Associate Degree Nursing (RN)
STUDENT HANDBOOK 
Theory Program Management Standards

 

It is the program’s philosophy that learning is a shared responsibility; as a result, the faculty has developed a planned course of study which requires the student to attend all course sessions prepared for class. This preparation will require the learner to commit adequate time to assigned learning activities, i.e., textbook and journal readings, video and film viewings, computer-assisted instructional programs and clinical skills practice. In theory, the student’s active participation though discussion, clarification, validation, critical thinking, role playing, etc., in an interactive atmosphere will facilitate success.

 

Time Commitment/Scheduling

The student should plan to spend three hours of study outside of class for each unit per week. Therefore, in a seven unit theory course the student should expect to spend 21 hours of study per week outside of classroom time. It is very difficult to maintain full-time work while in the nursing program. It is recommended that the student not jeopardize their health or their standing in the program by maintaining full-time employment.

 

Student Evaluation

Evaluation of the student nurse is based upon theoretical knowledge and the application of the knowledge and skills in the clinical setting. Since the student works in critical life situations, their clinical performance must reflect safe and competent nursing care of increasing complexity. Therefore, it is mandatory that once enrolled in the program, the student must maintain continuous satisfactory progress by demonstrating competence in both theory and clinical components of all required courses with a grade of “C” or better.  Failure to show competence and/or commission of unsafe clinical practice in the clinical area constitutes a course failure regardless of theory grade and results in removal from the program.

 

Online Exam Proctoring

Proctorio is an online exam proctoring system that is integrated into Canvas and can be enabled for any test through Canvas. Shasta College utilizes Proctorio to ensure secure testing. The system is installed into all computers on campus, including public computers in the Learning Resource Center and computers in testing rooms. It is the student’s responsibility to install the Proctorio extension on their personal computers to meet all the requirements for any online exams.

Proctorio supports secure testing and upholds Shasta College’s requirements for academic honesty. Proctorio does not allow the student to go to other sites, use other devices, or have multiple screens open while an online exam is in progress. Suspicious behavior is recorded and automatically reported to the course instructor through Canvas. (See Proctorio Policy)

 

Math Testing Policy

Math Testing (Dosage, Solutions, and Rate Calculations) will be performed in each semester of the program. The student must meet each course’s requirement as follows:

  • 100% in first semester
  • 100% in second semester
  • 100% in third semester
  • 100% in fourth semester. 
The student must pass by the third attempt.  If the student is not successful by the third attempt, an Instructor-Initiated Drop/Withdrawal Procedure will be instituted and the student will not be able to attend the clinical setting. It is the student’s responsibility, per college policy, to complete the Drop Procedure through the Admissions and Records office.  All nursing courses in the semester must be dropped.

Calculating Parenteral Medication Administration Volumes Standards

Resource: Kaplan
Nursing 16, Calculate with Confidence, 6th ed. 2014


Key Concept:

Answers to medical calculations are written as decimal numbers, as follows:  

When calculating dosages for parenteral mediations be sure to review the rounding guidelines for each specific care area. 

Generally, volumes less than 1 mL are rounded to the hundredths place.
Volumes greater than 1 mL are rounded to the tenths place.

0.453​​
Rounded to nearest hundredth:
0.45​​
0.268​ ​Rounded to nearest hundredth: 0.27
1.75​ Rounded to nearest tenth: 1.8
1.73 Rounded to nearest tenth: 1.7
0.95 Rounded to nearest hundredth: 0.95 (unchanged: already calculated to nearest hundredth)

0.5 mL and 1 mL syringes are used for administering intramuscular and subcutaneous medications.  Occasionally an injection will exceed 1 mL, in which case a 2 mL syringe would be appropriate.  Syringes intended for injections are often graduated in 0.1 mL or even 0.01 mL increments.  Always use the smallest syringe that will hold the entire amount of medication in order to enhance accuracy when drawing up the medication.  For example, when administering a volume of 0.75 mL choose a 1 mL syringe for a volume of 0.25 mL choose a 0.5 mL syringe.

Answers to medical calculations written as decimal numbers
   Ø Answer of less than one must be preceded by a 0.
      
Correct: 0.5                Incorrect: .5

   Ø Avoid trailing zeros. Do not use a 0 before a whole number or at the end of an answer.
      
Correct: 5                   Incorrect: 05
      
Correct: 1.25               Incorrect: 1.250

When converting pounds to kilograms, round to the nearest 0.1 (tenth)
        
Example: 54.54 kg rounds to 54.5 kg

Intravenous (IV) drip rates, drops and unit amounts. 
        
Round IV drip rates, drops, and units to the nearest whole number.  

Medication calculations involving tablets rounded to nearest one half tablet
      
Examples:  If the answer is 0.4, give one half tablet
                      If the answer is 1.2 give one table
                            If the answer is 1.6 give one and one half tablet
                            If the answer is 1.8 give 2 tablets
(
no more than 10% variation should exist between dosage order and dosage administered)


Written Paper Standards

Various written papers are required to meet objectives in the ADN program. It is the student’s responsibility to abide by the following requirements:

·        All patients will be Patient (i.e., Patient). Significant Other or SO will be referred to by their relationship (i.e. Wife, Sister, Brother).

·        Refer to staff or physician by title only (i.e. CNA, LVN, RN, or MD).  No names of cities or hospitals should be used.

·        Consider all information obtained as strictly confidential. Confidentiality of patient information is a requirement and a major concern of the Associate Degree Nursing program.

·        All potentially identifying information should be destroyed (notes, rough drafts, etc). Please be sure that material given to typists is screened ahead of time.

·        Students will abide by the hospital policy and clinical instructor directions regarding use of the hospital copy machine and patient information. No portion of a patient’s chart or record may be copied.

·        Patient assignment forms (whether instructor or hospital provided) are to be destroyed prior to leaving the clinical area.

·        All identifying information (patient names, physicians, hospitals, etc.) must be excluded from any information collected for written assignments (patient education papers, nursing process papers, etc.).

·         No document with a patient name on it should leave the clinical setting.

Follow the required format for each paper. Check the course information handout or the associated unit of study for instructions. Formal papers have to be typewritten. Reference and bibliography pages will be done according to the American Psychological Association (APA) format.


Reference Format

There are two methods for citing information taken from a reference source within the text. The first method is to acknowledge the author in the text and place the year of the publication in parentheses. The second method is to place both the author’s last name and the year of publication in parentheses at the end of the source material.


Reference Page

The reference list is the last page of all formal papers, and is to be the only item on that page. References are arranged by alphabetical order, with two works by the same author then being arranged by secondary authors and then if needed by date, with the most current work being listed first.

 

Reference Examples

Burchum, J.R. , & Rosenthal, L.D. (2017). Lehne’s pharmacology for nursing care. (9th ed.) St. Louis, Missouri: Elsevier.

Lewis, S.M., Bucher, L., Heitkemper, M.M., Harding, M.M., Kwong, J., & Roberts, D. (2017). Medical surgical nursing: Assessment and management of clinical problems. (10th ed.) St. Louis, Missouri: Elsevier.

Woodruff, D. W. (2017). Slow the flow with proton pump inhibitors. Nursing Made Incredibly Easy!, 3(2), 50-52.

For further reference examples in the APA format, including in text citations, please refer to the Purdue Online Writing Lab at:

https://owl.english.purdue.edu/owl/section/2/10/

 

 ​
 

 
​​​​​​​​​​​​​​