Health Sciences Nursing Programs
Healthcare Facility Clinical Practice Standards
Students will review the clinical expectancies and complete the required learning activities and clinical skills laboratory (CSL) check-offs prior to the assigned clinical experience. The student will update and review previously learned skills as necessary to maintain an acceptable level of performance. The student should bring the appropriate clinical expectancies to clinical assignments.
Dress Standard - Clinical Agencies
The Shasta College Nursing student uniform (Student Dress Code Standards
) will be worn to all off campus clinical assignments unless other wise directed by the course faculty.
Students are required to attend agency orientations. Missing clinical orientation is considered a clinical absence. Proper attire and Shasta College 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 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.
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 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.
Nursing Care Plan Assignments
Students will be required to submit nursing care plans as directed by the instructor. The purpose of this assignment is to utilize the nursing process in planning patient care. Guidelines for this assignment are described in your Course Information/Syllabus.
Student Responsibilities regarding Personal Health Status
Throughout the program, the student must maintain a current BLS - Health Care Provider card obtained from the American Heart Association (AHA) or American Red Cross (ARC) will provide yearly proof of a negative TB skin test and/or chest x-ray or medically appropriate screening for positive PPD; and present documentation of an annual flu vaccine.
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.
Injury and/or Body Fluid Exposure in the Clinical Setting
The student is expected to follow recommended treatment/steps for injury or body fluid exposure (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.
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 discussed by the student with individuals not involved with the care of the patient.
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. These are not to be shared. All report sheets must be disposed of appropriately prior to leaving the clinical site. 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 breech of confidentiality has occurred as a result of a student’s actions, that student can be liable for damages that result from such a breech. 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 breech of confidentiality by a student.
Charts, Patient Care Kardex, Unit Patient Report Sheets
The chart is a legal document owned by the hospital or agency. Copying of charts at the hospital or any community agency is forbidden. This includes hard copy documentation and computerized documentation. St. Elizabeth Community Hospital and Mercy Medical Center allow copying of the Patient Care Kardex and Unit Patient Report Sheets for use during the day of assignment. Shasta Regional Medical Center does not allow copying of the Kardex but unit patient report sheets may be copied for use during the student’s shift. Any photocopies of a Patient Care Kardex or Unit Patient Report Sheet must be disposed of at the hospital or agency prior to leaving the agency for the day.
Clinical Computer Access
Even though a student may be 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.
Use of Electronic Devices
In our current culture, technology has allowed a plethora of resources to be available through our cell phones and other wireless communication devices. These resources can be of great value to the student during their clinical learning experiences. However, the use of wireless communication devices also poses significant issues relating to HIPPA patient confidentiality rights. Because of the gravity of the issues, healthcare facilities have established standards for the use of these devices in patient care areas. Students must adhere to Standards for Use of Electronic Devices to avoid violations of HIPAA and the attendant legal ramifications for themselves, their faculty, the healthcare facilities and the nursing program.
Violations of the standards for use of electronic devices are cited in the Dismissal Policy as one example of an incident or clinical situation that puts the patient, student, clinical affiliate, faculty or college at risk. Due to that risk, a student who violates the standards for the use of electronic devices during their clinical experiences is subject to dismissal from the nursing program.