by associations and their members, is responsible forarticulating nursing values, for maintaining the integrity of the profession and its practice, andfor shaping social policy.The faculty and staff of the Doña Ana Community College Nursing Program consider professionalbehavior an essential standard for the student. The student is accountable to adhere to and uphold thestandards of nursing practice and shall demonstrate professionalism in the classroom, the nursing skillslab and the clinical practice site. The student shall be aware of unprofessional conduct and not engage inor associate with an act of unprofessional conduct. The student found to be engaging in unprofessionalconduct shall be held accountable. There are disciplinary consequences of unprofessional conduct; refer2 American Nurses Association, Code of Ethics for Nurses with Interpretive Statements, 2001.16 | P a g e

DACC Nursing Program Student Handbook 2012-2013to applicable policies in the DACC Nursing Program Student Handbook and the DACC StudentHandbook.3.3.1 Didactic: The nursing course instructor is responsible for evaluating all student conduct andbehavior. Disruptive student behavior is detrimental to the academic community because itinterferes with the learning process for other students, inhibits the ability of instructors to teachmost effectively, diverts university energy and resources away from the educational mission, andmay indicate a significant level of personal problems or distress on the part of the disrupter.Disruptive behavior is defined as repeated, continuous, and/or multiple student behaviors thathinder the ability of instructors to teach and students to learn. A nursing student engaging indisruptive behavior and/or an act of misconduct can be immediately dismissed from the class andcan potentially jeopardize the student‘s standing in the program.Common types of disruptive classroom behavior include, but are not limited to: Grandstanding (Use the classroom for themselves by monopolizing class discussion,speaking; protractedly and bombastically on favorite subjects with no regard to relevancyto the discussion.) Sleeping in Class (While passively disruptive, it sends a message to the other studentsabout the quality of the class or teaching. It is disrespectful to the instructor and the otherstudents.) Prolonged Chattering (Small cliques of 2-3 students who engage in privateconversations or pass notes to each other.) Inattentive to Scheduled Course Times (Students who not only come in late, but makean entrance speaking to friends, walking in front of the professor, arranging theirbelongings; Leaving class early.) Excessive Noise (Electronic devices going off in class; Use of cell phones during theclass; Creating excessive noise with papers, book bags, etc.) Disputing the Instructor’s Authority or Expertise (Students may be disappointed orfrustrated over a grade and may debunk or devalue the instructor‘s judgment, authority,and expertise. This may take the form of comments in the class or memos to the programdirector or division dean; Constant questions or interruptions which interfere with theinstructor's presentation; Failing to respect the rights of other students to express theirviewpoints.) Verbal or Physical Threats to Students or Faculty (Some verbal threats are veiledwhile others are more explicit. A threatening student may approach the instructor orfellow students menacingly, or actually shove the individual, or worse, physically assaultthem.) Overt inattentiveness (This can include sleeping, reading the paper, using laptops fornon-class-related activities; Sleeping in class; Inordinate or inappropriate demands fortime and attention.)3.3.2 Clinical: The student shall be held accountable for professional conduct and legalstandards of competent practice, as applicable under the NMNPA, and shall engage incompetent nursing care. Occurrences of unprofessional conduct shall be identified by thesupervising nurse and/or nursing instructor. Please refer to NM Nurse Practice Act (NMNPA,17 | P a g e

DACC Nursing Program Student Handbook 2012-2013http://www.bon.state.nm.us/pdf/Statues.pdf) as it applies to conduct for licensed nurses in NewMexico.3.4 SOCIAL MEDIASocial Media includes public websites such as Facebook, YouTube, My Space, LinkedIn, Twitter andmany others. New social networking websites allowing/encouraging online collaboration and/orcommentary are being added each day. This policy covers all existing and future social networkingmedia. Students should also use the ANA’s Principles for Social Networking as an underlying guide.When You Engage In Social Media As A DACC Nursing Program Student: You must consider thatthese sites will be viewed by others. These individuals could be future employers, former patients,faculty, members of regulatory agencies or members of the media. Any communication placed on thesesites is considered public and may be used in legal proceedings. While student‘s have the opportunity tostay connected and discuss the things we care about. ―Online content and behavior has the potential toenhance or undermine not only the individual student‘s career, but the nursing profession (ANA, 2011).‖If you participate in social media, these are the guiding principles of the Nursing Program:• When you engage in comments or discussions about the Nursing Program, use the Canvas site orother official sites (e.g., Nursing Program Facebook account). To avoid potential issues, do notengage in comments or discussions about the Nursing Program on other websites.• Stick to your area of expertise and provide unique, individual perspectives on what‘s going on atthe Nursing Program and in the world.• Post meaningful, respectful comments—in other words, no spam and no remarks that are offtopicor offensive.• Always pause and think before posting – is this something you would say in person or to amixed audience? That said, reply to comments in a timely manner, when a response isappropriate.• Privacy is of utmost concern. Do not share anything that can identify a clinical patient orotherwise constitutes disclosure of personal information of any of the Nursing Program‘s faculty,staff, or students. Alert the Nursing Program Director if you see information posted by others,including faculty, staff, or students themselves, that is confidential. It is up to the ProgramDirector or DACC media department to make public announcements or disclosures related tointernal decisions, processes or program status. Some information that is shared with students isconfidential or must be reported utilizing specific processes. Remember that information youshare, reflects on you as a student within this program and as a future employee.• When disagreeing with others‘ opinions, keep it appropriate and polite.• Know and follow the Nursing Program‘s Conduct Policy (3.3) and HIPAA Privacy and SecurityRules. Do not post pictures or images of program faculty, staff, or students without writtenauthorization. Never post pictures of patients or their families. Think about your professionalimage before posting pictures of yourself in your uniform on any social media site. These areasmay be viewed by future or current employers.Rules of EngagementYour Responsibility: What you write is ultimately your responsibility. Participation in socialmedia networking on behalf of the Nursing Program is not a right but an opportunity, so please18 | P a g e

DACC Nursing Program Student Handbook 2012-20133.5 ADMISSIONtreat it seriously and with respect. Failure to abide by these policies and the HIPAA Privacy andSecurity Rules could put your standing in the Nursing Program at risk. Please also follow theterms and conditions for any third-party sites.Be a Leader: There can be a fine line between healthy debate and incendiary reaction. Do notdenigrate faculty, staff or other students of the Nursing Program and do not engage with otherswho have done so. Nor do you need to respond to every criticism or barb. Try to frame what youwrite to invite differing points of view without inflaming others. Some topics—like politics orreligion—slide more easily into sensitive territory. So be careful and considerate. Once thewords are out there, you can‘t really get them back. And once an inflammatory discussion getsgoing, it‘s hard to stop.Did You Make a Mistake?: If you make a mistake, admit it. Be upfront and be quick with yourcorrection. If you‘re posting to a blog, you may choose to modify an earlier post—just make itclear that you have done so.If it Gives You Pause, Pause: If you‘re about to publish something that makes you even theslightest bit uncomfortable, don‘t shrug it off and hit ‗send.‘ Take a minutes to review theseguidelines and try to figure out what‘s bothering you, then fix it. If you‘re still unsure, you mightwant to discuss it with the Nursing Program Director. Ultimately, what you publish is yours—asis the responsibility. So be sure.Students seeking admission to the Nursing Program are required to show proof of a 2.75 or greater PrerequisiteGPA and successful completion of all Nursing Program pre-requisites. Students must alsosuccessfully pass an admission entrance exam (HESI) prior to being considered for selection. A letter ofintent to the Program is also required. Depending on the track the student is applying through, therecould be additional requirements. Please check with the Nursing Program for a list of all requirements.When space availability is a concern at any given level, seat selection will be based on the followingpriorities after all other requirements for admission are met:1. Students who have progressed within the curriculum plan.2. Current student requesting to repeat the course.3. Previous student applying for readmission.4. Transfer or Advance Placement student applying for admission.3.6 TRANSFER/ADVANCE PLACEMENTIt is the intent of the Nursing Program for a student with previous nursing school course work (includingclinical experience) to be placed in the program at the level as near to the level of the previousexperience as possible. The transferring student will submit an application with as many documents asavailable to assist in making a determination of placement in the program. These might include writtenexaminations, skills performance at an acceptable level, and any other evaluations the committeedetermines. These documents will include, but not be limited to, official transcripts of all course work,syllabi of previous nursing courses, skills checklists, and instructor evaluations. DACC requirements forthe granting of certificates or associate degrees will apply in all cases. Please refer to DACC’s Catalogfor admission requirements for the college.19 | P a g e

DACC Nursing Program Student Handbook 2012-20133.6.1 Advance Placement, Unlicensed: If a student has prior nursing coursework, even a priorfailure and/or a failing withdrawal(s) in another Nursing Program, and applies to the DACCNursing Program at any level, the student shall petition for Advance Placement-Unlicensedadmission. Please check with the Nursing Program for a list of all requirements andtransferability of previous nursing coursework.3.6.2 Advance Placement, Licensed: If a student has obtained his or her LPN certificate, eitherfrom DACC or another institution, the student shall petition for admission according to theprocess for students applying as Advance Placement - Licensed. Applications are due by posteddeadlines with the following: Complete Advance Placement – LPN to RN application; Letter ofIntent; successfully pass the PN-ADN Mobility HESI Exam; Complete an interview withAdmission, Progression, and Graduation Committee; Equivalency of Transfer on NursingProgram Courses (if applicable).3.7 PROGRESSION/RETENTIONThe Nursing Program curriculum options include a specific sequence of nursing courses. Each of thesequential didactic/clinical nursing courses can accommodate only a certain number of students.Therefore, students who enter a curriculum plan during a given semester are assured of a place in thatclass as it progresses through the curriculum. Please refer to DACC’s Catalog for admission andreadmission requirements for the college.Courses and levels in the Nursing Program are sequential and shall be completed in the designatedorder. All nursing courses required in a specific level shall be completed with a grade of ―C‖ or better inorder to progress to the next level of nursing. Each level shall be completed before starting the nextlevel. Traditionally admitted students shall be enrolled in courses in only one level at a time and shallnot enroll in courses for more than one level. Advance Placement student‘s coursework will be reviewedon a case by case basis to determine potential for cross level enrollment in nursing courses.3.7.1 Advisement: Each student shall be assigned a nursing faculty advisor at the beginning of thesemester. It is the student's responsibility to make appointments with the faculty advisor atappropriate times for advising and for other concerns and problems. The student is required tomeet with his or her advisor at mid-term and at the end of each semester for academiccounseling and evaluation. The student desiring a conference with his or her advisor may makean appointment during office hours.3.7.2 Grading: Please note that students in the nursing program are held to requirements that maydiffer or be higher than those of other programs at DACC. Students in the Nursing Program areevaluated based on successful achievement of both didactic and clinical competencies. Nursingcourses shall be graded with letter grades. A grade of 77% or better shall be maintainedthroughout each course and is required to progress to the next nursing course and/or level.Grades shall not be rounded up nor rounded down. Grades shall be calculated according to thepercentages identified in each course syllabus, with the majority of the course total gradecoming from the exam average. The following scale shall be used to determine the final coursegrade:A = 100% - 90%20 | P a g e

DACC Nursing Program Student Handbook 2012-2013B = 89% - 80%C = 79% - 77%D = 76% - 70%F = 69% or Below3.7.2.1 Exam Averages: Failure to maintain a 77% average beginning with the first twotests shall result in a Student Improvement Plan. Failure to achieve a 77% examaverage at course completion shall result in failure of the course. Scores from othercourse assignments will be calculated into the final course grade ONLY after a 77%or higher exam average is attained. Students are accountable for all material listed onthe course syllabus, regardless of whether the material is covered in class or not.Exams scores shall not be rounded up or rounded down. No extra credit shall beapplied to exam scores.3.7.3 In Good/Not Good Standing: The student must remain "in good standing" academically,maintaining a cumulative grade point average (GPA) in accordance with scholastic standingpolicies outlined in the current DACC Catalog. Any nursing student who is placed on academicprobation by DACC must petition the Admission, Progression, and Graduation (APG)Committee for permission to continue to enroll in nursing courses while improving the GPA.i. In Good Standing is defined as the student successfully maintaining a ―C‖ or betterin all courses at the time of withdrawal and not on academic or clinical probation.ii.Not in Good Standing is defined as the student not maintaining a ―C‖ or better in allcourses at the time of withdrawal and/or on academic and/or clinical probation.3.7.4 Incompletes: Any student enrolled in nursing courses that receives an incomplete grade and isunable to complete the requirements for removal of the incomplete prior to the beginning of thesubsequent semester will not be allowed to automatically continue in the program. Depending onthe student‘s previous academic history in the nursing program, the student will need to refer tothe Readmission and/or Request to Repeat a Course policy in an attempt to continue in theprogram.3.7.5 Request to Repeat a Nursing Course: Any student who fails a singular nursing courseshall submit a Program Continuance Form (Appendix G) to the APG Committee requesting torepeat the course. The required documents are due by the required posted semester dates. If thestudent does not submit a Program Continuance Form within the time frame allowed, he/she willbe withdrawn from the program and will have to apply for readmission.3.8 COMPLETIONA comprehensive nursing exam evaluating students‘ mastery of relevant core nursing content will beadministered toward the end of the semester in the Nursing Program. For students seeking a LPN, thiswill occur in NURS 224 with the PN HESI Exit Exam. For those seeking their ADN, this will occur inNURS 236 with the RN HESI Exit Exam. Results will provide information regarding students‘ readinessto take the NCLEX-PN or NCLEX-RN licensure exam. Students shall score at a level of 850 or higher,21 | P a g e

DACC Nursing Program Student Handbook 2012-2013as determined by the standardized testing instrument. Students who score below the requiredminimum level on this exam are required to meet with the Nursing Program Director to create areview plan before attempting to take the exam a second time. A onetime retest followingcompletion of the review plan is allowed. If the student does not meet the minimum competency on thesecond exam, the student will not be eligible to graduate. Please refer to the Readmission and/or Requestto Repeat a Course Policies.3.9 WITHDRAWALIf the student decides independently to withdraw from an entire level, it is the responsibility of thestudent to initiate the withdrawal process. Students cannot withdraw from a singular nursing course.{NOTE: Students cannot withdraw from the level due to failing grades.} Students who do not formallywithdraw may receive failing grades, and may be liable for all tuition and fees. Please check DACCCourse Schedule for last day to withdraw from the course or from DACC/NMSU. Please check theDACC Catalog for more information on how to withdraw from a course and/or the college. Studentswithdrawing from the Program, for academic or personal reasons, are required to meet with theProgram Director before exiting to discuss their future standing with the program. Readmission isnot guaranteed, the student will have to reapply for admission and is not eligible for readmission ifthe absence exceeds one semester.3.10 ADMINISTRATIVE DISENROLLMENTA student may be administratively disenrolled from the nursing program; prohibited from all or anyportion of the program classrooms, prohibited from attending clinical or registered student organizationactivities when the nursing program director or designee finds that there is clear and convincingevidence that:1. The student‘s continued presence poses a significant risk of substantial harm to the health orsafety of themselves, others, or the property; or2. The student, as a direct result of an apparent health condition, is engaged in substantial,continuing disruption of teaching, learning, ability to complete clinical rotation requirementsor the change in status creates a situation where the student no longer has clinical clearance.The nursing program director or designee may also consult with any other persons whom thevice president of student services or designee deems appropriate under the circumstances; or3. Failure to meet minimum competency on the dosage and calculation or skills preclinicalcompetency exams by the second attempt; or4. Failure to provide current copies of clinical clearance documentation requirements on orbefore the established deadline for submission.A student who is administratively disenrolled will have the opportunity to re-enroll in the nursingprogram the semester immediately following disenrollment and his/her seat will be held. Should thestudent decline the opportunity to continue in the immediate semester, the student would have to reapplyto the program at a later date. Absence may not exceed one semester beyond the semester ofwithdrawal. Readmission to the program is not guaranteed.3.11 DISMISSAL22 | P a g e

DACC Nursing Program Student Handbook 2012-2013Any of the following or a combination of the following, shall constitute grounds for dismissal from theDACC Nursing Program without the opportunity to reapply:1. Upon the failing of a second course in the nursing program, the student will bedismissed from the program.2. Violations of the Academic Regulations governing "Academic Standing" in the DACCCatalog.3. Failure to remain ―In Good Standing‖ academically (Policy 3.6.3)4. A breach in Confidentiality or HIPAA (Policy 3.16)5. Failure to provide or maintain required clinical clearance documentation by the designateddate6. Repeated violations of the handbook policies7. Violation of any of the General Concerns (Policy 2.8.1) of Academic or BehavioralMisconduct8. Refusal to have a urine screen and/or blood test when requested9. Performance in the clinical area which may jeopardize the client's physical or psychologicalsafety.10. Failure to report changes in background status11. Violations of the ANA/NSNA Code of Ethics12. If a student is No Call No Show (NCNS) for a clinical assignment3.12 GRADUATIONStudents shall successfully complete all courses listed on the degree plan in the DACC Catalog. A gradeof ―C‖ (77%) or better is required for all nursing courses. It is the responsibility of the student to file anapplication for graduation with the DACC Admissions and Records Office the semester of graduation.The application can be accessed through the student‘s myNMSU account. Please refer to the DACCstudent handbook for information regarding the commencement ceremony.3.13 CAPPING AND PINNING CEREMONYThe Capping and Pinning Ceremony is a long standing tradition for professional nursing. It markscompletion of the formal nursing education as well as readiness to enter into professional practice. Theceremony is optional, however, participation is highly encouraged. Students choosing not to participatemust notify the faculty advisor for the capping and pinning ceremony at the beginning of their fourthsemester to avoid incurring costs associated with the ceremony. The graduating class chooses theuniform colors and style with the cost of the uniform being the sole responsibility of the student.Graduating students are responsible for all the costs associated with the capping and pinning ceremony.All program courses and requirements for the ADN shall be successfully completed prior toparticipation in the ceremony. The ceremony shall be planned in conjunction with the Nursing ProgramDirector and capping and pinning ceremony committee faculty advisor. It is held at the end of the falland spring semesters.3.14 REMEDIATION AFTER GRADUATION23 | P a g e

DACC Nursing Program Student Handbook 2012-2013Students who have graduated from the ADN program who are unable to successfully pass their NCLEX-RN or NCLEX-PN exam(s) will need to refer to the state Board of Nursing‘s recommendedrequirements for attempting the exam again. A formal remediation program is currently not in place forgraduates of the program. Students are encouraged to keep in contact with the program regardingremediation after graduation.3.15 READMISSIONThe Program acknowledges some students may not be able to complete the curriculum plan in foursemesters. The process for readmission is listed below. There is no guarantee reapplying shall resultin readmission to the program.Readmission Process: Please see a nursing program advisor for a readmission packet. The packet shallinclude the following: Readmission application; Letter of Intent; HESI Exam Scores; Prerequisite GPA;Interview with the APG Committee; Clinical clearance documents.3.16 LICENSURECompletion of the Nursing Program does not guarantee that the student shall pass the licensureexamination or meet the requirements of the New Mexico (or any other) State Board of Nursing. It isthe student‘s responsibility to obtain application materials, apply and pay for all items necessary toobtain licensure.3.17 CONFIDENTIALITY AND HIPPAAll those in healthcare must now comply with the federal regulations of The AdministrationSimplification Subtitle of the Health Insurance Portability & Accountability Act of 1996 (HIPAA).It is a serious breach of confidentiality to discuss client information outside of the appropriateclinical/educational setting (e.g. clinical conferences, classroom work environment). Discussions relatedto client information may not include the client‘s name or initials. Clinical paperwork may contain theclient‘s initials but must be maintained in a secure setting at all times. Students may not photocopy orprint out any portion of a client record from the electronic health record for use outside of the clinicalsite. Failure to maintain confidentiality may result in dismissal from the program and/or failurein a nursing course. Students may not photocopy/duplicate any patient/client record from any clinicalagency utilized by DACC.It is also a serious breach of confidentiality to discuss fellow nursing student‘s information. This isincludes, but is not limited to: grades, level progression, and/or competency. Failure to maintainconfidentiality may result in disciplinary action, failure in a nursing course, and/or dismissal from theprogram. Concerns related to academic dishonesty, health status, competency or other related itemsshould be handled privately with the appropriate faculty member or the program director.3.18 STUDENT REPRESENTATIVESStudent representatives to the Nursing Program afford students the opportunity to participate in theestablishment and revision Nursing Program policies. The representative shall serve as a liaison between24 | P a g e

DACC Nursing Program Student Handbook 2012-2013the students in their cohort and the Program. Representatives serving on a committee must be in goodacademic standing. Student representation is available for the following:1. Admission, Progression, and Graduation (APG) Committee: This committee isresponsible for defining policies regarding admission, graduation, and progression within theNursing Program. Student representatives from each level will be chosen by their peers.Students will be notified by the committee of nomination and selection for representation.2. Curriculum Committee: This committee is responsible for reviewing, updating, andapproving Program curriculum. Student representatives will be chosen by the committee andshall consist of one Level IV student. Students will be notified by the committee of selectionfor representation.3. Nursing Faculty Meetings: This Nursing Program committee addressed programacademic standards, students‘ rights and responsibilities, and general concerns regarding theProgram. Each Level shall choose a representative and an alternate representative at semesterorientation.Students chosen to participate and who accept the responsibility to serve must attend a minimum of 80%of scheduled meetings. Responsibilities include: bringing forth general student concerns related toagenda items, communicating program decisions and responses to students, attending meetings,supporting program decisions and actions even when in disagreement, maintaining professional attitudesand behaviors while participating in meetings, maintaining an unbiased approach to presentation ofinformation both to and from students, avoiding behaviors that are disruptive to the program andmaintaining professional attitudes and behaviors in interactions with students or the public. Failure tomeet these obligations may result in removal from the position of representative at the discretion of theprogram director.3.19 STUDENT NURSES ASSOCIATIONAll students are strongly encouraged to become members of a professional organization. The StudentNurses Association (SNA) provides students with the opportunity to participate in local, state andnational activities that influence the future of nursing practice.The benefits of membership in the local SNA include enhancement of the student‘s skills, professionalnetworking and leadership ability through community health projects. Additionally, the student sharesmembership in an organization composed exclusively of nursing students experiencing similar activitiesand challenges.3.20 PRECLINICAL COMPETENCY EXAMSStudents are expected to meet minimum competency to safely enter a clinical facility. The dosage andcalculation exam, as well as a skills competency exam, are administered prior to the first day of clinicalwhenever possible. Students must successfully complete the dosage exam before attending clinical and mustsuccessfully complete skills competencies prior to performing these skills in the clinical setting. Examplesof dosage calculations and appropriate skills are posted on the Nursing Program Canvas Site.25 | P a g e

DACC Nursing Program Student Handbook 2012-20133.20.1 Dosage and Calculation: The student is expected to perform common dosage calculationsnecessary for safe medication administration. An integrated medication knowledge and dosagecalculations exam will be given at the beginning of each semester for Level I and Level IIstudents.The level of minimum competency on these exams will be progressive:Level One = minimum pass rate is 96%Level Two = minimum pass rate is 96%If the minimum competency has not been attained on the first exam, the student shall retake asimilar exam on a date determined by the program. It is the student’s responsibility to reviewand prepare for the exam(s). The program is not responsible for providing reviewmaterials, remediation or tutoring. If a student does not pass the dosage and calculationexam on the second attempt, please refer to the Administrative Disenrollment Policy, 3.7.3.20.2 Skills: Students entering Level I are required to demonstrate three to four nursing assistantlevel skills with competency. If unable to demonstrate an acceptable level of proficiency inperformance of the skills after the first attempt, students shall be required to completeadditional practice in the nursing skills laboratory and will be given a second opportunity tosuccessfully complete the skill(s) on a date scheduled by the program. It is the student’sresponsibility to schedule practice time with an instructor in the skills lab and to utilizeresources to assist with an effective review plan. If a student does not pass the skillscompetency exam on the second attempt, please refer to the Administrative DisenrollmentPolicy, 3.7.Students in Levels II, III, and IV are responsible for maintaining competencies appropriate totheir level and shall be subject to skills spot checks to determine minimum competencies.Students unable to demonstrate an acceptable level of proficiency in performing skills in theclinical setting shall be required to complete additional practice in the nursing skillslaboratory. Failure to complete required skills practice sessions within the required timeframe may result in dismissal from the Program, please refer to the AdministrativeDisenrollment Policy, 3.7. It is the student’s responsibility to utilize resources to assist withan effective review plan.3.21 STUDENT PRACTICE STANDARDSTechnical standards and essential functions outline reasonable expectations of a student in the NursingProgram for the performance of common nursing functions. The Nursing student must be able to applythe knowledge and skills necessary to function in a variety of classroom, lab and/or clinical situationswhile providing the essential competencies of the Nursing Program. Minimum abilities are listed in theStudent Practice Standards, See Appendix H.3.22 STUDENTS WITH HEALTH RESTRICTIONS26 | P a g e

DACC Nursing Program Student Handbook 2012-2013ADA Guidelines apply to all qualified disabled persons. A qualified disabled person is a person with adisability who, with or without reasonable modifications to rules, policies, or practices, the removal ofarchitectural, communication or transportation barriers, or the provision of auxiliary aids and services,meets the essential eligibility requirements for the receipt of services, or the participation in programs oractivities provided by a public entity and who can perform the "essential functions" of the position. Anystudent who, because of a disabling condition, may require some special arrangements in order to meetcourse requirements should contact the Program Director as soon as possible to make necessaryaccommodations. Students should be prepared to present a disability verification form from theirphysician.Students with any condition that might limit ability to perform ―essential functions‖ should obtain aphysician‘s notice that outlines specific restrictions. Students who have, or think they may have, acondition hindering their ability to perform any activity safely (either at risk to the client or to self) areencouraged, for academic reasons, to discuss this on a confidential basis with the Nursing ProgramDirector, the clinical instructor, and/or the American's With Disabilities Act Coordinator at DACC.3.23 TESTINGThe following guidelines and procedures for testing shall be followed in each course.3.23.1 Scheduled Tests: Tests are the property of the DACC Nursing Department. Copyingwill result in dismissal from the Nursing Program. Students who arrive later than 15minutes after the designated exam time shall not be allowed to take the exam. Once time isup, all computers will be turned off and final grades recorded.3.23.2 Individual Test Review: A student may review his/her exam with the instructor. Thetime period to request review of a test is two weeks from the date test results are returned. Ifthe student wishes to review the test with the instructor, an appointment shall be scheduledduring designated office hours for the instructor.3.23.3 Make-Up Tests: Make-up tests will ONLY be given to students who have a validmedical excuse. Non-final make up tests must be taken within five business days from theoriginal exam. A final exam make up must be taken by the last day before final gradesare due.3.24 STUDENT IMPROVEMENT PLANDefinition: A Student Improvement Plan (SIP) is a written agreement in which the student and facultymember identify one or more areas in skills, knowledge and/or behavior requiring improvement andactions/behaviors required to correct these areas. The purpose of a Student Improvement Plan is toprovide the student with a specific plan for correcting a performance deficiency which may affect thestudent‘s ability to be successful in the Nursing Program. Failure to meet the requirements of an SIPmay result in failure of the course or dismissal from the Nursing Program. A Student ImprovementPlan may be used in nursing didactic class, lab or clinical. (See Appendix I)CLINICAL POLICIES AND PROCEDURE27 | P a g e

DACC Nursing Program Student Handbook 2012-20134.1 CLINICAL SITE ASSIGNMENTSStudents are responsible for knowing and abiding by the policies and procedures for each clinicalagency/facility. Orientation requirements for each clinical agency/facility vary. Failure to meet clinicalagency/facility requirements prior to the first day of the clinical may result in the withdrawal from thesemester or dismissal from the program.Student clinical site assignments are provided prior to the beginning of the clinical experience. Pleasenote the report time for the particular assignment. Clinical group assignments may be changed toaccommodate faculty, clinical facilities, and the needs of the Program. Students are responsible formonitoring their course schedules for changes.4.2 CLINICAL AND SIMULATION LAB ATTENDANCE/PREPARATION4.2.1 Attendance/Absences: Attendance is mandatory. Any absence from a clinical assignmentcompromises the student‘s ability to meet clinical and course objectives. Students who arrivefive (5) or more minutes after the scheduled start time of the clinical may be directed to leave theclinical site. If the student must be absent due to extenuating circumstances (i.e., illness orinjury), the student shall:2. Personally notify the assigned clinical instructor via phone prior to the start of the clinicalday;3. Personally email the course lead instructor using the NMSU email/Canvas systemNOTE: Failure to follow the designated notification process shall result in a No Call, NoShow (NCNS) clinical absence which may lead to dismissal from the program.4.2.2 Missed Clinical Hours: Missed clinical hours must be made up. Only 1 clinical make updue to student absence will be allowed each semester per course. Students who miss morethan one clinical shift may fail the course, receive an incomplete, not be allowed to progress tothe next level, or be dismissed from the program. All clinical make-up days shall be scheduledaccording to the availability of a clinical instructor; this may mean a different day of the week,time frame or location. The make-up of any missed clinical hours shall be coordinated throughthe course lead instructor. Failure to make up required clinical hours may result in a failure ofthe course, receipt of an incomplete, inability to progress to the next level or dismissal from theprogram. All issues with missing clinical hours will be reviewed on a case-by-case basis fordetermination of consequences.4.2.3 Preparation: To ensure client safety, the student shall be fully prepared to provide directclient care. If the clinical instructor deems the student‘s lack of preparation would compromiseclient safety, the student shall be sent home and incur an absence. Continued lack of preparationfor clinical experiences can result in failure of the clinical portion of the course or dismissal fromthe nursing program. Examples of inadequate preparation include but are not limited to: notbringing appropriate assessment tools to the clinical site (e.g. pen light, stethoscope, bloodpressure cuff); incomplete pre-clinical paperwork; inability to respond appropriately to aninstructors clinical questions regarding the assigned client; inability to safely perform clinical28 | P a g e

DACC Nursing Program Student Handbook 2012-2013skills; not wearing the prescribed uniform; not wearing the appropriate identification materials(e.g.: program name tag, facility badge).4.3 UNIFORMS/PERSONAL APPEARANCEThe DACC Nursing Program uniform shall be worn for all clinical, community, and simulationexperiences. All students are expected to follow the rules of good hygiene, grooming, appropriate andmodest dress at all class and clinical experiences. The nursing faculty may dismiss the student from aclinical or simulation lab setting for an infraction of the uniform policy. In addition, clinical facilitiesmay have policies regarding dress, piercing, tattooing, and jewelry that are different from programpolicies and must be followed. The Student Clinical Dress Policies and Regulations include, but arenot limited to:4.3.1 Uniform Regulationsi. The student uniform shall be worn while going to and from the clinical area, andwhen participating in education related activities where the student representing thenursing profession or the college, and when participating in simulation activities.ii. The student uniform may not be worn to any event or site not related to the DACCNursing Program coursework.iii. Uniform (top and/or bottom) shall be sized appropriately; tight-fitting, baggy orbody-hugging type uniforms are not acceptable.iv. Uniform shall be wrinkle-free and in good repair.v. Uniform tops or shirts shall have sleeves; shall not be sleeveless.vi. Sunglasses, visors and/or hats/caps may not be worn in the clinical area.When visiting a clinical agency at times other than assigned clinical hours (i.e. to verifyassignments), the white lab coat and name pin are to be worn over appropriate business attire.Shoes must cover the entire foot for safety purposes. Do not wear denim, skirts that are abovethe knee, heels exceeding 1 inch, tee shirts, tube tops, shorts, low cut tops, Capri pants or tanktops when visiting a clinical agency for program business. The clinical agency has the right toask you to leave if your clothing is deemed inappropriate by the facility standards. Students maybe denied access to patient records by the clinical facility and/or access to patient careareas if inappropriately attired.4.3.2 Official Program Student Uniformi. DACC Student Name Badge and clinical site badges must be worn on the left sideand be visible at all times.ii. White or Galaxy Blue scrub top with DACC program patch on the right sleeve 2 1/2inches down from the shoulder seam and centered.iii. Top should not be see-through and undergarments shall not be visible through theuniform. A white, short or long sleeved tee shirt may be worn under the uniform top.iv. White lab coat with a collar with DACC insignia patch sewn neatly on the rightsleeve, 2 1/2 inches down from the shoulder seam and centered.29 | P a g e

DACC Nursing Program Student Handbook 2012-2013v. ―Galaxy Blue‖ scrubs pantsvi. Shoes shall be all white, closed-toe and have white laces. No boots, sandals,crocs, or high-heeled shoes are allowed. Shoes shall be kept clean, white, and ingood repair for all clinical experiences.4.3.3 Badges/Name TagsAgency Badges: Agency badges are distributed per agency policy. Failure to return badges mayresult in a grade reduction and/or delay in release of grades. Consult the Nursing ProgramSecretary regarding when and how to turn in and obtain badges.Student Name Tags: The tag shall be visible and no part shall be obscured. The initial tag willbe supplied by the Program and replacements will be at cost to the student. Please see theNursing Program Secretary for replacements.4.3.4 Required Supplies: The student shall arrive to the clinical site prepared for practice with thefollowing supplies:1. Bandage scissors with protected tips2. Good quality stethoscope3. Two BLUE ball point pens with non-erasable ink4. One BLACK sharpie5. Small notebook or scratch pad6. Penlight7. Watch with a second hand8. Two (2) hemostats9. Manual regular adult size blood pressure cuff10. Small calculator11. Drug Reference Book that is less than one year old4.3.5 Personal Appearance: The student shall be clean and practice good personal hygiene.Cleanliness of body, teeth, fingernails, hair, uniform and shoes are required. The followingcriteria apply to each student:1. Strong scents and chewing gum are not appropriate in the clinical setting.2. Fingernails shall be neatly groomed and visibly clean. Artificial nails of any typeare not allowed. No fingernail polish is allowed. Fingernails shall not extendbeyond the tip of the finger (less than ¼‖).3. Hair shall be clean, natural colors, must be pulled back at or above the line of thecollar.4. A beard, mustache, and/or sideburns shall be neat, trimmed and well groomed.5. Jewelry should be in good taste and on the conservative side.6. NO facial jewelry is permitted.7. Earrings may not extend past the earlobe. For safety purposes, necklaces, hoop,open disc, spike and dangle earrings may not be worn in any clinical area.Number of earrings in each ear is limited to two.8. One plain band style ring may be worn.30 | P a g e

DACC Nursing Program Student Handbook 2012-20139. Tattoos, hickeys, and body art shall be covered in the clinical setting.4.4 CLINICAL EXPERIENCESIt is the student‘s responsibility to seek out opportunities to practice skills and learn concepts in clinicalsettings. The student shall receive clinical assignments and learning objectives prior to beginning eachclinical experience.4.4.1 Evaluation: An instructor or preceptor shall always be present, in the clinical setting, whencare is provided. Clinical practice shall be evaluated weekly at mid-term and at the end of thesemester. Areas of concern shall be addressed at midterm and the end of the semester. Strategiesfor improvement shall be identified to assist the student in meeting clinical objectives.If a student is unable to perform skills appropriately during clinical, a remediation slip shall begiven to the student by the instructor. The student shall present the slip to the skills lab instructorfor practice as directed. Upon satisfactory performance of the skill, the student will return to theremedial slip signed by the skills lab instructor to the clinical instructor.If at any point in the clinical experience, a student fails to achieve a passing score in any area ofthe evaluation tool or fails to demonstrate satisfactory progression for current course level, aStudent Improvement Plan (SIP) shall be initiated. An overall score of 77% or above is requiredto ―Pass‖ the clinical component of the course. An overall score of 77% or less shall result in a―Fail‖ of the clinical component and, thus, a failing grade for the entire course.4.5 CLINICAL INCIDENTSWhen the student or an employee of a clinical institution discovers a student error/incident (i.e.,medication error, needle stick injury), it is the student‘s responsibility to report it immediately to theclinical faculty. Faculty shall assist the student with the completion and filing of the appropriateoccurrence report for the specific clinical institution and the DACC Nursing Clinical Incident ReportForm (See Appendix J).The clinical instructor shall create a written Student Improvement Plan (SIP) for any clinical incident(s)and/or occurrence(s). The student is required to meet with the clinical instructor to discuss theoccurrence(s) and determine the stipulations of corrective action applicable to the incident. The studentshall abide by the stated corrective actions. If a student has received an assignment and/or correctiveaction by the clinical instructor and does not complete the assignment/corrective action prior to the lastday of the course, the student shall receive a failing grade for the course.4.5.1 Student Error: An SIP shall accompany the Clinical Incident to identify the type andclassification of the student error. The SIP shall identify the specifics of the error, theconsequences of the student error, and a specified date for corrective action to be taken by thestudent. Other disciplinary action may be imposed on the student as a result of the incident. TheClinical Incident Report and the associated SIP shall become a part of the student record andshall be considered in the assessment of the student's clinical performance.31 | P a g e

DACC Nursing Program Student Handbook 2012-2013After the incident report has been filed, the clinical faculty has the option of dismissing thestudent from the assignment or reassigning the student.Disciplinary Action Associated with a Student Error: Continued issues with medication,safety, or failure to meet the terms of the SIP may result in:1. Withdrawal of medication administration privileges for a specified time, to bedetermined by the clinical faculty member.2. Dismissal from the clinical practice area.3. Assigning a grade of ―F‖ for the nursing course, regardless of the theory grade.4. Dismissal from the program.5. If a student is placed on probation due to a medication error, a StudentImprovement Plan identifying the probationary requirements shall be determinedby the faculty and influenced by the nature, severity, and pattern of occurrence(s).4.5.2 Needle Stick Injury: If a student receives a needle stick injury in the Nursing SkillsLaboratory or a clinical site, a DACC Nursing Program Clinical Incident Report shall becompleted within 24 hours of the needle stick injury. The report shall be completed by thestudent and clinical/lab faculty and reported to the Nursing Program Director who will forward acopy to the Dean of Health & Public Services.If the needle stick injury occurs at a clinical agency/facility, some clinical institutions mayrequire the student to have HIV and Hepatitis B blood tests following a needle stick incident.The student will be responsible for the costs of the laboratory tests and treatment. DACCassumes no responsibility for costs incurred as a result of any student error or incident. Thestudent shall follow the current Center for Disease Control (CDC) recommendations for needlestick injury and/or contact their health care provider for further information.4.5.3 Accident, Injury or Illness: Any accident, injury, or illness occurring during nursingeducation activities shall be reported immediately to the Nursing Program Director or a nursingfaculty member. Doña Ana Community College or any associated clinical practice site is notresponsible for expenses related to accidents/injuries/illnesses occurring during clinical, class,or laboratory experiences. Any student that has an: accident; injury; illness; develops a physicalor emotional problem; and/or takes medication(s) that could alter decision making, that couldinterfere with the safety to practice nursing has the responsibility to notify all appropriate nursingfaculty so appropriate measures can be taken to protect the public, student and college. Anystudent presenting with a physical or emotional health issue, that does not respond to treatmentand/or counseling within a set reasonable time period can be withdrawn from the program. Anystudent who demonstrates behavior which conflicts with the safety that is essential to the practiceof nursing shall be dismissed immediately from the designated activity, class, clinical, or lab.The student shall receive a written and verbal counseling by the involved nursing faculty andshall meet with the Nursing Program Director for further evaluation of the behavior to determinethe student‘s status in the Nursing Program.4.6 NURSING LABS32 | P a g e

DACC Nursing Program Student Handbook 2012-2013The nursing skills/simulation lab has many available resources for student learning, including:mannequins, models, assessment equipment, supplies for practicing basic nursing procedures,instructional videos and a computer lab with medical-surgical simulation software, computer assistedinstructional software and internet access. Open lab times shall be designated each semester by theNursing Program Director and posted outside the skills lab door as well as in DAHL 293 and DAHL294. The lab shall remain locked when unoccupied. Students may only use the lab when a Programfaculty member is present. The College is not responsible for damage to or loss of personal property inany building or on the grounds of the college; therefore, do not leave valuables in the lab.Safety Rules: The following rules need to be followed at all times:1. No food or drinks may be taken into the Nursing Labs, DAMA 109 or DAHL 282.2. Student misconduct may subject a student to disciplinary action; there shall be no loud ordisruptive behavior in the lab area.3. No unauthorized visitor in the lab (family members of any age, friends who are not currentlyenrolled in the Nursing Program, and any other person not staff or faculty of DACC).4. Wash hands before and after procedures.5. Sharps and potential sharp items (glass, scalpels, blades, syringes, needles, and vials) shall bedisposed of in an approved puncture resistant container (sharps containers). Avoid use ofcontainers that are more than 3/4 full. Do not recap a used needle; dispose in a sharps container.6. A student receiving a needle stick or other injury in the lab shall complete a DACC StudentIncident Report, available in the Nursing Office. DACC is not responsible for incurred costrelated to an incident.7. Standard precautions shall be followed during all procedures that hold a risk of contact withbody fluids.8. Each student is responsible for keeping the practice area clean and equipment put away after useof the lab. This includes: disposal of sharps and trash, replace equipment to appropriate storagelocation, return the bed area to a clean working environment (i.e. bed in lowest position, call bellsecured to side rail, over-bed table at the end of the bed, and bed linens clean and neat).4.7 STUDENT SCOPE OF PRACTICE IN ALL CLINICAL FACILITIESStudents shall notify the clinical instructor prior to performing procedures or treatments in the clinicalarea. No student shall perform a skill in clinical that they have not performed in the skills lab andreceived a passing grade on a skills performance exam. The first time a student performs a skill in theclinical setting it must be under the direct supervision of the clinical instructor. Once the clinicalinstructor has verified the student‘s competency, the instructor may allow the student to perform the skillindependently.33 | P a g e

DACC Nursing Program Student Handbook 2012-2013All procedures or treatments performed must be within a nursing scope of practice. Administration ofblood and blood products is reserved for students at Level IV who have successfully passed the bloodadministration skills performance exam. Blood and blood products may only be administered under thedirect supervision of the preceptor.Students may only perform nursing skills or interventions for which they have receivedinstruction and demonstrated basic competency in the skills/simulation lab.4.8 TRANSPORTATION1. Students are to provide their own transportation to and from all clinical sites.2. Students may not transport patients/clients at any time.3. Clinical sites will vary and will not always be in Las Cruces.4. Clinical times vary and may include days, evenings, nights, holidays or weekends.4.9 UNSAFE CLINICAL PRACTICE DETERMINATIONUnsafe clinical behavior includes, but is not limited to, the following:1. Violates or threatens the physical safety of the patient. (i.e., medication errors, neglects use ofside rails, restraints; comes unprepared to clinical.)2. Violates or threatens the psychological safety of the patient. (i.e., uses non-therapeutictechniques repeatedly in interactions; attacks/derogates individual's beliefs or values.)3. Violates or threatens the microbiological safety of the patient. (i.e., unrecognized violation ofaseptic technique; failure to perform sterile preps or dressings appropriately.)4. Violates or threatens the chemical safety of the patient. (i.e., violates the "6 Rights inAdministering Medications"; fails to monitor IV infusions safely (count drops, know micromacrodrip ratio).5. Violates or threatens the thermal safety of the patient. (i.e., burns patient with hot packs, heatinglamp, etc.; fails to observe safety precautions during O2 therapy.)6. Violates or threatens the environmental safety of the patient. (i.e., fails to leave patient's room inorder; fails to remove harmful objects from room when appropriate (including personalmedications.)7. Inadequately and/or inaccurately utilizes the nursing process. (i.e., fails to observe and/or reportcritical data relating to patients/clients/families; makes repeated faulty judgments/decisions innursing situations.)8. Violates previously mastered principles/learning/objectives in carrying out nursing care skillsand/or delegated medical functions. (i.e., fails to seek guidance or instructions in theperformance of unfamiliar procedures.)9. Assumes inappropriate independence in action or decisions. (i.e., performs competencies nottested; fails to seek help in emergency situations.)10. Fails to recognize own limitations, incompetence, and/or legal responsibilities. (i.e., refuses toadmit errors noted by the instructor/nursing staff; cannot identify own legal responsibilities tospecific nursing situation; becomes defensive when corrected.)11. Fails to accept legal responsibility for his/her own actions. (i.e., covers own/other‘s errors or failsto report them; shares confidential information inappropriately)34 | P a g e

DACC Nursing Program Student Handbook 2012-201312. Fails to interact effectively with health team. (i.e., attitude adversely affects the patient; fails torecall/share necessary information with team; personality conflicts interfere with the efficientfunctioning of the unity/team.)4.10 WORKING PRIOR TO CLINICALStudents shall not work within eight hours prior to a clinical assignment. If it is determined that thestudent has failed to comply with this policy, the clinical instructor shall dismiss the student from theclinical assignment and they shall incur a clinical absence.4.11 BLOOD BORNE PATHOGENS – UNIVERSAL PRECAUTIONSBlood borne pathogen means pathogenic microorganisms that are present in human blood and cancause disease in humans. In the practice of nursing, a student is at risk for an occupational exposure. Thestudent shall come in contact with and be exposed to blood, body fluids, contaminated articles and otherpotentially infectious materials. It is the student‘s responsibility to be aware of safety precautions andutilize safe practice techniques. The following descriptions refer to contamination, exposure andpotential infected materials: Contaminated: Presence or the reasonably anticipated presence of blood or other potentiallyinfectious materials on an item or surface. Contaminated Laundry: Laundry which has been soiled with blood or other potentiallyinfectious materials or may contain sharps. Contaminated Sharps: Any contaminated object that can penetrate the skin including, but notlimited to, needles, scalpels, broken glass, broken capillary tubes, and exposed ends of dentalwires. Occupational Exposure: Reasonably anticipated skin, eye, mucous membrane, or parenteralcontact with blood or other potentially infectious materials that may result from the performanceof any duties. Parenteral: Piercing mucous membranes or the skin barrier through such events as needle sticks,human bites, cuts, and abrasions. Potentially Infectious Materials: (1) The following human body fluids: semen, vaginalsecretions, cerebrospinal fluid, synovial fluid, pleural fluid, pericardial fluid, peritoneal fluid,amniotic fluid, saliva in dental procedures, any body fluid that is visibly contaminated withblood, and all body fluids in situations where it is difficult or impossible to differentiate betweenbody fluids; (2) Any unfixed tissue or organ (other than intact skin) from a human (living ordead); and (3) HIV-containing cell or tissue cultures, organ cultures, and HIV- or HBVcontainingculture medium or other solutions; and blood, organs, or other tissues fromexperimental animals infected with HIV or HBV.Exposure Incident: A specific eye, mouth, other mucous membrane, non-intact skin, or parenteralcontact with blood or other potentially infectious materials that results from the performance of duties.Standard precautions is the concept that all human blood and certain human body fluids are treated asif known to be infectious for HIV, HBV (hepatitis B virus) and other blood borne pathogens. Standardprecautions shall be observed to prevent contact with blood and other potentially infectious materials.35 | P a g e

DACC Nursing Program Student Handbook 2012-2013Personal Protective Equipment is specialized clothing or equipment worn for protection against ahazard. General work clothes (e.g., uniforms, pants, shirts or blouses) not intended to function asprotection against a hazard is not considered to be personal protective equipment. Appropriate personalprotective equipment such as, but not limited to, gloves, gowns, laboratory coats, face shields or masksand eye protection, and mouthpieces, resuscitation bags, pocket masks, or other ventilation devices.Personal protective equipment shall be considered "appropriate" only if it does not permit blood or otherpotentially infectious materials to pass through to or reach the student‘s work clothes, street clothes,undergarments, skin, eyes, mouth, or other mucous membranes under normal conditions of use and forthe duration of time which the protective equipment shall be used. When personal protective equipmentis removed it shall be placed in an appropriately designated area or container for storage, washing,decontamination or disposal. (Reference OSHA web site at: http://www.oshaslc.gov/SLTC/bloodbornepathogens/index.html).4.12 CLINICAL CLEARANCE DOCUMENTATIONREQUIREMENTSEach clinical agency/facility has specific requirements for students before they are allowed to use theirfacility. Students are required to provide required documentation by designated dates. Failure to do somay result in dismissal from the program or failure of the course. There is no guarantee that thestudent will be allowed to make up these hours. Should a student fail to keep their documentationcurrent, the Nursing Program Director may place a hold on the student‘s registration and/oradministratively disenroll the student from the semester. For a copy of the Nursing ProgramImmunization sheet, See Appendix K.The student is financially responsible for all expenses related to clinical documentation andclearance. Additionally, it is the student’s responsibility to maintain copies of current clearancedocumentation in the secretary’s office of the Nursing Program. All students in the Nursing Programare required to submit the following documentation prior to admission and ensure they are kept currentannually:• Annual tuberculin test and symptoms assessment form• Measles/Mumps/Rubella (MMR) and Varicella titers within the past 10 years• Hepatitis B vaccine series within the past 10 years• Current American Heart Association Basic Life Support Cardiopulmonary Resuscitation(CPR) card• Drug screen4.13.1 TB Test Report: Annually, each student shall present a copy of his/her negative TB skintest (PPD) results for his or her health file. If a TB skin test is positive, negative chest x-raysresults that are less than 10 years old and an annual symptoms assessment must be provided(See Appendix L).A student with a newly positive TB skin test shall present evidence of a negative chest x-raywithin the past 12 months; adhere to the follow-up/therapeutic regime of his/her health care36 | P a g e

DACC Nursing Program Student Handbook 2012-2013provider; and/or submit written documentation of adherence to and prescribed followup/therapeuticregime from his/her health care provider to the Nursing Program Office.4.13.2 Measles/Mumps/Rubella (MMR) and Varicella: The student shall provideevidence of one of the following:Documentation of two doses of MMR and two doses of Varicella vaccine orReactive titers for each4.13.3 Hepatitis B Vaccine Series: The student shall provide documentation for completing aseries of three doses of Hep B (HBV) immunization unless contraindicated upon a healthcare provider‘s advice according to the following schedule: a) first dose, at elected date; b)second dose, one month later; c) third dose, six months after the first dose. Writtenverification of Hep B vaccination contraindication shall be submitted to the Nursing ProgramOffice.4.13.4 Influenza Vaccine: The student shall provide documentation for completing an annualdose of the influenza vaccine unless contraindicated upon a health care provider‘s advice.Written verification of the influenza vaccine contraindication or a conscientious objectionform must be on file in the Nursing Program Office. Faculty/students who do not receive theflu vaccine annually must comply with facility requirements for protective equipment duringthe designated flu season (mask).4.13.5 CPR: The student shall provide documentation of a current CPR certification and maintaina copy on file with the Nursing Program. A current American Heart Association (AHA) BLSCPR certification is required from a course endorsed by the American Heart Association.4.13.6 Drug Screen: Please note that clinical agencies and the Doña Ana Community CollegeNursing Program reserve the right to require drug testing at any time. Pending return of thedrug screening results, students will not be permitted to attend clinical(s). Further, if astudent-caused delay in testing occurs, the clinical time missed by the student will beconsidered ―unexcused‖. In the event of a “positive” test, the student may appeal thefindings as outlined by the procedures for the specific health agency. A student with asubstantiated “positive” drug test will be referred to the APG Committee fordismissal/progression determination. A “failed” test may prevent the student fromcompleting the academic requirements for entrance, continuation, or graduation in thenursing program.4.13.7 Criminal Background Check: The State of New Mexico requires a New MexicoDepartment of Health criminal background check be performed on all students requestingenrollment in nursing courses with a clinical laboratory component. Non-compliance with thecriminal background check shall be cause for dismissal from the nursing program. Astudent‘s eligibility for clinical practice and successful completion of a course (nursing orhealth care related) shall depend upon clearance of the criminal background check. If thecriminal history screening results in a ‗disqualifying conviction‘ the student shall be deniedaccess to affiliated clinical agencies based on the written affiliate agreement between DonaAna Community College and the clinical agency/facility.37 | P a g e

DACC Nursing Program Student Handbook 2012-20134.14 CHANGE OF HEALTH STATUSIf a student experiences an injury or illness while enrolled in the Nursing Program, the student shallsubmit a release signed by a healthcare provider (Appendix M). The release shall state the student cancontinue to meet the requirements of the Nursing Program 'without restrictions'. Examples ofconditions/incidents that would require a medical release are, in the case of, but not limited to thefollowing: trauma necessitating medical care, surgery, pre-existing health condition, exacerbation of apre-existing condition and/or a new diagnosis of a chronic health condition. If a medical release 'withoutrestrictions' is not received, the student shall not be allowed to participate in clinical or lab (skills). Themissed clinical/lab shall be considered an absence.4.15 COMMUNICABLE DISEASEStudents with a documented infectious disease may care for clients when cleared by their physician, therelevant health care facility has been notified in writing, and has accepted the student. A physician'sclearance shall be on file. Students cannot work in client care areas if they may be able to transmitdisease to clients or coworkers.4.16 CONFLICT OF INTERESTThe Nursing Program is committed to maintaining the highest standards of ethics and integrity in all ofits academic and clinical operations. Both individual students of the program and faculty members of theprogram have a vital need to recognize and deal with conflicts of interest and/or commitment. Suchconflicts may compromise or have the appearance of compromising the integrity of program-relatedactivities and have unforeseen effects on those activities.Therefore, Conflicts of Interest and Commitment must be reported by all students under the followingcircumstances:When the student will be assigned to an area of a clinical facility in which a family member orperson of direct personal influence is employedWhen the student will be assigned to an area of a clinical facility where they are currentlyemployed or have been released from prior employmentWhen the only clinical section available is with a clinical instructor who is a family member orperson of direct personal influenceWhen a conflict arises that has not been reported38 | P a g e

DACC Nursing Program Student Handbook 2012-2013APPENDIX - ACore Values (CV) of the DACC Nursing ProgramCaring (CV1): Caring is the vehicle through which nurses interact with individual clients and familiesto give help through implementation of effective nursing interventions and to find meaning in theirpersonal experiences. Caring allows the nurse to help patients cope and involves personal concern forpersons, events, projects and things. (Benner & Wrubel, 1989)Nursing Practice (CV2): "Practice of nursing" means assisting individuals, families or communities inmaintaining or attaining optimal health, assessing and implementing a plan of care to accomplishdefined goals and evaluating responses to care and treatment. Practice is based on specializedknowledge, judgment and nursing skills acquired through educational preparation in nursing and in thebiological, physical, social and behavioral sciences. This includes, but is not limited to:1. Initiating and maintaining comfort measures;2. Promoting and supporting optimal human functions and responses;3. Establishing an environment conducive to well-being or to the support of a dignified death;4. Collaborating on the health care regimen;5. Administering medications and performing treatments prescribed by a person authorized inthis state or in any other state in the United States to prescribe them;6. Recording and reporting nursing observations, assessments, interventions and responses tohealth care;7. Providing counseling and health teaching;8. Delegating and supervising nursing interventions that may be performed safely by others andare not in conflict with the Nursing Practice Act; and9. Maintaining accountability for safe and effective nursing care (State of NM BON, 2003)Health and Wellness (CV3): Health is a state that can be assessed and the experience of completephysical, mental and social well-being. It is not merely the absence of disease and illness. Illness is theexperience of a loss or dysfunction caused by the disease that can be assessed at the physical level.(Benner & Wrubel, 1989)Holism (CV4): ―The human person is a combination of unique and complex attributes, values andbehaviors, influenced by the individual‘s environment, social norms, cultural values, physicalcharacteristics, experiences, religious beliefs and practices, and moral and ethical constructs.‖ (NLN,2010)Nursing Education (CV5): Nursing education and teaching strategies are centered on adult learningtheory. The strategies used incorporate the principles of life-long learning, analysis of experience, andthe need for self-direction (Knowles, 1978). Concepts of learning are derived from Benner‘s novice toexpert model (Benner, 2001). Assessment of learning includes the principles of Bloom‘s taxonomy(Bloom, 1956). Through these processes, the graduate will demonstrate advanced beginner competencein the roles of provider, educator, advocate, collaborator and leader. Six core essential components of39 | P a g e

DACC Nursing Program Student Handbook 2012-2013preparation are the framework for the DACC Practical Nursing Certificate and Associate DegreeNursing Programs (IOM, 2003).Integrity (CV6): Respecting the dignity and moral wholeness of every person without conditions orlimitations (NLN, 2007)Patient Centeredness (CV7): Recognizing the patient or their designee has control of decision makingrelated to care and is a full partner in the provision of compassionate and coordinated care based onrespect for the patient‘s preferences, values, and needs (Cronenwett, et. al., 2007).The following six (6) core components of nursing education are integrated throughout the program:Patient-centered CareTeamwork and CollaborationEvidence-based PracticeQuality Improvement (QI)SafetyInformatics40 | P a g e

Patient Centered CareDACC Nursing Program Student Handbook 2012-2013APPENDIX – BContent Leveled Program OutcomesIntegrate understanding ofmultiple dimensions ofpatient centered care:Level 1 Level 2 Level 3 Level 4Elicit patient values, preferences Respect and encourage individualand expressed needs as part of expression of patient values,clinical interview, implementation preferences and expressed needsof care plan and evaluation of carepatient/family/community preferences,valuescoordination andintegration of careinformation,communication, andeducationphysical comfort andemotional supportinvolvement offamily and friendstransition andcontinuityCommunicate patient values,preferences and expressed needs toother members of health care teamRecognize personally heldattitudes about working withpatients from different ethnic,cultural and social backgroundsSeek learning opportunities withpatients who represent all aspects ofhuman diversityValue seeing health care situations"through patients' eyes"Value the patient's expertise withown health and symptomsWillingly support patient-centeredcare for individuals and groupswhose values differ from ownDescribe how diversecultural, ethnic and socialbackgrounds function assources of patient, family,and community valuesProvide patient-centeredcare with sensitivity andrespect for the diversity of41 | P a g e

DACC Nursing Program Student Handbook 2012-2013human experienceDemonstratecomprehensiveunderstanding of theconcepts of pain andsuffering, includingphysiologic models ofpain and comfort.Initiate effective treatments torelieve pain and suffering in lightof patient values, preferences andexpressed needsRecognize personally held valuesand beliefs about the managementof pain or sufferingRecognize that patient expectationsinfluence outcomes in managementof pain or sufferingAppreciate the role of the nurse inrelief of all types and sources ofpain or sufferingAssess presence andextent of pain andsufferingAssess levels of physicaland emotional comfortElicit expectations ofpatient & family for reliefof pain, discomfort, orsufferingExamine common barriersto active involvement ofpatients in their ownhealth care processesDescribe strategies toempower patients orfamilies in all aspects ofthe health care processAssess level of patient'sdecisional conflict andprovide access toresourcesRemove barriers to presence offamilies and other designatedsurrogates based on patientpreferencesEngage patients or designatedsurrogates in active partnershipsthat promote health, safety andwell-being, and self-caremanagementRespect patient preferences fordegree of active engagement in careprocessRespect patient's right to access topersonal health recordsExamine how the safety, qualityand cost effectiveness of healthcare can be improved through theactive involvement of patients andfamiliesValue active partnership withpatients or designated surrogates inplanning, implementation, andevaluation of care42 | P a g e

Teamwork and CollaborationDACC Nursing Program Student Handbook 2012-2013Explore ethical and legalimplications of patientcenteredcareDescribe the limits andboundaries of therapeuticpatient-centered careDiscuss principles ofeffective communicationDescribe basic principlesof consensus building andconflict resolutionRecognize the boundaries oftherapeutic relationshipsFacilitate informed patient consentfor careAssess own level ofcommunication skill in encounterswith patients and familiesCommunicate care provided andneeded at each transition in careAcknowledge the tension that mayexist between patient rights and theorganizational responsibility forprofessional, ethical careParticipate in building consensus orresolving conflict in the context ofpatient careAppreciate shared decision-makingwith empowered patients andfamilies, even when conflicts occurValue continuous improvement ofown communication and conflictresolution skillsExamine nursing roles inassuring coordination,integration, and continuityof careDemonstrate awareness ofown strengths andlimitations as a teammemberAct with integrity,consistency and respectfor differing viewsDescribe scopes ofpractice and roles ofhealth care team membersDescribe strategies foridentifying and managingoverlaps in team memberDescribe own strengths,limitations, and values infunctioning as a member of a teamInitiate plan for self-developmentas a team memberFunction competently within ownscope of practice as a member ofthe health care teamInitiate requests for help whenappropriate to situationAcknowledge own potential tocontribute to effective teamfunctioningClarify roles and accountabilitiesunder conditions of potentialoverlap in team memberfunctioningAssume role of team member orleader based on the situationAppreciate importance of intra- andinter-professional collaborationValue the perspectives andexpertise of all health teammembersIntegrate the contributions of otherswho play a role in helpingpatient/family achieve health goals43 | P a g e

DACC Nursing Program Student Handbook 2012-2013roles and accountabilitiesRecognize contributionsof other individuals andgroups in helpingpatient/family achievehealth goalsDemonstrate commitmentto team goalsDescribe impact of owncommunication style onothersDiscuss effectivestrategies forcommunicating andresolving conflictCommunicate with team members,adapting own style ofcommunicating to needs of theteam and situationRespect the centrality of thepatient/family as core members ofany health care teamRespect the unique attributes thatmembers bring to a team, includingvariations in professionalorientations and accountabilitiesInitiate actions to resolve conflictSolicit input from other teammembers to improve individual, aswell as team, performanceAnalyze differences incommunication style preferencesamong patients and families, nursesand other members of the healthteamValue teamwork and therelationships upon which it is basedValue different styles ofcommunication used by patients,families and health care providersContribute to resolution of conflictand disagreementDescribe examples of theimpact of teamfunctioning on safety andquality of careExplain how authoritygradients influenceteamwork and patientsafetyChoose communication styles thatdiminish the risks associated withauthority gradients among teammembersFollow communication practicesthat minimize risks associated withhandoffs among providers andacross transitions in careAssert own position/perspective indiscussions about patient careAppreciate the risks associated withhandoffs among providers andacross transitions in care44 | P a g e

Evidence Based PracticeDACC Nursing Program Student Handbook 2012-2013Identify members of thehealth care teamDemonstrate knowledgeof basic scientific methodsand processesIdentify system barriers andfacilitators of effective teamfunctioningDescribe EBP to include thecomponents of research evidence,clinical expertise andpatient/family values.Examine strategies for improvingsystems to support teamfunctioningAppreciate strengths andweaknesses of scientific bases forpracticeBase individualized care plan onpatient values, clinical expertiseand evidenceParticipate in designing systemsthat support effective teamworkValue the influence of systemsolutions in achieving effectiveteam functioningParticipate effectively inappropriate data collection andother research activitiesAdhere to Institutional ReviewBoard (IRB) guidelinesValue the need for ethical conductof research and qualityimprovementDescribe reliable sourcesfor locating evidencereports and clinicalpractice guidelinesExplain the role ofevidence in determiningbest clinical practiceLocate evidence reports related toclinical practice topics andguidelinesDescribe how the strength andrelevance of available evidenceinfluences the choice ofinterventions in provision ofpatient-centered careRead original research andevidence reports related to area ofpracticeParticipate in structuring the workenvironment to facilitate integrationof new evidence into standards ofpracticeValue the concept of EBP asintegral to determining best clinicalpracticeDifferentiate clinical opinion fromresearch and evidence summariesAppreciate the importance ofregularly reading relevantprofessional journalsValue the need for continuousimprovement in clinical practicebased on new knowledgeQuestion rationale for routineapproaches to care that result inless-than-desired outcomes oradverse events45 | P a g e

Quality ImprovementDACC Nursing Program Student Handbook 2012-2013Identify nationallyrecognized EBP/clinicalpractice guidelines forvarious areas of nursingpracticeDescribe strategies forlearning about theoutcomes of care in thesetting in which one isengaged in clinicalpracticeRecognize thatnursing/health professionsstudents are part ofsystems of care and careprocesses that affectoutcomes for patients andfamiliesExplain the importance ofvariation andmeasurement in assessingquality of careConsult with clinical expertsbefore deciding to deviate fromevidence-based protocolsSeek information about qualityimprovement projects in the caresettingGive examples of the tensionbetween professional autonomyand system functioningUse quality measures tounderstand performanceAcknowledge own limitations inknowledge and clinical expertisebefore determining when to deviatefrom evidence-based best practicesSeek information about outcomesof care for populations served incare settingsUse tools (such as flow charts,cause-effect diagrams) to makeprocesses of care explicitUse tools (such as control chartsand run charts) that are helpful forunderstanding variation in qualityIdentify gaps between local andbest practiceDiscriminate between valid andinvalid reasons for modifyingevidence-based clinical practicebased on clinical expertise orpatient/family preferencesAppreciate that continuous qualityimprovement is an essential part ofthe daily work of all healthprofessionalsParticipate in a root cause analysisof a sentinel eventValue own and others' contributionsto outcomes of care in local caresettingsAppreciate how unwanted variationaffects careValue measurement and its role ingood patient careDescribe approaches forchanging processes ofcarePractice aligning the aims,measures and changes involved inimproving careUse measures to evaluate the effectof changeDesign a small test of change indaily workAppreciate the value of whatindividuals and teams can do toimprove careValue local change and its role increating joy in work46 | P a g e

SafetyDACC Nursing Program Student Handbook 2012-2013Examine human factorsand basic designprinciples as well ascommonly used unsafepractices (such as, workaroundsand dangerousabbreviations)Delineate generalcategories of errors andhazards in careCommunicateobservations or concernsrelated to hazards anderrors to patients, familiesand the health care teamDemonstrate effective use ofstrategies to reduce risk of harm toself or othersUse organizational error reportingsystems for near miss and errorreportingParticipate appropriately inanalyzing errors and designingsystem improvementsDemonstrate effective use oftechnology and standardizedpractices that support safety andqualityValue own role in preventing errorsValue vigilance and monitoring bypatients, families, and othermembers of the health care teamValue the contributions ofstandardization/reliability to safetyDescribe factors that create aculture of safety (such as, opencommunication strategies andorganizational error reportingsystems)Describe processes used inunderstanding causes of error andallocation of responsibility andaccountabilityEngage in root cause analysis ratherthan blaming when errors or nearmisses occurDiscuss potential andactual impact of nationalpatient safety resources,initiatives and regulationsDescribe the benefits andlimitations of selectedsafety-enhancingtechnologies (such as,barcodes, ComputerProvider Order Entry,medication pumps, andautomatic alerts/alarms)Use national patient safetyresources for own professionaldevelopment and to focus attentionon safety in care settingsDemonstrate effective use oftechnology and standardizedpractices that support safety andqualityAppreciate the cognitive andphysical limits of humanperformanceUse appropriate strategies to reducereliance on memoryValue relationship between nationalsafety campaigns andimplementation in local practicesand practice settingsAppreciate the cognitive andphysical limits of humanperformance47 | P a g e

InformaticsDACC Nursing Program Student Handbook 2012-2013Explain why informationand technology skills areessential for safe patientcareIdentify essentialinformation that must beavailable in a commondatabase to support patientcareDescribe examples of howtechnology andinformation managementare related to the qualityand safety of patient careProtect confidentiality ofprotected healthinformation in electronichealth recordsDemonstrate effective use ofstrategies to reduce risk of harm toself or othersSeek education about howinformation is managed in caresettings before providing careNavigate the electronic healthrecordRespond appropriately to clinicaldecision-making supports andalertsContrast benefits and limitationsof different communicationtechnologies and their impact onsafety and qualityUse information management toolsto monitor outcomes of careprocessesDocument and plan patient care inan electronic health recordUse high quality electronic sourcesof healthcare informationAppreciate the necessity for allhealth professionals to seeklifelong, continuous learning ofinformation technology skillsValue the contributions ofstandardization/reliability to safetyApply technology and informationmanagement tools to support safeprocesses of careValue nurses' involvement indesign, selection, implementation,and evaluation of informationtechnologies to support patient careEmploy communicationtechnologies to coordinate care forpatientsRecognize the time, effort, and skillrequired for computers, databasesand other technologies to becomereliable and effective tools forpatient careValue technologies that supportclinical decision-making, errorprevention, and care coordinationCronenwett, L., Sherwood, G., Barnsteiner J., Disch, J., Johnson, J., Mitchell, P., Sullivan, D., Warren, J. (2007). Quality and safety education fornurses. Nursing Outlook, 55(3)122-131.Institute of Medicine. Health professions education: A bridge to quality. Washington DC: National Academies Press; 2003.48 | P a g e

DACC Nursing Program Student Handbook 2012-2013APPENDIX – C49 | P a g e

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DACC Nursing Program Student Handbook 2012-2013APPENDIX – D51 | P a g e

DACC Nursing Program Student Handbook 2012-201352 | P a g e

DACC Nursing Program Student Handbook 2012-2013Level OneCurriculum ProgressionNURS 134: FOUNDATIONS OF NURSING SKILLSNURS 136: FOUNDATIONS OF PROFESSIONAL NURSINGNURS 148: PHYSICAL HEALTH ASSESSMENTNURS 155: ELECTIVE NURSING COURSE(S)APPENDIX – ELicensed Practical Nurse CertificateCourses and Credit/Clinical HoursCredits3 (1+6P)6 (4+6P)2 (1+3P)1 - 3Clinical ContactHours90Level TwoNURS 130: FOUNDATIONS OF PHARMACOLOGYNURS 147: ADULT HEALTH INURS 149: PSYCHIATRIC/MENTAL HEALTH NURSING36 (4+6P)3 (2+3P)9045Level ThreeNURS 224: MATERNAL CHILD HEALTH NURSING6 (4+6P) 90Created: July 201153 | P a g e

DACC Nursing Program Student Handbook 2012-2013APPENDIX – FLevel OneCurriculum ProgressionNURS 134: FOUNDATIONS OF NURSING SKILLSNURS 136: FOUNDATIONS OF PROFESSIONAL NURSINGNURS 148: PHYSICAL HEALTH ASSESSMENTNURS 155: ELECTIVE NURSING COURSE(S)Associate Degree in NursingCourses and Credit/Clinical HoursCredits3 (1+6P)6 (4+6P)2 (1+3P)1 - 3Clinical ContactHours90Level TwoNURS 130: FOUNDATIONS OF PHARMACOLOGYNURS 147: ADULT HEALTH INURS 149: PSYCHIATRIC/MENTAL HEALTH NURSINGLevel ThreeNURS 224: MATERNAL CHILD HEALTH NURSINGNURS 226: ADULT HEALTH IILevel FourNURS 234: COMMUNITY HEALTH NURSINGNURS 235: NURSING LEADERSHIP AND MANAGEMENTNURS 236: NURSING PRECEPTORSHIPNURS 201: ELECTIVE NURSING COURSE(S)36 (4+6P)3 (2+3P)6 (4+6P)6 (4+6P)126 (2+12P)1 - 390459090180Created: July 201154 | P a g e

DACC Nursing Program Student Handbook 2012-2013APPENDIX – GASSOCIATE DEGREE NURSING PROGRAM CONTINUANCE_________________________________________________________________________________________________________Dona Ana Community College does not discriminate on the basis of race, color, creed, national origin, religion, age, gender, sexual orientation, politicalaffiliation, or physical disability.Please initial one:_____ I wish to continue in the Nursing Program for the ____________(semester) __________ (year) and repeat NURS_________ (course). I understand I am responsible for informing the Nursing Program Office of anychanges to my file including: additional course work, change of address, name, or contact informationetc._____ I do not wish to continue in the Associate Degree Nursing Program at this time and am aware I will have to gothrough the readmission process at a later date.This form must be received by the DACC Nursing Program Department no later than one weekafter final grades are posted.Please return form to:Or Fax:Dona Ana Community CollegeAttn: Associate Degree Nursing ProgramMSC 3DA. P.O. Box 30001Las Cruces, NM 88003-8001(575) 527-7765, Attn: Nursing ProgramOr In Person: Health & Public Services Building, Room 190Printed Name: ______________________________________Banner ID: _______________Signature: _________________________________________Date: ___________________For Official Use OnlyReceived By: _________________________Nursing Staff: ________________________Date Received: ______________Date Received: ______________55 | P a g e

DACC Nursing Program Student Handbook 2012-2013APPENDIX – HNursing Program Student Practice StandardsMinimum abilities expected include but are not limited to:The following technical standards and essential functions outline reasonable expectations of a student in the ADN Program for theperformance of common nursing functions. The ADN student must be able to apply the knowledge and skills necessary to function in avariety of classroom, lab and/or clinical situations while providing the essential competencies of the ADN program.The student must be able to meet the following requirements to apply for admission and continuation in the program:Categories of EssentialFunctions Definition Example of Technical StandardObservationAbility to participate actively in alldemonstrations, laboratory exercise, andclinical experiences in the professionalprogram component and to assess andcomprehend the condition of all clientsassigned to him/her for examination,diagnosis, and treatment. Such observationand information usually requires functional useof visual, auditory, and somatic sensations.Visually discriminating incremental readings onsyringes, sphygmomanometers and othervarious medical equipmentVisually discriminating between differentcolored objectsDiscriminating between auditory stimuliPerform a comprehensive assessment onpatientsCommunicationAbility to communicate effectively in Englishusing verbal, non-verbal and written formatswith faculty, other students, clients, familiesand all members of the healthcare team.Ability to read English and interpret withoutassistance.Patient teachingEnd of shift reportsDocumentation in legal records/ chartsMedication recordsTranscribe doctors orders from chart, interpret,and implementTesting within the ADN program withoutassistance to readCollaborates with members of healthcare teamMotorSufficient motor ability to execute themovement and skills required for safe andeffective care and emergency treatment.Standing for long periods of time (8-10 hrs/day)Lifting up to 50 lbs.Performing one person and two persontransfersTurning, log rolling and ambulating anotherpersonManipulating equipmentPerforming patient care procedures with fingerand manual dexterity (i.e., starting IVs,phlebotomy, dressing changes, catheterization)IntellectualAbility to collect, interpret and integrate Transcribe orders from chart, interpret theorders and intervene56 | P a g e

DACC Nursing Program Student Handbook 2012-2013Categories of EssentialFunctions Definition Example of Technical Standardinformation and make decisions.Ability to read and interpret the Englishlanguage without assistance.Display critical thinking abilities in planningpatient care – analyze data, formulate nursingdiagnosis, and prioritize careBehavioral and SocialAttributesPossess the emotional health andstability required for full utilization ofthe student’s intellectual abilities, theexercise of good judgment, theprompt completion of all academicand patient care responsibilities andthe development of mature, sensitive,and effective relationships with clientsand other members of the health careteam.Possess the ability to tolerate taxingworkloads, function effectively understress, adapt to changingenvironments, display flexibility, andlearn to function in the face ofuncertainties inherent in clinicalsettings with patients.Possess compassion, integrity,concern for others, and motivation.Possess the ability to demonstrateprofessional behaviors and a strongwork ethic.Utilize intellectual abilitiesExercise good judgment and complete taskswithin required time limitsDemonstrate the emotional health required forfull utilization of intellectual abilities andexercise of good judgmentShow integrity, concern for others,interpersonal skills, interest and motivationIn general, successful applicants possess qualities such as:Interest and aptitude for math and scienceA strong motivation to learnWell-developed study skillsGood problem-solving and decision-making skillsAn ability to work with people with diverse backgroundsApplicant SignatureDate57 | P a g e

DACC Nursing Program Student Handbook 2012-2013APPENDIX – IDOÑA ANA COMMUNITY COLLEGE NURSING PROGRAMStudent Improvement Plan FormStudent: _____________________________________ Date ____________________Faculty Member/s:Statement of the Problem:Objectives Required to Meet Standards:Strategies and Time Lines for Meeting Objectives:Consequence(s) of Not Meeting Objectives:_______________________________Student_______________________________Faculty Member_______________________________Faculty Member_______________________________Faculty Member********************************************************************************Review of Progress: ____________ _______________________________DateFaculty Member58 | P a g e

DACC Nursing Program Student Handbook 2012-2013APPENDIX – JDOÑA ANA COMMUNITY COLLEGE NURSING PROGRAMClinical Incident Report FormStudent Error/Needle Stick Injury/Accident, Injury, or Illness(Actual or Potential)Date of Incident: _______________ Time of Incident: ________________________________Location of Incident: ____________________________________________________________Name of Student/Employee: ______________________________________________________Briefly and objectively describe the events of the exposure/incident/ error (actual/potential):Physician notified:Name Orders (if applicable):Describe the evaluation and any treatment following the exposure/incident/error (actual/potential):Follow-up required and person responsible: _________________________Date: __________Incident Report filed at:(Clinical Facility/Institution)Signature of person preparing report: _______________________________ Date: __________Signature of Clinical Faculty (where applicable): ______________________ Date: __________Signature of Clinical/Semester Lead: _______________________________Date: __________Signature of Nursing Program Director: _____________________________ Date: __________Copy to:StudentNursing Program Director/Incident Report FileCreated: July 201159 | P a g e

DACC Nursing Program Student Handbook 2012-2013APPENDIX – KImmunizations and Tests Required by State Law/Clinical FacilitiesName:Date of BirthMeasles (Rubeola): Those born on or after January 1, 1957++, must show proof of either:A. Two doses of measles vaccine on or aftertheir first birthday and at least 30 daysapart OR*See note.Date #1 Date #2(mm/dd/yy)(mm/dd/yy)B. Record of physician-diagnosed measlesOR**See note.Date(mm/dd/yy)C. Serologic test positive for measles antibody**See note.Date(mm/dd/yy)ResultMumps: Those born on or after January 1, 1957++, must show proof of either:A. One dose of mumps vaccine on or aftertheir first birthday ORDate(mm/dd/yy)B. Record of physician-diagnosed mumps OR**See note.Date(mm/dd/yy)C. Serologic test positive for mumps antibody**See note.Date(mm/dd/yy)ResultRubella: ALL students must show proof of either:A. One dose of Rubella vaccine on or aftertheir first birthday ORDate(mm/dd/yy)B. Record of physician-diagnosed Rubella OR**See note.Date(mm/dd/yy)C. Serologic test positive for Rubella antibody**See note.Date(mm/dd/yy)Result60 | P a g e

DACC Nursing Program Student Handbook 2012-2013*Combined MMR Vaccine is vaccine of choice if recipients are likely to be susceptible.**Must be the date of diagnosis or test collection; not when primary care provider signed immunization form.+Vaccines administered after September 1, 1991 shall include the MM/DD/YY each vaccine was given.++ To be exempt from proof of measles and/or mumps, those born before January 1, 1957 must provide copy of photo ID.Hepatitis B must show proof of:A. Three doses of vaccine administered overa period of 4-6 months. Initial vaccinefollowed by 1 and 4-6 months vaccinesrespectively ORDate #1Date #2(mm/dd/yy)(mm/dd/yy)Date #3(mm/dd/yy)B. Serologic test positive for Hepatitis Bantibody **See note.Date(mm/dd/yy)ResultVaricella must show proof of:A. Two doses of Varicella vaccineadministered 4-8 weeks apart ORDate #1 Date #2(mm/dd/yy)(mm/dd/yy)B. Serologic test positive for Varicellaantibody OR**See note.Date(mm/dd/yy)ResultsDiphtheria, Tetanus (Td):One dose within past 10 years at the time ofapplicationDate(mm/dd/yy)Tuberculin Skin TestProof of Tuberculosis Skin Test (PPD skin test or chest x-ray) with a negative reading is required with the submission ofapplication. (Test may not be more than 180 days old on the first day of class.)Date Given:Results:If skin test is positive, provide results of a chest x-ray.Date of chest x-ray; _______________ Results: ________________________________Physician or Approved Licensed Health Professional Information:Printed NameAddressSignature of Primary Care Provider**Date** Validates all information above.61 | P a g e

DACC Nursing Program Student Handbook 2012-2013APPENDIX – LDOÑA ANA COMMUNITY COLLEGE NURSING PROGRAMAnnual TB Health Questionnaire FormAll students/employees with positive TB skin tests must complete and sign this questionnaire annually. Thequestions relate to signs and symptoms of Tuberculosis. Please check "yes" or "no" to each symptom. If youcheck "yes" to any item, in the comment section below, describe the symptom, including when it started.Should you have questions, please contact the Nursing Program Secretary at (575) 527-7735.1. Fatigue2. Loss of Appetite3. Unexplained Weight Loss4. Low Grade Fever5. Coughing Up Blood6. Night SweatsSYMPTOM YES NO7. Cough Lasting More Than Three (3) Weeks8. Cough Combined with Fever, Chills, Sweating, and Weakness(Not Responsive to Treatment)9. Shortness of Breath10. Dull Aching or Tightness in ChestCOMMENTS:___________________Signature___________________Name (Printed or Typed)__________________Date62 | P a g e

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DACC Nursing Program Student Handbook 2012-2013APPENDIX – NDOÑA ANA COMMUNITY COLLEGE NURSING PROGRAMStudent Acknowledgement FormDIRECTIONS: Please click on the box to place an ―x‖ before each statement and sign at bottom of form to indicate you have readand understand the following statements. You can electronically sign and date the form by clicking on the appropriate boxes and clickthe email button to submit it or you may print it out, sign and date it and turn in a hard copy to the nursing office (Note: This form willbecome a part of your nursing program student record.)I understand nursing job opportunities could be limited within the geographical area surrounding Las Cruces, New Mexico at thecompletion of the Nursing Program and relocation to another area may be necessary for employment in nursing.I understand that licensing is required to practice as a Registered Nurse in the United States and that rules and regulations regardingissuance of licenses is governed by individual state boards of nursing.I understand that admission to or graduation from the DACC Nursing Program does not guarantee the graduate will be able to obtain alicense to practice nursing.I understand confidentiality regarding patient medical or personal information is mandatory during the nursing education process. Iagree to maintain patient confidentiality throughout the nursing education process. I will not purposely communicate patientinformation to any unauthorized person.I have read and understand all policies and information contained in the DACC nursing program handbook and the DACC studenthandbook and agree to abide by them.I acknowledge and understand that Doña Ana Community College does not provide insurance coverage for medical care that I mayneed because of my participation in DACC‘s Nursing Program.I further understand that there are certain risks and hazards that may arise in the course of this or related activities. I hereby assumeany and all of the inherent risks and hazards either directly or indirectly related to my participation in this program.I acknowledge that any claims for damages against Doña Ana Community College officers or employees and/or contract facilities,offers or employees for death, personal injury or property damage which may occur as a result of my participation in the abovementionedactivity would be governed by the New Mexico Tort Claims Act which imposes limitations on the recovery of damagesfrom state institutions and their public employees. For more information, please contact the NMSU‘s Central Purchasing office at(575) 646-2916, or visit http://www.nmsu.edu/~purchase/PDF%20Forms/Coverage.pdf.Note: It is the student‘s responsibility to seek clarification on any information he or she does not clearly understand.____________________________________________SignatureClick here to enter a date.DateUpdated: July 201165 | P a g e

DACC Nursing Program Student Handbook 2012-2013APPENDIX – ODOÑA ANA COMMUNITY COLLEGE NURSING PROGRAMRelease of Information FormPublicityI hereby grant permission to the DACC Nursing Program to release my name or picture for publicitypurposes. I understand my picture or name may appear in the newspaper or other materials, such as acollege slide presentation or advertisement.I hereby deny permission to the DACC Nursing Program to release my name or picture for publicitypurposes. I understand my picture or name will not appear in the newspaper or other materials, such as acollege slide presentation.____________________________Signature___________________Date____________________________Print NamePotential EmployersPotential employers often contact the DACC Nursing Program for a list of graduates eligible for nursingemployment opportunities. By law, the college or representatives of the Nursing Program may not givestudent information without prior approval.I hereby grant permission to the DACC Nursing Program to release information about me to employmentrecruiters.I hereby deny permission to the DACC Nursing Program to release information about me to employmentrecruiters.__________________________Signature____________________Date__________________________Print NameUpdated: July 201166 | P a g e