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Welcome to the Master of Science in Nursing Program Purpose of the Handbook


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Clinical Information

Clinical Hours

Clinical hours are counted as time under the direct guidance of a preceptor or designee for the purpose of fulfilling the requirements of the clinical learning contract.


Reading, self-reflecting, journaling, and/or completing course or clinical assignments do not count as clinical time.
Travel and meals do not count as clinical time.

Clinical Requirements

Documentation Required Prior to Clinical Experiences as MSN Student


The following steps must be completed prior to any clinical learning experience in any setting as a graduate student in nursing. Please submit a copy of all requested material to:

Georgia College School of Nursing

Attn: Jess Tanner

Macon Graduate Center

433 Cherry Street

Macon, GA 31201

  1. Current professional liability insurance. For FNP students, this policy should include coverage as a nurse practitioner student.

  2. Current American Heart Association Healthcare Provider Course (CPR) to include one-man and two-man rescue; infant, child, and adult resuscitation; and the use of automated external defibrillators (AEDs).

  3. TB test (skin test) annually or chest x-ray, as needed.

  4. Current unencumbered license to practice as registered nurse in Georgia or state in which practice setting is located.

  5. Successful completion of Self-Study Module on Health Insurance Portability and Accountability Act (HIPAA).

  6. Signed Technical Standards & Physical Exam Form completed by a healthcare provider within. Exam must be updated every two years.

  7. O
    PLEASE NOTE: In the absence of any update clinical information, graduate students are not eligible to attend clinical experiences.

    Any clinical hours completed in the absence of updated documents will not count toward the clinical hours requirement.

    ther requirements specified by clinical agencies.


Health Insurance for MSN Students


Graduate students must have their own or family health insurance coverage. Neither the University nor clinical agencies are liable for costs incurred if an injury or illness occurs as a result of clinical practice in the student role. Graduate students are required to ask for a waiver each semester from USG Student Health Insurance Program (SHIP) by completing a form found at https://www.uhcsr.com/gcsu


Policy on Background Checks for MSN Students


MSN students must hold an unencumbered license in the state where they will complete their clinical experience. Criminal background checks and urine drug screens may be required by some clinical agencies. The student and clinical agency will make arrangement for the required screening per the clinical agency protocols.


Ordering Student Photo ID


Students enrolled in clinical MSN courses are expected to have a GC photo ID to identify them as such in clinical settings. Photo ID with the University logo may be ordered through the Georgia College Bobcat Card Services. Students may do this during orientation and week of immersion.


Uniform Policy


Students engaged in clinical activities are expected to dress in an appropriate and professional manner. While traditional nursing uniforms are expected in some clinical settings used for learning by graduate students, the majority of settings require professional street clothing and lab coats with a name pin indicating that the individual is a graduate student in Nursing. Clothing and behavior of the student reflect on the student, the School of Nursing, and the University. Specific uniform guidelines will be discussed in courses with clinical components.


Criteria for Selection of Preceptors


The preceptor/facilitator is a person who:


  • Agrees to assume the responsibilities of the preceptor or facilitator role.

  • Holds a minimum of a Master's degree and has one year of experience as a leader/manager.

  • Has knowledge of agency policies and procedures.

  • Will send a résumé (if a non-nurse) to the School of Nursing or complete the “Preceptor Qualification Record.”

  • Has direct, primary knowledge needed to facilitate learning objectives in the practicum setting.



Expectations of Clinical Preceptors for Family Nurse Practitioner Graduate Students


  1. Discusses with student the goals set for this preceptorship and the anticipated schedule in the practice setting to accomplish course goals.




  1. Agrees to have a nurse practitioner faculty member visit the practice site to evaluate student performance while rendering care and to discuss candidly with that faculty member the quality of student performance.




  1. Orients student to the practice site.




  1. Develops an environment conducive to student learning. Welcomes student questions and requests for assistance and guides student actions as necessary in situations of uncertainty for the student.




  1. Provides feedback on student performance throughout the experience, guiding student in improving assessment strategies, diagnosis, plans of care, and understanding the pathophysiology being encountered in patients under care.




  1. Documents the level of performance in writing at the end of the rotation, using the instrument provided by the student, and sharing feedback with student.




  1. Notifies the faculty if problems arise prior to the evaluation site visit or thereafter.




  1. Helps select patients that will provide a varied experience within the practice’s patient population.




  1. Allows student to perform a complete history and physical exam based on the assigned patient’s presenting problem.




  1. Allows student to generate a working diagnosis, differential diagnoses, or problem list.




  1. Allows the student to develop a preliminary plan of care, including medications.




  1. Listens to a review of findings and the preliminary care plan for assigned patient and critiques plan for final implementation, helping student to understand why modifications in her/his plan have been suggested, to enable learning to occur.




  1. Helps student to understand the cost implications of the management plan under consideration.




  1. Allows student to document the care provided using agency procedure and assures that documentation includes those elements of the clinical encounter necessary to continuity of care, third-party reimbursement, and a legally prudent record and affixes signature to record.




  1. Appreciates that the student is a learner and should be allowed to function in the setting as a health care provider but may take more time and need more consultation than an experienced provider.




  1. Reviews the evaluation criteria to appreciate what competencies are to be evaluated in order to observe for evidence of these throughout the rotation.




  1. Completes the electronic evaluation form at the end of the semester.



Policies on Infectious Diseases and Injuries


The GC School of Nursing requires all students accepted into professional nursing programs to maintain proof of immunization status in the clinical documents file (students born before 1959 are not required to provide proof of MMR or Varicella):


Vaccine

Acceptable Alternative Record

Hepatitis B

  • Hepatitis B Declination form

  • Laboratory evidence of Hepatitis B immunity

MMR

  • Documentation of physician-diagnosed measles or mumps

  • Laboratory evidence of measles, mumps or rubella immunity

Varicella

  • Laboratory evidence of varicella immunity

  • Laboratory confirmation of disease

  • Physician diagnosed history of varicella or herpes zoster

Tetanus, diphtheria, pertussis

  • Documentation of booster within previous 10 years for tetanus/diphtheria preparations

  • DTaP within 10 years; then follow with TD every 10 years.

Updates are available at:


Centers for Disease Control and Prevention. (2011, June 7). Recommendations and guidelines: Adult immunization schedule (anyone over 18 years old). Retrieved June 27, 2011, from http://www.cdc.gov/vaccines/recs/schedules/adult-schedule.htm

In addition to current immunization status, all nursing students are required to have documentation of either an annual negative PPD or chest x-ray, as needed.


Standard Precautions

All students engaged in clinical education activities shall adhere to Standard Precautions as outlined at:
Centers for Disease Control and Prevention. (2010, September 29). 2007 guideline for isolation precautions: Preventing transmission of infectious agents in healthcare. Retrieved June 27, 2011, from
http://www.cdc.gov/hicpac/2007IP/2007isolationPrecautions.html


Centers for Disease Control and Prevention. (2011, April 19). Prevention of MRSA infections

in healthcare settings. Retrieved June 27, 2011, from



http://www.cdc.gov/mrsa/prevent/healthcare.html

Background


Standard Precautions combine the major features of Universal Precautions (UP) and Body Substance Isolation (BSI) and are based on the principle that all blood, body fluids, secretions, excretions except sweat, nonintact skin, and mucous membranes may contain transmissible infectious agents. Standard Precautions include a group of infection prevention practices that apply to all patients, regardless of suspected or confirmed infection status, in any setting in which healthcare is delivered. These include: hand hygiene; use of gloves, gown, mask, eye protection, or face shield, depending on the anticipated exposure; and safe injection practices. Also, equipment or items in the patient environment likely to have been contaminated with infectious body fluids must be handled in a manner to prevent transmission of infectious agents (e.g., wear gloves for direct contact, contain heavily soiled equipment, properly clean and disinfect or sterilize reusable equipment before use on another patient).

The application of Standard Precautions during patient care is determined by the nature of the HCW-patient interaction and the extent of anticipated blood, body fluid, or pathogen exposure. For some interactions (e.g., performing venipuncture), only gloves may be needed; during other interactions (e.g., intubation), use of gloves, gown, and face shield or mask and goggles is necessary. Education and training on the principles and rationale for recommended practices are critical elements of Standard Precautions because they facilitate appropriate decision-making and promote adherence when HCWs are faced with new circumstances. An example of the importance of the use of Standard Precautions is intubation, especially under emergency circumstances when infectious agents may not be suspected, but later are identified (e.g., SARS-CoV, Neisseria meningitides). Standard Precautions are also intended to protect patients by ensuring that healthcare personnel do not carry infectious agents to patients on their hands or via equipment used during patient care.





Accidents and Injury to Students

Injury/Occurrence Policy


In the case of a student injury during a clinical, the safety and well-being of the student is the first priority. The student must IMMEDIATELY notify the faculty member or clinical preceptor responsible for the clinical learning experience.   If the student is injured or experiences a high-risk exposure while under the supervision of a clinical preceptor, the faculty member should be notified as soon as safely possible.

 

The policies of the occupational or employee health department of the institution will be followed.  The student should receive the same kind of assessment and care that an employee of the agency would under the circumstances.  If the student has sustained a serious injury or has been exposed to blood, body fluids, or hazardous materials, then time is of the utmost importance and the student should receive prompt treatment through the qualified health care provider or the emergency department of his/her choice.  Students exposed to blood or body fluids should receive treatment within two (2) hours.



Personal Liability and Medical Insurance


All students are required to carry personal health and medical insurance. A College of Health Sciences incident/injury report is to be completed by the student and faculty member as soon as possible after the incident. The faculty member will notify the Director of the School of Nursing (478.445.5122) as soon as possible.  The clinical agency may request that an incident report be completed there as well.

 

GC College of Health Sciences and the School of Nursing assume no responsibility for the risks of exposure if the student chooses not to inform the appropriate faculty member or clinical preceptor and/or follow the Injury/Occurrence Policy.



 

Bloodbourne Pathogen Exposure


Students who experience a needle stick, sharps injury, blood splash, or other potentially infectious contact with body fluids during the course of a clinical educational experience are required to report exposures promptly to the faculty member and/or preceptor.
Reporting of blood exposure will not adversely affect a clinical course grade.
Post-exposure prophylaxis shall be offered to students through the agency designated for post-exposure and care according to U.S. Public Health Service Guidelines. Students are required to have health insurance coverage for such follow-ups as neither the clinical agency nor the university or their personnel are liable for the student’s health care. The latest guidelines documents may be found at:
Updated U.S. Public Health Service Guidelines for the Management of Occupational Exposures to HIV and Recommendations for Postexposure Prophylaxis (2005) at http://www.cdc.gov/mmwr/preview/mmwrhtml/rr5409a1.htm
Updated U.S. Public Health Service Guidelines for the Management of Occupational Exposures to HBV, HCV, and HIV and Recommendations for Postexposure Prophylaxis (2001) at http://www.cdc.gov/mmwr/preview/mmwrhtml/rr5011a1.htm
Students shall notify the Director of Nursing within 24 hours. 478.445.5122; 229.220.3696.
Students shall submit a completed GC injury/accident report to the Director’s office with two (2) days after incident. This report is required even if an incident report was completed by the clinical agency.
Students are encouraged to make an appointment for free counseling in Student Health Services as desired to help in dealing with concern of exposure.
Students are encouraged to use the following resources for information regarding post-exposure care and prophylaxis:

Exposure to Blood: What Healthcare Personnel Need to Know (2003) published by the CDC and available at:



http://www.cdc.gov/ncidod/dhqp/pdf/bbp/Exp_to_Blood.pdf

PEPline – National Clinicians’ Post-exposure Prophylaxis Hotline at 1-888-HIV-4911



Other Injury


  1. Notify faculty member or preceptor immediately.*

  2. Initiate injury-reporting system in agency.

  3. Report to emergency department or other unit designated by agency for assessment and care.

  4. Complete GC Incident/Injury Report and forward to the Office of the Director of Nursing with two (2) days after incident.  This report is required even if an incident report was completed by the clinical agency.

  5. Notify the faculty member as soon as possible without delaying treatment.  

**Students are required to have health insurance coverage for such care as neither the clinical agency nor the university or its personnel are liable for the student’s health care. 




ANA Code of Ethics for Nursing

All professional nurses are expected to incorporate ethics into their practice. Therefore student nurses at GC are expected to adhere to the following ANA Code of Ethics:

     


  1. The nurse, in all professional relationships, practices with compassion and respect for the inherent dignity, worth and uniqueness of every individual, unrestricted by considerations of social or economic status, personal attributes, or the nature of health problems.

  2. The nurse's primary commitment is to the patient, whether an individual, family, group, or community.

  3. The nurse promotes, advocates for, and strives to protect the health, safety, and rights of the patient.

  4. The nurse is responsible and accountable for individual nursing practice and determines the appropriate delegation of tasks consistent with the nurse's obligation to provide optimum patient care.

  5. The nurse owes the same duties to self as to others, including the responsibility to preserve integrity and safety, to maintain competence, and to continue personal and professional growth.

  6. The nurse participates in establishing, maintaining, and improving healthcare environments and conditions of employment conducive to the provision of quality health care and consistent with the values of the profession through individual and collective action.

  7. The nurse participates in the advancement of the profession through contributions to practice, education, administration, and knowledge development.

  8. The nurse collaborates with other health professionals and the public in promoting community, national, and international efforts to meet health needs.

  9. The profession of nursing, as represented by associations and their members, is responsible for articulating nursing values, for maintaining the integrity of the profession and its practice, and for shaping social policy.

 

(Fowler, 2008) p. 147-166)


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