Associate Degree Nursing (RN)
STUDENT HANDBOOK 
Clinical Management

 

Orientation to Clinical Agencies
Students are required to attend agency orientations. Missing clinical orientation is considered a clinical absence. Proper attire and Shasta College Associate Degree Nursing identification badges are to be worn.  Each clinical facility has policies and procedures which will be discussed at each clinical orientation. Students will follow the procedures and policies of the clinical agency when assigned to clinical experiences in that agency.


Clinical Scheduling/Assignment

Clinical experiences are designed to help the student meet the objectives of the various levels in the program. The facility size, availability, patient census, student level, and theory content are considered. Schedules will be handed out at the beginning of each semester so that students can make personal arrangements for transportation, job scheduling, child care, etc.  In some semesters day/evening assignments and non-class day special experiences and travel outside of the city of Redding are required.  On occasion clinical rotation schedules may be changed by the instructor.

Instructors are responsible for posting assignments and objectives on each unit. Patient/clinical assignments for each day of clinical experience will be made by the instructor.  Only the instructor has the right to alter the student’s clinical assignment as needed to meet clinical objectives. The instructor is to be notified immediately if the assignment is altered in any way (i.e., patient discharge or transfer). Students are expected to be in assigned areas only.

It is unacceptable to refuse a patient assignment. This action will result in disciplinary measures which could include dismissal from the program. If your patient assignment is a relative or friend notify your instructor immediately.

Students are responsible to secure their own valuables in the clinical setting.  Most nursing units have no lockers available to students or any other secured storage for personal belongings.

Students will not be in the clinical area outside of assigned times and assigned units without written permission and may not engage in any nurse/patient relationship at such times.

 

Clinical Conferences
Clinical conferences are scheduled in order for students to discuss their learning experiences, as well as to explore clinical issues. Students are required to be on time and to be adequately prepared. A clinical conference absence is considered a clinical absence.

 

Injury and/or Body Fluid Exposure in the Clinical Setting 
Protective gear is available in the clinical settings. The student is expected to wear appropriate protection to prevent body fluid exposure, including goggles or face shield, gloves and plastic gown, if needed. Nursing personnel are professionally and ethically obligated to provide patient care with respect for human dignity. Student assignments may include patients who are at risk for contracting or have an infectious disease such as HIV, AIDS, HBV, TB, etc.

The student is expected to follow recommended treatment/steps for injury or body fluid exposure (see Post-Exposure Plan). Examples of incidents in the clinical areas to report include: Any break to skin integrity, needle sticks, body fluid splashes (urine, blood, vomit), neck and back strains, sprains, assaults by patients, injuries from equipment, etc. It is important that the student report any injury to the instructor at the time it occurs to allow for adequate treatment.

 

Confidentiality

Student Standards Regarding Patient Information
The student will consider all information obtained regarding the patient’s status as strictly confidential and will not discuss the patient with anyone except the instructors, peers assigned to the same clinical facility/area, and appropriate hospital personnel.

The student hereby recognizes that medical records, emergency department and ambulance records, base station reports, 5150 applications, child abuse reporting forms, elder abuse reporting forms, laboratory requests and results, and x-ray requests and results are typical of documents that are considered privileged and should not be copied or discussed by the student with individuals not involved with the care of the patient. All report sheets must be disposed of appropriately prior to leaving the clinical site.

Conversations between physicians, nurses, and other health care professionals in the setting of a patient receiving care are privileged communications and may not be discussed. Computer documentation and codes for documentation or medication -dispensing machines are confidential information and are not to be shared.

Students are not able to copy or discuss anything from the clinical setting that would disclose the name of the facility, the state in which the patient care was received, patient’s name, demographic data, or any other information that may link back to a patient’s case.

Students are not to discuss personal or reported clinical experiences on any social media site or device. Additionally, students are not to take or post pictures in the clinical setting. For more information please review HIPAA for Professionals at:

http://www.hhs.gov/hipaa/for-professionals/index.html

Failure to observe the college or agency confidentiality requirements may result in dismissal from or failure in the program. If it is determined that a breach of confidentiality has occurred as a result of a student’s actions, that student can be liable for damages that result from such a breach. Action to decertify or seek disciplinary action with the licensing board may be taken by the hospital against the student. The hospital may terminate the contract for observation with the educational institution based on a single breach of confidentiality by a student.

Clinical Computer Access  
Even though a student may be an employee at an agency and have access to the agency’s computer system, the student may not use their employee access during student clinical time. The agencies that allow nursing student access to their computer records, will assign such access according to their agency policies and guidelines. Each student will be informed of the agency’s computer policy/guidelines during orientation. Failure to abide by the computer policy/guidelines may result in dismissal from the program. Students may access nursing policy and procedures online.

 

Post-Exposure Plan

ADN Student Handbook​

 

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