Nursing Student Handbook

Cypress College
Nursing Student Handbook

 

PREFACE TO STUDENT HANDBOOK

Welcome to the Cypress College Registered Nursing (RN) Program and congratulations on your acceptance! You have worked hard to get here, and I am honored to welcome you to our associate degree nursing program. Our Nursing team is here to support you on your journey to becoming a Registered Nurse.

The Nursing Student Handbook was developed in collaboration with the Nursing Department faculty and nursing students to guide you through the program and policies. This is your resource throughout the nursing program. Students are expected to be familiar with the college and nursing department policies. The faculty along with the California Nursing Student Association (CNSA) student representatives review and update the handbook each year. Any changes to the handbook will be provided electronically in your Canvas courses.

Campus resources are located on the Cypress College Home page. These references provide course information, important deadlines, campus policies, and many of the student resources available to you.

The Nursing Department policies comply with Cypress College policies and procedures. The Nursing Department reserves the right to make policies that set higher standards than the campus, when student safety, patient safety, clinical facility requirements or nursing licensure requirements make such policies necessary.

Our program curriculum develops from simple to complex. Students are expected to retain and build upon previous knowledge and skills to meet the course and program objectives. To assist you along the way, the Nursing Faculty members are available to you during posted office hours and/or as arranged. Students are encouraged to communicate needs early and to plan to meet with instructors as needed.

The faculty and the Nursing Department members are here to support your successful journey in the nursing program. The entire team is looking forward to being part of your nursing foundation and seeing you achieve your goal of becoming a Registered Nurse.

Welcome to the program!

Jennifer Galich
Jennifer Galich, DNP, FNP, RN
Interim Associate Dean Health Science
Interim Director of Nursing

NURSING PROGRAM MISSION STATEMENT AND PHILOSOPHY

MISSION STATEMENT:

The Registered Nursing Program provides student centered education designed to prepare graduates to practice as registered nurses and provides a foundation for lifelong learning. Cypress College registered nurse graduates provide safe, quality, patient centered care.

PHILOSOPHY STATEMENT:

The Cypress College nursing faculty ascribes to the core competencies for nursing and nursing education identified by the Quality and Safety Education for Nurses (QSEN) project. While firmly based in science and the arts, the essence of nursing is caring and compassionate patient centered care. Ethical standards, respect for individual dignity, and consideration of cultural context are implicit in the practice of patient-centered care. The nurse advocates for patients and families in ways that promote self-determination, integrity, and ongoing growth as human beings. Nursing care is provided in collaboration with the patient, the family and members of the health care team. The nurse displays a spirit of inquiry by examining evidence to improve quality of care, promote safety and improve patient outcomes. Nursing judgment is integral to making competent decisions related to the provision of safe and effective nursing care. To make informed clinical decisions, the nurse must have a firm foundation in and understanding of the concepts of oxygenation, regulation and movement. Information essential to nursing care is communicated via a variety of technological and human means. The adoption of these key philosophical components fosters the development of the nurse’s professional identity.

Multiple processes are in place to measure the effectiveness of the nursing program and student success including the following:
• Governmental Program Approval: California Board of Registered Nursing (BRN)
• Voluntary National Accreditation: Accrediting Commission for Education in Nursing (ACEN)
• Cypress College Campus Evaluation: Departmental Planning and Program Review, established Program Learning Outcomes and Student Learning Outcomes, Career Technical Education Program Review
• Surveys: Student, Graduate, Employer
• Evaluations: Course, Program

NURSING CONCEPTUAL MODEL

PROGRAM LEARNING OUTCOMES

The graduates of the Cypress College Nursing Program will be competent when they consistently provide safe, quality, patient centered care. The graduate uses sound nursing judgment and best practices to meet patient care needs for oxygenation, regulation and movement across the lifespan. The graduate demonstrates advocacy for patients/families in a coordinated manner using open interprofessional communication while maintaining mutual respect and shared decision-making to achieve safe quality patient outcomes. The graduate uses evidence to make decisions and promotes quality improvement. The graduate uses information and technology to support decision-making and effective communication while demonstrating professionalism.

End of Program Student Learning Outcomes

1. Safety – Employ practices to ensure safety of patients and improve outcomes of care.
2. Patient Centered Care – Advocate for patients, recognizing the patient or designee as the source of control and as full partner in providing compassionate and coordinated care based on respect for patient’s preferences, values, and needs.
3. Teamwork and Collaboration – Collaborate effectively within nursing and inter-professional teams, fostering open communication, mutual respect, and shared decision-making to achieve safe, quality patient care in a variety of health care settings.
4. Evidenced-Based Practice – Use nursing judgment based on best current evidence to provide safe care for patients and families across the lifespan.
5. Quality Improvement – Apply principles of quality improvement to monitor the outcomes of care and minimize risk of harm to patients and providers.
6. Informatics – Use information and technology to communicate, document care, minimize error, and support decision making.
7. Oxygenation, Regulation, Movement – Utilize best practices and sound nursing judgment to address oxygenation issues, maintain regulation, and guide movement in patients across the lifespan.
8. Professionalism – Demonstrate professionalism in the implementation of the role of the registered nurse.

Means of Assessment

Performance: All students who complete the Cypress College Nursing Program shall meet all the graduate outcomes of the nursing program.

Exam-Licensing: Graduating nursing students (first time test takers) shall successfully pass the NCLEX- RN Examination at or above the national average.

ORGANIZATIONAL CHART

HISTORY OF NURSING AT CYPRESS COLLEGE

The associate degree Registered Nursing Program at Cypress College has a long and proud history. The program began initially in 1914 as the Orange County Hospital School of Nursing Program. In 1956 the Orange County Board of Supervisors voted to close the program, considering it too expensive to maintain. Local citizens petitioned to keep the program open because of the outstanding reputation of its graduates. As a result of the public outcry, the program was maintained and relocated to Fullerton Junior College as a three-year program. Fullerton Junior College simultaneously implemented the two-year associate degree Nursing Program and phased out the diploma nursing program in 1959.

The nursing program was relocated from Fullerton College to Cypress College in 1973. By 1977 new facilities were built and the nursing program, along with nine other health programs, became part of Cypress College’s Health Science Division. Our graduates are actively recruited for employment by hospitals and other health care agencies. A high percentage of our graduates continue to university programs to complete bachelor’s and higher degrees in nursing.

Our program is one of high quality, in part due to constant review and improvement of curriculum. Changes have been made in response to internal and external evaluation and health care needs. Over these many years it has become apparent that there is no “perfect” curriculum: however, there are those programs that manage to meet the most important challenges of educating competent nursing graduates who are equipped for both the current and future health care environments. It is our belief that our program is one of exceptional quality that achieves this goal. The program is approved by the California Board of Registered Nursing and accredited by the Accreditation Commission for Education in Nursing.

Students who complete all requirements for the Cypress College associate in science Degree in Registered Nursing are eligible to wear the school’s pin, which is to be worn on the left side over the heart. The symbols on the pin were carefully selected at the time of its design to reflect the core values of the nursing program of Cypress College. The meaning of each of the symbols is as follows:
The Lamp: The nursing lamp is a symbol of caring. It was carried by the Christian nurses in their day, and by Florence Nightingale and her nurses in the Crimea. Ms. Nightingale was known as “the Lady of the Lamp” because her lamp was used to continue the care of soldiers during the otherwise dark night. The lamp reminds us that care for patients does not stop at day’s end, or during weekends, holidays or other times that may seem inconvenient. Commitment to nursing means that care will be provided when and where care is needed to restore health, regardless of the time of the day.
The Book of Knowledge: The lamp rests on a book. The book is a symbol of the academic aspect of nursing. The Book of Knowledge shows the depth of preparation necessary in nursing.
The Rope: Around the pin is a braided rope. The rope, with no beginning or end, signifies never-ending love.

NURSING PROGRAM OPTIONS

There are three enrollment options in the Nursing Program. Curriculum guides can be found on the associate degree Nursing website or the college website link at: Registered Nursing Associate in Science Degree < Cypress College (nocccd.edu)

Associate Degree Nursing Program

Successful completion of this two-year program qualifies the student to take the National Council Licensing Exam – Registered Nurse (NCLEX-RN) given by the State Board of Nursing. The program satisfies the requirements for an associate degree in nursing.

LVN/PT to RN Career Mobility Program

The Registered Nursing Program provides an opportunity for Licensed Vocational Nurses (LVNs), and Licensed Psychiatric Technicians (LPTs) to enter the program at different points upon successful completion of the Career Mobility Transitions Program. Students of this advanced placement option are integrated into the ADN program.

LVN 30-Unit Option non-degree RN Program

The LVN 30-Unit Option non-degree RN Program does not lead to an associate degree in nursing. This non-graduate status entitles the candidate to take the NCLEX-RN for licensure as a registered nurse only in California. This permanent non-graduate status may hinder employment and further educational opportunities and prohibit endorsement as a registered nurse in other states (See catalog and Health Science Counselor).

NURSING PROGRAM POLICIES

The following pages list the policies of the Nursing Department. They are designed to augment campus policies and take precedence over campus policies. It is the student’s responsibility to be aware of and follow all general college regulations for students.

I. Ethical Standards for Nursing Students

All true professions have a code of ethics which serves as the guideline for standards for optimum practice. The nursing profession has two published and agreed upon codes for ethical standards, one from the American Nurses’ Association (ANA); and one from the International Council of Nurses Code of Ethics (I.C.N.). It is important as the student enters the nursing program to understand the code of ethics and, the type of behavior expected (or not expected) of an ethical nurse or nursing student.

A. Professional Standards of Behavior

1. Nursing students are expected to adhere to the American Nurses’ Association’s Code for Nurses and the American Hospital Association’s Bill of Patient Rights. Nursing students are also expected to comply with the rules and regulations of the facilities during clinical experiences. These rules include the following examples:
2. Cell phones are to be silenced inside classrooms and clinical facilities. Cell phone use in clinical is at the discretion of the facility and clinical instructor. Instructors will instruct students in how to handle emergency calls.
3. Written permission is required for any photography in a clinical setting. Patients and family numbers are not to be photographed without the instructor’s knowledge and written permission of the patient. Hospital policy regarding photography is to be followed. Guidance from the instructor is required.
4. Students are only allowed to make personal phone calls while on their break and away from the patient care area.
5. Professional Communication is a key component of the nursing profession. Nursing students are expected to demonstrate professionalism with verbal and written communication. The following is a list of simple steps to help you with professional communication.
a. Use a professional email address. Email addresses through Cypress College are available to students. Please contact student services for information on how to obtain one. This marks the message as legitimate and not spam. If your college email address doesn’t use your full last name (in other words, it uses your initials or some other abbreviation of your name), then make sure your first sentence identifies who you are by name.
b. Specify your subject line. This title will get to the point of your email.
c. Address your professor directly; don’t just launch straight into a request. Examples: ‘Dear Dr. Smith’, ‘Hi, Dr. Jones’, ‘Dr. Zimmerman, I hope all’s well with you…
d. Proofread. Avoid the use of slang and text style writing in professional emails. Be succinct: Keep your message short and to the point. Your professor is going to have multiple email messages to wade through each day. Please be specific and state your request precisely and respectfully. Make sure you are as clear as possible about what it is you need to ask your professor without writing a novel.
e. Do not use your email to argue and never send an email when angry. You want to be sure that you maintain a professional demeanor.
f. Acknowledge emails. You should always acknowledge emails in a timely fashion, even if a response is not requested. Announcement emails to an entire class, excluded unless otherwise noted.
g. Avoid all caps. This is like shouting in a face-to-face conversation. Use caps appropriately, such as if you are using acronyms. Be polite: Don’t make demands, don’t accuse, remember to write please and thank you.
h. If you are going to have to miss class, offer to bring written proof up front, do not make your professor ask.
i. Sign off in style. Close your email with something polite like “Thank you for your time” or “See you in class Wednesday,” etc. Students should always include their Cypress College Student identification number with their full name at the end of their email.

B. Confidentiality

The California Civil Code Section 1798 (Information Practices Act) and Section 56-56.06 (Confidentiality of Medical Information Act) both state that the right to privacy is a fundamental right, and that all individuals have a right of privacy in information pertaining to them. This is also outlined in the ANA Code for Nurses. Therefore, the following statements reflect these standards and the philosophy of the Cypress College Nursing Program.
1. No hospital generated medical record or information from the medical record may be removed from the facility. Patients’ names or identifying information cannot appear on your paperwork. Faxing, copying, duplicating, e-mailing or printing of hospital generated patient specific information is prohibited. Students are responsible for knowing and following individual facility policies.
2. Students are not to use patient names. Only initials may appear on clinical papers. All clinical information shall be protected to maintain confidentiality. Discussion of patients may not take place in ANY public area. Discussion of patients during class or post-conferences is acceptable under the direction and supervision of the instructor.

C. Academic Honesty (Cypress College Policy)

The ADN faculty have the responsibility of assigning grades that accurately reflect the knowledge and skill of the individual student. Academic dishonesty interferes with this process and weakens the strength of the nursing program. Any infraction involving academic dishonesty will be discussed with the teaching team and the Program Director. The consequences of academic dishonesty are severe and may include dismissal from the ADN program.
1. Students are expected to abide by ethical standards in preparing and presenting material which demonstrates their level of knowledge, and which is used to determine grades. Such standards are founded on basic concepts of integrity and honesty. These include, but are not limited to the following areas:
a. Plagiarism is defined as stealing or passing off as one’s own ideas or words of another and as using a creative production without crediting the source. The following cases are examples of what constitutes plagiarism:
1) Paraphrasing published material without acknowledging the source.
2) Making significant use of an idea or a particular arrangement of ideas, e.g., outlines.
3) Writing a paper after consulting with persons who provide suitable ideas and incorporating these ideas into the paper without acknowledging the debt.
4) Submitting under one’s own name, term papers or other reports, which have been prepared by others.
b. Cheating, which is defined as using notes, aids, or the help of other students on tests, exams, or competencies in ways other than those expressly permitted by the instructor; and as misreporting or altering the data in laboratory or research projects involving the collection of data.
c. Submitting an original paper or project to more than one class without approval from the second instructor.
d. Furnishing materials or information to enable another student to plagiarize or cheat. Plagiarism Prevention and Detection: in its commitment to academic honesty, Cypress College offers Turnitin.com software to prevent and detect plagiarism.
1) The instructor reserves the right to submit student assignments to Turnitin.com to check for textural similarities between those assignments, Internet sources, and the Turnitin.com assignment database. Students will be required to electronically submit their written work for plagiarism checking. Assignments submitted to Turnitin.com will become part of their database and will be used only for plagiarism prevention and detection.
2) Students agree that by enrolling in a course, assignments may be subject to the above plagiarism prevention and detection processes.
2. All incidents of suspected dishonesty are to be brought to the teaching team to determine the course of action.
a. In cases of suspected cheating, plagiarism, or dishonest conduct that cannot be proven or that may be the result of a lack of understanding on the student’s part, a documented counseling may be given, and/or the student may receive an “F” on the assignment or exam. In the Department of Registered Nursing, assigning an “F” means a penalty of zero points for the test or assignment when the student is observed cheating, or found to be in possession of the means to cheat.
1) In the case of written assignment or competency where the grade is pass/fail, the student will receive a “failure” on the assignment in question.
2) The teaching team in the course where the academic dishonesty policy is violated will be the ad hoc review board to deal with the issue in consultation with the Director of Nursing.
b. In cases where the dishonesty was serious, premeditated, or part of an ongoing scheme, an ad hoc review board may be requested made up of at least three faculty members from the department or division of the instructor involved. This review board is to be appointed by the Academic Senate President or his/her delegate in consultation with the department coordinator, or if none is in place, with the members of the department. All documents will be provided to the review board that are suspect, along with documents completed by the student that might help determine if academic dishonesty occurred. It would then be the review board’s responsibility to determine academic penalties as appropriate.
c. Faculty must report the alleged incident of academic dishonesty to the Program Director, Division Dean and the Dean of Counseling and Student Development. This report will include relevant documentation and recommendations for action that he or she deems appropriate.
d. The appropriate Division Dean shall maintain an academic dishonesty file of all cases of academic dishonesty with the appropriate documentation.
e. Students shall be informed when their names are inserted into the file and provided with copies of any appeals or disciplinary procedures in which they may become involved. The appropriate Division Dean may initiate disciplinary proceedings under Education Code, Article 3, Sections 76030-76037; when two or more incidents involving the same student occur, he/she shall do so.
f. Students charged with violations resulting in disciplinary action have the right to appeal the findings to the Petitions Committee under the Rules and Procedures of Due Process.

D. Academic Honesty in the Classroom/ Clinical (Nursing Policy)

1. Permission to audio record classroom or clinical presentations must be obtained individually from each instructor/presenter.
2. Instructors have the right to refuse to be audio recorded unless a student has official accommodation from Disability Support Services (DSS). Students must provide documentation of their accommodation from DSS.
3. Permission to video record classroom or clinical presentations must be obtained individually from each instructor/presenter.
4. Instructors have the right to refuse to be video recorded. Video recording without permission is not allowed.
5. Students shall not reproduce, post online or distribute classroom/course materials or recordings to others. Recordings and/or materials provided for students are intended for personal use only. Violation of this infringes on copyright laws for faculty and Cypress College.

E. Examination Policy (Nursing Policy)

1. Guidelines for Examination Behavior: these guidelines are established to provide a fair and equitable testing situation. Examinations will begin and end on time. Students arriving late may complete the exam but will not be given any additional time. A 10% penalty will be applied to all late examinations (including makeup examinations).
a. Students are not to look at any other student’s exams.
b. The exam proctor/instructor will not answer questions pertaining to medical terminology, test content, or nursing vocabulary during a test.
c. Before the exam begins students will place all study aids, electronic devices and personal belongings in their car or locker. It will be considered a violation of departmental academic honesty policy if any study aid, electronic device, or other prohibited object is in the student’s possession during testing.
d. If calculators are needed in an exam, they will be provided by the proctor/instructor or will be available through the online proctor or testing platform. Use of a personal electronic device will be considered a violation of the departmental academic honesty policy.
e. Students with questions are to raise their hand to signal the instructor. The instructor will determine whether to go to the student or ask the student to approach the instructor. Students are not to look at any other student’s exams at any time.
f. Students may elect to wear ear plugs during examinations. The student must notify the exam proctor/instructor prior to the beginning of the examination in case an announcement needs to be made or a safety issue arises.
g. Upon completion of the exam, students are to leave quietly and not to converse around the testing area. A “no talk zone” outside the classroom will be enforced.
h. If testing is done through Exam Soft, or other computer-based platforms, students must abide by the proctoring rules utilized in that course. This may include the use of cameras, browser lockdown programs, and small whiteboards (up to 9×12). Students must present the whiteboard wiped clean to the proctor both before and after the exam. Each student is responsible for bringing their own dry-erase marker and eraser. The use of tissues, paper towels, or any other unapproved materials for erasing is prohibited. Students will be required to bring their own device to campus for computer-based exams. Chromebooks computers are not approved for testing.
i. Sharing test questions and answers among students is a violation of the academic honesty policy. Organized collection and sharing of test questions and answers will result in disciplinary action/or dismissal from the nursing program.
2. Testing Platform
a. Exams will be conducted on Exam Soft/Examplify. It is the student’s responsibility to ensure the version of Examplify being used meets the minimum requirements and to ensure all functions will operate during the examinations.
To ensure the device is supported, review the Examplify minimum system requirements (Examplify: Verify device meets MSRs – ExamSoft).
b. A Chromebook computer is not compatible with this system. It is the student’s responsibility to have an appropriate device. Computers will not be provided by Cypress College.
c. It is the student’s responsibility to ensure they are familiar with Examplify® functions (highlighting, flagging, strike-out, etc.) and the question types (fill in the blank, drop down, etc.). A mock exam will be utilized at the start of the course (as needed) to become familiar with the Exam Soft functions.

F. Cypress College Nursing Student Code of Conduct

Nurses have an ethical responsibility to society. Nursing students have a responsibility to learn the academic theory and clinical skills needed to provide safe and effective nursing care. The clinical setting presents unique challenges and responsibilities in a variety of health care environments.
The Nursing Student Code of Conduct is based on an understanding to uphold the trust that society has placed on nursing as a profession. This agreement provides guidance for the nursing student in the personal development of an ethical foundation for practice.

CODE OF CONDUCT

As students are involved in the clinical and academic environments, ethical principles are a necessary guide to professional development. Therefore, within these environments the student nurse is expected to:

1. Advocate for the rights of all clients.
2. Maintain confidentiality.
3. Take appropriate action to ensure the safety of clients, self, and others.
4. Provide care for the client in a timely, compassionate and professional manner.
5. Communicate and document client care in a truthful, timely and accurate manner.
6. Actively promote the highest level of moral and ethical principles and accept responsibility for personal actions.
7. Promote excellence in nursing by encouraging lifelong learning and professional development.
8. Refrain from any form of cheating or dishonesty, and act to report unethical, and unsafe practices to proper authorities using established channels.
9. Uphold college and departmental policies, regulations and codes of conduct related to academic and clinical performance, reserving the right to due process according to school grievance policy.
10. Treat others with respect and promote an environment that respects human rights, values, and choice of cultural and spiritual beliefs.
11. Collaborate in every reasonable manner with the academic faculty and clinical staff to ensure the highest quality of client care.
12. Use opportunities to promote and improve faculty and clinical staff understanding of the learning needs of nursing students.
13. Maintain and turn in all appropriate records necessary for participation in the clinical experience, such as CPR, TB, Malpractice insurance, and required immunizations.
14. Refrain from performing any technique or procedure beyond the scope of practice for which the student has not been adequately educated, or without proper guidance.
15. Refrain from any deliberate action or omission of care in the academic or clinical setting that creates unnecessary risk of injury to the client, self, or others.
16. Assist the staff nurse or preceptor in ensuring that there is full disclosure, and that proper authorization is obtained from clients regarding any form of treatment or research.
17. Abstain from the use of alcoholic beverages or any substances such as illicit or prescription drugs in the classroom and clinical settings as well as any college sponsored activities that impair judgment and that could potentially cause harm to ourselves and our patients.
18. Strive to achieve and maintain an optimal level of personal health.
19. Refuse to engage in, or condone, discrimination on the basis of race, gender, age, citizenship, religion, national origin, sexual orientation, or disability.
20. Uphold college and departmental policies, regulations and codes of conduct related to academic and clinical performance, reserving the right to due process per school grievance policy.
21. Students will arrive on time and be prepared to go to work in the classroom and clinical settings. This includes being dressed appropriately, bringing proper supplies, completing
all assigned work on time, and turning off all cell phones and other electronic media during attendance in classes and clinical, unless otherwise specified. 22. Students will display personal qualities needed on the job, including responsibility, initiative, positive attitude, and other traits necessary for success.
Code Developed by CNSA in consultation with Faculty

STATEMENT OF COMMITMENT

Nursing is both a stressful and rewarding career. While completing the Nursing Program, you will have many class and clinical objectives to achieve to be successful.
Care plans and other learning activities are required to fulfill course expectations. These are not done during scheduled class hours and are considered homework assignments requiring extra work hours.
You will need to make time allowances for this work. It is recommended you discuss these requirements with family members so they can understand and support your academic needs. Commitment to attaining your goal is your responsibility.
It is recommended that you work less than 20 hours a week. If work is financially necessary, it should be planned around the course schedule and/or holiday time only, preferably in a field that can directly help you in nursing.
Success in the Cypress College Nursing Program requires:
1. A commitment by the student to make education the top priority during enrollment.
2. A willingness to seek assistance, as necessary.
3. The student is responsible for their own learning by completing readings and assignments on time.
Your faculty wishes you every success. We will work closely with you to help you become the successful nurse you wish to be.

EVALUATION AND GRADING POLICY

All theory and clinical objectives must be met in each course for grade and unit credit. Failure to meet the theory or clinical objectives will result in a failing grade for that course. The student must repeat the course, meeting all theory and clinical objectives, to earn credit for the course (refer to Policy for Re-Entry to the ADN Program).
A. Theory Grades
1. The student must attain a minimum grade of C in each required course to continue in the nursing program. The minimum grade of C is 75%.
a. A student whose average theory score is 75% or below must be conferenced by the instructor. Although 75% is a passing grade, it is the lowest possible passing score, and the student is considered to be academically at risk. The student and instructor will determine a plan for improvement. The student can be referred for tutoring or self-paced learning and testing strategies. A student with a 75% or below is expected to contact their instructor to seek further assistance.
b. Any student receiving less than a C grade (below 75%) for a final grade in any required program course will not continue in the nursing program. Eligible students seeking readmission to the nursing program must contact the Director of Nursing. If readmission is granted, the student must repeat the course with a minimum C (75%) grade to remain enrolled in the program. (see Policy for Re-Entry to the ADN Program).
c. At the course instructor’s discretion, a student may remain in a pharmacology course where applicable. The pharmacology course must be passed with a 75% or better to remain in the program.
d. To pass a clinical nursing course, a passing grade in theory and clinical must be achieved. A failure in either theory or clinical constitutes a failure for the course. Students must pass concurrent/co-requisite courses to continue in the Nursing program. (Pharmacology courses are co-requisite courses). If Pharmacology is not passed, this is considered a second failure, and the student is not eligible for re-entry to the nursing program.
e. Eligibility for the final course exam requires a satisfactory grade in the clinical portion of the course at the time of the final exam.
f. Written Deficiency notices will be given to students who are not meeting the course objectives, punctuality and attendance, academic grades, and clinical or lab issues. The expected behavior is for the student to improve their performance in the course.
2. The grade calculation used to determine letter grades is determined by the Department of Nursing. Grades are not rounded and there are no exceptions. A final grade of 74.9 is a 74 and constitutes a grade of “D” for the course.

GRADE CALCULATION
90 – 100%……….A
80 – 89%…………B
75 – 79%…………C
70 – 74%…………D
Below 70%……..F
3. A 10% penalty will be applied to all late exams, and only one late exam per course will be allowed. Final exams must be taken as scheduled with the class and will not be scheduled at a later date. After one late exam, failure to take an exam at the scheduled date and time will result in a zero (0) grade for that exam. Students are responsible for notifying their instructors of all absences.
a. Students will have two (2) days open return from illness to complete late quizzes or exams. The late exam must be taken prior to the next exam in the course. It is the student’s responsibility to contact the instructor regarding the scheduling of the exam. Failure to comply will result in a zero (0) grade.
b. It is the usual practice of the Nursing Department for papers/assignments to be due at the beginning of a class or clinical day. Anything that deviates from this requires instructor permission. If an assignment is late, the deduction is the loss of 10% of the total possible points for each school day the assignment is late. When a written assignment is for competency, a late submission counts as one failed attempt.
c. Students having a pattern of late assignments/tests will be tracked by instructors and counseled about this behavior and will be subject to an “at risk rating.”
4. Students who qualify for accommodations through Disability Support Services (DSS) should inform their course instructor during the first week of the course. Students who obtain new accommodations while in a course, need to inform their instructors as soon as possible. Please remember that some advance planning is necessary to accomplish these arrangements. Students are responsible to be sure their accommodations are renewed and updated with each course throughout the program.
5. Grades are posted on the Canvas course sites. Students are invited to meet with their instructor to discuss grades throughout the course.
6. The final course grade will be posted on the Canvas course site and the Cypress College Transcript. Students may view this via Webstar on the MyGateway student on-line portal.
B. Exam Review
The Nursing faculty value student testing as an integral part of learning. The development of test taking skills is essential to prepare students for the NCLEX-RN. Therefore, students who wish to review completed examinations will have the opportunity to do so following course specific guidelines. The test review enhances the student’s learning, it is not to contest the score or argue with the instructor about specific answers or test grades.
Guidelines:
1. An exam review may be offered to the entire class in nursing courses. The method of this exam review is at the discretion of the faculty teaching the course. Based on exam statistics, faculty will determine which topics will be discussed. Exam review cannot take place until all students have taken the scheduled exam.
2. Students who earn 75% or less on an exam are encouraged to make an appointment with faculty to request an individual exam review. It is the student’s responsibility to contact the instructor. Individual exam reviews will be scheduled at the discretion of the faculty and will typically occur after any class exam review has been completed, when applicable.
3. Exam reviews will be conducted within a timeframe determined by faculty, taking into consideration course scheduling, and progression. When feasible, exam reviews should occur prior to the next scheduled exam. Final exams are not eligible for review.
4. The instructor has discretion in conducting all exam reviews.
5. Students may not use any recording or communication devices during any exam reviews.
6. Sharing exam information after the exam or during the review is prohibited. Students who violate this policy are subject to disciplinary action.
7. Faculty will stop the exam review if any uncivil behavior is noted during the review and students will be subject to receiving a professional deficiency notice.”
C. Clinical Grades
Students are evaluated on their performance of the clinical objectives for each course and successful completion of clinical competencies.
1. Evaluation is based on predetermined methods for every course, such as verbal questioning, nursing care plans, and quality of patient care, course competencies, conferences, and participation in course related assignments.
2. Written mid-course evaluation is done in 8-week courses (verbal in 4-week courses) to make the student aware of their progress towards clinical objectives, strengths, challenges, and to assist them in the development of a self-improvement plan toward student success. Utilization of the skills lab is encouraged for skills practice under a Registered Nurse faculty’s guidance. Students are also encouraged to meet with the Retention Specialist/ Student Success Coordinator for support.
3. A satisfactory or unsatisfactory grade is determined at mid-term (unsatisfactory progress will be discussed verbally in 4-week courses) and at the completion of the course.
4. The written final evaluation outlines and describes satisfactory/unsatisfactory completion of clinical objectives, strengths, challenges, and recommendations. A final evaluation conference between instructor and student is scheduled at the end of each clinical nursing course.
5. Clinical performance is graded as Satisfactory or Unsatisfactory.
a. Satisfactory – The student meets all clinical competencies and critical elements with a satisfactory rating. The student exhibits focus on the patient or system, accuracy and skillfulness, assertiveness and initiative, efficiency and organization, and an eagerness to learn at least 75% of the time for clinical objectives overall. The student does not require direction, guidance, monitoring, support, and remediation for clinical objectives more than 25% of the time (see Clinical Competency Criteria and Testing).
b. At Risk Clinical Rating – A student who is not meeting clinical objectives can receive an “at risk” clinical rating at midterm or any time during a clinical rotation. Deficiencies will be documented, and the student and instructor will meet to discuss a plan for the student to improve their clinical performance to meet clinical objectives. If the student corrects the identified deficiencies, the final clinical evaluation will reflect this process. If the identified problems are not improved, the student will receive an Overall At-Risk clinical rating.
c. Overall at Risk Clinical Rating – An Overall At-Risk rating will be given to a student who does not improve on all identified deficiencies of an At-Risk Clinical Rating or any time they are unable to consistently demonstrate the knowledge, skills, and conduct appropriate for a student at that level of the program. An Overall At-Risk Rating can be given directly when the student does not have time to correct the deficiencies or if a safety concern is demonstrated or omitted. An Overall At- Risk Clinical Rating remains on the student record for the remainder of the program.
i. First Overall Clinical At-Risk Rating – Students must see the Program Director and the Instructor of Record to review deficiencies and create a plan and timeframe for improvement. Regardless of the theory grade, the student’s grade will not exceed an overall grade of a “C” in course.
ii. Second Overall Clinical At-Risk Rating – A second overall At-Risk Rating is considered an unsatisfactory grade, and the student’s grade will not exceed an overall grade of a “D” in the course. Students receiving a second Overall At-Risk Clinical rating cannot continue in the Nursing Program and are not eligible for re-entry.
d. Unsatisfactory – The student does not meet all clinical competencies and critical elements with a satisfactory rating and/or the student does not meet the overall clinical objectives at least 75% of the time. An unsatisfactory clinical grade will also be given whenever a student receives a second Overall At-Risk clinical rating or whenever the student demonstrates unsafe clinical practice, i.e., a patient’s safety or welfare is compromised. The student’s grade will not exceed a “D” in the course.
D. Criteria for Unsafe and/or Unsatisfactory Clinical Performance
Nursing students are legally responsible and accountable for their own acts, commission, and/or omission during clinical. Unsafe and/or unprofessional clinical performance may result in a verbal warning, a written warning, and/or disqualification from the Nursing Program. Students deemed unsafe in the clinical setting are not eligible for re-entry to the nursing program. The examples noted below are not an inclusive list of all acts of “unsafe clinical performance” but are examples only. Please refer to the course Clinical Evaluation Tool for criteria specific to each course’s clinical objectives.

Safety
Examples
Violates or threatens the physical safety of the patient
Any action or inaction on the part of the student which, in the judgment of the instructor and/or clinical facility, compromises the patient’s physical safety.
1. Does not perform hand hygiene appropriately when caring for patients.
2. Injures a patient when providing care, i.e., improper positioning/ambulating, leaving side rails down/bed in high position resulting in a fall.
3. Comes to clinical unprepared.
4. Makes repeated faulty clinical judgments/decisions resulting in ineffective care.
5. Fails to observe/report/document critical patient data and assessment findings in a timely manner.
6. Comes to clinical impaired which includes physical status, mental and emotional status, legal and illegal drugs, alcohol, and other chemicals.
Violates or threatens the psychosocial safety of the
1. Repeatedly uses non-therapeutic communication techniques
patient – Any action or inaction on the part of the student which, in the judgment of the instructor and/or clinical facility, compromises the patient’s emotional safety.
2. Attacks/degrades an individual.
3. Calls individuals by inappropriate names.
4. Shows disrespect for the individual’s beliefs or values.
Failure to demonstrate competence
Failure to demonstrate competence of previous or current course content. Failure to exercise the
degree of learning, skill, care, and experience ordinarily possessed and exercised by students of the same level.
1. Unable to perform previously learned skills.
2. Unable to verbalize key information previously covered in lab and/or class.
3. Unable to identify and report/address basic patient deficits through assessment.
4. Violates the “5” rights of medication administration.
5. Fails to recognize and correct safety hazards.
6. Failure to accurately prepare and monitor IV infusions.
Professionalism
Examples
Inappropriate student behavior
Defines as behavior on the part of the student which, in the judgment of the clinical instructor and/or clinical facility, is in conflict with Cypress College Nursing Program policies, the Student Handbook, and the ANA Code of Ethics.
Assumes inappropriate independence in action or decisions:
1. Functions beyond scope of practice.
2. Fails to appropriately seek assistance with assessment.
3. Performs procedures and/or skills with the staff nurse when the instructor has specifically stated that students are only to do certain procedures with instructor supervision.
4. Accepts a verbal/telephone order from a doctor.
Fails to recognize own limitations, incompetence, and/or legal responsibilities.
1. Refuses to admit error.
2. Refuses to accept responsibility for own actions and judgments.
3. Cannot identify own legal responsibility in specific nursing situations.
4. Fails to complete assigned nursing responsibilities.
5. Violates Academic Honesty or Student Code of Conduct policies.
Displays unprofessional behavior or attitudes.
1. Participates in uncivil or bullying verbal or nonverbal behavior directed towards fellow students, faculty, clinical facility personnel, or patients/clients (eye rolling, disinterest, side-bar conversations, argumentativeness, comments meant to publicly embarrass another, disrespect).

Gross negligence
Gross negligence is defined as an extreme departure from the standard of care which, under similar circumstances, would have been exercised by a student of the same level.
1. Falsifies information.
2. Comes to clinical in an impaired state, physically or emotionally.
3. Does not follow school or clinical facility policies and procedures.
Violation of patient confidentiality
Violation of patient confidentiality may also be a violation of Federal Law (HIPAA) violation and may result in fines and/or incarceration.
1. Shares patient information on social media.
2. Photocopies or takes photographs of patient records.
3. Shares patient information with individuals outside of the healthcare team.
4. Puts patient name and/or protected health information on assignments.
5. Discusses patient information in public areas such as the lobby or cafeteria.
6. Fails to log out of electronic health records before leaving a workstation.

 

E. Attendance Policy
1. By state law, only those enrolled in a course may attend class/clinical sessions of the course.
2. “After a student accumulates more than a one week’s absences in any class (more than the number of times the class meets per week), consecutive or non-consecutive, an instructor may request that the student be dropped from class.” Source: Cypress College Catalog.
3. Excessive absences will result in serious problems in meeting course objectives while attempting to keep up with the class. The student should meet with the instructor for counseling with respect to the student’s ability to meet objectives required for the course. The Nursing Department defines excessive absences which will result in a formal deficiency notice and may jeopardize the ability of the student to meet theory/clinical objectives for the course.
4. Students may receive an “Incomplete” at the end of the term when behavioral objectives for course are not met due to unforeseeable, emergency and/or justifiable reasons. This “incomplete” will be given in accordance with the Cypress College policy as printed in the current Cypress College Catalog. All work must be completed before the next term begins for the student to continue enrollment.
5. If a student must be absent, it is the responsibility of the student to notify the instructor of this absence and the reason behind it. For a clinical absence, the instructor should be notified at least 1 hour prior to the clinical practicum starting time. Business or personal appointments, including medical and dental appointments should not be made during school hours. Personal appointments or a work schedule are not excused absences.
6. After an absence, the student is expected to check with his/her clinical instructor about the completion of all missed assignments. It is the students’ responsibility to contact his/her instructor after an absence.
7. In a clinical setting being tardy often results in loss of handoff report and allocation of responsibilities. This is a violation of safety, teamwork, and collaboration. Tardiness in the clinical setting may result in a clinical absence. In the classroom, tardiness by a student is disruptive to the academic environment. It is also a violation of teamwork and collaboration. The nursing faculty will counsel students in the importance of promptness as follows:
a. Students appearing for lectures or clinical laboratory after the class has begun will be considered tardy. Students should write the time of arrival on roll/attendance sheets. Instructors may instruct students who are tardy to enter class after the next scheduled class break.
b. Students will be counseled for habitual tardy behavior.
i. Two tardies will result in a deficiency notice.
ii. Three or more tardies result in an absence and the student may receive a mid-course at risk rating.
8. Students are advised that children may not be brought to class or clinical at any time. Children may not be left unattended on school property. Unsupervised children left on school property will be considered “abandoned” and will be reported to the appropriate authority.
9. Bereavement Policy – A student having a death in the family will be allowed three (3) days for bereavement leave if the family member is in California and five (5) days for a death in the immediate family outside California. These days are not to be counted as absence time tests and written work, can be made up without penalty. Students should notify clinical faculty if they are taking bereavement leave.
The immediate family is usually considered:
• spouse
• stepchild
• son/daughter
• foster child of student
• son in-law/daughter in-law
• father/mother
• grandfather/grandmother
• brother/sister
• grandchild
• stepparent of student/spouse
• relative living in the house
• significant other
• father-in law/mother-in-law
F. Student- Instructor Conferences
Individual conferences may be arranged at any time. Instructor office hours are posted on the course Canvas page. Full-time instructors have voicemail and e-mail available to students. Students are encouraged to make appointments with the instructor to discuss their areas of concern at any time.
1. Instructors will counsel students in writing whose average theory score is 75% or below and/or need improvement in their clinical performance. A plan for improvement may be established. Students will also be referred to a Health Science Counselor, Retention Specialist, Tutor or the Health Center for further assistance.
2. Instructors will counsel students in writing who are deficient in their performance. A student is considered deficient if the student has a second failing theory grade (less than 75%) in a course or is failing the course going into a final examination. A student is also considered deficient who has unsatisfactory clinical performance, unprofessional behavior, and/or excessive absences or tardiness. Instructors will also counsel students demonstrating difficulty in maintaining departmental or campus policies. Students will be required to meet with the Director of Nursing (DON) for deficient performance. If the student is allowed to continue in the course, a plan for improvement will be established. Students may also be referred to a Health Science Counselor or other campus resources for further assistance. Students who do not demonstrate improvement in deficient behaviors may be subject to course failure and/or dismissal from the nursing program (Refer to the section on “Probation, Dismissal or Reinstatement of Students”).
3. Students are expected to make appointments for a conference at mid-course, after absences, and at any time the instructor or student feels there is difficulty meeting course objectives.
4. A student with a perceived conflict needs to discuss this first with the nursing instructor. Students are encouraged to make an appointment to talk with the instructor in a private setting so that concerns can be shared professionally in an open and honest manner. Then the student may meet with the DON.

CLINICAL POLICIES

A. Clinical Competency Criteria and Testing
1. Introduction: The nursing curriculum is designed to progress from simple to complex in both theory and clinical skills. Each course contains knowledge and skills which are essential prerequisites for successful learning in subsequent courses. Comprehension of classroom theory is determined through written examinations, papers, reports and projects. Clinical proficiency is determined by the student’s clinical performance, which includes specific clinical objectives and selected clinical competencies. Since skills testing for competency may be a new experience for many students, the following information is provided to clarify what competency testing is, how it is accomplished, and what is expected of the student. The student needs to satisfactorily complete these clinical competencies in order to achieve a satisfactory clinical grade.
Definition: In each nursing course there are identified clinical skills that have been designated as being a “Clinical Competency.” Each of these skills is listed and contains critical elements – behaviors, actions – that must be demonstrated by the student when performing this skill. The critical elements are based on theory and scientific principles and are essential to the safe performance of the skill. Failure to perform any single critical element of the skill could jeopardize the health and safety of the client, the student, or both. The student will be given a description of the critical elements for each skill on which the student will be tested. It is the student’s responsibility to be familiar with these elements prior to any testing situation as well as prior to clinical practice in the hospital. Competency forms are available for review in the campus skills lab.
Overriding Elements: Personal (physical and emotional) and environmental safety are considered overriding elements because they are always considered a critical element of any patient care. Any unsafe commission or omission of patient care interventions in direct patient care, a clinical skill, or in a written competency care plan, will be considered a competency attempt failure. A new patient, or new care plan on a different patient, will be required for the next competency attempt.
2. Preparation: The theoretical components of a skill are presented to the class. Students will have an opportunity to practice in the skills lab prior to competency testing. Students are encouraged to enroll in the Health Science Skills Lab to practice skills. The skills lab is a low-stress environment where the student can clarify questions and have a chance for multiple practices in a simulated clinical setting. In the clinical setting the student will have the opportunity to perform skills with direct instructor supervision and guidance. Some competencies require specific activities such as developing and presenting a plan of care, performing assessments and trending patient data, or administering medication. When the student feels ready to meet the critical elements of the competency, the student arranges a time with the instructor for testing. When the student has met all the critical elements of the competency satisfactorily, without requiring further instruction, the student has successfully passed the competency. If the instructor feels the student is ready to demonstrate competency, she/he may initiate the testing. Testing may be immediately terminated at any time a critical element has not been met, and/or when the student or the patient’s safety and well-being are threatened.
3. Testing versus Practice: Practicing a skill is a learning process. In fairness to the student, the skill is not tested at the time the student is learning the skill. Competency to perform a skill requires the student to be able to demonstrate the ability to perform the skill without further instruction or prompting from the instructor. The student should know when s/he is being tested and be prepared. Unlike detailed steps of a procedure, the competency criteria deal with the critical elements. This allows for individual variations that may be required by the patient’s needs or situation at a given point in time. The student is expected to adhere to principles, concepts, and rules for performing the procedure. The student is encouraged to focus on the critical points of the task and not on memorizing a procedure step-by-step.
4. Timing for Competency Testing: Clinical competency testing is done when the student and the instructor determine the student is ready for testing. The course faculty team will decide if a competency will be done in a clinical setting or in a simulated setting. A testing time should be determined for attempting clinical competencies in consultation with the instructor. All students have adequate time to attempt these clinical competencies during the academic hours in clinical. The student will have three attempts to demonstrate competency. If the scheduled clinical hours are completed, the student will not have the opportunity for further attempts. All students have access to the instructor in the clinical setting from the beginning of the rotation. If the student waits until the end of the scheduled clinical hours to begin competency testing, the student risks not having adequate time for three attempts due to other students also testing for competency. It is the student’s responsibility to schedule competency attempts in a timely manner with the instructor. By mid-course, the student should have several competencies completed or scheduled. All competencies must be completed prior to the end of the last clinical day in the clinical setting. Planning for competency testing is the student’s responsibility. A student who does not assume the responsibility for arranging competency testing could run out of time, resulting in a clinical failure.
5. Unsuccessful Competency Attempt(s): If all the critical elements are not met on the first try, the student will be told privately what the problem is and will have an opportunity to learn/practice and retest two more times if there is still time left in the clinical course. If performance is unsatisfactory after the third try, or by the end of the clinical hours of the course, the student will receive an unsatisfactory clinical grade and will not be eligible to proceed to the next nursing course. The clinical competencies are very important to nursing practice and the student must take them seriously.
6. Course Specific Competencies: The required clinical competencies are listed in each course syllabus. The criteria and critical elements will be provided in each course. There are many skills taught and practiced in each course, only a selected number are tested as competencies. The skills designated as required competencies are essential for safe, effective nursing practice and serve as a foundation for the next nursing course. There will be a competency in Nursing Process, Physical Assessment and Communication in each semester of the nursing program. Once the student has passed a clinical competency, the student is expected to competently perform these skills in the remainder of that course and all subsequent courses. The student is responsible for reviewing and practicing nursing skills to maintain competency throughout the program. Enrollment in the Health Science Skills Lab courses HS168/HS268 is recommended for ongoing practice of skills and review of nursing content.
B. Policy on Student Clinical Placement
1. The student should not be assigned to a clinical facility where they are employed, unless approved by the program director. No student-initiated changes in assignment will be made. The instructors reserve the right to change clinical assignments. In some courses, students may be able to request clinical assignments. These requests are merely as stated with no guarantee. The faculty decisions on clinical placements are final. As needs/problems arise, the faculty may alter the student assignment to meet course
requirements. (Please note that Cypress College is not responsible for finding clinical sites that would allow for clinical placement of unvaccinated nursing students).
Members of an immediate family may not be assigned to the same clinical practicum group. Immediate family is defined as:
• spouse
• stepchild
• son/daughter
• foster child of student
• son in-law/daughter in-law
• father/mother
• grandfather/grandmother
• brother/sister
• grandchild
• stepparent of student/spouse
• relative living in the house
• significant other
• father-in law/mother-in-law
C. Health Clearance
Technical Standard for Nursing: Functional Abilities Requirements
Introduction
Nursing practice is complex and requires varied knowledge, skills and abilities to provide safe care to those they serve. The National Council of State Boards of Nursing has defined the following functional abilities that a nurse must possess to provide safe, effective care. Prior to your commitment to pursue a nursing career, we ask that you review the following requirements to be sure this is the correct choice for you. These requirements address the physical, emotional, and professional demands of a Registered Nurse. Please consider whether you can perform the following functions, with or without reasonable accommodations. If after reviewing the requirements listed, you determine that you are unable to perform any of the skills listed and you have a documented disability, you will then need to determine if a reasonable accommodation can be provided. Please contact Disability Support Services (DSS) (714) 484-7104 to further discuss and present documentation of your disability.
Functional Ability Categories and Representative Activities/ Attributes

GROSS MOTOR SKILLS
• Move within confined spaces
• Sit and maintain balance
• Stand and maintain balance
• Reach above shoulders (e.g., IV poles)
• Reach below waist (e.g., plug electrical appliance into wall outlets)
FINE MOTOR SKILLS
• Pick up objects with hands
• Grasp small objects with hands (e.g., IV tubing, pencil)
• Write with pen or pencil
• Key/type (e.g., use a computer)
• Pinch/pick or otherwise work with fingers (e.g., manipulate a syringe)
• Twist (e.g., turn objects/knobs using hands)
• Squeeze with finger (e.g., eye dropper)
PHYSICAL ENDURANCE
• Stand (e.g., at client side during surgical or therapeutic procedure)
• Sustain repetitive movements (e.g., CPR)
• Maintain physical tolerance (e.g., work entire shift)
PHYSICAL STRENGTH
• Push and pull 25 pounds (e.g., position patients)
• Support 25 pounds of weight (e.g., ambulate patient)
• Lift 25 pounds (e.g., pick up a child, transfer patient)
• Move light objects weighing up to 10 pounds (e.g., IV poles)
• Move heavy objects weighing from 11 to 50 pounds
• Defend self against combative patient
• Carry equipment/supplies
• Use upper body strength (e.g., perform CPR, physically restrain a patient)
• Squeeze with hands (e.g., operate fire extinguisher)
MOBILITY
• Twist
• Bend
• Stoop/squat
• Move quickly (e.g., response to an emergency)
• Climb (e.g., ladders/stools/stairs)
• Walk
HEARING
• Hear normal speaking level sounds (e.g., person-to-person report)
• Hear faint voices
• Hear faint body sounds (e.g., blood pressure sounds, assess placement of tubes)
• Hear in situations when not able to see lips (e.g., when masks are used)
• Hear auditory alarms (e.g., monitors, fire alarms, call bells)
VISUAL
• See objects up to 20 inches away (e.g., information on a computer screen, skin conditions)
• See objects up to 20 feet away (e.g., patient in a room)
• See objects more than 20 feet away (e.g., patient at end of hall)
• Use depth perception
• Use peripheral vision
• Distinguish color (e.g., color codes on supplies, charts, bed)
• Distinguish color intensity (e.g., flushed skin, skin paleness)
TACTILE
• Feel vibrations (e.g., palpate pulses)
• Detect temperature (e.g., skin, solutions)
• Feel differences in surface characteristics (e.g., skin turgor, rashes)
• Feel differences in sizes, shapes (e.g., palpate vein, identify body landmarks)
• Detect environmental temperature (e.g., check for drafts)
SMELL
• Detect odors from patient (e.g., foul smelling drainage, alcohol breath, etc.)
• Detect smoke
• Detect gases or noxious smells
READING
• Read and understand written documents (e.g., policies, protocols)
ARITHMETIC COMPETENCE
• Read and understand columns of writing (flow sheet, charts)
• Read digital displays
• Read graphic printouts (e.g., EKG)
• Calibrate equipment
• Convert numbers to and/or from the Metric System
• Read graphs (e.g., vital sign sheets)
• Tell time
• Measure time (e.g., count duration of contractions, etc.)
• Count rates (e.g., drips/minute, pulse)
• Use measuring tools (e.g., thermometer)
• Read measurement marks (e.g., measurement tapes, scales, etc.)
• Add, subtract, multiply, and/or divide whole numbers
• Compute fractions (e.g., medication dosages)
• Use a calculator
• Write numbers in records
EMOTIONAL STABILITY
• Establish therapeutic boundaries
• Provide client with emotional support
• Adapt to changing environment/stress
• Deal with the unexpected (e.g., patient going bad, crisis)
• Focus attention on task
• Monitor own emotions
• Perform multiple responsibilities concurrently
• Handle strong emotions (e.g., grief, trauma, suffering)
ANALYTICAL THINKING
• Transfer knowledge from one situation to another
• Process information
• Evaluate outcomes
• Problem solves
• Prioritize tasks
• Use long-term memory
• Use short-term memory
CRITICAL THINKING
• Identify cause-effect relationships
• Plan/control activities for others
• Synthesize knowledge and skills
• Sequence information
INTERPERSONAL SKILLS
• Negotiate interpersonal conflict
• Respect differences in patients
• Establish rapport with patients
• Establish rapport with co-workers
COMMUNICATION SKILLS
• Teach (e.g., patient/family about health care)
• Explain procedures
• Give oral reports (e.g., report on patient’s condition to others)
• Interact with others (e.g., health care workers)
• Speak on the telephone
• Influence people
• Direct activities of others
• Convey information through writing (e.g., progress notes)
A health care provider must clear the student to perform all of the physical activities above. A signed copy of the Physical Examination shall be included with the students’ Health History Profile.
1. Proof of a current physical examination is required of all beginning or re-entering students before the students will be allowed on the clinical units. This includes:
a. Completion of Immunizations as applicable (including COVID, influenza and Tdap)
b. Testing for immunity to Measles Mumps and Rubella, Hepatitis B and Varicella by titer.
c. Serology Test and other Lab tests as applicable
d. Physical Examination
e. Any special examination(s) deemed necessary
f. TB testing (see policy below)
g. Clearance of physical abilities
h. Urine Drug Screen
2. TB Clearance
a. Students are required to have a 2-step skin test or a QuantiFERON gold blood TB test upon entry to the program. If positive (or a history of a positive skin test) a clear chest x-ray result must be submitted (x-ray can be no more than 12 months old).
b. Students are required to submit documentation of TB clearance annually thereafter. A single PPD (skin test), or a negative QuantiFERON gold is acceptable. For students with a previous positive PPD and a negative chest x-ray, a symptom review will be completed by the student.
3. COVID-19 Vaccination and Booster
Due to the requirements of our clinical affiliations, all nursing students must complete full vaccination status against COVID-19, including boosters, prior to entry into the program. NO exemptions or alternative measures will be considered and any disregard for this policy or falsifying of documentation may result in violation of BP 5500 Standards of Student Conduct.
Clinical sites may require all students rotating with them to provide evidence of COVID-19 vaccine and booster. Without the ability to provide proof of COVID-19 vaccination and booster, you may be unable attend clinical. If you are unable to attend clinical, you will be unable to meet course objectives to pass the Cypress College Nursing Program. The Board of Registered Nursing legal standards require completion of an accredited nursing program to sit for the NCLEX-RN exam. Please note that Cypress College is not responsible for finding clinical sites that would allow for clinical placement of unvaccinated nursing students.
4. Flu Vaccines
All students are required to have yearly seasonal flu vaccine. Additional vaccinations may be required according to the Health Department or Centers for Disease Control and Prevention (CDC) recommendations.
D. Health and Safety Requirements
1. CPR Certification: American Heart Association Healthcare Provider Level is required. (Red Cross Certifications are not accepted by some of our clinical facilities.) CPR Cards are considered current for two years from the date of certification/recertification. The student is responsible for continuous certification and for providing proof of CPR for health care providers at the beginning of each clinical experience while they are enrolled in the nursing program. Students without current/correct CPR certification will be dismissed from clinical practice and are in jeopardy of being dropped from the nursing program.
2. Malpractice Insurance: Malpractice insurance must be purchased as a student nurse. Continuing students are advised to renew their insurance prior to expiration in order to assure continued coverage. Proof of coverage will be required every semester at the beginning of each Clinical Course. Students without current malpractice insurance coverage will be dismissed from clinical practice and are in jeopardy of being dropped from the nursing program.
3. Health Insurance: Students must show proof of health insurance upon entry into the program, and it must remain current throughout the program. Continuing students are advised to renew their insurance before expiration to assure continued coverage. Hospitals require current health insurance coverage. Cypress College Student Health Fee coverage does not include major medical health insurance coverage. Students without current insurance coverage may be dismissed from clinical practice and are in jeopardy of being dropped from the nursing program.
4. Criminal Background Clearance & Drug Testing: All students must have a criminal background clearance and drug testing before they can go to clinical facilities. Students are held to the same standards for background checks and drug testing that employees of the clinical facility must meet. The guidelines for the background checks were established by the Orange County/Long Beach Consortium for Nursing and in consultation with the Board of Registered Nursing. Students must have a clear criminal background check and negative drug screen to go to a clinical facility for instruction. Background checks will be in effect for two years of continuous enrollment in clinical courses. If a student leaves the program for any reason, a new clear background check and negative drug test is required to return to active student status. Students who do not meet these standards will not remain in the nursing program.
5. Vaccination: Vaccines must be current before students are permitted to go to clinical facilities. This includes an annual flu vaccine. Students who decline vaccines (including the flu vaccine and COVID vaccine) may not be able to attend clinical facilities.
Orange County/ Long Beach (OC/LB) Consortium for Nursing Position Statement- Background Check
To comply with The Joint Commission and state and local regulations regarding background checks for healthcare providers, the following position statement has been drafted by the OC/LB Consortium for Nursing:
Nursing students must have clear criminal background checks to participate in placement(s) in clinical facilities. The background check is not a requirement for admission to a nursing program and will be completed after an invitation for admission is received. Background checks are required for registration in clinical nursing courses. The initial background check satisfies this requirement during continuous enrollment in the program; should the educational process be interrupted; a new background check will be required.

Background checks will minimally include the following:
• Seven years history Address verification
• Sex offender search
• Two names (current legal and one other name)
• Three counties
• OIG (Office of Inspector General) search
• Social Security Number verification
Students will be unable to attend clinical facilities for the following convictions:
• Murder
• Felony
• Assault
• Sexual
• Felony theft
• Fraud
• Offenses/Sexual Assault
• Felony possession and furnishing (without certificate of rehabilitation)
• Drug and alcohol offenses (without certificate of rehabilitation)
• Other felonies involving weapons and/or violent crimes
• Class B and Class A misdemeanor theft
 Students may be denied access to clinical facilities based on offenses appearing on the criminal records which may have occurred more than seven years ago.
 Students must provide schools with information allowing the school (and clinical facilities as necessary) access to the background check. If the student’s record is not clear, the student will be responsible for obtaining documents and having the record corrected to clear it. If this is not possible, the student will be unable to attend clinical rotations. Clinical rotations are a mandatory part of nursing education; therefore, the student will be ineligible to continue in a school of nursing.
 If after reviewing the background check, the school is unable to determine placement status, the school may check with two Consortium-Member facilities; if both agree that the student should be cleared for placement in a clinical facility, the school may place the student in clinical rotations. Final placement status based on background check information is the school’s determination.
 Students under 18 years of age are exempt from this requirement, however, it may delay their ability to attend clinical rotations.
 Applicable BRN and/or BVN/PT guidelines will be incorporated into these guidelines as they become available.
E. Dress Code
The Department of Nursing recognizes that the patterns of living established as students will influence your professional lives. Professional standards of dress are designed to promote and protect the safety of both the patient and the nurse. Students are to change into street clothes before participating in any non-clinical activity. While we recognize these standards and guidelines may not reflect personal/social preferences, they will be enforced universally in all clinical settings as part of safety competency. There may be clinical areas which require different attire and may override the following policies.
These situations will be identified by the clinical instructor. Students out of compliance with the dress code will be sent home with a loss of a clinical day. Additionally, campus on lab uniforms will be required to participate in lab class and/or skills lab.
The following basic rules apply to all students in uniform:
1. Students will be expected to maintain good personal hygiene. This includes the use of deodorants /antiperspirants. Use of ANY fragrance is discouraged. (Perfume, aftershave, lotions, etc. cause severe reactions in sensitive patients).
2. Uniforms must be clean and pressed. Shoes, socks and hose must be clean and in good repair.
3. Hair must be clean and neatly arranged, in a color that appears in nature, pulled back off the face, and contained so it will not fall forward off the student’s shoulder line when leaning over patients. Facial hair must be kept neatly trimmed.
4. Makeup may be worn with moderation. Bright or dark colors are not permitted. False eyelashes, including eyelash extensions, are not permitted while participating in clinical activities.
5. Nails must be kept clean, and short, not to extend over the end of the finger. Acrylic nails may not be worn. No ornaments may be worn on the nails in the clinical setting. No nail polish (colored or clear) is allowed.
6. Wedding and/or engagement rings may be worn, at the student’s risk, except in restricted areas such as OB, OR, ICU, or Nursery. Loss or damage to stones is a common occurrence. The program or clinical facility does not accept liability for loss or damage. A watch with a second hand or digital watch will be worn at all times unless specified by hospital policy. The band must be kept clean. Small stud earrings, one in each ear, may be worn by students with pierced ears. Small studs may also be worn in the nose. No hoop earrings are allowed for safety reasons. No other pierced adornment may be worn. This includes eyelet or gauge earrings, and tongue piercings. Religious necklaces and ID tags worn around the neck are permitted, but neither may be visible. No other jewelry may be worn.
7. Students will be required to follow the clinical site’s policy regarding visible tattoos.
8. All students are expected to comply with the policies, rules, and regulations outlined in the Nursing Student Handbook. If the clinical site’s policies or requirements are less strict than those in the Nursing Student Handbook, the handbook standards will apply. If the clinical site’s policies or requirements are more strict, students must follow the clinical site’s standards. Students should consult their clinical instructor with any questions or concerns regarding policy expectations.
9. Nursing Department Photo ID Badges are to be worn above the waist on the uniform at all times. One name badge is required. [It is recommended that students purchase a second (spare) badge as loss of the photo ID badge will prevent the student from attending clinical practice].
10. Plain undergarments must be worn and not visible through the uniform. Thong-style undergarments are not permitted. (Bare skin should not be visible when bending or squatting.)”
Uniform Requirement (Clinical setting)
The uniform for the nursing program consists of a basic white uniform top, navy blue pants, white leather, or leather like shoes (non-porous), school patch, and photo ID badge. The following may be purchased at any uniform store/or vendor of your choice (Scrubs are not permitted).
• Uniform Tops: White tunic (Cherokee style #1373 or similar), or white uniform top with collar (Adar style # 605 or similar)
• Uniform Bottoms: Navy blue pants (Cherokee style #4200 or similar). No “joggers.”
• Shoes: The overall appearance of the shoe must be white, minimal colors or patterns are permitted. Shoes (and laces) should be clean. No fabric or mesh type tennis shoes. Shoes must be closed backed.
• Additional: T-shirts may be worn under uniform tops, but they must be white and have no writing, patterns, and color emblems and cannot be seen through the uniform top.
• White short lab coat (with the Nursing Program patch properly affixed) may be worn over the uniform. They must also be worn, with a Photo ID Badge, to the clinical area over appropriate street clothes when preparing for clinical experiences. Jeans, shorts, T-shirts, tank tops, leotards, halter or similar sundress tops, sleeveless shirts, mini-skirts, bare midriffs, tight pants or sweats, bare feet or flip flops are not compatible with a professional appearance and are considered inappropriate for clinical. Undergarments are required and should not be visible through clothing.
• Hair must be clean and neatly arranged.
• Patch: The patch is to be worn on the left sleeve of all uniform tops, and lab coats, centered, and 2 inches below the shoulder seam. Patches are to be securely sewn onto the garments. Pins and/or Velcro attachments are not permitted.
• Pediatrics: Students in the Pediatric course (NURS 296) shall wear a royal blue tunic and royal blue pants. All requirements (patch, badge, etc.) will remain in force.
• Psychiatrics: Students in the Psychiatric course (NURS 293) shall wear a royal blue tunic and royal blue pants. All requirements (patch, badge, etc.) will be discussed during course orientation.
• Professional Dress Standards: The standards require a full uniform unless the clinical instructor gives specific directions. Occasionally students will attend clinical classes where the standard complete uniform is not required.
• Cypress College Nursing Photo ID Badge is to be worn at all times above the waist. The badge is to be clearly visible at all times. Only clinical site-specific stickers are permitted on the ID badge.
• Gum chewing is prohibited in any clinical setting at any time.
• If there are any questions about these standards, please contact any member of the faculty or a CNSA Officer.
Uniform Requirement On campus labs and Skills Lab
To participate in on-campus lab or skills lab activities, students must wear the designated on-campus uniform. The on-campus uniform consists of royal blue scrub tops and bottoms that are
comfortably fitted and may be purchased from a uniform store or online retailer. Jogger-style and form-fitting scrub uniforms are not permitted. Closed-toe and closed-back shoes are required.
The nursing program ID badge must be worn at all times while in the lab setting. Hair must be secured away from the face and shoulders. Only zip-up hoodies or approved clinical jackets may be worn, and the lab uniform top must remain visible at all times. No uniform patch is required for the on-campus uniform.
F. Protective Measures
1. Standard Precautions
a. Appropriate barriers
1. Gloves
a. Worn when touching blood, body fluids, secretions, or excretions.
b. Worn when touching mucous membranes.
c. Worn when touching non-intact skin.
d. Worn when handling contaminated items or surfaces.
e. Worn when performing venipuncture.
f. Worn when performing vascular access procedures.
g. All parenteral injections.
h. Blood glucose monitoring.
i. Changed after each contact with each patient.
j. Changed between tasks or procedures on the same patient after contact with contaminated material.
2. Masks and Protective Eyewear or Face Shields.
Worn when required by clinical facility and during procedures (e.g., suctioning) that are likely to generate droplets of blood or other body fluids to prevent exposure of mucous membranes of the mouth, nose, and eyes.
3. Gowns and Aprons
Worn during procedures that are likely to generate splashes of blood or other body fluid to protect skin and prevent soiling of clothing. Remove soiled gown as promptly as possible and wash hands to prevent transfer of microorganisms.
b. Hand and Skin Care
1. Hands and other skin surfaces washed immediately and thoroughly if contaminated by blood, body fluid, secretion, excretion, or contaminated item.
2. Hands cleansed (soap /water or alcohol gel) immediately after gloves are removed.
3. Hands and other skin surfaces dried thoroughly. Lotion may be applied to prevent chapping and fissures.
2. Percutaneous Injury Precautions
a. Needle Stick Injury Prevention
1. Needles should not be recapped.
2. Needles should not be purposely broken or bent by hand.
3. Needles should not be removed from disposable syringes or otherwise manipulated by hand.
4. After use, disposable needles and syringes should be placed in a puncture- resistant container for disposal.
5. Large-bore reusable needles should be placed in a puncture-resistant container for transport to the reprocessing area.
b. Sharps (Scalpels, Instruments, Razor Blades)
1. Safety precautions employed during procedures and when disposing of disposable used instruments.
2. Used reusable instruments placed in puncture-resistant containers.
3. CPR
a. Anticipate potential for CPR minimizing the need for mouth-to-mouth resuscitation.
b. Mouth pieces, resuscitation bags, or other ventilation devices should be available for use in areas in which the need for resuscitation is predictable.
c. Shows competence in use of resuscitation bag in CPR class.
4. Students with Compromised Skin
a. Prevent lesions by use of correct hand washing technique.
b. Keep cuticles intact.
c. Those health care workers who have exudative lesions or weeping dermatitis should refrain from all direct patient care and from handling patient-care equipment until the condition resolves.
5. All Students
a. All sexually active female health care workers of childbearing age should be especially aware of precautions and adhere strictly to precautions.
6. Radiation
a. All students need to be shielded in the presence of radiation.
STUDENT POLICIES
A. Strategies for Success
1. Update CPR, TB Test, Hepatitis B vaccination, all other vaccinations, background check, Flu vaccine, malpractice insurance and health insurance over breaks. The student must be up-to-date and current with these facility requirements for the first day of each course. Students will not be allowed to attend clinical if all requirements are not met.
2. Review notes monthly to keep knowledge fresh and current. The student is responsible for reviewing and practicing nursing skills to maintain competency throughout the program.
3. Register for the Skills Lab (HS168/ HS268) and utilize the resources available. Use the Skills Lab for practicing the skills you have not performed in clinical for one month’s time to maintain skills.
4. Register and access online tutorials that coincide with course texts. Register for study/test resources for each course text as directed.
5. Work as a Certified Nursing Assistant (CNA) or volunteer to gain clinical experience, earn credit, or earn money.
6. Sign up for Disabled Support Services (DSS) Evaluation if having difficulty reading materials, finishing tests, or completing assignments.
7. Register for reading, writing, or speaking courses to improve your communication skills, see English and ESL sections in college catalog or adult education listings. Ask the counselor for suggestions to improve skills.
8. Register for online study techniques course ENGL 137 C: College Study Strategies, to build skills in organization and success strategies.
9. Organize & read material early before each semester starts. Prepare a study area with good lighting and supplies before classes start.
10. Stable internet connectivity is required.
11. Schedule doctor & dental appointments to be ready for school.
12. Consider taking elective support courses.
13. Rest & relax, spend time with family and friends.
14. Join California Nursing Student Association (CNSA) for the support of other students and to learn about professional issues.
15. Make an appointment with the Retention Specialist/Student Success Coordinator for assistance with nursing school issues and concerns. Call 714-484-7283 and ask for Retention Specialist/Student Success Coordinator contact information.
B. Impaired Student Policy
A. Concern of Faculty
The nursing faculty is committed to facilitating the success of the nursing student and will make every effort to assist the student in maintaining optimal health to safely achieve academic and clinical performance objectives. Impaired health status, which includes physical problems, mental/emotional problems, and drug and alcohol use/abuse affects academic and clinical performance.
Substances which may impair student performance include legal drugs (prescription and over-the-counter), illegal drugs, alcohol, and other chemicals. The impaired nursing student is a danger to self and to others in his/her care. The nursing faculty, out of concern for the impaired student, has developed the following policy which is consistent with the Board of Registered Nursing Guidelines of 11/84. Confidentiality will be strictly maintained at all times.
B. Policy
a. A student who, in the opinion of the instructor, is exhibiting impaired behaviors will be removed from any classroom or clinical setting.
b. It is in violation of law, and of college regulations to obtain, possess, prescribe, administer to self or to another person any controlled substance or patient medications not prescribed by a physician.
c. It is in violation of law, and of college regulations to falsify, alter, or misuse records for controlled substances.
C. Assessment
The student shall be removed from the classroom or clinical setting when the student’s behaviors and performance pose a danger to the safety and well-being of self or others. These behaviors may include:
a. Physical impairment
b. Impaired judgment
c. Mental or emotional impairment
d. Disruptive actions / Incivility / Failure to follow instructions
e. Inconsistent behavior patterns
D. Procedure
a. In the Classroom Setting:
1) The student shall be excluded from the classroom.
2) The instructor shall immediately report the incident to the Director of Nursing or the Dean of Health Science Division.
3) The student shall immediately report to the Director of Nursing or Dean of Health Science Division, for investigation pursuant to college policy.
4) The student shall be referred for further professional assessment. The student shall be given a referral indicating the impaired behaviors which led to the classroom or clinical exclusion. A clearance form must be signed by a health care professional, indicating clearance, and returned to the instructor before the student may be readmitted to nursing classroom.
5) The professional assessment shall be performed by someone other than a member of the Cypress College nursing faculty.
6) The instructor shall call the student’s emergency contact person for transport from the campus or clinical if, in the instructor’s judgment, the student is incapable of driving safely.
b. In the Clinical Setting:
1) The student shall be excluded from all clinical and patient areas.
2) The instructor shall immediately report the incident to the Director of Nursing or Dean of Health Science Division.
3) The student shall immediately report to the Director of Nursing or Dean of Health Science Division for investigation pursuant to college regulations.
4) The student shall be referred for further professional assessment. The student shall be given a referral indicating the impaired behaviors which led to the clinical exclusion. A clearance form must be signed by a health care professional, indicating clearance, and returned to the instructor before the student may be readmitted to the clinical setting.
5) The professional assessment shall be performed by someone other than a member of the Cypress College nursing faculty.
6) The instructor shall call the student’s emergency contact person for transport from the clinical facility if, in the instructor’s judgment, the student is incapable of driving safely.
E. Dismissal
If the student is believed to be impaired, and therefore a danger to self or others, and refuses to submit to further professional assessment, the student will be dismissed from the Nursing Program. The student may also be subject to suspension or expulsion from other college programs in accordance with District rules and regulations. If the student submits to further professional assessment and is found to be impaired, and therefore a danger to self or others, the student will be dismissed from the Nursing Program. The student is required to provide proof of having received professional treatment and release prior to reentry application.
F. Readmission
a. The student shall submit a petition to the Division of Health Sciences, Department of Nursing. Please see the Health Science counselor for further assistance.
b. The student shall provide proof of active participation in a recognized treatment program on a regular basis, and evidence of rehabilitation and/or recovery at the time of petition for reentry.
c. The student may be required to participate in on-going rehabilitation treatment or professional counseling as a condition of readmission.
d. If readmitted to the Nursing Program and required to participate in on-going rehabilitation treatment, the student shall provide evidence of such continued rehabilitation treatment on a schedule as determined by the Director of Nursing.
e. Failure to submit evidence of on-going rehabilitation treatment will result in permanent dismissal from the Nursing Program.
f. Readmission is on a space-available basis
g. A second documented incident of impaired behavior will result in permanent dismissal from the Nursing Program.
C. Health Care for Students
The Cypress College Student Health Center provides evaluation of minor illnesses, pap smears, birth control, immunizations, lab work, psychological services, counseling and health education. Payment of the student health fee at registration will make the student eligible for student health services. Medications, lab work, or x-rays will be provided at reduced costs to Cypress College students. Accident and basic illness insurance are available through Student Health Service, but this does not qualify as major medical health insurance. Students must have current medical health insurance to be eligible for clinical practice.
D. Military Personnel Nursing Admission Guidelines
Cypress College provides credit for previous military experience. Military Personnel and Veterans may be eligible for enrollment into the Cypress College ADN Program based on established Department requirements. Please see a Health Science Veteran Counselor or the Director of Nursing for more information.
The nursing program has a policy outlining challenge and advanced placement for military personnel. There is possible credit or advanced placement for those who have engaged in military health care occupations.
Applicants must meet with Veteran and HS counsellors eight to ten weeks prior to the start of the ADN application period to discuss eligibility requirements for the nursing program. Counselors will determine if the applicant has met the educational and experience requirements, and nursing program admission requirements.
Applicants will be given access to practice exams and skills checklists to prepare to take the credit by examination(s), and a skills competency exam. Credit by examination are multiple choice online computer exams and are completed in the fall of each year. The skills competency exams are hands-on skills tests that occur in the spring of each year. Once exams are passed, the student completes an application and is given clearance to register for a summer preparation course (NURS 90)
Advanced Placement will be granted if the applicant meets minimum requirements equivalent to those required of students enrolled in the actual course identified. (https://careers.cypresscollege.edu/military-personnel-challenge-advanced-placement-policy/)
E. Scholarships and Student Loans
Scholarships from community organizations are available from time to time. Any student who is interested in available scholarships, or who is in financial need should contact the Financial Aid Office and/or Foundation Office at Cypress College for application forms and other requirements.
There are scholarships that are administered or announced directly through the Nursing Department. Contact your CNSA scholarship representative for information regarding application procedures and eligibility criteria. Scholarships are posted on bulletin boards outside TE-3 311 as they become available. The CNSA Scholarship representative keeps a file of scholarship information. Health Science counselors can be helpful in locating scholarships. Interest-free loans and conventional education loans are also available. Please contact the Financial Aid Office for information and guidance.
F. Book Lending/ Book Returning
The Skills Lab makes textbooks/journals available to students on a short-term check-out basis. The Skills Lab will follow the same policy as the Cypress College Library, as identified in the Cypress College Catalog: “In an effort to provide the widest possible access to the collection, grades, transcripts, diplomas, and registration privileges or any combination hereof, will be withheld from any student or former student properly charged with the possession of overdue library books or other library materials.” The Health Science Skills Lab requires that all textbooks/journals be returned before the last day of the semester. If materials are not returned, grades may be withheld until materials are returned. Nursing textbooks are available in the campus library reserves section for short term use as well.
G. Name Change, Address, E-mail or Telephone Numbers
Current name, telephone numbers and home and e-mail addresses are required. Official name change requests must be processed through the Admissions and Records Office and the student profile be updated on MyGateway. The student should report any changes to the Department of Nursing and the College Admissions and Records Office immediately.
H. Social Networking Policy and Guidelines
Social networking sites can be an effective way to keep in touch with colleagues. While social media creates opportunities for communication and collaboration, it also creates vulnerabilities for individuals and institutions, especially those involved in the healthcare environment. As students, you must represent Cypress College in a fair, accurate, and legal manner while protecting the reputation of the institution. This policy provides students with guidelines to ensure that their conduct, while participating in various forms of social media, does not violate the Cypress College Student Code of Conduct.
During clinical hours: Adhere to the hospital’s policies and procedures regarding social media in the clinical setting. If the hospital does not have a standing policy and procedure protocol, follow the policy for Cypress College regarding social media for clinical/out of school hours.
Clinical/out of school hours: While participating in social media/networking activities outside of working hours, students are expected to protect the privacy of their colleagues, instructors, patients, and are prohibited from disclosing other proprietary or nonpublic information. (HIPAA/FERPA).
Use of social media/networking means any facility for online publication and commentary, including but not limited to:
• Twitter
• Facebook
• Linked-in
• Pinterest
• Google +
• Instagram
• Blogs
• YouTube
• Flickr
• Photobucket
• Digg
• Reddit
• TikTok
• Public comment sections on Web pages
Consequences: Violations of patient/client policy with an electronic device will be subject to HIPAA procedures/guidelines and consequences. Students who share confidential or unprofessional information do so at the risk of disciplinary action including failure in a course, and/or dismissal from the program. Each student is legally responsible for individual postings and may be subject to liability if postings are found defamatory, harassing, or in violation of any other applicable law.

Related references:
HIPAA- https://www.hhs.gov/hipaa/for-professionals/index.html
FERPA- http:// www.2.ed.gov/policy/gen/guid/fpco/ferpa/index.html
ANA- http://www.nursingworld.org/FunctionalMenuCategories/About ANA/Social- Meida/Social-Networking-Principles-Toolkit/Tip-Card-for-Nurses-Using-Social- Media.pdf
Cypress College Student Code of Conduct http://www.cypresscollege.edu/academics/CollegeCatalog.aspx
I. Sexual Misconduct
Sexual Assault occurs when physical sexual activity is engaged without the consent of the other person or when the other person is unable to consent to the activity (intoxication under the influence of alcohol/drugs) including, but not limited to physical force, violence, threat or intimidation. Sexual misconduct is taken very seriously at Cypress College.
To get additional information click on Sexual Misconduct and you will be directed to the Cypress College website or go to the Cypress Connect App on your mobile device and follow the instructions provided.
Please download Cypress Connect from the app store on your mobile device if you have not already done so. The app is available on both the App Store for Apple products and Google Play Store for Android products.
Reporting:
Emergency: 911
Campus Safety Department: (714)484-7387
J. Disability Support Services
Disability Support Services (DSS) provides accommodations and services to students with disabilities to ensure equitable access to college programs and facilities. DSS is committed to providing students with opportunities that will maximize their potential for success in achieving their individual, educational, and career goals. Cypress College DSS is proud to provide services to eligible students. Our services are individualized to meet each student’s needs.
Contact Information: T: (714) 484-7104, F: (714) 484-6045, Video Phone: (657) 777-4208
Accommodations available for candidates with verified disabilities: Under section 504 of the Rehabilitation Act of 1973 and Title II of the Americans with Disabilities Act of 1990, Cypress College shall take all necessary steps to ensure that no student with a verified disability is denied the benefits of, excluded from participation in, or otherwise subjected to discrimination in an educational program because of the absence of auxiliary aids or academic accommodations. It is the responsibility of the student to request services/accommodations of DSS.

COMMUNICATION CHANNELS

A. General Course Guidelines
1. It is the students’ responsibility to make sure he/she is registered for all required courses and that all fees are paid by the designated deadline.
2. It is up to the student to ensure that he/she has no other courses scheduled at the same time as nursing classes, this could interfere with registration and program requirements.
3. Most nursing courses have a prerequisite course that must be passed before moving to the next course in the program. Please see more information on the Cypress College Website. (Nursing – Health Care, Registered Nursing – Cypress College Career Education).
4. Students who earn a “C” or better in all nursing courses, all prerequisites and all corequisites are eligible to progress through the program to graduation.
5. Students who officially or unofficially withdraw from a nursing course or from the program are defined as reentry students and must follow the course of action outlined in the reentry policy/procedure.
B. Procedure for Performance Issues (Academic or Clinical)
1. When a student shows signs of difficulty academically or in clinical performance, the instructor will counsel the student as soon as possible. The student will receive a conference note outlining the issues. A collaborative action plan will be developed to include campus resources. The student may also be referred to a retention specialist for further assistance.
2. When a student does not show progress or when patient safety (physical or emotional) is jeopardized, the student will be given a written deficiency by the clinical instructor. The director of nursing will be notified, and the student will meet with the Director.
3. When a student does not show progress, is unable to meet course objectives, or is unsafe in clinical, the clinical instructor may recommend dismissal from the program. The student will be given a written deficiency by the clinical instructor and meet with the Director of Nursing. If dismissal is recommended, the student will sign the Registered Nursing Withdrawal Form. The student is responsible for withdrawing from courses through the campus Admission and Records Office.
4. A student wishing to withdrawal from a course must do so prior to 75% of the course being completed. When a student wishes to withdraw an appointment must be made with the Director of Nursing. This is considered an exit from the program; the student will be asked to sign the Registered Nursing Withdrawal form. The student will be referred to campus resources as needed. The student is responsible for withdrawing from courses through the campus Admission and Records Office.
5. If a student wishes to petition for reconsideration of the decision, the student must complete a petition form. The student must make an appointment with the Dean of Health Science within one week.
C. Program Dismissal
Dismissal – A dismissal results from a second failing grade (below 75%), a second overall At-Risk Rating, an unsafe clinical rating, and/or professional code of conduct violations. Students who have been dismissed from the nursing program are not eligible for re-entry.
a. Behavior inconsistent with the American Nurses’ Association Code of Ethics.
b. Repeated non-compliance with Cypress College or nursing program policies.
c. Unsafe clinical practice resulting in an immediate dismissal due to the severity of the safety issue or repeated safety issues.
D. Grievances and Complaints
1. Students who have a complaint should contact the instructor involved.
2. If unresolved the student is required to make an appointment with the program director for discussion.
3. If unresolved, the student will meet with the Division Dean of Health Science.
4. If further resolution is needed upon completion of the above steps, the student may follow the Cypress College grievance policy as described in the Cypress College catalog.

POLICY FOR RE-ENTRY TO THE ADN PROGRAM

A. Re-entry consideration is given once to eligible students during the completion of the ADN program within 1 year of the program exit. Only one re-entry will be allowed for reasons of academic failure, student withdrawal, or an unsatisfactory rating in clinical. Students must pass core nursing courses and pharmacology to progress in the program. Students are not eligible for re-entry if either of the two courses (core nursing and/or pharmacology are not passed. Students dismissed for safety issues or code of conduct are not eligible for re-entry.
B. When a student wishes to withdraw for any reason or is unsuccessful in the course this is considered an exit from the program. Students who have a second withdrawal are not eligible for re-entry.
C. Students who receive a second overall Clinical At-Risk Rating are not eligible for re-entry.
D. A student who fails or withdrawals from the first course of the program is not eligible for re-entry and must re-apply to the program.
E. Students who have violated the North Orange County Community College District (NOCCCD) Guidelines for Student Conduct are not eligible for reentry to the nursing program. (https://catalog.nocccd.edu/standard-of-conduct/)
F. All re-entry applications are considered on a “space available” basis. Should space continue to not become available within one year (two semesters), the student becomes ineligible for readmission into the program. Should there be more applicants than spaces available, requests will be ranked in the following manner:
1. Students who withdrew in good academic and clinical standing or military (active duty)
2. Academic Failure
3. Unsatisfactory in clinical or math competency
4. Clinical and theory failure
5. Students offered a spot and declined
6. Transfer students
G. Students who have a withdrawal and/or a dismissal of two occurrences are not eligible for re-entry or to reapply to the Nursing Program.
H. A background check and drug screening (through Castle Branch) must be completed for all re-entry students. Students who are not enrolled in the nursing program for 6 months must also submit a new physical exam (health clearance form). Clinical requirements must be updated to the Castle Branch tracking system a minimum of 3 weeks before the course starts.
I. Re-entry after a medical withdrawal will require physician clearance. This is considered a program exit unless pre-approved by the re-entry committee. Re-entry status is based on ranking and completion of the re-entry package (see re-entry guidelines).
J. Transfer students requesting admission into the program are eligible to apply within one year (two semesters) of their nursing program dismissal.
K. Compliance is required with any changes in the nursing program requirements and changes to the student handbook of the academic hear of re-entry.
L. Compliance with the general education and college requirements as it applies to the course and/or semester of re-entry (refer to curriculum and general education guides).
Re-entry guidelines:
A. The student must initiate the readmission process and follow-up on re-entry status. A student who does not seek re-entry within one year (two semesters) is not eligible for re-entry.
B. A student applying for re-entry is required to complete the following steps:
1. Meet with the DON or designee to complete a withdrawal form for the program within one week. The student is responsible for withdrawing from courses through WebStar or Admission and Records.
2. Complete a re-entry application within 4 weeks of dismissal or withdrawal. Students are not eligible for reentry if no reentry application is received in this time frame. The student is not to meet with any other faculty or professionals from the program as this may interfere with the re-entry process.
3. Complete an Educational Success Plan (ESP) within one month or as directed by the DON. Failure to complete this on time will result in the student not being eligible for re-entry.
4. After evaluation of the re-entry application, the ESP and supporting documentation, the DON and the reentry team will approve or deny the re-entry request. Students will be contacted by the DON regarding re-entry status approximately 1 month before the class begins.
5. Upon notification of re-entry approval, the student must meet with the DON to complete a re-entry contract.
6. A previous note problem areas (deficiency or Overall At-Risk evaluations) will be carried over upon re-entry.

ESP GUIDELINES

Cypress College Nursing actively promotes and supports student’s academic progress and achievement through remediation. Students are required to demonstrate ongoing remediation efforts following insufficient academic/clinical progress (also known as academic or clinical failure), and/or withdrawal from the program. The remediation process is a collaboration between the student and the Re-entry Team consisting of; the Director of Nursing (DON), ADON, Retention Specialist (RS), and or other team members deemed necessary by the DON. Upon ESP completion, the team will evaluate the ESP utilizing an ESP Rubric. A score of 75% is needed for re-entry. If the first ESP is not satisfactory (below 75%), the student will address needed changes to address all areas. Once approved, copies are provided to the primary instructor and a copy is placed in the student’s file.
The ESP is a written plan with specific goals, actions, and methodologies designed by the student to prepare the student for successful reentry. The ESP must include components that demonstrate current and specific competence in theory and skills for course reentry. The ESP must include elements of the following:
a. Assessment: The student will review and collect data pertinent to the failed course (course syllabus/resources/cause of failure) to include necessary elements in the ESP. Students who have had a course failure related to specific skill performance must include this in the ESP.
b. Goals: The student will determine goals or expected outcomes based on your data collection. Goals must be specific, measurable, achievable, realistic, timely (SMART) goals.
c. Interventions/Actions: The student will create actions to accomplish their goals. For example: Take/repeat focused review tests, online learning assignments, and/or other learning activities that correlate with their goals. Provide rationale/evidence-based practice (EBP) information in your ESP.
d. Evaluation: The student must evaluate their goals providing evidence that the actions/interventions change. Indicate how to update your plan to progress toward your goals.

APPLICATION FOR LICENSURE BY EXAMINATION

A. All students who successfully complete the associate degree Registered Nursing Program are eligible to apply for Licensure by Examination in California. Applications are submitted by the individual student candidate to the California Board of Registered Nursing. It is the responsibility of the Board of Registered Nursing to evaluate each applicant and make the determination for approval or denial of eligibility for the licensing examination. All applicants take the same licensing examination nationally, the NCLEX- RN, with the same standardized passing score.
1. The Board of Registered Nursing provides online applications for program graduates. Each student will go to the BRN website to file for the application for licensure by
examination. Students will receive assistance from the Director of Nursing, in the last course of the program.
2. The Director of Nursing will review the application process with the entire nursing class during the final semester of the program. See NURS 297 calendar for date and time. The Director of Nursing is available to assist individual students who may have concerns or questions regarding the procedure. The student is encouraged to schedule an appointment with the Director to ensure adequate time and privacy is available to provide appropriate assistance.
3. Each individual student is responsible for the correct completion of all application forms and procedures, fees and for their submission to the Board of Registered Nursing.
B. Accommodations available for candidates with verified disabilities: Under section 504 of the Rehabilitation Act of 1973 and Title II of the Americans with Disabilities Act of 1990, Cypress College shall take all necessary steps to ensure that no student with a verified disability is denied the benefits of, excluded from participation in, or otherwise subjected to discrimination in an educational program because of the absence of auxiliary aids or academic accommodations. The nursing department is equally committed to ensuring that students with disabilities have equal access to the licensure process available to students who have completed the associate degree Registered Nursing Program.
1. The Director of Nursing will maintain information regarding the application process for licensure as well as the procedure for requesting accommodation for the NCLEX-RN exam. This information will also be made available to counselors in DSS (Disability Support Services)
2. It is the responsibility of the student to request services/accommodations of DSS. It is also the responsibility of the student to request services/accommodations by the Board of Registered Nursing for the NCLEX-RN.
3. The testing center providing the NCLEX-RN exam has no authority to grant accommodations without the prior consent and approval of the Board of Registered Nursing.
4. The Director of Nursing, using DSS as a resource, will assist the student to complete all applications and testing within the required timelines. All fees required by the Board of Registered Nursing must be submitted by the candidate at the time the application for licensure by examination is submitted.
5. If you have a disability which may require accommodations of the examination process or access to the examination center, you must submit with your application the following REQUIRED information:
a. A Request for Accommodation of Disabilities form completed and signed by the applicant.
b. A Professional Evaluation and Documentation of a Disability form completed and signed by a professional evaluator or equivalent information on original letterhead stationery of the evaluator.
c. If applicable, a Nursing Program Verification form indicating what accommodation(s) were granted in testing procedures during the nursing program. This form should be completed and signed by the nursing program Dean or Director or their designee or equivalent information on original letterhead stationery of the nursing program.

STUDENT FORMS

CYPRESS COLLEGE
Registered Nursing Program
COMMENDATION REPORT
Student:___________________________________________ Date:_______________ Time:__________
Course/Clinical Faculty:__________________________________________________________________
THE PURPOSE OF THIS REPORT IS TO COMMEND YOU FOR OUTSTANDING PERFORMANCE AS A NURSING STUDENT IN THE FOLLOWING AREA(S):
Signatures:
______________________________________ _______________________________________
Instructor/ Date Student/ Date
CYPRESS COLLEGE
Registered Nursing Program
PRESCRIPTION FOR STUDENT SUCCESS / REFERRAL
Student:____________________Date:______Student Phone:_____________Email:_______________
Course/Clinical Faculty:________________Referring Instructor Signature:______________Date:_______
Remediation: Student is challenged with clinical performance / competency demonstration. (Examples: critical thinking/nursing process, patient care concepts, skill concepts/practice/testing, SBAR report, time management, prioritization).
Instructor Concerns:
Student Recognition of Needs for Improvement:
Remediation Instructor Signature/Date:
Retention Specialist Support: Student is challenged with academic performance and/or clinical performance. (Examples: study/test taking techniques, anxiety management, math skills, nursing process).
Instructor Concerns:
Student Recognition of Needs for Improvement:
Mentor Signature/Date:
Skills Lab: Student is challenged with mastery of skills / critical thinking to gain confidence/competence in clinical. (Examples: physical assessment, medication administration, wound care, IV management etc. or critical thinking via case studies/media)
Instructor Concerns:
Student Recognition of Needs for Improvement:
Skills Lab Instructor Signature/Date:
ESL Support: Student is challenged with English communication – verbal and/or written. (Examples: therapeutic communication, SBAR report, professional communication, papers).
Instructor Concerns:
Student Recognition of Needs for Improvement: ESL Support Instructor Signature/Date:
Personal Support: Student has personal challenges. (Examples: financial, family, health, learning needs, psychosocial)
Instructor Concerns:
Student Recognition of Needs for Improvement:
Campus Support Resource (E.g.: Director of Nursing, Student Health Services, Financial Aide, DSS, HS Counselor)
Signature/Date:
Once “Prescription” has been “Filled”, please return this form to Referring Instructor.

CYPRESS COLLEGE
Registered Nursing Program
COUNSELOR REFERRAL
Student: _______________________________________Date: ___________Time: _________________
Course/Clinical Faculty: _________________________________________________________________
This student is being referred to the Counselor for the following reason(s):
 Poor Attendance
 Personal Problems
 Low Test Scores
 Assessment of Learning Ability
 Non-Participation in Class
 Reading Level Evaluation
 Other:
Instructor’s Comments:
Signatures:
______________________________________ _______________________________________
Instructor/ Date Student/ Date
Counselor Recommendation and Comments:
WITHDRAWAL POLICY: Please refer to the Cypress College Catalog under Academic Policies under the Withdrawal Section. Refer to the Cypress College Schedule of Classes for official withdrawal date(s) for each course.

CYPRESS COLLEGE
Registered Nursing Program
HEALTH CLEARANCE STATEMENT
Student: _________________________________________________Date: ________________________
Course/Clinical Faculty: _________________________________________________________________
Result of Examination & Assessment:
Plan of Treatment:
___________________________________________ is determine by me to be safe:
Name of Student
1) Return to the classroom with no restrictions.
______YES ______ NO
2) Practice direct patient care in the hospital setting with no restrictions.
______YES ______ NO
_________________________________ _____________________________________
Signature of Licensed Printed Name of Licensed
Health Care Professional Health Care Professional
________________________________ _____________________________________
Telephone & Extension Address
Date: ___________________________ License: ______________________________
CYPRESS COLLEGE

Registered Nursing Program
CONFERENCE NOTICE
Student: __________________________________________Date: _____________ Time: ____________
Course/Clinical Faculty: _________________________________________________________________
Place of Conference: ____________________________________________________________________
Purpose of Conference: _________________________________________________________________
SUMMARY OF INSTRUCTOR’S ASSESSMENT:
STUDENT’S ASSESSMENT:
POST CONFERENCE ACTION/CONCLUSIONS:
Signatures:
______________________________________ _______________________________________
Instructor/ Date Student/ Date
CYPRESS COLLEGE

Registered Nursing Program
DEFICIENCY NOTICE
Student: __________________________________________Date: _____________ Time: ____________
Course/Clinical Faculty: _________________________________________________________________
______ Your academic performance at the present time is not satisfactory.
______ Your clinical performance at the present time is not satisfactory.
______ Your attendance at the present time is not satisfactory.
______ Your standards of professional conduct are not satisfactory.
INSTRUCTOR’S COMMENTS:
STUDENT’S COMMENTS:
STUDENT PLAN TO CORRECT THIS DEFICIENCY:
PLEASE NOTE: Student is required to make an appointment with the Director of Nursing.
______Student’s Initials
Signatures:
______________________________________ _______________________________________
Instructor/ Date Student/ Date

AT RISK NOTICE
Student: ______________________________ Date: ___________________
Semester: ___________________ Course: __________________
This At-Risk notice is to inform you that your behaviors in the clinical setting do not meet course objectives. If significant progress is not made, an At-Risk notice can progress to an Overall At-Risk or an unsatisfactory clinical grade. A student may only receive one Overall At-Risk Rating to remain in the nursing program. If a student receives a second Overall At-Risk Rating, the student will be disqualified from the RN Program.
Please be advised that this is your: ________ First Written At-Risk notice
________ First Overall At-Risk notice
________ Second Overall At-Risk (dismissal)
Summary of Issue:
Plan of Action:
___________________________ _______________________ Student Signature Date and Time
_________________________ _______________________ Instructor Signature Date and Time
________________________ ________________________ Program Director Signature Date and Time
CYPRESS COLLEGE
Division of Health Science
Department of Nursing
TEST ITEM QUERY FORM
Complete this form when you believe a test item (question) has a correct answer that is different from the instructor’s keyed correct answer. Provide a rationale with documentation from a course textbook or other, appropriate, professional resource. Identify the textbook with a page number, or provide the citation of alternate resources, where you found the rationale. When complete, submit this form (in paper or electronically) to the course instructor within 48 hours of the end of the exam review. The instructor will respond to you within one week. If responding electronically, a screen shot or picture of the resource is preferable.
Class: _______________________________________
Professor: ___________________________________
Student: _____________________________________
Date: _______________________________________
Test #: _______________________________________
Item#: _______________________________________
Rationale: ____________________________________________________________________________ ____________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________
Source:
_______________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

CYPRESS COLLEGE
Division of Health Science
Department of Nursing
RE-ENTRY APPLICATION
Semester______________
Name: _______________________________________________________________________________
Last First Middle Other names
Address: _____________________________________________________________________________
Number, Street, Apt. #, City, Zip code
E-mail: ______________________________________________________________________________
Cypress College Student I.D. #: _______________________________Birthdate: ____________________
Withdrawal Information:
Date: _______________ Course #: ___________________Course title:____________________________
Withdrawal Status: Satisfactory Unsatisfactory
Academic Standing
Clinical Standing
Last course completed satisfactorily:
Date: _________________ Course #: _______________ Course Title: ____________________________
Need placement in: Course #: _________________ Course Title: ________________________________
Student__________________________________ Date_________________________________
Signature
For Office Use Only
Prerequisites for __________________________________: Checked Yes_____________ No_________
Verified by: ___________________________________________________________________________

STUDENT SIGNATURE PAGE
This page will be placed in the student’s file as verification of being informed of all student policies. Sign, date and return this page to your instructor as directed.
Statement of Confidentiality:
I acknowledge that I have read and understand the Statement of Confidentiality (HIPAA) and agree to follow the standards as written. _______ (Initial)
Standard Precautions:
I acknowledge that I have read and understand the Standard Precautions guidelines. I am aware of these critical performance standards and that it is my responsibility to use them in all patient contact situations. ______ (initial)
Student Policies:
I have received a copy of the Nursing Department Nursing Student Handbook. I am fully aware that it is my responsibility to read and abide ALL Nursing Department policies. ___________(Initial)
Student Code of Conduct:
I have read and understand the Nursing Student Code of Conduct and my signature indicates I will abide by the content in the code.____________(Initial)
Social Networking Policy and Guidelines:
I have read and understand the Social Networking Policy and Guidelines and my signature indicates I will abide by the guidelines. ___________(Initial)
Simulation Experiences
Simulation situations are clinical experiences. I will abide by the same ethical standards and clinical policies as I would in clinical settings. I understand the significance of confidentiality, and as with HIPAA, I will respect simulated patient information and fellow student’s performance so as to not jeopardize the simulation experience for others. I will respect the simulation mannequins and the environment and treat simulation as with a live patient. ______ (Initial)
I acknowledge and understand that digital recording may be made during the simulation experiences which are strictly used for educational and research purposes only by the Cypress College Department of Registered Nursing faculty or the simulation coordinator. Use of all photography or any recording by students is prohibited. __________ (Initial)
I acknowledge I have read all of the above:
Signed:______________________________________________________Date:____________________
Print Name:______________________________________________ ID Number:___________________
*Please upload to Castle Branch

 

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9200 Valley View Street, Cypress, CA, 90630