Nurse Assistant Training Program Student Handbook 2021-2022

Revised 08/2021

Purpose of Student Handbook

The purpose of this handbook is to serve as an informational guide to assist in the orientation of new students, and, to provide a resource with information, expectations, policies, and procedures of the Nurse Assistant (NA) Pre-Certification Program.

Nurse Assistant Students at Bakersfield College (BC) are held responsible for reading, understanding, and adhering to the information outlined in this handbook. Failure to read this NA Student Handbook does not excuse students from the requirements and regulations described herein.

There may be times when it is necessary to change, or update information in the NA Pre-Certification Program Student Handbook during the academic year. If this occurs, students will receive a written addendum informing them of the specific changes/updates.

We look forward to supporting you as you embark on your exciting academic and professional journey!

Important Contacts

Carla M. Gard, MSN, RN, ACNP, CCRN
Dean of Instruction / Director of Nursing
cgard@bakersfieldcollege.edu
Office: (661) 395-4281

Ronnie Knabe, MSN, RN, CCRN-K
Interim Associate Dean / Assistant Director
rknabe@bakersfieldcollege.edu
Office: (661) 395-4287

Kren Campbell, BSN, RN
Nurse Assistant Program Director
kren.campbell@bakersfieldcollege.edu
Office: (661) 395-4559

Alisha Loken, MSN, RN, CCRN
Department Chair/Assistant Director
aloken@bakersfieldcollege.edu
Office: (661) 395-4420

Nursing Department Office bc_nursing@bakersfieldcollege.edu
Office: (661) 395-4273

Table of Contents

Introduction

The Nurse Assistant Training Program prepares the student to provide services to those who need health care and earn a job skills certificate. The student will learn the role of the caregiver, the healthcare environment, safety in the healthcare setting, adult needs in health and illness, and basic caregiving skills.

Mission

The mission of the Bakersfield College (BC) Nurse Assistant Training Program (NATP) is to provide vocational education that will prepare the student to provide basic services to those who need healthcare. The program is committed to improving and advancing the health and welfare of our community by preparing competent, safe, health care professionals.

Equity and Inclusion

Bakersfield College is committed to creating and fostering a positive, safe and conducive learning environment based on open communication where diversity, equity, and inclusion are recognized, valued and inform thoughtful decision-making and action. BC embraces individual difference and expects all employees and students to respect these differences and accept an understanding that individuals have unique perspectives, behaviors, and worldviews that may be different from their own.

Philosophy

The philosophy of the NATP supports and implements the mission of BC.

Curriculum

The NATP is organized into three major components: theory, skill attainment, and supervised clinical training. Students will complete a minimum of 160 hours of training to complete the program, 60 hours of theory and 100 hours of supervised training in the clinical setting. The curriculum is outlined in 16 modules, wherein lessons plans outline the skills, knowledge, and attitudes (KSA's) students learn that are essential to the practice of the nurse assistant. The clinical laboratory component provides the opportunity for application and integration of KSA's in providing direct client care.

Philosophy of the Teaching-Learning Process of the Nurse Assistant Faculty

The NATP is an integral part of BC. The nursing faculty endorses the institutional mission through the application of our vision and goals, to empower our students and community to succeed by providing exceptional instruction and services in a supportive environment, as well as the goal of providing all students with the competencies necessary for learning and earning. Nurse Assistant is one of the allied health occupations providing services to the community.

We believe that community college students vary widely with respect to their ethnic and cultural background, life experiences, learning styles, and maturity. The college setting provides the opportunity for students and faculty to participate in cultural, intellectual, and social activities which foster the continued self-growth of the individual. The faculty believes in self-growth, including ongoing self-assessment and evaluation. We believe that technological and social advances in the entire healthcare field create the ongoing need for adapting education to meet the changing needs of society. We provide learning experiences in settings, which assist the student to adapt to changing health needs.

We believe that health is a dynamic state in which an individual adapts to their internal and external environments so there is a state of physical, emotional, intellectual, social, and spiritual well-being. Illness is an abnormal process in which any aspect of an individual's functioning is diminished or impaired as compared with his previous state of health. Clients have the right to receive optimum healthcare delivered in a safe environment by a competent caregiver.

We believe that nursing education is an active process of imparting knowledge and assisting in the facilitation of student learning. We believe that teaching is an ongoing process and an interaction between the instructor and the student. The faculty selects strategies, organizes content, arranges experiences, and facilitates learning, taking into consideration cultural factors, ethnic background, and individual learning styles of students.

Learning is the process by which one gains insight, understanding, and ability through reinforcement, practice, and experience. We believe adult students perceive learning experiences as meaningful when instruction is directed toward pertinent, applicable goals. Effective learning is measured by identifiable changes in the individual. Learning occurs in an atmosphere of mutual respect where problem solving is encouraged and opportunities for guided practice exist.

To assist students in meeting their career objectives, an Assessment Center, Counseling/Advising Center, Learning Resource Center, Student Health and Wellness Center, Supportive Services for the Disabled, and a Child Care Center exist on campus to meet individual student needs. Ethnic and interest clubs also contribute to the student's total educational experience. The faculty believes these support services enhance the teaching/learning process and refer students to them as necessary. The nursing faculty also supports upward mobility with opportunities for nursing students to move from one level of nursing practice to another without duplication of previously learned content and skills. The nursing faculty have developed a strong career ladder with opportunities for challenge and credit granted for prior learning.

Program Student Learning Outcomes

Upon successful completion, the student will:

• demonstrate an understanding of knowledge and skills necessary to provide basic patient care including but not limited to the following skills:
  • performing basic hygiene
  • performing and documenting vital signs, height, weight, and patient care
  • assisting with elimination needs
  • collecting specimens
• demonstrate an understanding of effective communication and interpersonal skills
• promote the independence of patients
• demonstrate an understanding of protection of patient privacy and patient rights
• demonstrate an understanding of safety and emergency procedures including the Heimlich maneuver

Program Terminal Objectives

1. Be eligible to take the State of California CNA certification exam and/or the National Nurse Aid Assessment Program Certification exam.
2. Identify the components of the Federal OBRA and California Title 22 Regulations that are related to the roles and responsibilities of the Certified Nurse Assistant, including certification, professionalism, ethics, and confidentiality.
3. Provide safe, basic bedside nursing care to adult clients/families in the long term care setting.
4. Communicate effectively and interact appropriately with residents, resident's families, and other members of the health care team.
5. Describe the basic structures of the body and recognize the effects of aging on structure and function.
6. Identify common physical and psychological conditions found in elderly clients.

Student Participation

Students are encouraged to participate in the formation and revision of policies, which affect them. Many methods are available: communicating with instructors and/or program director and completing written evaluations of courses, program, clinical agencies, and instructors.

Guidelines for Professional Conduct

Students should conduct themselves in a professional and ethical manner at all times. Refer to the BC Student Handbook and College Catalog for policies.

Since public education is furnished by the people, it is a privilege. The Board of Trustees of the KCCD, in support of public education and the exercise of general supervision of the campuses require that student conduct must reflect the standards of appropriate behavior as defined in pursuant sections (Education Code Section 76037).

Students shall respect constituted authority. This shall include conformance to Federal and State laws, Board regulations, College regulations, and applicable provisions of civil law. Accountability is expected from all nursing students and student privileges may be revoked if that accountability is not demonstrated.

Students are expected to conduct themselves in a manner consistent with the educational purposes of the College. Student conduct should reflect consideration for the rights of others, and students are expected to cooperate with all members of the College community. Please refer to the KCCD Board Policy Manual and the BC Student Handbook for more information.

Student Complaint Policy

Informal Student Complaint Procedure

Since filing of complaints against any party is a serious undertaking, prior to filing a written complaint, and within ten (10) instructional days of the incident leading to the complaint, the student should attempt to contact the staff member involved in an attempt to resolve the issue.

The progression of an Informal Student Complaint for a student in the NATP is as follows:

1. Discuss the issue with Instructor and if not satisfied;
2. Discuss the issue with the Program Director and Administrator of the NATP and if not satisfied;
3. Discuss the issue with the Department Chair.

Formal Student Complaint Procedure

In the event that a resolution cannot be achieved following the informal complaint procedure and a student maintains they have been treated unfairly; the student has the right, without fear of reprisal, to use a written procedure following the formal complaint process in their attempt to right an alleged wrong. This procedure applies to student complaints such as:

1. Course content
2. Access to classes
3. Verbal or physical abuse by faculty, staff, or students
4. Faculty member refusal to confer with student(s)
5. Harassment

This procedure does not apply to student complaints, which involve:

1. Unlawful Discrimination (See KCCD Policy 7D2)
2. Sexual Harassment (See KCCD Policy 7D2)
3. Assignment of grades (See KCCD Policy 4C4C for final grade changes)

Student Complaint Procedures AP 4F9(a)

The Student Complaint Procedures are established so that students can resolve difficulties/problems they encounter in College-related activities. Student complaints are taken seriously; therefore, the complaint must be of a compelling, substantive, and verifiable nature. Repeated filings of the same complaint, filings of a frivolous nature, or capricious complaints against school personnel will be considered abuse of the student conduct and/or complaint process. Such repeated filings will be referred to the College President for a decision.

1. These procedures apply to student complaints such as:
   1. Course content
   2. Access to classes
   3. Verbal or physical abuse by faculty, staff, or students
   4. Faculty member refusal to confer with student(s)
   5. Harassment
   These procedures do not apply to student complaints which involve:
   1. Unlawful Discrimination (See Policy 7D4)
   2. Sexual Harassment (See Policy 7D2)
   3. Assignment of grades (See Policy 4C4C for final grade changes)
2. The College President will determine and publicize which administrative office will receive and administer student complaints.
3. Any party to a complaint may be represented by one (1) person on the College staff or student body.
4. Filing of complaints against any party is a serious undertaking. Prior to filing a written complaint, and within ten (10) instructional days of the incident leading to the complaint, the student(s) should contact the staff member involved in an attempt to resolve the issue. If this attempt is not feasible or does not resolve the problem, the student(s) may initiate Level I action. Complaints may not be filed after ninety (90) instructional days from the date of the incident leading to the complaint.
5. Notices sent to the last address available in the records of the College and deposited in the United States mail, postage prepaid, shall be presumed to have been received and read.

Level I

1. The student(s) should contact the office of the staff member's immediate supervisor/designee. At the time of contact, the student(s) should complete and submit a Level I “Initial Student Complaint Form” which will be available in the supervisor's office. The student(s) will be given an appointment to meet with the immediate supervisor/designee at this time. The appointment to meet shall be within ten (10) instructional days of notice of the occurrence to the alleged incident.
2. At the time of the appointment, the student(s) and the immediate supervisor/designee will attempt to resolve the issue in a satisfactory manner. All Level I conferences may be tape recorded with the concurrence of both parties. (These recordings shall be the exclusive property of the College/District and shall become part of the complaint file.) If the complainant fails to appear for the scheduled appointment, the Level I complaint process shall be terminated and the complainant shall have no further recourse.
3. Subsequent to the student(s) meeting with the immediate supervisor/designee, the latter shall meet and confer with the staff member(s) involved in an effort to resolve the complaint. If possible, this meeting shall be within five (5) instructional days of the student(s) meeting with the immediate supervisor/designee.
4. After meeting with student(s) and staff member(s), the immediate supervisor/designee shall notify the parties involved of his/her suggestion for resolution. If this resolution is acceptable to the complainant(s), the immediate supervisor/designee shall complete the Level I “Information/Disposition Form” and submit copies of it to the complainant(s), the staff member(s) and maintain the original in a suitable file.
5. If the immediate supervisor/designee does not resolve the complaint to the complainant's satisfaction, the complainant may, within ten (10) instructional days of the decision, file with the appropriate administrator a request to move the complaint to Level II.
6. At the written request of the student(s), action on the complaint may be delayed until the term of the class is completed. In this event, the appropriate administrator may delay any further action on the complaint until the next semester.
7. In the event of a group complaint, at most two (2) students shall be chosen to carry the complaint forward.

Level II

1. Under certain circumstances, and in the interest of fairness to all parties, the immediate supervisor/designee may refer the complaint to Level II immediately. The immediate supervisor/designee shall notify the student(s), staff member(s), and appropriate administrator when the referral has been made to Level II.
2. If the complainant(s) choose(s) to move the complaint to Level II, he/she/they must complete a “Request to Appeal from Level I Recommendation” form.
3. Within ten (10) instructional days of receiving the request (either the immediate supervisor's/designee's referral or the student(s)' appeal), the appropriate administrator shall investigate the allegations and convene a conference of the student(s), the staff member(s), and the staff member(s)' immediate supervisor/designee.
   All Level II conferences shall be tape recorded by the appropriate administrator. These recordings shall be the exclusive property of the College/District and shall become part of the complaint file. If a complaint is filed within the last thirty (30) instructional days of the semester or the last ten (10) instructional days of summer school, the appropriate administrator may delay any further action on the complaint until the next academic term.
   The student(s) bringing the complaint and the staff member(s) being complained against must be present at this conference. Under compelling circumstances this meeting may involve teleconferencing. At this meeting, an attempt will be made to resolve the issue(s) and agree upon the remedy. The Student(s) bringing the complaint and all parties named in the complaint must be present at this conference. If the complainant fails to appear for this conference, except for good cause, the Level II complaint process shall be terminated, and the complainant shall have no further recourse.
4. Following this Level II conference, the appropriate administrator shall, within five (5) instructional days, provide his/her written decision and the basis for the decision. Copies of this decision shall be sent to the student(s), the staff member(s), the immediate supervisor/designee, and the appropriate Vice President.
5. The student(s) bringing the complaint and/or staff member(s) being complained against may challenge the Level II decision by proceeding to Level III.

Level III

1. If the student(s) and/or the staff member(s) challenge(s) the Level II decision he/she/they must file a written appeal (See “Request to Appeal from Level II Recommendation” form) within ten (10) instructional days of notification of the Level II decision. This Level III appeal shall be filed with the appropriate Vice President.
2. The appropriate Vice President must be provided with copies of all written materials, recordings, and any other documents generated regarding the complaint at Levels I and II.
3. The purpose of Level III is to make one last attempt to resolve the issues to the satisfaction of the parties involved. To that end, the appropriate Vice President shall, within ten (10) instructional days of receiving the referral assemble the complainant(s), the staff member(s), the appropriate administrator from Level II, the immediate supervisor/designee. (This meeting shall be tape recorded by the appropriate Vice President. These recordings shall be the exclusive property of the College/District and shall become part of the complaint file.)
4. If the appropriate Vice President is able to resolve the difference(s)/complaint(s), such resolution shall be established in written form and shall be validated by the signatures of all parties involved. This agreement shall become part of the file and copies of same shall be made available to the complainant(s), staff member(s), appropriate administrator, immediate supervisor/designee.
5. If the appropriate Vice President is unable to resolve the difference(s)/complaint(s) he/she shall assemble the Hearing Panel within ten (10) instructional days of that determination. He/she shall provide the Hearing Panel with the procedure to be used and answer any procedural questions which may arise. [See Student Complaint Hearing Panel Procedure 4F9(b)]

Student Complaint Hearing Panel Procedures

Basis For Hearing

The Student Complaint Procedures are established so that students can resolve difficulties/problems which they encounter in College related activities. Student complaints are taken seriously. Therefore, the complaint must be of a compelling, substantive, and verifiable nature. If the complaint cannot be resolved at Levels I, II or III, then a Hearing Panel shall be convened to hear the student complaints that reach Level IV.

The Hearing Panel

Each College shall appoint a Standing Committee from which a panel will be chosen to hear student complaint appeals beyond Level III of the Student Complaint Procedures. The College standing committee shall be composed of eight (8) members. Members shall be appointed each August to serve through July as follows:

• Two (2) faculty members appointed by the Academic Senate President
• Two (2) classified staff appointed by the CSEA or Classified Senate President
• Two (2) students appointed by the Associated Student Body President
• Two (2) administrators appointed by the College President

Composition of Hearing Panel

The non-voting Chair of the Hearing Panel (not a Standing Committee member) shall be appointed by the College President. The Student Complaint Hearing Panel shall be composed of selected members of the Standing Committee and an ad hoc member as follows:

If the complaint is against a faculty member, the Hearing Panel shall consist of:

• two (2) faculty members
• one (1) student member
• one (1) classified member
• one (1) administrator
• one (1) ad hoc voting member appointed by the Academic Senate President

If the complaint is against an administrator, the Hearing Panel shall consist of:

• two (2) administrators
• one (1) student member
• one (1) faculty member
• one (1) classified member
• one (1) ad hoc voting member appointed by the College President

If the complaint is against a classified staff member, the Hearing Panel shall consist of:

• two (2) classified members
• one (1) faculty member
• one (1) administrator
• one (1) student member
• one (1) ad hoc voting member appointed by the CSEA or Classified Senate President

Notifications

When a Student Complaint Hearing Panel is to be convened, the appropriate administrator shall prepare and personally deliver or mail a written notice to the parties involved, including the Hearing Panel members, not less than ten (10) instructional days prior to the hearing. Notices personally delivered shall be evidenced by a signed receipt. Notices sent to the last address available in the records of the College and deposited in the United States mail, postage prepaid, return receipt requested, shall be presumed to have been received and read.

The notice shall specify the date, time, and place of the hearing and shall include all data pertinent to the complaint from Levels I, II and III, the Student Complaint Policies and Procedures, and these Hearing Panel Procedures. The notice shall also include a statement apprising each party of his/her/their right to: (1) self-representation or representation by a member of the College staff or student body, (2) present witnesses, and (3) cross-examine witnesses presented by the opposing party.

Hearing Preparation

The appropriate administrator shall be responsible for making the necessary arrangements for the hearing. Arrangements shall include scheduling a room, providing for a tape recorder, providing notice to the parties as provided above; notifying members of the Hearing Panel, and any other arrangements.

Either the student(s) or the staff member(s) complained against may challenge any member of the Hearing Panel for cause. Grounds for cause include any personal involvement in the situation giving rise to the grievance, any statement made on the matters at issue, or any other act or statement indicating that a person could not act in an impartial manner. Any challenge must be made in writing, not less than five (5) instructional days prior to the hearing. Challenges shall be considered by the appropriate administrator. If a challenge is upheld, the appropriate administrator shall direct that an alternate be appointed to the Hearing Panel.

Right to Representation

The student(s) and the staff member(s) may represent themselves, or may be represented by another student or staff member. Neither the student(s) nor the staff member(s) may be represented by any person not in the College community. Neither the student(s) nor the staff member(s) may be represented by an attorney acting in the role of legal advocate.

Right to Advisor

The student(s) and the staff member(s) have the right to be assisted by any advisor they choose. The advisor may be an attorney. However, the advisor, while permitted to attend the hearing, shall not be permitted to participate directly. In other words, the advisor shall not be allowed to address the Hearing Panel, cross examine witnesses, or make arguments on behalf of his/her advisee.

Guidelines for Student Complaint Hearings

Hearings shall be conducted by the Hearing Panel according to the following guidelines:

1. The Chair of the Hearing Panel shall preside over the Hearing and make decisions regarding procedure. The Chair's procedural decisions shall be final. In hearings involving more than one (1) accused student, the Chair may conduct separate hearings for each student.
2. All proceedings of the hearing shall be recorded using audio and/or audio video recorders. The recording of the Hearing shall be the exclusive property of the College and the Kern Community College District and shall be maintained by the appropriate administrative officers. To protect the integrity and confidentiality of the proceedings, no other recording or transcription shall be allowed.
3. All hearings shall be closed. All witnesses shall be excluded from the hearing except when testifying. Admission of any person to the hearing shall be at the discretion of the Chair.
4. The Chair shall call the hearing to order, introduce the parties, and announce the purpose of the hearing, e.g., “This Hearing meets pursuant to Level III of the Student Complaint Procedures to hear a complaint brought by _______________ against _______________, and make findings of fact and recommendations for action to the College President.
5. The Chair shall distribute copies of the written complaint to the Hearing Panel members, read the complaint aloud, and ask the parties if they have reviewed the allegations. The Chair shall explain the procedures to be followed during the hearing.
6. The Hearing Panel may consider only allegations filed by the student(s) at Levels I and II of the Student Complaint Procedures.
7. The complainant, the staff member(s) being grieved against, and the Hearing Panel shall have the privilege of presenting witnesses, subject to the right of crossexamination. Witnesses shall only be identified at the hearing. The panel Chair shall retain the right to limit the amount of time allowed for the complainant's case, rebutting evidence, argument, examination of witnesses and the number of witnesses. Each side must, however, be granted equal time to present their cases.
8. Each party shall be afforded the opportunity to make an opening statement. This statement may not exceed five (5) minutes in length. After the opening statements, each party shall have the opportunity to present relevant evidence and testimony.
9. Formal rules of evidence shall not apply. All relevant evidence is admissible, including, but not limited to, statements of witnesses and relevant documents. The Chair shall decide on these matters.
10. The student(s) has (have) the burden of proving that the allegation(s) is (are) true. The student(s) will present evidence in support of the allegation(s) first. Subsequently, the staff member(s) may present evidence to refute the allegation(s).
11. Each party shall be afforded an opportunity to make a closing statement. This statement may not exceed five (5) minutes in length. The complainant shall close first. Subsequently, the Hearing Panel shall retire to deliberate with only the members of the panel and the panel chair present.
12. The Hearing Panel shall make its decision and/or recommendation(s) based on the preponderance of evidence presented at the hearing and relevant to the allegations filed at Levels I and II of the Student Complaint Procedures. In situations where a consensus cannot be achieved, the decision or recommendation(s) shall be made by a simple majority vote.

Procedures Subsequent to the Student Complaint Hearing Notifications

1. Within five (5) instructional days of the hearing, the Chair shall deliver to the College President the written recommendation(s) arrived at by consensus or by majority vote of the panel members. Minority opinion(s) may be attached to the majority report. The recommendations to the College President are advisory.
2. Within five (5) instructional days of receiving the Hearing Panel's recommendation(s), the College President shall render a decision. This decision shall be communicated, in writing, to the complainant(s), the parties grieved against, appropriate supervisor(s) and administrator(s), and the Hearing Panel Chair and members. The decision of the College President is final.

Confidentiality of Records

1. All reports, records, transcripts, tapes, etc., which are made a part of the hearing shall be retained in the office of the appropriate Vice President.
2. All such reports, records, transcripts, tapes, etc., shall be held confidential except as required by law.

Professional Behaviors

The Bakersfield College NATP student is expected to conduct him/herself in a professional manner at all times while in uniform and/or while representing the school.

The following standards of professionalism are considered mandatory for all nursing students:

1. Preparation for assignments (for both lectures and clinical)
2. Be honest at all times
3. Effective communication (both verbal and non-verbal)
4. Professional attitude at all times
5. Effective team work/cooperation
6. Accepts and benefits from constructive criticism
7. Is responsible for his/her own learning, and helps promote an atmosphere, which facilitates maximum learning for his/her classmates
8. Recognition of the impact of one's behavior on others, especially clients; and modification of inappropriate behavior
9. Accountability/ legal and ethical responsibilities

Civility

The faculty support student-driven civility, and therefore, strive to inspire and engage students to make a commitment to create a civil learning environment. According to Ackerman-Barger et al., “Incivility in nursing education imperils the well-being of both faculty and students, is damaging to professional relationships, and hinders the exchange of knowledge in nursing learning environments. Because supportive, respectful learning environments foster students' ability to flourish and reach their highest potential, it is essential that open dialogue and relationship building in nursing education are as valued as content taught” (2021, p. 235). The following are examples of behaviors that foster civility:

1. Attending class and arriving on time
2. Being prepared for assignments
3. Maintaining and modeling a professional attitude
4. Working cooperatively as team member
5. Accepting and acting upon constructive feedback
6. Maintaining responsibility for own learning
7. Promoting an atmosphere which facilitates optimal learning for classmates
8. Recognizing the impact of one's behavior on others, especially clients
9. Modifying inappropriate behavior
10. Maintaining accountability for legal and ethical responsibilities
11. Using media devices in non-disruptive ways

Speech and Communication

Students are expected to communicate in professional manners at all times. Students will refrain from discussing any criticism of an agency, an individual, or an instructor in a public venue.

Policy for Professional Email Communication

When communicating via email, there is an expectation of professionalism. The following guidelines are provided to help you be successful in writing a professional email.

1. Provide specific information in the subject line (“grade on exam #2”).
2. Include a greeting that addresses the recipient by their correct title (“Dear Professor Smith,” or “Dear Dean Flores, “).
3. Introduce yourself -Include complete student name, @ number, program name, and CRN in all communication with faculty and staff.
4. Be polite and be concise about your concern or request.
5. Avoid the use of slang or acronyms.
6. Sign off politely and place your name at the end of the email (“Kind Regards, Mary Garcia”).

Example Professional Email

Subject Line: Grade on Exam 2

Dear Professor Jones,

My name is James Smith @000123455 and I am a NATP student. I am in your Tuesday MEDS B69 course crn 93823. I am writing to follow up on our conversation about exam 2. When we spoke in your office hours after class on Tuesday you mentioned that you would look at exam question #23 and would consider giving me the point back for that question. Did you have an opportunity to review the question? If so, have you made a decision about the point? I appreciate your consideration in this matter.

Respectfully,
James Smith

Student Conduct

Students should conduct themselves in a professional and ethical manner at all times. Refer to the Bakersfield College Student Handbook, College Catalog and KCCD Board Policy for specific regulation and policies.

Reference: Education Code §§66017, 66301, 76020, 76030, 76031, 76036, 76037
Health and Safety Code §11014.5

Since public education is furnished by the people, it is a privilege. The Board of Trustees of the Kern Community College District, in support of public education and the exercise of general supervision of the campuses, requires that student conduct must reflect the standards of appropriate behavior as defined in pursuant the Education Code. See Procedure 4F7 of this Manual for Student Complaint Hearing Panel Procedures.

4F7A Students shall respect constituted authority. This shall include conformance to Federal and State laws, Board regulations, College regulations, and applicable provisions of civil law.

4F7B The District expects students to conduct themselves in a manner consistent with the educational purposes of the College. Student conduct should reflect consideration for the rights of others, and students are expected to cooperate with all members of the College community. (For specific guidelines regarding conduct, see Policy 4F7D of this Manual.)

4F7C College personnel are responsible for communicating appropriate student conduct and for reporting any violations thereof, and the College President or designee shall have the right to administer suitable and proper corrective measures for misconduct.

4F7D The Board of Trustees, the College President or designee may suspend a student for good cause or when the presence of the student causes a continuing danger to the physical safety of the student or others. The Board of Trustees may exclude from attendance in regular classes any student whose physical or mental disability is such as to cause his or her attendance to be inimical to the welfare of other students.

Students shall respect constituted authority. This shall include conformance to Federal and State laws, Board regulations, College regulations, and applicable provisions of civil law. Accountability is expected from all nursing students and student privileges may be revoked if that accountability is not demonstrated.

Students are expected to conduct themselves in a manner consistent with the educational purposes of the College. Student conduct should reflect consideration for the rights of others, and students are expected to cooperate with all members of the College community. Please refer to the KCCD Board Policy Manual, Procedure Section 4F7 and the Bakersfield College Student Handbook for more information.

Use of Technology

Nursing students are preparing for a profession that provides services to the public and expects high standards of behavior and professional communication. Students should remember that their online presence reflects them as a professional. Many recruiters routinely search the social networks when considering candidates for hire.

Courses in the Nursing programs use online resources as a learning and communication tool between instructors and students. Professional behavior and proper technology etiquette is expected of all students both inside and outside the classroom and during clinical activities. Students are required to adhere to the expectations below as well as to all hospital or other clinical site policies and procedures.

1. All students are required to use their Bakersfield College student email address only.
2. All students are required to check student email regularly.
3. Personal use of electronic devices (Laptop Computers/PDA's/Cell Phones/IPod Touch/Kindle/Nook/etc.) is not permitted. They must be turned off at all times.
4. Students may use electronic devices only when authorized by faculty or hospital personnel and only as a resource.
5. Personal use of electronic devices (cell phones, laptops, PDA's, Tablets, smart phones, etc.) may not be used for personal reasons (i.e. camera, Facebook, texting, etc.) while in the clinical setting.
6. Electronic devices (cell phones, laptops, PDA's, Tablets, smart phones, etc.) can only be used in designated areas of the clinical sites and with faculty approval.
7. No photos may be taken by students in the clinical agency or lab environments unless authorized by faculty.
8. Confidential information related to individuals or agencies must be kept in confidence.
9. All students are expected to follow HIPAA guidelines at all times.

Social Media Policy

Social Media is a way for people to use technology for social interaction through the use of words, images, audio and video. Examples of social media sites include but are not limited to, Facebook, Twitter, LinkedIn, YouTube, or “blogs”; and can also include media sites that are offered by television networks, newspapers, and magazines. Please remember that social networking sites are in fact public forums. This means that the information that is posted or shared can be viewed by others.

Information published on social media networks that has to do with any aspect of the College must comply with Kern Community College District's Code of Ethics, HIPAA compliance, and the Department Code of Conduct. Any statement made electronically which can cause actual or potential harm or injury to another or to the school will be grounds for dismissal.

Bakersfield College Nursing students are free to express themselves as private citizens on social media sites to the degree that their speech or posting:

1. Does not violate confidentiality implicit in their roles as Nursing students
2. Does not directly or indirectly reflect patients, diagnoses or any content related to patient care or clinical experiences.
3. Does not impair working relationships among students and staff of the Nursing Department
4. Does not ridicule, malign, disparage or otherwise express bias against any race, religion or protected class of individuals
5. Does not reflect behavior that would reasonably be considered reckless or irresponsible as members of the Bakersfield College Nursing Department
6. Does not contain false information that harms the reputation of another person, group or organization (defamation)
7. Does not cause harm or injury to another or to the Bakersfield College Nursing program
8. Does not negatively affect the public perception of the Bakersfield College Nursing Department

Bakersfield College Nursing students may be required to access their social media sites at the request of the Nursing department to verify compliance with the above stated policies. Failure to comply may result in immediate dismissal from the Nursing program.

The Bakersfield College Nursing Department will not tolerate violations of the Social Media Policy. Activity on a social networking site, which is determined to be an infraction of the Social Media Policy, will result in disciplinary action, ranging from a written reprimand to dismissal from the program.

Standards of Student Classroom Conduct

Unacceptable Classroom Behavior

Unacceptable classroom behavior/conduct includes, but is not limited to, the following:

1. Interference with the learning of others
2. Excessive tardiness
3. Interruptions by excessively talking during class
4. Intimidation of students and/or faculty (angry, hostile, or violent behavior)
5. Inappropriate non-verbal behavior
6. Inappropriate/provocative dress/appearance
7. Use of cell phones during class time
8. Dishonesty
9. Sexual harassment
10. Use of vulgar/obscene language
11. Any other behavior deemed by Nursing Faculty as unacceptable and which interferes with the learning or safety of others, including those behaviors and activities listed in the Bakersfield College Student Handbook

Virtual Background Policy

The Bakersfield College Nursing Department supports the rights of students to protect their privacy through the use of virtual backgrounds when using Zoom. Virtual backgrounds may be used for any class meeting, office hour visit or other school function. Virtual backgrounds will not be allowed during testing as they interfere with the ability to maintain test security. Appropriate virtual backgrounds include images that are conservative in color or pattern. Images may not contain images or lettering that are considered lewd, offensive, having moving elements or are otherwise distracting to other students or the instructor. At any time, an instructor may ask a student to change a background to something more suitable. The student will comply immediately or will be removed from the Zoom session and referred to the Dean. We appreciate your assistance in this matter. Please refer any questions about appropriate backgrounds to your instructor.

Standards of Student Clinical Conduct

The instructor will be the ultimate authority to judge student performance in the clinical setting. It is mandatory the instructor has the authority to take immediate corrective action in the clinical area with regard to student conduct, clinical performance, and client safety.

A student may be refused access to any clinical facility for infraction of facility rules and/or regulations.

A student involved in an adverse occurrence, which causes or has the potential of causing serious harm to another (client, staff, visitor, other student, etc.) may be dismissed from the Program. Such an event will be documented on a Conference and/or Probation Form. The instructor will notify the Director and/or Asst. Director as soon as possible after the event. The student will then meet with the instructor and/or Asst. Director/Dept. Chair to discuss the behavior and the conditions, which the student must meet (i.e. no further incidents of unacceptable behavior) to avoid dismissal from the program. The student will be given a copy of the report listing the specific remediation plan at the time of the meeting.

Failure of the student to correct the unacceptable behavior will result in failure of the course and dismissal from the program.

Documentation of Unsatisfactory Progress

Consultation Form

The Consultation Form is a communication tool used by Faculty to document conversations held with students regarding a myriad of concerns or issues regarding either classroom or clinical performance. The topic of discussion will be recorded, along with specific requirements, expectations, and/ or referrals. A target date for improvement, along with a time line for follow up next meeting may be added.

Conference Report

A Conference Report will be used to document a conversation held for failure to transfer classroom knowledge to the bedside, adhere to healthcare facility policies, or follow generally accepted rules of personal cleanliness, professional ethics, and professional attitude and demonstrate knowledge, skill, and judgment at the expected level. The issuing instructor will confer with the student and discuss the reasons for, and means of, correcting the cause for the conference.

If satisfactory progress is not made following the issuance of conference reports, the student will be placed on probation. Conference reports from prior semesters will be considered for gravity of errors in placing students on probation.

Probation Form

The instructor will discuss situations that warrant probationary status with the student. A probation report will be drawn up discussing the cause for probation, the terms of probation, and the length of time identified for improvement and re-evaluation. The original report will be placed in the student's personal file in the Nursing Division office, and the student will receive a copy. The instructor, the student, and the Director of the NATP will discuss the situation. Failure to comply with the terms of probation will result in dismissal from the program. The Dean/Director of the Nursing Program will make the final decision for student dismissal.

Occurrence Reports

Occurrence reports will be completed and placed in the student's file when a safety violation occurs in the laboratory site area. This will be done even if the facility does not require that a report be sent to the administration. The student and laboratory site instructor must sign the report.

Student Impaired by Alcohol or other Substances

All nursing students must sign a statement that they agree to immediate monitored drug and alcohol testing upon request of a nursing instructor, and/or the director of the nursing program. This includes lecture courses as well as the laboratory setting. Drug and alcohol screening shall be requested whenever the instructor or Director feels there is reasonable suspicion that a student is under the influence of alcohol or drugs. "Reasonable suspicion" is a belief or judgment based on observations or other information that a student is under the influence of drugs or alcohol. Observations may include, but are not limited to:

1. Dilated or constricted pupils or nystagmus
2. Alcohol odor on the breath
3. The use of breath-mints, mouthwash, gum, etc. to cover the odor of alcohol on the breath
4. Alterations in mental alertness
5. Attendance problems
6. Mood swings, especially inappropriate anger, paranoia, or agitation
7. Poor performance
8. Accident proneness
9. Poor attitude
10. Errors in judgment
11. Inconsistent quality of work

The instructor or Director shall request that the student go for immediate monitored drug and alcohol testing. The Director will arrange for the student to be transported to the testing site by college security, or by taxi, or by other appropriate transportation. Post testing transportation must be arranged by the student. Student will NOT be allowed to drive from the testing facility. The Director shall notify the testing facility of the student's impending arrival and request testing. This testing will be done at college expense. The instructor shall then document, in writing, the observations or information, which led to the request and submit the report to the Program Director. The Director shall proceed according to the Kern Community College District and College policy.

Student Impaired by Emotional or Mental Illness

If in the instructor's judgment a student is impaired by an emotional or mental state, which interferes with the student's ability to function safely in his/her laboratory assignment, the instructor shall immediately withdraw the student from the assignment. If in the instructor's judgment, a student is impaired by an emotional or mental state and is disruptive in the classroom, the instructor will ask the student to leave the classroom and IMMEDIATELY notify the Director. If the student refuses to leave the classroom, the instructor will notify security. The instructor shall document, in writing, the observations, which led to the withdrawal or exclusion of the student and submit the report to the Program Director. The Director shall proceed according to Kern Community College District and College policy. Students should also be referred to or escorted to the BC Student Health and Wellness Center for ongoing assistance with managing mental health concerns.

Procedures for Further Action

The Program Director shall refer the issue to the appropriate administrator for further action under the Misconduct Procedures of the College. These procedures are published in the Bakersfield College Student Handbook.

Referral of Impaired Students to Appropriate Agencies

Students who are impaired by alcohol, drug use or emotional or mental illness will be counseled and referred to the appropriate community agency for assistance. Students should also be referred to or escorted to the BC Student Health and Wellness Center for ongoing assistance with managing mental health concerns.

The student use of controlled substances, dangerous drugs or devices or alcoholic beverages to an extent or in a manner injurious to self or others to constitute unprofessional conduct. The conviction of a criminal offense involving the prescription, consumption or self-administration of the above substances is conclusive evidence thereof.

Nursing students showing signs of mental illness or chemical dependency should be directed to a health care provider for diagnosis and treatment of the illness. Chemical dependency and mental illness are diseases and should be treated as such. In applying this policy, care shall be taken to observe the confidentiality of student records. Students are expected to voluntarily seek diagnosis and treatment for chemical dependency or mental illness and provide evidence of treatment and fitness for practice to the nursing program. Show evidence of rehabilitation when submitting their application for licensure.

Responsibilities of Student

Class Registration

Only students who have officially completed registration may attend class.

Students who have not completed registration by the last day of open registration will be dropped from the class and replaced by a waitlisted student.

College Publications

Students are expected to read the Bakersfield College Catalog and the Bakersfield College Student Handbook and comply with all policies, particularly in areas of:

• Admission and Registration
• Academic Regulations
• Student Personnel Services

Client Records in Healthcare Facilities Units

Client records may be used only for the purpose of giving client care. They may not be removed from the unit. Information acquired from client records is confidential.

Client Records in Healthcare Facilities Records Office

To review client records all students must bring a note from their nursing instructor, on letterhead stationery, identifying the student and stating what record they may review. Healthcare facility staff cannot call and verify the identity of the student, so it is imperative that the student brings proper identification.

Course Required for Completion

MEDS B69 Basic Patient Skills/Laboratory 6 Units

Students in the NATP classes must meet the requirements of all the above classes in order to be eligible for the American Red Cross (ARC) Certification Exam.

Re-Entry Policy

Students dropped due to documented unsafe laboratory work will not be re-admitted.

Current Address

Each student must keep his/her current address and telephone number on file with the Nursing Office. Be sure to include all applicable phone number (cell phone, emergency number, etc.). This information will be kept confidential unless the student requests otherwise.

Attendance Policy

Students are expected to observe the attendance requirement of the College, the California Department of Public Health (CDPH) and instructor course policies:

• Minimum hours required are 60 lecture and 100 clinical.
• If a student is dropped from either the lecture or clinical portion of the class for any reason, they will not be allowed to progress in the course.
• Instructors require that absences be made up to meet course objectives even if the absences do not exceed College policy regarding attendance.

Attendance-Theory

The attendance policies as outlined in the Bakersfield College Catalog and the Nursing Assistant Student Handbook will be strictly enforced.

Absences are highly discouraged during the course of this program. Please note, 3 lates will be counted as an absence. Being late more than 20 minutes to a class or leaving class early will be counted as an absence. It is the student's responsibility to drop the course if this happens.

All of the classes are allowed one week of absent time for the classroom/theory part of the course. That means for the classes that meet once a week, only one classroom absence is allowed for the spring and fall semesters. The exception is the Monday/Wednesday BC class which meets twice a week, those students are allowed two absences. Exceeding these absences will not give the student enough lecture hours to meet state requirements to be eligible to take the state certification test. It is the responsibility of the student to drop the class if this happens.

*** The only exception:

Due to the restricted nature of the course and the need to accommodate as many students as possible, any absence during the first 3 weeks of class will result in the student being dropped. If a student is absent during that time, the instructor will drop the student, no exceptions.

Attendance-Clinic

As mandated by CDPH, all students are required to meet state mandated clinical hours and demonstrate a pattern of attendance that models professional practice.

All students enrolled in the 13-week course are REQUIRED to attend ALL clinical days. In the event of an emergency, students will be afforded one (1) opportunity to make up a maximum of one (1) clinical day at their assigned clinical site, at the discretion and approval of the Program Director. Any additional absence will result in a failing grade or dismissal from this course. It is the student's responsibility to withdraw from the course by the “W” dates.

Due to the topics that are covered during the first three weeks of class, NO absences are allowed. Any absence during this period, will result in the student being dropped from the entire course.

All students must attend their first scheduled day at the clinical site. If absence on this day, it will result in the student being dropped from the entire course.

Students being late to or leaving early from the clinical site, not in appropriate uniform, or unprepared may be sent home and this will be counted as an absence.

The student must notify the clinical instructor of a laboratory absence or lateness prior to the schedule laboratory experience, unless otherwise arranged with the instructor. Not notifying the instructor prior to the start of clinic will result in a clinical absence. The student must contact the instructor, do not leave a message with another student to pass on to the instructor. More than three late arrivals will result in being dropped form the course.

STUDENT EVALUATION

MEDS B69 grading is a combination of theory grades and laboratory performance. The student must achieve 75% in the classroom theory component of the class and successfully master the clinical skills in the laboratory section of the course.

Student's laboratory performance is based on the course behavioral competencies listed in the skills checklist and on safe and competent practice.

The instructor will evaluate the student on an ongoing basis. If the student does not demonstrate mastery of the required skills or proves to be a disciplinary problem, the student will be written up and placed on probation.

Failure to show satisfactory improvement and/or comply with the terms of probation will result in dismissal from MEDS B69 and the student will receive a non-passing grade for the course.

Course evaluation is a requirement of this course. The evaluations will be conducted at the end of the semester. Students are expected to complete on-line evaluations for the theory instructor, the clinical instructor and the clinical site.

EXPECTED LABORATORY COMPETENCIES

These are the basic competencies that you will be required to pass in order to pass the laboratory section of the course:

• Provide basic nursing care for residents as defined within the scope of practice for the nursing assistant.
• Maintain appropriate avenues of communication with residents, families, and health care team members.
• Function independently within expected standards of care.
• Demonstrate responsibility, accountability, and professionalism as a member of the health care delivery team.
• Completion of the skills checklist and clinical evaluation.

Any student not functioning at the expected level of the laboratory competencies or acting in an unsafe or unprofessional manor will be sent home by the clinical instructor. Any time a student is sent home the time is considered as a clinical absence.

Accidents/Injuries

Facility accident reports must be completed according to the procedures of the individual facility as well as the District Safety Coordinator as follows:

1. Students are required to immediately report a work (class) related incident, injury or illness to their Instructor. Your Instructor or designee will contact the District Safety Coordinator at (661) 336-5135.
2. The District Safety Coordinator will obtain the details of the incident from the student and/or Instructor and make the initial referral to the medical facility, physician, or BC Student Health and Wellness Center.
3. Students are required to provide to their Instructors a Physician's Work Status report after attending the medical appointment. The Physician's Work Status report indicates your ability to return to full work (class) activities, diagnosis, and date of your re-examination or follow-up appointment.
4. In addition, instructors must report all accidents to the Bakersfield College Nursing Department Office.

Pregnancy or Extended Illness

Any disability/illness of three (3) or more days or any communicable illness will require a doctor's release to return to the theory and clinical/lab area. The release must be submitted to course instructor and to the Bakersfield College Nursing Department Office.

Any restriction of activity will be considered in terms of ability to meet program objectives and contingent on clinical facility approval.

A provider's written approval (without restrictions) is required for a pregnant student to remain in the program each trimester AND again before the student can return to school following delivery.

Any change in health status or medication use must be reported to the Program Director immediately.

Outside Employment

Due to the concentrated and intensified nature of the NATP, full-time employment is not recommended. If a student does work, while at work they will not

1. Wear the Bakersfield College NATP uniform
2. Accept assignments beyond the student's level of certification or licensure. The NATP has no legal responsibility for the student while they are working
3. Use the abbreviation “SN” after name for legal purpose
4. Accept employment hours, which conflict with class/laboratory time
5. Work from 11 PM to 7 AM or any portion of the shift on a night before a clinical assignment

Health and Safety Requirements

The Bakersfield College Registered Nursing Program maintains contractual agreements with clinical agencies used in the education of nursing students. These agencies require that students annually complete workplace safety training (which must meet OSHA guidelines) maintain currency on all facility health and safety requirements. All school forms for the following requirements can be found at Health and Safety Forms. The student must complete prior to clinical attendance:

• Read and Understand the Safety Orientation Manual (obtained through the BC Bookstore or on-line on Student Page)
• Successfully complete the Safety Examination and submit to the Allied Health Office prior to the first day of clinic
• Sign and submit Blood borne Pathogens Certificate of Instructions and Certification of Student Instruction in Safety Education to the Allied Health Office prior to the first day of clinic.
• Complete safety/confidentiality/sexual harassment/abuse reporting forms and submit to Allied Health prior to the first day of clinic

Basic Life Support (BLS) Certification

Must be American Heart Association Healthcare Provider course. Student must have valid BLS certification at all times during the program. The renewal date will be set based on the expiration date on the card.

Physical Exam

Submit the physical exam form provided by the school. Physical Exam and Essential Technical Standards forms to be completed prior to entering the program. Forms must be signed and dated by a primary care provider and by the student. If any technical standards are not met or student has currently prescribed medications/existing medical conditions, the physical exam will be rejected by American DataBank and the student must contact the Nursing Office. Essential Technical Standards are to be updated annually.

TB Test

One of the following is required:

1. One-Step Skin Test consisting of one negative TB skin tests administered
2. Negative T-Spot or Quantiferon Gold every 12 months: OR
3. If individual has a documented positive TB test/ T-Spot/ Quantiferon Gold, the student must complete the following:
   1. Submit documentation of a clear chest X-ray along with the TB questionnaire. The renewal date for the chest X-ray will be set for two years from the initial date.
   2. Upload the documentation of a clear chest X-ray and a completed TB Questionnaire as one document.

TB questionnaire must be submitted every 12 months.

MMR

One of the following is required (demonstrated by immunization record OR lab report OR physician verification of results):

1. Evidence of two MMR vaccinations at least 28 days apart, OR
2. Positive immunity titer demonstrating serologic immunity to Measles, Mumps and Rubella

Varicella (Chicken Pox)

One of the following is required (demonstrated by immunization record OR lab report OR physician verification of results):

1. Evidence of two immunizations at least 28 days apart, OR
2. Positive immunity titer demonstrating serologic immunity to Varicella: Previous illness will not be accepted as proof of immunity. You will be required to get an immunity titer; if titer is negative, you will need to get the vaccination.

Hepatitis B

One of the following is required (demonstrated by immunization record OR lab report OR physician verification off results):

1. Evidence of three Hepatitis B vaccinations plus a positive titer demonstrating serologic immunity to Hepatitis B; OR
2. Signed Hepatitis B declination form

If you choose to decline the Hepatitis B series, the renewal date will be set for one year from the date of the signed declination form. If the series is in progress, American DataBank will add specific dates that your 2nd and 3rd vaccinations are due as these are time sensitive.

Tetanus, Diphtheria & Pertussis (TDaP)

The following is required (demonstrated by immunization record OR lab report OR physician verification):

1. Evidence of one TDaP vaccination within the past ten years.
2. Pregnant students must obtain TDaP vaccination during pregnancy.

Seasonal Influenza

The following is required:

1. Documentation of a current flu vaccination dated between August and April. Documentation must contain flu season (ex. 2020-2021) and Lot #. (Medical and religious declination available but must be approved.)

The renewal date will be set for 08/15 of the following flu season.

Criminal Background Screening

Current and prospective nursing students must at all times meet applicable hospital security standards for placement in mandatory clinical rotations at selected hospitals.

• All students will be required to obtain a criminal background clearance upon enrollment, and prior to beginning clinical training, or direct contact with patients. The student will complete the initial application process which includes the submission of the CDPH Licensing and Certification Aide and Technician Certification. This includes: form CDPH 283B, Live Scan BCIA8016. The Program Director will read information found in Title 22 SB1384 (Chapter 847, Statutes of 2014) by the NATP personnel before competition the application. Once all forms are completed, by the students, the nursing office will complete the Transmittal Form Criminal Background Clearance CDPH 283I and send all documents to The department of Public Health.
• The Program Director will arrange and schedule mobile Live Scan service to perform service. There will be no cost to the student. If the student is unable to attend on the scheduled mobile live scan date, the student will be required to obtain fingerprints on their own.

Drug/Alcohol Screening

For incoming nursing students, drug and alcohol screening is required as part of the pre-admission process. For currently enrolled students, drug and alcohol screening is mandatory when there is probable cause and/or reasonable suspicion to believe that the student is under the influence of drugs and/or alcohol while in the classroom and/or clinical settings.

All students enrolled into the Nurse Assistant program will be tested for drug and alcohol use as part of the admission process. If the applicant fails to appear for the screening test on the date assigned, his/her enrollment into the Nurse Assistant program will be immediately rescinded.

All students must further sign a statement agreeing to immediate monitored drug and alcohol screening upon request of the Nurse Assistant Director and/or a nursing instructor when there is probable cause and/or reasonable suspicion to believe that the student is under the influence of drugs and/or alcohol.

Incoming and currently enrolled students with verified positive test results for alcohol, any illegal drug, or abuse of prescribed or over-the-counter medications or mindaltering substances will be given reasonable opportunity to challenge or explain the results. Where results are confirmed and no medical justification exists, incoming students will not be admitted to the course and currently enrolled students will not be allowed to participate in clinical activities; thus, they may not meet the objectives required for successful completion of the Nurse Assistant program. Re-application or readmission will be contingent upon the student's satisfactory completion of an approved rehabilitation program.

If a student who has been readmitted into the Nurse Assistant program after successfully completing a rehabilitation program fails a subsequent drug and alcohol screen, the student will be dropped from the program and will be disqualified for readmission.

Guidelines for Professional Appearance

Student dress and grooming will reflect the policies of the assigned healthcare facility, the technical and safety requirements of the task, the positive image of the NATP, and the professional image of nursing in the community.

Personal Appearance

1. Each faculty member is to inform the students of the specific dress code of each assigned healthcare facility.
2. Students are responsible and accountable to arrive at the assigned facility in accordance with the dress code and grooming regulations as delineated in the student handbook.
3. Students will be excluded from the laboratory area for inappropriate dress and/or grooming. Absences caused by such exclusion will be counted in the total number of allowable absences.

Grooming

1. Uniforms must be clean and unwrinkled and shoes must be clean.
2. Students must be clean, free of odor and strong fragrances, and well groomed.
3. Perfume, Cologne and Fragrances will not be worn due to the potential sensitivity and allergies of visitors, patients, and health care facility staff.
4. Hair must be clean, neatly groomed, and pulled back, off the shoulders and out of the eyes. Hair must be professional, conservative in color, style and adornment. Hair accessories must be conservative. Extremes in hairstyles, color, and hair adornments will be avoided and must be suitable for the healthcare environment.
5. Mustaches, beards, and sideburns must comply with the regulations of the assigned healthcare facility as well as trimmed in accordance as to not interfere with mask fit testing. Students must be clean-shaven if not wearing a beard.
6. Fingernails must be short and clean (no longer than 1/8 inch above the fingertip). Clear nail polish may be worn. Artificial nails, tips, wraps, appliqués, acrylics, gels and any other additional items applied to the nail surface are not permitted.
7. Make-up must be conservative and in good taste.
8. Chewing gum and smoking is not allowed in the clinical setting. Eating, drinking and smoking are only permitted in designated places.
9. Tattoos must not be visible and must be covered at all times.

Jewelry

1. One ring may be worn on each hand but students may be required to remove them in the specialty areas or for certain
2. Small post-type earrings may be worn but are limited to one per lobe. “Dangle and hoop earrings, as well ear rods or plugs are strictly prohibited.
3. Visible body piercing, including tongue piercing and ear rods or plugs are not permitted. A clear post is not acceptable.
4. One chain around the neck may be worn except in specialty areas where criteria require otherwise.
5. Dark glasses may only be worn inside if they are prescribed and may never be placed on the back of the head.

Uniform

1. The NATP student must wear the approved BC Uniform (red uniform top with black uniform pants or black uniform skirt, or all black uniform dress). The uniform must be ordered from the program-approved agency. The BC logo must be embroidered on the left upper chest.
2. The BC photo ID must be worn on the right upper chest with name, title and picture clearly visible. The badge must be attached to clothing above the waist and visible at all times and may not be attached to a lanyard.
3. Hose are required with dresses; plain black or white socks may be worn with pants.
4. Black, white or black and white all leather shoes are required. Clogs, sandals or canvas tennis shoes may not be worn with the uniform. Shoes must have closed toes and backs.
5. A white or black lab coat, no longer than hip length, may be worn over the uniform. The approved format for the student nurse identification may be embroidered in red/black on the upper left chest.
6. Bandage scissors (dependent of facility policy), pen, penlight, watch with sweep second hand or digital watch, protective goggles, and a stethoscope are also considered part of the uniform and must always accompany the student while in the healthcare laboratory facility.

Head Cover Policy

Students in the clinical settings may wear head/hair coverings that include buttons to hold masks and protect the ears. Acceptable head coverings include headbands, scrub caps and ponytail scrub caps. They must fit the head closely with no brim, be washable, a solid conservative color, and must not extend below the collar. See the images below for examples of approved head covers.

 

Miscellaneous

Bakersfield College healthcare facilities are not responsible for loss of valuables. It is recommended that items of value not be taken to class or to the laboratory areas. Stethoscopes may be worn over the shoulders, but not hanging from the neck since this may injure a client.

Campus Laboratory Guidelines

To perform a procedure in the laboratory area and/or to be assigned client care in the cooperating facilities, students will give evidence of mastery of the basic skills for safety, comfort, and welfare of clients, according to the established criteria. To accomplish this:

• The established criteria of each skill is delineated in student assignments.
• Practice of each skill before each performance evaluation in the campus nursing laboratory will be a faculty expectation and a student responsibility.
• Mastery of each skill includes a time frame, which is consistent with the objectives.
• Repeat(s) of performance evaluations and/or specially arranged laboratory experiences will be given consideration according to the priorities of the objectives and other student's needs and progression in the semester.
• Opportunity to repeat campus laboratory skills will be given. If repeat performances are necessary for two or more skills in a semester, a learning contract will be initiated.
• Learning deficiency of a skill(s) require evidence of improvement within the learning contract time frame.

If evidence of deficiency continues, the student will not be assigned client care and there is an increased likelihood that the objectives of the community healthcare facility experiences will not be met.

Grading

Lecture/Laboratory Courses

A minimum of a "C" grade must be achieved in combination of lecture/laboratory sections to successfully pass the course. The percentage value of the alphabetical grading in lecture courses will be as follows:

Final examinations

The following policy is observed in all courses:

• All course final examinations will be comprehensive and designed to assess the knowledge and application of the subject matter.
• Upon successful completion of the final examination, a course grade will be given based on percent of total points accumulated during the semester. Recognizing that students have different learning styles and may need assistance for learning disabilities; students are encouraged to use College services and other resources available to them. These include:
  • assessment of learning disabilities
  • tutoring
  • practice in skills lab
  • test-taking strategies
  • ESL courses
  • consultation with instructors
  • computer programs in the Allied Health Computer Laboratory

Laboratory Section

The laboratory section of the course must be passed with a 75%. Students will be evaluated on a periodic basis. Documentation of performance will be place in the student's file. Repeated unsatisfactory evaluations in the laboratory course will warrant probation. Failure to show satisfactory improvement and/or comply with all the probationary terms will result in dismissal from the course with a non-progressing grade. A non-progressing grade in the laboratory section will prevent the student from continuing in the program until the deficiency is corrected.

Determination of unsatisfactory performance in the laboratory course will be based on laboratory objectives, presented by the instructor, based on safe and competent practice. Students dropped due to documented unsafe laboratory work will not be readmitted.

Guidelines for Practice Evaluation

A clinical skills check list will be completed daily by the instructor. Once the student successfully demonstrates return performance to the instructor.

In addition to successfully performing skills, the student, the following critical elements will be considered in evaluation of laboratory performance. Failure in any one of these areas may result in failure of the course. Failure to:

• Provide for client's psychological/physical safety including not abandoning client.
• Wash hands and maintain asepsis at appropriate times.
• Properly identify clients.
• Adhere to healthcare facility policy.
• Report changes in client condition.
• Recognize and report any error or unsafe conditions.
• Maintain client confidentiality.
• Transfer classroom knowledge to the bedside.
• Demonstrate knowledge and skill at the expected level.
• Recognize own limitations and/or represent own abilities accurately.
• Act in a professional manner.

Incomplete Grades

A grade of incomplete (INC) may be granted only under extenuating circumstance, and only when the student has maintained a satisfactory performance prior to the request for INC. An INC may not be assigned as a withdrawal grade.

Testing

Under no circumstances will a student be allowed to retake a test in which they obtained an unsatisfactory grade.

Instructor's Course Policies

Instructors' additional course policies on grading, testing, and attendance will be followed.

Clinical Laboratory Guidelines

Student Orientation to Healthcare Facility

All students must be oriented to the facility where laboratory experience is provided. It is the responsibility of the instructor to provide this orientation either personally or by arrangement with staff members. Orientation shall include but is not limited to the following:

• Parking Regulations (include both daytime and evening rules)
• Cafeteria Procedure:
  • Times and duration of meal and coffee breaks
  • Provisions for students carrying lunches
  • Cost of meals
• Restroom Facilities:
• Locker Facilities and/or proper location for books, outer clothing, purses, and valuables storage.
• Safety and Emergency Procedures:
  • Fire regulations
  • Codes
  • Security guard service
  • Reporting accidents and incidents
  • Infection control and blood borne pathogen policies
• Absences or Tardiness in the Laboratory Areas:
  • Who to notify
  • When to notify
  • Where to notify
  • How to notify
• Paging System:
  • How to contact instructor
  • When to contact instructor
• Location in Facility of:
  • Policy and procedure manuals
  • Fire regulations
  • Disaster plan
• Location of Student Assignment and Daily Laboratory Objectives:
  • Where posted, specific objectives, etc.
• Learning Resource Material:
  • Library - rules - privileges
  • Staff Education Calendar
  • PDR, Reference Manuals
• Charting:
  • Procedure for charting
  • Place for charting
  • Obtaining a chart in medical records
• Supplies:
  • Location of linens and supplies
  • Method of ordering needed supplies
  • Method of charging for supplies used
• Orientation of Client Unit:
  • Operation of beds and side rails
  • Location of equipment
    1. wash and emesis basins
    2. mouth care equipment, lotion, etc.
    3. combs, razors, grooming aids
  • Operation of signal and reading lights
  • Operation of radios, TV's, etc.
  • Operation of special equipment; monitors, suctions, O2, etc.
  • Visiting regulations
• Introduction to Key Personnel:
  • Nurse managers and staff on assigned units
• Pre and Post Conference Facilities:
  • Location of rooms & any special regulations (need for quiet, etc.)
• Communications during Laboratory Rotation:
  • Contact in case of emergency
  • Making outside phone calls
  • Visiting clients
  • Contacting other students
• Information About Facility:
  • Pertinent history and bed capacity
  • Administrative personnel
  • Telephone protocol

Policy for Patient Care Areas

Students are not to leave the nursing unit or department to which they are assigned without the permission of the instructor. Students may not undertake care of clients, which have not been assigned by instructor.

Phone Calls/Student Visitors

1. No personal phone calls should be made or received while in the laboratory areas.
2. Emergency calls are directed to the instructor.
3. Cell phones may not be used for personal reasons (i.e. camera, Facebook, texting, or any social media) in the clinical setting.
4. Students may not have visitors while in the laboratory area.
5. Students are responsible for the policies as outlined in the Use of Technology and Social Media Policy.

Transportation

1. Students are responsible for transportation to and from healthcare facilities.
2. Students assume all liability for traveling to and from healthcare facilities.
3. Students must park only in designated parking areas.

Clients with Communicable Diseases

The faculty members of the Bakersfield College NATP support the right of all consumers of health care to receive dignified health care.

1. The faculty also supports the right of the nurse to know the client's diagnosis/suspected diagnosis in a timely fashion in order to take necessary precautions to minimize the risk of contracting or spreading disease.
2. Although the nurse is not expected to take life-threatening risks in caring for clients, it is not acceptable to abandon any client based on age, religions, gender, ethnicity, or sexual orientation. Decisions regarding the degree of risk involved in client care should be based on current scientific knowledge.
3. The latest information on issues related to communicable disease is available from the U.S. Centers for Disease Control,from agencies in the State Department of Health Services, and County and City Health Agencies.

Insurance

Malpractice Insurance - Students are covered by the Kern Community College District Malpractice Insurance policy.

Accident Insurance - Students are covered by this policy for accidents that happen on campus or at college related activities including laboratory experience for students in Health Career programs. Students who are injured in laboratory or in any school related activity may be treated in the hospital emergency department or by their personal physician. Treatment of students in the hospital emergency department is not free regardless of whether or not hospital personnel suggest you go there. Students must report any accident to Bakersfield College (see Accidents/Injuries section of this Handbook).

Student's Responsibilities Regarding Student Training Program at Healthcare Agencies

In consideration of the educational opportunity afforded to me by community healthcare facilities, and in respect to my activities while a student at these agencies; I agree to:

1. Provide proof of the following tests (to be submitted to and on file in the BC Allied Health/Nursing Department) prior to entering the program:
   1. Annual tuberculosis skin test and/or chest x-ray.
   2. Provide proof of Heb B, Varicella, Measles and Rubella immunization or titer, Influenza and T-DAP vaccines.
   3. Physical Exam clearing student with no restrictions.
2. Conform to all applicable HEALTHCARE AGENCIES policies, procedures, and regulations, and such other requirements and restrictions as may be mutually specified and agreed upon by the designated representative of HEALTHCARE AGENCIES and SCHOOL.
3. Be responsible for his/her own support, maintenance and living quarters while participating in the program and for any and all transportation to, from and while at HEALTHCARE AGENCIES.

POLICY AGREEMENT - STUDENT RESPONSIBILITIES WHILE IN TRAINING

I understand the above statement of requirements for student responsibilities regarding student training at hospitals/ healthcare agencies and agree to abide by the requirements while in training.

__________
Printed Name

__________
Student's Signature Date

Confidentiality Statement

In the normal course of business, any person connected with an organization has the potential to come into contact with confidential information. In some cases, exposure to such information is coincidental or incidental; in others it is an integral part of the job function. This information may be personal, clinical, financial, or other. It may be computerized (that is, in electronic form), or in hard copy, or even oral in nature.

Examples of such confidential information include, but are not limited to: medical records, employee records, financial records and reports, information distributed to committee members to inform deliberation and decision making, and information found accidentally. It also includes information gained through discussion in committees, from employees, from patients and their families or friends, from external agencies, the media, or the medical staff, and so on.

It is the policy of the Bakersfield College Nurse's Assistant course to maintain confidential information in strict confidence, both while at clinic/skills lab/class and when off duty. Therefore, all students who have access to confidential information are prohibited from disclosing such information in any unauthorized manner. They must use this information only in ways that are consistent with this commitment to confidentiality. Consistent with the principle of “need to know”, it is also incumbent on all who are exposed to confidential information to see that they use only as much of such information as is needed to their job or perform their function.

It is also the responsibility of any who have contact with confidential information to preserve such records against loss, destruction, tampering and inappropriate access and use, including inappropriate disposal.

Any breach of confidentiality represents a failure to meet the legal, professional and ethical standards expected, and constitutes a violation of this policy. A breach need not take the form of a deliberate attempt to violate confidentially, but includes any unnecessary or unauthorized use or disclosure of confidential information-due to carelessness, curiosity or concern, or for personal gain or malice, including but not restricted to informal discussion. Such breaches may result in discipline and/or civil or criminal penalties.

POLICY AGREEMENT - CONFIDENTIALITY AGREEMENT

I understand the above statement of confidentially and agree to fulfill its expectations in my treatment of confidential information. Further, I understand that a violation or breach of this commitment to confidentially will be investigated and responded to in a manner to prevent a reoccurrence. I understand that I could also be subjected to disciplinary action that may include legal action.

Printed Name

Student's Signature Date