Bachelor of Science in Nursing
General Nursing Option
Student Handbook
210 Nursing Sciences Building
University Park, PA 16802
(814) 863-2229
(814) 863-2925 – Fax
The information in this version of the Bachelor of Science in Nursing Student Handbook is subject to change
without notice. This handbook is not intended to nor does it contain all regulations that relate to students.
Revised: 3/3/2020
TABLE OF CONTENTS
WELCOME FROM THE DEAN 1
WELCOME FROM THE ASSOCIATE DEAN FOR UNDERGRADUATE EDUCATION 2
College Of Nursing Contact Information 3
COLLEGE OF NURSING 5
Mission 5
Vision 5
Core Values 5
ACCREDITATION 6
COLLEGE OF NURSING COMMITTEES 6
END OF PROGRAM LEARNING OUTCOMES 7
UNDERGRADUATE NURSING PROGRAM ACADEMIC POLICIES 8
Standards Of Conduct 8
Academic Integrity Statement 8
Class And Clinical Attendance Policy 9
Essential Functional Standards Required For Clinical Practice 9
Educational Equity 15
Disability Statement 15
Diversity Statement 16
Policy For Requesting Student Records 16
ACADEMIC ADVISING 17
Academic Adviser 17
Counseling And Psychological Services (CAPS) 20
Additional Student Resources 22
UNDERGRADUATE NURSING PROGRAM CURRICULUM 23
Nursing Academic Requirements/Degree Audit 23
General Education Requirements 24
Math Policy For Pre-Licensure Students 25
Suggested Academic Plan 28
Nursing Course Requirements And Course Descriptions 29
Academic Plan Of Study 36
All Students 36
First-Year Students 36
Sophomore Year 37
Junior/Senior Year 37
Clinical Capstone 38
Clinical Preceptor Evaluation 39
Independent Studies In Nursing 40
Nursing 495: Nursing Study in Specialized Setting 40
Nursing 496: Independent Study 45
Guidelines for Undergraduate Teaching Assistant 49
Assessment Technologies Institute (ATI) 52
ATI Placement in the B.S.N. Curriculum 55
ATI Point Structure 57
ATI Plan – Getting Started with ATI 58
ExamSoft Policy 60
Testing Session Procedures 62
Course And Clinical Scheduling 63
Undergraduate Program Enrollment 64
Re-Enrollment/Re-Entry/Delay in Program Progression Policy 64
Prior Learning And Transfer Credit 65
Transfer Of Credits Evaluation (General B.S.N. Pre-licensure Program) 65
Advanced Placement/International Baccalaureate/Dual Enrollment Credits 67
Credit By Portfolio For The Licensed Practical Nurse (LPN) 67
HERSHEY MEDICAL CENTER 69
Campus Rotation REQUEST PROCESS – Junior/Senior Year Nursing Students Admitted To
University Park 69
Process for Requesting UP/HMC Campus Rotation Site Change 70
Student Housing at Hershey Campus 71
LionCash+ at Hershey Campus 71
Instructions For Taking Courses At Penn State Harrisburg While At Hershey Campus 71
CLINICAL COMPLIANCE REQUIREMENTS 72
Compliance Timeline 74
Process If Not Compliant 76
CR #1: Student Notification of Program Requirements Form 77
CR #2: Student Consent for Release of Information to Authorized Third Parties 77
CR #3: Confidentiality, Safe Environment and Fiction Contract for Nursing Simulation
77
CR #4: Entrance Health Exam Form 77
CR #5: Personal Health Insurance 78
CR #6: Liability/Malpractice Insurance 78
CR #7: Cardiopulmonary Resuscitation (CPR) Certification 78
CR #8 - #10: Clearance Checks 79
General Information 79
CR #8: PA Child Abuse History Clearance (Act 151) 80
CR #9: PA Criminal Record Check (Act 34) 80
CR #10: Federal Criminal History Clearance (Act 73) and Fingerprinting (Act 171) 81
CR #11: Student Data Form 84
CR #12: Influenza (Flu) Immunization 84
CR #13: Drug Testing 84
CR #14: Consent, License and Release Agreement 85
Compliance Requirements Form Examples 86
Communicable Disease Update 97
CLINICAL POLICIES 98
Precluded Students From Clinical Institution 98
Patient Care 98
Clinical Safety Policy 98
Impaired Student Nurse Policy 99
Infectious Disease Policy 105
Return To Clinical 106
Student Pregnancy Policy 106
Transportation To And From Clinical Agencies Policy 106
Student Dress Code Policy 106
Social Media Policy 108
Use Of Electronic Devices In Clinical Policy 109
Clinical Cancellation Guidelines 110
Simulation Laboratory Practice Option 110
Clinical Failure Policy 110
Guidelines For Using The Clinical Evaluation Tool And Remediation Form 111
ACADEMIC SUCCESS 112
Definition Of Grades 112
College of Nursing Grading Scale 112
Nursing Course Examination Rounding Policy 112
Academic Success Program 113
Academic Success Plan 115
Academic Progression 116
Academic Progression Policy 116
Student Academic Difficulty 117
Plan for Early Identification of Academic Difficulty and Follow-up 117
Academic Grievance Procedures 118
Grade Mediation And Adjudication 118
NURSING OPPORTUNITIES 120
ROTC Nursing Student Summer Training 120
Undergraduates Enrolling In Graduate Courses 120
Protocol For Students Who Seek Outside Employment 121
Penn State Alumni Association / College Of Nursing Alumni Society 121
NURSING HONORS PROGRAM 122
Schreyer Honors College 122
PROFESSIONAL CAREER DEVELOPMENT 123
National Student Nurses’ Association 123
Student Nurses’ Association of Penn State (SNAPS) 123
Health Works 124
INTERNATIONAL TRAVEL 125
Education Abroad Through The College Of Nursing 125
Student Nurse Policy For International Study** 127
Request For Assignment For International Study Form 128
SIGMA THETA TAU INTERNATIONAL SOCIETY OF NURSING 129
Beta Sigma Chapter Membership 129
Sigma Theta Tau Achievement Award 129
GRADUATING SENIORS: NCLEX EXAMINATION AND RN LICENSURE 131
Information For Graduating Seniors 131
Complete the Post-Graduation Contact Survey 131
Register for National Council Licensure Examination (NCLEX) 131
Submit Application for Licensure to ONE State 131
If applicable: Submit Application for Temporary Practice Permit (TPP) 131
Licensure Process 133
Licensure – Pennsylvania 133
Licensure - States Other Than Pennsylvania 133
Confirmation 133
Helpful Tips and Notes 134
RESOURCES 136
Links To Other Important Information 136
INDEX 138
LPN Credit By Portfolio Forms Index 138
Credit by Portfolio LPN Education/Experience Verification Form 138
Employer Form Letter 139
Employer Documentation of Hours of Practice as a Licensed Practical Nurse 140
Clinical Performance Evaluation Remediation Forms Index 141
NURS 230 Student Clinical Performance Evaluation 141
NURS 251 Student Clinical Performance Evaluation 147
300 LEVEL Student Clinical Performance Evaluation 153
400 LEVEL Student Clinical Performance Evaluation 159
Academic Success Plan Index 165
Academic Success Plan – Course Exam Grade<77% 165
Clinical Success Plan Process – Clinical Skills 168
Academic Success Plan - General 170
Academic Difficulty Notification Letter Index 171
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WELCOME FROM THE DEAN
Welcome to the Bachelor of Science in Nursing (BSN) program at the Penn State College of
Nursing! Your choice of the nursing major represents a significant commitment on your part, and
we hope that you find your studies personally satisfying.
Penn State is a world-class university, with world-class resources. I encourage you to take
advantage of the many learning opportunities provided by our Penn State community. Know that
our faculty and staff stand ready to help you succeed and to cheer you on.
Best wishes for a successful program of study in the College of Nursing. The future of nursing
will be in your capable hands---make us Penn State proud!
Be Well,
Laurie Badzek, LLM, JS, MS, RN, FNAP, FAAN
Dean and Professor
Penn State College of Nursing
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WELCOME FROM THE ASSOCIATE DEAN
FOR UNDERGRADUATE EDUCATION
Congratulations, and on behalf of all faculty, welcome to the Bachelor of Science in Nursing
(BSN) program. We are pleased that you have chosen to major in nursing and are here to support
you as you begin your journey. Nursing is a rewarding profession with countless opportunities,
and you will affect many lives. Your commitment to investing the time and effort in the
academically rigorous curriculum will develop your clinical competence and leadership skills.
In addition to your classroom learning, you will have the opportunity to engage in rich and varied
clinical experiences including multiple hospitals, community facilities and simulation that will
provide a sound educational foundation. Highly qualified masters and doctorally prepared nursing
faculty members are ready to guide your learning experiences.
The College of Nursing and the University have assembled numerous resources to help you gain
the most from your time here. Based on the experience of prior students, we have compiled this
handbook to help you access and use those resources; also, faculty and the advising staff of the
College of Nursing can provide additional assistance.
Nursing can provide a lifetime of rewards, and we are committed to educating you in the best way
possible. Your commitment to Penn State will serve you well, and we hope that your experience
will be all that you hoped.
Wishing you a wonderful Penn State Experience.
Raymonde Brown, PhD, RN, CNE
Associate Dean for Undergraduate Education
Penn State College of Nursing
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COLLEGE OF NURSING CONTACT INFORMATION
Dean Associate Dean for Undergraduate Education
Dr. Laurie Badzek Dr. Raymonde Brown
201 Nursing Sciences Building 106 Nursing Sciences Building
University Park, PA 16802 University Park, PA 16802
814-863-0245 (Phone) 814-863-2235 (Phone)
814-865-3779 (Fax) 814-863-2295 (Fax)
Assistant Dean for Undergraduate Nursing Education at the Commonwealth Campuses
Dr. Michael Evans
111 Dawson Building
Penn State Scranton
120 Ridge View Drive
Dunmore, PA 18512
570-963-2652 (Phone)
570-963-2651 (Fax)
Commonwealth Campuses include: Altoona; Erie, The Behrend College; Fayette; Mont Alto;
and Scranton
Campus Coordinators:
Altoona: Behrend:
Dr. Suzanne Kuhn Dr. Kimberly Streiff
300 Ivyside Drive 140 OBS
107 Sheetz Health Center 4701 College Drive
Altoona, PA 16601 Erie, PA 16563-1000
814-949-5114/814-949-5423 (Phone) 814-898-6493/814-898-7583 (Phone)
814-949-5425 (Fax) 814-898-6489 (Fax)
Fayette: Hershey:
Dr. Melissa Miner Dr. Jennifer Barton
2201 University Drive 1300 ASB/A110, 90 Hope Drive
Lemont Furnace, PA 15456 Hershey, PA 17033
724-430-4221/724-430-4220 (Phone) 717-531-4165/717-531-8767 (Phone)
724-430-4229 (Fax) 717-531-5339 (Fax)
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Campus Coordinators (Continued)…
Mont Alto: Scranton:
Dr. Carranda Barkdoll Dr. Milton Evans
104 Science Tech Building, 1 Campus Drive 120 Ridge View Drive
Mont Alto, PA 17237 Dunmore, PA 18512
717-749-6205 (Phone) 570-963-2649/570-963-2645 (Phone)
717-749-6039 (Fax) 570-963-2651 (Fax)
University Park:
Dr. Mary Alyce Nelson
206D Nursing Sciences Building
University Park, PA 16802
814-863-2242/814-863-0245 (Phone)
814-865-3379 (Fax)
mun138@psu.edu
Campus Staff:
Altoona: Behrend:
Penny Hoover Joyce Bevan
814-949-5423 814-898-7583
Amy Case
814-949-3519
Fayette: Hershey:
Michelle Henrish Tracy Hass
724-430-4220 717-531-8767
Mont Alto: Scranton:
Eileen Strausner Mary Runco
717-749-6137 570-963-2645
University Park:
Cody Hoffman
814-863-2229
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COLLEGE OF NURSING
MISSION
The mission of the College of Nursing is to improve the healthcare of all people in the
Commonwealth of Pennsylvania, the nation and the world through the development of qualified
nurse leaders at all levels of practice, the development of nursing science, and the provision of
nursing care to individuals, families and communities. This is accomplished through the
integrated programs of nursing, education, research, scholarship and outreach.
Revised: June 2014
VISION
Create a dynamic and engaged community of scholars who integrate excellence in academics,
nursing research and clinical scholarship, and outreach to the community with a commitment to
improving the quality of life for all people.
Revised: June 2014
CORE VALUES
ETHICS (Equity and Fairness) Integrity
Sustainability of Human/Natural Resources Citizenship-Health Policy
Advocacy Commitment
Goal Directed Change Agency Service
Civility/Conflict Resolution Excellence
Transparency/Open Communication Diversity/Cultural Sensitivity
ONE College of Nursing, Geographically Dispersed Scholarship
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ACCREDITATION
The baccalaureate degree program in nursing, master’s degree program in nursing, Doctor of
Nursing Practice program, and post-graduate APRN certificate program at The Pennsylvania
State University are accredited by the Commission on Collegiate Nursing Education, 655 K Street
NW, Suite 750, Washington, DC 20001, 202-887-6791. http://www. ccneaccreditation.org
COLLEGE OF NURSING COMMITTEES
Students are represented on the following College of Nursing Committees:
BSN Council
RN to BSN Council
Diversity Enhancement Committee
Graduate Affairs Committee
Undergraduate Affairs Committee
Student representatives are appointed for each committee.
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END OF PROGRAM LEARNING OUTCOMES
The graduate nurse will:
• Integrate theory and knowledge from the sciences, social sciences, humanities, and
nursing as a foundation for nursing practice
• Apply the nursing process to manage care of individuals, families, and populations with
respect for diversity in a variety of healthcare settings
• Facilitate inter-professional and intra-professional communication and collaboration to
improve practice, minimize risks, and optimize health outcomes
• Critically analyze research studies and apply evidence-based findings to advance
clinical practice
• Demonstrate the inherent professional values and behaviors in the delivery of individual,
families, and population-centered care
• Participate in activities that support lifelong learning, professional growth and the
advancement of the profession
• Integrate information management and patient care technology to improve quality and
safety across a variety of healthcare settings
• Apply the competencies of leadership, quality improvement and patient safety to
improve health outcomes for individuals, families, and populations
• Integrate knowledge of current healthcare policy, including financial and regulatory
policy to influence delivery of care
Revised: 02/04
Reviewed: 2014
Revised Spring 2016: Effective Fall 2016
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UNDERGRADUATE NURSING PROGRAM
ACADEMIC POLICIES
STANDARDS OF CONDUCT
The University is a community that promotes learning; any behaviors that are inconsistent with
that goal are unacceptable. Irresponsible behaviors, including alcohol or drug abuse and the use
of violence against people or property, undermine the educational climate by threatening the
physical and mental health of members of the community. Individual misconduct reflects upon
the practices, values, integrity and reputation of the nursing profession.
A nursing student is expected to maintain a high standard of behavior by adhering to Penn State’s
Code of Conduct (and respecting the rights of others).
Violation of the Student Code of Conduct may result in suspension or immediate dismissal from
the academic program.
ACADEMIC INTEGRITY STATEMENT
Academic integrity is the pursuit of scholarly activity free from fraud and deceptions and is an
educational objective of this institution. Academic dishonesty includes, but is not limited to,
cheating, plagiarizing, fabricating of information or citations, facilitating acts of academic
dishonesty by others, having unauthorized possession of examination, making copies in any
manner of exams or papers, submitting work of another person or work previously used without
informing the instructor, or tampering with the academic work of other students. At the
beginning of each course, it is the responsibility of the instructor to provide a statement clarifying
the application of academic integrity criteria to that course. A student charged with academic
dishonesty will be given oral or written notice of the charge by the instructor. If students believe
they have been falsely accused, they should seek redress through normal discussion with the
instructor, department head, dean, or campus executive officer. If the instructor believes that the
infraction is sufficiently serious to warrant referral of the case to the Office of Student Conduct,
or if the instructor will award a final grade of “F” in the course because of the infraction, the
student and instructor will be afforded formal due process (review Academic Integrity
information, policy and procedure on the College of Nursing website)
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CLASS AND CLINICAL ATTENDANCE POLICY
Attendance is essential. The student is expected to attend all classes and to willingly participate
in class discussions. Attendance for each class will be taken and missing classes may be reflected
in your grade. The lecture objectives for each week shall be reviewed and the assigned readings
completed prior to the lecture for that material. An unexcused clinical absence will result in
failure of the course. Examples of unexcused clinical absences include vacation, medical and
dental appointments and job interviews.
Approved BSN Council 12/2017
ESSENTIAL FUNCTIONAL STANDARDS REQUIRED FOR CLINICAL PRACTICE
I. POLICY
The intent of this Policy is to provide a description and guidelines of expected behavioral,
communication, sensory, and physical requirements necessary to provide safe care to
individuals, families and communities in a variety of settings.
II. STATEMENT OF PURPOSE AND INTENTION
A. Students are expected to provide safe care in all domains to patients they encounter
during clinical experiences and to maintain fitness for duty throughout all clinical
experiences. Students must be prepared to provide care to patients in a rapidly
paced, physically and emotionally demanding environment.
B. Students admitted to the nursing program must successfully perform the essential
functions established for the clinical experience with or without reasonable
accommodations, per the Americans with Disabilities Act Amendments Act
(2008). Students with disabilities are encouraged to consult with the Penn State
University Student Disability Resources prior to beginning the clinical experience
and to review the College of Nursing policy on disability in the student handbook.
C. Per the Pennsylvania State Board of Nursing, "in addition to character and
academic qualifications, students desirous of becoming nurses must have the
necessary behavioral, communication, sensory and physical requirements to be
able to practice nursing as it is defined in the law." "He/she must have adequate
cognitive, sensory and psychomotor functioning to effectively implement nursing
care." Additionally, "a student must be able to tolerate physically taxing activities
and exercise restraint during stressful situations in order to meet the demands of
the profession." (Memo from the PA State Board of Nursing, Factors which Impact
on Nursing Education Program Policies, February 28, 2001.) Students who meet
the criteria for standard nursing practice with or without reasonable
accommodations will not be excluded on the basis of disability.
D. Students enrolled in the CON at the undergraduate level engage in clinical
rotations and training on the campus of The University and at various types of
healthcare facilities, including, but not limited to University skills or simulation
laboratories, hospitals, private practice offices, long-term care facilities, clinics,
schools and community agencies.
III. DEFINITIONS:
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A. Essential Functions: The following are the functional domains and abilities, as well
as examples of those abilities, necessary to perform the essential functions
established for the clinical experience. Supportive evaluation criteria from the
student clinical evaluation tool are provided. Please note, descriptions of abilities
and examples are not exhaustive, but only serve as samples.
Functional Domain
And Clinical
Evaluation Tool
Correlates
Necessary Abilities
Examples
Cognitive
1.a 1.b
1.c
1.f (prioritizing)
1.g (educational needs)
1.h (discharge
planning)
2.a (skills)
2.b (implements)
2.d (meds)
2.e (evaluation)
2.f (safety)
2.g (complex)
2.h 2.i (process and
complex)
3.a (theory & EBP)
3.b (resources /
documents)
3.d (process)
4.e (accurate
interpretation)
5.c (evaluation /
outcomes)
6.a (timely records)
6.e & f (respond to tech
alerts, use in process)
7.j & k (prepared, on
time)
• Demonstrate progressive ability to
assess and evaluate patient status
and care
• Read, understand, and interpret
documents
• Problem solve, perform required
mathematical calculations, evaluate
numerical data
• Evaluate unfolding complex
information in a rapidly changing
environment
• Students must be able to formulate
and enact plans of care to meet
patient needs
• Master nursing skills and describe
the rationale for use of
interventions and expected
outcomes. Perform accurate
mathematical calculations
• Demonstrate appropriate priority
setting and critical thinking. Basic
understanding of statistical
significance in reading research
reports relevant to nursing
practice. Basic enumeration in
research results: means, medians,
modes
• Calculate safe dosages,
maintenance fluids, drip rates,
absolute neutrophil count, body
mass index, pain and other
assessment scales, body surface
area, growth and developmental
assessments, intake and output,
burn assessment, pulse pressure
• Calculate cardiac rates (manual
counting < 1 minute), estimation
from data on EKG, rhythm strip,
including rate, regularity, PR
intervals, RR intervals, and
changes from isoelectric line
(estimating mV changes for
evaluation criteria). Medication
supply estimation
Communication*
1.c (compassion)
1.d (privacy, dignity)
3.c (respects
• Engage in professional, goal
directed communication with
respect, sensitivity, honesty, and
fairness
• Accurately follow verbal and
written instructions. Share
pertinent information with Joint
Commission (JCAHO) regulatory
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preferences)
7.f (civility, kindness,
dignity, respect)
7.g (professionalism)
• Demonstrate respect for diversity
as it relates to communication
styles
guidelines
• Demonstrate appropriate use of
therapeutic communication skills
• Utilize appropriate verbal and non-
verbal language and responses
Behavioral/Emotional
Stability*
1.c (compassion)
2.c (complies)
2.f (prevent unethical)
4.a (cooperative
working relationships)
4.b (listens &
communicates,
diversity)
4.d (inclusive, team)
4.g (communication
negotiate, conflict
resolution)
5.a (guidance,
criticism)
5.b (reflect/ personal
growth)
6.a (comply,
professional
communication)
6.d (ethical data
security)
7.a (responsible for
self, no blaming)
7.b (comply)
7.c,d,e (honest, ethical,
flexible, self-control)
7.g (professional /
boundaries)
7.h (alert & attentive)
7.i (reliable,
dependable)
7.j & k (prepared, on
time)
• Students must consistently
demonstrate the emotional and
behavioral skills required to meet
all professional responsibilities
related to the care of individuals,
families, and communities.
Empathy is a requisite quality
which must be demonstrated by
students
• Students must possess the
emotional maturity to engage in
professional interactions with
faculty, staff, professionals, the
public, and other students under a
wide range of circumstances,
including highly stressful
situations
• Students must have the emotional
stability to cope and function in
stressful environments. The
ability to be flexible and adaptive
in demanding situations is
imperative
• Students must demonstrate a
willingness and ability to examine
and adapt his/her behavior when
behavior interferes with
productive and harmonious
professional relationships
• Students must follow all
University, College of Nursing,
and clinical agency policies
• Demonstrate integrity,
adaptability, honesty, and
flexibility. Respect patient rights.
Maintain all professional standards
and codes of ethics. Follow all
federal and state laws related to the
practice of nursing
• Consistently demonstrate mastery
over affective responses
• Students must demonstrate
appropriate responses to receiving
feedback from faculty and or staff
regarding clinical performance and
level of functioning
Motor Skills
1.c (provide care
effectively)
• Students must possess the needed
motor skills, physical
abilities/strength, mobility,
flexibility, coordination, and
• Examples of needed motor skills
include the ability to perform CPR,
support and transfer patients.
Manual dexterity sufficient to
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2.a (skills safe,
accurate, no omission)
2.d (med admin)
6.b (skill in care
technologies)
6.e (use & respond to
technology)
7.h (alert & attentive)
dexterity to perform all patient
care activities in all healthcare
settings in a safe timeframe
• Students must be able to sustain
all necessary motor skills for the
duration of the clinical experience
carry out procedures and operate
medical equipment. Prepare and
administer medications
Interpersonal Skills*
Refer to
Communication &
Behavioral/Emotional
Criteria
• Students must demonstrate the
ability to initiate and sustain
positive, professional
relationships with a diverse group
of patients, families, community
members, peers, and
professionals under a wide range
of circumstances, including
stressful, demanding situations
• Students must effectively and
appropriately express thoughts
and feelings and be able to
effectively manage conflictual
interactions
• Respond appropriately to
individuals and/or groups
experiencing physical or
psychological distress
• Provide appropriate care to
individuals or groups of different
cultures/ethnicity. Establish and
maintain positive rapport with
others
• Respond to conflict in a mature,
professional manner
Sensory
1.a (accurate &
thorough assess)
2.a (perform skills
accurately)
2.g (monitor patient
status and report to
RN)
4.b (listen carefully,
ask questions)
4.e (identify & report
abnormal findings
accurately)
4.g (demonstrate
effective
communication)
• Students must demonstrate the
ability to collect data about the
patient through visual, auditory,
and tactile senses
• Students must possess the ability
to accurately assess and interpret
verbal and non-verbal forms of
communication
• They must be able to correctly
interpret information gained
through physical examination and
observation
• Ability to interpret non-verbal
communication such as facial
expression, sounds, and body
movement. Correctly perform
physical health assessment
procedures. Identify accurately
heart, lung, and bowel sounds.
Respond to cues for intervention,
such as patient requests or change
in health status, and monitor
alarms
IV. PROCEDURE FOR INTERVENTION RELATED TO ESSENTIAL
FUNCTIONAL STANDARDS AND CLINICAL PERFORMANCE
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A. Identification
1. Faculty or on-site clinical supervisors who determine there is a potential or clear
concern that the student is unable to maintain the provision of safe care to patients,
or that the student’s actions or behaviors are detrimental to the functioning of the
healthcare environment, shall remove the student from the clinical area.
2. Depending on the reason for removal, appropriate University resources will be
consulted. If an immediate concern is identified, the student shall be transported to
the appropriate emergency department for evaluation/treatment or returned to the
College of Nursing (CON) for an immediate meeting with the Campus
Coordinator. If the Campus Coordinator is unavailable, a meeting will be held
within one business day with an appropriate administrative representative of CON.
3. Transportation of the student from the clinical site to the CON or healthcare
facility shall be determined by the resources available to the specific CON campus
policy and resources. Possible resources may include transportation by ambulance,
public transportation, or family. Faculty will consult with CON administrator to
evaluate the safest mode of transportation for the student in light of student
behavior and condition.
4. Written evidence of the student’s inability to complete the essential functions will
be reviewed with the student, and the student will be given an opportunity to
respond to the information.
5. A student’s unwillingness to follow the Essential Functional Standards policy may
be cause for dismissal from the nursing program.
6. Upon satisfactory resolution of the observed functional impairment demonstrated
during the clinical experience, the student may be given consideration to return to
the clinical site, if mutually agreed upon by the faculty and clinical site.
B. Evaluation Referral and Treatment
1. Documentation of the student’s ability and appropriateness for clinical work may
be necessary prior to the student’s return to clinical experiences. The College of
Nursing Associate Dean, Assistant Dean or Clinical Facility may request an
evaluation conducted by the appropriate professional or agency (e.g., Physical or
Mental Health Professional, Student Disability Resources, Office of Student
Conduct, etc.) to document the student’s ability to return to the clinical site and
enact the required essential functions. The cost of the evaluation is the
responsibility of the student.
2. The student must sign a release of information to enable the evaluator to inform
the appropriate Associate or Assistant Dean of the student’s ability to return to the
clinical site and render safe care to patients. CON will provide a copy of this
policy and expectations of the student in the clinical site to the identified provider
in order to facilitate an appropriate evaluation of the student.
3. Students in need of treatment beyond the initial evaluation may be referred to an
appropriate psychological and counseling campus resource, an outside mental or
physical health provider, or appropriate agency or office. Costs for treatment
services are the responsibility of the student.
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4. Failure to comply with the requested assessment, recommended treatment and/or
monitoring may result in dismissal from the nursing program.
C. Return to Clinical Practice
1. In the event that the student has been referred for assessment and/or treatment, a
written evaluation by the service provider, which includes an endorsement of the
student’s ability to enact the essential functions, must be received by the
appropriate CON Associate or Assistant Dean prior to the student’s return.
2. All medical information will be treated as confidential and maintained according to
Penn State University policy and relevant State and Federal regulations. It is only
with the student’s expressed written consent that information will be shared
between CON and service provider. No information shall be shared with CON
faculty or personnel unless there is a clear need to know.
3. The student and CON representative(s) will review and sign a return to clinical
practice agreement, which is reflective of the student’s individual needs.
4. CON and/or clinical facility have the right to place conditions on the student’s
return to clinical experiences.
5. CON faculty will provide direct, on-going supervision of the student’s ability to
meet the expected essential functions upon the student’s return to practice.
Appropriate oversight will be maintained by CON.
6. Additional behaviors indicative of unsafe clinical practice may be cause for
dismissal from the nursing program.
D. Appeals
1. Student may appeal any aspect of the application of this policy by sending a
written statement of the basis for the appeal to the appropriate Associate or
Assistant Dean of the CON, within ten (10) days after the action which is being
appealed. The Student’s written appeal shall succinctly set forth the basis for the
appeal, with supporting documentation, as appropriate.
2. Within a reasonable period of time after the filing of an appeal, the appropriate
Associate or Assistant Dean of the CON shall convene a meeting with the Student
in an attempt to amicably resolve the matter. If no resolution can be reached, the
appropriate Associate or Assistant Dean of the CON shall convene a hearing
committee, consisting of three (3) faculty members from the CON, one of whom
shall serve as committee chair. The hearing shall be convened as soon as
practicable. The following rules shall apply to the hearing:
a. The purpose of the hearing is one of fact finding.
b. The committee shall have full authority to conduct the hearing in a manner
that is fair, efficient, and respectful.
c. Formal rules of evidence do not apply, but irrelevant, immaterial or unduly
repetitious evidence may be excluded at the discretion of the committee.
d. In light of the nature and spirit of the proceeding, representation by legal
counsel is prohibited.
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e. The hearing shall be closed, meaning that no one beyond the persons
involved in the hearing will be admitted.
f. Participants shall include the Student and the Supervisor who observed or
was involved in the incident in question. Others with knowledge of the
circumstances in question may be permitted to participate with the
permission of the chair of the committee.
g. The Supervisor will address the committee first, followed by the Student.
The committee may ask questions of the Supervisor and the Student. The
Supervisor or faculty member and the Student may also ask questions of
each other in a polite and respectful manner.
h. Requests for additional information may be made by the committee to the
faculty member and the Student.
i. At the conclusion of the hearing, the committee shall dismiss the
participants and deliberate in private. The committee members shall then
vote on the outcome of the hearing, with each member having one vote.
The chair of the committee will inform the Student of committee’s decision
within one business day after the hearing.
j. The decision of the committee shall be final.
Approved Undergraduate Affairs: 1/30/2017
EDUCATIONAL EQUITY
Penn State takes great pride to foster a diverse and inclusive environment for students, faculty,
and staff. Acts of intolerance, discrimination, harassment, and/or incivility due to age, ancestry,
color, disability, gender, national origin, race, religious belief, sexual orientation, or veteran status
are not tolerated and can be reported through Educational Equity at the Report Bias site:
http://equity.psu.edu/reportbias/statement
Approved: Fall 2017
DISABILITY STATEMENT
Penn State welcomes students with disabilities into the University's educational programs. Every
Penn State campus has an office for students with disabilities. The Office of Student Disability
Resources (SDR) website provides contact information for every Penn State campus. For further
information, please visit the Student Disability Resources website: http://equity.psu.edu/student-
disability-resources.
In order to receive consideration for reasonable accommodations, you must contact the
appropriate disability services office at the campus where you are officially enrolled, participate
in an intake interview, and provide documentation: http://equity.psu.edu/student-disability-
resources/guidelines. If the documentation supports your request for reasonable accommodations,
your campus’s SDR will provide you with an accommodation letter. Please share this letter with
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your instructors and discuss the accommodations with them as early in your courses as possible.
You must follow this process for every semester that you request accommodations.
University Policy Confirmed by faculty 06/04
DIVERSITY STATEMENT
The faculty and staff of the College of Nursing value and are committed to fostering diversity in
the classroom, the University, and the profession. By respecting differences in culture, age,
gender, gender expression, race, ethnicity, national origin, differing abilities, sexual orientation,
and religious affiliation, we enrich the learning environment, improve the practice and profession
of Nursing and enhance personal creativity and professional growth.
Approved by Faculty: 2/15/2010
POLICY FOR REQUESTING STUDENT RECORDS
Applies to all records retained by the College of Nursing.
1. All students are to retain a copy of all compliance records prior to online submission to
American DataBank. All compliance documentation is stored through American DataBank.
The College of Nursing does not retain hard copies of students’ compliance documentation.
2. All students have the right to review (but not copy) all records maintained by the College of
Nursing.
3. The College of Nursing will provide a copy of records such as evaluations and remediation
plans upon request by the student.
Approved Spring 2012
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ACADEMIC ADVISING
ACADEMIC ADVISER
The advisers in the College of Nursing look forward to building a strong relationship with our
students.
All students are assigned an adviser who should be consulted regarding questions or concerns
about courses, clinical experiences, and/or career options.
As an entering first-year student for the fall semester, you have already been enrolled directly into
the Nursing major. During the first year of your college career, you are assigned to an adviser at
your campus location. Regular contact with your adviser is of utmost importance as you proceed
through your prerequisite requirements, general education, general electives, etc. Failure to
complete required first-year major requirement courses will prevent progression to the sophomore
year. The Suggested Academic Plan (SAP) should be utilized when consulting with your adviser
to develop your plan of study for your first year.
Students admitted to University Park:
• As an entering first-year student for the fall semester, you have been enrolled directly into
the Nursing major
• When you attend New Student Orientation (NSO), you will be assigned to an Academic
Adviser who will remain with you for the remainder of your undergraduate nursing
education
• Starting junior year, you will also be assigned to a Nursing Faculty Adviser for your junior
and senior years Faculty Advisers are dedicated to their students and will work closely
with you as you proceed through your clinical rotations and prepare for graduation
Students admitted to a Commonwealth Campus:
• Altoona: All students are assigned to an Academic or Pre-Nursing Adviser for your ffirst
year. In fall of your sophomore year, you will be assigned to a Nursing Faculty Adviser
for the remainder of your undergraduate Nursing education
• Behrend: All students are assigned to an Academic or Pre-nursing Adviser for your first
year. Prior to your sophomore year, you will be assigned to a Nursing Faculty Adviser for
the remainder of your undergraduate Nursing education
• Fayette: All students are assigned to a Nursing Faculty Adviser in your first year. This
faculty member will be your adviser for the remainder of your undergraduate Nursing
education
• Mont Alto: When admitted to the Nursing major, you will be assigned to a Nursing
Faculty Adviser for the remainder of your undergraduate Nursing education
• Schuylkill: When admitted to the Nursing major, you will be assigned to a Nursing
Faculty Adviser for the remainder of your Nursing education
• Scranton: When admitted to the Nursing major, you will be assigned to a Nursing Faculty
Adviser for the remainder of your Nursing education
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Request for Change of Faculty Adviser: Professional nurses must learn to effectively work and
communicate with a variety of personalities and preferences. Consequently, academic advising
assignments will be changed only when an assigned adviser becomesStudents at UP and Hershey
have the option to request a change in faculty adviser by submitting a written request to the
Associate Dean for Undergraduate Education (106 Nursing Sciences Bldg). Students at
Commonwealth Campuses should contact their appropriate Campus Coordinator.
Consult with your assigned adviser to learn the best ways to communicate with him/her
throughout the year. Some options may include:
• Open Walk-In Hours: Walk-ins hours are used for quick questions and are on a first-
come, first-served basis. Your adviser will notify you if/when open Walk-In Hours are
offered.
• Schedule an appointment: . An appointment allows time to discuss more in-depth issues
such as transitioning to college, minors or certificates, academic difficulty, etc. You can
schedule an in-person or phone appointment with your adviser. Check with your campus
Nursing office to find out what number to call to make an appointment or if you may
schedule appointments online through Starfish.
• Send an email or call your adviser directly: This is an option if you have a quick question.
Please remember that your adviser may be in meetings, working with other students, or
out of the office and might not be able to respond immediately. Allow your adviser time to
return your email or phone call. If you are sending multiple emails or calling frequently, it
is usually best to schedule an in-person appointment.
To get the most out of your advising sessions:
1. Know your responsibilities:
a. Schedule regular appointments or make regular contact with your adviser throughout
the semester. Be on time and prepared for appointments. Be considerate by calling
ahead to cancel, canceling online, or reschedule appointments, when needed.
b. Prepare for your advising appointments with thoughtful questions. Participate actively
in the session.
c. Check your Penn State email daily to be aware of important notices and
communications from the University, the College of Nursing and your adviser.
Respond to emails professionally and in a timely manner.
d. Become knowledgeable about University and College programs, policies and
procedures. Ask questions if you do not understand an issue or have a specific
concern. Please refer to the Advising website for more specific information.
https://advising.psu.edu/
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e. Understand your Suggested Academic Plan, degree audit and course checksheetkeep
track of your progress and make revisions as needed.
f. Be empowered to take responsibility for your choices related to your educational goals
and grow from these choices, actions, and outcomes. We are here to advise. It is your
responsibility to decide.
g. Work to clarify your personal values, goals, interests and abilities. Discuss these
openly with your adviser to facilitate individualized advising sessions to support you
in your unique path.
h. Take care of yourself by practicing good wellness habits regarding physical activity,
nutrition, sleep patterns, stress management, financial literacy, and safe social and
sexual interactions. Consult with us to learn about available resources and services that
will enhance your self-care.
2. Know your Adviser’s responsibilities:
a. Maintain posted Walk-In Hours and provide time for scheduling in-person meetings.
b. Respond to e-mail and phone messages in a timely manner.
c. Effectively communicate the curriculum and graduation requirements for the Nursing
program. Help you monitor your progression towards degree completion. Provide
insight into appropriate course sequencing.
d. Clearly explain University and College policies relating to your course of study.
e. Guide and support you in your exploration of personal, career, and academic goals;
your assessment of your own interests and abilities; and your development of short-
and long-term goals.
f. Help you develop an understanding of the purpose and goals of higher education, your
roles and opportunities in the University community, and the connection between your
University experience and your career and personal goals.
g. Provide accurate information on the University resources available to help you with
academic, career and life planning. Refer you to support services to help you address
academic or non-academic needs that arise.
h. Maintain confidentiality of your records and our conversations as required by law.
i. Assist you with developing wellness habits to practice effective self-care.
Updated Spring 2020
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COUNSELING AND PSYCHOLOGICAL SERVICES (CAPS)
The College of Nursing is pleased to offer counseling services to all students. These services are
aimed at providing time-limited professional counseling for personal and academic difficulties.
Medication evaluations and assessment of required referrals can also be completed. There is no
cost to students who use this service, and all records are confidential. They are NOT part of your
school file. They are treated as health records and therefore are protected under federal law from
being disclosed without your permission.
The CAPS staff specialize in working with undergraduate and graduate students to help address
concerns in a caring and supportive environment. Through group therapy, individual counseling,
crisis intervention, and psychiatric services, CAPS can help students resolve personal concerns
that may interfere with academic progress, social development, and satisfaction at Penn State.
Some of the more common concerns include anxiety, depression, difficulties in relationships
(friends, roommates, or family); sexual identity; lack of motivation or difficulty relaxing,
concentrating or studying; eating disorders; sexual assault and sexual abuse recovery; and
uncertainties about personal values and beliefs.
For all students: For general information, please visit the "Nursing Student Mental Health
Guide" at http://www.cnaclasses.org/nursing-student-mental-health/.
For more information on the services offered at your campus, please refer to the following:
Altoona:
Visit http://www.altoona.psu.edu/counseling for more information.
Or for immediate crisis information, see the following information:
Emergencies – Call 911
CAPS Main Phone Number – 814-949-5540
CAPS Location – Health and Wellness Center, Sheetz Family Health Center
Behrend:
Visit http://psbehrend.psu.edu/student-life/student-services/personal-counseling for
more information.
Or for immediate crisis information, see the following information:
Emergencies – Call 911
CAPS Main Phone Number – 814-898-6504
CAPS Location – First Floor, Room 1, Reed Union Building
Fayette:
Visit http://www.fayette.psu.edu/health-and-wellness-services for more information.
Or for immediate crisis information, see the following information:
Emergencies – Call 911
CAPS Main Phone Number – 724-430-4122
CAPS Location – Room 108H Williams Building
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Hershey:
For appointments, please contact:
Dr. Martha P. Levine, [email protected]
717-531-7235
Mont Alto:
Visit http://montalto.psu.edu/counseling for more information.
Or for immediate crisis information, see the following information:
Emergencies – Call 911
CAPS Main Phone Number– 717-749-6094
CAPS Location – 209 Conklin Hall
Scranton:
Visit https://scranton.psu.edu/health-counseling-services for more information.
Or for immediate crisis information, see the following information:
Emergencies – Call 911
CAPS Main Phone Number (Health & Wellness Center) – 570-963-2694
CAPS Location – 10 Study Learning Center
University Park:
Visit http://studentaffairs.psu.edu/counseling/ for more information. Or for immediate
crisis information, see the following information:
Emergencies – Call 911
CAPS Main Phone Number – 814-863-0395
Centre County CAN HELP – 1-800-643-5432
CAPS Location – 501 Student Health Center
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ADDITIONAL STUDENT RESOURCES
Below are resources provided for Penn State students, including a brief description of the resource
and why a student may utilize it. Resource offices vary campus-to-campus; refer to your Penn
State campus website to determine which resources are offered at your campus and for more
information on what resources entail.
Career Services:
Career Services is committed to offering a comprehensive array of programs and services that
support and facilitate career development for all students. Programs and resources are provided to
assist students and alumni in crystallizing and specifying career goals, expanding knowledge of
career alternatives, understanding effective decision-making, and acquiring appropriate strategies
and skills to carry out the process.
The Learning Center:
Penn State Learning is a multi-disciplinary academic assistance program staffed by undergraduate
peer tutors, scholars who are content experts in their respective fields, and professional and
administrative staff members. Seek Penn State Learning for individual and group tutoring on
various subjects, including Accounting, Economics, Languages, Mathematics, Philosophy,
Sciences, Statistics, and Writing. Subjects vary by campus.
Center for Sexual and Gender Diversity:
The Center for Sexual and Gender Diversity (CSGD) provides a comprehensive range of
education, information, and advocacy services to students, faculty, staff, and alumni. The Center
works to create and maintain an open, safer, and inclusive environment honoring gender and
sexual diversity.
Multicultural Resource Center (MRC)
The Multicultural Resource Center (MRC) provides individual counseling and educational
services for undergraduate multicultural students at University Park and assists students in
meeting the challenges associated with education and attaining a degree at a major research
institution. MRC counselors work with students on a variety of issues, and the staff is dedicated to
helping students succeed and graduate from Penn State.
Student Disability Resources
The Office of Student Disability Resources provides a welcoming, encouraging, and empowering
environment for students with disabilities to ensure equal access, full participation and reasonable
accommodations for their academic pursuits. The Student Disability Resources team is committed
and ready to assist students with disabilities to reach their academic goals.
Student Care and Advocacy
Student Care and Advocacy is a multi-faceted office that strives to provide students with the
necessary tools and support to make difficult situations more manageable. The work of the
Student Care and Advocacy office includes championing student and family crisis support efforts
during a time of personal crisis, tragedy, emergencies; and coordinating responses to at-risk
student incidents, missing students, troublesome student conduct, campus student threat incidents,
student and family emergencies, and family and student deaths.
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UNDERGRADUATE NURSING PROGRAM
CURRICULUM
NURSING ACADEMIC REQUIREMENTS/DEGREE AUDIT
The Academic Requirements is how the College of Nursing tracks progress towards graduation.
Your Academic Requirements can be accessed through LionPATH:
(http://launch.lionpath.psu.edu/). Log-in to LionPATH and go to the Student Center. In the
“Academics” section of your Student Center, choose “Academic Requirements” in the drop-down
menu and click “>>”
Students are responsible for monitoring their progress toward completing their program. Consult
with your Academic Adviser for support in reviewing and understanding your degree
requirements as listed in this document.
When viewed as a pdf file (click on “view report as pdf” at the top), the top shows your name,
cumulative GPA, assigned adviser, program of study and requirement term. Next, is a section
called “In Progress Courses”, listing courses currently in progress or scheduled courses for the
current and upcoming semesters.
The rest of the document lists University and Major Requirements divided into categorical
sections. Each section lists either specific courses or a minimum required credit count needed to
complete that category. Sections that are completed will collapse, showing just the blue heading
bar. Sections that have requirements remaining will stay open until all requirements in that
portion are met or in progress.
First, University-level requirements are listed; all baccalaureate degree-seeking students at Penn
State must fulfill these requirements. Examples of University-level requirements include Writing
Across the Curriculum (W), First Year Seminar, and United States and International Cultures (US
and IL).
Next, the Academic Requirements tool shows your progress towards completing the General
Education Requirements, listing the number of credits needed in Writing and Speaking (GWS),
Quantification (GQ), Natural Sciences (GN), Arts (GA), Humanities (GH), Social and Behavioral
Sciences (GS), and Health & Wellness (GHW). Specific major-required courses that also fulfill
General Education requirements will be listed in their appropriate section.
Following this, you will find the requirements for the major. These courses must be completed
with a “C” or better to count towards degree requirements.
Finally, the Academic Requirements tool shows the “Electives and Total” section, indicating your
total credits counting towards your degree and courses used towards General Electives. To obtain
a B.S.N. degree, you must complete at least 120 credits. Keep in mind, this section states a
minimum required number of general electives credits, but you may need more to reach the 120
minimum total credits required for graduation. This section is followed by a list of courses not
used to satisfy degree requirements in your major. These courses are not included in the total
credit count towards your degree. They may include extra electives or courses that you have
repeated.
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GENERAL EDUCATION REQUIREMENTS
General Education
General Education requirements are common to all degree programs at Penn State. Students must
complete 45 credits of General Education courses selected from the approved list. Please note these
important points:
1. Some Nursing major requirements are permitted to also complete General Education
requirements (e.g. BIOL 161, BIOL 162, BIOL 163, BIOL 164, NUTR 251, HD FS 129, SOC
001, PSYCH 100). When a course is used to satisfy more than one requirement, the credits in
the course can be counted toward graduation only once. (See the next page.)
2. Because Nursing students are required to complete 9.0 General Social and Behavioral
Sciences (GS) courses (PSYCH 100, SOC 001 or SOC 005, and HD FS 129), they may elect
to utilize the University’s 3-6-9 exception to allow for flexibility in their general education
area. In this case, the 3-6-9 exception permits students to apply 3.0 credits of GS to either the
General Humanities (GH) or General Arts (GA) requirement.
3. The pass/fail grading system may not be used for courses taken to satisfy General Education.
4. Students who have not completed 2 years of study of the same world language in high school
must take one 3-4 credit language course within the first 60 credits. This requirement does not
apply to students who can demonstrate fluency in a world/second language. Credits earned to
make up the deficiency cannot be counted toward graduation.
The Information below demonstrates how Nursing major coursework requirements may be
applied to General Education.
Writing/Speaking (GWS) – 9 credits: ENGL 15 – Rhetoric and Composition; CAS 100 (A, B, or
C) – Public Speaking; ENGL 202 (A, B, C, or D) – Effective Writing: Writing in the Social
Sciences (A), Humanities (B), Technical Writing (C), or Business Writing (D)
Natural Sciences (GN) – 9 credits: BIOL 161 & 162 – Anatomy and Physiology 1; BIOL 163 &
164– Anatomy and Physiology 2; CHEM 130 or CHEM 110 & 111 – Chemistry; MICRB 106 &
107 – Microbiology
Quantification (Math) (GQ) – 6 credits: MATH 21 – College Algebra I (unless ALEKS scores
indicate MATH 22 or 110/140; then students may choose any GQ); STAT 200 or 250 – Statistics
Social/Behavioral Sciences (GS) – 6 credits: PSYCH 100 – Psychology; HDFS 129 – Human
Development; SOC 1 (Introductory Sociology) or SOC 5 (Social Problems)
Arts (GA) – 6 credits: Student’s choice
Humanities (GH) – 6 credits: Student’s choice
Health and Wellness (GHW) – 3 credits: NUTR 251 – Nutrition
US and IL Cultures: NURS 250 – Professional Role Dev I – US; NURS 415 – Community and
Family Health – US, IL
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General Education Codes:
GWS Writing/Speaking
GQ Quantification
GHW Health and Wellness
GN Natural Sciences
GA Arts
GH Humanities
GS Social and Behavioral Sciences
MATH POLICY FOR PRE-LICENSURE STUDENTS
Concurrent with enrollment in the first clinical nursing course, when medication administration is
introduced, students will be provided instruction and learning materials on the math competencies
needed for safe medication administration and the use of common abbreviations. Students are
expected to utilize these materials to understand, practice and master drug dosage calculations that
are needed to safely administer medications. Competency in safe drug administration will be
assessed throughout the curriculum with math questions on all examinations in addition to the
mandatory testing.
Initial Math Competency Assessment:
1. Initial math competency assessment will be done at the beginning of NURS 230. The
comprehensive examination will include drug dosage calculations and abbreviations.
a. Passing is defined as 90% and above; failure is defined as less than 90%.
b. The student will have a maximum of three attempts to pass the examination with a grade
of 90%.
c. A first examination failure (less than 90%) requires mandatory remediation before
subsequent examination scheduling, which will be determined by the faculty.
d. A second examination failure (less than 90%) will result in an F (P/F- rating) on the
clinical evaluation tool, and the student will receive an academic difficulty notification.
e. The second examination failure also requires mandatory completion of all recommended
remediation, in addition to seeking direction from the instructor, course coordinator,
and/or adviser on any particular problem areas.
f. Scheduling of the third examination will be determined by the faculty.
g. A third examination failure (less than 90%) constitutes a course clinical failure. The
student would receive an F (P/F - rating) on the clinical evaluation tool for the drug
calculation clinical objective and thus fail the course with an “F” based on not meeting all
clinical objectives.
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Subsequent Math Competency Assessment:
Subsequent math competency assessment involves mandatory testing and incorporation of math
questions in all examinations in every clinical course.
1. Mandatory Testing (related to clinical objective):
Testing will occur in the following courses:
• GNURS—NURS 301 (JR level); NURS 306 (JR level); NURS 405A (SR level)
a. Passing is defined as 90% and above; failure is defined as less than 90%.
b. The student will have a maximum of three attempts to pass the examination with a
grade of 90%.
c. A first examination failure (less than 90%) requires mandatory remediation before
second examination scheduling, which will be determined by the faculty and occur
before mid-course evaluations.
d. The second examination failure also requires mandatory completion of a remediation
plan, in addition to seeking direction from the instructor, course coordinator, and/or
adviser on any particular problem areas.
e. A second examination failure (less than 90%) will result in an F (P/F- rating) on the
clinical evaluation tool for the drug calculation clinical objective at mid-course and
subsequent notification that the student is in academic difficulty.
f. Scheduling of the third examination will be determined by the faculty and should be
following mid-course evaluations.
g. A third examination failure (less than 90%) will constitute a course clinical failure.
The student will receive an F (P/F - rating) on the clinical evaluation tool for the drug
calculation clinical objective and thus fail the course with an “F” based on not meeting
all clinical objectives in the final evaluation.
2. Faculty guidelines for mandatory testing:
a. Examination is to be a minimum of 15 questions.
b. Test questions can be any combination of formats (e.g. multiple choice, show work with
fill in the blank).
c. All testing should be administered within a timeframe that allows the student to withdraw
from the course if the proficiency level has not been met.
d. Calculator use is determined by the faculty.
3. Mandatory Math Questions in all examinations in clinical courses:
a. Math questions are to be embedded in all theory examinations.
b. Test questions should include both drug calculations and abbreviations.
c. Math questions are to be administered in every examination, including the final.
d. Test questions can be a combination of formats (multiple choice, show work with fill in
the blank).
e. Calculator use is determined by the faculty.
Continuous Monitoring:
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All faculty should continuously monitor the drug calculation and safe medication administration of
students to assure the delivery of safe and competent care in clinical practice. Any testing in clinical
courses not designated for mandatory testing is at the discretion of the faculty member and follows
the mandatory testing guidelines.
Approved: 8/26/2013
Editorial Changes: 9/2013
Effective Date: 1/2014 (Spring 2014)
Revised Spring 2019
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SUGGESTED ACADEMIC PLAN
for B.S.N. Degree in Nursing (NURS/GNURS for students at University Park, Altoona, Behrend, Fayette, Mont Alto and Scranton). Visit
https://bulletins.psu.edu/undergraduate/colleges/nursing/nursing-bsn/#suggestedacademicplantext for further details. Effective Summer 2019
Semester 1
Credits
Semester 2
Credits
BIOL 161 (GN) Anatomy and Physiology 1
3
BIOL 163 (GN) Anatomy and Physiology 2
3
BIOL 162 (GN) Anatomy and Physiology 1 Laboratory
1
BIOL 164 (GN) Anatomy and Physiology 2 Laboratory
1
ENGL 15 (GWS) or ENGL 30
S
(GWS) Composition/Honors Comp.
3
HDFS 129 (GS) Intro to Human Development and Family Studies
3
PSYCH 100 (GS) Introductory Psychology
3
NUTR 251 (GHW) Introductory Principles of Nutrition
3
NURS 100 First-Year Seminar (if required by campus)
1
CAS 100A, CAS 100B, or CAS 100C (GWS) Effective Speech
3
Humanities (GH)
3
Quantification (GQ) (selected MATH)
3
Arts (GA)
3
Total Credits:
17
Total Credits:
16
Semester 3
Credits
Semester 4
Credits
CHEM 130(GN) or CHEM 110 (GN) & CHEM 111 (GN) Intro
Introduction to General, Organic, and Biochemistry/Chemical Principles
3-4
SOC 1 (GS) or SOC 5 (GS) Intro to Sociology/Social Problems
3
MICRB 106 (GN) Elementary Microbiology
3
STAT 200 (GQ) or STAT 250 (GQ) Elementary Statistics or Intro. to
Biostatistics
3-4
MICRB 107 (GN) Elementary Microbiology Laboratory
1
NURS 225 Pathophysiology
3
NURS 250 (US) Professional Role Dev I: Intro to Professional Issues in
Nursing Practice and Nursing Informatics
2
NURS 230 Introduction to the Fundamentals of Nursing
4
NURS 251 Health Assessment
3
Humanities (GH)
3
Elective
2-3
Total Credits:
14-16
Total Credits:
16-17
Semester 5
Credits
Semester 6
Credits
NURS 305 Introduction to Pharmacological Concepts
3
NURS 200W Principles of Nursing Research and Evidence-Based Practice
3
NURS 301 Nursing Care of the Adult Client Requiring Medical-Surgical
Intervention
4
NURS 350 Professional Role Development II: Ethics, Legal and Genetic
Issues
2
NURS 310 Therapeutic Nursing Care of the Older Adult Client in a
Variety of Settings
3
NURS 306 Nursing Care of Children and Adolescents
3
Arts (GA)
3
NURS 320 Nursing Care of the Childbearing Family and Gynecological
Client
3
Elective
3
ENGL 202A, ENGL 202B, ENGL 202C, or ENGL 202D (GWS) Effective
Writing
3
Total Credits:
16
Total Credits:
14
Semester 7
Credits
Semester 8
Credits
NURS 450A Professional Role Development III: Leadership and
Management
2
NURS 450B Professional Role Development III: Clinical Capstone
3
NURS 405A Nursing Care of the Adult Client with Complex Health
Problems: Part A
4
NURS 405B Nursing Care of the Adult Client with Complex Health
Problems: Part B
4
NURS 415 (US;IL) Community and Family Health Nursing
4
NURS 420 Mental Health Nursing
4
Elective
3
NURS 400-level Supporting Course
3
Total Credits:
13
Total Credits:
14
• Bold Type indicates courses requiring a quality grade of C or better.
• Italic Bold Type indicates courses requiring a quality grade of C or better and that satisfy both major and General Education requirements.
• GWS, GHW, GQ, GN, GA, GH, and GS are attributes used to identify General Education requirements.
• US, IL, and US;IL are attributes used to designate courses that satisfy University United States/International Cultures requirements.
• W is the attribute used to designate courses that satisfy University Writing Across the Curriculum requirement.
Scheduling Patterns (courses not taught each semester): NURS 415 and 420 are offered both semesters. Other NURS courses are offered only in the semester indicated.
Program Notes: Junior and senior years include 6-12 hours of clinical experience per week. Students studying at UP will spend junior or senior year at Hershey Medical
Center.
Academic Advising Notes: MATH 21 is a prerequisite for CHEM 130. MATH 22 is prerequisite for CHEM 110. If a student places higher than MATH 21, any GQ may be
scheduled. BIOL 161 and BIOL 163 must be passed with a quality grade of C or better to progress to 200-level nursing courses. See College of Nursing Grading Scale and
Academic Progression Policy in the BSN. Nursing Handbook at http://www.nursing.psu.edu/student-handbooks/
S
Effective Fall 2012, all incoming Schreyer Honors College freshmen at University Park will take ENGL/CAS 137H in the fall semester and ENGL/CAS 138T in the spring
semester. These courses carry GWS attribution and replace both ENGL 30 and CAS 100. Each course is 3 credits. At the discretion of the college, ENGL/CAS 138T satisfies
the first-year seminar requirement.
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NURSING COURSE REQUIREMENTS AND COURSE DESCRIPTIONS
Required and Supporting Nursing Courses and their descriptions are listed on the subsequent
pages, organized into their specific category.
Please note: all prerequisite, required nursing courses, and Nursing Supporting courses must be
successfully completed with a grade of a “C” or higher.
While required courses and their prerequisites are outlined here, you should always consult with
your Academic Adviser for guidance when planning and registering for courses, as each
student’s situation is unique.
Please use “Class Search” to determine course offerings through your specific campus. Nursing
Supporting Courses may not be offered at all campus locations, and they may not be offered
every semester. Some electives are only offered through World Campus.
Key to Semester Hour Designation
4 SH (2,2) = 4 Semester Hours (2 semester hours in lecture, 2 semester hours in lab/clinical)
Each semester hour in lecture = 50 minutes contact
Each semester hour in lab/clinical = 3 hours (or 180 minutes) contact
Therefore, this 4-credit course would meet for two (2) 50-minute lecture periods and six hours of
clinical (2 x 3 hours) per week over a semester.
REQUIRED NURSING COURSES - All prerequisite courses must be successfully completed
with a “C” or higher.
NURS 100 First Year Seminar in Nursing - 1 SH (1,0)
First year seminars in Nursing will introduce the student to the University and the College of
Nursing. The primary focus will be engaging students in learning and orienting them to the
scholarly community from the outset of their undergraduate studies in a way that will bridge to
later experiences in the nursing major and facilitate the high expectations, demanding workload
and other aspects of transition to college life. The course content will focus on enhancing
opportunities that enable students to provide a holistic focus on the promotion of human health
and initiatives that enhance quality of life.
NURS 200M Understanding and Applying Nursing Research - Honors Section – 3 SH (3,0)
Introduction to methods and philosophy of empirical inquiry as applied to research in nursing
and application to practice. Prerequisite: STAT 200 or STAT 250, NURS 225 ; STAT 200 or
STAT 250 and NURS 390 for NURN majors
NURS 200W Principles of Nursing Research and Evidence-Based Practice – 3 SH (3,0)
Introduction to principles and methods of nursing research and application of research evidence
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to practice. Prerequisite: STAT 200 or STAT 250, NURS 225; STAT 200 or STAT 250 and
NURS 390 for NURN major
NURS 225 Pathophysiology – 3 SH (3,0) Designed to explore the illness component of health
with emphasis on the pathophysiological and psychosocial aspects.
Prerequisite: NURS 250, NURS 251, BIOL 161, BIOL 163
NURS 230 Introduction to the Fundamentals of Nursing – 4 SH (2,2) Introduction to the
nursing process, clinical competencies and psychosocial skills.
Prerequisite: NURS 250, NURS 251
NURS 250 (US) Professional Role Dev I: Intro to Professional Issues in Nursing Practice
and Nursing Informatics – 2 SH (2,0) Introduction to professional nursing practice and health-
related issues emphasizing application of nursing informatics.
Prerequisite: BIOL 161, BIOL 163
NURS 251 Health Assessment – 3 SH (2,1) Designed to broaden the student's knowledge and
skills in health assessment and physical examination across the lifespan.
Effective: Spring 2011
Prerequisite: BIOL 161, BIOL 163
NURS 300H Honors Seminar in Nursing – 3-12 SH (3-12,0) Seminar activities on selected
topics in nursing.
Prerequisite: NURS 250, NURS 225, NURS 230, NURS 251 admission to the Honors Program
NURS 301 Nursing Care of the Adult Client Requiring Medical-Surgical Intervention – 4
SH (2,2) Therapeutic nursing care of the adult client in a variety of primarily medical-surgical
settings.
Prerequisite: NURS 225, NURS 230
NURS 305 Introduction to Pharmacological Concepts – 3 SH (3,0) Study of basic concepts of
pharmacology and relevant nursing implications.
Prerequisite: NURS 225, NURS 230; or approval of program
Concurrent: NURS 301 NURS 310
NURS 306 Nursing Care of Children and Adolescents – 3 SH (2,1) Common health problems
and nursing intervention for children and adolescents.
Prerequisite: NURS 225, NURS 230, NURS 305
NURS 310 Therapeutic Nursing Care of the Older Adult Client in a Variety of Settings – 3
SH (2,1) Nursing concerns and intervention in promoting the health of the older adult.
Prerequisite: NURS 225, NURS 230
NURS 320 Nursing Care of the Childbearing Family and Gynecological Client – 3 SH (2,1)
Therapeutic nursing care of the childbearing family and gynecological client.
Prerequisite: NURS 225, NURS 230, NURS 305
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NURS 350 Professional Role Development II: Ethics, Legal and Genetic Issues – 2 SH (2,0)
The study of the interaction of ethical, legal, and genetic concepts as they apply to current health
care practice.
Prerequisite: NURS 305
NURS 405A Nursing Care of the Adult Client with Complex Health Problems: Part A – 4
SH (2,2) In-depth study of care of patients with acute and complex health problems, utilizing
evidence-based practice.
Prerequisite: all 300-level required NURS courses must be completed
NURS 405B Nursing Care of the Adult Client with Complex Health Problems: Part B – 4
SH (2,2) In-depth study of care of patients with acute and complex health problems, utilizing
evidence based practice.
Prerequisite: all 300-level required NURS courses must be completed
NURS 415 (US; IL) Community and Family Health Nursing – 4 SH (2,2) Focuses on nursing
care of clients in the community and the family.
Prerequisite: all 300-level required NURS courses must be completed
NURS 420 Mental Health Nursing – 4 SH (2,2) Emphasizes clinical application of mental
health theory in nursing care of patients with acute and chronic mental health problems.
Prerequisite: all 300-level required NURS courses must be completed
NURS 450A Professional Role Development III: Leadership and Management – 2 SH (2,0)
Study of leadership roles and various styles of nursing management and their implications for the
professional nurse.
Prerequisite: all 300-level required NURS courses must be completed
NURS 450B Professional Role Development III: Clinical Capstone – 3 SH (0,3) Senior level
clinical capstone course that emphasizes the integration and application of theory and evidence
based practice.
Effective: Fall 2012
Prerequisite: all 300-level required NURS courses must be completed
NURSING SUPPORTING COURSES - Please use “Class Search” to determine course
offerings. Nursing Supporting Courses may not be offered every semester at each campus
location and some are only offered through World Campus (WC).
NURS 203 (GHW) First Aid and CPR – 3 SH (3,0) An introductory first aid course designed to
provide the basic knowledge and skills to provide assistance to someone injured/ill.
NURS 245 (GS) Violence and the Impact on Society – 3 SH (3,0) Interdisciplinary discussion
of violence, its perpetrators, victims and its impact on society as well as possible solutions for
violence reduction.
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NURS 303 Clinical Application of Laboratory Tests – 1 SH (1,0) A study of the background,
meaning, and nursing implications of laboratory test results.
Prerequisite: NURS 250, NURS 225, NURS 230, NURS 251
NURS 357 Introduction to Nursing Informatics – 3 SH (2,1) An introduction to nursing
informatics focusing on technology applications to the nursing profession.
Prerequisite: NURS 301, NURS 306, NURS 310, NURS 320 ; or eligibility for NURN major
NURS 401 (IL) Concepts of Health – 3 SH (3,0) Exploration of current and ancient concepts of
health and their respective modes of intervention.
Prerequisite: PSYCH 100 or SOC 001
NURS 402 (US; IL) Holistic Health – 3 SH (3,0) Examination of emerging conceptualizations
of health and therapy based on a holistic view of human beings.
Prerequisite: NURS 401
NURS 403 School Health and Emergency Care of Children and Adolescents – 3 SH (3,0)
Techniques for higher-level care for school health and emergency situations and application-
based education.
Recommended Prep: BIOL 161, BIOL 163
NURS 404 Cardiac Dysrhythmias: Interpretation, Treatment, and Nursing Management –
1 SH (1,0) An introductory course with a focus on dysrhythmia recognition and interpretation of
abnormal 12-lead electrocardiograms (EKG, ECG).
Recommended Prep: BIOL 161, BIOL 163
NURS 407 Drugs of Abuse and Mental Health Issues – 3 SH (3,0) Examines the health care
needs across the lifespan of clients who have an alcohol or other drug disorder.
Prerequisite: BBH 143 or PSYCH 100 or approval of program
NURS 408 Clinical Application of Pharmacological Concepts – 1 SH (1,0) Study of the
application of pharmacological concepts to the clinical setting.
Prerequisite: NURS 305, NURS 301, NURS 310, NURS 320
NURS 409 Introduction to Forensic Nursing – 3 SH (3,0) Provides an introduction to the
forensic health sciences, forensic nursing, and the nursing role in the scientific investigation of
violence.
Prerequisite: NURS 250, NURS 225, NURS 230 or approval of program
NURS 410 Forensic Evidence Collection and Preservation – 3 SH (3,0) Examines forensic
nurse's role recognizing injuries/patterns of injury. Evidence collection procedures are examined
from collection to courtroom presentation.
Prerequisite: Prerequisite or concurrent: NURS 245 and NURS 409
NURS 430 Organization and Administration for the Nurse Manager – 3 SH (3,0)
Introduction to organizational theory and principles of practice in the administration of nursing
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services and patient care.
Prerequisite: Permission of Program, or RN license, or eligible for NURN major
NURS 431 Data Management for Nurse Managers – 3 SH (3,0) Analysis of information
systems to manage nursing service organizations; includes financial management, the budgeting
processes, and productivity measurement.
Prerequisite: Prerequisite or concurrent: NURS 430 and permission of the program
NURS 432 Nursing Management of Human Resources – 3 SH (3,0) Human resource
management and related factors in nursing service organizations.
Recommended Prep: NURS 430
NURS 433 Seminar for Nurse Managers – 3 SH (3,0) Course focuses on the application of
management principles in the role of the nurse manager.
Recommended Prep: NURS 430
NURS 440 Trauma/Critical Care Nursing – 3 SH (3,0) Focuses on the impact of and the
nursing care of persons experiencing acute trauma and/or critical illness.
Prerequisite: NURS 301, NURS 310, NURS 320 or approval of nursing program
NURS 441 Nursing Care of America's Veterans: An Introduction Into the Care of Military
Veterans – 3 SH (3,0) This course offers information on caring for the unique population of
United States military veterans.
Prerequisite: PSYCH 100 or SOC 001 or HDFS 129 or NURS 230 and NURS 251
NURS 442 Introduction to Perioperative Nursing – 1 SH (1,0)
Basic introduction regarding fundamental principles and practices of the Operating Room Nurse
when managing the care of the surgical patient.
NURS 452 (US) (BB H 452, WMNST 452) Women's Health Issues – 3 SH (3,0) Exploration
of major health issues concerning women today, with an emphasis on social, cultural, and
medical influences.
Prerequisite: BIOL 161 or PSYCH 100 or WMNST 100
NURS 458 Ethical Challenges in Healthcare Informatics – 3 SH (3,0) A case based
collaboratory designed for the exploration and analysis of the ethical dilemmas facing healthcare
informatics practitioners.
NURS 459 Legal and Professional Issues in School Nursing – 3 SH (3,0) Legal and
professional issues of school nurses and delivery impact of health care in school environment.
Prerequisite: PSYCH 100 or SOC 001 or HDFS 129
NURS 460 Advanced Concepts in Clinical Nursing Informatics – 3 SH (3,0) An exploration
of clinical informatics tools to support informatics practice.
Prerequisite: NURS 357 and NURS 458 Concurrent: NURS 458
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NURS 463 Compassionate Counseling for Children/Adolescents Dealing with Dying, Death,
Other Life Crises – 3 SH (3,0) Explores issues involving dying, death and life crises which
occur in today's world and affect school communities.
Prerequisite: PSYCH 100 or SOC 001 or HDFS 129
NURS 464 (US; IL) Dying and Death – 3 SH (3,0) Explores attitudes toward death and dying;
concept of grief; responsibilities to the dying person and the family.
Prerequisite: PSYCH 100 or SOC 001
NURS 466 (CMAS 466) Systems and Community Responses – 3 SH (3,0) An exploration of
the multidisciplinary response to child maltreatment.
Prerequisite: CMAS 258
NURS 468 Client Education Strategies for Nurses and Other Health Care Providers – 3 SH
(3,0) Explores current and emerging roles of client education in the knowledge era.
Prerequisite: PSYCH 100 or SOC 001 or HDFS 129; 300-level standing or approval of the
program
NURS 470 Autism Spectrum Disorders: Care Overview – 1 SH (1,0) Overview of autism
spectrum disorders including resources related to children with autism spectrum disorders.
Prerequisite: PSYCH 100 or SOC 001 or HDFS 129 or program approval
NURS 480 Preparation for Nursing Licensure Exam - 2(SH 2,0) Preparation for NCLEX®
Nursing Licensure Exam: Critical Thinking and Exam Preparation Strategies
Prerequisite: NURS 405A
Concurrent: NURS 450B
NURS 492 Emergency Care and Safety – 3 SH (3,0) A comprehensive first aid course
designed to provide knowledge of prehospital emergency care at the First Responder level.
Recommended Prep BIOL 161, BIOL 163
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SUGGESTED GENERAL ELECTIVES - Please use “Class Search” to determine course
offerings. Electives may not be offered every semester at each campus location.
BBH 101 (GHW) Introduction to Biobehavioral Health – 3 SH (3,0) Introduction to an inter-
disciplinary study of health, examining the interaction of biological processes and behavior on
health.
BBH 119 (GHW) Behavior, Health, and Disease – 3 SH (3,0) Principles of health promotion,
disease prevention, and treatment of acute and chronic illness. This course is designed for non-
BB H majors.
BIOL 155 (GN) Introduction to the Biology of Aging – 3 SH (3,0) Examination of human
aging from a biological perspective. Population demographics, physiological and pathological
changes, and healthy lifestyles are discussed. Students who have passed BIOL 409 may not
schedule this course.
HPA 101 Introduction to Health Services Organization – 3 SH (3,0) Examination of the
social, political, historic, and scientific factors in the development and organization of health
services.
KINES 165 Health Education Concepts – 3 SH (3,0) Principles of healthy living which are the
basis for health instruction in schools and health care settings.
PSYCH 420 Advanced Social Psychology – 3 SH (3,0) In depth study of selected research
areas in human social behavior.
Prerequisite: PSYCH 100; 6 additional credits of PSYCH
VARIABLE CREDIT INDEPENDENT STUDY OR SPECIAL TOPICS OFFERINGS
(Consult with your adviser regarding these courses.)
NURS 197—Special Topics. 1-9 SH NURS 494 – Honors Thesis. 1-6
NURS 296—Independent Studies. 1-18 SH NURS 495 – Independent Studies. (Clinical) 1-12
NURS 297—Special Topics. 1-9 SH NURS 496 – Independent Studies. (Theory) 1-18
NURS 298—Special Topics. 1-9 SH NURS 497 – Special Topics. 1-9 SH
NURS 397—Special Topics. 1-9 SH NURS 498 – Special Topics. 1-9 SH
NURS 398—Special Topics. 1-9 SH NURS 499 – Foreign Study. 1-9
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ACADEMIC PLAN OF STUDY
All Students
Each level of required nursing courses (200-level*, 300-level and 400-level) must be completed
PRIOR to progressing to the next level of required nursing courses (e.g. 200-level* required
nursing courses MUST be completed before progressing to 300-level required nursing courses;
300-level required nursing courses MUST be completed before progressing to 400-level required
nursing courses).
*Exception: NURS 200W will be completed concurrent with 300-level nursing courses during
the junior year according to the Suggested Academic Plan.
If a level is not successfully completed, academic progression in the Nursing Program will be
affected and the student will need to step out of the Nursing Program for an entire academic year
based on the course offering schedule. Nursing courses are offered during specific semesters,
which are designated on the Suggested Academic Plan.
First-Year Students
Progression to the sophomore-level nursing courses is dependent on successful completion of the
following first-year courses and prerequisites:
• BIOL 161 Anatomy and Physiology 1– Required for NURS 251 (Health Assessment)
- A grade of C or better is required
• BIOL 163 Anatomy and Physiology 2 – Required for NURS 251 (Health Assessment)
- A grade of C or better is required
• MATH 21 College Algebra – if ALEKS placement scores are between 30 and 45 (required
for CHEM 130)
OR
MATH 22 College Algebra II and Analytic Geometry – if ALEKS placement scores are
between 46 and 60 (required for CHEM 110 and CHEM 111)
- If a student plans to take CHEM 110 and CHEM 111 but places below MATH 22 on the
ALEKS assessment, the student must complete all prerequisite math courses before
scheduling CHEM 110 and CHEM 111 (e.g. If a student achieves an ALEKS placement
into MATH 21, the student will need to take MATH 21 and then MATH 22)
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Sophomore Year
All students admitted to University Park remain at University Park campus during their
sophomore year. Students admitted to a Commonwealth campus remain at their assigned
campus.
Required sophomore nursing courses are:
Fall Semester
Spring Semester
NURS 250 (US)
NURS 225
NURS 251
NURS 230
Junior/Senior Year
All University Park Nursing students will spend either junior or senior year at Hershey Medical
Center. The lecture curriculum remains the same regardless of assignment. Clinical rotations are
based upon availability of faculty and clinical sites. Students will complete 6-12 hours of clinical
experience per week. The rotation for student athletes who fall under NCAA requirements to
maintain eligibility (which does not include cheerleading, Lionettes dance team, club sports or
Blue Band), ROTC students, and Schreyer Honors students will be reviewed on an individual
basis.
Revised Spring 2018
Students admitted to a Commonwealth campus will remain at their assigned campus.
Required nursing courses are:
JUNIORS
Fall Semester
Spring Semester
NURS 305
NURS 200W
NURS 301
NURS 350
NURS 310
NURS 306
NURS 320
SENIORS
Fall Semester
Spring Semester
NURS 450A
NURS 450B
NURS 405A
NURS 405B
NURS 415 or NURS 420
NURS 415 or NURS 420
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CLINICAL CAPSTONE
NURS 450B, clinical capstone course, is designed to expand the scope of nursing practice of
senior nursing students.
• Student clinical experiences and simulation activities focuses on leadership and management
• The clinical capstone course occurs in the semester of graduation and a guidelines packet is
provided at that time
• Students are contacted via listserv sent to students’ PSU email at least one semester prior to
capstone regarding their top three choices of clinical sites
• Students are notified of their clinical capstone placement once confirmed by capstone faculty
• Student outcomes are designed to enhance comprehension and synthesis of professional
nursing responsibilities
• Clinical experiences are scheduled with selected nurse preceptors primarily in acute care
settings with emphasis on the role of the nurse in providing care within a healthcare setting
The nurse preceptor is an accomplished, experienced nursing professional who extends to an
aspiring person, within the context of a one-on-one relationship, advice, teaching,
sponsorship, guidance, and assistance towards establishment in his/her chosen profession.
Learning objectives for the clinical capstone experience include:
1. Communicate effectively within complex healthcare organizations to optimize patient care
2. Demonstrate sound clinical decision-making
3. Synthesize data and pertinent information to provide evidence-based practice
4. Contribute to a healthy organization work environment
5. Coordinate management functions: plan, organize, direct, evaluate
6. Demonstrate coordination of effective delivery of nursing care for individuals and groups
7. Utilize the agency resources, as appropriate, for ethical decisions and patient advocacy
8. Develop a personal nursing leadership philosophy based on theory and research
9. Analyze the diverse influences affecting an organization’s worksite culture
10. Demonstrate increased confidence in the nurse generalist role and in the value of life-long
learning
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THE PENNSYLVANIA STATE UNIVERSITY COLLEGE OF NURSING
Clinical Preceptor Evaluation
NOTE: Student completes this form which is found on CANVAS
Course Title/Number________________________________Date_________________
Preceptor____________________________
7 = strongly agree
6 = agree
5 = mildly agree
4 = neutral
3 = mildly disagree
2 = disagree
1 = strongly disagree
0 = not applicable or cannot evaluate
_____ 1. The preceptor presented clear learning objectives for this clinical experience.
_____ 2. The preceptor selected clinical assignments and/or experiences which enhanced
student learning.
_____ 3. The preceptor selected clinical assignments which were challenging and within the
scope of students’ ability.
_____ 4. The preceptor was available for assistance on the clinical unit.
_____ 5. The preceptor promoted learning through active dialogue with students.
_____ 6. The preceptor demonstrated competence in the guidance of students and/or provision
of care.
_____ 7. The preceptor was a positive role model for professionalism in practice.
_____ 8. The preceptor was able to relate theory to clinical practices.
_____ 9. The preceptor demonstrated commitment to clinical practice and student learning.
_____ 10. The preceptor demonstrated respect for students, clients, and clinical personnel.
_____ 11. The preceptor provided meaningful and objective feedback to students regarding
clinical experiences.
_____ 12. The preceptor communicated as needed with the student and faculty to discuss
student progress and maintain open communication.
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INDEPENDENT STUDIES IN NURSING
Nursing 495: Nursing Study in Specialized Setting
(Effective Fall 1992)
Policies
The student has the responsibility of initiating a Request for Assignment to NURS 495 in writing
no later than the end of the semester immediately preceding the one for which the NURS 495 is
requested. Students will have completed all 300-level courses prior to enrollment in NURS 495.
Additional requirements for enrollment in NURS 495 include:
• Students are limited to one NURS 495 enrollment in their academic career at Penn State with
the following exception: the student has faculty permission to enroll in a second NURS 495
after all other first-time NURS 495 requests have been granted.
• Students who are graduating the semester in which they have requested a NURS 495 will be
given enrollment priority.
• Enrollment in NURS 495 must be approved by the sponsoring faculty member prior to
student enrollment.
• If clinical sites and/or clinical supervisors are unavailable or are inappropriate, it may not be
possible to place students in the agencies of their choice.
Students should request the specific number of semester credits using the following credit and
clinical hour equivalencies:
•
1 credit = 45 hours
per semester
•
4 credits = 180 hours
per semester
• 2 credits = 90 hours
per semester
• 5 credits = 225 hours
per semester
• 3 credits = 135 hours
per semester
• 6 credits = 270 hours
per semester
In order to meet course objectives and agency requirements, students are encouraged to enroll
in a maximum of 3.0 credits for a NURS 495. Faculty and student must be confident that this
is achievable.
How to Initiate NURS 495 Independent Study:
1. Student obtains a Request for Assignment to NURS 495 application from the College of
Nursing’s website
2. Student confers with a faculty member about credits, placement, objectives, and evaluation.
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3. The sponsoring faculty member signs the request and forwards it to the CON Commonwealth
Campus Coordinator if attending a Commonwealth campus, or the College of Nursing’s
Associate Dean for Undergraduate Education for those at UP and HMC. The CON
Commonwealth Campus Coordinator or the College of Nursing’s Associate Dean signs the
request and has the course added to the student’s schedule.
4. The student verifies that the course has been added to his or her schedule.
Responsibilities and Procedures
Student
1. The student follows the process under “How to Initiate NURS 495 Independent Study”.
2. Abide by agency policies.
3. Notify clinical preceptor in advance of absence or tardiness.
4. Once approval is received, develop with the assigned faculty preceptor specific clinical
objectives and desired learning experiences related to course objectives.
5. Maintain weekly contact with faculty preceptor.
6. Assume responsibility for seeking learning experiences in conjunction with clinical
preceptor and faculty preceptor.
7. Participate in his/her evaluation with clinical preceptor and faculty preceptor.
8. Participate in evaluation of faculty preceptor and clinical agency.
Faculty Preceptor
1. The faculty preceptor follows the process under “How to Initiate NURS 495 Independent
Study”.
2. Confirm with the College of Nursing Academic Affairs Office that the clinical facility
has PA State Board of Nursing approval.
3. In consultation with the Nursing Campus Coordinator and the Associate Dean for
Undergraduate Education, initiate contact with the clinical preceptor and obtain
curriculum vitae.
4. Inform clinical preceptor of student’s educational level.
5. Provide and discuss with clinical preceptor and student the course objectives, desired
learning experiences, and criteria for evaluation.
6. Maintain regular contact with clinical preceptor and student as appropriate.
7. Submit evaluations to the CON and enter final grades within 48 hours after last day of
classes.
Clinical Preceptor
1. Participate in the orientation of student(s) to the clinical environment.
2. In conjunction with student, select learning experiences to meet the objectives of the
course.
3. Engage in continuous on-site teaching of student.
4. Allow students to work in a collaborative relationship.
5. Provide the majority of the clinical guidance and/or supervision as dictated by the
learning experience.
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6. Maintain open dialogue with faculty preceptor and student.
7. Evaluate student progress continuously and provide feedback.
Criteria for Selection of a Clinical Preceptor
1. Currently licensed as a Registered Nurse.
2. Preferably a minimum of a baccalaureate degree in nursing.
3. Tangible evidence of commitment to further education and/or competency (workshops,
conferences, certification, or enrollment in courses as documented on the curriculum
vitae).
4. Experience as a Registered Nurse for at least one year in the area of the present
preceptorship.
5. Employment time in the setting sufficient to be thoroughly familiar with the institution.
(The actual time can be determined jointly by the clinical preceptor, agency, and faculty
preceptor.)
6. Voluntary acceptance of clinical preceptor role.
7. The clinical preceptor may not be a family member or close friend of the student.
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Nursing 496: Independent Study
Policies
The Nursing 496 Independent Study (NURS 496) involves independent theory course work (i.e.,
no clinical component). The student has the responsibility of initiating a Request for Assignment
to NURS 496 in writing before the beginning of the semester for which NURS 496 is requested.
Students will have completed all 300-level courses prior to enrollment in NURS 496.
Exceptions to this policy must be cleared through the Associate Dean for Undergraduate
Education or the College of Nursing Commonwealth Campus Coordinator. The student should
request the specific number of semester credits to be assigned.
• Students are limited to one NURS 496 enrollment in their academic career at Penn State with
the following exception: the student has faculty permission to enroll in a second NURS 496
after all other first-time NURS 496 requests have been granted
• Students who are graduating the semester in which they have requested a NURS 496 will be
given enrollment priority
• Enrollment in NURS 496 must be approved by the sponsoring faculty member prior to
student enrollment
• If project sites and/or supervisors are unavailable or are inappropriate, it may not be possible
for students to complete the project of their choice
Students should request the specific number of semester credits using the following credit and
clinical hour equivalencies:
• 1 credit = 45 hours
per semester
• 4 credits = 180 hours
per semester
• 2 credits = 90 hours
per semester
• 5 credits = 225 hours
per semester
• 3 credits = 135 hours
per semester
• 6 credits = 270 hours
per semester
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Procedures
1. Obtain a NURS 496 application from the College of Nursing’s website.
2. Make an appointment with the instructor. The student and faculty member must complete the
Request for Assignment to NURS 496 and Section I of the Record of Independent Study, and
submit both forms to the Associate Dean for Undergraduate Education for those at UP/HMC,
or the Commonwealth Campus Coordinator.
3. The CON Commonwealth Campus Coordinator or the College of Nursing’s Associate Dean
signs the request and has the course added to the student’s schedule. The student verifies that
the course has been added to his or her schedule.
4. A signed copy of the Request for Assignment to NURS 496 and a copy of the Record of
Independent Study will be returned to the student and instructor.
5. The completed Record of Independent Study form will be returned to the instructor at the end
of the semester; Section II is then completed.
6. Evaluations (Record of Independent Study) are due in the College of Nursing’s Academic
Affairs Office for UP/HMC (106 Nursing Sciences Bldg) or CON Commonwealth Campus
Nursing office within 48 hours after the last day of classes in the semester.
7. Final grades must be posted within 48 hours after the last day of classes in the semester.
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GUIDELINES FOR UNDERGRADUATE TEACHING ASSISTANT
I. Eligibility Recruitment Application
1. Undergraduate Teaching Assistants (UG-TAs) should have a strong overall academic
performance. The potential UG-TA should have an overall minimum GPA=3.2.
2. UG-TAs must complete the assigned class with an A minus (-) or better.
3. Students may request the opportunity to be an UG-TA, or faculty may recruit students
for the position.
4. Application Process for NURS 495/496; NURS 395/396:
Complete the electronic application
https://pennstate.qualtrics.com/jfe/form/SV_3I4OVnylfmDaW0Z?Student=1.
Personal statement: The student will include a personal statement outlining
future career goals.
Recommendation: The student will identify a faculty member who will
provide a recommendation. The faculty member should have evaluated the
student in the previous semester.
Resume: The student will upload their resume.
Interview: The course coordinator will conduct the interview. The course
coordinator will email all candidates the date, time, and location of their
interview. Interview rubric will appear within the email generated in the
process flow.
II. Expectations and Responsibilities
1. The UG-TA experience should provide a meaningful learning opportunity;
engagement with faculty through mentoring and role modeling; engagement with
other students through peer support
2. The following responsibilities are appropriate for the UG-TA experience.
a. Assisting in the planning, preparation and organization of course materials,
assignments, or lessons.
b. Designated as a designer or a student in Canvas. The UG-TA must not have
access to the gradebook
c. Assisting in recording students’ attendance and class participation
d. Assisting with discussion, recitation, lab, review, or similar sessions led by a
faculty member or graduate assistant (GA)
e. Leading discussion, recitation, lab, review, or similar sessions under the direct
supervision of a faculty member or GA
f. Holding office hours or conducting one on one or group tutoring of students
of work to be submitted or already graded
g. Providing student feedback to the course faculty on a course assignment or
lesson
h. Advising and mentoring teams or groups on courses projects
3. The following responsibilities may be appropriate for the UG-TA experience with
careful supervision and monitoring by faculty and/or administrators:
a. Planning or preparing a course assignment or lesson independently
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b. Planning and delivering a review session to students.
c. Moderating discussion boards under the supervision and guidance of the
faculty member.
4. The following responsibilities are not appropriate for a UG-TA experience:
a. Planning or preparing a course assignment or lesson or leading a class meeting
without review, supervision and/or monitoring by faculty
b. Proctoring of an exam
c. Grading of any assignments
d. Entering or accessing any grades for an assignment or course in online or
other official grading tools
III. Requirements
1. Prior to and during the experience, UG-TAs should be provided training on
educational strategies they will be expected to use in this role. UG-TAs should be
trained on administrative issues related to their duties, such as room scheduling,
handling information technology issues, etc.
2. UG-TAs should be trained in the following areas:
a. Academic Integrity Policy and procedures
b. FERPA and Confidentiality of Student Records
c. Use of Instructional Data
d. Sexual Harassment
e. Classroom Disruptions
f. Emergency situations, including active shooter
g. Social pressure
h. Cross-cultural communication
3. Any previous University training that the student has completed may be counted
toward this requirement.
4. Additional training is optional (i.e., Child Abuse Training, Lab Safety, HIPAA,
Computer and Network Security, Clery Act, Conflicts of interest, University policies)
and should be assigned as appropriate.
IV. Credit
1. Credit to be awarded should be clearly communicated to UG-TA applicant during the
recruitment process
2. Academic credits awarded will follow University Faculty Senate policy (1 unit of
academic credit is equivalent to 45 hours of work for a semester).
V. Supervision, Evaluation and Responsibilities of Faculty
1. Faculty should meet with UG-TAs regularly (weekly is recommended) and
communicate clearly about their assigned tasks, expectations and performance (see
syllabus/evaluation form).
2. Faculty should provide a systematic evaluation of the performance of UG-TAs at
least twice during their experience (mid-semester and end of semester using the
evaluation tool link).
a. Formative assessments throughout the semester are recommended as part of
providing a meaningful learning experience.
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3. Faculty should provide UG-TAs with the resources needed.
4. Faculty supervising UG-TAs are responsible for assigning a final grade.
5. The UG-TA should address problems or concerns directly with the course
coordinator. IF the resolution to the problem does not occur, the UG-TA should
consult the campus coordinator and then the associate dean for UG education as
needed.
Links to Selected Penn State Resources on UTAs
https://learning.ist.psu.edu/introduction/
http://cese.science.psu.edu/learning-assistant-program
http://www.engr.psu.edu/leonhardcenter/tiprogram/
https://www.altoona.psu.edu/mns/docs/undergradassistants_F13.pdf
Links to Selected Resources External to Penn State
https://laprogram.colorado.edu/
https://laa.colorado.edu/
https://www.ugst.umd.edu/documents/TAGuidelinesUGST.pdf
http://www.orientation.umd.edu/becomeTA.html
www.cmu.edu/teaching/resources/PublicationsArchives/UTA_Depts-v2.pdf
http://www.as.pitt.edu/fac/teaching/guidelines-arts-and-sciences-undergraduate-teaching-
experience
https://www.brown.edu/about/administration/sheridan-center/teaching-learning/teaching-
assistants/undergraduate-t
Approved BSN Council: Fall 2018
Approved Undergraduate Affairs: January 2019
Effective: Summer 2019
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ASSESSMENT TECHNOLOGIES INSTITUTE (ATI)
ATI Nursing Education (Assessment Technologies Institute®) is a technology-based
educational assessment and testing program. The program’s focus is helping students succeed in
the licensure examination (NCLEX) that all graduates need to successfully pass in order to
practice nursing after graduation.
Today’s nursing students are diverse with different learning styles and needs. ATI Nursing
Education’s learning systems are designed to offer a variety of learning methods. ATI
information and services are available to students throughout their academic career and one year
after graduation. The following is a summary of the ATI testing that students are exposed to
across the nursing curriculum.
NOTE: Students are assessed a fee for the ATI program material and resources which is
charged to their tuition account in sophomore, junior, and senior years. All materials will be
obtained at the beginning of the first year. Additional materials are available for purchase
through ATI; however, in order to contain cost and present our students with the best NCLEX
preparation package, the materials and fees associated with ATI are negotiated annually between
the College of Nursing and ATI. Also, there is a multitude of additional information available on
the ATI website at no additional cost https://atitesting.com/Home.aspx
• ATI assessment results are a designated portion of the course grade and identify
content areas needing further study for successful completion of (NCLEX)
• The cost associated with materials (textbooks, skills modules, handbooks, tutorials,
online assessment testing, proctored exams, and the NCLEX Live Review) is the
student’s responsibility, and all students are required to purchase the materials and
take the exams
ATI Cost Fees are NOT refundable
NURSE LOGIC
An interactive, media-rich, online tutorial is designed to introduce students to the new ATI Helix
of Success. This model illustrates how knowledge and clinical judgment, supported by concepts
derived from the Quality of Safety Education for Nursing (QSEN) competencies and Institute of
Medicine (IOM) recommendations for nursing education, can prepare the student for academic
and NCLEX success. This robust and interactive tutorial introduces nursing students to core
concepts relevant to nursing practice, arms students with study and test-taking skills, and
introduces them to the NCLEX examination process.
Students benefit from a wide array of case studies, applied learning examples, and learning
resources that support student success throughout the curriculum. The depth and breadth of the
content provides beginning and advanced students valuable information that can used in
classroom and clinical settings.
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SKILLS MODULES SERIES
ATI’s Skills Modules Series gives the student the opportunity to apply critical thinking skills to
patient care before entering the skills lab. This online assessment-driven, self-study learning
package is continually updated and includes how-to videos of nursing skills, practice challenges,
evidence-based research summaries and much more. Additionally, the program covers situations
that may not arise in actual clinical time, so nursing students will be prepared for the unexpected
as well as the expected.
CONTENT MASTERY SERIES
A group of proctored and online practice assessments that provides data regarding a student’s
mastery of concepts related to specific nursing content areas such as maternity, pediatrics and
medical surgical. The proctored assessments provide content specific proficiency levels that
measure a student’s level of knowledge acquisition.
NCLEX readiness is measured with the Comprehensive Predictor. A practice version called the
Comprehensive Assessment helps students prepare for the Comprehensive Predictor. Two forms
of each proctored and practice assessment are currently available, so faculty may use any or all
of the components of the Content Mastery Series in whatever combination or sequence works
best for them and their students.
TARGETED MEDICAL SURGICAL TESTS
This series addresses individual body systems and provides formative evaluation of content prior
to the final medical surgical course. Both students and faculty can generate a score report after
each assessment. Score reports provide valuable information. Students can also create a focused
review to guide remediation along with each score report. Focused review refers students to the
review modules and remediation templates to remediate content deficiencies.
PHARMACOLOGY MADE EASY
An audiovisual, interactive, media-rich, online tutorial designed to help students learn about
pharmacology and drugs given in practice. The tutorial contains 12 modules with about 200
prototype drugs addressed. Each module focuses on drugs that relate to a body system and
contains detailed drug information related to the drugs’ use in the management of alterations in
health.
CUSTOMIZED LIVE NCLEX REVIEW
This NCLEX review is based on the class performance on the Comprehensive Predictor, one of
the final exams used within the Comprehensive Assessment and Review Program (CARP). This
three-day live review is designed to improve competency on topics that need additional
instruction. The review is highly interactive and is closely aligned with the NCLEX blueprint.
Test-taking strategies, critical thinking and Q&A are presented. Upon completion of the review,
students receive a customized, individual study plan to continue examination preparation. The
live NCLEX review will be scheduled your final semester.
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DOSAGE AND CALCULATIONS 2.0: RATIO AND PROPORTION
Interactive drills, embedded videos, and new case studies enrich real-life scenarios, providing
valuable experience for building competence to administer drugs safely. Mathematical equations
are simplified through step-by-step animations that demonstrate the dosage calculation process.
Ratio and Proportion method allows a nurse to calculate dosages by using the amount of
medication prescribed and the dose available.
• For example, a client is prescribed haloperidol (Haldol) 1 mg PO BID and the dose available is 0.5
mg/tablet. The desired amount is 1 mg, the dose available is 0.5 mg and the quantity available is 1 tablet.
Use the following formula to calculate dosages using the Ratio and Proportion method.
LEARNING SYSTEM RN
Learning System offers curriculum support to faculty by providing learning-enhanced
assessments in nursing content areas. Alignment of Learning System assessments to the
curriculum allows instructors to assign those that correspond with the nursing content covered in
the course. The use of learning-enhanced assessments in Learning System promotes student
success throughout the nursing program and on the NCLEX exam.
Learning System provides students with practice in content-specific areas, which allows students
to focus on their strengths as well as identify areas of need. Faculty can identify which areas to
direct students’ attention to for remediation using ATI practice assessments and tutorials.
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ATI Placement in the B.S.N. Curriculum
GENERAL INFORMATION
Course Specific Proctored Exams
• Administered by the end of semester of each term beginning sophomore year during
regularly scheduled class time
o Exceptions: Critical Thinking Entrance Exam (Fall Term sophomore year – by
Week 3)
• Online proctored exams (all students must have a laptop)
• 40-95 minutes in length
Targeted Assessments
• Divided between NURS 301 and NURS 310 with rationales enabled (which gives
immediate feedback and explains why a response is correct or incorrect)
• Faculty determines when testing occurs relative to course content
• Approximately 30 questions
RN Comprehensive Predictor
• RN Comprehensive Predictor, which takes approximately 180 minutes, is administered
twice in senior year
o Spring – Week 8 (basis of focused ATI LIVE REVIEW)
o Spring – Finals Week (After remediation)
ATI Testing Placement in the General B.S.N. Curriculum
NURS 250:
• Self-Assessment (Non-Proctored)
• Incorporate Dosage Calculation Tutorials
• Critical Thinking Entrance (Proctored) – Fall – No later than Week 3 (40 minutes)
NURS 251:
• Incorporate Skills Modules
• No examination is administered
NURS 225:
• No examination is administered
NURS 230:
• Incorporate tutorials included in the ATI package
• Nurse Logic – 2.0 and Learning Systems
• Use the Dosage Calculation Tutorials
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NURS 305:
• Incorporate Pharmacology tutorials
• Pharmacology (Proctored) – Fall – Week 15 (70 minutes)
NURS 301:
• Targeted Assessments
o Cardiovascular, Respiratory, Perioperative, Fluid/Electrolyte/Acid Base, Immune
o Faculty determines when testing occurs relative to course content
o Fundamentals (Proctored Form A) –Fall – Week 15 (70 minutes)
NURS 310:
• Targeted Assessments
o Endocrine, Neurosensory/Musculoskeletal, Renal/Urinary, Gastrointestinal
o Faculty determines when testing occurs relative to course content
NURS 306:
• Nursing Care of Children (Proctored) – Spring – Week 15 (70 minutes)
NURS 320:
• Maternal Newborn (Proctored) – Spring – Week 15 (70 minutes)
NURS 450A:
• RN Comprehensive Predictor Practice A- Online- Week 12
• Leadership and Management (Proctored) – Fall – Week 15 (70 minutes)
NURS 405A:
• Nutrition (Non-Proctored) – Form A rationales enabled (which gives immediate feedback
and explains why a response is correct or incorrect). Form B rationales disabled
• Students complete same process as with a proctored assessment
o Week 10 - Complete Form A
o Spend three hours in focused review and complete a required activity
o Week 12 - Achieve a 75% or better on Form B
• Faculty awards points for completion of all required elements (should not exceed 5% of
course grade)
NURS 405B:
• Adult Medical Surgical (Proctored) – Spring – Week 15 (100 minutes)
• Critical Thinking Exit (Proctored) – Spring – Week 15 (40 minutes)
NURS 415:
• Community Health (Proctored) – Fall/Spring – Week 15 (65 minutes)
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NURS 420:
• Mental Health (Proctored) – Fall/Spring – Week 15 (70 minutes)
NURS 450B:
• RN Comprehensive Predictor (Form A-Proctored) – Spring – Week 8 (180 minutes)
o Information is used to develop ATI Live (NCLEX) review course and the
students’ individual plan of study used for remediation prior to the final RN
Comprehensive Predictor (Form B)
• ATI NCLEX Live Review – Spring – Week 11 (Three 8-hour days)
• Remediation—students will receive an individualized plan of study following the Live
Review and are expected to complete the plan, take the RN Comprehensive Practice B
• RN Comprehensive Predictor (Form B-Proctored) - Finals Week (180 minutes)
ATI Point Structure
Online Practice A
Assessment with
rationales on (10
points if
completed and
submitted on time)
Required learning
activity
(Decided by the
course
coordinator, 20
points if activity
completed and
submitted on time)
Online Practice B
Assessment with
at least a 75%.
(10 points if
completed and
submitted on time
and 10 points for
75%)
Proficiency
Level on ATI
Proctored
Assessment
Points Awarded
for Achievement
on ATI
Proctored
Assessment
TOTAL
POINTS
POSSIBLE
OUT OF 100
10
20
20
Proficiency
Level 2 or 3
on ATI
Proctored
Assessment
50
100
10
20
20
Proficiency
Level 1 or
Below Level
1 on ATI
Proctored
Assessment
25
75
Students will receive a ZERO for late assignments unless prior arrangements are made with the course
coordinator. All late assignments must be completed in order to fulfill course ATI requirements.
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ATI Plan – Getting Started with ATI
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EXAMSOFT POLICY
Overview: The College of Nursing has implemented ExamSoft as the testing platform for all
nursing courses. ExamSoft is a secure, computer-based testing environment providing students
with an experience similar to the NCLEX-RN exam using a software download known as
Examplify. In addition to these testing benefits, ExamSoft provides students and faculty with
detailed analysis of the student’s performance by identifying individual and class strengths and
opportunities related to specific content areas. This performance data can be used by students to
guide their studying and examination preparation within a specific course and across the entire
nursing program.
Student Responsibilities for ExamSoft Use:
1. Students are expected to have access to a fully functioning laptop computer meeting the
minimal system requirements for ExamSoft/Examplify for all testing sessions in nursing
courses. The minimal system requirements for computer devices can be found in the
Canvas course.
2. PRIOR to the start of each semester, students are expected to purchase ExamSoft by the
designated due date using the instructions provided by the College of Nursing. This
information will be communicated via PSU email. Students who do not purchase
ExamSoft by the designated due date will be unable to test. The inability to test may
result in a 0 on all examinations until ExamSoft is purchased. If a student has an issue
with purchasing or utilizing ExamSoft, it is the responsibility of the student to directly
notify and discuss the circumstance with the campus coordinator by the date when
ExamSoft is to be purchased.
3. Students are required to complete the download of each examination in Examplify as
instructed and come to the testing session prepared to begin testing. A due date and
instructions for downloading an examination will be provided by the faculty via an email
sent to all students in the course.
4. Students who do not complete the download of an examination during the designated
time frame will receive a 5% deduction in the examination grade for any examination not
downloaded within the download window provided by the faculty. If a student fails to
download an exam within the specified time frame, the student may be provided with an
opportunity to download the exam at the testing session or be provided with an
alternative method of testing at the discretion of the faculty. The 5% deduction will still
apply. Make-up examinations will not be administered for failure to download an exam.
5. Students are expected to have a functioning computer for all examinations. Students are
expected to report any problems with examination downloading or technical issues
related to personal computers to the course coordinator as soon as a problem is identified
and no later than 5:00 pm on the last business day PRIOR to the scheduled testing
session. (For example, if the exam is at 9:00 am on Monday, the student needs to notify
the faculty by 5:00 pm on Friday of any problems; for an 8:00 am exam on a Tuesday
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when Monday is a holiday, the student needs to notify the faculty by 5:00 pm on Friday).
If persistent computer issues prevent the student from using their own device beyond one
exam 5% may be deducted from the examination score.
6. Students are expected to follow all pre-testing computer set up instructions including, but
not limited to, closing all applications and de-activating all anti-virus software. These
practices will assure optimal performance of Examplify during the testing session.
7. Students are expected to arrive to the testing session with a fully charged computer
device. Each classroom will have differing levels of access to electrical outlets. Electrical
outlets can be used as available.
8. Students are expected to upload their completed examinations immediately upon
completion of testing.
9. Students with testing accommodations are expected to provide this documentation to the
course coordinator at the beginning of EACH course. If this documentation is not
available to the student at the start of a course, students must provide documentation to
the course coordinator as soon as possible and at least 4 working days PRIOR to the first
examination when accommodations are needed or as directed by the individual campus
office of Disability Services.
10. All students are expected to follow the University’s Academic Integrity policy as stated
in the BSN/Second Degree Student handbooks.
11. All students are expected to follow the Testing Session Procedure as stated in the
BSN/Second Degree Student handbooks.
Faculty Responsibilities for ExamSoft Use:
1. All faculty are expected to utilize ExamSoft for testing within nursing courses.
2. Faculty will proctor all examinations involving ExamSoft.
3. All faculty are expected to have access to their personal Examplify account via a
computer device during all testing sessions.
4. All faculty are expected to provide the examination to students in Examplify for
downloading at least 48 hours PRIOR to the testing session and should require that all
downloads be completed by students at least 24 business hours prior to the testing
session.
5. All faculty must select the option to send a reminder for the download end time to all
students in the exam set up. This will generate an ExamSoft email. In addition, faculty
are expected to send an email to all students in the course notifying them of the
examination download time frame.
6. All faculty are expected to provide an emergency plan for technical problems with
individual devices reported by students by 5:00 pm on the last business day PRIOR to the
testing session.
7. All faculty are expected to confirm that a completed examination has been uploaded prior
to allowing a student to leave the testing session
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8. Faculty will provide a watermarked paper as scratch paper for the examination.
9. All faculty will utilize the ExamSoft’s random password generator for the development
of all passwords for testing sessions.
10. All examination reviews will be proctored and will follow the testing session procedures
to assure security of all items.
11. All faculty are expected to implement the Testing Session Procedures as stated in the
BSN/Second Degree Student handbooks.
Approved by BSN Council 12/10/2018
Revised BSN Council April 2019
TESTING SESSION PROCEDURES
Testing Session Procedures
1. Students are expected to arrive on time for testing sessions and are to be seated and
ready to test at the designated start time.
2. All personal belongings should be placed in the front of the room or at a designated area
determined by the faculty. This includes all bags, coats, hats, phones, watches, electronic
devices and any other items at the discretion of the faculty.
3. All cell phones or other electronic devices should be turned off.
4. Students should use the restroom prior to the testing session. Restroom use is restricted
during the testing session and will be allowed only in emergency situations.
5. Students will not be permitted to leave the classroom during testing except in the case of
an emergency.
6. Only a computer and mouse (as needed), PSU identification and a pencil will be allowed
on the desk during the testing session.
7. Faculty will provide a watermarked paper for each student. Students will be required to
write their name on the paper and return it to the faculty at the conclusion of the
examination. Failure to return this paper to the faculty prior to leaving the testing session
will be considered a violation of the University’s Academic Integrity Policy. Any student
who removes the paper from the testing session will be subject to the Academic Integrity
process which may include receiving a zero on the examination or other disciplinary
actions.
8. No food or beverages will be allowed at the desk during testing sessions.
9. Students may be asked to move to another seat or assigned to a seat for the testing session
at the discretion of the faculty.
10. Talking during the exam is not permitted unless an emergency occurs.
11. No questions will be answered during the examination unless related to an error/typo on
the examination or a technical difficulty. Raise your hand for assistance if this occurs.
12. Do your own work. Any evidence of cheating will be subject to the University’s
Academic Integrity Policy.
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13. Students are required to upload the examination as soon as the examination is completed
or when the testing time has expired. Proctors should confirm the green screen prior to
the student leaving the testing room. Students should not leave the testing session without
confirming an examination upload with the proctor.
14. If remaining in the testing area following an examination, your computer lid must remain
closed after the examination upload has been confirmed by the faculty until the exam
session has concluded for all students. Students remaining in the testing area after the
exam will not have access to personal belonging until the conclusion of the testing
session.
15. If a student leaves the testing session after the completion of the examination, the student
will not be allowed to return to the testing session until all students have completed the
examination.
16. RECOMMENDATION: As class size increases, faculty should consider adding
additional proctors to the testing session. Faculty groups at all campuses will be expected
to work together to identify a strategy to provide adequate proctoring for all examinations
Approved by BSN Council 12/10/2018
Revised BSN Council April 2019
COURSE AND CLINICAL SCHEDULING
1. Classes and/or clinical experiences are scheduled on Monday through Friday at UP,
HMC and Commonwealth campus locations.
2. Some NURS courses, in addition to the scheduled lecture and clinical times, may also
include a “BY APPT” notation to allow for clinical alternative experiences (e.g. AA
meeting attendance for NURS 420) that may occur at a time other than the posted
clinical meeting day/time. The alternative experience time will be incorporated into the
allotted clinical time (e.g. 90 hours total).
3. The College of Nursing may change course times, days and/or sections up until the day
prior to the first day of classes based on enrollments and/or administrative necessities.
4. Students may register for only one required clinical per day. Back-to-back clinical
experiences on the same day are not permitted because of the educational and safety
concerns associated with long hours.
5. Classes/courses may be administratively adjusted on the student’s behalf due to various
circumstances (e.g. registering outside of stated guidelines, registering without
permission—NURS 495/496, section size control, administrative necessities, etc.).
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UNDERGRADUATE PROGRAM ENROLLMENT
Each pre-licensure undergraduate option has enrollment limits. Completing nursing courses
intended for other Penn State Nursing options is not permitted
Revised Spring 2018
RE-ENROLLMENT/RE-ENTRY/DELAY IN PROGRAM PROGRESSION POLICY
The time to complete the Nursing Program depends on the sequence of courses, plan of study
and clinical placement availability. Optimally, students should complete their program according
to the designated Suggested Academic Plan.
Academic progression in the nursing program supports the development and synthesis of the
necessary skills from fundamental understanding to complex critical thinking. The academic
progression is designed to support educational success, licensure and transition to practice.
To facilitate timely progression and ultimate success, the College of Nursing has in place the
following guidelines:
Students may do only ONE of the following:
1. Drop only one required nursing course during the regular drop/add period and only one
time.
OR
2. Withdraw from the University only one time once enrolled in the Nursing program.
OR
3. Take a leave of absence only one time.
Note: Any of the above three actions will prolong the student’s progression by at least one year
and could be longer if space is not available.
Students re-entering:
1. Must provide the Campus Coordinator with a written intent to return to the program 3
months prior to the semester when they will return (see the following table).
Returning
Semester
Notification
Deadline
Spring Semester
October 1
st
of the
preceding year
Summer Semester
February 1
st
of the
same year
Fall Semester
April 1
st
of the same
year
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2. Must complete the University’s re-enrollment requirement prior to re-entering the
program. (http://www.registrar.psu.edu/returning_university/re_enrollment.cfm).
3. Are responsible for any fees associated with re-entry (i.e. re-enrollment fee).
4. Will return under the current curriculum requirements.
5. May be required to complete additional course work, repeat ATI testing/review course
requirements and/ or demonstrate competency of skills.
6. Must meet all program compliance requirements at least one month prior to the start of
the semester of return or by agreed upon deadline.
7. The Associate Dean for Undergraduate Education may approve exceptions in extreme
situations. The exception would require student review and development of an
individualized plan of study.
NOTE:
• Re-entry into the program is not guaranteed and approvals are dependent upon resources
and clinical availability.
• Please contact the campus coordinator for military exception to this policy.
• All exceptions must be approved by the Associate Dean for Undergraduate Education
prior to the start of the semester.
Effective Spring, 2015
AS Council Approval: 12/8/14
B.S.N. Council Approval: 12/1/14
Undergraduate Affairs Approval: 12/8/14
Revised: 10/2015, 1/27/2017
Editorial Changes: 1/30/2017
Editorial Changes: 12/8/2017
PRIOR LEARNING AND TRANSFER CREDIT
Transfer Of Credits Evaluation (General B.S.N. Pre-licensure Program)
1. All students admitted as first-year students or through the Commonwealth Campus’
review/entrance to major process are required to complete all core nursing
(NURS) courses at Penn State.
2. Transfer of credits is subject to University policies and procedures as outlined in the
current Policies and Rules for Undergraduate Students
(http://senate.psu.edu/policies-and-rules-for-undergraduate-students/). All such
credits are evaluated by the Office of Undergraduate Admissions
(http://admissions.psu.edu/info/future/transfer/credit/) for entry on the student
transcript.
3. Once the University has accepted your advanced standing (transfer) credits and you
have officially been admitted to the GNURS (pre-licensure) degree program, your
credits will be evaluated to determine how they may apply to the B.S.N. degree
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requirements. A maximum of six pre-admission transfer credits may be applied to
NURS major course requirements.
After a student is admitted to Penn State Nursing, transfer credits to complete Nursing
core courses are NOT accepted.
4. An appointment with your Adviser is suggested to review credit evaluations and plan
toward completion of the program.
5. All Associates-level and higher nursing credits accepted in pre-admission transfer
from accredited colleges/universities to Penn State meet the criteria for use as general
education electives.
6. One transfer or relevant PSU course may be petitioned to fulfill the Nursing
Supporting course with Adviser recommendation.
NOTE: This course does not need to have been completed within the past
five years. Student emails a request along with the course syllabus to the
Academic Adviser or Faculty Adviser. Faculty or Academic Adviser
submits request through the course substitution system (CSRS) for review.
Adviser recommendation and review and approval by the Associate Dean
for Undergraduate Education is required for courses not on the college’s
list of previously approved courses. This review will be completed by the
CON Records Office.
7. Some general education courses accepted by Penn State from other accredited
colleges and universities are direct equivalents of Penn State general education
courses. The five-year requirement does not apply to these courses; only to Nursing
(NURS) courses.
8. Some courses accepted by Penn State from other accredited colleges and universities
as general credits (i.e., not as direct equivalent) must be petitioned to substitute for
specific Penn State courses. The five-year requirement does not apply to these
courses; only to Nursing (NURS) courses.
9. A policy of the Undergraduate Admissions Office is to articulate transfer credits to a
Penn State student’s record upon receipt of an official transcript from an institution
that holds regional accreditation. All transcripts for transfer credits must be received
at Penn State Admissions by:
March 1 for Spring graduation
October 1 for Fall graduation
June 1 for Summer graduation
Taking course work at another institution during the semester you intend to graduate
could interfere with graduation if the credits are not transferred to their record by the
deadline. It is the student’s responsibility to ensure that official transcripts with
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grades are received in the Undergraduate Admissions Office for timely posting
to the student’s Penn State transcript.
10. To submit transfer coursework to Penn State, the student requests that an official
transcript from the institution where the courses were completed be sent to the
Undergraduate Admissions Office. This can be done one of three ways:
• The institution mails an official transcript to the Undergraduate Admissions office
at 201 Shields Building, University Park, PA 16802.
• The institution faxes the official transcript to 814-863-7590. The fax MUST be
sent from the institution, NOT the student.
• The institution sends the official transcript through Parchment or eScrip-Safe to
specific person in the Undergraduate Admissions Office.
ATTENTION:
*Tuition increases when a student accumulates 59.1 credits, including transfer, AP, IB,
and Penn State credits. If transfer credits are posted during the semester, and total
credits is more than 59.1, a mid-semester tuition increase bill will be sent.
Revised 5/6/16
Advanced Placement/International Baccalaureate/Dual Enrollment Credits
Due to the sequential nature of the Nursing curriculum, students will take at least 4 years to
complete the General BSN program, regardless of the number of credits earned prior to first-year
admission. All credits earned count toward semester standing for registration and tuition
purposes.
Credit By Portfolio For The Licensed Practical Nurse (LPN)
Baccalaureate Program - Education/Experience Verification
The Pennsylvania State University’s College of Nursing will award four (4) credits for Nursing
230, a fundamentals course, and two (2) credits for Nursing 250, a basic nursing course, to the
Licensed Practical Nurse (LPN) applicant who is deemed eligible for admission to the
Baccalaureate Program in Nursing, providing they can meet the following additional
requirements:
• The applicant graduated from an approved program of practical nursing within the past three
(3) calendar years
OR
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• The applicant graduated from an approved program of practical nursing more than three (3)
years prior to application and can document 1,000 hours of practice as an LPN within the last
three (3) years as verified in writing by the employer(s).
Responsibilities of the LPN applying for Credit by Portfolio to the Baccalaureate Program:
1. Notify the Undergraduate Campus Coordinator of the intent to apply for Credit by Portfolio
2. Submit the following documents to the Campus Coordinator:
a. Practical Nursing Program transcript
b. Copy of valid LPN license
c. Employer Documentation of Hours of Practice as a Licensed Practical Nurse form(s) if
applicable
d. Credit by Portfolio form*
Responsibilities of Undergraduate Nursing Campus Coordinator:
1. Verify all documents submitted by the student
2. Sign and date the Credit by Portfolio form*
3. Submit the form to the Academic Affairs Office for processing
4. No grade will be awarded nor credits earned for grades of “D” or “F”
5. Remind student about ATI exam responsibilities
ATI Exam Responsibilities for the LPN Awarded Credit by Portfolio to the Baccalaureate
Program:
Any LPN applicant who is awarded credit for NURS 230 and NURS 250 must still complete any
proctored ATI exams associated with those courses or semesters (e.g. the Critical Thinking and
the Fundamentals examinations).
* Examples of these forms are found in the LPN Credit by Portfolio Forms Index.
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HERSHEY MEDICAL CENTER
THE NEXT 3 PAGES APPLY TO UNIVERSITY PARK/HERSHEY STUDENTS ONLY
CAMPUS ROTATION REQUEST PROCESS – JUNIOR/SENIOR YEAR NURSING
STUDENTS ADMITTED TO UNIVERSITY PARK
The rotation assignment process aligns with our goal to help students become a well-adjusted
and adaptable professional. Your advisers, faculty and leadership are here to support you.
Remember that students are told in all programming that the rotation process changes each year.
The housing contract season occurs early in the fall semester. In order to facilitate students’
planning, Hershey/UP clinical rotation assignments will be completed over the summer.
Please read the process and contact your adviser with any questions.
Process:
1. Students will be sent an email during the summer prior to their sophomore year with a
survey link. On the survey, students will identify their first and second rotation choices.
2. A timeline will be provided with due dates. Students who do not respond by the due date
will be randomly assigned.
3. Students should submit only one survey. If a student submits more than one survey, only
the last time-stamped submission will be considered valid.
4. Students may specify BOTH junior and senior years at Hershey, and assignments will be
accommodated on a space-available basis.
5. NCAA athletes, Schreyer Honor students, and ROTC students, in consultation with their
unit leaders, may choose both years at UP. Additional information may be required and
verified. Other students with truly extenuating circumstances may request a case-by-case
review, which may or may not be approved.
6. Students who wish to be assigned with a friend or group of friends are encouraged to
request the same junior and senior year assignments, but lottery selection will be
completed individually.
7. If requests for a particular rotation outnumbers available space, students will receive their
second choice.
8. Rotation assignments are final. Students with truly extenuating circumstances may
request a case-by-case review, which may or may not be approved.
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Process for Requesting UP/HMC Campus Rotation Site Change
All students have the option to request a campus rotation site change (HMC or UP). Approval of
the request is dependent on course enrollment.
1. The student must obtain an even switch with another student of the same academic level
(e.g. Junior with a Junior; Senior with a Senior).
2. Associate Dean must receive a separate email from each student agreeing to the switch.
3. Request requires that the student be located at the requested site preferably for the entire
year to facilitate coordination of other courses and eliminate the need for the student to
move in the middle of the academic year.
4. Requests are approved by the Associate Dean for Undergraduate Education.
NOTE: After students are assigned to their clinical site, openings may become available at
either UP or HMC due to student attrition. If they do become available, they are
announced via PSU student listserv with a specified timeframe to apply if interested.
Selection to fill open positions is done randomly.
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Important Information for Students Attending Hershey Campus
Student Housing at Hershey Campus
University Manor West consists of 31 four-bedroom furnished apartments. The four-bedroom
suites have a closed hallway separating the bedrooms from the living area allowing privacy to
each tenant. All of the apartments are solidly constructed, designed to make them as soundproof
and fireproof as possible. There is mail delivery and a laundromat on site. To be eligible for
University Manor housing, a prospective tenant must be a full-time resident, medical student,
graduate student, nursing student, post-doctoral scholar, fellow, or medical fellow at Penn State
Milton S. Hershey Medical Center.
Prices include all utilities but DO NOT include telephone and cable television fees.
More information and a housing application can be found online at
https://students.med.psu.edu/student-life/housing/
For an application, select from the left-hand menu “Housing Applications” [This site uses pop-
ups. Verify your internet browser allows for pop-up windows: From the browser toolbar
select “Options” then “Privacy & Security” then “Permissions”.]
Then, click on “APPLY FOR PENN STATE COLLEGE OF MEDICINE STUDENT
HOUSING”. This will bring up a pop-up window.
Next, choose whether you are a New or Returning Applicant. Then select “I am a Nursing
Student” and complete the application.
LionCash+ at Hershey Campus
LionCash+ is available at Hershey Campus. Activation, usage, adding funds, etc., is the same as
the process at University Park and many other campuses. Information about LionCash+ can be
found at http://idcard.psu.edu/the-card. Additional information regarding merchants who accept
LionCash+ at Hershey (and other campuses) can be found at
http://www.idcard.psu.edu/IDCard/LionCash/Merchants/index.cfm
INSTRUCTIONS FOR TAKING COURSES AT PENN STATE HARRISBURG WHILE
AT HERSHEY CAMPUS
Students at Hershey Campus wishing to take any courses being offered through Penn State
Harrisburg must contact the College of Nursing office (1300 ASB/A110, phone number 717-
531-8767) with their request. The request should include the student’s PSU ID number, the
course schedule number, and the PSU student email address. An email request will be forwarded
to the Registrar at Penn State Harrisburg Campus by the Hershey staff. The student will then be
notified via email of the transaction.
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CLINICAL COMPLIANCE REQUIREMENTS
A major requirement of the Nursing Program is compliances. “Compliances” is the blanket term
used for all the medical and legal information required by the College of Nursing (CON), the
State Board of Nursing (SBN) and the clinical institutions to be eligible to complete your clinical
experiences and ultimately work as a Registered Nurse.
• Compliances are required ANNUALLY. Compliance documentation (exams, results,
certifications) must be dated/completed between May 1 and June 30
• Each student will receive an email notification early in the spring semester regarding
important compliance information, timeline, directions, and deadlines
• It is important to follow the compliance timeline to ensure you are compliant for the full
academic year. Most compliance information expires after 1 (one) calendar year. If you
begin this process prior to May 1st, your compliances will expire prior to the end of the
academic year and you will be at risk of being removed from your clinical courses
• All compliance data collection is completed through American DataBank/Complio. All
Compliance questions should be directed to American DataBank/Complio at: 800-200-0853
or submit a request to: [email protected]
• Compliance documents are submitted to student’s American DataBank/Complio account.
You will not be able to download forms or upload data on American
DataBank/Complio before May 1st . To submit documents, scan original documents and
upload to the secured site
• Students not meeting the June 30th upload deadline will have nursing courses dropped
from their schedule
• Forms and instructions for completion and submission vary for sophomore, junior and senior
nursing students. Please refer to Table 1 below for your specific requirements
• Some clinical institutions may have additional requirements (e.g. drug testing requirements)
that are not part of the standard compliances. You will be notified prior to the start of your
clinical if you must complete the additional requirements
• All compliance requirements are listed below in Table 1. Please refer to the compliance
timeline for information on when to complete the requirements. Detailed information and a
snapshot of each requirement follow the timeline
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Table 1. Compliance Requirements (CR)
CR#
Document Sophomore Junior/Senior
1
Student Notification of Program Requirements Form
X
X
2
Student Consent for Release of Information to Authorized
Third Parties
X X
3
Confidentiality, Safe Environment and Fiction Contract for
Nursing Simulation
X X
4
Entrance Health Exam Form
X
Annual Health Exam Form
X
5
Personal Health Insurance (Copy of Card-front and back)
X
X
6
Liability/Malpractice Insurance (Copy of Policy)
X
X
7
Cardiopulmonary Resuscitation (CPR) Certification (Copy of
Card-front and back)
X X
Clearance Checks:
8
PA Child Abuse History Clearance (Copy of Results)
X
X
9
PA Criminal Record Check (Copy of Results)
X
X
10
FBI Criminal Background Check/Fingerprints (Copy of
Results)
X X
11
Student Data Sheet Form
X
X
12
Flu Immunization (Due each November)
X
X
13
Drug Testing (Specific to campus/clinical institution)
X
X
14
Consent, License, and Release Agreement
X
X
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COMPLIANCE TIMELINE
The Timeline is as follows for rising sophomores:
*Please check off each item as you complete it. This will help to ensure that nothing is missed!
Spring Semester of Freshman Year:
_____ Schedule a health examination appointment for the week after spring finals (arrival
home). **Remember medical testing may take several weeks to complete. Scheduling
your appointment early allows this process to be initiated early enough for all compliance
materials to be completed and submitted by June 30
_____ Schedule American Heart Association Basic Life Support (BLS) Provider certification
course offered between May 1
st
and May 30
th
to complete the CPR
certification
requirement. (Includes CPR for the infant and child, and one-person and two-person CPR
for the adult)
_____ Read the Student Handbook online at: https://www.nursing.psu.edu/student-handbooks/
MAY 1:
_____ Go to the American DataBank website to create your account and purchase your package.
All necessary documents are located at this site. Also, you will upload all final documents
to this site
_____ Download all required forms from the American DataBank website (e.g. Entrance to
Health Examination form). Read each document and follow instructions to complete each
requirement
________ Complete FBI Criminal Background Check and Fingerprinting – Visit the Idemia
(MorphoTrust) website for Pennsylvania at:
https://www.identogo.com/locations/pennsylvania
Please note: Once registration is complete, you may go to any location throughout the
state of Pennsylvania ONLY to have your fingerprints electronically scanned. If you are
leaving the state immediately following Spring semester (e.g. non-PA resident, attending
summer semester abroad, going on vacation, etc.), you may want to consider completing
this before leaving campus for the summer break. Please note that fingerprint cards are
only available in select locations and prices may vary by state. Fingerprint cards are
the only option for out-of-state applicants or optional for applicants who are unable
to be printed electronically at a Livescan system within Pennsylvania. Instructions
on “How to Submit a Fingerprint Card” – Complete online registration with
fingerprint provider Idemia MorphoTrust via IdentoGO following the instructions
on your To Do List and print the Service Summary page at the end of your
registration
_____ Health Examination – Bring your “Entrance Health Examination Form” to your
appointment. Your healthcare provider must complete all medical requirements (titers, 2-
step TB, etc. dates and results) and document all data on this form (no attached or
separate sheets of paper permitted)
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_____ CPR certification card – Complete American Heart Association Basic Life Support
(BLS) Provider certification course. Upload front and back of CPR card.
_____ Professional Liability Malpractice Insurance – Obtain and upload your policy
_____ Student Notification of Program Requirements – Read and sign
_____ Student Consent for Release of Information to Authorized Third Parties – Read and sign
_____ Consent, License and Release Agreement (media) – Read and Sign–
_____ Confidentiality, Safe Environment and Fiction Contract for Nursing Simulation – Read
and sign
_____ Student Data Sheet – Please remember to put your local Penn State address.
_____ PA Child Abuse History Clearance and the Criminal Background Check – Complete
according to guidelines provided on the American DataBank website
_____ Personal Health Insurance Card – Upload front and back of card
_____ Drug Test – Upload your results
_____ Upload all completed documents to your account by June 30th.
_____ Make and keep a copy of all documentation for your own records.
The College of Nursing is not able to provide copies to you now or in the future.
JUNE 30
th
: COMPLIANCE DEADLINE
_____ All forms must be completed and uploaded to your account at this time.
_____ American DataBank will send you an email if any requirement is not completed by the
deadline.
_____ Keep a copy of all documents for your records, both at home and at school.
PLEASE NOTE: The College of Nursing does not retain copies of your documents.
SEPT 1
st
- NOV 1
st
:
_____ Receive a flu vaccination during the current flu shot season. Before November 1
st
, scan
and upload vaccination documentation or obtain a signed Declination Waiver from your
healthcare provider.
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PROCESS IF NOT COMPLIANT
What Happens If Your Compliances Are Not Completed On Time?
(*effective SUMMER 2018)
Annual completion of compliances is a professional responsibility that will be required as long as
you are in the nursing profession. Not completing your compliances by the established deadline
jeopardizes our relationship with the clinical sites who graciously agree to host and assist in teaching the
nursing students each year; places a lot of stress on you; and creates an enormous amount of work for
the nursing staff who are required to verify compliances and meet the clinical facility submission
deadline. The College of Nursing cannot risk losing even one clinical facility. Bottom line is without
clinical facilities, Penn State has no nursing program.
• June 30 is the annual deadline for compliances.
• All documentation must be uploaded to American DataBank between May
1 and June 30
If you don’t have all of your compliances uploaded to American DataBank by June
30:
It’s serious: Not meeting the compliances deadline is potentially life-changing.
This notification is the only warning you will receive.
Nursing courses will be dropped from your schedule without notice in July and will not be
reinstated for an entire academic year.
Scheduling of nursing courses will be blocked for one full academic year, preventing your
progression in the nursing program.
During this year, students may:
o Take a leave of absence (necessary if you will be taking the year off)
o Work towards a minor
o Complete general education requirements
Students should talk with their advisor to consider the ramifications (i.e. financial aid) of not
progressing.
Extenuating circumstances will not be considered unless the Advising Office is contacted by
April 1
st
to develop a plan that address your difficulty. The student must initiate this contact;
confidentiality prohibits College of Nursing staff from talking about your compliances with
anyone except you!
Examples of circumstances that are not legitimate are: study abroad, summer camp, vacation,
out of the country, forgetting, lack of knowledge about deadline, did not receive the emails,
finances, etc.
Annual compliance requirements have been discussed in Accepted Student Programs, New
Student Orientation, First-Year Seminar, many nursing classes, in the CONcierge Newsletter, on
Facebook, and in numerous listserv emails.
Plan ahead! You are responsible for completing your compliances on time and will be
held accountable.
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CR #1: Student Notification of Program Requirements Form
• The student is responsible for all information listed on this form
• The Student Notification of Program Requirements form must be submitted to student’s
American DataBank account. This form will remain in effect until student’s graduation
CR #2: Student Consent for Release of Information to Authorized Third Parties
• The student is responsible for all information listed on this form
• The Student Consent for Release of Information to Authorized Third Parties form must
be submitted to student’s American DataBank account. This form will remain in effect
until student’s graduation
CR #3: Confidentiality, Safe Environment and Fiction Contract for Nursing Simulation
• The student is responsible for all information listed on this form
• The Confidentiality, Safe Environment and Fiction Contract for Nursing Simulation form
must be submitted to student’s American DataBank account. This form will remain in
effect until student’s graduation
CR #4: Entrance Health Exam Form
(for students entering Sophomore year)
OR:
Annual Health Exam Form
(for students entering Junior or Senior year)
• The College of Nursing subscribes to the Pennsylvania State Board of Nursing requirement
that every undergraduate nursing student shall have an Entrance Health
Examination/Annual Health Examination
• Copies of Doctor’s records are not accepted as the health examination. All information must
be documented on the CON form. This form must be completed and signed by the healthcare
provider
• The Entrance Health Examination form or the Annual Health Examination form must be
submitted to student’s American DataBank account
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CR #5: Personal Health Insurance
(Copy of Card – Front and Back)
• Students must retain proof of health insurance throughout the academic year
• Students may be asked to provide proof of current health insurance by the clinical agencies
before being permitted to provide patient care in those agencies, and failure to do so will
result in the student’s failure to meet clinical requirements
• Students have the option to enroll in the Penn State insurance plan, to maintain a private
insurance policy, or, if eligible, to continue under their parent’s or spouse’s coverage
• The student is responsible for all costs related to emergency or follow-up care associated
with any injury sustained while on clinical that is not covered by their health insurance
• A copy of student’s personal health insurance card must be submitted annually to student’s
American DataBank account
CR #6: Liability/Malpractice Insurance
• Current Liability/Malpractice Insurance is required of all students by the clinical facilities
• Policy coverage dates must be from May 1 through April 30
• Most sites require a minimum coverage of $1,000,000/$3,000,000
• A copy of student’s malpractice/liability policy must be submitted annually to student’s
American DataBank account
• Students must select their own insurance carrier
Penn State University does not provide liability insurance for students engaging in internships
nor extend its insurance to students. Penn State also does not recommend specific insurance
providers. Insurance is available from many insurance providers, possibly including the
student’s own insurance provider(s) and/or some professional association-sponsored insurance
programs. It is the student’s responsibility to purchase liability insurance that meets the host
sites’ insurance requirements.
CR #7: Cardiopulmonary Resuscitation (CPR) Certification
(Copy of Card – Front and Back)
• Only the American Heart Association Basic Life Support (BLS) Provider certification
course will be accepted. American DataBank will not accept, for example, American Red
Cross Lifeguard CPR or American Heart Association Heartsaver Courses.
• Online certification is only accepted if renewing the certification.
• A copy of current CPR certification at the appropriate Basic Life Support (BLS) level (CPR
for the infant and child, and one-person and two-person CPR for the adult) is required.
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• The certification is valid for two years and costs approximately $70. If you are entering into
Sophomore year and obtaining certification for the first time, you will not need to renew your
certification until May preceding your senior year in Nursing.
• For information on class sessions, call the American Heart Association (877-242-4277) or go
online to http://www.heart.org/HEARTORG/CPRAndECC/CPR_UCM_001118_SubHomePage.jsp
Upload (scan) a copy of your certification card (front AND back) to your
American DataBank account by June 30.
CR #8 - #10: Clearance Checks
General Information
The College of Nursing maintains child abuse, PA and Federal criminal history clearance
policies and procedures to assure the safety of the public receiving services of students and to
meet requirements of the agencies where students complete clinical requirements.
• The student is responsible for all fees associated with the clearance checks
• Clearance checks are required annually
• Progression in the Nursing Program may be dependent upon the clearance check results
• All program decisions related to child abuse and criminal history clearances are consistent
with the recommendations of the National League of Nursing, The Commonwealth of
Pennsylvania, Department of State, Bureau of Professional and Occupational Affairs, and the
State Board of Nursing. These include but are not limited to the following:
1. All clinical facilities have the right and/or responsibility to preclude students who have a
history of child abuse or criminal activity from the facility. If experience in such a facility
is required to achieve the clinical objectives, the student will not be able to complete the
required course.
2. Even if there are multiple clinical course sections and the student is able to have clinical
experience for the course at another agency and thus complete the program, the student
should know that the State Board may deny licensure based on the applicant’s child abuse
or criminal history. Students also should know that if the student does become licensed,
various laws may preclude the individual from employment in a wide variety of settings.
3. In addition, students should be aware of the following State Board of Licensure policy:
To determine whether an applicant with a criminal record will be permitted to take
the examination, the Board will review the facts of the applicant’s case including the
type of conviction(s), the length of time that has elapsed since the conviction(s),
whether or not drugs were involved, whether the crime could be classified as one
involving moral turpitude, etc. Generally, the less egregious the crime, the greater the
amount of time that has elapsed since the offense, the more persuasive the evidence
than an individual can practice nursing with reasonable skill and safety and that there
is a low likelihood of recidivism, the greater the chance of receiving approval to take
the licensure examination.
4. In the past, the Board has concluded that an indicated report of child abuse is evidence
that an applicant is not of good moral character.
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CR #8: PA Child Abuse History Clearance (Act 151)
and
CR #9: PA Criminal Record Check (Act 34)
Students are required to have both Act 151 (Pennsylvania Child Abuse History) and Act 34
(Pennsylvania State Police Request for Criminal Record Check) clearances prior to beginning
any nursing course.
1. The annual Pennsylvania Child Abuse History Clearance is obtained by completing the
included Pennsylvania Child Abuse History Clearance form and following the
instructions on the form:
a. For electronic submission: https://www.compass.state.pa.us/CWIS
OR
b. For mail submission (print, complete, and mail form):
http://keepkidssafe.pa.gov/cs/groups/webcontent/documents/form/s_001762.pdf
2. The annual criminal background check is completed through American DataBank. A
form outlining all pertinent information is included for use in completing this request.
NOTE:
• In order to be compliant for the entire academic year, you must request clearances each
year between May 1 and May 15, as clearances take 4-6 weeks to be processed
• When completing the Pennsylvania Child Abuse History Certification Application, the
Purpose of Certification is “Volunteer having direct volunteer contact with children”.
Check the box “Other” and write in “Nursing Student”. The Agency/Organization Name
is “Penn State University College of Nursing”.
• The student is responsible for all fees associated with both background checks
• Clearances are required on a yearly basis while the student is enrolled in clinical nursing
courses
• Use ONLY the providers listed above for certification of required background checks.
Other agencies that provide clearances are not accepted
• Call the Department of Human Services (877-371-5422) if you have questions
Clearances must be completed and uploaded to your American DataBank
account by June 30
th
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CR #10: Federal Criminal History Clearance (Act 73) and Fingerprinting (Act 171)
General Information
• This requirement is for sophomores, juniors and seniors only
• It is a federal regulation that anyone who potentially comes in contact with children requires
fingerprinting and a Federal Criminal History Clearance (national criminal history) report
completed
• This requirement is done through the Department of Human Services (NOT the
Department of Education or the Department of Aging, for example)
• Currently the complete process takes approximately 4-6 weeks
• Students may use any Pennsylvania site that is listed – the student’s home address does not
determine the site which must be used
• The IdentoGO center operated by Idemia (MorphoTrust) will identify the Pennsylvania
locations, hours of operation, appointment instructions, and identification materials that you
are required to bring to the site where fingerprinting will be completed. Contact IdentoGO
(855-845-7434) if you have questions.
General Instructions
• Completion of this requirement involves two steps: (1) registration, and (2) actual
fingerprinting
• Registration must be done online at the Idemia (MorphoTrust) website for Pennsylvania at:
https://www.identogo.com/locations/pennsylvania
• Select "Digital Fingerprinting"
• Enter the "Service Code" and select "Go"
• The "Service Code" is provided in the “To Do List Requirement” from your American
DataBank account
• Select "Schedule or Manage Appointment"
• Payment is made ONLY at the time of fingerprinting
• Credit card, debit card, cashier’s check or money order are the ONLY payment methods
Cash, personal checks or electronic payments will NOT be accepted at the site
• You must have your payment with you when you go to your scheduled fingerprint scan
appointment
• Make sure that you bring both your document ID and payment method with you to
your session
• Follow instructions for the specific site you plan to use and make an appointment. If you
show up without an appointment, you will be turned away.
• A letter with the results will be mailed to the student
• A copy of the letter must be submitted annually to student’s American DataBank account
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Pennsylvania Fingerprint (Ink Card) Instructions
(For out of state applicants or optional for applicants who are unable to be printed within
Pennsylvania)
• Complete online registration with fingerprint provider Idemia MorphoTrust via IdentoGO
following the instructions on your American DataBank account and print the Service
Summary page at the end of your registration.
• Ask the location if they can perform printed fingerprints for you on the FD-258 fingerprint
cards.
• You will need to obtain two sets of physical fingerprint cards to submit for processing.
Fingerprints MUST be submitted on the official FD-258 fingerprint cards, which are
included in the packet that you downloaded from your American DataBank account.
• Some states have limited resources for this process. If you are having trouble locating an
agency to perform fingerprints, we suggest trying the following alternative solutions:
Some shipping/mailing stores may offer this service
College/Universities may have on campus police departments that can
offer this service
Unsuccessful Clearance Procedures
Child Abuse
Procedure for Unsuccessful “Child Abuse Clearance”
If the student clearance returns “Indicated”:
1. A meeting between the student and Campus Coordinator will be arranged by the
Campus Coordinator.
2. At the meeting, the policy will be reviewed and a plan will be developed which
may include obtaining clinical agency permission for the student to practice in
their facility. If the student cannot meet all clinical program requirements, the
student will be referred for career counseling.
3. Documentation of the meeting will be placed in the student’s file.
If the student clearance returns “Founded”:
1. A meeting between the student, Campus Coordinator, Associate Dean for
Undergraduate Education, and the Dean of the College of Nursing will be
arranged by the Campus Coordinator.
2. Meeting will include discussion of policy and development of a plan which may
include obtaining clinical agency permission for the student to practice in their
facility. If the student cannot meet all clinical program requirements, the
student will be referred for career counseling.
3. Documentation of the meeting will be placed in the student’s file.
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Criminal
Procedure for Unsuccessful “Criminal Clearance”
If the student clearance returns as “Summary”:
1. A meeting between the student and Campus Coordinator will be arranged by the
Campus Coordinator.
2. Meeting will include discussion of policy.
3. Documentation of the meeting will be placed in the student’s file.
If the student clearance returns as “Misdemeanor”:
1. A meeting between the student and Campus Coordinator will be arranged by the
Campus Coordinator.
2. Meeting will include discussion of policy and development of a plan which may
include obtaining clinical agency permission for the student to practice in their
facility. If the student cannot meet all clinical program requirements, the
student will be referred for career counseling.
3. Documentation of the meeting will be placed in the student’s file.
If the student clearance returns as “Felony”:
1. A meeting between the student, Campus Coordinator, Associate Dean for
Undergraduate Education and the Dean of the College of Nursing will be
arranged by the Campus Coordinator.
2. Meeting will include discussion of policy and development of a plan which may
include obtaining clinical agency permission for the student to practice in their
facility. If the student cannot meet all clinical program requirements, the
student will be referred for career counseling.
3. Documentation of the meeting will be placed in the student’s file.
Approved: B.S.N. Council 11/02
Revised 1/10/18
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CR #11: Student Data Form
The Student Data Form provides local and emergency contact information. This information is
kept on file and made available only to College of Nursing faculty and staff for purposes of
College of Nursing notifications or student emergency situations.
It is the student’s responsibility to notify the Academic Advising Office (210 Nursing Sciences
Building) or the appropriate CON Commonwealth campus Nursing office of any changes during
the academic year.
The Student Data form must be submitted annually to student’s American DataBank account.
CR #12: Influenza (Flu) Immunization
(Due each November)
An annual influenza (Flu) vaccination is required of all nursing students prior to attendance at
any clinical site utilized by the nursing program. Waivers can be granted only if the influenza
vaccination is contraindicated for a student’s health. The waiver must be written by the nursing
student’s physician/healthcare provider.
Approved: Undergraduate Affairs – Fall 2011
Revised: Undergraduate Affairs – Fall 2012
Documentation of influenza vaccination or waiver must be submitted annually to student’s
American DataBank account. Students will be sent an email notification later in the fall semester
with instructions and due dates.
CR #13: Drug Testing
• Students are required to complete drug testing as one of the compliances. All drug testing
is coordinated through American DataBank
• All students will place an order for the drug testing package with American DataBank as
per instructions from their campus
• Within 48 hours, you will receive a registration form
• The registration form must be taken to the drug testing facility assigned to you (location
is dependent on zip code provided at the time of the order)
• Once the specimen is collected, it takes 3-5 business days for results
• Drug testing reports are securely posted on your American DataBank account and are
available to the student and the CON only.
• Students are responsible for the cost of all initial drug testing and any retesting.
• Students are responsible for completing the drug screen, checking for their results
through American DataBank and completing any follow-up testing if required.
If screening results are negative or dilute negative, no further action is needed.
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If screening results are positive or dilute positive, the following steps will be taken:
1. The student will be contacted by the Medical Review Officer from American
DataBank to determine any legitimate explanation for the results.
2. If no explanation can be verified by the Medical Review Officer, the positive results
will be posted by American DataBank. The student will be dismissed from the
nursing major.
3. With a positive or dilute positive result, the student may request the original sample
to be retested at their own expense.
a. If this re-testing of the original sample produces a negative result, no further
action is needed.
b. If this re-testing of the original sample, produces a positive or dilute positive
result, the student will be dismissed from the nursing major.
NOTE:
1. The results of the retesting will be considered the final result, not the result from the
first test.
2. If a student declines to take a re-test at own expense, then results will be treated as
confirmed and verified positive result.
Approved: BSN Council - Spring 2018
Revised 9/2018
Upload (Scan) Completed Form to Your American DataBank Account by JUNE 30TH
CR #14: Consent, License and Release Agreement
• The student is responsible for all information listed on this form
• The Consent, License and Release Agreement Form must be submitted to student’s
American DataBank account. This form will remain in effect until the student’s
graduation
Added Jan 2020
Upload (Scan) Completed Form to Your American DataBank Account by JUNE 30TH
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Compliance Requirements Form Examples
CR #1: Student Notification of Program Requirements Form
STUDENT NOTIFICATION OF PROGRAM REQUIREMENTS
Directions: Please read and complete this form.
1.
HANDBOOK: The student is accountable for all policies and information contained within the
Student Handbook. The student handbook can be found online.
2.
CONFIDENTIALITY: All students must keep strictly confidential, and shall not divulge to
anyone, the identity of any patient, their medical condition, or their treatment. All students are
required to be familiar with all Standards of Nursing Conduct regarding confidentiality
(Pennsylvania Code, Title 49 Professional and Vocational Standards, 21.18).
Students who violate patient confidentiality in any format (verbally, email, text, social media,
pictures, etc.) will fail the course. Also, the clinical facility reserves the right to terminate any
student’s clinical experience if the facility’s confidentiality (HIPAA) policies are violated. This
would result in course failure because course objectives cannot be met without clinical
experience.
3.
ASSESSMENT TECHNOLOGY INSTITUTE (ATI): As part of the pre-licensure nursing
curriculum, the College of Nursing utilizes materials and services provided by ATI. An ATI
yearly fee will be posted to the student’s tuition account. There is a “NO REFUND” policy, and
financial aid may be applied toward the charges.
4.
PERSONAL HEALTH INSURANCE: Current health insurance is required of all students, and
proof of coverage must be provided if the clinical facility requests proof prior to providing patient
care. Therefore, students should carry a copy of their insurance card.
Your signature on this form signifies that you have read and understand these requirements. Failure to
complete and submit this form will result in noncompliance which will impact progression in the nursing
program. This form is in effect until the student’s graduation.
PRINT NAME____________________________________________________
SIGNATURE___________________________________DATE_____________________
*Handwritten (NOT TYPED) signatures only
Upload (Scan) Completed Form to Your American DataBank Account by JUNE 30TH
Revised Spring 2016
87
CR #2: Student Consent for Release of Information to Authorized Third Parties
STUDENT CONSENT FOR RELEASE OF INFORMATION TO AUTHORIZED THIRD PARTIES
The Family Educational Rights and Privacy Act (FERPA) and/or Pennsylvania law protects the privacy of student education
records (including their personal health information) by prohibiting their disclosure without the student’s written consent, except
under limited circumstances. In order to participate in some clinical rotations, clinical facilities may request access to certain
education records. In order for the University to provide clinical facilities with copies of such records, students will need to
complete and sign the form.
Authorized Third Party:
Clinical facilities where the student may be completing a clinical
rotation.
Purpose of Disclosure:
Requirement or condition of a clinical facility in order for student
to participate in clinical learning experiences, if requested by the
facility.
Duration of Authorization:
Effective during the Student’s enrollment in the College of Nursing
unless otherwise revoked by the Student.
R
ECORDS TO BE
R
ELEASED
:
Entrance Health Exam Form
Annual Health Exam Form
Proof of Personal Health Insurance (copy of insurance card)
Liability/Malpractice Insurance Policy
Cardiopulmonary Resuscitation (CPR) Certification
Pennsylvania Child Abuse History Clearance Results
Criminal Background Check Results
FBI Criminal Background Check Results and Fingerprints
Proof of Flu Immunization
Drug Testing results
I am signing this authorization/consent form voluntarily. I understand that I have the right to: (1) not to
consent to the release of my education records, (2) inspect any written records released pursuant to this
consent, and (3) revoke this consent at any time by delivering a written revocation, in person or through
U.S. Certified Mail, to the College of Nursing Coordinator for my campus.
__________________________________________ __________________
Student Signature Date
__________________________________________ __________________
Student Legal Name (Last, First, Middle Initial) Date
Revised March 2019
88
The Pennsylvania State University
College of Nursing
CONFIDENTIALITY AGREEMENT, SAFE ENVIRONMENT & FICTION CONTRACT
for Nursing Simulation
As a patron of the Nursing Simulation Lab, I understand the significance of confidentiality with respect to
information concerning simulated patients and fellow students. I will uphold the requirements of the
Health Insurance Portability and Accountability Act (HIPAA) and any other federal or state laws
regarding confidentiality. I agree to report any violations of confidentiality that I become aware of to my
facilitator or instructor. I understand and agree to being videotaped during the course of simulations and
skill demonstration to be viewed by faculty and fellow students related to the course of instruction.
I agree to adhere to the following guidelines:
• I will be open to reflection during the debriefing and care for the Human Patient Simulators (HPS) in
the same way I would care for any patient, acting with the patient’s best interest in mind with the
intention to provide safe and accurate patient care.
• All patient information is confidential and any inappropriate viewing, discussion, or disclosure of this
information is a violation of the Penn State College of Nursing policy.
• This information is privileged and confidential regardless of format: electronic, written, overheard or
observed.
• I may view, use, disclose, or copy information only as it relates to the performance of my educational
duties. Any inappropriate viewing, discussion, or disclosure of this information is a violation of
policy and may be a violation of HIPAA and other state and federal laws.
• The use of the Electronic Medical Record is intended for the simulated clinical environment for the
purpose of student education only and will not involve storing actual, live, or realistic protected
health information including any actual patient information or student health information.
• The simulation lab is a learning environment. All scenarios, regardless of their outcome, should be
treated in a professional manner. The student running the scenario should have everyone’s respect
and attention. Situations simulated in the lab are to be used as a learning tool and not to be used for
humiliation of fellow students.
• The simulators are to be used with respect and be treated as if they were live patients.
• No Betadine, no ink pens (near simulators), 22g IV or smaller for IV starts.
Student Signature: _______________________________________________________
Printed Name: ____________________________________________________
Date: _________________________________
Upload (Scan) Completed Form to Your American DataBank Account by JUNE 30TH
Original: Fall 2010 (Sharon A. Lacue, MSN, RN, CNE)
Revised: March 2013 (Sharon A. Lacue, MSN, RN, CNE)
Revised December 2017
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CR #4: Entrance Health Exam Form (1 of 2 Pages)
THE PENNSYLVANIA STATE UNIVERSITY COLLEGE OF NURSING
ENTRANCE HEALTH EXAMINATION
NOTICE: All sections must be completed.
Form must be signed by a licensed health care provider.
Copies of medical records, lab reports and incomplete forms will NOT be accepted.
Last Name ________________________________ First Name ___________________ MI _________
Date of Birth ______________
TUBERCULIN STATUS:
2-Step Tuberculin Skin Test (TST)
Step One Date____________ Results: □ Negative □ Positive
Then, within 1-3 weeks after Step One:
Step Two Date____________ Results: □ Negative □ Positive
If Positive TST:
Chest X-Ray Date__________
Results__________________________________________________________________
Isoniazid Prophylaxis: □ No □ Yes Dates____________
Comments:_________________________________________________________________________
ANTIBODY TITERS: Must be completed and interpreted by the health care provider. If titers indicate
not immune or equivocal—booster vaccination(s) is/are required.
1. Measles (Rubeola) Titer Date:_________ □ Immune □ Not Immune
If not immune, Booster Vaccine Dates: 1_______ 2________(two doses at least 4 weeks apart)
2. Mumps Titer Date:_________ □ Immune □ Not Immune
If not immune, Booster Vaccine Dates: 1_______ 2_________(two doses at least 4 weeks apart)
3. Rubella Titer Date:________ □ Immune □ Not Immune
If not immune, Booster Vaccine Dates: 1_______ 2________(two doses at least 4 weeks apart)
4. Varicella (Chicken Pox) Titer Date:_________ □ Immune □ Not Immune
If not immune, Booster Vaccine Dates: 1_______ 2________(two doses at least 4 weeks apart)
(Reverse Side must be completed also!)
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IMMUNIZATIONS:
1. HEPATITIS B Date #1_________ Date #2_________ Date #3_________
2. POLIO VACCINE Date #1_________ Date #2_________ Date #3_________
3. TETANUS/DIPTHERIA/PERTUSSIS VACCINE (Tdap):
Date of Tdap Vaccination____________________
If the last Tdap was 10 years or more, tetanus diphtheria (Td) is required
Date of Td vaccination______________________
TO BE COMPLETED BY HEALTH CARE PROVIDER
I have completed a health history and physical examination.
In my opinion, ___________________________________ is free of communicable disease and is able to
meet the physical and mental demands associated with typical clinical nursing experiences.
□
is able to participate in clinical nursing experiences without restrictions.
□ is able to participate in clinical nursing experiences with the following restrictions:
Restrictions________________________________________________________________________
______________________________________________________________________
Health Care Provider Information
Name (printed) ____________________________________ Telephone #_______________________
Signature _________________________________________ Date_____________________________
License # _________________________________________ State_____________________________
Upload (Scan) Completed Form to Your American DataBank Account by JUNE 30TH
Revised Spring 2018
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CR #4: Annual Health Exam Form
THE PENNSYLVANIA STATE UNIVERSITY COLLEGE OF NURSING (814) 863-2229
ANNUAL HEALTH EXAMINATION
NOTICE: All sections must be completed.
Form must be signed by a licensed healthcare provider.
Copies of medical records, lab reports and incomplete forms will NOT be
accepted.
Last Name _________________________ First Name ___________________ MI _________
Date of Birth ______________
TB STATUS:
Tuberculin Skin Test (Required Annually)
Date____________ Results : □ Negative □ Positive
If Positive TST:
Chest X-Ray Date__________
Results__________________________________________________________________
Isoniazid Prophylaxis: □ No □ Yes
Dates___________________________________________________________
Are any of the following symptoms present: persistent cough, hemoptysis, night sweats, weight
loss, or persistent fatigue? □ No □ Yes
Comments: ___________________________________________________________________
TO BE COMPLETED BY HEALTHCARE PROVIDER
I have completed a health history and physical examination.
In my opinion, ___________________________________ is free of communicable disease
and is able to meet the physical and mental demands associated with typical clinical nursing
experiences.
□ is able to participate in clinical nursing experiences without restrictions.
□ is able to participate in clinical nursing experiences with the following restrictions:
Restrictions:_________________________________________________________
___________________________________________________________________
Healthcare Provider Information
Name (printed) _________________________Telephone #_______________________
Signature ______________________________________Date_______________________
License # _______________________________________
State____________________________
Upload (Scan) Completed Form to Your American DataBank Account by JUNE 30TH
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Revised Spring 2014
CR #7: Cardiopulmonary Resuscitation (CPR) Certification (Copy of Card – Front
and Back)
Sophomores-Juniors-Seniors
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CR#8: PA Child Abuse History Certification (2 Pages)
Type or print clearly in ink. If obtaining this certification for non-volunteer purposes or if, as a volunteer having direct volunteer contact with children, you
have obtained a certification free of charge within the previous 57 months, enclose an $8.00 money order or check payable to the PENNSYLVANIA
DEPARTMENT OF HUMAN SERVICES or a payment authorization code provided by your organization. DO NOT send cash.
Certifications for the purpose of “volunteer having direct volunteer contact with children” may be obtained free of charge once every 57 months.
Send to CHILDLINE AND ABUSE REGISTRY, PA DEPARTMENT OF HUMAN SERVICES, P.O. BOX 8170 HARRISBURG, PA 17105-8170.
APPLICATIONS THAT ARE INCOMPLETE, ILLEGIBLE OR RECEIVED WITHOUT THE CORRECT FEE WILL BE RETURNED UNPROCESSED.
IF YOU HAVE QUESTIONS CALL 717-783-6211, OR (TOLL FREE) 1-877-371-5422.
PURPOSE OF CERTIFICATION (Check one box only)
Foster parent
Prospective adoptive parent
Employee of child care services
School employee governed by the Public School Code
School employee not governed by the Public School Code
Self-employed provider of child-care services in a family child-care home
An individual 14 years of age or older applying for or holding a paid
position as an employee with a program, activity, or service
An individual seeking to provide child-care services under contract with a
child care facility or program
An individual 18 years or older who resides in the home of a foster parent
for children for at least 30 days in a calendar year
An individual 18 years or older who resides in the home of a certified or
licensed child-care provider for at least 30 days in a calendar year
Volunteer having direct volunteer contact with children
If purpose is volunteer having direct volunteer contact with chil-
dren, choose SUB PURPOSE:
Big Brother/Big Sister and/or affiliate
Domestic violence shelter and/or affiliate
Rape crisis center and/or affiliate
Other:
PA Department of Human Services Employment & Training Program
participant (signature required below)
SIGNATURE OF OIM/CAO REPRESENTATIVE OIM/CAO PHONE
NUMBER
An individual 18 years or older, excluding individuals receiving services, who resides in a family living home, community home for individuals with an
intellectual disability, or host home for children for at least 30 days in a calendar year
An individual 18 years or older who resides in the home of a prospective adoptive parent for at least 30 days in a calendar year
AGENCY/ORGANIZATION NAME:
PAYMENT AUTHORIZATION CODE, IF APPLICABLE:
Consent/Release of Information Authorization form is attached. Applicant must fill in the “Other Address” sections. By completing the other address
sections, you are agreeing that the organization will have access to the status and outcome of your certification application.
APPLICANT DEMOGRAPHIC INFORMATION (DO NOT USE INITIALS)
FIRST NAME
MIDDLE NAME
LAST NAME
SUFFIX
SOCIAL SECURITY NUMBER
GENDER
Male Female
Not reported
DATE OF BIRTH (MM/DD/YYYY)
AGE
HOME ADDRESS
MAILING ADDRESS
(if different from home address)
OTHER ADDRESS (if Consent/Release of
Information Authorization form is attached)
ADDRESS LINE 1
ADDRESS LINE 1
ADDRESS LINE 1
ADDRESS LINE 2
ADDRESS LINE 2
ADDRESS LINE 2
CITY
CITY
CITY
COUNTY
COUNTY
COUNTY
STATE/REGION/PROVINCE
STATE/REGION/PROVINCE
STATE/REGION/PROVINCE
ZIP/POSTAL CODE
ZIP/POSTAL CODE
ZIP/POSTAL CODE
COUNTRY
COUNTRY
COUNTRY
Different mailing address
ATTENTION
ATTENTION
CONTACT INFORMATION
HOME TELEPHONE NUMBER
WORK TELEPHONE NUMBER
MOBILE TELEPHONE NUMBER
EMAIL (By submitting an email contact, you are agreeing to ChildLine contacting you at this address.)
Disclosure of your Social Security number is voluntary. It is sought under 23 Pa.C.S. §§ 6336(a)(1) (relating to information in statewide database), 6344 (relat- ing to employees
having contact with children; adoptive and foster parents), 6344.1 (relating to information relating to certified or licensed child-care home residents), and 6344.2 (relating to
volunteers having contact with children). The department will use your Social Security number to search the statewide database to determine whether you are listed as the
perpetrator in an indicated or founded report of child abuse.
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PREVIOUS NAMES USED SINCE 1975 (Include maiden name, nickname and aliases.)
First Middle Last Suffix
1.
2.
3.
4.
5.
PREVIOUS ADDRESSES SINCE 1975 (Please list all addresses since 1975, partial address acceptable; attach additional pages if necessary.)
1.
2.
3.
4.
5.
6.
7.
8.
9.
10.
HOUSEHOLD MEMBERS
(Please list everyone who lived with you at any time since 1975 to present.
Please include parent, guardian or the person(s) who raised you; attach additional pages as necessary.)
Name (First, Middle, Last) Relationship
Present
Age
Gender
1.
Parent
Guardian
person(s) who raised you
2.
Parent Guardian person(s) who raised you
3.
4.
5.
6.
7.
8.
9.
10.
CHILDLINE USE ONLY
DATE RECEIVED BY CHILDLINE
SUFFICIENT PAYMENT INFORMATION RECEIVED
YES NO
VALID PAYMENT AUTHORIZATION CODE
WAIVED (supervisor initials)
CERTIFICATION ID #
DATE
APPLICANT’S SIGNATURE
I affirm that the above information is accurate and complete to the best of my knowledge and belief and submitted as true and correct under penalty of law
(Section 4904 of the Pennsylvania Crimes Code). If I selected volunteer, I understand that I can only use the certificate for volunteer purposes.
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CR #11: Student Data Sheet Form
College of Nursing
STUDENT DATA SHEET
Date:
Name:
PSU 9-Digit #:
PSU Email Address:
PSU Local Address:
Y Yes, I know my address.
No, I don’t know my address yet.
Upload (scan) this form again upon
receipt of your final PSU Housing
address.
Cell Phone #:
Emergency Phone #:
Upload (Scan) Completed Form to Your American DataBank Account by JUNE 30TH
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CR #14 Consent, License and Release Agreement
CONSENT, LICENSE AND RELEASE AGREEMENT
I, the undersigned, hereby grant my permission and consent to The Pennsylvania State University (“Penn State”)
and its affiliates, officers, agents, and employees (together, “Penn State Representatives”) to photograph, video
record, or audio record me.
I hereby grant an irrevocable, world
--‐
wide, royalty
--‐
free right and license to Penn State and Penn
State
Representatives to utilize, adapt, modify, reproduce, distribute, publicly perform and display the photographs,
video, and/or audio (collectively “Media”) taken of me for use in promotional, educational, informational,
advertising or commercial materials and communications in any form now known or later developed, including but
not limited to publications, websites, articles, brochures, books, magazines, newsletters, exhibits, videos, films,
social media, advertisements, and training programs (collectively “Materials”). Furthermore, I hereby authorize
and consent to the use of my name, image, likeness, and voice (collectively, “Likeness”) in the Media for all
Materials or any other purposes deemed appropriate by Penn State.
I hereby waive any right to be notified or to inspect or approve the Media or any Materials that are created using
my Likeness, now or in the future, whether that use is known or unknown to me. I hereby waive any right to
royalties or other compensation arising from or related to the use of the Media or Materials. I hereby release and
hereby agree to indemnify and hold harmless Penn State and its trustees, Penn State Representatives, and their
licensees and assigns for any and all claims that I or any third party may have now or in the future for invasion of
privacy, right of publicity, copyright infringement, defamation, or any other cause of action arising of the use,
utilization, adaptation, modification, reproduction, distribution, publicly performance or display of my Likeness in
the Media or Materials. In accordance with this complete release of all rights in my Likeness used in the Media
and Materials, I hereby waive any and all claims, damages, or liability arising from or related to the use of the
Media, including but not limited to any misuse, distortion, blurring, alteration, optical illusion, or use in composite
form, either intentionally or otherwise, of my Likeness that may occur or be produced in taking, processing,
reducing, adapting, modifying, producing, reproducing of the Media and Materials and their publication,
distribution, display or performance.
I understand and agree that Penn State is and shall be the exclusive owner of all right title and interest, including
any copyright, in the Media and Materials.
I have read this Consent, License and Release before signing below, and I fully understand the contents, meaning,
and impact of this Consent, License and Release. This Consent, License and Release shall be binding upon and
inure to the benefit of my successors and assigns, and contains the entire understanding of the parties with regards
to the Media and Materials.
I hereby represent that I am eighteen (18) years of age or older and I am competent to contract in my own name.
Name (print) Email (non PSU) Phone Number
Signature Date
I hereby certify that I am the parent and/or legal guardian of the above
-‐
named minor and do hereby give
my consent without reservation to Penn State on behalf of such minor child.
Name (print) Signature of Parent or Legal Guardian Date
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Communicable Disease Update
THE PENNSYLVANIA STATE UNIVERSITY COLLEGE OF NURSING (814)
863-2229
COMMUNICABLE DISEASE UPDATE
Last Name First Name MI
Date of Birth / /
TETANUS/DIPTHERIA VACCINATION UPDATE □ N/A
Date of Vaccination: / /
Printed Name: Telephone: ( ) - Ext:
Signature: Date: / /
License number: State:
(Scan and upload the completed form to YOUR American DataBank Account.)
Spring 2019; Revised 11/11/2019
NOTICE: This form is only to be
used as an update in the middle of the academic year.
It does not replace the annual physical form that is to be completed with the
yearly compliances.
All applicable sections must be completed.
Form must be signed by a licensed healthcare provider.
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CLINICAL POLICIES
All students in the General B.S.N. will be required to complete clinical learning experiences to fulfill the requirements of
the baccalaureate degree in nursing. Please be advised that the following policies are applicable to all students, and
failure to meet any clinical requirements will impact progression and timely completion of the program. Policies may
represent requirements of the clinical facilities, the College of Nursing and/or the University.
PRECLUDED STUDENTS FROM CLINICAL INSTITUTION
All students will be expected to comply with all requirements set forth by the clinical institution, including their code of
conduct. The institution reserves the right to prevent entry or request withdrawal from the clinical site any student the
institution believes constitutes a risk of harm to patients, visitors or employees or who fails to follow the institution’s
policies and procedures.
If students are precluded from a clinical site by an institution, the College of Nursing has no obligation to find an
alternative clinical site for the student, and this may prevent the student from progressing in the Nursing Program.
Approved: 2/27/2017
PATIENT CARE
The student nurse will not discriminate while providing nursing services on the basis of age, marital status, sex, sexual
preference, race, religion, diagnosis, socioeconomic status or disability. This is in accordance with Pennsylvania Code
Title 49. Professional and Vocational Standards 21.18.
CLINICAL SAFETY POLICY
When health issues (physical or psychological) are involved, both student and client safety will be considered.
• Student is advised to consult with the nursing faculty member or adviser regarding health-related issues that may put
either student or client in danger
• All requirements of the clinical institution will be followed. Clinical institutions may require the student to provide
evidence from his/her healthcare provider that the student may participate without restriction in all clinical activities,
and that the student’s health concerns will not negatively impact students and clients
• The student may need to withdraw from nursing courses in order to allow time to receive treatment and improve
his/her health condition and to maintain the safety of clients. Refer to University Leave of Absence
(http://www.registrar.psu.edu/leaving_university/leave_absence.cfm) and Withdrawal
(https://www.registrar.psu.edu/leaving_university/withdrawal.cfm) policies
• Specific policies related to health follow
Approved Fall 2011
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IMPAIRED STUDENT NURSE POLICY
I. POLICY
The intent of this Policy is to offer assistance to those who are in need, while sending a clear
message that all students enrolled in the College of Nursing (“CON”) at The Pennsylvania State
University (“The University”) are strictly prohibited from possessing or being under the influence
of alcohol or drugs while engaged in any Clinical Activities.
II. STATEMENT OF PURPOSE AND INTENTION
A. Students enrolled in the CON at the undergraduate and graduate level engage in clinical
rotations and training on the campus of The University and at various types of healthcare
facilities, including, but not limited to, University skills or simulation laboratories, hospitals,
private practice offices, long-term care facilities, clinics, schools and community agencies.
B. Drug and alcohol use may adversely affect the educational process and the quality of care
provided by students in the clinical setting. Drug and alcohol use may also pose serious safety
and health risks to the student, patients and others.
C. The University and the CON require all nursing students engaged in Clinical Activities be free
from the influence of drugs and alcohol.
D. This Policy is enacted in accordance with a position statement on the subject of substance
abuse in nursing education published by the American Association of Colleges of Nursing, and
the standards set forth in Pennsylvania’s Professional Nursing Law (63 P.S. § 224, et. seq.).
E. This policy is not intended to apply to the use or possession of prescribed or over-the-counter
drugs and/or drug paraphernalia, if legally obtained, used for the purpose for which it was
prescribed or manufactured, and if taken at the prescribed or authorized dosage; provided that
use of the drug and/or drug paraphernalia does not interfere with the safe and efficient
performance of the Student’s Clinical Activities.
III. DEFINITIONS
A. “Alcohol” means beer, wine and all forms of distilled liquor containing ethyl alcohol.
B. “Clinical Activities” shall refer to those duties or activities required of CON students, whether
on the campus of The Pennsylvania State University or at an outside Host Facility, which
involve direct patient care or interaction with a patient or research subject for purposes of
medical care, treatment, or testing, and/or as part of a Clinical Program.
C. “Clinical Program” shall refer to the assignment of CON students to healthcare facilities,
University skills or simulation laboratories, etc., for the purpose of gaining practical
experience and/or engaging in patient care, in fulfillment of degree or course requirements.
D. “Drug” means hallucinogenic or narcotic drugs or other drugs/substances which tend to
impair judgment or coordination including, but not limited to, substances controlled by State
or Federal laws.
E. “Drug Paraphernalia” means all equipment, products, and materials of any kind, which are
used for injecting, ingesting, inhaling or otherwise introducing a drug into the human body.
This includes, but is not limited to, all equipment, products and materials prohibited or
controlled by State or Federal laws.
F. “Host Facility” shall mean any place other than a campus of The Pennsylvania State
University where a student is engaged in Clinical Activities in fulfillment of degree or course
requirements, including but not limited to healthcare facilities, hospitals, physician offices,
long-term care facilities, clinics, schools and community agencies.
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G. “Student” is an undergraduate or graduate student enrolled in the CON.
H. “Clinical Instructor/Supervisor” is the person the CON assigned to oversee a student while
engaged in performance of a Clinical Program and/or while engaged in Clinical Activities.
Clinical Instructors are faculty employed by Penn State CON. Supervisors are employees of
the facility at which a Clinical Program takes place.
Note: Defined terms are capitalized herein.
IV. DRUG AND ALCOHOL POSSESSION AND USE
A. Prohibitions. Except as provided in paragraph C below:
1. No Student engaged in Clinical Activities shall use, consume, transport, possess or sell
Alcohol, Drugs or Drug Paraphernalia while on the site of a Clinical Program, or while
engaged in Clinical Activities.
2. No Student may report to the premises of a Clinical Program or remain on duty, or engage
in any Clinical Activities, while under the influence of or impaired by Alcohol or Drugs, to
any degree. This is a zero tolerance policy.
3. This policy is not directly applicable to Students who are in traditional classroom/ lecture
situation; however, all Students of The University are prohibited from being under the
influence of Alcohol or Drugs while taking part in on-campus activities and violations of
this nature may be subject to sanctions under the Student Code of Conduct and/or other
University or CON rules and regulations.
B. Exceptions. The following circumstances may constitute exceptions to this Policy:
1. Prescribed and over-the-counter drugs. The use or possession of prescribed or over-the-
counter drugs and/or drug paraphernalia is not prohibited by this Policy, if legally
obtained, used for the purpose for which it was prescribed or manufactured, and if taken at
the prescribed or authorized dosage; provided that use of the drug and/or drug
paraphernalia does not interfere with the safe and efficient performance of the Student’s
Clinical Activities.
2. Legitimate distribution of medications. The prohibitions set forth in this Policy do not
apply to legitimate distribution of medication as may be an assigned duty in a clinical
program.
C. Students who participate in Clinical Programs at outside facilities are subject to the rules and
regulations of the Host Facility and Penn State College of Nursing. This may include drug
and/or alcohol testing. Testing for illegal drugs or alcohol may be required by the Host
Facility prior to commencement of a clinical program, on a random basis, following an
accident, or upon observation of conduct which may be indicative of drug or alcohol use.
Neither the University nor the CON has control over the manner in which testing is carried out
by a Host Facility. If a test indicates the presence of illegal drugs or alcohol, and if the test
results are provided to the CON, this information will be utilized in the manner set forth
herein.
V. PROCEDURES
A. Failure to cooperate with the procedures set forth herein may result in termination of a
Student’s clinical program, which will carry with it serious consequences for the Student’s
ability to complete his or her course of study in the CON.
B. In order to assure compliance with this Policy and as a condition of continuing to participate in
Clinical Activities and/or a Clinical Program, Students are required to cooperate with the
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procedures outlined herein, including Drug and Alcohol testing. Such tests may be
administered upon a finding of reasonable suspicion that a Student has used Drugs or Alcohol
while engaged in Clinical Activities. Reasonable suspicion shall be determined by the Clinical
Instructor/Supervisor, based upon various factors, including but not limited to observation of
signs or symptoms commonly associated with intoxication, such as: impaired mental ability,
inability to maintain balance, odor of alcohol, boisterous or slurred speech, drowsiness, dilated
pupils, staggering, awkward movements or erratic behavior. In making a determination of
reasonable suspicion, the Clinical Instructor/Supervisor may take into account observations of
lay persons, other staff or faculty of the CON and/or healthcare professionals.
C. When finding of reasonable suspicion is made, the following steps will be implemented by the
CON.
1. If the student appears to be medically unstable (i.e. is obtunded, falling down, lashing out
at people, etc.), the student will be sent to the nearest emergency room. If no emergency
room is in the clinical site, an ambulance will be called.
2. If the student appears medically stable, the Clinical Instructor/Supervisor shall instruct the
student to leave the clinical area and will address the student in private to discuss the
behavior(s) observed. If the supervisor is a non-PSU preceptor or supervisor, contact the
course or clinical instructor assigned to the student.
3. If at any time during this process, the Clinical Instructor is not able to adequately manage
other students in the clinical group, they should be sent home, citing an emergency
situation that requires the Clinical Instructor attention.
4. The Clinical Instructor will specifically inquire about whether the student has used drugs
or alcohol and if so, the details of such use.
5. The Clinical Instructor shall consult with the Campus Coordinator for undergraduate
students or the Graduate Option Coordinator, for graduate students, as practicable, and
shall make a determination as to whether to refer the Student for Drug and Alcohol testing.
If the Campus Coordinator is not available, the Clinical Instructor will consult with another
nursing administrative person or faculty member at the CON or campus. The decision to
send the student for testing will preferably be made with consultation of at least one other
administrative person who has assessed the student face to face or has consulted via phone.
In the event that another person is not available, the clinical instructor will make the
decision independently.
6. If the decision is made to send the Student for testing, the Student shall be notified that he
or she will be tested for the presence of Drugs and/or Alcohol. The CON will incur costs
associated with the initial testing only. A student who refuses to undergo testing shall be
presumed to have violated this policy. Transportation for both the student and the faculty
person to and from the location for testing (see Urine Drug Screen Clinic Sites) will be
arranged and paid for by the CON. The Student will be accompanied by a CON
representative and one other person at all times during transportation to the testing site.
7. Each location will determine appropriate safe travel arrangements keeping in mind that two
responsible adults must be in the vehicle with the student.
8. After testing is completed, the CON will arrange for the student to be transported home or
to the home of a family member or friend. The student will be counseled against driving
and encouraged to arrange to be accompanied by a family member or friend. If the student
is unable or unwilling to call a family member or friend to transport them home,
transportation will be arranged and paid by the CON. The PSU representative will remain
with the student until transportation is obtained.
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9. Tests shall be accomplished via urine sample, or other reliable method. The testing
process will be carried out pursuant to the testing protocols of the clinical agency or the
University’s Office of Occupational Medicine. Samples shall be collected by the clinical
agency or the designated screening clinic of the University’s Office of Occupational
Medicine. A split sample shall be collected. Test results will be interpreted by the
University’s Medical Review Officer, who shall verify documentation of appropriate chain
of custody and shall make the determination of whether a test is positive for the presence
of Drugs or Alcohol. A negative result on a test will not necessitate further testing and no
further action shall be taken. In the case of a positive test, the Student shall be contacted
by the Medical Review Officer, who shall determine whether there is any legitimate
explanation for the positive test. If no legitimate explanation can be verified by the
Medical Review Officer, the Student shall be given the option of having the second sample
tested, at the expense of the Student. If testing of the second sample yields a negative
result, no further action shall be taken. The Medical Review Officer shall advise the
appropriate Associate Dean of the CON of testing results. NOTE: If testing is necessary
during a time that the screening clinic is closed, testing will be done at the Clinical agency,
if possible, and results will be obtained by the University’s Office of Occupational
Medicine.
10. The University will make reasonable efforts to maintain confidentiality in the
administrative handling of matters relating to Student Drug and Alcohol testing.
11. The Clinical Instructor/Supervisor will prepare a written report documenting the observed
Student behaviors and submit same to the Campus Coordinator for undergraduate students
or the Graduate Option Coordinator, for graduate students, and the appropriate Associate
Dean of the CON.
D. A Student who has been sent for a Drug and Alcohol test shall be suspended from participation
in Clinical Activities until the results are returned. Test results shall be provided by the
Medical Review Officer to the appropriate Associate Dean of the CON. If the results are
negative, the Student shall be permitted to resume his or her regular Clinical Activities
immediately. If the test results are positive for the presence of Drugs or Alcohol, or if the
Student refused to submit to testing, the following steps shall be followed.
1. A meeting will be held, within a reasonable period of time, with the Student, the Clinical
Instructor involved and the Campus Coordinator for undergraduate students or the
Graduate Option Coordinator, for graduate students to discuss the incident, allow all
parties to provide any relevant information, and to discuss sanctions and/or academic
consequences related to the alleged violation. Sanctions may include suspension from all
Clinical Programs, a failing grade for a given course, or for repeat offenders, dismissal
from the CON.
2. The Student will execute a written agreement to seek an initial drug and alcohol
consultation at Counseling and Psychological Services (CAPS) and/or a drug and alcohol
evaluation with a certified or licensed professional capable of providing this service. The
Student must sign an informed consent form to allow release of the evaluation results to be
provided to the appropriate Associate Dean of the CON. The Student shall be required to
follow any treatment plan which may be recommended as a result of the substance abuse
evaluation. Refusal to undergo substance abuse evaluation or failure to comply with any
recommended treatment may result in the Student’s dismissal from the CON. Following
successful completion of any such treatment plan and/or upon certification by an
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appropriate substance abuse counselor that the Student is fit to return to Clinical Activities,
the Student shall be permitted to resume full participation in the CON curriculum.
3. The fact of a positive test result shall be conveyed by the CON to the Office of Student
Conduct for evaluation of whether the behavior has violated the Student Code of Conduct.
The Office of Student Conduct will investigate and process the matter in accordance with
standard University procedures and the Student Code of Conduct. The Designee or staff
from the Office of Student Conduct will investigate the allegation and when it appears that
a violation may have occurred, the Student will be subject to the University’s disciplinary
process. The CON will be notified of the outcome of this process.
4. Any student who has a positive drug screen confirmed must contact the Pennsylvania
Nurse Peer Assistance Program (PNAP) as part of the evaluation process. If the student is
diagnosed with abuse or dependence of a substance, the student must enroll with PNAP
monitoring.
VI. APPEALS
A. A Student may appeal sanctions by sending a written statement of the basis for the appeal to
the appropriate Associate Dean of the CON, within ten (10) days after the action which is
being appealed. The Student’s written appeal shall succinctly set forth the basis for the appeal,
with supporting documentation, as appropriate.
B. Within a reasonable period of time after the filing of an appeal, the appropriate Associate Dean
of the CON shall convene a meeting with the Student in an attempt to amicably resolve the
matter. If no resolution can be reached, the appropriate Associate Dean of the CON shall
convene a hearing committee, consisting of three (3) faculty members from the CON, one of
whom shall serve as committee chair. The hearing shall be convened as soon as practicable.
The following rules shall apply to the hearing:
1. The purpose of the hearing is one of fact finding.
2. The committee shall have full authority to conduct the hearing in a manner that is fair,
efficient, and respectful.
3. Formal rules of evidence do not apply, but irrelevant, immaterial or unduly repetitious
evidence may be excluded at the discretion of the committee.
4. In light of the nature and spirit of the proceeding, representation by legal counsel is
prohibited.
5. The hearing shall be closed, meaning that no one beyond the persons involved in the
hearing will be admitted.
6. Participants shall include the Student and the Clinical Instructor who observed or was
involved in the incident in question. Others with knowledge of the circumstances in
question may be permitted to participate, with the permission of the chair of the
committee.
7. The Clinical Instructor will address the committee first, followed by the Student. The
committee may ask questions of the Clinical Instructor and the Student. The Clinical
Instructor or faculty member and the Student may also ask questions of each other, in a
polite and respectful manner.
8. Requests for additional information may be made by the committee to the faculty member
and the Student.
9. At the conclusion of the hearing, the committee shall dismiss the participants and
deliberate in private. The committee members shall then vote on the outcome of the
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hearing, with each member having one vote. The chair of the committee will inform the
Student of committee’s decision within one business day after the hearing.
10. The decision of the committee shall be final.
VII. REINSTATEMENT TO CLINICAL PROGRAM/ACTIVITIES
A. As a condition for being considered for reinstatement to a Clinical Program and/or
participation in Clinical Activities, Students must consent to release to the CON the findings,
reports and/or recommendations of any drug and alcohol counselors, physicians, psychiatrists,
psychologist, etc. as well as the outcome of any actions undertaken by the Office of Student
Conduct.
B. A Student who has been removed from a Clinical Program for a violation of this Policy shall
be permitted to return to the Clinical Program upon fulfillment of the following conditions:
1. Expiration of any academic suspension or disciplinary suspension.
2. Written documentation of successful completion of all drug and alcohol services
recommended or any recommendations by the Office of Student Conduct.
3. Agreement to voluntarily participate in random Drug or Alcohol screening, the cost of
which must be paid by the Student.
C. A Student’s return to any Clinical Program at a non-Penn State Host Facility will be
contingent upon re-acceptance by the Host Facility.
VIII. ASSISTANCE TO STUDENTS WITH DRUG OR ALCOHOL PROBLEMS
Students with drug or alcohol problems, whether or not engaged in Clinical Activities, are
encouraged to voluntarily seek assistance through University’s Center for Counseling &
Psychological Services. Professors, instructors and advisers in the CON will assist Students with
referrals, as requested.
NOTE: Any situation that may arise that does not fall within the policy guidelines will be
addressed on a case by case basis, in consultation with the College of Nursing, University
Occupational Medicine and University Risk Management.
Approved Fall 2005
Revised Fall 2009
Revised Spring, 2013
Revised 1/2018
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INFECTIOUS DISEASE POLICY
Clinical Agencies
A. Clinical agencies utilized by the College for clinical practice experiences are to have written
infection control plans designed to minimize or eliminate exposure to infectious disease.
B. The clinical agency’s infection control plan shall include:
1. A schedule and method of implementing the infection control plan.
2. A schedule for reviewing and updating the plan to reflect significant changes in tasks,
policies, and procedures.
3. A method of dealing with and documenting occupational exposure.
C. Clinical agencies are required to make the infection control plan available to the College’s
administration for examination and copying.
Standard Precautions and Isolation Practices
All students will follow standard precautions and second tier isolation practices as defined by the
CDC and the agency policy and procedures to minimize exposure to infectious disease.
Accidental Exposure, Post Exposure, and Follow-up
A. Clinical agencies utilized by the College for clinical practice experiences are to have written
post-exposure plans including follow-up of the exposed faculty or student including antibody
or antigen testing, testing of the source patient, counseling, illness reporting, and safe and
effective post-exposure prophylaxis according to standard CDC recommendations and
Pennsylvania State Law.
B. In the event of significant exposure to blood or body fluid, defined by the CDC as: “a
percutaneous injury (e.g., needlestick or cut with a sharp object) or contact of mucous
membrane or nonintact skin (e.g., exposed skin that is chapped, abraded, or with dermatitis)
with blood, saliva, tissue, or other body fluids that are potentially infectious”,
The nursing student will:
1. Immediately and thoroughly wash or rinse (if mucous membrane) the exposed area
2. Report the incident to the clinical instructor
The clinical instructor will:
1. Report the incident immediately to the appropriate representative at the clinical facility
2. Facilitate completion of the steps for follow-up as outlined by the policies and procedures
at the clinical facility.
Note: All testing and/or treatment after exposure will be at the student’s expense.
Revised: 11/06
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RETURN TO CLINICAL
Students enrolled in clinical courses who require surgery, hospitalization, under the care of a
physician post-accident, or sick for an extended period of time (5 or more days) must provide
verification from a physician that the student may return to clinical activities without restrictions.
In addition, any student with limitations or the use of an assisted device will be required to
follow the clinical institution’s policy.
Approved: 10/2009
Revised 12/2017
STUDENT PREGNANCY POLICY
For the safety of the pregnant student, she should be aware of potential risks related to some
learning experiences such as, but not limited to, communicable disease[s], strenuous activity,
toxic substances including radiation, and the potential for bodily harm. The student should
consult with her faculty member prior to the clinical experience to be made aware of any clinical
agency policies related to pregnant individuals such as not entering where radiation therapy is
being administered. Neither The Pennsylvania State University nor its affiliating clinical
agencies assume responsibility for any harm that might occur to a fetus or a pregnant student.
Approved: 11/04
TRANSPORTATION TO AND FROM CLINICAL AGENCIES POLICY
All nursing majors have clinical experiences in a variety of settings at Hershey Medical Center,
University Park and the Commonwealth campuses that involve travel to a clinical site. The
College of Nursing requires that students assume responsibility for providing their own
transportation to and from clinical sites. The use of a car and/or carpooling is a necessity.
STUDENT DRESS CODE POLICY
The College of Nursing has adopted the following dress code guidelines for students while in the
clinical or simulation lab setting:
1. Students must purchase uniforms from the College’s designated uniform vendor.
2. Various blue or white shirts and ONLY navy skirts/pants may be worn.
3. Plain white or navy tee shirts or turtlenecks may be worn under current uniform.
4. Lab coats and Penn State polo shirts may be required for some clinical experiences. If lab
coats or polo shirts are required, they must be purchased through the College’s approved vendor
and have the College’s logo on them.
5. A PSU name pin and/or site-specific photo ID should be worn and visible above the waist.
The student’s given first name and last name with PSSN (Student Nurse) following will appear
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on the top line and “Penn State University” on the second line. Name pins must be purchased
from a designated campus vendor.
6. Shoes must be mostly white, with white laces only. Professional shoes or leather athletic shoes
with neutral color accents are acceptable. Students are advised not to purchase clogs or crocs
because they are prohibited in some institutions. High-top athletic shoes may not be worn. The
shoe of choice may not have any openings.
7. White hose without patterns are to be worn by females when wearing navy blue skirts. White
socks without patterns or decorations may be worn with slacks.
8. Cardigan sweaters (only) may be worn, either navy or white (as ordered from the vendor).
9. In the clinical area, the following is not acceptable:
• Smelling of strong perfume, aftershave, colognes, and/or cigarette smoke
• Chewing gum
• Heavy make-up
• Fingernails must be kept short and well-groomed. No acrylic nails, gel tips or dark
colored nail polish is permitted.
• Jewelry - no dangling earrings, bracelets, necklaces, and rings (other than wedding
bands) are permitted. Medical Alert bracelets are permitted. No obvious body
piercings, including nose, eyebrows, tongue, and lip are permitted. Ears are limited to
one post earring per ear. Flesh tone plugs instead of jewelry is permitted.
• Hair must be neatly worn off the collar. No unnatural hair color (ex. bright green,
bright blue) is permitted (. Large ornamental hair attachments are not considered
proper when in uniform. Hairbands are limited to 2 inches in width and must be
white, navy blue, or black in color. Male students should be clean shaven or have
neatly trimmed beards or mustaches.
• Tattoos may be visible unless a clinical site has a policy of no visible tattoos: then the
student must abide by that policy and conceal any tattoos. Tattoos that may be
offensive to patients, co-workers, or visitors or that contain the following must be
covered: profanity, nudity, violence, racial references, alcohol, and/or controlled
substances.
10. Students involved in clinical courses (for example: Community Health, Mental Health, Care
of Children) will sometimes wear appropriate street attire as defined by the faculty and/or
facility. Blue jeans, sweat shirts, sweat pants, tank tops, t-shirts, halter tops, shorts, yoga /
exercise pants and other tight or revealing clothing may not be worn. The name pin must be
visible at all times.
Note: Additional requirements related to attire or behavior in the hospital or other clinical areas
may be made by any faculty member responsible for class or clinical instruction (e.g. some
religions do not allow women to wear pants). Violations of the dress code may result in the
student being asked to leave the clinical area. Also, dress code violations will be reflected in the
student’s clinical evaluation.
Approved: Summer 2008
Revised: Summer 2009
Revised: Spring 2015
Revised: Spring 2019; Effective Summer 2019
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SOCIAL MEDIA POLICY
The Social Media policy provides Penn State College of Nursing (CON) students with rules to
participate in social media, including Penn State College of Nursing social media and in non-
Penn State CON social media.
Definition: Social Media is a conventional term of electronic communication through which
users create online communities to share information, ideas, personal messages, email, or video
hosting sites.
First and foremost, all nursing students must recognize their ethical and legal obligation to
maintain patient privacy and confidentiality at all times. As a nursing student it is important to
represent Penn State College of Nursing in a fair, accurate and legal manner while protecting the
College’s reputation.
1. Students may be held personally liable for proprietary, defamatory or libelous material
posted on any form of social media.
2. Students will face sanctions for posting of materials that is defamatory, profane, threatening,
harassing, hateful or humiliating to patient, students, hospital staff, preceptors, nurses, Penn
State faculty and staff, employers and co-workers included. Sanction will be determined by
the University Office of Student Conduct, the CON Academic Integrity Committee, or the
appropriate CON Academic Administrator.
3. Improper use of social media may result in being sued for defamation, invasion of privacy or
harassment.
4. Occurrences of inappropriate use of social and electronic media may be submitted to the
State Board of Nursing, which may affect licensure or eligibility for licensure.
5. The use of pseudonymous email addresses or online identities can be investigated and traced,
so their use does not protect the student from responsibility and any liabilities related to
posting online materials and or social media.
6. Students must promptly report any identifiable breach of confidentiality of privacy in regard
to self, other nurses and /or other nursing students.
7. Students must be knowledgeable of hospital and healthcare institution policies, relevant state
and federal laws and professional standards regarding patient privacy and confidentiality and
their application to social and electronic media.
8. The CON may take action to dismiss any student from the Nursing Program who violates the
social media statement.
9. Students may not transmit any electronic media of any patient-related information or image
that violates patient rights to confidentiality or privacy or to otherwise degrade or embarrass
the patient and/or families.
10. Students must not share, post or otherwise disseminate any information (including images)
about a patient or information gained in the nurse-patient relationship with anyone, unless
there is care-related need to disclose the information or other legal obligation to do so.
11. Students must not use social media during clinical hours or at any time on the clinical
agency’s equipment or property.
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References:
ANA (2011). Principles for social networking and the nurse.
ANA (2011). Six tips for nurses using social media.
Carlow University School of Nursing, Social Media Policy (with permission)
National Council State Board of Nursing (2011). White paper: A nurse’s guide to the use of
social media.
Approved by Undergraduate Affairs: Fall 2013
Approved by Graduate Affairs: June 2013
USE OF ELECTRONIC DEVICES IN CLINICAL POLICY
This policy is to establish guidelines for appropriate and professional use of electronic devices
(e.g. cell phones, smart phones, tablets, computers) during clinical by nursing students.
“Clinical” is defined as the various settings utilized in any clinical nursing course (for example,
skills laboratory, acute care facilities, sub-acute care and rehabilitation facilities, long-term care
facilities, clinics and physician offices, and community settings). Students must first adhere to
the policies of the clinical facility, as well as this CON policy, regarding the use of electronic
devices in clinical settings.
If electronic devices are approved for use according to clinical facility policy, the following
restrictions apply:
• Electronic devices may only be used for clinically-related reasons as approved by each
clinical instructor and/or course coordinator
• All devices must be kept on “silent” or “vibrate” mode in the clinical setting
• Use of electronic devices for personal communication (e.g. email, text, social media) or
other personal reasons unrelated to clinical is strictly prohibited
• Taking any voice recordings, photographs or videos during clinical is strictly prohibited
• Students are responsible for adhering to the federal Health Insurance Portability and
Accountability Act (HIPAA) and Information Technology for Economic and Clinical
Health (HITECH) regulations regarding protected health information. Students may not
download or store any confidential client data on a personal electronic device
Violations of this CON policy and/or the policy of the clinical facility may result in clinical
remediation or failure.
Approved: Spring 2008
Revised: Fall 2015
(Formerly Clinical Cell Phone Policy)
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CLINICAL CANCELLATION GUIDELINES
(Includes: Inclement weather, other disasters)
1. Penn State’s decision to delay or cancel classes is almost always because of hazardous travel
conditions. If bad weather requires the University to cancel classes, the local radio and
television stations are informed.
2. Decisions are campus-specific (e.g. cancellation of classes at Hershey Campus but not
University Park). World Campus students will need to use their best judgement and
communicate about clinical attendance with their clinical preceptors.
3. If your campus cancels the next day’s classes the day or night before clinical, then clinical is
cancelled. For example, if on Tuesday the University cancels classes for Wednesday, then
Wednesday clinical is cancelled.
4. If faculty and students are already at the clinical facility when the campus classes are
cancelled, then the instructor will decide, based on current and anticipated weather/travel
conditions, whether clinical should be cancelled.
5. If the campus has not cancelled classes, clinical may still be cancelled if hazardous travel
conditions exist. In this instance, Faculty will evaluate the weather and travel situation of
their specific clinical facility/location and notify students according to an established student
notification process previously communicated with the class.
6. Students must additionally use their own best judgment in traveling when clinical is not
cancelled. Faculty cannot know all weather/travel conditions if the student is traveling from
outside the immediate area.
7. Bottom line—Safety First!
SIMULATION LABORATORY PRACTICE OPTION
Students are able to schedule times in the simulation laboratory to practice specific skills. Prior
to attending, students should contact the simulation coordinator and/or simulation laboratory
assistant to inform them of the skills that need to be reviewed and to arrange a time.
Approved April 2018
CLINICAL FAILURE POLICY
At the completion of the semester, a student who receives an unsatisfactory clinical performance
rating in the final clinical evaluation on any one (1) criterion measured by the Student Clinical
Performance Evaluation tool is deemed unsafe or inadequate in the application of knowledge
that is expected at the course level. This unsatisfactory rating will denote clinical failure and
subsequent course failure.
UP or HMC students who fail a clinical course will be required to repeat the clinical course at a
different campus site. Assignments for repeat course work will be scheduled at the site based on
the specific learning experience needed by the student. Exceptions must be approved by the
Associate Dean for Undergraduate Education and the Campus Coordinator.
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If a required nursing course is not successfully completed, academic progression in the Nursing
Program will be affected and the student may need to step out of the Nursing Program for an
entire academic year based on the course offering schedule (nursing courses are offered during
specific semesters). Please consult the Suggested Academic Plan.
GUIDELINES FOR USING THE CLINICAL EVALUATION TOOL AND
REMEDIATION FORM
• Faculty must address every objective on the Student Clinical Performance Evaluation tool;
none may be left blank. Faculty are to review the course objectives and consult with other
faculty in the same course to be sure that they are all interpreting the evaluation objectives
similarly and in relation to the course objectives. The category “not observed” is to be
utilized only if the individual evaluation objectives are interpreted to lie outside of the course
objectives.
• Faculty are encouraged to include both positive and constructive anecdotal information in the
comment sections of the evaluation tool. Both comments and anecdotal information are to be
dated.
• Faculty members must substantiate all failing grades with anecdotal information in the
comment section.
• When a student receives a failing grade in any objective, the faculty member must identify
measurable behaviors the student must demonstrate in order to bring the grade up to a
passing level. A remediation plan to meet these objectives will be jointly prepared by the
faculty member and the student. The faculty member and student must both sign the plan, a
copy is given to the student and the original is attached to the evaluation form.
• In the mid-semester and final evaluation sections of the tool, the faculty member must
identify the strengths and weaknesses of the student. These comments must pertain to the
listed objectives. Faculty members are to identify those students who are minimally meeting
the clinical objectives of the course in these written sections, both for the benefit of the
students and the benefit of other faculty members who may have cause to review the
evaluations in the future.
• It is not necessary to wait until the mid-semester or final evaluation to identify areas of
deficiency and initiate remediation plans. Faculty are encouraged to meet with students and
develop remediation plans at any point in the semester. Such interactions are to be
documented on remediation plans and attached to the evaluation form.
• In the event that the existing objectives fail to address specific course and/or clinical
objectives, it is acceptable for faculty to attach an addendum with a few additional objectives,
organized using the categories and format of the current tool. Faculty members will distribute
all additional course-specific objectives to students at the beginning of the semester.
For detailed information on the Clinical Performance Evaluation Remediation Forms process,
refer to the Clinical Performance Evaluation Remediation Forms Index.
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ACADEMIC SUCCESS
DEFINITION OF GRADES
For undergraduates, the grades of A, A-, B+, B, B-, C+, C, D, and F indicate a gradation in
quality from excellence to failure and are assigned the following grade-point equivalents:
College of Nursing Grading Scale
Grade
Grade-Point Equivalent
College of Nursing Grading Scale
A
4.00
94-100
A-
3.67
90-93
B+
3.33
87-89
B
3.00
83-86
B-
2.67
80-82
C+
2.33
77-79
C
2.00
75-76
D
1.00
68-74
F
0
Below 68
NURSING COURSE EXAMINATION ROUNDING POLICY
Purpose: To provide a consistent method of calculating individual grades that utilizes standard
rounding practices and is equitable and fair for all students in all courses in the CON.
A student must achieve a minimal final course grade of [75% for UG and 83% for Grad] for
successful completion of the course. Each individual examination score is reported to the
hundredth place, e.g. 92.76 and not rounded up. Only the final course grade will be rounded up.
A final course grade of X.50 will be rounded to the next highest whole number (example 72.50 =
73). A final course grade of X .49 would not round up (example 72.49 = 72).
Procedure:
• All individual course grades are recorded throughout the semester to the nearest 100
th
(2
decimal places with no rounding)
• Individual grades are then added and weighted for a final grade
• Only the final course grade is rounded to the nearest whole number using standard
mathematical rounding
Note: Standard mathematical rounding requires at least 0.50 to round up, so for example
74.49 would not round up to 75 it would round down to 74. Rounding 74.49 up to 75 is
referred to as double rounding and is not mathematically correct.
Effective Spring 2016
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ACADEMIC SUCCESS PROGRAM
Academic Success Plan
Overview:
The College of Nursing’s Academic Success Plan is a proactive approach to support academic
achievement. Students, in collaboration with the Academic Success Coach and the nursing
faculty, are strongly encouraged to actively participate in the Academic Success Plan for nursing
courses beginning at the sophomore level. The Academic Success Coach is a faculty member
who has a particular interest in the areas of student retention and academic support. The
Academic Success Coach acts as a resource to students and can be accessed directly by the
student at any time. Additionally, a course coordinator or clinical instructor may refer a student
to the Academic Success Coach for assistance based on course or clinical performance.
The Academic Success Coach works in conjunction with the student to address specific
academic performance issues such as test taking strategies, study skills, and class preparation.
Because clinical performance is an important aspect of nursing education, a Clinical Success
Plan can be developed to help support clinical skill acquisition. In addition, the Academic
Success Coach works with the individual student to identify any specific barriers to performance
such as finances, time management, and social supports. The Academic Success Coach will
guide the student in accessing University resources to address any identified concerns.
Participation in the Academic Success Plan is voluntary and student accountability is recognized
as an important characteristic of academic success. The student is responsible for follow through
and completion of an Academic Success Plan.
The Success Team:
The Academic Success Team consists of the student, course coordinators and clinical faculty, the
Academic Success Coach and professionals from a variety of campus resources. The roles are
defined as follows:
Student - The Academic Success Plan is student driven. Students desire success and at
times may need support to reach their fullest potential. Students have the option to initiate
an Academic Success Plan to address any need impacting their academic performance.
In addition, participation in the Academic Success Plan will be encouraged by faculty and
the Success Coach, but ultimately the decision to participate in this program is up to the
student. Because everyone’s time and resources are valuable, it is expected that students
will be clear regarding their commitment to follow through with an Academic Success
Plan. It is the student’s responsibility to schedule and attend appointments and to
maintain communication with faculty and others involved in their Academic Success
Plan.
Course Coordinators - The Course Coordinator in all nursing courses will encourage
students who earn less than a 77% on an examination or assignment worth 10% or more
of the final course grade to develop an Academic Success Plan. The Course Coordinator
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is the content expert and will work with the student to review exams and identify gaps in
knowledge and test taking skills. The Course Coordinator will be available to students by
appointment and at designated times. It is the student’s responsibility to set up and attend
appointments and to maintain communication related to the Academic Success Plan.
Clinical Faculty - The Clinical Faculty in all nursing courses may recommend a Clinical
Success Plan at any time during a clinical course. The Clinical Faculty will recommend
areas for review and practice. The student will schedule time for review, practice, and
demonstration during available Simulation and Skills Lab times. It is the student’s
responsibility to review and come to these sessions prepared for focused practice and
demonstration. It is important to note that a Clinical Success Plan IS NOT a Clinical
Remediation Plan.
Academic Success Coach - The Academic Success Coach is a faculty member with a
special interest in supporting students to achieve their academic goals. The Academic
Success Coach is a resource available to all nursing students through scheduled
appointments and designated office hours. The Academic Success Coach can assist in
areas such as test-taking strategies, identifying barriers to learning, accessing resources to
enhance academic performance, and contributing to the support system of the student. It
is the student’s responsibility to schedule and attend appointments and to maintain
communication with the Coach.
6/1/2016
Revised 8/1/2016, 8/1/2017
Types of Plans:
Course Assignment or Assessment Grade <77% - Students earning a grade of <77%
on any assignment or assessment worth 10% or more of the final grade will be referred to
the Academic Success Coach. This referral occurs through an email process originating
from the Course Coordinator to the Student and Academic Success Coach.
General – Any faculty can refer a student to the Academic Success Coach for concerns
regarding academic performance even if the student has not earned a grade <77%. In
addition, a student may do a self-referral to the Academic Success Coach at any time.
Clinical- The Clinical Success Plan is designed to support the development of clinical
skill performance (i.e. PPE, aseptic technique, catheterization). A clinical instructor may
refer a student for further assistance with skill acquisition. THIS PLAN IS NOT A
CLINICAL REMEDIATION PLAN.
Academic Success Coaches – Coaches are located on each campus and will be a valuable
resource as you learn the process of the Academic Success Plan. The Academic Success
Coaches include:
Altoona – Cindy Bowman; Paula Kustenbauder
Behrend – Margo Kertis
Fayette – Amy Shearer
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Harrisburg – Ann Swartz
Hershey – Abbygale Hackenberger
Mont Alto – Lisa Ward
Scranton – Milton Evans
University Park – Maggie Layman
Academic Success Plan
The College of Nursing Academic Success Plan is designed to support academic achievement.
Students, in collaboration with the Academic Success Coach and the nursing faculty, are strongly
encouraged to actively participate in the Academic Success Plan for theory and clinical
components of this course. An Academic Success Plan can be initiated by the course
coordinator, clinical faculty, or the student in conjunction with the Academic Success Coach for
unsuccessful assessment level of your Critical Thinking examination, an exam grade <77%,
clinical skill performance, or any other academic performance issues. Your Academic Success
Plan will differ based on the reason for the referral. For the purposes of the Academic Success
Plan, an exam constitutes any assessment worth 10% or more of the final course grade.
Participation in the Academic Success Plan is voluntary, and the student is responsible for
follow through and completion of the Academic Success Plan.
For detailed information on the Academic Success Plan process, please refer to the Academic
Success Plan Index.
6/1/2016
Revised 8/1/2016, 8/1/2017; 8/14/17
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ACADEMIC PROGRESSION
The Nursing curriculum is designed to move the student from a fundamental understanding of
basic concepts to complex critical thinking and application in clinical settings. Academic
progression is designed to support educational success, licensure and transition to practice.
ACADEMIC PROGRESSION POLICY
This policy delineates the academic standards required of students admitted to the pre-licensure*
undergraduate nursing program, which includes two options: General Bachelor of Science in
Nursing (GNURS), and Second Degree Bachelor of Science in Nursing (SCND). A student is
limited to two attempts for any prerequisite or required nursing course.
**Attempts are defined as earning a grade in a course or late-dropping the course.
A course attempt in one pre-licensure option (GNURS, SCND) applies to all pre-licensure
options. Academic Renewal does not negate previously attempted nursing courses. In a
situation where the student withdraws from the University (Policy 56-30) courses will not be
counted as one of the two attempts for the prerequisite or nursing course.
Overall Academic Requirements:
1. Successful completion of the following major requirements (BIOL 161, BIOL 162,
BIOL 163, BIOL 164, PSYCH 100, HDFS 129, NUTR 251, CHEM 130 or CHEM 110
and CHEM 111, MICRB 106, MICRB 107, SOC 001 or SOC 005, STAT 200 or STAT
250) is defined as a grade of “C” or better according to the University grading scale.
2. Successful completion of required Nursing courses is defined as a “C” or better
according to the College of Nursing Grading Scale.
3. All major requirements and required Nursing courses may only be attempted two times.
4. A student who attempts** (see definition above) or earns a “D” or “F” in the same
major requirement or required Nursing course for a second time will be dismissed from
the Nursing major. Academic advising relative to other majors/options will be
provided.
5. A student who attempts** or earns a “D” or “F” in two different required Nursing
courses will be dismissed from the Nursing major. Academic advising relative to other
majors/options will be provided.
6. Students who wish to return to the University after a leave of absence or re-enroll after
withdrawing from the University will follow the CON Re-enrollment/Re-entry policy
available in the Student Handbook .
7. Any exceptions to the two-attempt limit must be approved by the Dean of the College
of Nursing.
* Pre-licensure refers to students who do not have an RN license.
Senate approval: Spring 2016
Senate approval of revisions: Fall 2016
Revised course list: Fall 2019
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STUDENT ACADEMIC DIFFICULTY
One of the responsibilities of the Undergraduate Admissions and Standards Committee is to
monitor the academic progression of students in the nursing curriculum. The committee believes
that the student is ultimately responsible for seeking assistance when experiencing academic
difficulty. However, the student should know that their progress is being monitored and that the
faculty is committed to helping the student achieve success. This plan for early identification and
follow-up of students experiencing academic difficulty is designed to ensure that students are
well-informed about strategies for success, including University resources and assistance.
Plan for Early Identification of Academic Difficulty and Follow-up
1. All students must achieve a “C” or better (75% or greater) in all required nursing courses in
the program.
2. The Chair of the Undergraduate Admissions and Standards Committee will request that all
nursing faculty identify at mid-semester (week 7–8) any student earning less than 75% in
the theory portion of a course, or any student performing below satisfactory levels in
clinical. Faculty who have a course following an alternative time frame (e.g., 7-week or
front loading of clinical) are responsible for notifying the committee about students in
academic difficulty at mid-course.
3. The Chair of the Undergraduate Admissions and Standards Committee will send a letter of
concern to all students who have been identified in academic difficulty.
4. A copy of the letter will be sent to the adviser and course coordinator. The letter will be
placed in the student’s file.
5. Students are responsible for contacting the course coordinator and/or adviser within one
week and for returning the signed form (attached to the letter) to the Academic Affairs
Office (210 Nursing Sciences Building) for students at University Park, the Nursing Office
(A110 ASB) for students at Hershey, or the appropriate CON Commonwealth Campus
Nursing office.
6. The Chair of the Committee and the Associate Dean for Undergraduate Education will be
informed of all students earning a “D” or “F” in a nursing course. With the first failure, a
letter will be sent to the student from the Chair of the Committee reviewing the academic
progression policy and suggestions for success in future nursing courses. With a second
failure, a letter from the Associate Dean for Undergraduate Education will be sent notifying
the student of dismissal from the Nursing Program and will provide advisement
information and other options available.
For detailed information on the Academic Difficulty Notification Letter, please refer to the
Academic Difficulty Notification Letter Index.
Revised: Summer 2012
Revised: Summer 2015
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ACADEMIC GRIEVANCE PROCEDURES
The following assumptions are acknowledged:
• All members of the University community, students, faculty, and administration have
rights and responsibilities which support Penn State as an institution of higher learning
• Students, faculty, and administration sometimes have differing perceptions of what these
rights and responsibilities are
• Students of the Nursing Program are subject to procedures for resolving grievances of an
academic nature in accordance with The University Faculty Senate Policies and Rules for
Undergraduate Students at http://senate.psu.edu/policies-and-rules-for-undergraduate-
students/
GRADE MEDIATION AND ADJUDICATION
The basis for grades, as stated in Senate Policy 47-20, is "...the instructor's professional judgment
of the student's scholastic achievement..." Occasionally, a disagreement arises in the assignment
of a grade. A student who wishes to question or challenge the grade assigned in a course must
follow the G-10: Grade Mediation and Adjudication Policy (https://undergrad.psu.edu/aappm/G-
10-grade-mediation-adjudication.htm) .
Nursing’s accreditation standards require that the CON must ultimately be responsible for
assigning the nursing course grade. The following is interpretation of grade adjudication for
nursing students:
1. Meet and discuss grading practices and assignments with the course instructor. It is
expected that the student and instructor will try to eliminate any misunderstandings and
will attempt to work out any disagreements over grades.
2. If unresolved, the student should meet with campus nursing program coordinator to
review the issue and seek resolution
3. If unresolved, the student should seek formal grade adjudication:
a. Complete a Grade Adjudication Petition Form (found here
https://undergrad.psu.edu/aappm/grademed_2020.pdf )
b. For non-UP campus students, submit form to the campus associate dean or
director of academic affairs, who will consult with nursing.
c. For UP/HY students, submit the form to the associate dean of the CON.
4. The petition must be submitted no later than ten weeks following the end date of the
course (as it appears in the schedule of courses).
5. The petition must present clear evidence that the assignment of the grade was based upon
factors other than the academic judgment of the instructor.
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6. After review of the petition, the associate dean/director of academic affairs will consult
with nursing and provide the student and the instructor with the recommended course of
action.
7. If either the student or the instructor do not accept the recommended course of action
from the associate dean/director of academic affairs, they may appeal the determination
within ten (10) business days.
8. The associate dean at the campus and nursing and/or director of academic affairs will
appoint an ad hoc committee of three (3) faculty with appropriate expertise to determine a
grade, which concludes the adjudication process.
Students should review the G-10 policy (https://undergrad.psu.edu/aappm/G-10-grade-
mediation-adjudication.htm) in its entirety and seek clarification if needed.
Revised January 2020
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NURSING OPPORTUNITIES
ROTC NURSING STUDENT SUMMER TRAINING
ROTC students may use their Nursing Summer Training Program (NSTP) for their NURS 400-level
elective. Since the NSTP is completed during the summer between the student’s junior and senior year,
the student has the following options:
• Students must be enrolled in Penn State when they participate in the NSTP in order to receive
credit
• Register (and pay tuition) for 3 credits of NURS 495 in the summer
OR
• Register (and pay tuition) for 2 credits of NURS 495 for summer and register for 1 credit of
NURS 496 for fall semester, with additional requirements for each course
• Refer to the NURS 495/496 policy for specific requirements
UNDERGRADUATES ENROLLING IN GRADUATE COURSES
Undergraduate students who wish to enroll in 500-level courses may do so according to the
requirements listed below and by completing the required form “Undergraduate Student to take 500-
Level Courses” at http://www.gradschool.psu.edu/forms-and-documents/ges-owned-forms-and-
documents/500level2pdf/ : Every form must have the instructor’s signature.
1. Every UGRD student (SHC students included) who wants to enroll in a GRAD course needs to
use the Undergraduate Student to take a 500 or 800-Level Course form.
2. Every form must have the instructor’s signature.
3. Schreyer students simply need to obtain the instructor’s signature regardless of GPA. The
instructor signs the form.
4. IUG students simply need to obtain the instructor’s signature regardless of GPA. The instructor
signs the form.
5. All other students (non-SHC and non-IUG) must have senior status and need to obtain the
instructor’s signature on the form. If the student’s GPA is at least a 3.5 then no other signatures
is required after obtaining the instructor’s signature. If the student’s GPA is between 3.0 and
3.49 then that student’s advisor is also required to sign the form.
6. All forms should be submitted to Graduate Enrollment Services.
All completed forms must be submitted to Graduate Enrollment Services (114 Kern). Upon submission
to Graduate Enrollment Services, the request will be reviewed. If approved, Graduate Enrollment
Services will notify the student and Registrar’s Office of the approval, and the student will be enrolled in
the course.
Revised Oct 2017
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PROTOCOL FOR STUDENTS WHO SEEK OUTSIDE EMPLOYMENT
• Employment of students in health agencies, in keeping with the State Board of Nursing
regulations, is as follows:
o When students are employed in health agencies, they may not be employed as Registered or
Practical Nurses unless they are currently licensed.
o Student employment shall be on a voluntary basis and not a requirement of the institution.
• The College of Nursing personnel are not to promise student services to outside persons or
agencies. This relieves the College of Nursing of liability for contracting independent,
unsupervised student services.
• Faculty or staff who receive job opportunities or inquiries from outside agencies (e.g. summer
camps, internships, clinical facilities) may send the request to the student listservs with the
following disclaimer on all emails:
“The Penn State College of Nursing has no knowledge of, nor affiliation with, the organization
named herein. We can assume no liability in the referral for short- or long-term employment, nor
does this constitute an endorsement.”
Approved Fall 2015
PENN STATE ALUMNI ASSOCIATION / COLLEGE OF NURSING ALUMNI SOCIETY
Students who graduate from Penn State University receive a complimentary, one-year membership in
the Penn State Alumni Association (and then have the option to renew annually or with a lifetime
membership at any time). Membership in the Penn State Alumni Association automatically confers
membership in the College of Nursing Alumni Society for Nursing graduates. The College of Nursing
Alumni Society Board provides support and guidance for alumni events, awards, and programming,
which includes mentoring, professional development, and CE credit programs at this time. More
information is available at http://www.nursing.psu.edu/alumni/
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NURSING HONORS PROGRAM
SCHREYER HONORS COLLEGE
Schreyer Scholars represent the top 5% of students at Penn State. Schreyer Scholars are expected to
demonstrate excellent academic achievement with integrity, build a global perspective, and seek
opportunities for leadership and civic engagement. Students may pursue Schreyer in one of two ways:
1. First-year applicants can apply to Schreyer Honors College at the time of application to the
College of Nursing.
2. Current Nursing undergraduates potentially have the opportunity to seek entry to the Schreyer
Honors College (SHC) in the spring of sophomore year through a process known as the Junior
Gateway. This opportunity is contingent upon space being available in the current Schreyer
cohort.
Eligibility for the Gateway Process
The Gateway application process for Nursing students begins in the spring of sophomore year. The
SHC requires Gateway applicants to have:
• at least one full-time semester of study completed at Penn State
• a minimum of four full-time semesters of study remaining before graduation
• a cumulative GPA of 3.70 or higher at the time of application
• an application-semester GPA of 3.50 or higher for rising juniors and a 3.70 for rising
sophomores
The criteria stated above are minimum standards set by the SHC. In some cases, additional criteria
for Gateway entry have also been established by the academic unit. In Nursing, students must have
completed their first required NURS courses. In all cases, the department or academic college
reviews applications and makes decisions which are communicated to applicants by the SHC.
For additional information about the Schreyer Honors College, visit their website at
https://www.shc.psu.edu/ or consult the Schreyer Honors College Handbook, which can be found at
http://www.shc.psu.edu/students/handbook.pdf.
Selection Criteria for the Gateway
The Gateway entry process is based upon an evaluation of a student’s performance and research
potential. The evaluation of all applications is done by the faculty and/or administrators of an
academic unit, and is overseen by the SHC administration. The evaluation is typically based on:
1. Academic achievement since beginning at Penn State
2. Desire, ability and motivation to conduct research or creative projects leading to the
completion of an undergraduate honors thesis
3. Interest in and aptitude for leadership, civic engagement, and international experiences as an
undergraduate
Curricular, co-curricular, and extracurricular activities will be considered as evidence in the selection
of Gateway Schreyer Scholars.
Honors Recognition
The Scholars Medal is awarded to graduating Schreyer scholars. In addition, Scholars’ diplomas have
a special honors notation, and honors work is noted on transcripts.
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PROFESSIONAL CAREER DEVELOPMENT
NATIONAL STUDENT NURSES’ ASSOCIATION
Sometimes Nursing students are interested in becoming involved with professional associations, which
may enhance their career development.
At a national level, students can become involved with the National Student Nurses’ Association
(NSNA).
Some of the benefits with NSNA may include:
• Leadership Opportunities
• Nursing Journal Subscription Discounts
• Convention and Conference Discounts
• Financial Services
• Scholarship Program
• Malpractice/Liability Insurance
• Publication Resources
At Penn State, students are encouraged to become involved with SNAPS.
STUDENT NURSES’ ASSOCIATION OF PENN STATE (SNAPS)
Student Nurses’ Association of Penn State (SNAPS) is an organization open to all nursing students at
Penn State that provides opportunities to broaden the student’s awareness of professional and service
experiences in the community. SNAPS organizes and encourages student participation in
interdisciplinary activities, represents Penn State at the national and state student nursing conventions
and provides a great chance to get involved socially with others in your major.
First-year Nursing students should plan to attend the College Dean’s Meeting the Sunday prior to the
start of classes. All Nursing students are contacted during the first week of classes with information on
the date for the first SNAPS meeting and the SNAPS officers’ contact information. SNAPS meetings
are held at UP and HMC campuses throughout the academic year. Additional information can be found
on the SNAPS website at www.snap.psu.edu.
The College of Nursing faculty strongly encourage participation in SNAPS events, such as the National
Student Nursing Association (NSNA) Convention or the Student Nurses’ Association of Pennsylvania
(SNAP) Convention. The following rules apply:
• The student will notify clinical instructor and course coordinator of their intent to attend an event as
soon as possible, but not less than 4 weeks ahead of scheduled event.
• Faculty discretion is based upon course grade, previous attendance in clinical, remediation in any
course, and/or general academic standing.
• Students must attend educational sessions and at least one business meeting or resolutions hearing.
Delegates are required to attend all business meetings.
• Attendance at an approved SNAPS event excuses student from one clinical day per nursing course.
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Capstone clinical days are not excused by this policy.
• Students may be required to write a brief report on the activity or provide a brief 10-minute verbal
report in post-conference about their experience.
Approved: March 2001
Revised: February 2006; Spring 2018; Spring 2019
HEALTH WORKS
Health Works is a peer health education volunteer program promoting health lifestyles among Penn
State students at University Park. This is done through discussions, workshops and counseling.
Students interested in this program can contact University Health Services, 201 Student Health Center,
or call (814) 863-0461.
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INTERNATIONAL TRAVEL
EDUCATION ABROAD THROUGH THE COLLEGE OF NURSING
International Experiences
Students are strongly encouraged to take advantage of an abroad experience to explore another culture
and healthcare system—in particular, nursing as a profession on a global basis.
Only BSN students in the General Nursing option have the opportunity to study abroad. Some of these
opportunities are offered by Nursing faculty and others can be arranged through the University Office of
Global Programs (https://global.psu.edu/). Because of the nature of the Nursing curriculum, Nursing
students can study abroad only during the summer or other breaks. Students who study abroad during
fall or spring semesters will find themselves a year behind in the curriculum. For each program
experience, availability is subject to sufficient enrollment.
The embedded programs described below are examples offered in the past by the College of Nursing and
may not necessarily represent future program offerings.
Cape Town, South Africa
Six senior Nursing students are selected to accompany a faculty member on a trip to South Africa to
work in healthcare clinics in Cape Town and outlying areas. The trip is two weeks long and occurs in the
spring. The program is coordinated with our partners at The University of the Western Cape to include
classroom and clinical experiences in multiple healthcare settings.
Jönköping, Sweden
The College of Nursing participates in a student exchange program with the University of Jönköping, in
Jönköping, Sweden. Up to eight junior Nursing students are selected to participate. The students register
for three Penn State credits of Nursing 496, Independent Study, fulfilling the NURS supporting course
requirement. The five-week program on children’s health issues begins the second week of May, so
students must take spring semester final exams before departure.
San Pedro Sula, Honduras
This experience for Nursing students is preceptored by Penn State Nursing faculty in conjunction with
the CURE International Pediatric Orthopedic Hospital. Six junior Nursing students spend approximately
two weeks during the summer providing care for children with curable disabilities in a developing
nation.
Hong Kong, China
A limited number of seniors are selected to participate in this ten-day spring semester program. This
experience enhances the student’s ability to experience a different culture and to learn about the
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healthcare system, Eastern medicine, and the nursing education system in Hong Kong. Students will
participate in both classroom and clinical observations.
Dublin, Ireland
Eight juniors attend classes at Trinity College in Dublin along with students from other countries to
learn about midwifery and community nursing. Students who participate in this two-week program earn
three credits of NURS coursework which may be applied to supporting course requirements. This two-
week program occurs during the last two weeks of May.
For additional information on any of these College of Nursing travel opportunities, contact Darlene
Clark ([email protected]), Global Studies Coordinator for the College of Nursing.
NOTE: Penn State monitors the international situation very carefully, and all programs abroad have an
on-site coordinator who is available to Penn State students for advice and to deal with any
emergencies. However, students have the ultimate responsibility for personal safety. Education
Abroad is guided by the U.S. Department of State’s travel advisory system, comprising Travel
Warnings and Travel Alerts, as principal factors in determining whether the University will
allow education abroad programs to run under its auspices. The aim of Travel Warnings is to
advise American citizens to avoid travel to designated countries; whereas Travel Alerts are
intended to alert travelers to specific conditions, usually of short-term duration, posing a risk to
international travelers. Penn State’s general rule is not to sponsor Education Abroad programs
in countries under active Department of State Travel Warnings. A list of Travel Warnings and
Travel Alerts are posted on the Department of State’s website.
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STUDENT NURSE POLICY FOR INTERNATIONAL STUDY**
The College of Nursing welcomes and encourages international experiences for nursing students.
Following is the Student Nurse Policy for International Study.
1. Obtain a Request for Assignment for International Study form from the College of Nursing’s website
https://sites.psu.edu/collegeofnursing/files/2016/09/Request_for_InternationalStudy-1inpwvn.pdf.
2. The student must complete the Request for Assignment for International Study form and submit to
the Associate Dean for Undergraduate Education.
3. The faculty representative for International Study needs to be notified prior to the experience. A
faculty person is appointed each year by the Dean of the CON as the international representative,
and it is the student’s responsibility to report to the proper faculty member.
4. The student is required to receive permission from each course coordinator prior to the travel.
a. Clinical instructors shall be included in the decision to grant permission for the international
travel experience whenever possible.
b. The course coordinator and the clinical instructor, if appropriate, will determine whether any
clinical hours will be granted for the international experience.
c. The course coordinator and the clinical instructor, if appropriate, will determine whether any
make-up of clinical hours will need to be completed upon return to University classes.
5. Faculty needs to be apprised of the following information:
a. Where the international experience is located.
b. How long the experience will be.
c. Who will be supervising the experience.
d. In what type of setting will the student be working/observing?
(e.g. clinic, hospital, etc.)
6. Course faculty have the right to refuse a student permission to travel abroad for an international
experience if he/she feels that the student’s progress in their course may be compromised by missing
class, clinical time, exams, etc.
**NOTE: For students at the Commonwealth Campuses (Altoona, Behrend, Fayette, Mont Alto
and Scranton), please contact the Commonwealth Campus Coordinator or the campus Office of
International Programs.
Approved 02/06
Revised 8/2015
Revised 5/2018
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SIGMA THETA TAU INTERNATIONAL SOCIETY OF NURSING
BETA SIGMA CHAPTER MEMBERSHIP
Philosophy of Membership Eligibility
Sigma Theta Tau International Society membership is by invitation to baccalaureate and graduate
nursing students who demonstrate excellence in scholarship and to nurse leaders exhibiting exceptional
achievements in nursing. Sigma Theta Tau encompasses more than 150 chapters located at colleges and
universities throughout the world. Penn State is home to the Beta Sigma chapter.
Purpose of Sigma Theta Tau International
• Recognize superior achievement and scholarship
• Recognize the development of leadership qualities
• Foster high professional standards
• Encourage creative work
• Strengthen commitment to the ideals and purposes of the profession
Membership Invitation
Candidates for membership from all baccalaureate programs are reviewed annually in late August.
Invitations are extended to all BSN students who meet the Sigma Theta Tau International’s membership
criteria, which include portion of the nursing curriculum completed, cumulative GPA and rank in class.
An induction ceremony is held in November of that year for all new members.
SIGMA THETA TAU ACHIEVEMENT AWARD
The Sigma Theta Tau Achievement Award was created by donations from the Beta Sigma Chapter to
recognize undergraduate Nursing students upon graduation. One award will be presented to a newly
inducted Undergraduate member during the Spring Commencement Ceremony. The amount of the
award is determined by the Beta Sigma Chapter of Sigma Theta Tau. The awards shall be conferred
annually from available resources.
Consideration for this award is given to all undergraduate nursing students who have been or will be
inducted into Sigma Theta Tau by the end of their senior year. Recipients of this award are selected by
the Beta Sigma Chapter of the Sigma Theta Tau Scholarship Committee. Eligibility is based on the
student’s academic record as determined by Fall Semester cumulative GPA
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SCHOLARSHIPS AND AWARDS
Penn State awards a number of scholarships to undergraduate students each year. In addition, grants,
loans, and the College Work-Study program are available for those who qualify. For more information
on undergraduate financial aid, contact the Office of Student Aid, 314 Shields Building, University Park,
PA 16802-6508, phone: (814) 865-6301, or visit the Web site at: http://studentaid.psu.edu/
Listed below are some possible sources of scholarships and financial assistance:
ROTC Scholarships. All branches of the military are located in Wagner Building at the University Park
campus and can be contacted for additional information. Air Force: (814) 865-5453; Army: (814) 863-
0368; Marines: (814) 865-6289; and Navy: (814) 865-6289.
The American Association of Colleges of Nursing often has information on scholarship programs for
nursing students. They are located at One Dupont Circle, NW, Suite 530, Washington, DC 20036,
phone: (202) 463-6930, or visit the World Wide Web home page at:
http://www.aacn.nche.edu/students/financial-aid
The National League for Nursing has information on scholarship resources: 61 Broadway, 33
rd
Floor,
New York, NY 10006, phone: (800) 669-1656 or (212) 812-0300, or visit the World Wide Web home
page at: http://www.nln.org/professional-development-programs/grants-and-scholarships
The Hospital Council of Western Pennsylvania has scholarship information. They are located at 500
Commonwealth Drive, Warrendale, PA 15086-7513, phone: (800) 704-8434, or visit the World Wide
Web home page at: http://hcwp.org/
The Nightingale Awards of Pennsylvania has scholarship information. They are located at 2400
Ardmore Blvd, Ste 302, Pittsburgh, PA 15221. Phone: (412) 871-3353. Web page at:
http://www.nightingaleawards.org/
The College of Nursing has scholarship information. Visit the web Scholarships and Financial Aid
page at: http://www.nursing.psu.edu/undergraduate/financial-aid
Many hospitals and other healthcare institutions offer their own scholarship programs. For example, a
hospital offers a tuition stipend with the understanding that a student will commit two or three years of
continuous employment following graduation. It is the student’s responsibility to seek out outside
scholarship opportunities.
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GRADUATING SENIORS:
NCLEX EXAMINATION and RN LICENSURE
INFORMATION FOR GRADUATING SENIORS
All students must complete the following steps for RN Licensure (instructions below):
Complete the Post-Graduation Contact Survey
Register for National Council Licensure Examination (NCLEX)
Submit Application for Licensure to ONE State
If applicable: Submit Application for Temporary Practice Permit (TPP)
NOTE: For students at the Commonwealth Campuses (Altoona, Behrend, Fayette, Mont
Alto and Scranton), the following process will be coordinated by the Campus Coordinator.
1. Complete the Post-Graduation Contact Survey
ALL STUDENTS must complete the Post-Graduation Contact Survey, which is emailed in early spring.
• Complete the survey with your “post-graduation” contact information
• Enter your name as it appears on the official identification you will use for admittance to
NCLEX examination (indicating first, middle, last and any suffixes such as Jr, II, etc.)
• If you have a name that may have special spacing, please be careful to enter it as such
e.g. McDonald or Mc Donald; DeBrenna or Debrenna; two first names such as Mary Jo (first),
Elaine (middle) McDonald (last)
2. Register for the NCLEX Examination
• You may register to take the NCLEX examination anywhere in the United States – does not have
to be in the state in which you apply for licensure
• Print a copy of the NCLEX Candidate Bulletin at www.pearsonvue.com/nclex – Click on
Candidate Bulletin and Information under “Downloads”
• Follow the directions provided to register for the NCLEX examination (Pearson VUE)
• Your Education Program Code is: US25506800
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o If your State Board of Nursing (SBN) is still requiring the old 5-digit code, use 25-568
3. Submit Application for Licensure
General Information
• REMEMBER – This is a separate process from NCLEX examination registration
• Submit your application materials no earlier than 90 days prior to the date you complete your
nursing education program
• Submit your application materials for licensure to one state only. Visit that state’s SBN website
for detailed information and instructions https://www.ncsbn.org/contactbon.htm
• Follow the directions from the specific SBN to complete the registration process
• Mandatory Child Abuse Continuing Education
o Effective January 1, 2015 – ALL persons applying for licensure must complete 3 hours of
Department of Human Services (DHS)-approved training in child abuse
o You may complete the education prior to program completion
o Use this link to find an approved course:
https://www.reportabusepa.pitt.edu/webapps/portal/execute/tabs/tabAction?tab_tab_grou
p_id=_49_1
o The approved provider of the course electronically sends verification of completion to the
SBN
o A license will not be issued until the course is completed
4. Submit Application for Temporary Practice Permit (TPP) (if applicable)
• IF you plan to work as a graduate nurse before taking the NCLEX, you must have a TPP
• Refer to the SBN where you apply for licensure for specific instructions
• Complete the TPP application as soon as you know that you have a job as a graduate nurse
• Allow a minimum of 4-6 weeks from the date of program completion to the issuance of the TPP
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LICENSURE PROCESS
Licensure – Pennsylvania
• Obtain information and application at
http://www.dos.pa.gov/ProfessionalLicensing/BoardsCommissions/Nursing/Pages/General-
Information.aspx#.VPhV5uFFx1B
• Choose the link “Online Application Forms.” Under the heading “New Graduates,” print and
read the Online Application Instructions and then complete the Online Application using the link
provided. Take time to read “Frequently Asked Questions for Student/Graduate Nurses applying
for Exam/TPP” by choosing the link provided at the end of the “New Graduates” section
• You must apply online – there is no hard copy mail option. (Exception—A social security
number (SSN) is required for an online application submission. Applicants without a SSN
should submit a paper application and waiver form using the “Paper Application Forms” link)
• Licensure and Temporary Practice Permit are two SEPARATE applications and two
SEPARATE fees
• Allow 14 business days for processing applicant materials once application packet is complete
• DO NOT request Nursing Education Verification (NEV) form from the CON – this is an
automatic process and will be submitted by the CON immediately upon degree conferral
• NEV form is submitted electronically after PSU confers your degree
Licensure - States Other Than Pennsylvania
• Locate your state board of nursing’s website https://www.ncsbn.org/contactbon.htm
• Read and follow instructions carefully
• Anything needed from the CON should be included in an email to Lynda Bennett
([email protected]) as soon as possible with very specific instructions.
o Education Verification Letters
o Forms requiring the Dean’s signature
o Forms requiring a University seal
o Verification of clinical hours
o Mailing address(es)
o Your contact information (phone and email)
Note: If a transcript is needed, the student must order the Official Transcript from the
Registrar’s office (http://registrar.psu.edu/)
Confirmation
When the CON has been notified that degrees have been conferred*:
o All students attending UP and HMC (PA as well as out of state) will receive an email
from the CON (lm[email protected]) that NEV form has been submitted to the PA SBN
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o Out of state students attending UP and HMC will receive an email confirmation from the
CON ([email protected]) that your application request has been completed
o Letters, confirmations, transcripts (if sent to CON), etc., are mailed/submitted per your
instructions
*NOTE: Processes at Commonwealth Campuses may vary by campus. Contact the
appropriate CON campus office for further information.
Helpful Tips and Notes
• Education Program Code – US25506800
o If your SBN is still requiring the old 5-digit code, use 25-568
• There are NO refunds of NCLEX examination fees for ANY reason
• All correspondence from Pearson VUE will arrive ONLY by email
• Identification and YOUR NAME
o Use the exact name as it appears on your official identification you will use for
admittance to the NCLEX examination and for your Post-Graduation Contact
Information form, NCLEX examination registration and licensure application
• Social Security Numbers – Most SBNs will require your full Social Security number
• Transcripts must be ordered through the Office of the Registrar
o Make sure to specify AFTER conferral
o Provide address where it should be mailed – pay particular attention to the directions in
your application materials for specific mailing instructions
• When in doubt, or if you have questions, call the SBN or Pearson VUE directly. The CON staff
cannot provide licensure or exam application information.
• Allow ample time for form completion, signatures, seals, etc.
REMEMBER – The NCLEX examination registration (with Pearson VUE) and state licensure
application (state where you want to be licensed and practice nursing) are two separate process;
however, these two entities communicate with each other to coordinate the process.
LICENSURE
The following statement is excerpted in its entirety from the Pennsylvania Professional Nursing Law:
Section 6: Fees; Qualifications for Licensure—No application for licensure as a registered
nurse shall be considered unless accompanied by fee determined by the Board by regulation.
Every applicant, to be eligible for examination for licensure as a registered nurse, shall furnish
evidence satisfactory to the Board that he or she is of good moral character, has completed work
equal to a standard high school course as evaluated by the Board and has satisfactorily completed
an approved program of professional nursing.
The Board shall not issue a license or certificate to an applicant who has been convicted of a
felonious act prohibited by the act of April 14, 1972 (P.L. 233, No. 64), known as “The Controlled
Substance, Drug, Device, and Cosmetic Act,” or convicted of a felony relating to a controlled
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substance in a court of law of the United States or any other state, territory, or country unless:
• At least ten (10) years have elapsed from the date of conviction;
• The applicant satisfactorily demonstrates to the Board that he/she has made significant progress in
personal rehabilitation since the conviction such that licensure of the applicant should not be
expected to create a substantial risk of harm to the health and safety of patients or the public or a
substantial risk or further criminal violations; and
• The applicant otherwise satisfies the qualifications contained in or authorized by this act.
As used in this subsection the term “convicted” shall include a judgment, an admission of guilt, or a
plea of nolo contendere. An applicant’s statement on the application declaring the absence of a
conviction shall be deemed satisfactory evidence of the absence of a conviction, unless the Board
has some evidence to the contrary.
The Professional Nursing Law Act of May 22, 1951 (P.L. 317, No. 69), Section 6 as amended
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RESOURCES
LINKS TO OTHER IMPORTANT INFORMATION
Academic Calendar
http://registrar.psu.edu/academic_calendar/calendar_index.cfm
Admissions
http://admissions.psu.edu/
Advising Portal
http://www.advising.psu.edu
Bookstore (UP)
https://psu.bncollege.com/shop/psu/home
Bursar
http://www.bursar.psu.edu/
Career Services
http://studentaffairs.psu.edu/career/
Centre County Can Help
24-hour crisis hotline available to students 1-800-643-5432
College of Nursing Website
http://www.nursing.psu.edu/
Counseling Services (CAPS)
http://studentaffairs.psu.edu/counseling/
Disability Services
http://equity.psu.edu/ods
Gender Equity Center
https://studentaffairs.psu.edu/genderequity
Health Services
http://studentaffairs.psu.edu/health/services/
Housing and Food Services (on campus)
http://www.hfs.psu.edu/
Housing and Food Services (off campus)
http://studentaffairs.psu.edu/offcampus/
ID+ Card
http://www.idcard.psu.edu/
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Information Technology Services
http://its.psu.edu
Nursing Student Mental Health Guide
http://www.cnaclasses.org/nursing-student-mental-health/.
Parking and Bicycle Registration
www.transportation.psu.edu
Police Services (on campus)
www.police.psu.edu
Police Services (off campus)
www.statecollegepa.us
Registrar
http://www.registrar.psu.edu/
Residential Computing
http://rescom.psu.edu/
Residence Life
http://studentaffairs.psu.edu/reslife/
Scheduling Information
https://lionpath.psu.edu
Student Affairs
http://studentaffairs.psu.edu/
Student Aid
http://studentaid.psu.edu/
Study Tools
iStudy for Success – Online training tutorials
http://istudy.psu.edu/
Kahn Academy – Tutoring to Test Prep
www.khanacademy.org
LinkedIn Learning– Access to online training library
https://linkedinlearning.psu.edu/
Penn State Learning
http://pennstatelearning.psu.edu/
Tuition Information
http://tuition.psu.edu/
Centre Safe (formerly Women’s Resource Center [off campus])
http://www.ccwrc.org
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INDEX
LPN CREDIT BY PORTFOLIO FORMS INDEX
The Pennsylvania State University
College of Nursing
Credit by Portfolio LPN Education/Experience Verification Form
Student Name: ____________________________________________________
PSU ID:
LPN License: State License Number:
Expiration Date:
Practical Nursing Program Name:
Address:
Employer(s):
Student Applicant Signature: _____________________________________Date:___________
Undergraduate Nursing
Program Coordinator Signature: ___________________________________Date:___________
NOTE: Please forward this form to the Campus Coordinator who will forward to the Records
Specialist Office (212B Nursing Sciences Building) at University Park for recording.
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EXAMPLE
Directions: Please use this “EXAMPLE” with the attached form to request “Employer Documentation
of Hours of Practice as a Licensed Practical Nurse”
Employer Form Letter
Insert Date
Employer
Address
City, State ZIP
To Whom It May Concern:
I, (student name) , have been admitted to The Pennsylvania State
University’s Baccalaureate Program in Nursing. The College of Nursing will award up to six (6)
credits for basic nursing education courses to the Licensed Practical Nurse applicant who meets certain
criteria.
As a part of the process of Credit by Portfolio, the Licensed Practical Nurse must document a
minimum of 1,000 hours of clinical practice within the past three (3) years.
Please complete the enclosed form and return in the envelope provided. Please contact me at
(phone #) or (e-mail) should you have any questions or concerns. Your
assistance in this process is appreciated.
Sincerely,
Student’s Name/Signature
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The Pennsylvania State University
College of Nursing
Employer Documentation of Hours of Practice as a Licensed Practical Nurse
Permission to Release Information
I,______________________________________ , have been admitted to The Pennsylvania State
(printed name)
University’s Baccalaureate Nursing Program. The College of Nursing will award Credit by Portfolio if
certain criteria are met. I am requesting employer documentation of practice hours as part of this
process. I give permission for you to release this information to The Pennsylvania State University’s
College of Nursing.
Applicant Signature: ___________________________________________Date: ____________
Directions: Please complete the following items and return to the student.
Place of Employment: ______________________________________________________
Address: _________________________________________________________________
Please check and/or complete the following:
_____ The applicant has been employed as a Licensed Practical Nurse for a minimum of 1,000
hours within the past three (3) years.
_____ The applicant has been employed as a Licensed Practical Nurse for __________ hours
within the past three (3) years.
Signature: _____________________________________________________________________
Printed Name: ____________________________ Title:_________________________________
Phone Number and/or Email Address
for Verification Purposes: _____________________________________________________
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CLINICAL PERFORMANCE EVALUATION REMEDIATION FORMS INDEX
PENNSYLVANIA STATE UNIVERSITY
College of Nursing
NURS 230 Student Clinical Performance Evaluation
Student Name ________________________________ Course Number ___________ Semester _________
Clinical Site(s) __________________________________________________________________________
Mid-Course Evaluation: Passing____ Failing____ Needs Improvement______ Date: _______________
Final Evaluation: Pass____ Fail____ Date: _____________
Definition of Clinical Grades:
P = Pass
Passing: Clinical performance which consistently demonstrates safe and
adequate application of the clinical course objectives within a defined time
frame with minimal verbal or nonverbal cues or assistance in integrating
knowledge and skills.
F = Fail
Failing: Clinical performance which demonstrates unsafe or inadequate
application of the clinical objectives within a defined time frame; requires
frequent verbal or nonverbal cues or assistance to function on the clinical
area, demonstrates gaps in necessary knowledge or critical thinking and requires
frequent or almost constant assistance in integrating knowledge and skills.
*NI – Needs Improvement
only may be used at mid-course
evaluation
Needs Improvement: Clinical performance which is inconsistent in
application of clinical course objectives within a defined time frame; functions
safely and adequately only with moderate assistance, verbal or nonverbal
cues, integrating knowledge with skills in the clinical area.
*N.A. – Not applicable
The N/A at final evaluation should only be utilized if none of the students in the
course had the opportunity to meet the objective.
Not applicable to students in this course
DO NOT USE N.A. FOR EVALUATION OF ANY CORE COMPETENCY
Criteria for Passing Clinical:
Mid-Course
Passing requires pass (P) in all Core competencies and criteria. “Needs Improvement” (NI) on
any one criteria at mid-course evaluation denotes “Needs Improvement” (NI) for the core
competency and a “Needs Improvement” clinical grade at mid-course. “Fail” (F) on any one
criteria at mid-course evaluation denotes “Fail” (F) for the core competency and a failing clinical
grade at mid-course. The evaluator is expected to comment on ALL items rated: NI or F.
Comments must include a plan for improvement for each criteria evaluated with a Fail (F) or
Needs Improvement (NI).
A Remediation Plan will be written at mid-course if the student is failing and, at the discretion of
the clinical instructor, may be written for a student who needs improvement.
Final:
Pass in all elements. A “Fail” (F) on any one element at final evaluation denotes clinical failure
and course failure. The evaluator is expected to comment on all items rated F.
Remediation Plans: will be developed by course faculty for failing grade at mid-course or any time during the course at the
discretion of the clinical instructor. The plan will identify the clinical criteria that are of concern and will suggest resources
and activities designed to assist the student in achieving a passing evaluation for the final course grade.
Instructions for faculty: Passing (P) for any core competency indicates that all criteria are also passing (P). If the core
competency is graded F or NI, indicate with a check which criteria are F or NI. If even one criterion is F, the core
competency is also F. Unchecked criterions are passing (P).
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MID-COURSE
FINAL
Core competency 1
P
F
NI
P
F
Patient Centered Care: Plan and provide competent, compassionate and
coordinated care based on sound judgment and clinical reasoning and
respect for patient’s preferences, values, and need.
Criteria
F
NI
NA
F
NA
1a. Demonstrates accurate, thorough, and systematic clinical assessments
1b. Develops individualized, accurate and complete nursing care plans with
rationales and outcome criteria
1c. Provides patient-centered care compassionately and effectively
1d. Maintains client privacy, confidentiality, and dignity
1e. Identifies the need for the professional nurse to advocate for
clients/families.
1f. Prioritizes patient needs and care accurately.
Core competency 2
P
F
NI
P
F
Safety: Minimizes risk of harm to patients and providers through both
system effectiveness and individual performance.
Criteria
F
NI
NA
F
NA
2a. Performs nursing skills safely, accurately, and without omission
2b. Implements written plans of care safely and effectively
2c. Complies with College of Nursing and clinical site policies for safety,
security, infection control, and patient care
2d. Administers medications safely with an understanding of the purpose,
route, dose range, side effects, and precautions for each medication
2e. Implements strategies to reduce risk of harm to self and others
2f. Recognizes and acts to prevent unsafe, illegal, immoral or unethical
practices by self and others
2g. Monitors patient status and notify assigned nurse promptly of any changes
in condition or concerning findings
2h. Implements strategies related to National Patient Safety Goals that are
appropriate for assigned client(s).
2i. Organizes multiple responsibilities and provides safe client care in a
effective, efficient and timely manner
Core competency 3
P
F
NI
P
F
Evidence based Practice: Integrate best current evidence with clinical
expertise and patient/family preferences and values for delivery of optimal
healthcare.
Criteria
F
NI
NA
F
NA
3a. Relates theoretical and evidence-based knowledge to practice
3b. Utilizes appropriate resources and references for accurate and complete
data collection
3c. Delivers evidence based care that respects patient and family preferences
Approved: 2005; 11/2017
Revised: Fall 2015
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MID-COURSE
FINAL
Core competency 4
P
F
NI
P
F
Teamwork & Collaboration: Function effectively within nursing and inter-
professional teams, fostering open communication, mutual respect, and
shared decision making to achieve quality patient care.
Criteria
F
NI
NA
F
NA
4a. Develops and maintain constructive and cooperative working relationships
with faculty, staff, peers, and facility employees
4b. Listens carefully and communicate effectively with patients/families,
members of the healthcare team, faculty, and those from diverse
backgrounds, taking the time to understand and ask appropriate questions
without interrupting
4c. Assumes role of team member and functions competently within own scope
of practice providing high quality, safe patient care, as a member of the
healthcare team
4d. Identifies the perspectives, expertise, and limitations of all healthcare team
members including those of diverse background
4e. Reports abnormal findings or changes in patient condition to appropriate
members of the healthcare team in a timely, accurate, and thorough manner
4f. Identifies the need for help, identifies appropriate resources and initiates
requests when appropriate to the situation
4g. Begins to incorporate effective communication techniques, including
negotiation and conflict resolution to produce positive professional working
relationships
4h. Identifies the unique nursing perspective to inter-professional teams to
optimize patient outcomes
Core competency 5
P
F
NI
P
F
Quality Improvement: Monitor the outcomes of care processes and take
steps to continuously improve the quality and safety care delivery.
Criteria
F
NI
NA
F
NA
5a. Accepts guidance, supervision, and constructive criticism
5b. Identifies strengths and weaknesses and uses feedback to formulate goals
for personal and professional growth
5c. Evaluates care based on client response, outcome, scientific knowledge, and
begins to make appropriate revisions, as necessary
5d. Shows a high level of dedication to quality
5e. Promotes achievement of safe, quality outcomes of care for all clients and
families
5f. Realizes that continuous quality improvement is an essential part of the
daily work of all members of the healthcare team.
5g. Realizes that nursing and students of other health professions are part of
systems of care and care processes that affect outcomes for clients and
families.
Approved: 2005
Revised: Fall 2015
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MID-COURSE
FINAL
Core competency 6
P
F
NI
P
F
Informatics: Manage data, information, knowledge and technology to
effectively communicate, mitigate error and support decision making.
Criteria
F
NI
NA
F
NA
6a. Maintains accurate & timely medical records and other documentation in
accordance with clinical site & program policy utilizing appropriate
medical terminology and professional communication.
6b. Demonstrates fundamental skills in using patient care technologies,
information & communication systems, that support safe nursing practice.
6c. Recognizes the role of information technology in improving patient care
outcomes and creating a safe care environment.
6d. Upholds ethical standards related to data security, regulatory requirements,
confidentiality, and clients’ right to privacy.
6e. Utilizes and responds appropriately to technologies and alerts that support
clinical decision-making, error prevention, and care coordination.
6f. Utilizes and begin to evaluate patient data and information.
Core competency 7
P
F
NI
P
F
Professionalism and Professional Values: Applies the principles of
altruism, excellence, caring, ethics, respect, communication, civility, and
accountability.
Criteria
F
NI
NA
F
NA
7a. Takes responsibility and accountability for learning, actions and quality of
work without blaming others or making excuses.
7b. Complies with Pennsylvania State University, College of Nursing, program
& course policies, procedures and requirements.
7c. Is honest and trustworthy and demonstrates the professional standards of
moral, ethical, and legal conduct.
7d. Demonstrates flexibility and tolerance for change, ambiguity, and
unpredictability.
7e. Performs effectively and maintains self-control during difficult or
unexpected situations and conditions.
7f. Maintains a culture of civility and kindness treating all individuals with
dignity and respect.
7g. Demonstrates professionalism, including attention to appearance,
demeanor, respect for self and others, and attention to professional
boundaries with patients and families, staff and faculty.
7h. Remains alert and attentive during clinical time.
7i. Performs duties in a reliable, responsible, and dependable manner.
7j. Provides evidence of preparation for clinical experiences
7k. Arrives at clinical experiences and completes work on time.
Approved: 2005
Revised: Fall 2015
145
http://www.nursing.psu.edu
Mid-Semester Evaluation
Instructor Comments:
Student Comments:
Student’s Signature: ___________________________________________________Date____________________
Instructor’s Signature: _________________________________________________Date_____________________
Final Evaluation
Instructor Comments:
Student Comments:
Student’s Signature: __________________________________________________Date_____________________
Instructor’s Signature: ________________________________________________ Date_____________________
Approved: 2005
Revised: Fall 2015
146
http://www.nursing.psu.edu
REMEDIATION PLAN AND OUTCOME
Please type this document
Criteria
Description of unsatisfactory behavior
Please use back of form if necessary for additional detail
PLAN
The SPECIFIC skills, knowledge, and COMPETENCIES that must be demonstrated to meet
course objective(s) including time frame when appropriate:
__________________________________________________________________
__________________________________________________________________
__________________________________________________________________
__________________________________________________________________
Suggested resources and activities:
__________________________________________________________________
__________________________________________________________________
__________________________________________________________________
Failure to meet the expectations of the remediation plan and all clinical objectives will result in a
clinical failure for this course.
Instructor’s Signature:___________________________ Date:____________________
Student’s Signature:_____________________________ Date:____________________
Date of Follow-up Conference:______________________________________________
OUTCOME
Follow-up conference (Please check one of the following):
Has overcome deficiencies and now meets objective(s)
Has not overcome deficiencies and does not meet objective(s)
Comments:
__________________________________________________________________
__________________________________________________________________
__________________________________________________________________
__________________________________________________________________
Instructor’s Signature:___________________________ Date:____________________
Student’s Signature:_____________________________ Date:____________________
Approved: 2005; 11/2017
Revised: Fall 2015, 1/2018
147
http://www.nursing.psu.edu
PENNSYLVANIA STATE UNIVERSITY
College of Nursing
NURS 251 Student Clinical Performance Evaluation
Student Name ________________________________ Course Number ___________ Semester _________
Clinical Site(s) __________________________________________________________________________
Mid-Course Evaluation: Passing____ Failing____ Needs Improvement______ Date: _______________
Final Evaluation: Pass____ Fail____ Date: _____________
Definition of Clinical Grades:
P = Pass
Passing: Clinical performance which consistently demonstrates safe and
adequate application of the clinical course objectives within a defined time
frame with minimal verbal or nonverbal cues or assistance in integrating
knowledge and skills.
F = Fail
Failing: Clinical performance which demonstrates unsafe or inadequate
application of the clinical objectives within a defined time frame; requires
frequent verbal or nonverbal cues or assistance to function on the clinical
area, demonstrates gaps in necessary knowledge or critical thinking and requires
frequent or almost constant assistance in integrating knowledge and skills.
*NI – Needs Improvement
only may be used at mid-course
evaluation
Needs Improvement: Clinical performance which is inconsistent in
application of clinical course objectives within a defined time frame; functions
safely and adequately only with moderate assistance, verbal or nonverbal
cues, integrating knowledge with skills in the clinical area.
*N.A. – Not applicable
Not applicable to students in this course
DO NOT USE N.A. FOR EVALUATION OF ANY CORE COMPETENCY
Criteria for Passing Clinical:
Mid-Course
Passing requires pass (P) in all Core competencies and criteria. “Needs Improvement” (NI) on
any one criteria at mid-course evaluation denotes “Needs Improvement” (NI) for the core
competency and a “Needs Improvement” clinical grade at mid-course. “Fail” (F) on any one
criteria at mid-course evaluation denotes “Fail” (F) for the core competency and a failing clinical
grade at mid-course. The evaluator is expected to comment on ALL items rated: NI or F.
Comments must include a plan for improvement for each criteria evaluated with a Fail (F) or
Needs Improvement (NI).
A Remediation Plan will be written at mid-course if the student is failing and, at the discretion of
the clinical instructor, may be written for a student who needs improvement.
Final:
Pass in all elements. A “Fail” (F) on any one element at final evaluation denotes clinical failure
and course failure. The evaluator is expected to comment on all items rated F.
Remediation Plans: will be developed by course faculty for failing grade at mid-course or any time during the course at the
discretion of the clinical instructor. The plan will identify the clinical criteria that are of concern and will suggest resources
and activities designed to assist the student in achieving a passing evaluation for the final course grade.
Instructions for faculty: Passing (P) for any core competency indicates that all criteria are also passing (P). If the core
competency is graded F or NI, indicate with a check which criteria are F or NI. If even one criterion is F, the core
competency is also F. Unchecked criterions are passing (P). “Patients” or “Clients” can be used in these clinical objectives
to refer to students’ peers, faculty, and/or standardized patients when clinical evaluation utilized in NURS 251
148
http://www.nursing.psu.edu
MID-COURSE
FINAL
Core competency 1
P
F
NI
P
F
Patient Centered Care: Plan and provide competent, compassionate and
coordinated care based on sound judgment and clinical reasoning and
respect for patient’s preferences, values, and need.
Criteria
F
NI
NA
F
NA
1a. Demonstrates accurate, thorough, and systematic clinical assessments
1b. Develops individualized, accurate and complete nursing care plans with
rationales and outcome criteria
x
x
1c. Provides patient-centered care compassionately and effectively
1d. Maintains client privacy, confidentiality, and dignity
1e. Identifies the need for the professional nurse to advocate for
clients/families.
1f. Prioritizes patient needs and care accurately.
Core competency 2
P
F
NI
P
F
Safety: Minimizes risk of harm to patients and providers through both
system effectiveness and individual performance.
Criteria
F
NI
NA
F
NA
2a. Performs nursing skills safely, accurately, and without omission
2b. Implements written plans of care safely and effectively
x
x
2c. Complies with College of Nursing and clinical site policies for safety,
security, infection control, and patient care
2d. Administers medications safely with an understanding of the purpose,
route, dose range, side effects, and precautions for each medication
x
x
2e. Implements strategies to reduce risk of harm to self and others
2f. Recognizes and acts to prevent unsafe, illegal, immoral or unethical
practices by self and others
2g. Monitors patient status and notify assigned nurse promptly of any changes
in condition or concerning findings
2h. Implements strategies related to National Patient Safety Goals that are
appropriate for assigned client(s).
2i. Organizes multiple responsibilities and provides safe client care in a
effective, efficient and timely manner
Core competency 3
P
F
NI
P
F
Evidence based Practice: Integrate best current evidence with clinical
expertise and patient/family preferences and values for delivery of optimal
healthcare.
Criteria
F
NI
NA
F
NA
3a. Relates theoretical and evidence-based knowledge to practice
3b. Utilizes appropriate resources and references for accurate and complete
data collection
3c. Delivers evidence based care that respects patient and family preferences
Approved: 2005
Revised: 11/2015
Revised: 02/2016
149
http://www.nursing.psu.edu
MID-COURSE
FINAL
Core competency 4
P
F
NI
P
F
Teamwork & Collaboration: Function effectively within nursing and inter-
professional teams, fostering open communication, mutual respect, and
shared decision making to achieve quality patient care.
Criteria
F
NI
NA
F
NA
4a. Develops and maintain constructive and cooperative working relationships
with faculty, staff, peers, and facility employees
4b. Listens carefully and communicate effectively with patients/families,
members of the healthcare team, faculty, and those from diverse
backgrounds, taking the time to understand and ask appropriate questions
without interrupting
4c. Assumes role of team member and functions competently within own scope
of practice providing high quality, safe patient care, as a member of the
healthcare team
x
x
4d. Identifies the perspectives, expertise, and limitations of all healthcare team
members including those of diverse background
x
x
4e. Reports abnormal findings or changes in patient condition to appropriate
members of the healthcare team in a timely, accurate, and thorough manner
x
x
4f. Identifies the need for help, identifies appropriate resources and initiates
requests when appropriate to the situation
4g. Begins to incorporate effective communication techniques, including
negotiation and conflict resolution to produce positive professional working
relationships
4h. Identifies the unique nursing perspective to inter-professional teams to
optimize patient outcomes
x
x
Core competency 5
P
F
NI
P
F
Quality Improvement: Monitor the outcomes of care processes and take
steps to continuously improve the quality and safety care delivery.
Criteria
F
NI
NA
F
NA
5a. Accepts guidance, supervision, and constructive criticism
5b. Identifies strengths and weaknesses and uses feedback to formulate goals
for personal and professional growth
5c. Evaluates care based on client response, outcome, scientific knowledge,
and begins to make appropriate revisions, as necessary
x
x
5d. Shows a high level of dedication to quality
5e. Promotes achievement of safe, quality outcomes of care for all clients and
families
5f. Realizes that continuous quality improvement is an essential part of the
daily work of all members of the healthcare team.
x
x
5g. Realizes that nursing and students of other health professions are part of
systems of care and care processes that affect outcomes for clients and
families.
x
x
Approved: 2005
Revised: 11/2015
Revised: 02/2016
150
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MID-COURSE
FINAL
Core competency 6
P
F
NI
P
F
Informatics: Manage data, information, knowledge and technology to
effectively communicate, mitigate error and support decision making.
Criteria
F
NI
NA
F
NA
6a. Maintains accurate & timely medical records and other documentation in
accordance with clinical site & program policy utilizing appropriate
medical terminology and professional communication.
6b. Demonstrates fundamental skills in using patient care technologies,
information & communication systems, that support safe nursing practice.
6c. Recognizes the role of information technology in improving patient care
outcomes and creating a safe care environment.
6d. Upholds ethical standards related to data security, regulatory requirements,
confidentiality, and clients’ right to privacy.
6e. Utilizes and responds appropriately to technologies and alerts that support
clinical decision-making, error prevention, and care coordination.
x
x
6f. Utilizes and begin to evaluate patient data and information.
Core competency 7
P
F
NI
P
F
Professionalism and Professional Values: Applies the principles of
altruism, excellence, caring, ethics, respect, communication, civility, and
accountability.
Criteria
F
NI
NA
F
NA
7a. Takes responsibility and accountability for learning, actions and quality of
work without blaming others or making excuses.
7b. Complies with Pennsylvania State University, College of Nursing, program
& course policies, procedures and requirements.
7c. Is honest and trustworthy and demonstrates the professional standards of
moral, ethical, and legal conduct.
7d. Demonstrates flexibility and tolerance for change, ambiguity, and
unpredictability.
7e. Performs effectively and maintains self-control during difficult or
unexpected situations and conditions.
7f. Maintains a culture of civility and kindness treating all individuals with
dignity and respect.
7g. Demonstrates professionalism, including attention to appearance,
demeanor, respect for self and others, and attention to professional
boundaries with patients and families, staff and faculty.
7h. Remains alert and attentive during clinical time.
7i. Performs duties in a reliable, responsible, and dependable manner.
7j. Provides evidence of preparation for clinical experiences
7k. Arrives at clinical experiences and completes work on time.
Approved: 2005
Revised: 11/2015
Revised: 02/2016
151
http://www.nursing.psu.edu
Mid-Semester Evaluation
Instructor Comments:
Student Comments:
Student’s Signature: ___________________________________________________Date____________________
Instructor’s Signature: _________________________________________________Date_____________________
Final Evaluation
Instructor Comments:
Student Comments:
Student’s Signature: __________________________________________________Date_____________________
Instructor’s Signature: ________________________________________________ Date_____________________
Approved: 2005
Revised: 11/2015
Revised: 02/2016
152
http://www.nursing.psu.edu
REMEDIATION PLAN AND OUTCOME
Please type this document
Criteria
Description of unsatisfactory behavior
Please use back of form if necessary for additional detail
PLAN
The SPECIFIC skills, knowledge, and COMPETENCIES that must be demonstrated to meet
course objective(s) including time frame when appropriate:
__________________________________________________________________
__________________________________________________________________
__________________________________________________________________
__________________________________________________________________
Suggested resources and activities:
__________________________________________________________________
__________________________________________________________________
__________________________________________________________________
Failure to meet the expectations of the remediation plan and all clinical objectives will result in a
clinical failure for this course.
Instructor’s Signature: ___________________________ Date: ____________________
Student’s Signature: _____________________________ Date: ____________________
Date of Follow-up Conference: ______________________________________________
OUTCOME
Follow-up conference (Please check one of the following):
Has overcome deficiencies and now meets objective(s)
Has not overcome deficiencies and does not meet objective(s)
Comments:
__________________________________________________________________
__________________________________________________________________
__________________________________________________________________
__________________________________________________________________
Instructor’s Signature: ___________________________ Date: ____________________
Student’s Signature: _____________________________ Date: ____________________
Approved: 2005; 11/2017
Revised: Fall 2015; 1/2018
153
http://www.nursing.psu.edu
PENNSYLVANIA STATE UNIVERSITY
College of Nursing
300 LEVEL Student Clinical Performance Evaluation
Student Name ________________________________ Course Number ___________ Semester _________
Clinical Site(s) __________________________________________________________________________
Mid-Course Evaluation: Passing____ Failing____ Needs Improvement______ Date: _______________
Final Evaluation: Pass____ Fail____ Date: _____________
Definition of Clinical Grades:
P = Pass
Passing: Clinical performance which consistently demonstrates safe and
adequate application of the clinical course objectives within a defined time
frame with minimal verbal or nonverbal cues or assistance in integrating
knowledge and skills.
F = Fail
Failing: Clinical performance which demonstrates unsafe or inadequate
application of the clinical objectives within a defined time frame; requires
frequent verbal or nonverbal cues or assistance to function on the clinical
area, demonstrates gaps in necessary knowledge or critical thinking and requires
frequent or almost constant assistance in integrating knowledge and skills.
*NI – Needs Improvement
only may be used at mid-course
evaluation
Needs Improvement: Clinical performance which is inconsistent in
application of clinical course objectives within a defined time frame; functions
safely and adequately only with moderate assistance, verbal or nonverbal
cues, integrating knowledge with skills in the clinical area.
*N.A. – Not applicable
The N/A at final evaluation should only be utilized if none of the students in the
course had the opportunity to meet the objective.
Not applicable to students in this course
DO NOT USE N.A. FOR EVALUATION OF ANY CORE COMPETENCY
Criteria for Passing Clinical:
Mid-Course
Passing requires pass (P) in all Core competencies and criteria. “Needs Improvement” (NI) on
any one criteria at mid-course evaluation denotes “Needs Improvement” (NI) for the core
competency and a “Needs Improvement” clinical grade at mid-course. “Fail” (F) on any one
criteria at mid-course evaluation denotes “Fail” (F) for the core competency and a failing clinical
grade at mid-course. The evaluator is expected to comment on ALL items rated: NI or F.
Comments must include a plan for improvement for each criteria evaluated with a Fail (F) or
Needs Improvement (NI) .
A Remediation Plan will be written at mid-course if the student is failing and, at the discretion of
the clinical instructor, may be written for a student who needs improvement.
Final:
Pass in all elements. A “Fail” (F) on any one element at final evaluation denotes clinical failure
and course failure. The evaluator is expected to comment on all items rated F.
Remediation Plans: will be developed by course faculty for failing grade at mid-course or any time during the course at the
discretion of the clinical instructor. The plan will identify the clinical criteria that are of concern and will suggest resources
and activities designed to assist the student in achieving a passing evaluation for the final course grade.
Instructions for faculty: Passing (P) for any core competency indicates that all criteria are also passing (P). If the core
competency is graded F or NI, indicate with a check which criteria are F or NI. If even one criterion is F, the core
competency is also F. Unchecked criterions are passing (P).
Approved: 2005
Revised: Fall 2015
154
http://www.nursing.psu.edu
MID-COURSE
FINAL
Core competency 1
P
F
NI
P
F
Patient Centered Care: Plan and provide competent, compassionate and
coordinated care based on sound judgment and clinical reasoning and
respect for patient’s preferences, values, and need.
Criteria
F
NI
NA
F
NA
1a. Demonstrates accurate, thorough, and systematic clinical assessments
1b. Develops individualized, accurate and complete nursing care plans with
rationales and outcome criteria
1c. Provides patient-centered care compassionately and effectively
1d. Maintains client privacy, confidentiality, and dignity
1e. Identifies the need for the professional nurse to advocate for
clients/families.
1f. Prioritizes patient needs and care accurately.
1g. Identifies educational needs and provides education to enhance client well-
being
Core competency 2
P
F
NI
P
F
Safety: Minimizes risk of harm to patients and providers through both
system effectiveness and individual performance.
Criteria
F
NI
NA
F
NA
2a. Performs nursing skills safely, accurately, and without omission
2b. Implements comprehensive, individualized written plans of care safely and
effectively and revises as needed
2c. Complies with College of Nursing and clinical site policies for safety,
security, infection control, and patient care
2d. Administers medications safely with an understanding of the purpose,
route, dose range, side effects, and precautions for each medication
2e. Identifies and implements strategies to reduce risk of harm to self and
others
2f. Recognizes and acts to prevent unsafe, illegal, immoral or unethical
practices by self and others
2g. Monitors patient status and notify assigned nurse promptly of any changes
in condition or concerning findings
2h. Identifies and implements strategies related to National Patient Safety
Goals that are appropriate for assigned client(s).
2i. Organizes multiple responsibilities and provides safe client care in a
effective, efficient and timely manner
Core competency 3
P
F
NI
P
F
Evidence based Practice: Integrate best current evidence with clinical
expertise and patient/family preferences and values for delivery of optimal
healthcare.
Criteria
F
NI
NA
F
NA
3a. Applies theoretical and evidence-based knowledge to practice
3b. Utilizes appropriate resources and references for accurate and complete
data collection and analysis
3c. Delivers evidence based care that respects patient and family preferences
3d. Identifies and implements evidence-based practice to enhance patient
outcomes
Approved: 2005
Revised: Fall 2015
155
http://www.nursing.psu.edu
MID-COURSE
FINAL
Core competency 4
P
F
NI
P
F
Teamwork & Collaboration: Function effectively within nursing and inter-
professional teams, fostering open communication, mutual respect, and
shared decision making to achieve quality patient care.
Criteria
F
NI
NA
F
NA
4a. Develops and maintain constructive and cooperative working relationships
with faculty, staff, peers, and facility employees
4b. Listens carefully and communicates effectively with patients/families,
members of the healthcare team, faculty, and those from diverse
backgrounds, taking the time to understand and ask appropriate questions
without interrupting
4c. Assumes role of team member and functions competently within own scope
of practice providing high quality, safe patient care, as a member of the
healthcare team
4d. Incorporates the perspectives, expertise, and limitations of all healthcare
team members including those of diverse background
4e. Identifies and reports abnormal findings or changes in patient condition to
appropriate members of the healthcare team in a timely, accurate, and
thorough manner
4f. Identifies the need for help, identifies appropriate resources and initiates
requests when appropriate to the situation
4g. Incorporates effective communication techniques, including negotiation
and conflict resolution to produce positive professional working
relationships
4h. Begins to contribute the unique nursing perspective to inter-professional
teams to optimize patient outcomes
Core competency 5
P
F
NI
P
F
Quality Improvement: Monitor the outcomes of care processes and take
steps to continuously improve the quality and safety care delivery.
Criteria
F
NI
NA
F
NA
5a. Accepts guidance, supervision, and constructive criticism
5b. Identifies strengths and weaknesses and uses feedback to formulate goals
for personal and professional growth
5c. Evaluates care based on client response, outcome, scientific knowledge,
makes appropriate revisions, as necessary
5d. Contributes to a high level to quality
5e. Contributes to achievement of safe, quality outcomes of care for all clients
and families
5f. Contributes to continuous quality improvement as an essential part of the
daily work of all members of the healthcare team.
5g. Demonstrates how the role of nursing and students of other health
professions in systems of care and care processes that affect outcomes for
clients and families
Approved: 2005
Revised: Fall 2015
156
http://www.nursing.psu.edu
MID-COURSE
FINAL
Core competency 6
P
F
NI
P
F
Informatics: Manage data, information, knowledge and technology to
effectively communicate, mitigate error and support decision making.
Criteria
F
NI
NA
F
NA
6a. Maintains accurate & timely medical records and other documentation in
accordance with clinical site & program policy utilizing appropriate
medical terminology and professional communication.
6b. Demonstrates fundamental skills in using patient care technologies,
information & communication systems, and that support safe nursing
practice.
6c. Recognizes the role of information technology in improving patient care
outcomes and creating a safe care environment.
6d. Upholds ethical standards related to data security, regulatory requirements,
confidentiality, and clients’ right to privacy.
6e. Utilizes and respond appropriately to technologies and alerts that support
clinical decision-making, error prevention, and care coordination.
6f. Utilizes and begin to evaluate patient data and information.
Core competency 7
P
F
NI
P
F
Professionalism and Professional Values: Applies the principles of
altruism, excellence, caring, ethics, respect, communication, civility, and
accountability.
Criteria
F
NI
NA
F
NA
7a. Takes responsibility and accountability for learning, actions and quality of
work without blaming others or making excuses.
7b. Complies with Pennsylvania State University, College of Nursing, program
& course policies, procedures and requirements.
7c. Is honest and trustworthy and demonstrates the professional standards of
moral, ethical, and legal conduct.
7d. Demonstrates flexibility and tolerance for change, ambiguity, and
unpredictability.
7e. Performs effectively and maintains self-control during difficult or
unexpected situations and conditions.
7f. Maintains a culture of civility and kindness treating all individuals with
dignity and respect.
7g. Demonstrates professionalism, including attention to appearance,
demeanor, respect for self and others, and attention to professional
boundaries with patients and families, staff and faculty.
7h. Remains alert and attentive during clinical time.
7i. Performs duties in a reliable, responsible, and dependable manner.
7j. Provides evidence of preparation for clinical experiences
7k. Arrives at clinical experiences and completes work on time.
Approved: 2005
Revised: Fall 2015
157
http://www.nursing.psu.edu
Mid-Semester Evaluation
Instructor Comments:
Student Comments:
Student’s Signature: ___________________________________________________Date____________________
Instructor’s Signature: _________________________________________________Date_____________________
Final Evaluation
Instructor Comments:
Student Comments:
Student’s Signature: __________________________________________________Date_____________________
Instructor’s Signature: ________________________________________________ Date_____________________
Approved: 2005
Revised: Fall 2015
158
http://www.nursing.psu.edu
REMEDIATION PLAN AND OUTCOME
Please type this document
Criteria
Description of unsatisfactory behavior
Please use back of form if necessary for additional detail
PLAN
The SPECIFIC skills, knowledge, and COMPETENCIES that must be demonstrated to meet
course objective(s) including time frame when appropriate:
__________________________________________________________________
__________________________________________________________________
__________________________________________________________________
__________________________________________________________________
Suggested resources and activities:
__________________________________________________________________
__________________________________________________________________
__________________________________________________________________
Failure to meet the expectations of the remediation plan and all clinical objectives will result in a
clinical failure for this course.
Instructor’s Signature: ___________________________ Date: ____________________
Student’s Signature: _____________________________ Date: ____________________
Date of Follow-up Conference: ______________________________________________
OUTCOME
Follow-up conference (Please check one of the following):
Has overcome deficiencies and now meets objective(s)
Has not overcome deficiencies and does not meet objective(s)
Comments:
__________________________________________________________________
__________________________________________________________________
__________________________________________________________________
__________________________________________________________________
Instructor’s Signature: ___________________________ Date: ____________________
Student’s Signature: _____________________________ Date: ____________________
Approved: 2005; 11/2017
Revised: Fall 2015, 1/2018
159
http://www.nursing.psu.edu
PENNSYLVANIA STATE UNIVERSITY
College of Nursing
400 LEVEL Student Clinical Performance Evaluation
Student Name ________________________________ Course Number ___________ Semester _________
Clinical Site(s) __________________________________________________________________________
Mid-Course Evaluation: Passing____ Failing____ Needs Improvement______ Date: _______________
Final Evaluation: Pass____ Fail____ Date: _____________
Definition of Clinical Grades:
P = Pass
Passing: Clinical performance which consistently demonstrates safe and
adequate application of the clinical course objectives within a defined time
frame with minimal verbal or nonverbal cues or assistance in integrating
knowledge and skills.
F = Fail
Failing: Clinical performance which demonstrates unsafe or inadequate
application of the clinical objectives within a defined time frame; requires
frequent verbal or nonverbal cues or assistance to function on the clinical
area, demonstrates gaps in necessary knowledge or critical thinking and requires
frequent or almost constant assistance in integrating knowledge and skills.
*NI – Needs Improvement
only may be used at mid-course
evaluation
Needs Improvement: Clinical performance which is inconsistent in
application of clinical course objectives within a defined time frame; functions
safely and adequately only with moderate assistance, verbal or nonverbal
cues, integrating knowledge with skills in the clinical area.
*N.A. – Not applicable
The N/A at final evaluation should only be utilized if none of the students in the
course had the opportunity to meet the objective.
Not applicable to students in this course
DO NOT USE N.A. FOR EVALUATION OF ANY CORE COMPETENCY
Criteria for Passing Clinical:
Mid-Course
Passing requires pass (P) in all Core competencies and criteria. “Needs Improvement” (NI) on
any one criteria at mid-course evaluation denotes “Needs Improvement” (NI) for the core
competency and a “Needs Improvement” clinical grade at mid-course. “Fail” (F) on any one
criteria at mid-course evaluation denotes “Fail” (F) for the core competency and a failing clinical
grade at mid-course. The evaluator is expected to comment on ALL items rated: NI or F.
Comments must include a plan for improvement for each criteria evaluated with a Fail (F) or
Needs Improvement (NI) .
A Remediation Plan will be written at mid-course if the student is failing and, at the discretion of
the clinical instructor, may be written for a student who needs improvement.
Final:
Pass in all elements. A “Fail” (F) on any one element at final evaluation denotes clinical failure
and course failure. The evaluator is expected to comment on all items rated F.
Remediation Plans: will be developed by course faculty for failing grade at mid-course or any time during the course at the
discretion of the clinical instructor. The plan will identify the clinical criteria that are of concern and will suggest resources
and activities designed to assist the student in achieving a passing evaluation for the final course grade.
Instructions for faculty: Passing (P) for any core competency indicates that all criteria are also passing (P). If the core
competency is graded F or NI, indicate with a check which criteria are F or NI. If even one criterion is F, the core
competency is also F. Unchecked criterions are passing (P).
Approved: 2005
Revised: Fall 2015
160
http://www.nursing.psu.edu
MID-COURSE
FINAL
Core competency 1
P
F
NI
P
F
Patient Centered Care: Plan and provide competent, compassionate and
coordinated care based on sound judgment and clinical reasoning and
respect for patient’s preferences, values, and need.
Criteria
F
NI
NA
F
NA
1a. Demonstrates accurate, thorough, and systematic clinical assessments
1b. Develops individualized, accurate and complete nursing care plans with
rationales and outcome criteria
1c. Provides patient-centered care compassionately and effectively
1d. Maintains client privacy, confidentiality, and dignity
1e. Identifies the need for the professional nurse to advocate for
clients/families.
1f. Prioritizes patient needs and care accurately.
1g. Identifies educational needs and provides education to enhance client well-
being
1h. Develops and implements appropriate discharge plans for the client
Core competency 2
P
F
NI
P
F
Safety: Minimizes risk of harm to patients and providers through both
system effectiveness and individual performance.
Criteria
F
NI
NA
F
NA
2a. Performs nursing skills safely, accurately, and without omission
2b. Implements comprehensive, individualized written plans of care safely and
effectively and revises as needed
2c. Complies with College of Nursing and clinical site policies for safety,
security, infection control, and patient care
2d. Administers medications safely with an understanding of the purpose,
route, dose range, side effects, and precautions for each medication
2e. Identifies, implements and evaluates strategies to reduce risk of harm to
self and others
2f. Recognizes and acts to prevent unsafe, illegal, immoral or unethical
practices by self and others
2g. Monitors patient status and notify assigned nurse promptly of any changes
in condition or concerning findings
2h. Identifies, implements and evaluates strategies related to National Patient
Safety Goals that are appropriate for assigned client(s).
2i. Organizes multiple responsibilities and provides safe client care in a
effective, efficient and timely manner
Core competency 3
P
F
NI
P
F
Evidence based Practice: Integrate best current evidence with clinical
expertise and patient/family preferences and values for delivery of optimal
healthcare.
Criteria
F
NI
NA
F
NA
3a. Applies theoretical and evidence-based knowledge to practice
3b. Utilizes appropriate resources and references for accurate and complete
data collection, analysis and synthesis
3c. Delivers evidence based care that respects patient and family preferences
3d. Identifies, implements, evaluation evidence-based practice to enhance
patient outcomes
Approved: 2005
Revised: Fall 2015
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MID-COURSE
FINAL
Core competency 4
P
F
NI
P
F
Teamwork & Collaboration: Function effectively within nursing and inter-
professional teams, fostering open communication, mutual respect, and
shared decision making to achieve quality patient care.
Criteria
F
NI
NA
F
NA
4a. Develops and maintain constructive and cooperative working relationships
with faculty, staff, peers, and facility employees
4b. Listens carefully and communicates effectively with patients/families,
members of the healthcare team, faculty, and those from diverse
backgrounds, taking the time to understand and ask appropriate questions
without interrupting
4c. Assumes role of team member or leader as appropriate and functions
competently within own scope of practice providing high quality, safe
patient care, as a member of the healthcare team
4d. Incorporates the perspectives, expertise, and limitations of all healthcare
team members including those of diverse background
4e. Identifies and reports abnormal findings or changes in patient condition to
appropriate members of the healthcare team in a timely, accurate, and
thorough manner
4f. Identifies the need for help, identifies appropriate resources and initiates
requests when appropriate to the situation
4g. Demonstrates effective communication techniques, including negotiation
and conflict resolution to produce positive professional working
relationships
4h. Contributes the unique nursing perspective to inter-professional teams to
optimize patient outcomes
4i. Delegates and oversees care appropriately recognizing the expertise and
limitations of team members
Core competency 5
P
F
NI
P
F
Quality Improvement: Monitor the outcomes of care processes and take
steps to continuously improve the quality and safety care delivery.
Criteria
F
NI
NA
F
NA
5a. Accepts guidance, supervision, and constructive criticism
5b. Identifies strengths and weaknesses and uses feedback to formulate a plan
for personal and professional growth utilizing appropriate resources
5c. Evaluates care based on client response, outcome, scientific knowledge,
makes appropriate revisions, as necessary
5d. Contributes to a high level of quality
5e. Proposes methods to enhance achievement of safe, quality outcomes of care
for all clients and families
5f. Contributes to continuous quality improvement as an essential part of the
daily work of all members of the healthcare team.
5g. Analyze the role of nursing and students of other health professions in
systems of care and care processes that affect outcomes for clients and
families.
Approved: 2005
Revised: Fall 2015
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MID-COURSE
FINAL
Core competency 6
P
F
NI
P
F
Informatics: Manage data, information, knowledge and technology to
effectively communicate, mitigate error and support decision making.
Criteria
F
NI
NA
F
NA
6a. Maintains accurate & timely medical records and other documentation in
accordance with clinical site & program policy utilizing appropriate
medical terminology and professional communication.
6b. Demonstrates fundamental skills in using patient care technologies,
information & communication systems, and that support safe nursing
practice.
6c. Recognizes the role of information technology in improving patient care
outcomes and creating a safe care environment.
6d. Upholds ethical standards related to data security, regulatory requirements,
confidentiality, and clients’ right to privacy.
6e. Utilizes and respond appropriately to technologies and alerts that support
clinical decision-making, error prevention, and care coordination.
6f. Utilizes and begin to evaluate patient data and information.
Core competency 7
P
F
NI
P
F
Professionalism and Professional Values: Applies the principles of
altruism, excellence, caring, ethics, respect, communication, civility, and
accountability.
Criteria
F
NI
NA
F
NA
7a. Takes responsibility and accountability for learning, actions and quality of
work without blaming others or making excuses.
7b. Complies with Pennsylvania State University, College of Nursing, program
& course policies, procedures and requirements.
7c. Is honest and trustworthy and demonstrates the professional standards of
moral, ethical, and legal conduct.
7d. Demonstrates flexibility and tolerance for change, ambiguity, and
unpredictability.
7e. Performs effectively and maintains self-control during difficult or
unexpected situations and conditions.
7f. Maintains a culture of civility and kindness treating all individuals with
dignity and respect.
7g. Demonstrates professionalism, including attention to appearance,
demeanor, respect for self and others, and attention to professional
boundaries with patients and families, staff and faculty.
7h. Remains alert and attentive during clinical time.
7i. Performs duties in a reliable, responsible, and dependable manner.
7j. Provides evidence of preparation for clinical experiences
7k. Arrives at clinical experiences and completes work on time.
Approved: 2005
Revised: Fall 2015
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Mid-Semester Evaluation
Instructor Comments:
Student Comments:
Student’s Signature: ___________________________________________________Date____________________
Instructor’s Signature: _________________________________________________Date_____________________
Final Evaluation
Instructor Comments:
Student Comments:
Student’s Signature: __________________________________________________Date_____________________
Instructor’s Signature: ________________________________________________ Date_____________________
Approved: 2005
Revised: Fall 2015
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REMEDIATION PLAN AND OUTCOME
Please type this document
Criteria
Description of unsatisfactory behavior
Please use back of form if necessary for additional detail
PLAN
The SPECIFIC skills, knowledge, and COMPETENCIES that must be demonstrated to meet
course objective(s) including time frame when appropriate:
__________________________________________________________________
__________________________________________________________________
__________________________________________________________________
__________________________________________________________________
Suggested resources and activities:
__________________________________________________________________
__________________________________________________________________
__________________________________________________________________
Failure to meet the expectations of the remediation plan and all clinical objectives will result in a
clinical failure for this course.
Instructor’s Signature: ___________________________ Date: ____________________
Student’s Signature: _____________________________ Date: ____________________
Date of Follow-up Conference: ______________________________________________
OUTCOME
Follow-up conference (Please check one of the following):
Has overcome deficiencies and now meets objective(s)
Has not overcome deficiencies and does not meet objective(s)
Comments:
__________________________________________________________________
__________________________________________________________________
__________________________________________________________________
__________________________________________________________________
Instructor’s Signature: ___________________________ Date: ____________________
Student’s Signature: _____________________________ Date: ____________________
Approved: 2005; 11/2017
Revised: Fall 2015, 1/2018
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ACADEMIC SUCCESS PLAN INDEX
Academic Success Plan – Course Exam Grade<77%
Student’s Name: ______________________ Date Initiated: _____________
Course: _____________________________
Purpose of the academic success plan:
The College of Nursing’s Academic Success Program is a proactive approach to support academic
achievement. Students, in collaboration with the Academic Success Coach and the nursing faculty, are
strongly encouraged to actively participate in the Academic Success Program. Participation in the
Academic Success Program is voluntary and student accountability is recognized as an important
characteristic of academic success. The student is responsible for follow through and completion of an
Academic Success Plan.
Reasons for contact:
Exam score in a nursing course of less than 77% on an examination or assignment worth 10% or more
of the final course grade. Examination/Assignment Score = __________
Outcome: Student will achieve a grade of 75% or higher in all future exams/assignments.
Plan:
Step 1: Student and Course Coordinator – will meet within approximately 5 days of grade
availability.
● Meet with Course Coordinator and identify content requiring review and remediation.
● Complete exam review with Course Coordinator and identify content and test taking areas of
concern.
__ Needs to understand information more thoroughly
__ Needs to read stem more carefully and not miss key words
__ Needs to review all options before answering a question
__ Needs to complete required learning activities & practice assessments in ATI
__ Needs to pace self through exam and not hurry
__ Needs to be prepared for exam by:
__completing all assigned readings
__studying every day
__not cramming the night before the exam
___Other:
● Review performance in the ATI Self-Assessment Inventory PRIOR to meeting with the
Academic Success Coach.
Step 2 is to be scheduled by: ___________________ (within approximately 5 days of Step 1)
Course Coordinator Signature: __________________________________ Date: _________
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Academic Success Plan – Course Exam Grade<77%
Step 2: Student and Academic Coach.
●Review the ATI Self-Assessment Inventory and identify learning style
●Identify barriers to learning:
___ Academic Factors (inability to meet academic demands, lack of a daily study
routine, insufficient note taking, lack of self-testing prior to exams etc.)
___ Environmental Factors (i.e. finances, support systems, family responsibilities,
employment, housing etc.)
___ Affective Factors (i.e. cultural values & beliefs, self-efficacy, motivation etc.)
___ Psychological Factors (i.e. stress, anxiety, mental well-being etc.)
___ Physical Factors (i.e. physical health, etc.)
___ Student Characteristics (i.e. age, prior experiences with school and work, language,
first generation college student etc.)
Adapted from: Jeffries (2004) Model of Nursing UG Retention and Success.
___Other:
●Methods to improve study habits and test-taking skills:
___ Complete class prep
___ Identify & capitalize on individualized learning style(s)
___ Participate in class discussions
___ Implement test-taking strategies as discussed with Academic Success Coach
___ Identify and participate in a study group
___ Seek peer-to-peer or other tutoring
___ Implement more effective study habits as discussed with Academic Success Coach
___ Other:
● Access the Learning Resource Center for additional assistance with_______________
● Referral to Counseling and Psychological Services (CAPS)_____________
● Other referrals_________________________
Books/Written Materials given/lent to student:_____________________________________________
__________________________________________________________________________________
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Academic Success Plan – Course Exam Grade<77%
Step 3: Student Goals for Success
Student is recommended to identify a minimum of two goals for success.
1.
2.
Student Signature: ______________________________________________ Date: __________
Date of follow-up meeting: ______________________________________Time: ___________
_____ Copy to Student _____ Copy to Student File
Follow-Up Evaluation:
● Student meeting desired outcome; course grade currently greater than 75%.
●Student not meeting desired outcome:
____ Continue with current plan.
____ Continue with revised plan as indicated below.
____ Additional meetings with Academic Coach.
Revised Plan:
Student’s Goals for Success:
Student Signature: __________________________________________ Date: ______________
Continued Planning:
06.01.15
Rev. 07.18.16
Rev. 09.07.17
Rev. 09.26.18
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Clinical Success Plan Process – Clinical Skills
1. A Clinical Success Plan is NOT a Clinical Remediation Plan. Faculty and students should
review the clinical evaluation tool and policy on clinical remediation. The purpose of the
Clinical Success Plan is to proactively support the development of clinical skill performance
(e.g. PPE, aseptic technique, catheterization). Student participation is voluntary.
2. A Clinical Success Plan does not indicate a clinical failure.
3. When a clinical instructor identifies a need for further practice in a clinical skill, he or she
provides the student with immediate feedback and advises the student that a clinical success
plan is recommended.
4. The clinical instructor and student develops a clinical success plan using the appropriate form
and communicates it to the lab coordinator, course coordinator, academic success coach, and
student within 24 hours via Penn State email accounts.
5. Within 48 hours the student contacts the lab coordinator or designee and schedules a practice
session. It is the responsibility of the student to come prepared to the practice session and carry
out the plan as recommended with the assistance of the Lab Coordinator or designee.
6. Upon completion of the scheduled practice session, the Lab Coordinator or designee forwards a
copy of the completed Clinical Success Plan to the Academic Success Coach. The student
receives a copy of the completed form and shares this with the Clinical Instructor on the next
scheduled clinical day.
7. A brief note indicating that a Clinical Success Plan has been initiated is entered into Starfish
advising notes by the Academic Success Coach.
6/01/2016
Revised 8/1/2016
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Clinical Success Plan
Student’s Name: Clinical Date:
Course:
Reason for Plan:
Expected Student Outcome:
Referring Faculty Signature: Date:
Clinical Plan Steps:
1. The student will follow the process of scheduling time in the lab for the specified review.
2. The student will complete a self-guided review related to the identified clinical issue within 5
business days of meeting with clinical faculty. This review will utilize resources such as ATI
skills modules, textbooks, lab modules, etc., used previously in the program to teach this skill.
3. The student will come to the lab prepared for an effective practice session at the scheduled time.
4. At the completion of the practice session, the student will demonstrate proficiency of the skill to
the Lab Coordinator/designee. If unsuccessful, additional practice time should be scheduled.
5. A copy of the completed form will be forwarded to the Academic Success Coach by the Lab
Coordinator. The Academic Success Coach will place the form in the student file and will
document a brief note in Starfish.
6. The student will share a copy of the completed plan with the Clinical Instructor.
Lab Coordinator/Designee Comments:
No further practice time required.
Further practice time recommended. The next practice session is scheduled on: _______
Lab Coordinator’s/designee signature: _____________________________ Date: ____________
Student’s Signature: ____________________________________________ Date: ____________
6/01/2016
Revised 8/1/2016
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Academic Success Plan - General
Student’s Name: Date:
Course:
Purpose Of The Academic Success Plan:
The College of Nursing’s Academic Success Program is a proactive approach to support academic
achievement. Students, in collaboration with the Academic Success Coach and the nursing faculty, are
strongly encouraged to actively participate in the Academic Success Program. Participation in the
Academic Success Program is voluntary and student accountability is recognized as an important
characteristic of academic success. The student is responsible for follow through and completion of an
Academic Success Plan.
Reason For Contact:
Plan:
Expected Outcomes:
Student Goals:
The next meeting date is: ________________________________________
The Academic Success Plan is designed to support academic achievement. Students are strongly
encouraged to actively participate in the Academic Success Plan.
___I agree to actively participate in the Academic Success Plan.
___I choose not to participate in the Academic Success Plan.
_________________________________ _______________________________ ________
Student Signature Academic Success Coach Signature Date
6/01/2016
Revised 8/1/2016
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ACADEMIC DIFFICULTY NOTIFICATION LETTER INDEX
Academic Difficulty Notification Letter
Date
Dear (Student’s Name):
One charge of the College of Nursing’s (CON) Undergraduate Admissions and Standards Committee
is the mid-course identification of students experiencing academic difficulty. Data collected over the
years indicate that those who seek help early successfully complete the course. We are committed to
helping you succeed in the nursing program.
We have been notified that you are experiencing difficulty in the (Theory / Clinic) portion of (Course).
While the ultimate responsibility for success in a course is yours, we suggest the following steps to
assist you in attaining that success:
Meet with the Course Coordinator and/or clinical instructor for specific suggestions related to
your success in the course
Obtain suggestions from your faculty adviser and/or the CON Academic Success Coach about
University resources such as counseling services, testing assistance, study skills, or peer
tutoring.
If either one of the above actions is unsatisfactory to you, you may contact me for the
assignment of an advocate from the Committee.
Any student who unsuccessfully attempts the same required nursing course or two different required
nursing courses will be dismissed from the nursing major. Please review the complete Academic
Progression Policy in the student Handbook, which is located on the CON website
https://www.nursing.psu.edu/student-handbooks/.
Please let us know if we can be of further assistance to you. We wish you success in the future.
Sincerely,
Mary Anne Ventura, RN, MEd, MS
Chair, Undergraduate Admissions and Standards Committee
cc: (Adviser & Course Coordinator)
Rev. 3/6/2016, 2/26/18, 10/5/18
Updated 6/5/2019
