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Welcometo

Olympic College Nursing Programs

New Student Clinical Documentation Orientation

SpeakersAlecia Nye, PhD, MN, RN, CMSRNAssociate Dean – Nursing

Mackenzie Klinker Administrative Assistant

Chris StokkeNursing Faculty

Nursing Programs Administrative Office• Office Hours

Monday thru Friday: 8:00-4:30 p.m.Saturday thru Sunday: Closed

Hours are subject to change• Contact Information:

Location: Bldg. 5, Room 341Email: nursing@olympic.eduWebsite: www.olympic.edu/nursingPhone: 360-475-7748Fax: 360-475-7628

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• Focus: Preparing for Fall 2020

• What does Fall Quarter look like?

• Fall 2020 – NURSE156 – Preparation

• Documentation Requirements

- Safety

- Health

- Clinical Placements Northwest (CPNW)

• How to Submit

• Wrap – Up

Today’s Agenda

*Please hold questions until the Question and Answer

portions of the presentation.

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What does fall quarter look like?

*Morning or Afternoon Section (2-hours in lab & 2-hours online, Repeats every other week)

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Monday Tuesday Wednesday Thursday

*N140 or N144 0800-1000 or 10-1200

*N140 or N144 1300-1500 or 1500-1700

*N140 or N144 0800-1000 or 10-1200

*N140 or N144 1300-1500 or 1500-1700

All-day ClassesN154 0830-1120 or 1230-1320

N146 1030-11:20Or 123—1320

N156 (1 hour)0900-0950 or 1400-1420

*N140 or N144 0800-1000 or 10-1200

*N140 or N144 1300-1500 or 1500-1700

N110 0800-0950 or 1500-1650

N114 10:00-1150 or 1300-1450

N151 0800-0850/0900-0950) N152 0800-0850/0900-0950)

Coming on Campus for Fall

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Fall 2020

NURSE156: Clinical Nursing Practice I

Guest Speaker - Chris Stokke, Nursing Faculty

Family Recruitment• A requirement of NURSE 156 is each student must ask a family with whom you are acquainted, to

participate in the Nursing Care Practicum I (NURSE 156) family relationship experience. The family must have intranet access as visits will take place through Zoom.

• You will not be assigned to the family that you recruit.

• It is very important that the family be aware of the commitment they are making (8 hours for Family). Eight weekly meetings will be held via Zoom.

• A parent must be available to be present with the children.

• Visits will begin in October and take place thru early-December.

• These are not due until a date to be determined in August or September. You will be informed.

• No Zoom meetings are to be recorded.

REQUIRED Clinical Preparation for Fall 2020

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Family RecruitmentFamilies recruited will need to have at least one child between 3 and 17 years (students will be asking the child questions, so they will need to be old enough to respond).

Students will: • Observe and ask questions about growth and development, nutrition, stress, sleep

patterns, and health concerns. • Perform health assessments to complete a nursing assessment tool about one child’s

health status (i.e. questions about the cardiovascular, nervous, respiratory systems etc.). • The family can refuse to answer any question at any time. All information is confidential

and will only be shared with the student’s clinical instructor.

Review of Forms: Family• The following forms will be available via Canvas – more to come.

• Student instructions regarding recruitment of family• Student retains this information

• Letter to prospective family with a copy of consent form on reverse• Volunteer retains this page

• Consent form• Name of student recruiting the volunteer is to be legibly printed on top of the form

with phone number• Volunteer completes the form and student ensures completeness and legibility• Student returns form to Olympic College ON a date to be determined (early

submissions will not be accepted)

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Questions?

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Documentation Requirements:

Safety

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• BLS Provider Card

• Criminal History Disclosure

• Forms Documentation Packet

• Agreements Packet

• COVID-19 Training and Risk Form – Coming Soon

What is Required? – Safety Documentation• General Documentation Packet

– Due Friday!

• Copy of Government Issued Photo ID

• Background Check

• Liability/Malpractice Insurance

• Personal Health Insurance

General Documentation PacketIncludes:1. Documentation Acknowledgement2. Documentation Release Form (for clinical

partners)3. Student Information, Address Consent

Form, and Emergency ContactComplete the above forms and return them by Friday, June 28th.

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Student Nametag Order• Nametags are required for clinical. • There is a minimum purchase of two @ $8.18 each (total

$16.36). • Pay via Olympic College Cashier

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• $21 – Paid to Olympic College Cashier

• Washington State Patrol (WSP)

• Checkr – National Search

• You will receive an email in September to initiate your background check.

• Charges on your Background Check?

Background Check

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Insurance• Proof of Personal health insurance.

Suggestions:• Summit America Insurance Services• E.J. Smith & Associates

• Malpractice Insurance (from Olympic College Cashier) must be dated for fall quarter 2020. $19.85

• Liability Insurance (from Olympic College Cashier) must be dated for fall quarter 2020. $2.50

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CPR –Healthcare Professional LevelCards must read: Healthcare Provider OR BLS Provider & be from

American Heart Association. 1. Nursing students must complete CPR certification annually.

1st year of card accepted only and must cover entire duration of academic year (September 2020 thru June 2020).

2. Cards with start dates prior to July 2020 will NOT be accepted.3. Make sure your CPR card is from the American Heart Association and

looks like one of the cards below.

Rationale – Only 1st year of card acceptedDue to our clinical affiliation agreements CPR must to be completed annually by all students (even though it is issued for two years).

CPR –Healthcare Professional Level

CPR Suggestions

Note: You may find other organizations on your own that also provide certification for American Heart Association, be sure to check that the card issued will be from American Heart Association.

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• Annual Form – Required by our Clinical Partners

Criminal History Disclosure

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Agreement PacketIncludes:1. Student Affirmations 2. Student Conduct and Performance3. Letter of Agreement Acknowledgment4. Handbook Acknowledgment5. COVID Risk Assumption FormTo be completed after you receive your handbook on September 9th.

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Forms Documentation PacketIncludes:1. Clinical Placements/Demographic Form2. Permission to use Student Work3. Student Mailbox Form4. Naval Hospital Agreement5. Harrison Medical Center Student

Acknowledgment6. Photo/Video Release Form

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Questions?

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Documentation Requirements - Health• Hepatitis B• Influenza (Flu)• MMR (Measles, Mumps, and Rubella• Tdap (Tetanus, Diphtheria, & Pertussis)• TB (Tuberculin)• Varicella • Drug Screening – Due at time of Clinical• Additional Requirements for COVID-19

(Per Clinical Site)

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**Proof of immunity required**• Proof of immunity by titer (blood test)

or• Proof of immunity by immunization/vaccination record.All records must have your name on them to

be accepted.Note: HEP B Requires vaccination record & titer

Required ImmunizationsTB Skin Test (2-step)

Hepatitis B (3 immunization series &/or Titer).

MMR (Measles, Mumps, Rubella (2 Vaccines or Titer).

Varicella (Chicken Pox) (2 Vaccines or Titer).

Tetanus, Diphtheria & Pertussis (Tdap) (within 10 years).

Seasonal Influenza vaccine (completed annually in the month of September).

• All live vaccines, such as MMR, Varicella, LAIV (nasal flu) have to be administered on the same day or separated by 28 days. So get started now!

• Expiration - If any of your immunizations are set to expire in the middle of the quarter or semester, please update them this summer. Your clinical documentation must cover you through the entire school year.

All documentation must meet requirements at all times during the nursing program.

Failure to do so may result in being unable to attend clinicals and withdrawal from the nursing program.

TB Skin Test (TST) • Documentation of an initial 2 step TST is required AND documentation of annual TSTs since

2 step was completed• If you have had a 2 step TST in less than 12-months → a 1 step TST OR a documented

blood test: negative TB IGRA (this summer) – need documentation of the negative 2 step TST and the negative 1 step / blood test

• If no records of TB test results or more than 12 months since last TST → 2 step TST • If newly POSITIVE TB IGRA (Interferon Gamma Release Assays) test within 12 months OR

If POSITIVE TST within 12 months → see a provider (chest X-ray, symptoms check and possible treatment documentation of absence of active M. TB disease) plus complete a TB health questionnaire

• If history of positive TST (greater than 12 months) → provide documentation of positive TST reading, provide proof of chest X-ray documenting absence of M. TB, medical treatment and negative symptom check

• If history of BCG vaccine → 1-step TST Skin Testing as above or TB IGRA. If negative → OK; If positive → follow up as above

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TB Skin Test continued…2-step TB Skin tests require 4 visits to provider. 1. 1st step: Injection2. Return for reading 3. 2nd step: repeat injection - MUST be within 3 weeks of 1st step

reading 4. Return for reading

All TB Skin Tests results must be completed within the summer months of late June, July or August 2020 to cover the duration of

the academic year (Sept 2020 –June 2021).

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A 2-step is performed at baseline because people who were infected with TB many years ago may have a negative reaction to an initial TST.

The first “step” may stimulate (or boost) the immune system’s ability to react to the test. If the second “step” is not performed as part of baseline screening, a subsequent positive TST reaction could be misinterpreted as a new infection.

Additionally, the TST (Tuberculin Skin Test) and a live vaccine must be done on the same day or separated by 30 days. If done sooner, there is potential for a false positive, resulting in increased cost and unnecessary treatment (chest x-rays).

2-Step TB Skin Test - Rationale:

TB Skin Test still…TB Blood Tests - Interferon Gamma Release Assays (IGRAs) are blood tests for detection of infection to M. tuberculosis. The IGRA measures the person’s immune reactivity to M. tuberculosis, the bacterium that causes TB. The IGRA tests most commonly available are the QuantiFERON Gold In-Tube (QFT-IT) and TSPOT tests.

TB Skin Test questions…Q: I had a skin test for TB within the last year, what is required for me?1. You will need to provide proof of your initial 2 step TB skin tests as

well as proof of annual substituent tests.2. You will need to complete a 1-step TB Skin test only in June, July

or by August 6, 2020.Q: I had a skin test for TB in April 2020, am I okay?

No.1. You will need to complete a 1-step TB Skin test only in June,

July or August 2020 to cover the academic year.2. Show proof of your initial two-step, and 3. You will also need to provide proof of your TST from April 2020.

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TB Skin Test questions…Q: I tested positive what do I do?1. You will need to provide documentation of a negative chest x-ray

showing no symptoms & initial TB skin test with indication of Positive results

2. A signed note from your Personal Care Provider (PCP) approving clinical attendance

3. Complete and turn in Questionnaire regarding TB symptoms

In your 2nd year:1. You will need to provide your health care providers completed

questionnaire regarding TB symptoms 2. And a signed note from your PCP approving clinical attendance.

TB Skin Test questions…Q: Where do I get a copy of the TB questionnaire?• You can download it from the ADN Documentation FAQ

page.

Q: Who can complete the TB questionnaire?• Completed by the student and verified with signature by your

PCP.

Hepatitis BDocumentation of Series of 3 vaccines completed at appropriate time intervals and post

vaccination titer at 6-8 weeks after series completion. Hep B is a three immunization series. You must show evidence of beginning the series (first twoimmunizations) at least by the August 28 deadline. You do not need to complete it prior to entering the Nursing Program. You must continue to get the series and submit proof to Canvas while in the program. Series

must be complete by end of fall quarter. If negative titer, then repeat series (consisting of doses #4-#6) and repeat titer 6-8 weeks

after #6 dose. OR obtain challenge dose #4 and re-titer after 6-8 weeks Per the Center for Disease ControlIs it harmful to administer an extra dose(s) of hepatitis B vaccine or to repeat the entire vaccine series if documentation of vaccination history is unavailable?No. If necessary, administering extra doses of single-antigen hepatitis B vaccine is not harmful.Can hepatitis B vaccine be administered concurrently with other vaccines?Yes. There is no evidence of interference with the antibody response when hepatitis B vaccine has been administered at the same time as other vaccines. Separate body sites and syringes should be used for simultaneous administration of injectable vaccines.

Hepatitis BNot immunized yet? Get your first immunization ASAP.

Vaccination series must be complete by the end of fall quarter!

Hep B ~ Immunization Timeline:1. 1st immunization ~ Early July2. 2nd immunization ~ 1 month later (early August)

Remember – the first two immunizations are due by August 283. 3rd immunization ~ 6 months from the 1st (early December) 4. Titer ~ 6-8 weeks later (early February)

Submit proof as you go to Canvas to be able to continue attending clinical.

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MMR (Measles, Mumps, Rubella) & Varicella (Chicken pox)

MMR (Measles, Mumps, Rubella) :• Proof of Vaccination (2 doses) OR Proof of immunity by titer.

• Titer must show all sections of the MMR (Measles, Mumps, Rubella) to be accepted.

Documented history of the disease is not accepted, a titer is required to show immunity.

NOTE: In most cases getting the MMR is far less expensive than having blood titers drawn. Revaccination with MMR issafe.

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Varicella (Chicken Pox):• Proof of Vaccination (2 doses) OR Proof of immunity by titer.

Documented history of the disease is not accepted, a titer is required to show immunity.

NOTE: The titer is only recommended if you have had chicken pox disease. Titer after Varicella vaccine is not recommended by the CDC as most Varicella tests are not sensitive enough to detect antibody level for immunity post vaccination.

Tetanus, Diphtheria & Pertussis (Tdap), Influenza Vaccine

Tetanus, Diphtheria, & Pertussis• Tdap required after age 18.• Substituent Td vaccination every 10 years post Tdap (record must show vaccinations from Tdap to recent Td)• Most recent Td Vaccine must be within last 10 years AND must cover the duration of the academic year (Sept

2020 thru June 2021)• Immunization for Pertussis (aka Whooping Cough) • Td alone is not accepted

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Influenza Vaccine (Flu) Proof of vaccination is required

Vaccine effective dates: 09/01/2020 – 4/30/2021Declination NOTE: Several healthcare institutions require vaccination without exception.

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Keep in mind that all live vaccines, such as MMR, Varicella, LAIV (nasal flu) have to be administered on the same day or separated by 28 days. So get started now!

All documentation must meet requirements at all times during the nursing program.

Failure to do so may result in being unable to attend clinical and withdrawal from the nursing program.

Questions?

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What is Required? – CPNW• Attachment A

• CHI-Franciscan Confidentiality Agreement

• E-Learning Modules

• Student Information Form

• Vehicle Registration Form

CLINICAL PLACEMENT NORTHWEST (CPNW)

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What is it?• A clinical placement agency• Partner with educational programs and clinical

agenciesWhat is their purpose?

• To streamline onboarding processes between educational programs and clinical agencies

• Ensure compliance with Nursing Care Quality Assurance Commission standards

• To coordinate student clinical placements between various programs and clinical agencies

CPNW continued

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What does that mean for me as a student?• Annual requirements for clinical placement need to

be completed by the specified date

Requirements:• Immunizations – Canvas• Provider CPR / BLS – Canvas• Forms – guidelines / facility HIPAA / student

information• eLearning Modules – to ensure safety in the clinical

setting (yours’ and clients’)

CPNW continuedProcess

• Register on website • Turn in completed forms to Clinical Documentation

Canvas by 3:00 pm on Friday, August 28, 2020.• Complete the eLearning Modules• Turn in e-Learning Module Report to Clinical

Documentation Canvas by 3:00 pm on Friday, August 28, 2020.

Instructions for the process are provided in Canvas.

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Questions?

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What do I do with all this paperwork? How to Submit Documentation

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Canvas – Nursing Programs Clinical Documentation

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• https://community.canvaslms.com/groups/students/pages/home (Independent)

• GEN-S 07 (Instructor-Led - Free)

New to Canvas?

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Your complete documentation is due into: Nursing Programs Clinical Documentation Canvas Prior to 3:00 PM Friday, August 28, 2020.

Failure to turn in your complete documentation packet prior to the deadline:

Placement in the program will be forfeited.No exceptions will be made.

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Please note: The Nursing Staff need one-two weeks to validate all documentation. We will communicate with you if we need further information.

Please do not call or email to ask if your documentation is complete.

What will happen if I miss the deadline?Failure to turn in your complete documentation packet

by 3:00 PM Monday, February 10, 2020• Acceptance into the program will be forfeited.• No exceptions will be made.

Documentation Acknowledgement Form• Please review, sign and date.• Return the form TODAY by passing it toward the middle.

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Background Check: $21

Nametags: $16.36

Liability Insurance: $19.85

Malpractice Insurance: $2.50

TOTAL: $59.71

What do I pay for with the Cashier?

Questions?

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Issues or Questions?1. Review your materials - 99% of student questions are answered

within the materials2. Visit the Documentation FAQ page located at

www.olympic.edu/nursing• Click on the Nursing ATA page on the right.• Then click Documentation FAQ page for your answer.

3. After completing the first two steps then email nursing@olympic.eduwith your list of questions.

Please do not call.

ADN Documentation FAQ Page

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NOTE:

• There will be a ADN-TADN Student Handbook orientation September 9, 2020 in Building 7 from 0800 -1400. You will also meet some 2nd year ADN students.

• Your picture for the phone directory and clinical badges will be taken at this time.

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Welcome to the Associate Degree Nursing

ProgramOlympic College

Class of 2019-2021!

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