Clinical Resource Guide

2017-2018

Pre-Licensure BSN Degree Program

AURORA CAMPUS

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Contents INTRODUCTION TO THE CLINICAL RESOURCE GUIDE..................................................................................................3

CastleBranch ...........................................................................................................................................................3

Establish a CastleBranch Account .......................................................................................................................3

Accessing your Account Instructions ..................................................................................................................3

BACKGROUND CHECKS, FINGERPRINTING, AND DRUG SCREEN .................................................................................4

Background Check ...................................................................................................................................................4

Fingerprinting ..........................................................................................................................................................4

Additional Steps ...............................................................................................................................................4

Drug Screen .............................................................................................................................................................4

Additional Steps ...............................................................................................................................................4

MEDICAL DOCUMENT MANAGER ...............................................................................................................................5

Establish a Medical Document Manager Account...................................................................................................5

Immunizations ........................................................................................................................................................5

Tuberculosis (TB) Skin Test .....................................................................................................................................6

Certificate of Health Examination and Immunity Form ..........................................................................................7

Proof of Health Insurance .......................................................................................................................................8

American Heart Association Cardiopulmonary Resuscitation (CPR) Certification..................................................8

Core Performance Standards ..................................................................................................................................8

MISCELLANEOUS .........................................................................................................................................................8

Uniform Information ...............................................................................................................................................8

Name Badge Information ........................................................................................................................................9

Equipment for Clinical and Laboratory…………………………………………………………………………………………….…9 Appendix A ............................................................................................................................................................... 11

Deadlines & Fees for Clinical Requirements ........................................................................................................ 11

Appendix B ................................................................................................................................................................ 11

Submitting Documents ......................................................................................................................................... 12

Appendix C ................................................................................................................................................................ 14

Core Performance Standards ............................................................................................................................... 15

Appendix D ............................................................................................................................................................... 17

Name Badge Order Form ...................................................................................................................................... 17

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INTRODUCTION TO THE CLINICAL RESOURCE GUIDE Welcome as you embark upon this new journey as a nursing student in the Pre-licensure BSN Degree Program. Clinical rotations will begin during the first semester of your junior year and will provide you with the opportunity to learn and practice nursing skills. This Clinical Resource Guide provides you with information and clinical requirements you need to complete before starting the first semester. To participate and progress in clinicals, students must meet and maintain the necessary clinical requirements. Students are unable to participate in clinicals if the required documentation is not completed by the dates specified in Appendix A.

CastleBranch Our program uses CastleBranch services to ensure all students meet health care organizations, School of Nursing, and university requirements for Illinois. CastleBranch is a reputable, secure, online environment that the program uses to record and track the documents necessary for participation in clinicals. All expenses incurred for the background check, online document tracker, immunizations, physical examination, drug screening and tuberculin (TB) tests are the responsibility of the student. These requirements include the following:

• Background Check • Fingerprinting • Drug Screen • Immunization/TB test Tracking • Certificate of Health Examination • Proof of Health Insurance • CPR Certification • Core Performance Standards

Each of these will be explained in some detail; however, we welcome your questions as they arise. Requirements not documented in CastleBranch may be found under MISCELLANEOUS.

Establish a CastleBranch Account 1. Go to https://portal.castlebranch.com/UR36 2. Enter the Aurora University Package Code UR36 3. Provide the necessary information (i.e. name, date of birth, etc.) needed to complete your

background check. 4. Select a form of payment. Payment is due at the time you place the order. 5. Cost is $127.00 (Background check, ISP-IL State Police-UCIA Applicant Fingerprinting, and

drug screen).

Please note: Purchasing this package automatically starts the background check process. Additional steps are required for Fingerprinting and the Drug Screen. Accessing your Account Instructions Log in using the email address you provided and password you created during order placement.

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BACKGROUND CHECKS, FINGERPRINTING, AND DRUG SCREEN

Background Check Your CastleBranch account is established when you place your first order for the Background Check package. If you already have an account with CastleBranch from another school or organization, you will still need to purchase the Aurora University packages, as they specifically match our requirements and we cannot access accounts from other schools/organizations.

It is important to completely disclose all background information to the school and the healthcare setting, even for crimes that have been expunged. Failure to fully disclose and accept accountability may result in losing opportunities to participate in clinicals. Any convictions found in your background check will be reviewed by the School of Nursing and forwarded to the clinical site. Flagged background checks will be reviewed individually; however, placement in clinicals is not guaranteed. Each clinical facility determines if a student may participate in clinicals. For details about convictions that may impact clinical placement, contact the School of Nursing at 630-844-5130. Fingerprinting All students are required to complete a fingerprint scan as part of the criteria for participating in clinicals at health care facilities in Illinois.

Additional Steps 1. Register at www.ibtfingerprint.com to complete fingerprint scan. 2. Select IL, select state fingerprinting and access the online scheduling link. 3. Application category: select UCIA Applicant from the Agency Name drop down box. 4. Employer category: select Aurora University from the Employer Name drop down box. 5. Select your appointment day and time. 6. Payment method: Select billing & use account number: ILCB001 (Billing will be invoiced

to CastleBranch; you do not pay the fingerprint facility when scanned) 7. Print and bring confirmation form and valid driver’s license to the appointment. 8. Results will be sent to Aurora University.

Drug Screen A cleared drug screen will be posted to your CastleBranch account. If a drug screen comes back positive, CastleBranch will attempt to contact the student for three (3) business days to discuss the results and ask the student to provide documentation showing they have a prescription or had a procedure that would cause the results to show positive. After three (3) days CastleBranch will release the results to the School of Nursing.

Additional Steps 1. Go to https://mycb.castlebranch.com and click on “To Do” list. The drug screen should

appear in your list after you establish your account & purchase the Aurora University Package (see Establish a CastleBranch Account above).

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2. Print and take drug screen form to one of the Quest Diagnostics laboratories listed on CastleBranch, for specimen collection. Quest Diagnostics is the only acceptable laboratory that may be used for screening.

3. Bring a valid driver’s license to the laboratory on the day of specimen collection. 4. Results will be sent to CastleBranch in 3-5 business days. 5. CastleBranch posts results to your account.

MEDICAL DOCUMENT MANAGER After a cleared background check, fingerprinting, and drug screen are reported in CastleBranch, you will need to upload your health information via Medical Document Manager (MDM) in CastleBranch. They will verify that the documents meet Aurora University’s School of Nursing requirements. If the documents do not, you will receive an email from CastleBranch. They will also send you a reminder if any of your documents will be expiring and if there is anything else needed to process the requirements. Your order will show as “In Process” until it has been uploaded and approved. You likely will not receive notification from the School of Nursing if any of your documents are missing or incomplete, so it is imperative that you check your emails and respond to those from CastleBranch promptly. The MDM is where you will upload the following information:

• Immunization/TB test Tracking • Certificate of Health Examination • Proof of Health Insurance • CPR Certification • Core Performance Standards

Establish a Medical Document Manager Account 1. Go to https://mycb.castlebranch.com 2. In the upper right hand corner, enter the package code: UR36im 3. Select a form of payment. Payment is due at the time you place the order. 4. Cost is $35.00 5. See Appendix B - Submitting Documents for instructions on how to upload health

information.

Immunizations Students on clinical rotations in health care facilities are at higher risk than the general population for acquiring communicable diseases. Any student who has one of these diseases may, in turn, infect other personnel and clients/patients. Thus, healthcare facilities require evidence of immunization or natural immunity against those diseases that can be prevented.

Documentation of receipt of the following immunizations must be completed by the dates specified in Appendix A. See Appendix B – Submitting Documents for instructions on how to upload immunization information.

A. Measles (Rubeola) – Titer to prove immunity, report must include quantitative results & Nurse Practitioner (NP)/Medical Doctor (MD)/Physician’s Assistant (PA) signature. If

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negative (non-immune) or equivocal, repeat vaccine series per Center for Disease Control & Prevention (CDC) for Healthcare Workers guidelines.

B. Mumps - Titer to prove immunity, report must include quantitative results & NP/MD/PA signature. If negative (non-immune) or equivocal, repeat vaccine series per CDC for Healthcare Workers guidelines.

C. Rubella - Titer to prove immunity, report must include quantitative results & NP/MD/PA signature. If negative (non-immune) or equivocal, repeat vaccine series per CDC for Healthcare Workers guidelines.

D. Hepatitis B - Titer to prove immunity, report must include quantitative results & NP/MD/PA signature. If negative (non-immune) or equivocal, repeat vaccine series per CDC for Healthcare Workers guidelines.

E. Varicella - Titer to prove immunity, report must include quantitative results & NP/MD/PA signature. If negative (non-immune) or equivocal, repeat vaccine series per CDC for Healthcare Workers guidelines.

F. Tetanus, Diphtheria & Pertussis (Tdap) - Must remain current (Vaccine every 10 years) for duration of the program.

G. Influenza - Must be completed annually. For fall admission applicants must get the current flu vaccine which is usually not available until mid-August. The flu shot must be completed between 8/15 and 10/1 for fall admission & between 9/1 and 11/1 for spring admission. It should include the following:

• Vaccine lot # • Administration date • Health Care Provider’s name • Address of location administered

H. Hepatitis A & Polio (Optional) - Document vaccine history

Tuberculin (TB) Test Students must submit documentation of negative evidence of TB Test by dates specified in Appendix A- Deadlines & Fees for Clinical Requirements. All subsequent tests must be completed annually (every year). See Appendix B– Submitting Documents for instructions on how to upload immunization information.

Acceptable negative evidence includes ONE of the following:

Initially (Upon Admission to the SON)

• 2-step TB test* • QuantiFeron Gold blood test • T-Spot test • IGRA blood test

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Annually • 1-step TB Test (if completed prior to annual expiration of 2-step TB test) • QuantiFeron Gold blood test • T-Spot test • IGRA blood test

If positive TB test, you must have a chest-x-ray completed and submit the symptom free TB questionnaire, which is available to download in CastleBranch.

* Students should anticipate the following two-step process timeline:

Visit 1, day 1 • The first test is given to the student and he/she is told to return in 48 to 72 hours for the test to be read. Visit 2, days 2-3 • The first test is evaluated, measured, and interpreted. • If the first test is negative, the student is given an appointment to return for a second test in 7–21 days. • If the first test is positive, it indicates that the student is infected with TB. No further testing is indicated. The

student is referred for a chest X-ray and will need to submit the symptom free TB questionnaire, which is available to download in CastleBranch. An asymptomatic student, whose chest X-ray indicates no active disease, may attend class/clinical.

Visit 3, days 7-21 • The second test will be given to all applicants/students whose first test was negative, using the alternate arm. Visit 4, 48-72 hours after the second test • The second test is evaluated, measured, and interpreted. • If the second test is negative, the applicant/student is not infected. • If the second test is positive, it indicates that the applicant/student is infected with TB. No further testing is

indicated. The applicant/student will be referred for a chest X-ray and will need to submit the symptom free TB questionnaire, which is available to download in CastleBranch. An asymptomatic applicant/student, whose chest X-ray indicates no active disease, may attend class/clinical.

Certificate of Health Examination and Immunity Form Students must provide the Certificate of Health Examination and Immunity Form that allows students to participate in classroom and clinical activities without restrictions and that any health concerns will not negatively affect patients. This must be completed within the past 6 months and by the date specified in Appendix A- Deadlines & Fees for Clinical Requirements. The required form can be found: http://aurora.edu/documents/academics/nursing/certificate-health-exam-03162017.pdf

Other physical assessment documents will not suffice for this requirement. The form must be completed in ink, include the student’s name and date of birth on each page, have a nurse practitioner/medical doctor/physician’s assistant signature on pages 4 and 5, and be uploaded to the student’s CastleBranch account by the dates specified in Appendix A – Deadlines & Fees for Clinical Requirements. See Appendix B – Submitting Documents for instructions on how to upload the Certificate of Health Examination and Immunity Form.

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Proof of Health Insurance Students are required to have health insurance. If you are not covered by your parents’ health insurance policy, you must initiate your own policy. Acceptable proof of insurance includes the following:

• Copy of parent’s health insurance card, front and back, which includes student’s name.

• Document from insurance company stating that student is covered under a health insurance policy.

American Heart Association Cardiopulmonary Resuscitation (CPR) Certification Nursing students are required to be CPR certified for Basic Life Support (BLS) for the Healthcare Provider/AED (including infant, child, adult, cognitive content and skills performance) by the American Heart Association by the dates specified in Appendix A – Deadlines & Fees for Clinical Requirements. You must keep this certification current throughout your enrollment in the nursing program and upload renewal of your CPR card to CastleBranch, prior to expiration. American Red Cross & Online certification/re-certification are not acceptable. See Appendix B - Submitting Documents for instructions on how to upload CPR information.

Please note: Uploaded information must include the front and back of the signed CPR card, except when submitting an e-card.

Core Performance Standards In addition to the forms that must be submitted to CastleBranch, every student is required to read, sign, and upload a copy of Appendix C indicating that they have received a copy of the core performance standards and are responsible for meeting the requirements by the date specified in Appendix A – Deadlines & Fees for Clinical Requirements. See Appendix B – Submitting Documents for instructions on how to upload signed core performance standards document.

MISCELLANEOUS Uniform Information Students are required to wear the School of Nursing uniform. You may purchase the uniform pieces at any uniform shop that carries the Cherokee Brand www.cherokeeuniforms.com

1. Navy Blue Cherokee V-neck cardigan warm-up jacket

a. Women’s - ORDER CODE 4301 b. Men’s – ORDER CODE 4450

2. White Cherokee Scrub top a. Women’s scrub top – ORDER CODE 4700 b. Unisex scrub top – ORDER CODE 4777

3. White or Navy Blue Cherokee Uniform pants or skirt a. Women’s pants – ORDER CODE 4101 or 4005 b. Men’s pants – ORDER CODE 4001 c. Unisex pants – ORDER CODE 4100 d. Women’s skirt - ORDER CODE - 4509

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Other required uniform pieces (to be purchased on your own):

1. A pair of navy or khaki dress pants (for clinical experiences outside of hospital setting).

2. Nursing shoes: o Clean, white leather or vinyl shoes in good condition. o Minimal color logo is permissible. o Clogs, Crocs and sandals are not permitted. Shoes must have a back to them.

From the Aurora Campus University Bookstore you will purchase:

1. Aurora University School of Nursing Patch. This will be sewn on the right sleeve, 2 inches below the shoulder seam of the Navy Blue Cherokee V-Neck cardigan warm-up jacket.

At Nursing Orientation you will purchase:

1. A white polo style shirt with AU or GWC logo.

2. AU campus students will bring a check for $22 made out to Aurora University or you may bring cash in the exact amount. GWC campus students will purchase a polo shirt through the GWC bookstore.

PLEASE ALLOW A MINIMUM OF 3 WEEKS FOR YOUR UNIFORM DELIVERY. DO NOT WAIT UNTIL CLASSES START TO ORDER OR YOU MAY NOT GET YOUR UNIFORM IN TIME. UNIFORMS ARE REQUIRED TO BE WORN BEGINNING THE FIRST DAY OF LABORATORY.

Name Badge Information Each student is required to wear an Aurora University or George Williams College of Aurora University name badge at all times in any clinical setting. No nicknames are allowed on the badges; i.e., Jennifer must be Jennifer not Jenny, Robert must be Robert not Bob. Name badges MUST be ordered through the School of Nursing. Each student must order one name badge with your first and last name. A second name badge must be ordered with your first name and first letter of your last name. See Appendix D – Name Badge Order Form.

Supplies for Clinical and Laboratory The School of Nursing requires you to purchase the specific equipment listed below. The Aurora University Student Nurses Association provides you an opportunity to purchase equipment through Standris Medical Supply. If you purchase with Standris your order will not be taxed and you will not be charge a shipping fee. All orders will be shipped to the Aurora Campus prior to the start of School. The deadline to order is August 15, 2017. You may also buy your supplies elsewhere. Students can place their order for the medical equipment listed below online through Standris at: http://www.standris.com/register.asp?cg=39

The approximate costs for the following items are listed below: #102 Clipboard with calculator and storage compartment $24.95 #500 Kelly Forceps or Hemostats $4.50 #053 5.5 Bandage Scissors $3.50 #220 Quicklite: Push Button Switch (Pen Light with Batteries) $5.95

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Stethoscope-Recommend Littmann Classic II or III prices range $79.50-94.75 **Do not purchase Littmann Lightweight** #768 Latex free BP cuff w/case $38.00 #621 Gait Belt $14.50

If you already have any of these items, you are NOT required to purchase new ones.

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Appendix A

Aurora University School of Nursing – Aurora Campus

Deadlines & Fees for Clinical Requirements

Instructions regarding each of these will be available at http://aurora.edu/nursingdocs

I. BACKGROUND INFORMATION CHECKLIST (Cost $162.00) Check

box ITEM DUE DATE

Establish Castle Branch Account 9/15/17 Fingerprinting 11/1/17 Background Check 11/1/17 Drug Screen 11/1/17

The items above must be completed prior to submitting any health information in CastleBranch

II. HEALTH INFORMATION CHECKLIST

Check box

ITEM DUE DATE

Certificate of Health Examination (physical) 12/1/17 Immunizations 12/1/17 Influenza Vaccine 12/1/17 TB test 12/1/17 Core Performance Standards 12/1/17

III. OTHER INFORMATION CHECKLIST (Cost approx. $300) Check

box ITEM DUE DATE

CPR Certification 12/1/17 Proof of Health Insurance 12/1/17 Uniforms 12/15/17 Name badge 12/1/17 Equipment for Clinical & Laboratory 12/1/17

The following items will be done at orientation OR during the first two weeks of lab: Handbook acknowledgement, HIPAA Signature Document, HIPPA Exam, OSHA Certification IV. CLINICAL/LAB AND ATI FEES TO BE ADDED TO YOUR FALL TUITION BILL (Cost $1062.00)

V. ESTIMATED TEXTBOOK EXPENSES PER SEMESTER ($400.00)

Failure to complete these requirements by the above stated due dates will jeopardize clinical placement and impact your progression in the program.

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Appendix B

Aurora University School of Nursing – Aurora Campus

Submitting Documents

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Appendix C

Aurora University School of Nursing – Aurora Campus

Core Performance Standards Purpose: Students enrolled in the Bachelor of Science in Nursing (BSN) Program are required to complete experiences in a variety of clinical settings and environments. In accordance with the Americans with Disabilities Act (ADA, 1990; 2008) the School of Nursing has established the following core performance standards required of students in the BSN program.

Policy Statement: Nursing students must demonstrate, with or without reasonable accommodations to policies and practices, the ability to perform the Core Performance Standards listed below during their nursing education.

Core Performance Standards Issue Standard Examples of Necessary Activities

(Not All Inclusive) Critical Thinking Critical thinking ability for effective

clinical reasoning and clinical judgment consistent with level of educational preparation

Identify cause-effect relationship in clinical situations. Use of the scientific method in the development of patient care plans. Evaluation of the effectiveness of nursing interventions.

Professional Relationships

Interpersonal skills sufficient for professional interactions with a diverse population of individuals, families and groups.

Establishment of rapport with patients/clients and colleagues. Capacity to engage in successful conflict resolution. Peer accountability.

Communication Communication adeptness sufficient for verbal and written professional interactions.

Explanation of treatment procedures, initiation of health teaching. Documentation and interpretation of nursing actions and patient/client responses.

Mobility Physical abilities sufficient for movement from room to room and in small spaces.

Movement about patient’s room, work spaces and treatment areas. Administration of rescue procedures – cardiopulmonary resuscitation.

Motor Skills Gross and fine motor abilities sufficient for providing safe, effective nursing care.

Calibration and use of equipment. Therapeutic positioning of patients.

Hearing Auditory ability sufficient for monitoring and assessing health needs.

Ability to hear monitoring device alarm and other emergency signals. Ability to discern auscultatory sounds and cries for help.

Visual Visual ability sufficient for observation and assessment necessary in patient care.

Ability to observe patient’s condition and responses to treatments.

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Issue Standard Examples of Necessary Activities (Not All Inclusive)

Tactile Tactile ability sufficient for physical assessment.

Ability to palpitate in physical examinations and various therapeutic interventions.

Procedure: 1. The School of Nursing will consider for progression applicants who demonstrate the ability to learn and

perform the Core Performance Standards identified in this document. 2. The Nursing School must ensure the health, safety, and security of all clients/patients. 3. Eligibility to enter or continue in the program will be based on scholastic accomplishments, as well as

physical and emotional capacities to perform the core performance standards necessary to meet the requirements of the program’s curriculum.

4. The standards are used to assist each student in determining whether accommodations or modifications are necessary. The nursing program must determine whether accommodations can reasonably be made. Applicants and current students are responsible for making disabilities known and formally seeking accommodations. If a student believes that he or she cannot meet one or more of the standards without accommodations or modifications, the nursing program must determine, on an individual basis, whether the necessary accommodations or modifications can be made reasonably. Reasonable accommodation might include:

a. Assuring that facilities are readily accessible for use by individuals with disabilities b. Restructuring or altering clinical experiences c. Modifying academic program plans d. Modifying examinations including location, timing and testing conditions e. Giving supplementary learning materials f. Providing qualified readers or interpreters 5. Students are required to sign the following statement following admission to the nursing program and yearly,

or when a change has occurred in circumstances.

I, __________________, understand that I must demonstrate mastery of the core performance standards described above prior to graduation. If I have a disability and need an accommodation, I agree to provide appropriate documentation of the disability to the Aurora University Center for Disability Resources with a request specifying the desired accommodations. This request must be presented in a timely manner prior to the need for accommodation to permit the request to be processed by the Director of Student Disability Services in collaboration with the School of Nursing. The School of Nursing will determine if any recommended accommodation will fundamentally alter the Program of study. Signature ________________________ __________ Date _________________________________ Contact the School of Nursing at 630-844-5130 if you have any questions about the Core Performance Standards and requirements stated above. Questions regarding disability certification and/or requests for accommodation should be directed to the Center for Disability Resources at 630-844-5454. Aurora University is committed to prohibiting discrimination based on disability.

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Appendix D

Aurora University School of Nursing – Aurora Campus

Name Badge Order Form Each student is required to wear an Aurora University or George Williams College of Aurora University name badge at all times in any clinical setting. No nicknames are allowed on the pins; i.e., Jennifer must be Jennifer not Jenny, Robert must be Robert not Bob. Name badges MUST be ordered through the School of Nursing. Each student must order one name badge with your first and last name. A second name badge must be ordered with your first name and first letter of your last name. Please mail order to: Aurora University 347 S. Gladstone, IL 60506 Attention: School of Nursing Full payment must accompany orders. Checks or money orders should be made payable to Aurora University. Orders must be received by December 1, 2017. I am attending: (please check one) Aurora Campus George Williams College Campus Quantity

______ Student name badge $5.00 each $ _______ First and last name _______ Student name badge $5.00 each $_______ First name and first letter of your last name.

TOTAL $_______

Name on badge (PLEASE PRINT) ____________________________________________

First Name Last Name