Santa Ana College Nursing Program, Study notes of Nursing

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N URSING S TUDENT G UIDEBOOK

Revised: July 2021

Santa Ana

College

Nursing

Program

Contents

• W E L C O M E
• RSCCD Administrative Organizations Chart
• Nursing Program Organization Chart
• Nursing Department Committee Structure Chart
• Clinical Affiliations Chart
• History of Nursing at Santa Ana College
• Mission, College Institutional Learning Outcomes, and
• Program Learning Outcomes
  • Santa Ana College Mission
  • Santa Ana College Institutional Student Learning Outcomes
  • Nursing Program Learning Outcome
  • Nursing Program Terminal Objectives/End-of-Program Student Learning Outcomes
  • Philosophy of Nursing at Santa Ana College
  • Options
  • General Information
  • Program Descriptions..............................................................................................................................
• Responsibilities of Director of the RN Program
  • General Responsibilities..........................................................................................................................
  • Essential Job Functions
  • Specific Responsibilities
  • Other Professional Responsibilities
  • Organizational Relationships
  • Qualifications
• Responsibilities of Assistant Director of the RN Program
• Responsibilities of Department Chair
• Administration
• Faculty
• College/Community
• Students
• Administration
• Full-Time Faculty and Administration
• Clinical Facilities
• Board of Registered Nursing Regulations RN Students
• Major Nursing Requirements for Associate Degree in Nursing
• Challenge of Courses...................................................................................................................................
• Computer Competencies
• Clinical Requirements
  • Background Checks
  • CPR Cards
  • Drug Testing
  • Malpractice Insurance
  • Physical Examinations
  • Social Security Number
• Nondiscrimination Policy
• Nursing Scholarships
• Student Guidelines
  • Academic Honesty Policy
  • Attendance Procedure
  • Cell Phones
  • Change of Address or Phone Number
  • Class Officers
  • Complaint Procedure/Chain of Command..............................................................................................
  • Convictions
  • COVID Statement
  • Dress Code in Clinical
  • Uniforms
  • Educational Program Concerns
  • Employment
  • Gifts
  • Going on Duty
  • Grading
  • Infants and Children
  • Make-Up Exams/Late Assignments
  • Medications
  • Patient Assignment
  • Patient Confidentiality
  • Physical Requirements for Program
  • Pregnancy, Illness, and Surgery
  • Reference Format for Paperwork
  • Registration
  • Role of the Student and Instructor
  • SACSNA
  • Signature on Charts: Legal Requirement
  • Social Networking Sites
  • Student Injury/Exposure
  • Student Input
  • Substance Abuse
  • Testing Fees
  • Transportation
• Graduation
• Pinning Ceremony Guidelines
• Application for Licensure
• Post-Graduation Employment Recommendations
• APPENDICES
• CRITERIA FOR UNSAFE CLINICAL PERFORMANCE
• Report of Potential/Actual Medication Error
• Procedure of Medication Error Report
• WRITTEN WARNING NOTICE
• Anecdotal Note
• IMPAIRED NURSING STUDENTS
• BOARD STATEMENT:
• NURSING PROGRAMS ARE EXPECTED TO:
• STUDENTS ARE EXPECTED TO:
• POLICY STATEMENT ON DENIAL OF LICENSURE
  • Convictions
  • Rehabilitation
  • EVIDENCE OF REHABILITATION
• STATUTORY AUTHORITY FOR DENIAL OF LICENSURE
  • Grounds for Denial
  • Criteria for Related Crimes Required
  • Criteria for Rehabilitation Required
  • Attestations of Good Moral Character Not Required
  • Procedure for Board Upon Denial...........................................................................................................
  • Reapplication After Denial
  • Violations of Exam Security.....................................................................................................................
  • REGULATIONS RELATING TO LICENSE DENIAL
  • 1445. Criteria for Rehabilitation
• ACADEMIC HONESTY INCIDENT REPORT FORM
• Academic Failure Warning
• Nursing Student Code of Conduct Contract

RSCCD Administrative Organizations Chart

Rancho Santiago Community College District Board of Trustees

Chancellor of the Rancho Santiago Community College District

Marvin Martinez

Interim President of Santa Ana College Dr. Marilyn Martinez-Flores

Vice President of Academic Affairs Dr. Jeffrey Lamb

Dean-Science, Math and Health Sciences Division Dr. Saeid Eidgahy

Associate Dean of Health Sciences/ Director of the Nursing Program Mary Steckler, MSN, RN, CNE

Assistant Directors of Nursing Dr. Stacey Bass DNP, RN - ECP Dr. Louise Jones DNP, RN - Traditional

Faculty

Nursing Program Organization Chart

Associate Dean of Health Sciences Director of the Nursing Program Mary Steckler

Faculty Stacey Bass

Lisa Carriger Mike Delaby

Becky Ettinger Louise Jones

Quynh Mayer Dale Mixer

Elenor Papa Teresa Simbro (currently on leave)

Mary Steckler Robert Stucken

Taylor Uffelman Rowena Valtairo

Michelle Vasquez Adjunct Faculty

Skills Lab Coordinator Dale Mixer

NCLEX/Technology Coordinator Teresa Simbro (Interim Louise Jones)

Content Expert – Med/Surg Louise Jones

Content Expert - Geriatric Lisa Carriger

Content Expert - Psychiatric Rowena Valtairo

Content Expert - Obstetrics Becky Ettinger

Content Expert - Pediatrics Stacey Bass

Clinical Teaching Assistants (CTA) (Classified)

College Environment – Shared Governance Academic Senate

Assistant DON Extended Campus Program Stacey Bass Assistant DON Traditional Program Louise Jones Health Sciences Chairpersons Lisa Carriger and Elenor Papa

Clinical Affiliations Chart

Santa Ana College

Director

Assistant Director

Nursing Faculty

Clinical Facilities

Chief Nursing

Officer/Executive

Staff Development

In-Service Education

Nurse Managers

Nursing Staff

Allied Health Staff

History of Nursing at Santa Ana College

Santa Ana College was established in 1915 and is one of the oldest community colleges in California. Its present 65-acre campus was developed in 1947 at the corner of 17th Street and Bristol Street, Santa Ana.

The college is fully accredited by the Accrediting Commission of Community and Junior Colleges, the Western Association of Schools and Colleges. The college offers a wide range of transfer and occupational courses. The Nursing Program is approved by the California Board of Registered Nursing (BRN) and accredited by the Accreditation Commission for Education in Nursing (ACEN).

Santa Ana College established a Health Sciences Department in May of 1970. The college decided to enter the health/nursing fields and chose a Licensed Vocational Nursing (LVN) program as its beginning.

In 1971, a career ladder philosophy of nursing was developed. The college’s next step was an experimental Associate Degree in Nursing (ADN) program. LVN applicants were accepted into a one-year LVN-to-ADN program which was implemented in 1973. Additionally, a Nursing Assistant course was designed for the fall of l973. This enabled the career ladder at Santa Ana College to extend from Nursing Assistant to LVN to RN. In 1982 the SANTA ANA COLLEGE CONCEPTUAL FRAMEWORK FOR NURSING was developed and copyrighted. The conceptual framework is the unifying thread of the nursing department curriculum. Copies of the Santa Ana College Conceptual Framework for Nursing are available for purchase in the College bookstore. In response to shifts in health care delivery, the LVN program was phased out in 1986 and a two-year generic Associate Degree in Nursing program was implemented. Advanced placement for previous learning in nursing was granted to qualified students (i.e., Licensed Psychiatric Technicians and Licensed Vocational Nurses). The Nursing Assistant program was phased out in the 1990s.

The Health Sciences Skills Lab was developed in fall 1991, with multiple subsequent renovations and expansions. It currently consists of a skills area, simulation lab, computer lab, and study area. In 1994, the nursing program received initial accreditation from NLNAC (formerly National League for Nursing; presently ACEN). The program has subsequently received re-accreditation for the maximum years each time re-accreditation was due.

Alternative scheduling in an evening/weekend format began as a pilot in 1998. In 2002, this alternative scheduling began at the off-campus site of St. Joseph Hospital of Orange. The Extended Campus Program (ECP) continues at this off-campus site as an ongoing collaborative project between the Rancho Santiago Community College District and St. Joseph Hospital.

In 2010, it was decided to begin a multi-criteria admission selection process when the entry list neared depletion. The multi-criteria admission selection process is based on points given for the science prerequisites’ GPA, completion of English and general education courses, previous degrees, recent work in healthcare, life experiences, fluency in specific languages, and results on the Test of Essential Academic Skills (TEAS V/ATI TEAS) test. The Nursing website at www.sac.edu/nursing gives the specific point breakdown.

A Concept-Based Curriculum (CBC) was implemented in Spring 2017 following approval by the BRN and ACEN. The curriculum has been phased in through the four semesters as of Fall 2018.

Registered Nursing Program and is able to function knowledgeably, safely, and effectively in nursing practice within a variety of health care settings and will be qualified for the licensing examination. The college-wide institutional learning outcomes are operationalized in the Nursing Program through this program learning outcome. The cohesive outcomes of Santa Ana College and the Nursing Program facilitate a collaborative educational endeavor in meeting the learning needs of students that will foster success in the chosen career.

Nursing Program Terminal Objectives/End-of-Program Student Learning Outcomes The Santa Ana College Conceptual Framework for Nursing provides an overall guide in designing the curriculum and formulating teaching strategies. The conceptual framework addresses concepts central to the philosophy of nursing and principles of nursing education and learning. The framework originates with the Santa Ana College Mission statement and carries through to the Nursing Program Terminal Objectives/End-of-Program Student Learning Outcomes to culminate in the Program Learning Outcome.

It is the ultimate goal and program learning outcome of nursing at Santa Ana College that the graduate is able to function knowledgeably, safely, and effectively in nursing practice within a variety of health care settings. Dedication to the protection of life and health, treatment of illness, teaching of health, and respect for the dignity of both life and death is implicit. Upon completion of the program, the student is expected to have learned how to:

1. Modify the nursing process to meet the patient’s biological and psychosocial systems needs, which are influenced by the interaction of the physical, social, cultural, and spiritual environments, in order to maximize health and wellness;
2. Select theories related to natural, behavioral, and social sciences that influence a patient’s biological and psychosocial systems needs in order to provide individualized nursing care;
3. Design the health care teaching plan to assist the patient and family to recover optimal fulfillment of systems needs;
4. Manage effective, accurate, and congruent transfer of information using therapeutic verbal and non-verbal communication with the patient, family, and health care team;
5. Demonstrate appropriate delegation of care to members of the health care team in various health care settings;
6. Evaluate one’s own accountability and responsibility for nursing practice within legal/ethical boundaries;
7. Evaluate one’s own development of professional awareness, commitment, education, and growth; and,
8. Operate as an advocate in the care of patients with biological and psychosocial systems needs.

Philosophy of Nursing at Santa Ana College The Nursing Program Philosophy consists of two components. The first component defines Nursing’s metaparadigm of person, health/illness, environment, and nursing. The second component addresses nursing education.

The Nursing Program curriculum utilizes a conceptual framework for nursing based on the concepts of person, health/illness, environment, and nursing developed from the biological and psychosocial sciences and is driven by the program learning outcome. In this conceptual framework, nursing is

viewed as an essential health service impacting health care recipients and that nursing has the right and responsibility to be involved in that care.

The Program is based on the concept of nursing that believes people are composed of biological and psychosocial systems. Each of these systems has needs, which must be met if persons are to maintain health and life. The conceptualization of person in the Santa Ana College Conceptual Framework for Nursing is composed of interacting biological and psychosocial systems and each of these systems has needs. Those systems where the needs are met are considered an asset. A system whose needs are not being met is considered a deficit. The acuity or severity and complexity of the systems needs determine the complexity of the nursing care.

Health is defined as the optimum fulfillment of the person’s biological and psychosocial systems needs. On the other end of the continuum, illness develops when biological and/or psychosocial systems needs are not being met. The interaction of systems needs can be modified or enhanced by the environment – physical, social, cultural, and spiritual facets.

It is to the life and health of a person, as mutually defined by both the person and the nurse, that nursing is committed. Working with and through others, both professional and non-professional, nursing strives, with the full participation of the individual, to treat illness and teach health by assisting persons to recover optimal fulfillment of their systems needs.

The Nursing Faculty believes that nursing education should be structured on the premise that the life and health of individuals are their most personal and valuable attributes. Instructional approaches address a variety of learning styles and are selected to foster critical thinking skills. Therefore, both theoretical and clinical instruction are offered in diverse forms including, but not limited to patient care experiences, computer-assisted learning, audiovisual materials, demonstrations in a skills laboratory, simulation, and class discussion.^2

Options Option I – Generic RN, academic program of two years. Option II – LVN to RN, academic program of one year. Option III – Thirty (30) Unit Option, academic program of one-year, non-degree (California Board of Registered Nursing requirement).

General Information While all of the counselors can assist Nursing students, Reina Sanabria is designated as the Nursing counselor. The counselor should be contacted regarding program inquiries. Appointments can be arranged for Reina Sanabria at (714) 564-6103.

Nursing students may meet with a counselor to design a plan for matriculation from the ADN to BSN and MSN/MN programs at California State Universities and in the University of California system. Transfer to other college or university nursing programs requires special counseling appointments to acquaint the student with the catalog requirements for selected institutions.

(^2) Santa Ana College Conceptual Framework for Nursing, 2019 courses (generally) and Skills and Computer Labs are housed at St. Joseph Hospital of Orange. All students may participate in the Skills and Computer Labs at St. Joseph Hospital of Orange and Santa Ana College. Community-basednursing clinical days for both the Traditional and ECP programs are arranged on days other than regular clinical days.

programs in Health Sciences. He/She acts as a liaison with 1) Board of Registered Nursing, 2) Accreditation Commission for Education in Nursing, and 3) Orange County/Long Beach (OC/LB) Consortium for Nursing. She/he plans for self-study reports for approval/accreditation. The Director interprets program requirements and objectives to other college departments.

Essential Job Functions The Director functions include the responsibility and authority to develop and implement the program budget and plans, manages, and evaluates all aspects of the program including, but not limited to faculty and staff, curriculum development and implementation, compliance with BRN rules and regulations, and acts as a student advocate (Associate Degree Nursing Directors’ Handbook). The Director guides the decision-making process of the education program (i.e., budgeting and staffing) and the responsibilities assigned to Health Sciences related to administration of the Nursing, Nursing Continuing Education, EMT, and Medical Assistant programs.

Specific Responsibilities Administration

• Develop and administer the budget with faculty input
• Seek additional funding sources, grant development, etc.
• Provide required reports for program approval/accreditation and College
• Conduct program approval/accreditation
  • BRN approval visit preparation/documentation
  • ACEN accreditation visit preparation/documentation
• Determine that all of the criteria and guidelines for selection of clinical sites as found in CCR section 1427 have been met
• Determine department procedures in conjunction with faculty
• Work closely with College services such as financial aid, tutoring, counseling, and other programs, and services for students
• Conduct research; participate in College research
• Evaluate faculty per the Faculty Association of Rancho Santiago Community College District (FARSCCD) contract and classified personnel per the California School Employees Association (CSEA) contract
• Assist with implementation of AB1725 with regard to new hires and other matters Curriculum
• Maintain continual review of curriculum and make faculty assignments
• Coordinate scheduling of classes
• Review and revise catalog information relevant to programs
• Plan new course program and course offerings in conjunction with faculty
• Assure compliance with BRN rules, regulations, and ACEN guidelines Community
• Liaison with clinical agencies
• Represent program and College as a member of local and regional health committees and boards
• Participate in professional organizations in health care and education
• Act as a resource to the community regarding nursing education and health-related programs and issues

College

• Advocate for the Registered Nursing, Nursing Continuing Education, EMT, and Medical Assistant programs
• Represent health-related issues to campus community Students
• Serves as advocate for students
• Assure faculty compliance with nursing program procedures and College policies affecting students
• Assist students in applying for licensure examination
• Develop studies with regard to follow-up data on graduates of the program Program
• Coordinate staffing and operation of all programs under jurisdiction Continuity
• Provide role orientation to incoming Director
• Participate in Associate Degree Nursing Program Directors' Mentor Procedure

Other Professional Responsibilities

It is understood that the Director of an Academic area may be assigned professional responsibilities such as special task forces, assignment of a special program, and to other duties within the academic area not enumerated above.

Organizational Relationships

The Associate Dean of Health Sciences/Nursing Program Director reports to the Division Dean and works collegially with the Assistant Directors of Nursing, Department Chair of Nursing, Skills Lab Coordinator, NCLEX/Technology Coordinator, the EMT Facilitator, and Medical Assistant Department Chair.

Qualifications

Education and Experience The Director must possess:

• A current California Registered Nurse License,
• Master of Science degree in Nursing from an accredited college or university,
• Minimum of one year of experience as a director or assistant director in a professional program,
• Minimum of three academic years of experience in professional nursing education within the last 10 years of hire, and
• Minimum of one year of continuous experience in the practice of professional nursing or equivalent experience as determined by the Board of Registered Nursing.

Knowledge and Ability The Director must demonstrate the ability to work effectively with faculty, staff, students, management, and the community. She/he must have the ability to communicate effectively, both orally and in writing. Thorough commitment to the concept of the comprehensive community college as a college that is accessible to people from every social, racial, ethnic, and economic group is imperative. The Director must demonstrate a commitment to equal opportunity policies and ability to provide leadership to diverse groups.

Note: We have one ADON for traditional and one ADON for ECP.

Responsibilities of Department Chair

The department chair shall adhere to the Santa Ana College job description for department chairs with additional responsibilities for nursing. This position is elected by the faculty.

Administration

• Assist faculty in formulating and implementing annual department goals in conjunction with college goals
• Formulate agenda and chair faculty meetings
• Attend Division orientation meetings with part-time faculty
• Attend and communicate information from meetings: o Division Curriculum/Chair’s o Academic Affairs Deans and Chairs meeting with Dr. Lamb o Nursing Department’s Budget and Planning, Committee on Committees, Evaluation, and Advisory.
• Update textbook lists, coordinate textbook changes, and communicate with publishers
• Assist with grant development and special projects
• Update Program Review annually including the Resource Allocation Request
• Assist with staffing and scheduling procedures Curriculum
• Review and revise catalog information pertaining to Health Science courses for accuracy and completeness. This is done once a year.
• Develop calendars and input clinical placement requests through the OC/LB Consortium clinical placement process Faculty
• Provide general direction for new full-time and part-time faculty
• Evaluate part-time faculty
• Implement peer review for full-time faculty
• Orient new faculty and/or assign to appropriate faculty team
• Assist faculty in departmental activities, e.g., classroom assignments, preplanning meetings, maintaining current student rosters, submitting grades, and course evaluations
• Review Department goals with faculty for current academic year and report on progress for the previous year’s goals
• Communicate to faculty relevant information OC/LB Consortium, Division Curriculum/Chair’s meetings, and Academic Affairs Deans and Chairs meeting
• Promote activities that facilitate staff development and funding
• Complete faculty replacement requests as needed and submit to Academic Senate
• Sign off on grant submissions as indicated from Health Sciences. College/Community
• Act as an advocate for the nursing program
• Attend college and community meetings to communicate concerns for nursing education, the department, faculty, and students

Students

• Assist the department in maintaining student records
• Assist in assigning students to clinical courses
• Attend new student orientation

Note: Department Chair receives X factor. The X Factor is defined as extra duties beyond the campus- wide chair duties. The department X-factor includes attending consortium meetings and responsible for inputting and managing clinical placement requests.

Administration

The Registered Nursing Program at Santa Ana College is in the Science, Math, and Health Sciences Division.

The Division Dean of Sciences, Math, and Health Sciences is Dr. Saeid Eidgahy.

The Associate Dean of Health Sciences/Director of Nursing position is Mary Steckler.

Stacey Bass is the Assistant Director of the Extended Campus Program.

Louise Jones is the Assistant Director of the Traditional Program.

Lisa Carriger and Elenor Papa are the Department Chairs of Nursing.

Full-Time Faculty and Administration

Stacey Bass received her BSN from Loma Linda University, her MSN from CSU, Long Beach, and her DNP from Western University of Health Sciences.

Lisa Carriger received her ADN from Saddleback College, her BSN and MSN from University of Texas Arlington, and her DNP from Chamberlain University.

Mike Delaby received his ADN from Golden West College and his BSN and MSN from University of Texas Arlington. He is currently in a DNP program at University of Texas Arlington.

Becky Ettinger received her ADN from Cerritos College, her BSN from University of Phoenix, her MSN from CSU, San Bernardino, and her DNP from Western University of Health Sciences.

Louise Jones received her ADN from Santa Ana College, her BSN and MSN from CSU, Fullerton, and her DNP from Grand Canyon University. She holds Nursing Educator certification from the National League for Nursing.

Quynh Mayer received her ADN from Glendale Community College, her BSN and NSN from CSU, Fullerton.

Dale Mixer received his ADN from Cerritos College, his BSN from CSU, Fullerton, and his MSN from University of Phoenix.