Nursing

Academic / Personal / Student Conduct Concerns Policy

Policy # S - 16

POLICY:

It is expected that students work through the chain-of-command to solve minor issues of an individual nature. Typically, the concerns of individual students about grades or academic performance are expressed and resolved with the faculty person immediately responsible for the course or clinical experience. When issues cannot be resolved by working with the teacher of the course, the Director of the Nursing department or other area coordinator is consulted as the next administrative person available for consultation and decision making. If the issue cannot be resolved at this level the Guidelines on Academic Integrity identify the procedures to be followed to submit a formal grievance to the Academic Dean.

RESOURCE PERSONNEL:

Personal academic problems: (preferably, but not necessarily in this order)

• See instructor of the course
• Contact your academic advisor
• Consult with the Director of the Nursing program

Academic problems that cannot be resolved with the teacher or on the department level:

Concerns or issues about academic integrity that cannot be resolved with the individual teacher or the Director of the Nursing Program can be addressed through the Academic Integrity Grievance Procedure. Contact person: Dr. David Fitz, Interim Campus Dean (x4473)

Personal problems:

Contact the Office of Student Counseling and Student Development center (x4465) or Kim Roser in the Student Health Office for problems of a health nature (x4467).

Problems involving student conduct:

Concerns or issues that involve student conduct should be addressed through the University’s guidelines: Student Code of Conduct and Judicial Procedures process, described in detail in the Student Handbook. Contact person: Mr. Parris Carter, Executive Director for Student Affairs, x4469.

For immediate assistance or problems of a serious nature, contact Campus Police (x4488) or use emergency access phones (yellow phones) throughout campus.

_{MA 10/17/06; FO rev. 6/27/07, 6/1/11,11/18/13, 2/25/15}

Access to Student Records Policy

Policy # FS-5

POLICY:

It is the policy of the Nursing Program at the University of Pittsburgh at Titusville that access to student records is limited to the nursing faculty, designated administrative staff (President of the University, Vice President for Academic Affairs) and designated support staff (secretary of the nursing program, secretary for the vice president for academic affairs.) Access will permitted on a need-to-know basis as determined by the Director of the Nursing Program.

_{Approved: FO 6/25/08: 10/22/08.2/20/11. 2/17/14}

Admission Policy

Policy # S - 8

POLICY:

It is the policy of the University of Pittsburgh at Titusville to be in compliance with the Equal Employment Act, the Pennsylvania Human Relations Act, and all other legislation, all as amended to provide equal opportunity for all applicants to the Nursing Program without regard to race, color, religion, creed, national origin, ancestry, sex, non-job related handicap, or age. All applicants must be able to complete the essential functions of a student nurse with or without reasonable accommodation and must be eligible for employment as a registered nurse following graduation. Act 34 and 151 clearances, and a Federal Criminal History Background Check are required.

It is anticipated that students wishing to enroll in the nursing program may come from a variety of backgrounds and academic preparation. In order to accommodate a wide variety of applicants either the scores from the SAT or the ACT Examination may be submitted - whichever is most current and applicable for the individual student.

Traditional students

Prospective students who have recently graduated from high school will be asked to submit their SAT/ACT scores as the primary admission test criteria. Scores of 1000 or higher are preferable. Students must pass the entrance placement exams in math and English and display readiness for Math 31 and English 101. If available, scores from SAT will be utilized to determine English placement. A score of 450 is needed to place into English 101.

Non-traditional students

Prospective students who do not have recent SAT/ACT scores, recent college transcripts or other evidence of past secondary accomplishments may need to take courses to prepare them for admission, .i.e. Math 29, Math 30 and/or English 100. Entrance placement exams are given in Math and English.

Transfer Students

Students wishing to transfer from within the University of Pittsburgh at Titusville, from within the larger University of Pittsburgh system or another college or university have already met the basic university admission criteria. Their potential for successful academic work has been established. Their QPA will be the primary data used to determine their acceptance for transfer to UPT. QPA scores of 2.75 and above are preferable for admission into the nursing program.

All students seeking admission to the nursing program will be required to submit:

1. A Nursing Program Application form
   This form includes a request for a written essay briefly describing the reasons he/she is selecting nursing as a career and the UPT nursing program as an educational program. Essays are evaluated upon the basis of congruence with the program’s philosophy.
2. Health examination form**
   Prior to enrollment, in compliance with the regulations of the State Board of Nursing, students must satisfactorily complete a physical exam which includes laboratory tests, drug screening and documentation of current immunizations. Any student who cannot perform the essential functions of a student nurse with or without reasonable accommodation cannot be enrolled. The Health Examination form includes documentation of all necessary immunizations including a PPD, varicella and rubella titers, rubeola screen, tetanus booster and Hepatitis series. Students will also be required to obtain an annual influenza vaccine prior to 10/31 each year in order to meet clinical agency requirements.
3. Drug Testing Clearances **
4. Criminal History Clearances
   All applicants must provide recent (defined as within 6 months of date of intended enrollment) criminal history information forms. All forms must be on file prior to enrollment.
   1. Pennsylvania Child Abuse Registry (Act 151)
   2. Pennsylvania State Police Criminal Record Check (Act 34)
   3. Federal Criminal History Background Check (FBI fingerprinting)
5. Proof of CPR training
   All students must have current Cardiopulmonary Resuscitation (CPR) Certification (Basic Life Support for the Health Care Provider - including infant and child). Current Certification must be from the American Heart Association and be maintained throughout the extent of the program.
6. 3 letters of recommendation
   The candidate must submit three recommendation forms completed by someone other than a family member. Suggested references include nurses, employers, professional colleagues, physicians, former teachers, clergy and other respected citizens. Applicants currently or previously enrolled in another nursing program are required to obtain a recommendation from the dean/director of that program. Applicants currently taking prenursing support classes are highly encouraged to obtain a letter of recommendation from an instructor/professor of those classes.

** The State Board of Nursing may refuse, suspend or revoke any license in any case where the Board shall find that the applicant:

• Has been convicted or has pleaded guilty or entered a plea of nolo contendere or has been found guilty by a judge or jury of a felony or a crime of moral turpitude, or has received probation without verdict, disposition in lieu of trial or an Accelerated Rehabilitative Disposition in the disposition of felony charges, in the courts of this Commonwealth, the United States, or any other state, territory or country;
• Has committed fraud or deceit in securing his or her admission to the practice of nursing or to nursing school;
• Is unable to practice professional nursing with reasonable skill and safety to patients by reason of mental or physical illness or condition or physiological or psychological dependence upon alcohol, hallucinogenic or narcotic drugs or other drugs which tend to impair judgment or coordination, so long as such dependence shall continue.

For a complete list of reasons why the State Board may refuse a professional nursing license to an applicant, please see section 14 of the Professional Nursing Law, 63 P.S. 38224. Applicants for the Nursing Program who are associated with any of these issues are highly encouraged to contact the State Board before entering the program to determine if their level of involvement would prohibit their application for licensure upon graduation from the Nursing Program.

Student Selection

Upon receiving a completed application, references and official transcripts, the Nursing Program Admission Selection Committee selects the students for admission who best meet the qualifications and standards of the program.

_{MA: 3/14/05; FO rev. 6/27/07, 1/ /10, 6/1/11, 7/28/11, 2/17/14, 1/8/15}

Attendance Policy

Policy # S - 9

POLICY:

Due to the nature of the clinical and educational requirements of the Nursing Program, punctual attendance is required at all class sessions and clinical experiences. When a student accepts his/her placement in the Nursing Program, he/she is accepting the responsibility of attending class, laboratories and clinical assignments.

PROCEDURE:

• All scheduled time missed by the student will be considered an absence.
• When serious illnesses and unexpected serious life events occur, the teacher may grant excused absences on an individual basis.
• The Nursing faculty determines whether an absence is excused or unexcused.
• Repeated or unexcused absences may be considered reason for termination from the nursing program.
• In the event that a student must miss a lecture, lab, or clinical assignment, the following procedure must be followed:
  • The student must call the instructor prior to the class, lab, or clinical day to report an intended absence. The student must provide a bona fide reason for the absence (i.e. emergencies, severe illness, death in the family). Appointments, and minor illnesses may not be excused.
  • If the student is scheduled for a clinical assignment, the student must follow the protocol as described in the specific course outline for reporting off duty at the clinical site. Failure to follow the procedure for reporting off from a clinical experience will result in a Learning Contract and notation on the clinical performance evaluation. A second failure to follow the procedure for reporting off from a clinical experience may result in termination from the program.
  • Following an absence due to illness or injury, the student must present written clearance from the physician to return to school. See related policy: Health Alterations Requiring Accommodation.
  • Following any absence, it is the responsibility of the student to contact the teacher to discuss the consequences of the absence and the potential options for making up lost work.

Make-Up Procedure for Missed Class or Examination

1. All class absences will be documented on the Teacher’s class roster. All absences from clinical experiences will be documented on the student’s individual clinical evaluation form.
2. Whether an absence is excused or unexcused is at the discretion of the Nursing faculty.
3. Missed classes - The student is responsible for making up the lost work. Students are responsible for all class content presented. Make-up assignments and corresponding grades are at the sole discretion of the teacher.
4. Missed examination - Students are expected to attend an examination on the day and time that it is scheduled. Students who miss an examination due to an excused absence may be given an alternate exam. It is the responsibility of the student to contact the teacher within 24 hours of return to school to arrange a time for a make-up of the missed examination. All examinations must be made up within one week (5 school days) after return to school. Examinations not make up within this time period will be assigned a 0%. Missed examinations due to unexcused absences will be assigned a grade of 0%.
5. Clinical Experience make-up procedure - Good clinical experience sites and clinical teacher coverage are precious resources. Individual contracts with affiliation sites may or may not provide for additional clinical time to be used as “make-up” clinical experiences. Students must understand that missing scheduled clinical experiences may jeopardize their ability to pass the course.
   1. Follow the procedure in the course outline for reporting off from a clinical assignment.
   2. Contact the clinical teacher on the day of return from the absence to discuss a makeup experience.
   3. Clinical and laboratory make-up will be at the discretion of the teacher. A Learning Contract will be written to delineate the specific learning objectives that must be accomplished to pass the course. A Learning Contract becomes a permanent part of the student’s record.
   4. All assigned makeup hours must be completed to pass the course.

Tardiness

The faculty believes that punctuality is a desirable, professional nursing behavior. Tardiness for either class or clinical experience is defined as “the student arriving late or leaving early from the assigned experiences.” Students may be sent off the clinical area if they are tardy and they may consequently risk their ability to pass the clinical objectives. Tardiness will be documented. Students showing patterns of tardiness will receive counseling and a Learning Contract.

_{MA: 12/15/04; FO rev. 6/27/07; 9/12/07 6/1/11. 2/17/14}

Chain of Command / Problem Solving Policy

Policy # S - 14

POLICY:

Students are learning to work in an environment in which it is necessary to follow the leadership of experienced health professionals in order to ensure client safety and to promote health. In order to do this, an established chain of command should be followed that will permit students to resolve problems in either the clinical setting or classroom setting.

PROCEDURE:

1. If a student is having difficulty or has a question that they cannot resolve by utilizing independent critical thinking, then the student needs to contact the classroom instructor if it is a class question or problem; or contact his or her clinical instructor if it is a clinical question. If the problem is not resolved through the classroom or clinical instructor, the student may wish to take the concern to the Director of the Nursing Program.
2. If the clinical question involves a serious client concern or the situation is an emergency, then the student must immediately initiate the following chain of command:
   1. Instructor
   2. Co-Assigned RN
   3. Charge nurse or Unit Director
   4. Nursing Supervisor

_{10/17/06; FO rev. 6/27/07,6/1/11 , 2/17/14}

Clinical Performance Standard For Students Policy

Policy # FS-6

Adaptation of Policy No 305 from the University of Pittsburgh School of Nursing, Oakland campus.

POLICY:

Students whose clinical practice is determined to be dangerous, or potentially dangerous to patients or others will be dismissed from the Nursing Program.

BACKGROUND:

A major aspect of student learning in the Nursing Program occurs in clinical settings with direct student/patient contact. While in clinical courses, students are acquiring knowledge and cognitive and psychomotor skills. In addition, they are developing judgment. Students are expected to perform at the level identified in the curricular level objectives. Safety is a critical component of each clinical course.

Faculty members, the Nursing Program, and the University have a responsibility to patients, the public, and the staff of clinical settings to protect them from unnecessary exposure to dangerous situations. The right of patients and the public to safety is paramount and supersedes students’ learning and skill acquisition needs. The American Nurses’ Association Code for Nurses with Interpretive Statements (2001) requires Provision 8.1 “The profession of nursing is concerned with the promotion of health, welfare, and safety of all people”. (ANA, 2001, p. 23-24). Nursing faculty have this independent obligation as nurses and as faculty members.

Unsatisfactory clinical performance by students is not necessarily dangerous requiring immediate faculty intervention to protect patients or others. Unsafe behavior, however, is always unsatisfactory and requires immediate intervention to protect patients and the public from unnecessary exposure to dangerous, or potentially dangerous, situations. Examples of unsafe behavior include:

1. medication errors (administering or neglecting to administer) that could result in serious injury, consequence or death, and
2. performing or neglecting to perform any procedure or administering any medication without direct faculty supervision after specific instruction by the clinical faculty member that this level of supervision is required.
3. abusive behavior (physical or verbal) to clients, families, or co-workers.

PROCEDURE:

When a clinical faculty member makes a professional judgment that a student’s behavior is dangerous, or potentially dangerous, to patients or others the faculty should initiate the procedure outlined below. This procedure is intended to review the specific judgment and is not intended to be a due process procedure. It is not a substitute for ongoing formative evaluation of student performance by faculty, ongoing communication between clinical faculty and student, or documentation of the evaluation process.

1. When the clinical faculty member makes a professional judgment that the student’s behavior is dangerous or potentially dangerous to patients or others, the faculty member:
   1. immediately relieves the student of direct patient care responsibilities,
   2. communicates the event to the primary teacher ( within 1 -2 working days),
   3. communicates the event to the Director of the Nursing Program (within 1-2 working days),
   4. maintains written anecdotal notes and written clinical evaluation form,
   5. provides the Director of the Nursing Program an, objective, detailed description of the events or behavior in writing (within 2-3 working days).
2. On the day notified by the clinical faculty member the Director of the Nursing Program suspends the student from all clinical activities pending the assessment of the faculty member’s concern(s). The Director communicates this suspension in writing to the student, the clinical faculty member, the primary teacher, and the Vice President for Academic Affairs.
3. Within 2 days of the suspension if the Director of the Program does not concur with the faculty member’s judgment that the student’s the behavior in clinical is dangerous, or potentially dangerous to patients or others then the Director of the Program lifts the suspension, makes recommendations to the clinical faculty member and the primary teacher and provides the student with written notice of the findings, expectations, outcome measures, and plans for future monitoring of performance.
   
   Within two (2) days of the suspension if the Director of the Program concurs with the faculty member’s judgment that the student behavior in clinical is dangerous or potentially dangerous to patients or others and finds mitigating circumstances, then the Director of the Program, along with the clinical faculty member, and the primary teacher determines the conditions under which the suspension will be lifted and provides the student with written notice of the findings, expectations, outcome measures, and plans for future monitoring of the student’s clinical performance.
    
4. Within 2 working days of the suspension if the Director of the Program concurs with the faculty member’s judgment that the student’s behavior in clinical is dangerous or potentially dangerous to patients or others and does not identify mitigating circumstances, then the Director of the Program requests a review of the judgment by a clinical faculty review consultant.
5. If the Clinical Faculty Review Consultant does not concur that the behavior is dangerous or potentially dangerous to patients or others, then the Director of the Nursing Program on the day that the written opinion is received from the Faculty Review Consultant, along with the clinical faculty member and the primary teacher, determines the conditions under which the suspension will be lifted and provides the student with written notice of the findings, expectations, outcome measures, and plans for future monitoring of clinical performance.
   
   If the Faculty Review Consultant concurs that the behavior is dangerous or potentially dangerous to patients or others, then the Director of the Program on the day that the written opinion is received from the Faculty Review Consultant dismisses the student from the Nursing Program on safety grounds.

Faculty Review Consultants

All full-time faculty in the Nursing Program who are professional nurses licensed in the Commonwealth of Pennsylvania are eligible to serve as a faculty review consultant.

The faculty member initiating this process cannot participate as a consultant for the specific review.

Reference: American Nurses’ Association. (2001). Code for Nurses with interpretive statements. Retrieved from http://www.upt.pitt.edu/sites/default/files/Clinical%20Performance%20Standard%20for%20Students.pdf

_{MA original date 5/25/08; FO draft 6/25/08
Approved: FO August, 2008: 10/22/08,2/20/11, 2/17/14}

Confidentiality Policy

Policy # FS-3

PURPOSE:

The purpose of this policy is to assure all health care facilities, clients, families, patients and staff that all personal and medical information obtained about them by faculty, staff and students from the University of Pittsburgh at Titusville will be held in strict
confidence. Specific personal and medical information will be accessed only by authorized individuals for the purpose of providing care for which they are responsible or for an approved curriculum educational activity.

JUSTIFICATION:

Civil Rights Act, Health Insurance Portability and Accountability Act of 1996 (HIPAA), Confidentiality standards within the health care facility, JCAHO standards, NLNAC standards, ANA Code of Ethics standards.

POLICY:

It is the policy of the University of Pittsburgh at Titusville nursing program to educate all faculty and students in the importance and methods for maintaining confidentiality of all personal and medical information that is revealed to them in the course of their clinical experiences with clients and families. This includes, but is not limited to:

1. Strict confidentiality must be practiced in the maintenance of all records, conversations about and services to clients and their families.
2. Documents written by students in the normal course of their educational program (care plans, project papers, communication logs, etc.) must never reveal the name of a client or provide identifying information about a client.
3. Conversations with instructors or professional colleagues involving personal and medical information must be relevant to the client’s care and must take place in a private location. Hallways, elevators, and public cafeterias are particularly tempting places for conversations to occur, but they must be avoided to assure confidentiality.
4. Students and faculty must not discuss any patient, client, staff or their families’ information with their friends, relatives, spouses or other staff, patients or their families. In addition to not revealing names, students and faculty must not reveal any identifying formation about a client.
5. Students are not permitted to release written information about a client to anyone except their instructor and (1) it must be related to their educational purpose for being in the clinical facility, and (2) it must occur in such a way that the patient’s identify is protected. Although patients and families have a legal right to their own information, students must pass a request for written information from other than their instructor to an authorized person (e.g. Head nurse, Charge nurse, Clinical supervisor) at that facility.
6. Electronic/verbal reports to professional colleagues must be guarded for confidentiality. Papers, notes and cards with patient information must be properly destroyed (shredded) before leaving the clinical unit. Students are never permitted to take a client’s chart home or to their automobile.
7. Students and faculty must follow the confidentiality guidelines for the use of the computers in the facility. Among other mandates specific to each facility, one must never share a computer access code.
8. Students and faculty are accountable for knowing the contents of the HIPPA legislation and abiding by the confidentiality guidelines for clinical practice.
9. All students and faculty are accountable for reporting breeches in confidentiality to their immediate clinical supervisor (students must report to their instructor; instructors must report to the clinical supervisor of the facility).
10. Any person known to have violated a client’s right to confidentiality will be subject to disciplinary action. For students this action will include at minimum a formal learning contract as part of their clinical evaluation and at maximum could include failure of the course depending upon the degree of damage to the client or the number and severity of occurrences. For faculty this action will include at minimum a formal written reprimand and at maximum could include probation or termination depending upon the degree of damage to the client or the number and severity of occurrences.
11. Students and faculty must understand their continued personal and professional responsibility after they leave the clinical setting, after they complete the course, after they graduate from the program. Anyone who reveals confidential information after any clinical site visit may find themselves in a civil lawsuit at a personal level should they participate in what can legally be construed to be defamation of an individual’s character or invasion of privacy. Students and faculty must forever continue to maintain patient confidentiality.
12. This policy is reviewed with students in NUR 300: Foundations. A copy of the following Acknowledgement Form  is kept in the nursing office.

Note: The content of this policy is an adaptation from the Confidentiality Policy at Meadville Medical Center.

_{MA: 5/18/06; FO 6/22/07, 6/27/07,2/20/11, 2/17/14}

CPR Certification Policy

Policy # S-10

POLICY:

It is the Policy of the Nursing Program at the University of Pittsburgh at Titusville to require prospective students seeking admission to the Nursing Program to submit documentation of current CPR certification - Basic Life Support for the Health Care Provider - including infant and child.

• This certification must be from the American Heart Association.
• This certification must be maintained throughout the extent of the program.
• Current is defined as a two year period beginning with the date certification was received.

_{MA: 3/28/05; FO rev. 6/27/07,6/1/11, 2/17/14}

Department of Nursing Program Complaints Policy

Policy # S - 15

POLICY:

It is the policy of the department of nursing that complaints specific to the nursing program be addressed through an administrative chain of command beginning with the Director of the Nursing program.

A “Program Complaint” is defined by the nursing faculty as a complaint more focused on the nursing program at large and with the following characteristics:

1. the complaint is focused on the nursing program rather than on an individual concern.
2. the complaint potentially involves or affects multiple students.
3. the complaint cannot be resolved through or is not appropriate for the University’s Student Code of Conduct and Judicial Procedures process, the Mediation Program, or the Academic Integrity Grievance Procedure.
4. the complaint must be submitted in writing to the Director of the program.

PROCEDURE:

1. Students, faculty or staff must submit a program complaint in writing to the Director of the nursing program. Depending upon the nature of the complaint, the Director will investigate the complaint and consult with appropriate resource personnel and administrative personnel as necessary.
2. The person issuing the complaint may expect a written response from the Director of the program describing the status of problem resolution within three weeks from the date the complaint was received in the nursing program office.
3. The Director will document all program complaints, as required by the National League for Nursing Accrediting Commission, Inc.

_{MA: 10/17/06; FO rev. 6/27/07,6/1/11, 2/17/14}

Graduation Policy

Policy # C-3

POLICY:

Graduation requirements and program completion requirements are defined the same. The following requirements must be met in order to qualify for graduation:

1. All course objectives must be achieved by:
   • Minimum of 76% theory grade in each nursing course
   • “Pass” clinical rating in all nursing courses having a clinical component.
   • Minimum of “C” grade (2.00) in each college course.
2. All financial responsibilities must be met.
3. The Director of the Financial Aid Office oversees the completion of the Financial Aid requirements.
4. All library and faculty books on loan must be returned and all UPT fines must be paid.
5. The approved nursing curriculum contains 72 credits. Students must complete 72 credits in order to graduate from the nursing program. Transfer credits that have been approved by the Office of Academic Affairs are acceptable toward the 72 credits. Human Systems, Freshmen Studies, Medical Terminology and other preparatory courses cannot be used to meet the 72 credit requirement. If a student tests out of a required support course (Math 31, English Composition) they must take alternate elective courses to fulfill the 72 credit requirement for graduation.

_{MA: 12/15/04; rev. 6/27/07; 10/22/08, 11/17/10 , 2/17/14}

Health Alterations Requiring Accommodation Policy

Policy # S-7

POLICY:

Students in the Nursing Program are expected to be capable of performing the essential functions of a student nurse as described in the student nurse position description.

PROCEDURE:

1. Students are expected to read and be familiar with the essential functions of a student nurse as described in the position description. Copies of this description are located in the student handbook. A review of this description is included in the Orientation program to the Nursing Program.
2. Students are required to report all health alterations that occur during their enrollment in the program. This includes all accidents, injuries, illnesses, hospitalizations, surgeries, pregnancy, etc.
3. Student s must report accidents or injuries that occur during a clinical experience immediately to their clinical teacher. The clinical teacher will assist the student to secure appropriate medical attention and to follow the guidelines of the individual clinical agency for handling such occurrences.
4. Students must report illnesses, hospitalizations, pregnancies, etc. as soon as appropriate to their clinical course and teacher and to the Director of the Program.
5. The student must submit a completed “Physician’s Release Form” to the Director of the Nursing Program prior to returning to class or clinical. Students who do not comply with this action may be asked to withdraw from the program. The Director of the Program holds the authority to grant permission to return to class or clinical following any illness or injury.
6. Following any absence due to illness or injury, and approval from the Director of the Program to return, a conference between the student and the clinical and course teacher may be held prior to returning to class or clinical. Special needs or accommodations for the student will be discussed during that conference.

_{MA: 1/7/05; FO rev. 6/27/07,6/1/11. 2/17/14}

High Risk Procedure Policy

Policy # FS-4

PURPOSE:

The purpose of this policy is to establish guidelines for safe practice for students in the clinical setting.

POLICY:

It is the policy of the nursing program at the University of Pittsburgh at Titusville, that student nurses DO NOT perform the following activities. Students are encouraged to observe licensed personnel performing these activities, but they are NOT permitted to do them.

1. Administration of Blood and blood products (except CSF and Rhogam)
2. Obtaining blood or blood products from Blood Bank
3. Administration of chemotherapy
4. Administration of any research / experimental drug or treatment
5. Drawing blood from an arterial line
6. Lab draws - from venipuncture or from central lines
7. Adjustment of IV titrated medications.
8. Preparation of pressure lines or management of Swan Ganz pulmonary artery catheters
9. Preparation of pressure lines or management of arterial lines
10. Ventilator management - Adjusting ventilator settings
11. Regulation/monitoring of hemodialysis
12. Interpreting cardiac rhythms for medication administration
13. Interpreting labor 38 delivery monitoring of fetus.
14. Assisting physician with sterile procedures (should be a staff nurse present to assist)
15. NO heel stick BGM’s on infants in newborn nursery or BGM’s on infants at UPMC. Heel Sticks are permitted at Meadville.
16. Removal or insertion of arterial lines, picc lines, CVC’s, or Swan Ganz catheters.
17. Do not pass instruments during surgery or assist with OR procedures or equipment in any way.
18. Witness any consent or legal documents.

Additional high risk procedures specific to the Mental Health area:

19. Do not administer meds over objection in Mental Health area - staff RN to do
20. Do not place client in restraints in Mental Health area - staff RN to do
21. Do not inventory mental health client belongings alone - staff member to assist with this.
22. Do not accompany mental health clients to outside exercise area alone - staff member must also be present.
23. Do not be an active participant with aggressive (physical/verbal) or out of control client.

High Risk Procedures that students MAY be given permission to do in the PRESENCE OF THE INSTRUCTOR:

1. Insulin and heparin sub q doses must be double checked by instructor and staff nurses prior to Administration, if required by facility.
2. All injections must be given in presence of instructor.
3. All Invasive procedures- i.e. caths, ng tube insertions, irrigations, injections etc must be done in presence of an instructor.
4. All oral medications must be double checked by instructor prior to administration to client.
5. Adult, infant and child IV pumps may only be adjusted when the instructor present.
6. Medications given in bolus doses.
7. Administering peritoneal dialysis
8. IV push medications (can be through peripheral or central lines)
9. IV venipuncture (initiation or site rotation) if permitted by facility.

_{Approved: Faculty Organization 2/6/07, 6/27/07, 4/22/09,6/1/11.11/18/13}

Latex Exposure Policy

Policy # FS 8

PURPOSE:

The purpose of this policy is to assure all students and faculty members are made aware of the dangers of exposure to latex in a health care environment such as found in either clinical facilities or the Nursing Arts Lab G28B and to attempt to minimize those risks and to provide as safe as environment as possible in lieu of these risks.

BACKGROUND:

Latex products are common in the medical environment. Allergic responses to latex can range from irritation and allergic contact dermatitis to the possibility of life threatening anaphylactic shock. Latex-free environments are not available in either clinical or academic settings. Therefore, an individual with a latex allergy/sensitivity wearing alternative vinyl or nitrile gloves is still exposed to latex residue of others working in the area or to latex present in the equipment, models, and mannequins. Although latex gloves are the most prominent source of latex allergen, many other products contain latex including, but not limited to:

• Blood pressure cuffs, medication vials, syringe connectors, and wound drains.
• Stethoscopes, catheters, respirators, and goggles
• Oral and nasal airways, surgical masks, and electrode pads
• Endotracheal tubes, syringes, IV tubings, and tourniquets

POLICY:

It is the policy of the University of Pittsburgh at Titusville nursing program to educate all faculty and students on the importance of the risks of latex exposure and to attempt to minimize the risk in the UPT Nursing Arts Lab. This includes, but is not limited to:

1. Any student or faculty who has or develops symptoms consistent with latex allergy/sensitivity is advised to consult a qualified allergist for evaluation prior to enrollment or employment in the nursing program. All such evaluations are at the student’s or faculty member’s expense. If it is determined that the individual suffers from a latex sensitivity/allergy and the individual desires an academic adjustment, including auxiliary aids or service, or reasonable accommodation due to this condition, the individual must contact the UPT Disability officer at (814) 827-4465.
2. Utilizing the utmost precautions is the responsibility of the individual to reduce the risk of exposure and allergic reaction. This may include the carrying of an epi-pen by the individual or other precautions as advised by their health care provider.
3. It is the responsibility of the individual with a latex sensitivity to understand and to acknowledge the risks associated with continued exposure to latex during a clinical education and health care career, even when reasonable accommodations are made and to regularly consult with his/her health care provider. Please note UPT Nursing program has no control over whether clinical facilities utilized for experiences provide Latex- free gloves for student use.
4. In an effort to minimize the presence of latex in the UPT Nursing Arts Lab, the Nursing department is taking the following step to minimize latex exposure in its lab facilities:
   • Begin replacing LATEX products as the inventory is depleted with any future purchases of NON-LATEX supplies as of June 2014.
5. As with all students in the UPT Nursing Program, a student with a latex sensitivity or allergy is required to satisfactorily complete all requirements and technical standards of the program to which they have been accepted.

_{LMS: 05/15/14, 2/25/15}

Mandatory Participation in HESI Achievement Exams Policy

Policy # C-5

POLICY:

It is the policy of the nursing program at The University of Pittsburgh at Titusville that nursing students participate in a variety of HESI Achievement Exams scheduled periodically throughout the curriculum.

RATIONALE:

HESI Achievement Exams provide multiple benefits for the students:

1. They provide a student an opportunity to train in taking Exams that simulate an actual NLCEX-RN licensing examination.
2. They provide a student comparative feedback of their performance to benchmarking data, peers, and local and national data.
3. They provide a student specific content analysis to individualize remedial exercises to strengthen areas of weakness, better prepare for future courses, and the NCLEX-RN licensing examination.

HESI Achievement Exam results provide multiple benefits for the nursing program.

1. They provide specific content analysis about an individual student’s performance to assist faculty members in advising and counseling to be successful first-time NCLEX-RN licensure examination test-takers.
2. They provide faculty members with summative and collective data to use for curriculum development and improvement.

PROCEDURE:

• Exams will be scheduled by the Director of the nursing program.
• Exams will most likely be scheduled outside of class time.
• Notification of the Exam date and time will be given no less than 3 weeks in advance.
• If a student must miss the scheduled HESI Exam date and time, they must arrange to take the Exam within the same week of the original test date.
• The HESI NCLEX-RN Exit Exam is a required component of the NUR 0500 - COMPLEX AND COMMUNITY HEALTH  course.
• The HESI NCLEX-RN Exit Exam will be utilized to assist faculty members in measuring a student’s preparedness for graduation and being successful first-time NCLEX-RN licensure examination test-takers.
• All students, regardless of their achieved benchmark, must demonstrate completion of individualized remedial exercises in their NCLEX-RN Remediation Plan for all HESI Exams as directed by the Director of the nursing program.
• Students will be evaluated and graded in NUR 0500  utilizing the following HESI NCLEX-RN Exit Exam benchmarks:

NUR 0500
Complex and Community Health
HESI NCLEX-RN Exit Exam - Point Distribution

_{MA: 02/26/09, 11/17/10 2/17/14 PMc: 10/21/15}

Monitoring Safe Clinical Practice Policy

Policy # FS-2

PURPOSE:

The purpose of this policy is to clarify the expectation for faculty and students to communicate the occurrence of any incident or untoward event that occurs in the clinical setting with the Director of the Nursing Program.

EXPECTATIONS:

1. The Director of the Nursing Program is to be notified of any incident or error involving clinical practice and/or clients.
2. Students MUST notify their instructor immediately upon discovery of an error or unexpected occurrence involving clinical practice and/or clients.
3. Care of the client is always considered the first priority.
4. Instructors and students are expected to follow the specific guidelines of the institution for assessing the client and initiating corrective care measures when an error or untoward event occurs.
5. Instructors and students are expected to follow the specific guidelines of the institution for reporting and recording any incident or finding.
6. The instructor is responsible for notifying the Director of the Nursing Program of the occurrence as soon as possible, but so as not to interfere with the safe client care.

_{MA: 5/18/06; FO 6/27/07, 2/20/11}

Non-Discrimination Policy

Policy # S-1

POLICY:

It is policy of the nursing program at the University of Pittsburgh at Titusville to adhere to the non-discrimination policy of the University. That policy may be found on the University web site at https://www.cfo.pitt.edu/policies/policy/07/07-01-03.html

That policy is as follows:

UNIVERSITY OF PITTSBURGH POLICY 07-01-03

CATEGORY: PERSONNEL
SECTION: Recruitment
SUBJECT: Nondiscrimination, Equal Opportunity, and Affirmative Action
EFFECTIVE DATE: August 20, 2014 Revised
PAGE(S): 3

I. SCOPE

This policy affirms the University of Pittsburgh commitment to nondiscrimination, equal opportunity, and affirmative action in admissions, employment, access to and treatment in University programs and activities, in accordance with federal, state, and local laws and regulations. (Titles VI and VII of the Civil Rights Act of 1964, as amended; Executive Order 11246, as amended by Executive Order 11375; Revised Order No. 4; the Equal Pay Act of 1963, as amended; the Rehabilitation Act of 1973, as amended; the Vietnam Era Veterans Readjustment Assistance Act of 1974; Titles VII and VIII of the Public Health Service Act; Title IX of the Education Amendments of 1972; the Americans With Disabilities Act (ADA) of 1990, and all other applicable discrimination laws and ordinances of the United States, Commonwealth of Pennsylvania, the City of Pittsburgh, or other applicable regional governance.) Due to its unique aspects, sexual harassment is excepted from the scope and is separately addressed under Policy 07-06-04, Sexual Harassment.

II. POLICY

Nondiscrimination

The University of Pittsburgh, as an educational institution and as an employer, values equality of opportunity, human dignity, and racial/ethnic and cultural diversity. Accordingly, the University prohibits and will not engage in discrimination or harassment on the basis of race, color, religion, national origin, ancestry, sex, age, marital status, familial status, sexual orientation, gender identity and expression, genetic information, disability, or status as a veteran. The University also prohibits and will not engage in retaliation against any person who makes a claim of discrimination or harassment or who provides information in such an investigation. Further, the University will continue to take affirmative steps to support and advance these values consistent with the University’s mission.

Definition of Harassment

Harassment on the basis of a protected group status (i.e., due to an individual’s race, color, religion, national origin, ancestry, sex, age, marital status, familial status, sexual orientation, gender identity and expression, genetic information, disability, or status as a veteran) is a form of discrimination prohibited by this policy.

Harassment may occur through a wide range of conduct, such as by verbal, physical or electronic means when:

1. The conduct is severe or pervasive and objectively and subjectively has the effect of:
   1. Unreasonably interfering with an individual’s work or equal access to education; or
   2. Creating an intimidating, hostile, or offensive work or academic environment; or
2. Such conduct, if repeated, is reasonably likely to meet the standard set forth in number 1 immediately above.

Harassment can occur on University premises or, under limited circumstances, off campus. It can occur between people of the same or different protected group statuses.

When constitutionally protected speech is implicated, this policy will be applied only to the extent consistent with the First Amendment. In addition to meeting the standard set forth above, to rise to the level of prohibited harassment when constitutionally protected speech is implicated, the law requires a tenable threat of material and substantial disruption of University operations or interference with the rights of others.

Affirmative Action

Responsibility for the implementation and monitoring of this policy and equal employment opportunity and affirmative action programs is delegated by the Chancellor to the Director of Affirmative Action, Diversity and Inclusion.

The Director of Affirmative Action, Diversity and Inclusion is responsible for:

• Updating policy statements and procedures concerning the University’s Affirmative Action Program and ensuring that University policies conform with all applicable federal, Commonwealth, and local laws concerning nondiscrimination, equal opportunity, and affirmative action.
• Reviewing, assisting in the development, and monitoring programs established under the University’s Affirmative Action Program.
• Facilitating the collection, maintenance, and analysis of all statistical data called for in this Program and/or in the Program’s implementation guidelines.
• Coordinating the preparation of all required government reports which relate to equal opportunity and/or affirmative action programs within the University.
• Providing any technical and/or administrative assistance required to meet the responsibilities mandated by the University’s Program or by applicable equal employment opportunity and/or affirmative action laws and regulations for all responsibility centers, divisions, departments, or individuals within the University.
• Providing staff, technical support and general assistance to affirmative action committees.
• Reviewing all hiring, promotion, transfer, compensation, tenure, advertising and/or publicity, admissions, financial aid, and institutional access policies within the University to help ensure that these comply with the requirements of federal, Commonwealth, and local laws and regulations and with University-wide policies relating to nondiscrimination, equal opportunity, and affirmative action.
• Implementing, assisting, or monitoring the grievance process in all cases where grievances related to discrimination matters arise within the University.
• Assuring that all official publications of the University contain a statement of the University’s Nondiscrimination Policy Publication Statement.
• Preparing and updating the Affirmative Action Program of the University annually for the Chancellor’s review and approval.

University Nondiscrimination Policy Publication Statement

The University of Pittsburgh, as an educational institution and as an employer, values equality of opportunity, human dignity, and racial/ethnic and cultural diversity. Accordingly, as fully explained in Policy 07-01-03, the University prohibits and will not engage in discrimination or harassment on the basis of race, color, religion, national origin, ancestry, sex, age, marital status, familial status, sexual orientation, gender identity and expression, genetic information, disability, or status as a veteran. The University also prohibits and will not engage in retaliation against any person who makes a claim of discrimination or harassment or who provides information in such an investigation. Further, the University will continue to take affirmative steps to support and advance these values consistent with the University’s mission. This policy applies to admissions, employment, access to and treatment in University programs and activities. This is a commitment made by the University and is in accordance with federal, state, and/or local laws and regulations.

For information on University equal opportunity and affirmative action programs , please contact: University of Pittsburgh, Office of Affirmative Action, Diversity and Inclusion, Carol W. Mohamed, Director (and Title IX, 504 and ADA Coordinator), 500 Craig Hall, Pittsburgh, PA 15260 (412) 648-7860.

For complete details on the University’s Nondiscrimination Policy, please refer to Policy 07-01-03. For information on how to file a complaint under this policy, please refer to Procedure 07-01-03.

Dissemination of the University of Pittsburgh’s Nondiscrimination Policy Publication Statement

The University will inform all external recruiting sources, unions, contractors, other colleges and universities, organizations specializing in the recruitment of minorities and women, and other groups with whom it cooperates, of the University’s Nondiscrimination Policy Publication Statement.

The Nondiscrimination Policy Publication Statement is to appear in all University course and program catalogs; student, faculty, and staff handbooks and policy manuals; brochures, pamphlets, magazines, and newsletters concerning educational programs, admissions, housing, financial assistance, employment, student life, and extracurricular activities; and grants, contracts, and purchase orders. Smaller publications such as fliers, posters, handouts, and bulletins pertaining to those areas cited above may carry either the Nondiscrimination Policy Publication Statement or the statement that, “The University of Pittsburgh is an affirmative action, equal opportunity institution.” The statement “The University of Pittsburgh is an affirmative action, equal opportunity employer” and/or other approved phrase that advocates for racial, ethnic and cultural diversity must be included on position notices.

III. REFERENCES

Procedure 07-01-03, Non-discrimination and Anti-Harassment

Policy 07-06-04, Sexual Harassment

_{MA: 12/15/04; FO 6/27/07, 3/28/11;6/1/11
LS: 02/25/15}

Nursing Arts Lab Safety Policy

Policy #F-7

POLICY:

Please also note UPT’s policies related to emergency operations procedures found at: http://www.upt.pitt.edu/sites/default/files/Nursing%20Arts%20Lab%20Safety%20Policy.pdf

I. INTRODUCTION

It is the intent of the faculty and administration in the Department of Nursing to provide a safe learning experience for all students.

The following policies and procedures are established to provide instructions in maintaining safety for students, staff and faculty while using the Nursing Arts Lab (hereby referred to as “Lab” within the UPT Department of Nursing. These policies and procedures shall be adhered to by all concerned.

The Nursing Faculty along with the Director of Nursing will update the contents of this manual every two years or more often as necessary. All students, staff, and faculty will be advised of these revisions. Note that this document is consistent with the safety policies and procedures of the UPT campus. The Nursing faculty operating the Lab is responsible for enforcing the regulations set forth in this manual.

II. GENERAL GUIDELINES

1. All faculty, staff, and students must know and practice the safety guidelines at all times while using the labs. Failure to adhere to general guidelines can result in disciplinary action. This manual will be available in the lab. Students will be instructed to review the contents upon admission to the clinical component of NUR 0300  and NUR 0350  and/or when utilizing the laboratory during simulations. All faculty and students will complete the Blood Borne pathogens module annually found at: http://www.upt.pitt.edu/sites/default/files/Nursing%20Arts%20Lab%20Safety%20Policy.pdf as well as the Chemical Hygiene training module upon entrance to the program for students and every three years for faculty → found at: http://www.upt.pitt.edu/sites/default/files/Nursing%20Arts%20Lab%20Safety%20Policy.pdf
2. Following the review, participants will be required to sign and date a form stating that they understand the policies and procedures of the nursing lab. The signed forms and completed module certificates will be kept in the lab manual during the period of student enrollment.
3. All labs are locked unless occupied by faculty and/or students during class or practice. Campus Security (Dial 4488) must be notified if a break in or suspected break-in occurs.
4. Students are expected to come to lab prepared by having read the scheduled lab objectives and assignments prior to the start of the lab period, paying particular attention to skills that have the potential for harm to self or others.
5. Students will be instructed to practice and return demonstrate only those skills for which they have had prior instruction and gained familiarity with. Students should at all time practice safe and appropriate techniques while learning and practicing skills in the lab.
6. Students should be knowledgeable of the care, handling, and proper use of equipment prior to using it in the laboratory.
7. Students should report pregnancies, physical handicaps, allergies, recent injuries, illnesses, surgeries, or communicable disease to their instructors as soon as possible so that necessary precautions may be taken. A medical clearance from a physician as well as permission of the Director of Nursing and course instructor(s) is required before students with aforementioned concerns will be allowed to utilize the laboratory spaces.
8. Students are not permitted to be present in the lab unless a nursing faculty member is present in the lab with them.

III. LABORATORY SAFETY

1. Infection Control
   1. All students shall practice proper hand washing technique while utilizing skills lab.
   2. Universal precautions should be followed at all times when there is exposure or potential exposure to blood or body fluids. Students are NOT to practice any invasive procedures on each other that could result in blood or body fluid exposure.
   3. The lab is a learning environment that is often intended to simulate a real clinical setting. As a result eating, drinking and smoking are not permitted.
   4. Gloves are to be worn by students and faculty during any contact with blood and body fluids. Gloves are utilized for practice and demonstration of skills. Gloves are utilized for personnel using harsh disinfectants to clean the lab. The Department of Nursing will provide sterile and non-sterile gloves for faculty and students.
      1. Students/Faculty must be aware that it is impossible to provide a totally Latex-free lab environment. Every effort will be made to utilize products that are latex free, but there is still a remote possibility that you will be exposed to latex just like a real hospital environment. If you do have a known latex allergy, please notify the Nursing faculty  and carry an emergency epi pen with you at all times.
      2. Students/Faculty are advised that latex allergies can develop over time as nurses are exposed to numerous latex products in a normal work environment so they need to educate themselves on the risks and on the symptoms of latex allergy. Please refer to Policy # FS-7 Latex Exposure Policy.
2. Physical Space
   1. Do not use the space for socializing
   2. Keep all doors and cabinets closed when not in use.
   3. Keep the work spaces, floors, beds and desk areas clean
   4. Report any misconduct occurring in the lab to security or faculty
   5. Laboratory doorways will be accessible at all times. Furniture will not be placed to obstruct the exits/entries.
   6. The lab will not be used as a health center for ill students, staff, or faculty.
   7. Unauthorized personnel are not allowed in the labs at any time. Injury to unauthorized personnel in the lab will not be considered the responsibility of UPT.
3. Simulation Guidelines
   1. In order to preserve costly equipment, there is absolutely no food or beverages allowed in the nursing arts lab.
   2. Nursing uniforms or proper attire are required for all activities with the Simulation mannequins in order to protect the equipment. Students are also expected to participate fully in all scenarios to the best of their ability and to treat the mannequin as a “real client.”
   3. All users of the Simulation equipment are expected to display courteous and professional conduct.
   4. No cell phones, pagers or other electronic devices are allowed in the lab. These items must be switched off or silent.
   5. No liquids, markers, pens, or betadine are permitted near the mannequins.
   6. Students will be held responsible for damage to the equipment as a result of not following nursing arts lab policies and procedures.
   7. Use of the Simulation lab beds is restricted to mannequin use only unless otherwise specified. Please do not sit or lie on Simulation lab beds.
4. Medications and Fluids
   1. When breaking glass ampules for practice, students should protect their fingers by using an ampule breaker and should break the ampule in the opposite direction of their body.
   2. Placebos (candy pieces, commercially prepared PRACTI-med and water) will be used for simulation of oral/topical medications. Old medicine bottles are labeled for use when simulating preparation of an actual medication order.
   3. IV fluids with expired dates may be used for practice and demonstration unless obviously contaminated. These fluids are not for internal or actual use but for practice with manikins only.
   4. Bottles, containers or fluids mixed in the lab will be minimally labeled as follows: actual contents, date, and the initials of the preparer.
5. Needle Safety
   1. Used needles are to be disposed of the Sharps containers provided throughout the lab space.
   2. Needles provided for practice of injection are used at the skills laboratories only when the faculty are present for assistance.
   3. Students must demonstrate safety precautions while utilizing needles during practice as instructed in class.
   4. Students are to practice injections only on the manikins provided in the skills lab.
   5. Students are never to recap needles and must discard used needles in the sharps disposal container provided in the skills lab. Do not place in Sharps containers CAPPED!
   6. Needles and other sharp objects must not be discarded in the trash or left out openly in the lab at any time.
   7. All drawers/cupboards with needles should be locked at the end of lab use and containers, bags or equipment with needles should also be secured.
6. Electrical Safety
   1. Wet materials may not be used around electrical outlets or equipment.
   2. Faculty and students are responsible for reporting to the appropriate faculty/staff any frayed electrical cords, cracked plugs, missing outlet covers, etc., as well as any problems encountered while using electrical equipment.
   3. No electrical cords will be left in the pathway of walking traffic. Extension cords will be properly taped to the floor if used over a walkway.
   4. Electric hospital beds in the skills lab will be inspected as needed for repairs.
   5. Electric beds shall be maintained in the lowest position.
   6. Only three-prong plugs that contain a ground wire should be used to power equipment in the skills labs.
7. Ergonomics
   1. Students will be instructed in principles of body mechanics prior to practice and return demonstration of moving, lifting, and transferring skills.
   2. Students should use caution when practicing lifting skills and should not lift equipment, manikins, and other students who are too heavy without assistance.
   3. The equipment needed for body mechanics practice (bed, wheelchairs, etc.) will be kept in good working condition. Any faulty or broken equipment should be reported immediately to the Director of Nursing.
   4. The wheels of all equipment (wheelchairs, stretchers and beds) are to be locked during practice and return demonstration.

IV. REPORTING OF AN INJURY

1. Any incident occurring in the skills, computer, or clinical labs during school hours must be reported immediately to the faculty.
2. For student or occupational exposures- notify the School health nurse Kim Roser.
3. Protocol for a physical injury/occupational exposure.
   1. Immediately report the incident to the Nursing Faculty member (primary contact).
   2. A faculty member will assess the student/staff and notify the School nurse Kim Roser to come and assess the student if needed.
   3. The faculty/staff/student will be assisted to the Student Health Center, appropriate agency, or personal physician depending upon the nature of the injury. Campus Security may be called to assist in transporting a student to a health care agency or call 911 depending on the severity of the injury.

V. CLEANING AND MAINTENANCE OF THE LABORATORY AND EQUIPMENT

1. It is the responsibility of all those who use the lab for keeping equipment and the physical space clean, particularly students and faculty during and after use.
2. Floors, counters, and furniture will be cleaned by appropriate personnel at the end of each semester and more frequently if needed.
3. If faculty should notice that equipment is not functioning or malfunctioning, place a label on the equipment stating not to utilize it and describe the problem noted and notify the Director of Nursing.
4. Equipment located in the skills lab will be cleaned by faculty as needed. The protocol for cleaning equipment is directed by the product manufacturer. Linen on beds will be changed and laundered when soiled, after extensive use, and at the end of each academic year.

VI. SHARPS WASTE DISPOSAL

1. Sharps disposal is handled by a professional disposal service. When Sharps containers are ¾ full they are to be taken to the loading dock in BSC (notify the Academic Affairs Secretary) so that they can be collected by our biohazard waste pick up service. The secretary must be notified so that the waste management company is aware to pick up the container. (First Monday of every month if they are notified of a pick-up)
2. The Nursing Faculty will conduct a yearly evaluation of Sharps safety in September. The evaluation will examine clinical agency product and policy changes, as well as new Sharpssafety research and products. Laboratory supply and environmental upgrades/changes will be made accordingly. This will be done and documented at the September Faculty Organization meeting.

VII. EMERGENCIES

1. Fire
   1. Alert people in area to evacuate.
   2. Activate nearest fire alarm or call 4488 (Notify campus security).
   3. Close doors to confine fire.
   4. Evacuate to safe area or exit building through stairwell-Do not use elevator.
   5. Provide emergency personnel with any pertinent information. Students and faculty should become familiar with the location of the nearest fire extinguishers and pull boxes for fire alarm. Fire extinguisher is located in the nursing lab.
2. Other Emergencies
   Contact Campus Security (4488) for other emergencies including: Alcohol poisoning, assault, bomb threats, chemical spill, criminal activity, fire, suspicious person, shelter in place, medical emergency, severe weather, mental health, utility failure and weapons.

_2/26/15

Curriculum Progression Policy

Policy # C-1

POLICY:

Curriculum Progression Requirements

1. All nursing courses must be successfully completed in the succession pattern identified by their prerequisites requirements.
2. The maximum time allotted for completion of the total program is six years.
3. Students have a maximum of five years to complete all nursing courses.
4. Reapplication to the program is required if the program has been interrupted for any reason.
5. Students may reapply only once to the program. Re-admission to the program is upon approval of the Admissions and Progression Committee. This decision is final.
6. Anatomy and Physiology I and II must be taken at the same institution and collaboratively with the required laboratory component. A38P I and II need to be completed before or within semester I 38 II of the nursing program. A38P courses cannot be older than 5 years upon enrollment to the nursing program.
7. A theory grade of 76% is the minimum acceptable passing grade for all nursing courses.
8. The clinical components of the nursing courses are graded on a PASS/FAIL basis according to the specific behavioral objectives of each course. A clinical grade of PASS is required for all nursing courses with a clinical component. Clinical deficiencies will result in the initiation of a learning contract.
   1. Failure to meet the terms of the learning contract with result in failure of the course.
9. Failure in either the theoretical or clinical component of any nursing course will result in failure of the course.
10. Students repeating a nursing course with a theory and clinical component are required to repeat both components of the course regardless of previous performance in the course.
11. The clinical instructors have the authority to uphold safe care standards at all times in the clinical settings. This may include a decision to dismiss a student from the clinical area for a brief or an extended period of time which could have a subsequent result of the student failing the course.
12. Courses with a grade less than “C” (2.00) will not be accepted for transfer.
13. Students must achieve a grade of “C” (2.00) or above in the science and support courses to continue in the program.
14. The grading scale for all courses in the nursing department is shown on the attached sheet.
15. Grades on papers, quizzes, tests, assignments, presentations or any assessment of any type will not be rounded to the next whole grade. (i.e. - Student must achieve a 76% in every nursing course - a 75.9 or any fraction thereof will result in a failure grade for the course). *Faculty voted change as of 3/2015. Change effective beginning Summer term NUR 0400 , May 1, 2015.
16. Bonus points/extra credit assignments are not permitted in the nursing courses.
17. Grading of the science and support courses will follow the policies of the University.
18. Students will receive an automatic 10% grade reduction if an examination is taken 1-10 days after the scheduled date (if an unexcused absence). This 10% late penalty also applied to written assignments. A grade of zero (0) will be applied if the exam or written assignment is more than ten (10) days late.
19. Life Span Development (PSYED 0005 ) is a pre-requisite for NUR 0450 .
20. MATH 0031  and/or MATH 0110  and SOC 0010  may be taken interchangeably at anytime during the program. However, there is no guarantee that these courses are available outside of the published nursing program curriculum (see Nursing Curriculum ). The sequence of the published course curriculum is highly recommended.
21. NUR 0525  - Role Development, must be taken during the last semester of the program, even if the course was taken previously. This is due to the timely content of the course being preparatory work and instructions for the professional licensure exam.
22. The approved nursing curriculum contains 72 credits. Students must complete 72 credits in order to graduate from the nursing program. Transfer credits that have been approved by the Office of Academic Affairs are acceptable toward the 72 credits. Human Systems, Freshmen Studies, Medical Terminology and other preparatory courses cannot be used to meet the 72 credit requirement. If a student tests out of a required support course (MATH 0031 , English Composition) they must take alternate elective courses to fulfill the 72 credit requirement for graduation.

_{MA: 12/15/04; rev 1/23/06, 5/18/06, 2/6/07, 6/27/07; 10/11/07; 6/25/08:7/16/08:10/22/08, 11/17/10, 6/13/12,12/3/13, 1/8/15,4/10/15,6/15/15}

Pre-Entrance Child Abuse 38 Criminal History Clearances Policy

Policy # S-12

POLICY:

It is the Policy of the Nursing Program at the University of Pittsburgh at Titusville to require accepted nursing students to the Nursing Program to submit documentation of child abuse and criminal history clearances from:

*Do not complete these steps below unless you have received an official admission letter from the Director of the Nursing Program at the University of Pittsburgh Titusville. Students admitted to pre-nursing majors do not need to complete these!

1. Pennsylvania Child Abuse Registry (Act 151)
   1. Can be completed electronically via computer at: https://www.compass.state.pa.us/CWIS Student will need to create an account and then submit your clearance application online. It will give you immediate access to your results or the status of your results if your results cannot be processed immediately.
      ——OR———-
   2. Can also be completed via US mail by sending a completed paper application that is available at http://www.upt.pitt.edu/sites/default/files/Pre-Entrance%20Child%20Abuse.pdf
      
      Form and payment of $10.00-Money order only! must be mailed via US Postal Service. Allow 14 days.
2. Pennsylvania State Police Criminal Record Check (Act 34) PATCH
   https://epatch.state.pa.us
   
   Student can click on “Submit a new record check”. You will need a credit card or debit card for electronic payment. You must print out your results so you will need a printer access. Cost as of 1/2015 is $10.00.
    
3. Federal Criminal History Background Check (FBI Fingerprinting) (Act 73)
   Student must register prior to going to the fingerprint site. Walk in service without prior registration will not be provided at any fingerprinting location. Register online at https://www.pa.cogentid.com/index_dpwNew.htm
   
   Payment will be made online electronically by credit card or debit card. Price is $25.75 as of 1/15. Once appointment is made student is to proceed to fingerprint site selected. Check Cogent web site for sites and days and hours of operation. A list of local sites is can be obtained from the nursing department. Others are listed on the Cogent web site. At the site you will be asked to complete a form. It is important to register on the form that you are registering for the Department of Public Welfare. We must receive a paper copy of this report. Do not register for anything else!
   
   All applicants must provide recent (defined as within 6 months of date of intended enrollment) criminal history forms. All clearance forms must be received in the nursing office within 45 days after your nursing acceptance letter is received or your admission spot will be forfeited. Clearances obtained for admission to the program will be accepted for a three (3) year period while attending school. The Director of the Program reserves the right to request repeat documentation as necessary.

PROCEDURE:

1. Prospective students are required to obtain the Child Abuse History Clearance Form and mail it in with money order payment, complete the PATCH record check online and PRINT IT and then make an appointment with COGENT and complete the FBI fingerprinting. Follow the directions in this policy or call the nursing office and obtain help at 814-827-4511.
2. It is the responsibility of the prospective student to obtain these clearances immediately after being tentatively admitted to the nursing program. Copies of the request forms and a copy of the Post Office receipt must be submitted to the nursing office as soon as possible after mailing. Prospective students will be given up to 45 days from the date of tentative admission to produce the documentation of these clearances or they will forfeit their admission.
3. It is the student’s responsibility to pay for any and all costs associated with these clearances.
4. Interpretation of the findings of these reports and the subsequent impact on admission or rejection to the nursing program is at the sole discretion of the Director of the program.
5. It is the responsibility of the student to notify the Director of the Nursing Program of any change in criminal history clearances failure to do so will result in being terminated from the program.

_{MA: 3/28/05; FO rev. 6/27/07,6/1/11, 5/09/13, 2/25/15}

Pre-Entrance Drug Screening Policy

Policy # S-2

POLICY:

It is the Policy of the Nursing Program at the University of Pittsburgh at Titusville to enforce the Drug-Free Workplace/Drug-Free Schools policy of the University of Pittsburgh by monitoring the students in the nursing program for substance abuse.

All applicants to the nursing program at the University of Pittsburgh at Titusville must submit to testing for the use of illegal drugs.

1. Applicants must complete the consent form: “Consent to Testing for the Use of Illegal Drugs and Release of Information”.
2. Applicant must agree to submit for testing for the use of illegal drugs within the time frame specified. Failure to do so will result in immediate revocation of an offer of admission to the nursing program.
3. Applicants must agree to the release of the test results to the Director of the nursing program.
4. Test results indicating the presence of illegal drugs shall result in the revocation of an offer of admission to the nursing program.
5. The applicant will be notified in writing of the revocation of the offer of admission and the reason for the revocation by the Director of the nursing program.
6. If the test results indicate the presence of a legally prescribed, appropriately administered controlled substance/drug, the applicant will be so advised and given the opportunity to provide evidence that he/she has been legally prescribed to take the controlled substance/drug at the time of the testing. The Director will take this evidence into consideration when making the decision about the applicant’s admission status.

_{MA: 12/15/04; rev. 5/18/06, 6/27/07; 6/25/08,6/1/11 2/17/14}

Pre-Entrance Physical Exam Policy

Policy # S-11

POLICY:

It is the Policy of the Nursing Program at the University of Pittsburgh at Titusville to require students seeking admission to the Nursing Program to submit documentation of a physical exam and documentation of specific immunizations for approval by the Admissions Committee. The University recognizes that certain fundamental physical and psychological requirements are essential for a person to perform all of the functions of a student nurse. These requirements are described in the Student Nurse Position Description, Policy #S-3. These same requirements are outlined in the Nursing Program Pre-Entrance Physical Exam Form  that is attached to this Policy.

PROCEDURE:

1. Prospective students are required to obtain the Pre-Entrance Physical Examination Form from the Nursing Program office.
2. It is the responsibility of the prospective student to schedule an appointment with the medical physician of their choice to have the physical exam completed and the documentation completed in time for submission of this information to the Admissions Committee.
3. It is the student’s responsibility to pay for any and all costs associated with the physical examination and required immunizations.
4. All of the required immunizations must be completed before entrance into the nursing program with the exception of the Hepatitis series and the influenza vaccine. The Hepatitis series must be started prior to September 1st and the influenza vaccine must be obtained prior to October 31st. The remaining two Hepatitis vaccinations in the series may occur during the first year of the program.
5. The Nursing Program Pre-Entrance Physical Examination Form is required in addition to the University of Pittsburgh at Titusville Student Health Evaluation Form for several important reasons. The University Student Health Evaluation Form must be completed by the applicant. The Nursing Program Pre-Entrance Physical Examination Form must be completed by a licensed care provider. The Nursing Program’s Pre-Entrance Physical Examination Form checks for clearance according to specific behaviors (for example, the ability to carry 14-44 pounds) that student nurses are commonly expected to perform. The Nursing Program’s Pre-Entrance Physical Examination Form also identifies specific required immunizations that must be obtained to keep both students and clients safe while students are in the clinical areas.

_{MA: 3/4/05: FO rev. 6/27/07,6/1/11, 3/19/12,2/25/15}

Program Health Requirements Policy

Policy # S-13

PURPOSE:

The purpose of this policy is to clarify the health requirements for students entering and progressing through the nursing program. It is the intent of this policy to keep students safe and to assure that they are in the best of health to render safe nursing care to clients.

1. All students preparing to enter the nursing program must participate in a Pre-Entrance Physical Examination by a licensed physician. This examination includes the successful completion of all required immunizations. See related Policy # S-11, Pre-Entrance Physical Examination.
2. All students are required to report any serious illness, disease, accident, injury, or absence from school because of these events to the nursing program office. It is the responsibility of the student to report any changes in physical or mental health that could impact their safety or their ability to give safe care to clients. Clearance from the student’s physician is required before the student is permitted to return to class or clinical.
3. Repeat physical exams may be requested of students who go beyond the two year expected time in the program. This is the decision of the Director of the program. Many variables will be considered, including, the expected extension time in the program, the specific classes yet to take (theory or clinical), and the health requirements of the involved clinical facility.
4. Immunizations must be current at all times. It is the student’s responsibility to verify the currency of their health record with the nursing program office.
   • PPD tests must be conducted and recorded annually
   • Other immunizations must be tracked on an individual basis to assure currency
   • Annual influenza injection required prior to 10/31 each year in order to meet clinical agency requirements.

_{Adopted 5/18/06: rev. 6/27/07,6/1/11, 2/17/14, 1/8/15}

Sexual Harassment Policy

Policy # FS - 1

POLICY:

1. It is policy of the nursing program at the University of Pittsburgh at Titusville to adhere to the sexual harassment policy of the University. That policy may be found on the University web site at http://www.upt.pitt.edu/sexual-assault-awareness-and-prevention-0 A copy of that policy is attached.
2. This policy is reviewed with all nursing students during the Nursing Orientation Program.
3. This policy and a discussion about Sexual Harassment is covered during NUR 0300 - NURSING FOUNDATIONS . Student are required to complete the University’s on-line learning module. A certificate of completion is kept on file in the nursing office.

UNIVERSITY OF PITTSBURGH POLICY 07-06-04

CATEGORY: PERSONNEL
SECTION: Employee Support
SUBJECT: Sexual Harassment
EFFECTIVE DATE: September 21, 2012 Revised

I. SCOPE

This document establishes policy and procedures pertaining to the University’s prohibition of sexual harassment.

II. POLICY

The University of Pittsburgh is committed to the maintenance of a community free from sexual harassment. Sexual harassment violates University policy as well as federal, state and local laws. It is neither permitted nor condoned. The coverage of this policy extends to all faculty, researchers, staff, students, vendors, contractors and visitors to the University. It is also a violation of the University of Pittsburgh’s policy against sexual harassment for any employee or student at the University of Pittsburgh to attempt in any way to retaliate against a person who makes a claim of sexual harassment or provides information in an investigation of sexual harassment.

Any individual who after a thorough investigation is found to have violated the University’s policy against sexual harassment will be subject to disciplinary action, including, but not limited to, reprimand, suspension (with or without pay), termination or expulsion.

III. DEFINITION

1. SEXUAL HARASSMENT IN GENERAL
   Sexual harassment may include unwelcome sexual advances, requests for sexual favors or other verbal or physical conduct of a sexual nature when:
   1. Submission to such conduct is an explicit or implicit condition of employment or of participation in a University program or activity;
   2. Submission to or rejection of such conduct is used as the basis for an employment or academic decision;
   3. Such conduct is severe or pervasive and objectively and subjectively has the effect of:
      1. Unreasonably interfering with an individual’s work or equal access to education; or
      2. Creating an intimidating, hostile or offensive work or academic environment; or
   4. Such conduct, if repeated, is reasonably likely to meet the standard set forth in number 3 immediately above.
      
      While sexual harassment most often takes place where there is a power differential between persons involved, it also may occur between persons of the same status. Sexual harassment can occur on University premises or, under limited circumstances, off campus.
      
      It can occur between members of the same gender as well as between members of different genders.
2. SEXUAL HARASSMENT STANDARD WHEN CONSTITUTIONALLY PROTECTED SPEECH IS IMPLICATED
   When constitutionally protected speech is implicated, this policy will be applied only to the extent consistent with the First Amendment.
   
   In addition to meeting the standard set forth in III. A. above, to rise to the level of prohibited sexual harassment when constitutionally protected speech is implicated, the law requires a tenable threat of material and substantial disruption of   University operations or interference with the rights of others.
   
   Section IX below provides guidance on application of this Policy in the academic setting, which is an area where constitutionally protected speech could be implicated.

IV. CONSENSUAL RELATIONSHIPS

Personal relationships must not be allowed to interfere with the academic or professional integrity of the teacher-student, staff-student, supervisor-employee or other professional relations within the University. The University’s policy on Faculty-Student Relationships (Policy 02-04-03) prohibits intimate relationships between a faculty member and a student whose academic work, teaching or research is being supervised or evaluated by the faculty member. If an intimate relationship should exist or develop between a faculty member and a student, the University requires the faculty member to remove himself/herself from all supervisory, evaluative, and/or formal advisory roles with respect to the student. Failure to do so may subject the faculty member to disciplinary action.

V. COMPLAINT PROCEDURE

Any faculty, staff or student who believes he or she has been sexually harassed or retaliated against for complaining of sexual harassment or for providing information in an investigation or sexual harassment should contact a department chair, dean, director, supervisor, the Office of Affirmative Action, the Office of Human Resources, the Office of the Provost, the Coordinator of the University Student Judicial System, or the person(s) listed at the end of this document at one of the regional campuses. The complaint will either be handled by the person/office receiving the complaint or referred to the Office of Affirmative Action.

All complaints will be given serious, impartial and timely consideration. When an administrator or supervisor receives a complaint, oral or written communication with the person whose action the complainant found offensive may resolve the problem. If that does not resolve the matter, an investigation will be undertaken. The complainant and the accused will be informed of the findings of the investigation. While every effort will be made to protect the privacy rights of all parties, confidentiality cannot be guaranteed.

If an individual is found to have violated the University’s policy against sexual harassment, steps will be taken to stop the harassment and the violator will be subject to disciplinary sanctions, including, but not limited to, oral or written warning, required education program, mandatory counseling, reprimand, suspension, reassignment of responsibilities, termination of employment or expulsion from the University. If it is found that the complaint is without reasonable foundation, the parties will be so informed and will also be informed that no further action is warranted. A record of the findings and the action taken must be kept in the unit that handled the complaint.

Any faculty, staff or student who believes that he or she has been sexually harassed should first seek a resolution of this problem as outlined above. If that is not satisfactory, the complainant or accused can then appeal through one of the procedures indicated below.

VI. APPEAL PROCEDURE

Procedural Electives

The complainant and the accused have the right to appeal. To do so, he or she must file a formal written appeal either (1) to the University’s Sexual Harassment Board or (2) according to existing grievance procedures for faculty, staff or students. Existing grievance procedures are described in the Faculty Handbook, Staff Handbook, Guidelines on Academic Integrity and Student Code of Conduct and Judicial Procedures.

Once a written appeal has been filed according to one of the procedures identified above, the same appeal may not be filed through an alternative procedure within the University.

The University Sexual Harassment Board

The Sexual Harassment Board is appointed by the Chancellor on advice of the Provost, the Senior Vice Chancellor for the Health Sciences and the Executive Vice Chancellor. The Board consists of three individuals, two of whom, one faculty member and one staff member, are appointed for three-year terms. One member, representing the complainant’s faculty, staff or student status, is appointed upon receipt of that individual’s appeal.

The Board has responsibility for investigating appeals filed with it and conveying its findings and recommendations to the appropriate dean or director within ninety (90) days of receipt of an appeal. Copies of Board findings are provided to the complainant, the accused and the Office of Affirmative Action.

A dean or director must take action within thirty (30) days of receiving the recommendations of the Board. The complainant, the accused, the administrator receiving the original complaint and the Office of Affirmative Action must be informed of the specific action taken.

Appeals of Board Findings and/or Sanctions

Findings of the Board and sanctions imposed by a dean or director may be appealed by any party to the complaint. Within thirty (30) days of the presentation of finding and/or imposition of a sanction, appeals must be submitted in writing to the appropriate senior officer of the University, i.e., the Provost or Senior Vice Chancellor for the Health Sciences in complaints where a faculty member is the accused, the Executive Vice Chancellor in complaints where a staff member is the accused, or the Vice Provost and Dean of Students in complaints where a student is the accused. The senior officer then has thirty (30) days to respond to the appeal. Decisions resulting from such appeals to a senior officer are final.

VII. FOR ADDITIONAL INFORMATION

VIII. FOR COUNSELING SERVICES

University Counseling Center
334 William Pitt Union
(412) 648-7930

Sexual Assault Services
334 William Pitt Union
(412) 648-7856

Theresa Horner
G-10 Student Union
Johnstown Campus
(814) 269-7119

Faculty and Staff Assistance Program
504 Medical Arts Building
(412) 647-3327 or (866) 647-3327

IX. APPLICATION OF POLICY IN THE ACADEMIC SETTING

Consistent with section III. B. above, this Policy does not prohibit legitimate academic activities, such as lectures, classroom debates, reading assignments, presentations, coursework and publications, involving content of a sexual or gender-related nature that is reasonably related to the academic topic. For example, a class on human sexuality will necessarily involve reasonably related content of a sexual or gender-related nature that does not violate this Policy.

Of course, there are situations when sexual harassment may occur in an academic setting. For example, failing a student for refusing to exchange sexual favors for a better grade would not be protected by the First Amendment and would violate this Policy.

The Statement on Academic Freedom of the University’s Ad Hoc Committee on Academic Freedom may provide useful guidance in determining whether the conduct at issue is reasonably related to the academic subject matter.

X. REFERENCES

Policy 02-04-03, Faculty-Student Relationships

Policy 07-01-03, Nondiscrimination, Equal Opportunity, and Affirmative Action

The Statement on Academic Freedom of the Ad Hoc Committee on Academic Freedom at the University of Pittsburgh found at http://www.pitt.edu/~provost/afstatement.html

_{MA: 1/13/05; FO reviewed 6/27/07, 2/20/11 , 2/17/14}

Student Employment Policy

Policy # S - 17

POLICY:

It is the policy of the nursing program of the University of Pittsburgh at Titusville that students enrolled in the program may not be employed as registered or practical nurses unless they possess the appropriate current state license. This policy is in compliance with the Pennsylvania State Board of Nursing regulations for programs of professional nursing.

_{FO 11/7/07,6/1/11. 2/17/14}

Student Nurse Dress Code Policy

Policy # S-4

PURPOSE:

Students are required to abide by professional appearance standards when they are in any contact situations with clients and families. This dress code fulfills the purpose of a generic description of those standards. Students on clinical assignments in specific acute care facilities may be required to meet different standards of that specific facility.

1. The nursing faculty will be responsible for the revisions of this policy.
2. The nursing faculty will be responsible for the enforcement of this policy.
3. Students out of compliance with this policy may be sent away from the clinical setting and receive an absent day for that clinical experience.
4. When a nursing uniform is expected, the requirements are:
   1. Uniform top is to be all white. Pants are to be dark navy blue.
   2. U.P.T. student patch is to be placed on the left arm sleeve, 3” below the shoulder seam.
   3. Pant or dress uniform styles are acceptable for females
   4. Plain white hosiery/socks are required and must cover ankles
   5. Plain, clean white shoes are required.
   6. Appropriate under garments must be worn and they must be undetectable through the professional attire.
   7. Uniforms must be clean, neat in appearance and smoke free.
5. All students must adhere to the dress code for each individual observation. This will be clarified by the instructor of the course.
6. Students must wear their student nurse identification badge at all times they are in any hospital, nursing home, physician office or clinic setting. If a photo identification badge is required, it must be worn above the waist and in a way that is easily readable to any approaching person.
7. Personal hygiene must be impeccable. Hair must be neat, clean and pulled back with small, simple hair accessories so that hair does not come in contact with the patient and/or does not require frequent handling, or obstruct one’s view. Hair color and style must be conservative and must conform to clinical agency’s policies. Health Care agencies do have policies that restrict extreme hairstyles, such as mohawk’s, bright non-natural hair colors and unusual shaven hairstyles/beards.
8. Male students must be neatly shaven. If a mustache and/or beard is worn, it must be short, clean and well groomed.
9. Jewelry permitted when in uniform includes the following:
   1. A wrist watch capable of timing seconds
   2. A wedding ring, engagement ring, and/or school ring
   3. Plain post earrings may be worn (only one in each ear)
   4. If a religious medal or other neck charm is worn it should not be visible on the uniform and it must not dangle or have the capability of coming in contact with the client while giving care.
10. Students are not permitted to wear fragrant products in patient care settings (cologne, perfume, aftershave, etc.)
11. Nails must be well groomed and kept to a length that is not detrimental to the patient’s safety or comfort. The use of artificial nails is not permitted. Nail polish, if worn, must be clear or light pink in color.
12. Tattoos should be covered at all times.
13. Students are not permitted to smoke in uniform in publicly, visible areas, on the premises of healthcare facilities, or during outside rotations. The odor of smoke must not be detectable on the individual.

These guidelines have been written in consideration of the clients perspective and agency guidelines. Health Care agencies do have policies that restrict extreme hairstyles, such as mohawk’s, bright non-natural hair colors and unusual shaven hairstyles/beards. Health care agencies have the right to dictate student dress code policies to universities as we are guests in their facilities and they have the right to refuse students that do not meet the agency guidelines. Clients have a right to refuse the presence of any particular care giver. Personal experiences of artistic grooming (tattoos, unusual hair color, extreme unusual hairstyle, body jewelry, etc.) could result in loss of clinical experiences and unsatisfactory completion of clinical requirements.

_{MA: 12/15/04; rev. 6/27/07; 6/25/08,6/1/11. 2/17/14, 6/11/15,7/7/15}

Student Nurse Position Description Policy

Policy # S-3

PURPOSE:

It is the policy of the Nursing Program at the University of Pittsburgh at Titusville to use a “Student Nurse Position Description” to clarify the essential abilities and function of the student nurse enrolled in this program. The policy will be used as the basis for the components of the Physical Exam requirements for applicants to the program and it will be used as the basis for the evaluation of students returning to the program after absences due to accidents or illnesses.

STUDENT NURSE POSITION DESCRIPTION

Purpose of the position: to prepare a graduate nurse capable of providing entry level professional nursing care to promote, attain, maintain and restore the health of clients in a variety of health care settings.

Essential functions of the position: (In the clinical area) Hours per week spent in function 8-32 hours, percentage of time 20%-80%.

1. Provides patient care, consistent with medical plan of care, for one to three patients. Patient care encompasses the following:
   1. Physical assessment, including but not limited to, listening to heart, lung, and bowel sounds with a stethoscope, checking incisions, and observing other factors, depending on individual patient.
   2. Receiving and giving verbal reports on each patient at start/end of each clinical experience.
   3. Preparing patients for transport to other hospital departments for testing; preparing patients for discharge.
   4. Preparing, distributing and administering medications prescribed by appropriate providers.
   5. Charting, either handwritten or via data entered into computer.
   6. Bathing patients and changing beds.
   7. Dressing and feeding patients.
   8. Accepting and orienting new patients to assigned unit.
   9. Providing individual patient education, in accordance with accepted nursing practice and medical plan of care.
   10. Discharge planning: Assessment of home and caretaker at home, consulting home care resources, obtaining equipment, consulting dietary, teaching patient about discharge medications, obtaining physician approval and arranging for any laboratory tests.
   11. Utilizes therapeutic communication techniques in order to facilitate the patient’s optimum level of wellness.
2. Administers CPR according to American Heart Association Standards (Basic Life Support for the Health Care Provider) to patients in cardiac arrest, on an emergency basis. Must be available for this function, which takes precedence over all others. Unrestricted movement of both upper and lower extremities, neck, shoulders, back and hips required to perform this function.
3. Interacts with physician regarding patient’s conditions.
4. Provides emotional support and patient education to patients and families.
5. Performs specialized functions, including responding to audible and visual cardiac alarms, wound packing, and interpreting cardiac rhythm strips.
6. Provides patient care co-operatively with other hospital departments, including Cardiac Rehabilitation, Physical Therapy, Dietary and Social Service.
7. Demonstrates knowledge and skills necessary to provide care appropriate to the age of patients served on assigned units; knows and applies principles of growth and development over the life span when providing nursing care.
8. Assesses and interprets age-related patient data and identifies age-specific nursing care requirements for assigned patients.

Essential functions of the position: (In the classroom) Hours per week spent in function 9-32 hours, percentage of time 20%-80%.

• Records and preserves pertinent lecture material for future reference.
• Participates in small and large group discussions.
• Answers questions when called upon, presents brief oral reports.
• Reviews handout and audio-visual materials.
• Completes written examinations within time limitations imposed by faculty.
• Prepares handwritten and typewritten reports and utilizes proper spelling and grammar.
• Operates computer terminals and appropriate software in learning process.

Working Conditions:

The student nurse is assigned to clinical units at affiliating agencies within a forty-five mile radius of the University.

Educational Preparation:

Pre-requisites for admission to the University as a student nurse include: High School Diploma or GED and a satisfactory score on the pre-admission nursing examination or SAT. As a student nurse, all courses must be successfully completed in succession as identified by the curriculum plan.

PHYSICAL ACTIVITIES REQUIRED TO COMPLETE ESSENTIAL FUCNTIONS OF THE POSITION

TEMPERAMENT REQUIRED TO COMPLETE ESSENTIAL FUNCTIONS OF THE JOB

The student must exercise good judgment based on patients’ test results, instructor input and nursing assessment in order to provide appropriate nursing care.

The student nurse must maintain a professional demeanor and remain visibly calm under a variety of life-threatening and emergency situations. Emotional stability is required when performing under stress.

The student nurse must work closely with others; interact with patients in a caring, professional manner to provide emotional support and education.

The student nurse learns under variable and constantly changing situations and must be flexible in responding to emergencies and be able to prioritize tasks.

A student nurse may not pose a direct threat or significant risk to the health and safety of patients and/or others in the clinical area. A student nurse may not impede the healing process of a patient.

MACHINES, TOOLS, EQUIPMENT AND WORK AIDES:

Students must have the ability to use various medical equipment, supplies, medications, charts, computer terminals and other aides, in performance of duties.

Students must have the ability to use various classroom instruments such as pens, pencils, chalk, markers, staplers, computers, etc.

CLASSIFICATION:

This position falls within the Medium-Duty category, as defined by the U.S. Department of Labor.

ENVIRONMENTAL REQUIREMENTS:

The student nurse must be able to function in a variety of environmental conditions which include: biohazards, infectious diseases, electrical hazards associated with patient care equipment, working with hands in water and working with or near the deceased.

_{MA: 3/14/05; rev. 6/27/07,3/28/11,6/1/11 2/17/14}

Student Organization Policy

Policy # S-5

POLICY:

It is the policy of the Nursing Program at the University of Pittsburgh at Titusville to involve the nursing students in the governance of the nursing program.

PROCEDURE:

All students enrolled in the nursing program are considered members of the Nursing Program Student Organization. The functions of this Organization are as follows:

1. To elect representatives from the nursing student body to Nursing Program committees and University wide committees. Student representatives sit on:
   1. Curriculum Committee (Nursing Program)
2. To promote professional development of the students by encouraging membership in the Student Nurse Association of Pennsylvania.
3. To promote professional skills and exercise acts of good citizenship by providing service to UPT and the Titusville area by encouraging membership in the student organization. SNA is organized under the Student Affairs Office. It is considered a club on campus and it follows guidelines as mandated by the Student Government Association in the Student Affairs Office. The SNA elects their own officers and has by-laws. These are available from the Student Affairs Office. The purpose of the SNA is to  develop professional skills, provide services to UPT and the Titusville area, and to encourage membership and service in other professional 38 community organizations. The nursing program faculty serve as advisors to the club and assist in the activities of the club.

_{Rev. 6/27/07,6/1/11}

Student Record Retention Policy

Policy # C-4

POLICY:

Graduates

The following documents will be kept in the student’s permanent file:

1. University of Pittsburgh at Titusville official transcript
2. Collaborative Final Performance Summary

The following documents will be kept for 5 years after graduation and shredded thereafter:

1. Financial Aid Records
2. Health Records
3. Criminal and Child Abuse Clearances
4. High School Transcript or GED
5. Pre-admission test scores
6. Mid Term and Final Clinical Evaluations
7. Official College Transcripts
8. Incident Reports
9. Significant Progression Documents

Former Students who have withdrawn or been terminated

Files shall remain intact for 20 years post admission date and shredded thereafter.

Potential Students in the Process of Applying to the Program

• Never completed the application process:
  Files shall be kept for two years and shredded thereafter.
• Students who completed the application and were rejected from the program:
  Files shall be returned to the Admissions Department

The above documents will be housed in locked, fire-proof file cabinets.

_{MA: 12/15/04; rev. 6/27/07, 11/17/10 ,7/10/12, 2/17/14}

Substance Abuse Policy

Policy # S-6

POLICY:

It is the Policy of the Nursing Program at the University of Pittsburgh at Titusville to enforce the Drug-Free Workplace/Drug-Free Schools policy of the University of Pittsburgh by monitoring the students in the nursing program for substance abuse.

1. The Director of the Nursing Program reserves the right to request random drug testing, and to receive the report of such testing of any individual student or group of students in the Nursing Program at any time during their enrollment in the Program.
2. If any student is reasonably suspected of substance use or abuse as described in Part I of “Guidelines for Recognizing and Managing Substance Abuse Among Nurses” published by the Pennsylvania Nurse’s Association, the Program Director reserves the right to require appropriate urinalysis and blood testing for drugs and alcohol.

PROCEDURE:

1. If any student is reasonably suspected of substance use or abuse the student will be escorted by the teacher and or other designated university official to the Health Center (for situations that occur on the university campus) for an appropriate assessment that may include blood and urine sampling. For situations that occur in a clinical agency, the teacher will escort the student to the Emergency Room of that facility and follow the guidelines of the facility for appropriate testing. Refusal by the student to participate in testing will result in automatic suspension from the Program.
2. The results of the assessment will be sent to the Director and will remain confidential with the Director of the Program. The incident and subsequent evaluation and treatment will be filed in the office of the Director of the Program.
3. If it is determined that substance abuse exists, the student will be automatically suspended from the Nursing Program. In order to be eligible for readmission, the student will be required to enroll in an inpatient or outpatient treatment program as determined by a treatment counselor. All costs of treatment are the responsibility of the student.
4. After successfully completing the prescribed inpatient or outpatient treatment program and receiving a positive recommendation from the program counselor, a student may apply to return to Nursing Program. The decision for rentry into the Nursing Program rests solely with the Director of the Nursing Program.
5. If approval for re-entry is granted by the Director, the student must comply with the following conditions:
   1. Remain substance free while a student in the school
   2. Participate in the Impaired Professionals Program or other approved provider who can document continued sobriety and attendance at required meetings
   3. Meet and maintain the academic and behavioral standards expected of all students

See the Nursing Consent to Testing for the Use of Illegal Drugs and Release of Information Form  attached to this Policy.

See related Policy: Policy # S-2, Pre-Admission Drug-Screening

_{MA: 1/7/05; Rev. 5/18/06, 6/27/07: 10/22/08,6/1/11, 2/1/7/14}

Transfer Credit Policy

Policy # C-2

POLICY:

1. Students may apply for transfer of credit for non-nursing courses taken at other American colleges and universities given the following conditions:
   1. The courses are determined to be equivalent courses in course credit hours and content as those required in the program. The final decision of this equivalency rests with the Campus Dean.
   2. A Grade of “C” (2.00) of better is achieved in the course.
   3. Application for transfer course credits must occur during the admission process to the Program. Students must submit an official transcript and catalog description of the course for consideration.
   4. Microbiology and Nutrition must have been completed within the last 5 years prior to enrollment.
   5. The Psychology and Sociology courses must have been completed within the last 8 years prior to enrollment.
2. The Nutrition course is the only nursing program course eligible for transfer. The course must be determined to be equivalent in course credit hours and content as those in the nursing program. The final decision of this equalizing rests with the Director of the Nursing Program.

_{MA: 12/15/04; rev. 6/27/07, 11/17/10,7/1/12 , 2/17/14}