RN Nurse Program Manual - Cochise.edu

Program Manual 2022-2023REGISTERED NURSE PROGRAM EDUCATIONAL PHILOSOPHYMISSIONThe Cochise College Registered Nursing Certificate Program is committed to offering aquality education which provides educational resources to promote meaningful nursingcareers, constructive citizenship, and lifelong learning to meet the healthcare needs of adiverse population.The vision of the Cochise College Registered Nursing Certificate Program is to be a learningcommunity that places its highest priority, resources, and energy on student learning. This isdone by creating an environment and experiences in clinical, simulation, virtually, and in theclassrooms encouraging students to become active members of this learning community. Theprogram makes learning possible in the classroom as well as through other modalities, activitiesand experiences that enhance learning. This is done for students as well as faculty and othermembers of the college community so that a feeling of collegiality abounds. Moreover, thisvision empowers students, faculty and staff to create a personally meaningful learningenvironment where each person accepts responsibility for contributing.The philosophy of the Cochise College Registered Nursing Certificate Program is to createa learning environment in which the student transforms from a beginning student to an entrylevel practical nurse generalist caring for a diverse population of patients across the lifespan.The nursing faculty respects the students as adult learners who demonstrate integrity in theclassroom, as well as in the clinical setting. The philosophy utilizes a conceptual frameworkbased on the nursing process and related disciplines as a solid foundation for the practicalnurse generalist. The practical nurse generalist collaborates with other members of the healthcare team to provide for patients anywhere along the health/illness continuum.THE CORE VALUES OF THE NURSING PROGRAMLifelong Learning: An attitudinal approach to learning in which the person is open tonew ideas, decisions, skills, and behaviors based on scientific evidence and research topromote scientific and technological progress improving patient outcomes.Diversity: Respecting differences between and among members of the community byembracing and encouraging the expression of ideas, opinions, and thoughts exchangedfreely, respectfully, and civilly.Integrity: Decisions and interactions based on honesty, trust, respect, responsibility,accountability, and ethical behavior.Adult Learning: An independent, self-directed, problem centered approach utilizing priorexperience to gain knowledge.11

Program Manual 2022-202312

Program Manual 2022-2023NURSING PROGRAM OUTCOMESThe nursing program provides students with the knowledge and skills necessary to administernursing care to patients in a variety of settings. Courses include content related to the nurse’srole as a provider of nursing care, as a manager of care, a member of the discipline of nursing,and as a member of the interdisciplinary team. As the nursing student progresses through thecurriculum, each semester builds upon the previous semester in regards to complexity. This isevidenced by the end of semester ATI standardized tests, increasingly complex writtenassignments, more complex skills lab evaluations and increased critical thinking in bothSimulation and Clinical evaluations.The Cochise College Nursing graduate will deliver safe, competent and quality patient centerednursing care within the role of the Associate Degree Nurse as a:1. Provider of Care: Integrate biopsychosocial and scientific principles when providingtechnically competent care to groups of individuals within a variety of healthcaresettings. The provider of care utilizes the following elements: Nursing Process (M Measured) Quality Care and Safety (M) Caring Wellness Continuum Lifespan Diversity2. Manager of Care: Collaborate as a member of the healthcare team to manage the careof groups of individuals and families in a variety of healthcare settings. Appropriatelydelegate activities to manage the care of groups of individuals and families in a variety ofhealthcare settings. The manager of care utilizes the following: Critical Thinking (M) Evidence Based Practice (M) Communication and Collaboration/Teamwork Informatics3. Member of the Discipline of Nursing: Acculturate professional values and behaviorsas ADN graduates through the following: Legal-Ethical (M) Accountability Life-Long Learning Roles and ResponsibilitiesThe Cochise College Nursing Program outcomes are evidenced by:1. Licensure pass rates2. Job placement3. Program Completion rates4. Employer Satisfaction5. Graduate program satisfaction13

Program Manual 2022-2023NursingAssociate Degree Nursing (Major Code – ADN)Associate of Applied ScienceCurriculum 2022-2023Pre-Nursing:Fall/Spring Semester 27 creditsComposition I ENG 101 . 3College Mathematics .MAT 142 3Update to Pharmacology ** . NUR 203 3Human Anatomy & Physiology I* BIO 201 .4Human Anatomy & Physiology II* . BIO 202 .4Introduction to Psychology .PSY 101 3Developmental Psychology .PSY 240 . 3Microbiology* . BIO 205 . 4st1 Year Nursing1st Semester . 14 creditsNursing 1 .NUR 122 .12Medication Math I .NUR 121A 2nd2 Semester . 12 creditsNursing IIA .NUR 123 . 6Nursing IIB .NUR 124 . 6SUMMER for LPN to RN Advanced Placement Pathway StudentsTransition to Professional Nurse . NUR 130 . 4 credits2nd Year Nursing3rd Semester . 14 creditsNursing III NUR 232 . 12Medication Math II .NUR 121B 2th4 Semester . 12 creditsNursing IV .NUR 233 12Total Degree Requirements . credits 79-83* BIO 201/202 requires pre-requisite courses** Cochise College Policy 3004.1 allows students the opportunity to waive a prerequisite course.Students seeking a prerequisite waiver should consult with an academic advisor and should understandfull responsibility for the outcome of the course taken will be on the student.***Science courses must have been completed within the last seven (7) years prior to admission to theCochise College Nursing Program with a grade of “B” or better.****NUR 203 must have been completed within the last five (5) years prior to admission to the CochiseCollege Nursing Program with a grade of “B” or better.*****MAT 142 must have been completed prior to admission to the Cochise College Nursing Programwith a grade of “B” or better.Student cannot waive any nursing courses or required prerequisites.14

Program Manual 2022-2023NURSING PROGRAM STRUCTURE The RN option for the Cochise College Nursing Program is comprised of seven corenursing classes in four semesters.NUR 121-A (Medication Math One) and NUR 122 (Nursing One) are both in semesterone.NUR 122 is comprised of Fundamentals of Nursing related to the well adult client.NUR 123 (Nursing Two A) is comprised of Common/Chronic Conditions in the Adultclient. NUR 124 (Nursing Two B) is comprised of the childbearing family, obstetrics andpediatrics. These two courses are completed in semester two.Completion of the first four (4) nursing courses (NUR 122, NUR 121-A, NUR 123 andNUR 124) and the required pre- and co-requisite general education courses are requiredto achieve eligibility to take the NCLEX-PN.NUR 121-B (Medication Math Two) and NUR 232 (Nursing Three) are offered insemester three.NUR 232 content is related to psychiatric and acute conditions in the adult client as wellas Preceptorship experience.NUR 233 (Nursing four) is offered in semester four. Complex and critical conditions inthe adult client, as well as Preceptorship experience.Completion of all seven (7) nursing classes and the required pre- and co-requisite generaleducation courses are required to achieve eligibility to take the NCLEX-RN.For LPN to RN Advanced Placement Students, a current Arizona LPN license in goodstanding and written proof of at least one year work experience as an LPN are requiredand will grant credit for NUR 122, NUR 123 and NUR 124. LPN to RN AdvancedPlacement Students are required to take NUR 130 (Transition to Professional Nurse),NUR 121-A (Medication Math I), NUR 121-B (Medication Math Two, NUR 232(Nursing Three), NUR 233 (Nursing Four), and the required pre- and co-requisite generaleducation courses to achieve eligibility to take the NCLEX-RN.*Student may audit NUR courses once accepted into the program but will count asone of the attempts in the program. Student must notified faculty prior to changingstatus to an audit throughout the semester.*Student will only have 2 attempts in the nursing program.15

Program Manual 2022-2023Career Ladder ConceptThe Cochise College Nursing Program RN option is designed on the Career Ladder Concept topermit students several points of exit and reentry. Recognizing that many students pause in theireducation for financial or family reasons, the current program was developed so those studentscould achieve different levels of competency throughout the Program. This permits the studentto obtain employment in the health field while working in stages toward the final goal ofRegistered Nurse.At the end of the first year, students are eligible to take the National Counsel Licensing Exam forLicensure as a Practical Nurse (NCLEX-PN). At the end of the second year, students are eligibleto take the National Council Licensing Exam for Registered Nurse (NCLEX-RN).While this concept has worked to the benefit of many students over the years, it does cause someconfusion on the part of potential students. Students misinterpret the Career Ladder Concept tomean that the first year is an LPN program. This is not the case. This Nursing Program optionis an RN option and the entire curriculum is focused toward this goal.NUR 120 Transition to Practical NurseFor first-year re-entering nursing students who have been out of nursing studies at CochiseCollege for less than one year. Provides an update of the philosophy, policies, and procedures ofthe Cochise College nursing program. Emphasis is on the nursing process, patient care planning,therapeutic use of self, clinical expectations and basic nursing skills.NUR 220 Transition: Practical Nurse to Registered NurseFor second year re-entering nursing students who have been out of nursing studies at CochiseCollege for less than one year. Provides a review and an update of the philosophy, policies, andprocedures of the Cochise College nursing program. Emphasis is on the nursing process, patientcare planning, therapeutic use of self, clinical expectations, and more advanced nursing skills.16

Program Manual 2022-2023COURSE OUTCOMESFIRST YEARNUR 122CaringProvider of CareNursing ProcessNUR 123NUR 124Identify attributesof caring for aclient-centeredenvironmentDisplay attributes ofcaring in a clientcentered environmentDisplay attributes of caring ina client-centeredenvironment related tomembers of the childbearingfamily, and to pediatric andadolescent clientsWrite a nursingcare plan for aclient with specifichealthneed/problem(s)Differentiate a plan ofcare for clients /families based onpriority nursingdiagnosesDifferentiate a plan of carefor families based on prioritynursing diagnosesImplement theprinciples of safemedicationadministrationDemonstrate safemedicationadministrationconsidering the effecton the individualthroughout the lifespanDemonstrate safe medicationadministration consideringthe effect on members of thechildbearing family, and onpediatric and adolescentclientsDescribe factorsthat influence aculture of safetyDemonstrate the abilityto provide safe andeffective care to allclientsDemonstrate the ability toprovide safe and effectivecare to members of thechildbearing family, and topediatric and adolescentclientsIdentify potentialresources forclients across theadult life spanAnalyze internal andexternal resourcesbased on client needsAnalyze internal and externalresources based on the needsof the childbearing family,and of pediatric andadolescent clientsIdentify conceptsof health andwellness across theadult lifespanApply health and illnessconcepts to client careApply health and illnessconcepts based on the needsof the childbearing family,and of pediatric andadolescent clientsIdentify life spanvariables thatApply concepts relatedto life span variableswith nursing practiceApply concepts related to lifespan variablesSafety/ Quality CareWellness ContinuumLife SpanDiversity17

Program Manual 2022-2023Describe theinteraction ofhuman diversitywith health, illness,and caringbehaviors andattitudes.Provide patientcentered care withsensitivity and respectfor human diversityProvide patient-centered carewith sensitivity and respectfor human diversity related tomembers of the childbearingfamily, and to pediatric andadolescent clientsCommunicationCollaboration,Teamwork &InformaticsIdentify factorsinvolved incommunicationand collaboration,teamwork andinformatics foreffectivemanagement ofcare.Participate incommunication andcollaboration,teamwork and usinginformatics whendelivering quality care.Participate in communicationand collaboration, teamworkand using informatics, whendelivering quality careEvidence-BasedPracticeDescribe thecomponents ofevidence-basedpractice as itrelates to patientcareDifferentiate reliablesources for evidencereports and clinicalpractice guidelinesDifferentiate reliable sourcesfor evidence reports andclinical practice guidelinesrelated to members of thechildbearing family, and topediatric and adolescentclientsCritical ThinkingIdentifycomponents ofcritical thinking andclinical reasoningat the novice levelDemonstrate criticalthinking abilities andsound clinicalreasoning.Demonstrate critical thinkingabilities and sound clinicalreasoningLegal-EthicalIdentifycompetencies forlegal, ethical andprofessionalconduct of a nurseDiscuss legal, ethicaland professionalconduct of a nurseDiscuss legal, ethical andprofessional conduct of anurseRoles &ResponsibilitiesExplain the rolesand responsibilitiesof the professionalnurseDemonstrateknowledge of the rolesand responsibilities ofthe professional nurseDemonstrate knowledge ofthe roles and responsibilitiesof the professional nurseMember ofProfession(Integrity)Manager of Careimpact the healthof clients18

Program Manual 2022-2023Accountability LifeLong LearningRecognize theimportance ofaccountability forone’s own nursingpractice andprofessionalgrowthApply accountability toown nursing practiceand professionalgrowthApply accountability to ownnursing practice andprofessional growthSECOND YEARNUR 232NUR 233CaringDistinguish appropriatecaring behavior for a clientcentered environmentIntegrate attributes of caring for a client-centeredenvironmentNursing ProcessApply the nursing process toindividual and groups in theinpatient, outpatient, homeor community settingEvaluate nursing and multi-disciplinary plans of carefor clientsManage safe & effectivepractice related topharmacology, medicationand treatment regimensEvaluate medication administration systems andprocesses collaboratively with the health care team.Use national patient safetyresources for ownprofessional developmentwith a focus on safety in careCritiques and modifies own nursing practice with afocus on safetyImplement referrals incollaboration with healthcare team based on clientneedsImplement referrals and access resources incollaboration with health care team based on clientneedsSafety/ Quality CareWellness ContinuumLife SpanDiversityIntegrate population, family,individual and national goalsto promote healthIntegrate population, family, individual andnational goals to promote healthIntegrate life spanconsiderations into nursingfor individuals, families andpopulationsIntegrate complex nursing care across the lifespan of individuals, families and populationsIntegrate respect for humandiversity into nursingpracticeIntegrates understanding of multipledimensions of patient centered care19

Program Manual 2022-2023CommunicationCollaborationEvaluate owncommunication,collaboration and team workwithin the health care teamand environment, utilizinginformatics.Adapt own communication and collaboration,teamwork to the needs of the health careteam and system(s). and utilizing informatics.Evidence-BasedPracticeAnalyze evidence-basedreports to substantiatenursing interventions incollaborative client careSynthesize evidence-based practice and thenursing process to provide quality care for agroup of patients under the supervision of anexperienced registered nurseCritical ThinkingAppraise own criticalthinking abilities and clinicalreasoning decisionsEvaluate critical thinking abilities and clinicalreasoning of self and other health careprofessionalsExhibit competencies oflegal, ethical andprofessional conduct of anurseEvaluate legal, ethical and professional issueswhich impact the professional nurse andpatient outcomesDemonstrate accountabilityfor own nursing practice andprofessional developmentCritique personal and professionaldevelopment of nursing practice(s).Differentiate professionalbehaviors related to the careof patients provided byother team membersIntegrate professional accountability and lifelong learning into own professional practice.Manager of CareTeamwork &InformaticsMember of Profession (Integrity)Legal-EthicalRoles &ResponsibilitiesAccountabilityLife Long Learning20

Program Manual 2022-2023Arizona State Board of NursingQualifications for Professional Registered NurseAn applicant for a license to practice as a graduate, professional, or registered nurse shall file averified electronic application with the board and complete the electronic NCLEX Registrationaccompanied by the prescribed fees and submit proof that the applicant:1. Has completed satisfactorily the basic professional curriculum in an approvedprofessional nursing program and holds a diploma or degree from that school. This isdone by Cochise College electronically after graduation.2. If convicted of one or more felonies, has received an absolute discharge from thesentences for all felony convictions three or more years before the date of filing anapplication pursuant to this chapter (Sec.8, Section 32-1632, Arizona RevisedStatutes).Arizona State Board of NursingQualifications for Practical NurseAn applicant for a license to practice as and assume the title of a licensed practical nurse shallfile a verified electronic application with the board and complete the electronic NCLEXRegistration accompanied by the prescribed fees and submit proof that the applicant:1. Has satisfactorily completed the basic curriculum in an approved practical orprofessional nursing program and holds a diploma, certificate, or degree from thatprogram. This is done by Cochise College after graduation.2. If convicted of one or more felonies, has received an absolute discharge from thesentences for all felony convictions three or more years before the date of filing theapplication (Sec. 15, Section 32-1637, Arizona Revised Statues).21

Program Manual 2022-2023NURSING DEPARTMENT CODE of ACADEMIC INTEGRITYDishonesty of any nature is a serious offense at the College. Dishonesty undermines the bonds oftrust between members of the community and the school, and it defrauds those who may eventuallydepend on your professionalism and integrity. Nursing programs must have high standards of ethics.As a nursing student and nurse, there is an expectation of integrity. The Code of Academic Integrityis congruent with the Cochise College Academic Dishonesty Policy 3010.Academic DishonestyCochise College requires students to adhere to the highest level of ethical academic conduct and has notolerance for academic dishonesty. The college may impose serious academic sanctions as a result ofacademic dishonesty up to and including suspension and expuls

Practical Nurse Certificate Program Manual ii Nursing Program Organizational Chart Cochise College Nursing Program Manual 2022-2023 DISCLAIMER This manual is provided to assist the student while in the Cochise College Nursing Program. The Nursing Administration and Faculty reserves the right to amend or add policies/procedures at any