PRACTICAL NURSING PROGRAM - Montachusett Regional Vocational Technical .

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MONTACHUSETT REGIONALVOCATIONAL TECHNICAL SCHOOLPRACTICAL NURSINGPROGRAMSTUDENT HANDBOOK2018-20191050 WESTMINSTER STREETFITCHBURG, MA 01420(978) 345-9200 EXT. 5107

TABLE OF CONTENTSWelcome . 1Approval of the Practical Nursing Program . 1Introduction to the Practical Nursing Program . 2Practical Nursing Philosophy, Regulation, Scope of Practical Nursing Practice and Student LearningOutcomes . 2-3Practical Nursing Education Curriculum . 4Academic Staff 2018-19 . 4Academic Dishonesty . .39Accommodations Due to Disability .31Admission Policies .10Assessment Technology Institute.28Attendance . 22-25Books .22Building Security/Safety .29Cancellation of Classes .12Classroom and Clinical Behaviors . 25-27Computer Use Policy .27-28Course Descriptions 2018-19 . 5-9Crime Awareness and Campus Security .13Crimes Against Public Peace, Chapter 269 – Section 17 . 47-48Duty to Report Hazing - Section 18 .48Educational Mobility.16Exam Make Up Policy 37-38Exemption for Completed Coursework . .14Exposure Control Policy . .35Family Educational Rights and Privacy Act (FERPA) . 10-11Fee for the National Licensing Examination (NCLEX-PN) .22Financial Aid . 16-18Fire Safety Alarms .13Grading, Promotion and Retention in the Program . 36-37Graduation .45Grievance Policy . 58-59Harassment Procedures For Student Harassment Policy . 49-51i

TABLE OF CONTENTS (con’t)Hazing Statutes Provided: Statement of Compliance & Discipline Policy Required – Section 19 . 48-49Health Related Issues . 34-35Identification Badge 21-22Incidents or Accidents . 45-46Insurance-Health .20Latex Allergy Management .21Legal Aspects of Sexual Harassment .46-47Liability Insurance .20Mandatory Sign In and Out Policy .25Meals and Break Time .13Media Resource Center/Library .12Notification of Grade Status .38Nursing Code of Ethics .25Orientation Evening .12Other Program Expenses .20Parking .13Possession and/or Use of Controlled Substances .29-30Possession and/or Use of Weapons . .30Practice Equipment .22Pregnancy Workers Fairness Act .57Probation Status .38-39Program Dismissal .40-41Program Technical Standards . 31-33Progress/Promotion .39-40Re-Admission to the Practical Nursing Program 41-42Reporting & Responding to Bullying & Retaliation Policy & Procedure . 53-56Smoking .12Social Networking .28-29Student Bullying Prevention Policy . 52-53Student Harassment Policy .46-47Student Participation in Program Evaluation . 42-44Support and Tutoring .11ii

TABLE OF CONTENTS (con’t)Telephones .13-14Title IX – Section 504 and Chapter 622 .52Transcripts/Student Records . 10Transfer Student Charges .20Transfer Student . 14-15Transportation .25Tuition and Fees .18-19Tuition Refunds.19Uniforms . 20-21Valor Act . .19Valuables .13Voter Registration .19Withdrawal for Reasons Other Than Dismissal . . 41.APPENDICESAppendix A – Acknowledgement of Understanding .61Appendix B – Incident Report .63Appendix C – Guidelines for Written Assignments . .64Written Assignment Rubric .65Appendix D – Contract for Improvement .65Appendix E – Random Drug Screening Analysis Notification to Students .68Appendix F – Professional Warning .70Appendix G – Social Networking Code of Conduct.72Appendix H – BORN Policy Use of Social & Electronic Media by Nurses . 74-76Appendix I – Student Record Retirement Schedule .77Appendix J – Recommended Computer Specifications .78-79iii

Practical Nursing ProgramMontachusett Regional Vocational Technical SchoolWELCOMEThe administration and faculty of Montachusett Regional Vocational Technical School (MontyTech), Practical Nursing Program are pleased that you have decided to enter the PracticalNursing Program. We welcome you to a curriculum that we believe is not only a rigorouseducational challenge but also a rewarding personal experience. We want you to know that weare here to support and encourage your success.This Handbook includes necessary information about your rights and responsibilities as youprogress through the Program. You are expected to know and to follow these guidelines.After reading and reviewing the content in this handbook, you must sign and date the“Acknowledgment of Understanding” (Appendix A1) and return it during the first weekof classes. Any questions about the content should be addressed to the Director of the PracticalNursing Program.APPROVAL OF THE PRACTICAL NURSING PROGRAMThe Massachusetts Board of Registration in Nursing approves the Practical Nursing Programwith full approval status.Montachusett Regional Vocational Technical School Practical Nursing Program is accreditedby the Council on Occupational Education.Montachusett Regional admits students and makes available to them itsadvantages, privileges and courses of study without regard to race,ethnicity, color, sex, gender identity, sexual orientation, religion, nationalorigin, or disability.1Revised 8-22-18 lcm

Practical Nursing ProgramMontachusett Regional Vocational Technical SchoolINTRODUCTION TO THE PRACTICAL NURSING PROGRAMMission StatementThe Practical Nursing Program is designed to prepare graduates to practice safely, ethically andin a caring manner for clients who are experiencing common variations in health status indiverse health care settings. This mission is consistent with the philosophy and goals of theMontachusett Regional Vocational Technical School that:! Identifies a strong relationship between academic and vocational preparation! Stresses the importance of developing thinking skills needed to function safely, effectivelyand productively in an ever changing technical and diverse society! Supports the maintenance of a positive and caring learning and practice environmentPractical Nursing PhilosophyGuided by Dr. Jean Watson’s Theory of Interpersonal Caring, the Program philosophy focuseson the impact of the student on others. By demonstrating human to human care processes, thestudent gains understanding of the role of nursing in the client’s life and the impact of illness onboth the caregivers and client, first to a single client then to groups of people.Regulation / Scope of PracticeThe Scope of Practice for the practical nurse graduating from our Program is defined by thelaws of Massachusetts as is expressed in the Massachusetts Nurse Practice Act and the Rulesand Regulations of the Massachusetts Board of Registration in Nursing.Student Learning Outcomes / Program Outcomes Patient and Family Centered Care: The Licensed Practical Nurse of the Future willprovide holistic care that recognizes an individual’s and family’s preferences, values andneeds and respects the patient or designee as a full partner in providing compassionate,coordinated, age and culturally appropriate safe effective care. Professionalism: The Licensed Practical Nurse of the future will demonstrateaccountability for the delivery of standard based nursing care that is consistent withmoral, altruistic, legal, ethical, regulatory and humanistic principles. Leadership: The Licensed Practical Nurse of the Future will influence the behavior ofindividuals or groups of individuals in a way that will facilitate the achievement of sharedgoals.2Revised 8-22-18 lcm

Practical Nursing ProgramMontachusett Regional Vocational Technical School Systems based Practice: The Licensed Practical Nurse of the Future will demonstrate anawareness of and responsiveness to the larger context of the health care system, and willdemonstrate the ability to effectively call on microsystem resources to provide care that isoptimal quality and value. Informatics and Technology: The Licensed Practical Nurse of the Future will useinformation and technology to communicate, manage knowledge, mitigate error, andsupport decision making. Communication: The Licensed Practical Nurse of the Future will interact effectivelywith patients, families and colleagues, fostering mutual respect and shared decisionmaking, to enhance client satisfaction and health outcomes. Team Work and Collaboration: The Licensed Practical Nurse of the Future willfunction effectively within nursing and the interdisciplinary health care teams, fosteringopen communication, mutual respect, shared decision making, team learning anddevelopment. (adapted for QSEN,2007) Safety: The Licensed Practical Nurse of the future will minimize risk of harm to patientsand providers through both system effectiveness and individual performance. (QSEN2007) Quality Improvement: The Licensed Practical Nurse of the Future collects data tomonitor the outcomes of care and uses data to continuously improve the quality andsafety of health care systems. Evidence Based Practice: The Licensed Practical Nurse of the Future will identify thevalue of using the best current evidence coupled with the clinical expertise andconsideration of patient preferences, experience and values to make practice decisions.Adapted from Massachusetts Nurse of the Future Nursing Core Competencies-LicensedPractical Nurse, Massachusetts /Rhode Island League of Nursing (MARILN) Council ofPractical Nurse Programs, May 2015)3Revised 8-22-18 lcm

Practical Nursing ProgramMontachusett Regional Vocational Technical SchoolPRACTICAL NURSING EDUCATION CURRICULUMTo foster the development of the preceding outcomes, the curriculum of the Practical NursingProgram is constructed within a ten month-41-week sequence of courses. A minimum of 1210hours of instruction is provided in the 41-week class schedule. The curriculum is purposelydesigned to evolve sequentially from the simple to the complex, including but not limited tocognitive, affective and psychomotor skills essential to the novice level of practical nursing.Monty Tech Practical Nursing Faculty Academic year 18-19Year19891998201420152007Degree**MSBSM EDMSMS ursingNursingFitchburg State Univ.Worcester State Univ.Worcester State Univ.X2017BSNursingS. New Hampshire Univ.X1998NursingX2005BS MBAMSMSX2013BSNursingAnna Maria CollegeRegis Univ.University ofPhoenixFitchburg State University.X1991BSNursingCentro Escolar Univ.X2008MSNursingWorcester State Univ.X2018BSNursingS. New Hampshire Univ.Date PresentTitle/RankDirectorFacultyFull timeXXFacultyXWilliam Chadbourne1/2016Jacklyn Hatton8/21/17Tara Dygon10/14/14CassandraPlamondonKristen cultyAdjunctfacultyAdjunctFacultyKaren Beaton8/21/18XKaren Kobus4/10/17Janice Bissonette8/21/18Joann Monks8/17/10Olga Walker8/23/07Sherry Rickan5/23/13Maria Theresa M.VillegasCaroline Whyte1/17/1210/14/14Melissa unctFacultyAdjunctFacultyAdjunctNameHolly LafranceJane CaseDenise Pelletier1/12/15Part timeXX4Revised 8-22-18 lcmNursingEducational InstitutionAnna Maria CollegeWorcester State UniversityUniversity of Phoenix.Worcester State Univ.Chamberlain College ofNursingFitchburg State Univ.Cambridge CollegeSimmons CollegeFramingham StateFitchburg State Univ.Norwich Univ.

Practical Nursing ProgramMontachusett Regional Vocational Technical SchoolFacultyCOURSE DESCRIPTIONS 2018-19TERM I:Concepts and Skills for a Caring Practice I Class/ClinicalConcepts 1 provides students with an overview of the Licensed Practical Nursing curriculum atMontachusett Regional Vocational Technical School, including the student learning outcomes.The Licensed Practical Nurse’s Scope of Practice, as well as their role within the health careteam, is identified.The students are introduced to underlying curriculum themes: concepts from the program’sorganizing framework, the practical application of Watson’s Theory of Interpersonal Caring,legal and ethical standards of nursing practice, communication skills including the clientinterview, and transcultural nursing.As the course continues, students are introduced to the concepts of health, wellness, illness,end-of-life issues, Maslow’s Hierarchy of basic human needs, and common nursinginterventions to assist individuals in meeting those needs. The consistent use of the nursingprocess which includes assessment, nursing diagnosis, planning, intervention, and evaluation isstressed as students learn to collect, report and record health data. Common health problems andcommon nursing interventions are identified and the concept of critical thinking is introduced.Discussion continues with the adjustment of nursing care based on client needs across thelifespan, including, but not limited to client’s spiritual needs and the needs of clients withdifferent cultural backgrounds. Preparation and integration of course content continue to assistthe students for the clinical component of the course which takes place in a long-term carefacility which may include hospice/end of life.Nursing skills emphasized in the course include caring behaviors, basic communication, criticalthinking through the use of the Nursing Process, and reporting and recording alterations inpatient status, and performing a basic physical assessment.Structure and Function of the Human BodyAn understanding of the normal processes of life is necessary to being able to plan care forclients who demonstrate alterations from the normal state of being. The structure (anatomy)and function (physiology) of the human body are the focus of this course. Included in thiscourse is an introduction to medical terminology and commonly encountered laboratory studies.Growth and Development of the Individual and the FamilyGrowth and Development of the individual across the life span and the family unit within theirenvironment and culture are studied in this course. Stages of individual biophysical and5Revised 8-22-18 lcm

Practical Nursing ProgramMontachusett Regional Vocational Technical Schoolpsychosocial development from infancy to old age are addressed. Included in this course is anemphasis on changes and characteristics of the older individual. Theories of growth anddevelopment are introduced and examined. The family as a unit and its influences on healthissues are examined. Cultural aspects of the family unit and individual are also reviewed.Effective and therapeutic communication styles and techniques are discussed and examined bystudents.TERM II:Concepts and Skills for a Caring Practice II Class/ClinicalAlterations in the ability to meet basic human needs related to the pathophysiological changesin the body often bring individuals into the health care system. Concepts II focus is ondiscovering alterations in basic needs through physical assessment skills, which includeobtaining health histories and critical thinking through the nursing process. Client issuesthroughout the life span as well as the need for the nurse to be culturally and competent whenproviding care holistically is an essential part of the physical assessment.Alterations in physiological functioning usually involve psychosocial issues. In the course ofserious illness and particularly after surgery, clients may experience a change in body imageand other psychosocial issues. Therefore, strategies to help clients/families with coping andadaptation to life changes are explored.Concepts II focus on alterations in five major body systems: The Integumentary, Respiratory,Cardiovascular, Lymphatic, Hematopoietic and Immune Systems. The content denotesfrequently occurring alterations in these systems, including commonly occurring cancers. Thepossible environmental basis for some commonly occurring cancers is explored. Students areintroduced to the care of the patient in a surgical setting, including post- surgical painmanagement.Nursing skills emphasized in Concepts II include: caring behaviors, communication, use of thenursing process, assessment of alterations in the Integumentary, Respiratory, Cardiovascular,Lymphatic, Hematopoietic and Immune systems as related to the surgical process. Postsurgical care, pain management, through comfort measures, common medications, andreporting and recording health care data. The clinical practicum associated with this course is ina sub-acute unit, and/or long-term care facility allowing students to apply their knowledge andskills to the care of clients.Basic NutritionThis course provides a basic introduction to the relationship between nutrition and normal bodyfunction. The focus is on the principles of optimal nutrition across the lifespan includingRecognition of macro and micronutrients and the role of digestion. Factors affecting optimal6Revised 8-22-18 lcm

Practical Nursing ProgramMontachusett Regional Vocational Technical Schoolnutrition including disease, deficiency, culture and life style choices are included. At thecompletion of this course the student is prepared to progress to the planning of therapeuticdiets.Safe Medication Administration Class/LabThe study of drugs and their action begins in this course. The principles of safe medicationadministration are addressed, as is the role of the practical nurse in this important component ofcare. Focus is on hands-on activities that familiarize students with different aspects ofmedication administration. This class is a combination of lecture and lab class and containsresearch into evidenced based practice.A self-study program and assignment of Math Concepts is given to students at orientation inJune. A review of those concepts with subsequent student math testing is performed in Term IIand helps prepare the student for mathematical calculations in Safe Medication Administration.TERM III:Concepts and Skills for a Caring Practice III Class/ClinicalConcepts III continue the study of common pathophysiological conditions in basic human needsacross the life span including the pediatric population. Alterations related to six body systems:The Musculoskeletal System, Gastrointestinal, Neurological (including the special senses),Endocrine System, Genitourinary and Reproductive systems. The content deals with frequentlyoccurring alterations in these systems, including commonly occurring cancers. Sinceenvironmental factors often play a key role in the development of such cancers, studentsexamine the environmental basis for some commonly occurring cancers, using the client’shealth history.Common pathophysiological and psychosocial changes, pain management, nutrition, andrelevant pharmacology interventions are integrated throughout. Individual client issues, asrelevant to their stage of growth and development and cultural/ethnic background, are alsoexamined. Concepts III will also address the symptoms, common interventions and treatmentmodalities related to the mental illness of clients across the life span.Students are expected to demonstrate: caring behaviors, effective communication with clients,families, peers, and members of the health care team, critical thinking through use of thenursing process, the ability to perform student-level head-to-toe assessments, accurate, timelyreporting and recording of health data, the accurate assessment of common alterations in theIntegumentary system, Cardiovascular System, Lymphatic System, and Immune System. Theyare also expected to demonstrate novice skills in assessment of alterations in MusculoskeletalSystem, Gastrointestinal System, Neurological (including the special senses), and EndocrineSystem, Genitourinary and Reproductive system, including the application of common nursinginterventions to alterations in pathophysiological conditions, and the recognition of acute7Revised 8-22-18 lcm

Practical Nursing ProgramMontachusett Regional Vocational Technical Schoolmental illness and the use of common interventions in mental illness. Clinical practiceassociated with Concepts III is conducted in sub-acute care, outpatient clinic setting, andpediatric care setting permits students to apply critical thinking through the use of the nursingprocess to the care of more acutely ill clients and to collaborate with others on the health careteam to care for clients with more complex needs.TERM IV:Concepts and Skills for a Caring Practice IV Class/ClinicalThis capstone course offers new opportunities to develop knowledge and skills related to therole of the Licensed Practical Nurse (LPN) in selected specialized areas of practice, as well asthe opportunity to develop skills in leadership and management.Content covers normal childbearing, common complications during the maternity cycle, care ofthe postpartum family, the role of the LPN in the home care setting, environmental health issuesin the community health care setting and leadership and management techniques and skills.Relevant nutritional issues, pharmacology, and psychosocial issues are integrated into each unit.Stages of growth and development and cultural/ethnic background of clients are stressed.Clinical practice associated with this Concepts 1V takes place in several settings, including amaternal-newborn unit, a rotation in mental health in a detox/mental health center and/or GeriPsych unit or an equivalent Mental Health setting. There is an observational experience incommunity health nursing, along with an open community-based support group. NursingPractice in leadership/management activities takes place in the sub-acute care setting. Morespecific information is detailed below:Unit I – The Care of the Childbearing FamilyThis unit focuses on the normal process of childbearing, including the care of the mother, theneonate and family before

Practical Nursing Program Montachusett Regional Vocational Technical School 4 Revised 8-22-18 lcm PRACTICAL NURSING EDUCATION CURRICULUM To foster the development of the preceding outcomes, the curriculum of the Practical Nursing Program is constructed within a ten month-41-week sequence of courses. A minimum of 1210

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