Virginia Appalachian Tricollege Nursing Program

Mountain Empire Community College
Southwest Virginia Community College
Virginia Highlands Community College

Dear Student:

On behalf of the faculty and staff, I welcome you to the Virginia Appalachian Tricollege Nursing Program ( VATNP).

The VATNP is a three college nursing program consisting of 69 credits of study. The successful graduate will earn an Associate Degree in Applied Science in Nursing and will be eligible to take the NCLEX RN licensure exam.

Since you may be enrolled through any one of the three colleges which support this nursing program, your basic student handbook will be provided by your college. This program handbook introduces you to information and policies which apply to the nursing program only.

Please feel free to seek additional information or clarification of the information contained in this handbook whenever you have a need to do so.

Best wishes to you for a stimulating and successful experience with the VATNP.

Sincerely,

Kathy J. Mitchell
Dean, Virginia Appalachian Tricollege Nursing Program
Virginia Highlands Community College
Southwest Virginia Community College
Mountain Empire Community College

Table of Contents

General Program Information History of the Program Nursing Program Prerequisites VATNP Curriculum Tracks Course Descriptions Requirements for continued enrollment in the program Transferring between nursing program curriculum tracks Admission of transfers and returning students Philosophy, Curricular Framework and Program Outcomes Organizational Chart VATNP Faculty Faculty Office Hours Academic Advising Classroom/Clinical Policies and procedures Attendance Policy Nursing Skills Lab Computer Lab Clinical Lab Criminal Background Checks/Drug Screen HIPPA Training Clinical Dress Code Illegal Substance Abuse Clinical Evaluation Liability Insurance Smoking Policy Advanced Placement Grading Test Taking Achievement Tests Written Assignments Portfolio Requirement Readmission Policy/Procedure Licensure Requirements Miscellaneous Estimated Program Costs Financial Aid Graduation VATNP Pinning Ceremony History of the VATNP Pin Florence Nightingale Pledge Grievance Procedure Frequently Asked Questions Student Acknowledgement

Printable VTNAP Handbook [pdf] - You need Adobe Acrobat Reader installed on your computer to view the handbook. The Reader can be downloaded at no charge from Adobe's web site.

Nursing Program Prerequisites
All applicants to the VATNP must have completed high school Biology, Chemistry, and Algebra.  If any or all of these classes were not taken and successfully passed with a “C” or above, they may be taken at any of the three colleges involved with the VATNP.  [page top]

Admission
All prerequisite requirements must be completed for application consideration.  The application process includes:

1.      Application to VHCC, SWVCC or MECC by the date indicated in the college’s catalog.
2.      High school or equivalent credit in Biology, Chemistry and Algebra with a minimum grade of “C” in each.
3.      Compass or Asset Test Scores indicating no need for development work in English, Reading or Math or successful completion of required development work.
4.      High school transcript.  Current high school students must submit a transcript.  A final transcript will be required in June for high school candidates.  High school students must submit a partial transcript with a listing of last semester classes by the application deadline. tentative
5.      A minimum grade point average of 2.0 in all work previously attempted in high school or college.
6.       Nursing entrance test at VHCC, SWVCC or MECC (fee required).
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Nursing Entrance Test
A nursing entrance test is required for admission to the nursing program. This is a general, comprehensive assessment tool which can predict an individual’s readiness and capability for successful completion of an educational program designed to prepare registered nurses.  The test is used to determine placement in the program and to plan curriculum to meet the academic and social skills of the nursing applicants.  Your college will notify the applicant with details about test administration after the application deadline. Only those applicants who have completed the first 5 steps of the application process will be invited to take the nursing entrance test.  The required fee must be paid in the college’s Business office prior to taking the test. 
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LPN to RN Program Applicants:
Students who are Licensed Practical Nurses (LPN’s) must present proof of licensure as an LPN and have met all prerequisites according to the current college catalog. 
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Transfer Students:
Transfer students into the program will be individually evaluated as to appropriate placement into the nursing program.

VATNP Curriculum Tracks

The VATNP offers a variety of curriculum plans to meet the varied needs of students interested in the nursing program.  The curriculum plans or tracks vary in terms of class scheduling and time required for completion of the program.  The course requirements are the same for each of the curriculum tracks.

Track 1: 2 year curriculum plan

The VATNP offers an opportunity for recent high school graduates and other eligible adults to complete the nursing degree program after two years of full time attendance (4 semesters and 1 summer session).  This is a rigorous and academically challenging program.

First Semester (Fall)
Course		Lec.	Lab.
Number	Course Title	Hrs.	Hrs.	Crs.
SDV 108	Orientation to College Success	1	0	1
ENG 111	College Composition I	3	0	3
MTH 126	Mathematics for Allied Health	2	0	.2
BIO 141	Human Anatomy and Physiology I	3	3	4
NUR 111	Nursing I	4	9	7
NUR 136	Principles of  Pharmacology I	1	0	.1
	Total	15	12	18
Second Semester (Spring)
ENG 112	College Composition II	3	0	3
BIO 142	Human Anatomy and Physiology II	3	3	4
NUR 112	Nursing II	4	12	8
NUR 137	Principles of Pharmacology II	1	0	1
	Total	11	15	16
Summer Session
NUR 226	Health Assessment	2	3	3
	Total	2	3	3
Third Semester (Fall)
IST	Fundamental IST Skills
	ITE 100 or 115	3	0	3
NUR 211	Second Level Nursing I	4	12	8
NUR 236	Principles of
	Pharmacology III	1	0	1
PSY 231	Life Span Human Dev. I	3	0	3
	Total	11	12	15
Fourth Semester (Spring)
NUR 212	Second Level Nursing II	4	12	8
NUR 237	Principles of
	Pharmacology IV	1	0	1
NUR 254	Nursing Dimensions	2	0	2
PSY 232	Life Span Human Dev. II	3	0	3
EEE	1Humanities/Fine Arts	3	0	3
	Total	13	12	17
Total Minimum Credits for the AAS Degree .............................................69

1.  Humanities electives include:  ART 201,202; foreign languages; MUS 121,122; PHI 101; REL 200, 210, 230; SPD 130, 151, 152.

Track 2:  Health Sciences Certificate plus 2 year curriculum plan

Students in this track will complete all general education courses required by the nursing curriculum and receive a health care sciences certificate before beginning nursing classes.  This option takes three years or longer depending on the amount of time taken to complete the general education classes.  Many students, who have families, work or other responsibilities often choose this track. 

Health sciences Certificate Program
First Semester (Fall)
Course		Lec.	Lab.
Number	Course Title	Hrs.	Hrs.	Crs.
SDV 108	Orientation to College Success	1	0	1
ENG 111	College Composition I	3	0	3
MTH 126	Mathematics for Allied Health	2	0	2
BIO 141	Human Anatomy and Physiology I	3	3	4
PSY 231	Human Life Span Development I	3	0	3
HLT 143	Medical terminology I	3	0	3
	Total	15	3	16
Second Semester (Spring)
ENG 112	College Composition II	3	0	3
BIO 142	Human Anatomy and Physiology II	3	3	4
IST	Fundamental IST Skills, ITE 100 or 115	3	0	3
PSY 232	Human Life Span Development II	3	0	3
EEE	1Humanities/Fine Arts	3	0	3
	Total	11	3	16
Nursing Curriculum First Semester (Fall)
NUR 111	Nursing I	4	9	7
NUR 136	Principles of  Pharmacology I	1	0	1
	Total	5	9	8
Second Semester (Spring)
NUR 112	Nursing II	4	12	8
NUR 137	Principles of
	Pharmacology II	1	0	1
	Total	5	12	9
Summer Session
NUR 226	Health Assessment	2	3	3
	Total	2	3	3
Third Semester (Fall)
NUR 211	Second Level Nursing I	4	12	8
NUR 236	Principles of Pharmacology III	1	0	1
	Total	5	12	9
Fourth Semester (Spring)
NUR 212	Second Level Nursing II	4	12	8
NUR 237	Principles of  Pharmacology IV	1	0	1
NUR 254	Nursing Dimensions	2	0	2
	Total	7	12	11
Total Minimum Credits for  Health Science Certificate & AAS Degree …72

1.  Humanities electives include:  ART 201,202; foreign languages; MUS 121,122; PHI 101; REL 200, 210, 230; SPD 130, 151, 152.

Track 3:  Part-time evening/weekend program

A part-time evening/weekend option is available for students who must work and/or wish to attend part-time.  General education courses can be completed as night classes or by distance education options such as web based learning.  Nursing classes and clinicals are taught on evenings and weekends on an extended plan.  This tract is often selected by the working adult or the individual who wants to attend part-time.  General education courses listed in Year 1 must be completed before the student can begin Year 2.

Year 1  Summer Session
Course		Lec.	Lab.
Number	Course Title	Hrs.	Hrs.	Crs.
ENG 111	College Composition I	3	0	3
IST	Fundamental IST Skills
	ITE 100 or 115	3	0	3
	Total	6	0	6
First Semester (Fall)
BIO 141	Human Anatomy and Physiology I	3	3	4
ENG 112	College Composition II	3	0	3
EEE	1Humanities/Fine Arts	3	0	3
SDV 108	College Survival Skills	1	0	1
	Total	10	3	11
Second Semester (Spring)
BIO 142	Human Anatomy and PhysiologyII	3	3	4
MTH 126	Mathematics for Allied Health	2	0	2
	Total	5	3	6
Year 2  Summer Session
NUR 136	Principles of Pharmacology I	1	0	1
NUR 137	Principles of Pharmacology II	1	0	1
PSY 231	Life Span Human Dev. I	3	0	3
	Total	5	0	5
Third Semester (Fall)
NUR 111	Nursing I	4	9	7
	Total	4	9	7
Fourth Semester (Spring)
NUR 112	Nursing II	4	12	8
	Total	4	12	8
Year 3  Summer Session
NUR 226	Health Assessment	2	3	3
PSY 232	Life Span Human Dev. II	3	0	3
	Total	5	3	6
Fifth  & Sixth Semester (Fall & Spring)
NUR 211	Second Level Nursing	2	6	8
	Total	2	6	8
Year 4  Summer Session
NUR 236	Principles of Pharmacology III	1	0	1
NUR 237	Principles of Pharmacology IV	1	0	1
	Total	2	0	2
Seventh & Eighth Semester (Fall & Spring)
NUR 212	Second Level Nursing II	2	6	8
NUR 254	Nursing Dimensions	2	0	2
	Total	4	6	10
Total Minimum Credits for the AAS Degree .........................................69

1.  Humanities electives include:  ART 201,202; foreign languages; MUS 121,122; PHI 101; REL 200, 210, 230; SPD 130, 151, 152.

Track 4:  LPN to RN program.

Students who are LPNs are required to complete at least 17 hours of the general education courses before beginning the LPN to RN nursing classes.  The length of this tract depends on the amount of time needed to complete the general education classes.  The nursing classes can be completed in one year.  Some LPNS may opt for the part-time evening weekend program which requires 2 years of nursing classes after completion of general education requirements.

Course		Lec.	Lab.
Number	Course Title	Hrs.	Hrs.	Crs.
SDV 108	Orientation to College Success	1	0	1
BIO 141	Human Anatomy and Physiology I	3	3	4
BIO 142	Human Anatomy and Physiology II	3	3	4
ENG 111	College Composition I	3	0	3
ENG 112	College Composition II	3	0	3
MTH 126	Mathematics for Allied Health	2	0	2
	Total	15	6	17
Summer Semester
NUR 115	LPN Transition	4	3	5
NUR 136	Principles of  Pharmacology I	1	0	1
NUR 137	Principles of Pharmacology  II	1	0	1
NUR 226	Health Assessment	2	3	3
	Total	8	3	10
Fall Semester
IST	Fundamental IST Skills
	ITE 100 or ITE 115	3	0	3
NUR  211	Second Level Nursing I	4	12	8
NUR 236	Principles of Pharmacology III	1	0	1
PSY 231	Life Span Human Development I	3	0	3
	Total	11	12	15
Spring Semester
NUR 212	Second Level Nursing II	4	12	8
NUR 237	Principles of  Pharmacology IV	1	0	1
NUR 254	Nursing Dimensions	2	0	2
PSY 232	Life Span Human Development	3	0	3
EEE	1Humanities/Fine Arts	3	0	3
	Total	12	12	17
Total Minimum Credits for the AAS Degree .......................59*

1.  Humanities electives include:  ART 201,202; foreign languages; MUS 121,122; PHI 101; REL 200, 210, 230; SPD 130, 151, 152.
* Upon completion of NUR 115, credit will be awarded for NUR 111 and NUR 112 (15 credits).  These credits will appear on the student’s official transcript.

Track 5:  Part-time evening/weekend LPN to RN program

A part-time evening/weekend LPN to RN option is available for LPNs who work and or wish to attend part time. General education courses can be completed as night classes or by distance education options such as web based learning.  Nursing classes and clinicals are taught on evenings and weekends on an extended plan. General education courses listed in Year 1 must be completed before the student can begin Year 2.

Year 1 Summer Session
Course		Lec.	Lab.
Number	Course Title	Hrs.	Hrs.	Crs.
ENG 111	College Composition I	3	0	3
PSY 231	Human Growth & Development I	3		3
IST	Fundamental IST Skills, ITE 100 or 115	3	0	3
	Total	9	0	9
First Semester (Fall)
BIO 141	Human Anatomy and Physiology I	3	3	4
ENG 112	College Composition II	3	0	3
SDV 108	College Survival Skills	1	0	1
EEE	1Humanities/Fine Arts	3	0	3
	Total	10	3	11
Second Semester (Spring)
BIO 142	Human Anatomy and Physiology II	3	3	4
MTH 126	Mathematics for Allied Health	2	0	2
PSY 232	Life Span Human Dev. II	3	0	3
	Total	8	3	9
Year 2  Summer Session
NUR 115	LPN Transition	4	3	5
NUR 136	Principles of Pharmacology I	1	0	1
NUR 137	Principles of Pharmacology II	1	0	1
	Total	6	3	7
Third & Fourth Semester (Fall & Spring)
NUR 211	Second Level Nursing	4	12	8
	Total	4	12	8
Year 3  Summer Session
NUR 226	Health Assessment	2	3	3
NUR 236	Principles of Pharmacology III	1	0	1
NUR 237	Principles of Pharmacology IV	1	0	1
	Total	4	3	5
Fifth  & Sixth Semester (Fall & Spring)
NUR 212	Second Level Nursing II	4	12	8
NUR 254	Nursing Dimensions	2	0	2
	Total	6	12	10
Total Minimum Credits for the AAS Degree .......................59*

1.  Humanities electives include:  ART 201,202; foreign languages; MUS 121,122; PHI 101; REL 200, 210, 230; SPD 130, 151, 152.
* Upon completion of NUR 115, credit will be awarded for NUR 111 and NUR 112 (15 credits).  These credits will appear on the student’s official transcript.

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Course Descriptions 

General Education Courses
The VATNP curriculum consists of  29 credit hours of general education classes.  Courses in the sciences and humanities provide the foundation for the nursing curriculum.  The Virginia Council of Higher Education, the Virginia State Board of Nursing, and the Southern Association of Colleges and Schools direct courses for degree programs.  Students are required to complete courses taught by general education faculty. 

Nursing Courses
Course Information

Nursing courses are sequential and build on content from previous courses.  Therefore, they must be taken in the order listed on the program of study and cannot be completed in less than four (4) semesters and 1 summer session for the Day Program and the LPN to RN program and 8 semesters for the Part-time Evening/Weekend  Program. 

NUR 111 Nursing I (7 cr., Lecture 4 hours, Laboratory 9 hours)

Prerequisites: Acceptance to the VATNP Nursing Program 

Introduce nursing principles, concepts, and the nursing process. Develops nursing skills to meet the biopsychosocial needs of individuals. May include math computational skills and basic computer instruction related to the delivery of nursing care. Develops basic nursing skills that are essential to the nursing care of clients. Provides supervised learning experiences in college laboratory and/or cooperating agencies.

NUR 136 Principles of pharmacology I (1 cr., Lecture 1 hour)

Prerequisites: Acceptance to the VATNP Nursing Program   

Provides an opportunity to explore the general principles of drug action, pharmacology of the major drug classes and specific agents within each class

NUR 112 Nursing II (8 cr., Lecture 4 hours, Laboratory 12 hours)

Prerequisites: NUR 111, NUR 136, MTH 126, BIO 141 

Focuses on the nursing care of individuals and or families experiencing changes along the health/illness continuum that are common, well-defined, and have predictable outcomes.  Includes math computational skills and basic computer instruction related to the delivery of nursing care.  Provides supervised learning experiences in college nursing laboratories and or cooperating agencies.

NUR 137 Principles of pharmacology II (1 cr., Lecture 1 hour)

Prerequisites: NUR 111, NUR 136, MTH 126, BIO 141   

Provides an opportunity to explore the general principles of drug action, pharmacology of the major drug classes and specific agents within each class

NUR 115 LPN Transition (5 cr., Lecture 4 hours, Laboratory 3 hours

Prerequisites: Acceptance to the VATNP LPN to RN Bridge Program, NUR 111, NUR 136, MTH 126, BIO 141, BIO 142)  )

Introduces the role of the registered nurse through concepts and skill development in the discipline of professional nursing.  This course serves as a bridge course for licensed practical nurses and is based upon individualized articulation agreements, mobility exams, or other assessment criteria as they relate to local programs and services areas.  Includes math computational skills and basic computer instruction related to the delivery of nursing care. 

NUR 226 Health Assessment (3 cr. Lecture 2 hours, Laboratory 3 hours )

Prerequisites:  NUR 111, 112, 136, 137 or acceptance to the VATNP LPN to RN Program

Teaches a systematic approach to obtaining a health history and performing a physical assessment.

NUR 211 Second Level Nursing I (8 cr., Lecture 4 hours, Laboratory 12 hours) 

Prerequisites:  NUR 111, 112, 136, 137, 226, BIO 141-142, MTH 126)

Emphasizes the nursing care of individuals/families in various stages of development, experiencing problems related to their biopsychological needs.  Uses all components of the nursing process with increasing degrees of skills.  Includes math computational skills and basic computer instruction related to the delivery of nursing care.  Provides supervised learning experiences in college nursing laboratory and/or cooperating agencies.

NUR 236 Principles of Pharmacology III (1 cr., Lecture 1 hour)

Prerequisites:  NUR 111, 112, 136, 137, 226, BIO 141-142, MTH 126)

Teaches principles of medication administration, which includes dosage calculations, major drug classifications, drug legislation, legal aspects of medication administration, and drug action on specific body systems.  Lecture 1 hour per week.

NUR 212 Second Level Nursing II (8 cr., Lecture 4 hours, Laboratory 12 hours)

Prerequisites:  NUR 111, 112, 136, 137, 226, 211, & 236,  BIO 141-142, MTH 126)

Emphasizes nursing care of individuals, families, and/or groups in various stages of development who are experiencing alterations related to their biopsychosocial needs.  Uses all components of the nursing process with increasing degrees of skill.  Includes math computational skills and basic computer instruction related to the delivery of nursing care.  Provides supervised learning experiences in college nursing laboratories and/or cooperating agencies. 

NUR 237 Principles of Pharmacology IV (1 cr., Lecture 1 hour)

Prerequisites:  NUR 111, 112, 136, 137, 226 , 211, & 236,  BIO 141-142, MTH 126)      

Teaches principles of medication administration, which includes dosage calculations, major drug classifications, drug legislation, legal aspects of medication administration, and drug action on specific body systems.  Lecture 1 hour per week.

NUR 254 - Nursing Dimensions (2 credits)

Prerequisites:  NUR 111, 112, 136, 137, 226, 211, & 236,  BIO 141-142, MTH 126)

Explores the role of the registered nurse; emphasizes nursing organizations, legal and ethical implications, and addresses trends in management and organizational skills.  Explores group dynamics, relationships, conflicts, and leadership styles.

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Requirements for Continued Enrollment in the Program    

After admission to the nursing program, a student's academic standing is determined by the cumulative grade point average (G.P.A.).  For complete explanation regarding academic standing, probationary status, and reinstatement procedures, please refer to your college catalog and Student Handbook.  If a student fails to complete any nursing or non-nursing course with a grade of "C" or above on the second attempt, he/she will not be permitted to register for this or any subsequent nursing course.  A student who is currently enrolled in the nursing program must have a G.P.A. of 2.0 or above to continue in the nursing sequence.     

A student interrupting her/his course of study for any reason must apply for readmission to the Nursing Program.  Requests for readmission must be made in writing to the Dean of Virginia Appalachian Tricollege Nursing Program at Virginia Highlands Community College.  Readmission will be considered on a space available basis and subject to any new catalog curriculum requirements.    

**Students who have two failures during the Program’s nursing course sequence (NUR 111, NUR 136, NUR 112/115, NUR 137, NUR 226, NUR 211, NUR 236, NUR 212, NUR 237, NUR 254) will be ineligible for readmission to the program.

Students must earn a minimum grade of "C" in all required courses and maintain a minimum cumulative GPA of 2.0 to remain eligible for continued enrollment in the nursing program. Students must complete all prerequisites and co-requisites, including minimum grade requirements in order to progress to each successive nursing course. Required non-nursing courses may be completed prior to admission to NUR 111 or 115 or they may be taken concurrently with the NUR course in the semester in which they are listed.  Failure to take required non-nursing courses by the designated semester would necessitate dropping out of the NUR sequence until the requirements are met.  The student may then re-apply for admission to nursing.

Students who or unsuccessful or withdraw from a required course must repeat and satisfactorily complete the course with a final grade of "C" or above, subject to the following restrictions:

a. A student is limited to no more than two enrollments in any one course.  (See VHCC, MECC, or SWVCC Catalog)

b. Students who fail or withdraw from a course or the program must request readmission to the program and are subject to any new catalog curricular requirements.  This request must be in the form of a letter written to the Dean of the nursing program.  The letter should state what the student has done to promote their success in the program if readmitted.

 Students who or unsuccessful or withdraw from NUR 111 or NUR 115 must reapply for admission to the nursing program and meet all current admission requirements. They will then be put in a pool with all other applicants and will not be given preferential treatment. The failing grade in NUR 111/NUR 115 and NUR 136 will be included in the curricular GPA used in the admission process. 

In order to progress in the nursing sequence, students must meet the following:  

NUR 112 – must have successfully completed NUR 111 and, NUR 136 plus all other requirements noted in the curriculum for this particular semester.

NUR 211 – Must have successfully complete NUR 111 & NUR 112 or NUR 115, NUR 136, & NUR 137 plus all other requirements noted in the curriculum for this particular semester.

NUR 212 – Must have successfully completed NUR 111, NUR 112/NUR 115, NUR 211, NUR 136, NUR 137, NUR 236 and NUR 226 plus all other requirements noted in the curriculum for this particular semester.

in the curriculum for this particular semester.

NUR 254 – Must have successfully completed NUR 111, NUR 112/NUR 115, NUR 211, NUR 136, NUR 137, NUR 236 and NUR 226 plus all other requirements noted in the curriculum for this particular semester.

in the curriculum for this particular semester.

All students enrolled in the nursing program who are LPNs must have an  unrestricted LPN license throughout the program.  Any student whose license becomes restricted while enrolled in the Program, must notify the Dean of the Program immediately.  The student will be required to withdraw from the Program at that time.  When the student’s license becomes unrestricted, the student may reapply to return.  Returning to the program will be dependent on space availability and the student meeting all current criteria. 

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Transferring Between the Nursing Program Curriculum Tracks

Transferring between the Nursing Program tracks is not encouraged.  If there are extenuating circumstances, the student may submit a written request for transfer to the Nursing Program Dean.  The request will be handled on an individual basis and space availability.

Admission of Transfer and Returning students to nursing (NUR) classes

Students transferring into the nursing program with advanced placement must have a cumulative GPA of at least 2.0   Cumulative GPA will be calculated from all transfer and VHCC, MECC or SWVCC courses.  Official transcripts must be received and evaluated prior to acceptance decisions.  Transfer students must meet all current admission criteria described in the college catalog. Students must have been actively enrolled in nursing coursework within the past three years in order to receive transfer placement. Students who have not been enrolled in nursing courses in the past three years must start at the beginning of the nursing course sequence.  Students must graduate within five years of entering NUR 111/115.

Note: Transfer students and students who have dropped out of the curriculum for longer than one semester will be held accountable for skill competencies.  

Students are re-admitted based on space availability and ranked by cumulative GPA in the following order of priority for admission:

a. VATNP returning students who have dropped out of the nursing curriculum with a passing grade prior to taking the courses for which they have applied and are still eligible to continue in the program.

b. VATNP returning students who have been unsuccessful in the course for which they are applying and are still eligible to continue in the program.

c. Transfer students. 

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PHILOSOPHY, CURRICULAR FRAMEWORK AND PROGRAM OUTCOMES

            The Virginia Appalachian Tricollege Nursing Program (VATNP) operates within the philosophical framework of the Virginia Community College System (VCCS) and is an integral part of the general structure of Virginia Highlands Community College, Southwest Virginia Community College and Mountain Empire Community College.

            The program philosophy and curricular framework of the VATNP reflects the mission of each of the three colleges.  These colleges are dedicated to the belief that each individual should be given a continuing opportunity to develop skills, extend knowledge and increase awareness of their roles and responsibilities to society.  The associate in applied science in nursing is designed to prepare the beginning level registered nurse.  The philosophy and curricular framework are consistent with standards of the American Nurses Association (ANA), the National League for Nursing (NLN) and the legal framework of the Virginia State Board of Nursing. 

Faculty Beliefs

The program philosophy and the curricular framework reflect the collective beliefs of the faculty defined as follows: 

The faculty believes a person:

Is an integrated whole with physiological-psychological-sociological components.

Has basic human needs which exist throughout the lifecycle.

Is capable of change and adaptation.

Is part of a family, culture, and community.

Is constantly interacting with the environment.

The faculty believes that the environment:

Consists of dynamic internal and external factors that interact to impact a person’s health. 

Can be altered to positively affect a person’s health by addressing unhealthy stressors and utilizing health-promoting resources.

Can be altered internally and externally to impact the person’s health and quality of life.

The faculty believes that health:

Is a dynamic equilibrium on the health illness continuum.

Is “a state of complete physical, mental and social well-being, and not merely the absence of disease or infirmity” as stated by the World Health Organization.

The faculty believes that nursing:

Is primarily assisting “the individual, sick or well, in the performance of those activities contributing to health, or its recovery (or to a peaceful death) that he would perform unaided if he had the necessary strength, will or knowledge” as stated by Virginia Henderson (1966).  It is likewise the unique contribution of nursing to help the individual to be independent of such assistance as soon as possible.

Is an individualized process of caring for and supporting people as they progress through the spectrum of health and illness.

Is committed to and accountable for the delivery of patient centered care through the nursing process.

The faculty believes that nursing care:

Must adhere to standards established by the professional organizations and the VA State Board of Nursing.

Is delivered utilizing the nursing process.

The faculty believes that teaching and learning in nursing education:

Is a continuous process resulting in a change in behavior.

Is accomplished through a multisensory approach to meet the individual’s learning style.

            Is a process of empowering students to develop critical thinking skills.

Is accomplished best in an institution of higher learning.

Is based on a curriculum that includes general education and nursing courses and promotes the application of principles of natural and social sciences to health care.

Is based on a curriculum developed with integrated content and processes which incorporate simple to complex and known to unknown.

Is built upon preexisting knowledge and experiences to continually increase depth of understanding.

Is based on clinically grounded experiences that are analyzed, reflected upon, synthesized and understood through application of the nursing process.

Is accomplished through three major routes leading to registered nurse licensure. Educational preparation may be diploma, associate or baccalaureate degree.

The faculty believes that the nurse educator

            Is a facilitator of learning.

            Is a role model of professional behavior.

Creates an environment that addresses the individual learning needs of a diverse body of students.

Facilitates learners’ use of their experience, intuition, and trial and error thinking to define, solve or rethink a particular problem or issue.

The faculty believes the associate degree program:

Goal is to prepare a beginning practitioner rendering direct care in a variety of settings. 

Graduate is prepared to function under the leadership of an experienced registered nurse.

Curricular Framework

The curricular framework of the VATNP is derived from the mission and philosophy of the program and the Educational Competencies for Graduates of Associate Degree Nursing Programs (2000).  The framework is structured around the nursing process, the three roles of the nurse and the eight core components and competencies.  (Council of Associate Degree Nursing Competencies Task Force, National League for Nursing, 2000).  The following definitions are central to the VATNP curricular framework:

Nursing Process

The nursing process encompasses all significant actions taken by the nurse in providing care, and forms the foundation of clinical decision making.

1.      Assessment: the nurse collects client health data.

2.      Diagnosis: the nurse analyzes the assessment data in determining diagnoses.

3.      Planning: the nurse develops a plan of care that prescribes interventions to attain expected outcomes.

4.      Implementation: the nurse implements the interventions identified in the plan of care.

5.      Evaluation: the nurse evaluates the client’s progress toward attainment of outcomes. (American Nurses’ Association, Standards of Care).

Roles of the Nurse

            Provider of Care

The role of provider of care involves critical thinking to intervene into problems with increasing complexity.  Understanding and synthesis of knowledge regarding human needs across the lifespan and the health illness continuum provide the basis for this process, while clinical competence is demonstrated through application of the nursing process.  The provider of care role is introduced in the first nursing course and is built on throughout the program as the student gains in knowledge, understanding, skills and ability to think critically and to solve increasingly complex nursing care situations in a variety of settings. 

Manager of Care

The role of manager of care is introduced in the initial course and emphasized throughout the first year as students are introduced to and utilize multiple information management systems during their learning laboratory experiences and in various clinical placements.  The majority of the theoretical and experiential emphasis for this role is provided in the second year of nursing courses.  Communication and relationship skills are expanded to include group dynamics and process, team leading and member behaviors.  Students practice the skills of decision making, collaboration, delegation, coordination, organization and advocacy as they function as they function as team leader/member in their various clinical groups throughout the second year of nursing courses.  The knowledge and increasing competence in the role of provider of care are built upon in the second year as the student cares for a small group of patients.  Expectations for the use of technology in the care of individuals, families, and groups are increased. 

Member of the Discipline of Nursing

This role, as the others, is introduced in the initial nursing courses as standards of care are introduced.  Emphasis on this role occurs in the final semester as students assume more competence, responsibility and accountability in all nursing roles.  Socioeconomic and political forces affecting nursing practice introduced and explore previously are analyzed in depth.   Ethical standards of the profession of nursing and the legal framework of practice are expected to be internalized values.  Active participation in the profession of nursing, commitment to professional growth and development and lifelong learning are ingrained in the graduate.  Caring about, caring for and caring with the patient with compassion, empathy, skill and competence is the synthesis of the three nursing roles.

Core Components and Competencies (Council of Associate Degree Nursing Competencies Task Force, National League for Nursing, 2000). 

Professional Behaviors

Professional behaviors within nursing practice are characterized by a commitment to the profession of nursing.  The graduate of an associate degree nursing program adheres to standards of professional practice, is accountable for her/his own actions and behaviors, and practices nursing within legal, ethical, and regulatory frameworks.  Professional behaviors also include a concern for others, as demonstrated by caring, valuing the profession of nursing, and participating in ongoing professional development.

Communication

Communication in nursing is an interactive process through which there is an exchange of information that may occur verbally, non-verbally, in writing, or through information technology.  Those who may be included in this process are the nurse, client, significant support person(s), other members of the healthcare team, and community agencies.  Effective communication demonstrates caring, compassion, and cultural awareness, and is directed toward promoting positive outcomes and establishing a trusting relationship.

Assessment

Assessment is the collection, analysis, and synthesis of relevant data for the purpose of appraising the client’s health status.  Comprehensive assessment provides a holistic view of the client which includes dimension of physical, developmental, emotional, psychosocial, cultural, spiritual, and functional status.  Assessment involves the orderly collection of information from multiple sources to establish a foundation for provision of nursing care, and includes identification of available resources to meet client needs.  Initial assessment provides a baseline for future comparisons that can be made in order to individualize client care.  Ongoing assessment and reassessment are required to meet the client’s changing needs.

Clinical Decision Making

Clinical decision making encompasses the performance of accurate assessments, the use of multiple methods to access information, and the analysis and integration of knowledge and information to formulate clinical judgments.  Effective clinical decision making results in finding solutions, individualizing care, and assuring the delivery of accurate, safe care that moves the client and support person(s) toward positive outcomes. Evidence based practice and the use of critical thinking provide the foundation for appropriate clinical decision making.

Caring Interventions

Caring interventions are those nursing behaviors and actions that assist clients in meeting their needs.  These interventions are based on a knowledge and understanding of the natural sciences, behavioral sciences, nursing theory, nursing research, and past nursing experiences.  Caring is the “being with” and “doing for” that assist clients to achieve the desired results.  Caring behaviors are nurturing, protective, compassionate, and person-centered.  Caring creates an environment of hope and trust, where client choices related to cultural values, beliefs, and lifestyle are respected.

Teaching and Learning

Teaching and learning processes are used to promote and maintain health and reduce risks, and are implemented in collaboration with the client, significant support person(s), and other members of the healthcare team.  Teaching encompasses the provision of health education to promote and facilitate informed decision making, achieve positive outcomes, and support self-care activities.  Integral components of the teaching process include the transmission of information, evaluation of the response to teaching, and modification of teaching based on identified responses.  Learning involves the assimilation of information to expand knowledge and change behavior.

Collaboration

Collaboration is the shared planning, decision making, problem solving, goal setting, and assumption of responsibilities by those who work together cooperatively, with open professional communication.  Collaboration occurs with the client, significant support person(s), peers, other members of the healthcare team, and community agencies.  The nurse participates in the team approach to holistic, client centered care across healthcare settings.  The nurse functions as advocate, liaison, coordinator, and colleague as participants work together to meet client needs and move the client toward positive outcomes.  Collaboration requires consideration of client needs, priorities and preferences, available resources and services, shared accountability, and mutual respect.

Managing Care                                                    

Managing care is the efficient, effective use of human, physical, financial, and technological resources to meet client needs and support organizational outcomes.  Effective management is accomplished through the processes of planning, organizing, directing, and controlling.  The nurse, in collaboration with the healthcare team, uses these processes to assist the client to move toward positive outcomes in a cost efficient manner, to transition within and across healthcare settings, and to access resources.

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Curriculum Framework Model 

            The curriculum framework model for the VATNP is derived from the mission and philosophy of the program, the nursing process, the roles of the nurse and the core components and competencies for graduates of associate degree nursing programs..  (See Figure 1)  This model was drawn by Deborah Wright, VATNP Faculty, with input from all VATNP faculty members.

 

 

 

 

 

 

 

 

 

 

The conceptual model (Figure 1, Wright) is a visualization of the interrelationship of the philosophy and purpose of the VATNP. A pie shaped figure was chosen to illustrate the equality of the major concepts of person, health, environment and nursing. These provide the curriculum with structure and body. An extension of this figure is noted by the placement of major concepts along the health illness continuum. Solid lines connecting the core components (horizontal threads) represent both a continuous and interrelated process of interaction between the components. These organizing horizontal threads are professional behaviors, communication, assessment, decision making, caring interventions, teaching and learning, collaboration and managing care. These threads are integrated and continuous throughout all levels of the curriculum. The scope of the curriculum is provided by the vertical threads which are articulated in a logical progression from simple to complex and from known to unknown. These vertical threads are safety, life span, nutrition, community, cultural diversity and legal/ethical issues. The circular arrows on the model depict the continuous use of the nursing process and the evolving roles of the nurse. The outward and visible signs of nursing are what the nurse does with, on behalf of, and to the person. The nurse’s actions are based on a series of intellectual processes. These intellectual activities and nursing actions form the nursing process as the primary mechanism for delivering nursing care. Figure 2 (Doenges, 2005) depicts a model for visualizing this process.

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Firgure 2

The Nursing Process

 

 

 

 

 

 

 

 

 

 

Diagram of the nursing process. The steps of the nursing process are interrelated, forming a continuous circuel of thought and action that is both dynamic and cyclic. (Doenges, M., Moorhouse, M.F., & Geissler-Murr, A.C., 2005. Nursing Diagnosis Manual, Philadelphia: FA Davis. 2005)

Program Outcomes

The VATNP faculty is committed to the program outcomes outlined on the following chart:

Core Component	Definition	Program Outcome
Professional Behavior	Professional Professional behaviors within nursing practice are characterized by a commitment to the profession of nursing. The graduate of an associate degree nursing program adheres to standards of professional practice, is accountable for her/his own actions and behaviors, and practices nursing within legal, ethical, and regulatory frameworks. Professional behaviors also include a concern for others, as demonstrated by caring, valuing the profession of nursing, and participating in ongoing professional development.	Practices within ethical, legal, and regulatory frameworks of nursing and standards of professional nursing practice. Is accountable for his/her own actions. Participates in lifelong learning Participates in professional organizations and political activities to promote the practice of nursing. Delineates and maintains appropriate professional boundaries in the nurse-client relationship.
Communication	Communication in nursing is an interactive process through which there is an exchange of information that may occur verbally, non-verbally, in writing, or through information technology. Those who may be included in this process are the nurse, client, significant support person(s), other members of the healthcare team, and community agencies. Effective communication demonstrates caring, compassion, and cultural awareness, and is directed toward promoting positive outcomes and establishing a trusting relationship	Establishes and maintains effective communication, both verbal and written, with clients, family, community and health care providers while maintaining confidentiality. Uses appropriate information technology to support communications in health care.
Assessment	Assessment i Assessment is the collection, analysis, and synthesis of relevant data for the purpose of appraising the client’s health status. Comprehensive assessment provides a holistic view of the client which includes dimension of physical, developmental, emotional, psychosocial, cultural, spiritual, and functional status. Assessment involves the orderly collection of information from multiple sources to establish a foundation for provision of nursing care, and includes identification of available resources to meet client needs. Initial assessment provides a baseline for future comparisons that can be made in order to individualize client care. Ongoing assessment and reassessment are required to meet the client’s changing needs.	Uses the nursing process to collect information and contribute to an ongoing, comprehensive data base relevant to a holistic individualized plan of care.
Clinical decision making	Clinical decision making encompasses the performance of accurate assessments, the use of multiple methods to access information, and the analysis and integration of knowledge and information to formulate clinical judgments. Effective clinical decision making results in finding solutions, individualizing care, and assuring the delivery of accurate, safe care that moves the client and support person(s) toward positive outcomes. Evidence based practice and the use of critical thinking provide the foundation for appropriate clinical decision making.	Uses the nursing process to make effective clinical decisions resulting in finding solutions, individualizing care and assuring the delivery of accurate safe care that moves the client and support person(s) toward positive outcomes.
Caring Interventions	Caring interventions are those nursing behaviors and actions that assist clients in meeting their needs. These interventions are based on a knowledge and understanding of the natural sciences, behavioral sciences, nursing theory, nursing research, and past nursing experiences. Caring is the “being with” and “doing for” that assist clients to achieve the desired results. Caring behaviors are nurturing, protective, compassionate, and person-centered. Caring creates and environment of hope and trust, where client choices related to cultural values, beliefs, and lifestyle are respected.	Applies nursing values that exemplify the caring professional nurse. Provides compassionate, nurturing, protective, person centered and competent care based on the synthesis of knowledge, skills and attitudes acquired in the humanities and natural and behavioral sciences. Adapts care to include the person’s values, customs, culture and/or habits.
Teaching and Learning	Teaching and learning processes are used to promote and maintain health and reduce risks, and are implemented in collaboration with the client, significant support person(s), and other members of the healthcare team. Teaching encompasses the provision of health education to promote and facilitate informed decision making, achieve positive outcomes, and support self-care activities. Integral components of the teaching process include the transmission of information, evaluation of the response to teaching, and modification of teaching based on identified responses. Learning involves the assimilation of information to expand knowledge and change behavior.	Uses the nursing process to plan, develop, implement and evaluate health care teaching provided to individuals or groups in a variety of settings. Promotes and facilitates informed decision making and positive outcomes. Provides relevant health care instructions to assistive personnel.
Collaboration	Collaboration is the shared planning, decision making, problem solving, goal setting, and assumption of responsibilities by those who work together cooperatively, with open professional communication. Collaboration occurs with the client, significant support person(s), peers, other members of the healthcare team, and community agencies. The nurse participates in the team approach to holistic, client centered care across healthcare settings. The nurse functions as advocate, liaison, coordinator, and colleague as participants work together to meet client needs and move the client toward positive outcomes. Collaboration requires consideration of client needs, priorities and preferences, available resources and services, shared accountability, and mutual respect	Assumes the role of the associate degree nurse while participating within the health care team to deliver holistic care across the life span and in a variety of settings respecting cultural values and beliefs.
Managing Care	Managing care is the efficient, effective use of human, physical, financial, and technological resources to meet client needs and support organizational outcomes. Effective management is accomplished through the processes of planning, organizing, directing, and controlling. The nurse, in collaboration with the healthcare team, uses these processes to assist the client to move toward positive outcomes in a cost efficient manner, to transition within and across healthcare settings, and to access resources.	Assumes the role of manager of care for diverse groups of clients through effective use of delegation, evolving technology and resources.

In summary, the faculty believes the most effective nursing curriculum is composed of general education and nursing courses offered in institutions of higher learning. The VATNP curricular framework is based on the nursing process, the three roles of the nurse, the eight core components and competencies. The curricular framework operationalizes the program philosophy.

Reviewed & Approved: 08/17/00
Reviewed & Approved: 08/17/01
Revised and Approved: 05/08/02
Revised and Approved: 08-19-03
Revised and Approved: 05-11-05

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*Made up of:
President – Virginia Highlands Community College
President – Southwest Virginia Community College
President – Mountain Empire Community College
Vice President of Instruction and Student Services – Virginia HighlandsCommunity College
Vice President of Instruction – Southwest Virginia Community College
Vice President of Academic and Student Services – Mountain Empire Community College
Dean of the Nursing Program

Legend:

Direct Authority

Advisory

Cooperative

Coordinating

Contractual Agreements

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VATNP FACULTY - 2005-2006

VATNP Assistant Directors/Campus Coordinators
Ms. Johanne Watson – MECC
Ms. Lynn Moretz – VHCC
TBA - SWVCC

TEAM I- NUR 111 and NUR 112, NUR 136 and NUR 137
Ms. Cathy Canody – VHCC, Leader Teacher NUR 136 & NUR 137
Ms. Donna Cluesman - MECC
Ms. Lynn Moretz - VHCC, Lead Teacher NUR 111
Ms. Kim Smith – SWVCC, Leader Teacher NUR 112
Ms. Beth Wright – SWVCC
Ms. Deborah Wright – MECC

NUR 115
Ms. Lynn Moretz – VHCC, Leader Teacher

TEAM II- NUR 211 and NUR 212, NUR 236 and NUR 237
Ms. Deborah Clarkston - MECC, Lead Teacher NUR 211
Ms. Barbara Gilbert - SWVCC, Leader Teacher NUR 212
Ms. Christine Hobbs - SWVCC- Grundy
Ms. Connie Sherwood - VHCC
Ms. Johanne Watson - MECC
Ms. Kitty Williams - VHCC, Lead Teacher NUR 236 & 237

NUR 254
Ms. Christine Hobbs – SWVCC @ Grundy
TBA - SWVCC
Ms. Deborah Clarkston – MECC
Ms. Johanne Watson – MECC, Lead Teacher
Ms. Connie Sherwood - VHCC

NUR 226
Ms. Barbara Gilbert – SVCC, Lead Teacher

Faculty Office Hours
Each faculty member has office hours posted on the office doors. Please be aware of posted office hours. Appointments can also be arranged for student-faculty conferences at times other than posted office hours if needed.

Academic Advising
Each student will be advised by nursing faculty for assisting with academic progress and concerns. Course faculty members will be the advisors of the students enrolled in their courses. The advisor will authorize all course work the student plans to take and will provide guidance for future course requirements and career development.

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CLASSROOM/CLINICAL POLICIES AND PROCEDURES

Attendance Policy
Admission to the VATNP requires that the student register during his/her college’s designated registration period and pay tuition prior to the published deadline. Students who fail to pay their tuition before the deadline forfeit their place in the course.
Punctual and regular attendance of classes and laboratory sessions is required. As a general rule, students should not miss more than one hour of class for each number of credits in the course. When absence from a class becomes necessary, it is the responsibility of the student to inform the instructor prior to the absence whenever possible. The student is responsible for the subsequent completion of all study missed during an absence. Frequent absences may result in administrative withdrawal from a class and the termination or reduction of veterans’ benefits and other programs of financial assistance. It is the student’s responsibility to obtain missed content.
In view of the nature of the associate degree nursing program objectives and difficulties inherent in “making up” laboratory experiences which have been missed, regular attendance is vital. The faculty has a right to identify certain labs as critical; these labs must be made up. Excused absences may include a medical excuse (physicians note) or faculty excuse (for illness, death in the immediate family, hazardous weather conditions). Excessive absences during a semester will require faculty action. Clinical or laboratory absences in excess of 10% of the total time scheduled will result in an unsatisfactory course grade, regardless of the reason for the absence. Any exception must be approved by the clinical faculty and the program dean.

Nursing Skills Lab
The nursing skills laboratory provides the student an opportunity to practice nursing skills before caring for a patient in the clinical setting. Hours will be posted on the door of the labs at all campus locations. Please check the lab instructor’s posted hours when requesting an appointment.

Observe the Following When Using the Nursing Laboratory:

a. Smoking is not allowed in the nursing learning arts lab or nursing computer lab. Students may eat or drink in the labs only with permission of the nursing faculty or lab instructor.

b. Conversation is permitted during practicum, but voices should be kept low.

c. Students are responsible for returning reusable materials to their appropriate locations, disposing of non-reusable materials appropriately, and restoring the general neat appearance of the laboratory after each use.

d. Materials and/or equipment may be borrowed from the laboratory only after obtaining permission from an instructor. All materials must be returned the following class day unless other arrangements are made.

e. Any materials and/or equipment that are broken in the laboratory must be reported immediately to an instructor.

f. The loss and breakage of materials and/or equipment used by students is the financial responsibility of the student.

g. Final grades will be withheld until equipment is returned or arrangements are made to pay for lost or broken items.

Computer Laboratory

The Nursing Computer Laboratories will be open at posted times throughout the week. Students should check the computer lab each semester for the posted hours it will be available for use. Students must sign in and out on the logbook when using the lab. There will be no smoking, eating or drinking in the lab. If a student brings a diskette or any other portable storage devise to the lab, it must first be checked for viruses prior to using on any equipment. No software may be removed from the computer lab. No printing will be allowed in either nursing computer lab unless the student provides the paper.

Clinical Laboratory

The student will receive clinical experience in a variety of settings. Students are assigned to clinical agencies by faculty at the beginning of the semester. Special requests cannot be honored. Each instructor will distribute information regarding directions to the hospital and parking facilities. As soon as the rotation schedules are made, it is wise to form a car-pool. Any changes in clinical times will be made in advance. Evening/Weekend program students will generally have clinicals on Fridays, Saturdays or Sundays.

Patient assignments for the clinical experiences will be obtained prior to clinical as designated by the instructor. The student is responsible for researching and planning client care. The extent of preparation of the assignment will be evaluated by the clinical instructor during pre-conferences. The instructor may dismiss any student who is unprepared for the day's assignment. This constitutes unsafe clinical performance.

The procedure for notifying the instructor in cases of tardiness or absence from clinical practice is as follows:

(1). Call the hospital or follow guidelines given by the instructor. This should be done at least one hour before the clinical day starts. Failure to notify the faculty and/or facility of absence or tardiness is considered unprofessional conduct and is included in the clinical evaluation rating. Students may be dismissed from the program for no call/no show in clinical.

(2). Calling the hospital

(a). Identify yourself as a VATNP nursing student and ask for the assigned unit.

(b). Identify yourself by name, school, and client assignment.

(c). Ask that the nurse in charge and the instructor be informed of your absence.

(d). Obtain name of contact person.

The students must be able to perform all essential job functions in clinical settings with reasonable accommodation. Faculty can refuse to permit students into the clinical setting of he/she is unable to function under the influence of medications, including both over the counter and prescription medication. The student might be under the influence of medication even if he/she has received a medical clearance from a physician. Essential job functions include :

(1). Critical Thinking: Critical Thinking ability sufficient for clinical judgment.

(2). Interpersonal: Interpersonal abilities sufficient to interact with individuals, families and groups from a variety of social, emotional, cultural, and intellectual backgrounds.

(3). Communication: Communication abilities sufficient for interaction with others in verbal and written form.

(4). Mobility: Physical abilities sufficient to move from room to room and maneuver in small spaces.

(5). Motor skills: Gross and fine motor abilities sufficient to provide safe and effective nursing care.

(6). Hearing: Auditory ability sufficient to monitor and assess health needs.

(7). Visual: Visual ability sufficient for observation and assessment necessary in nursing care.
(8). Tactile: Tactile ability sufficient for physical assessment

Clinical Pre-requisites
Before attending clinical laboratory experiences each semester, the student must provide the instructor with proof of the following:
CPR Certification, Adult and Child
Current immunizations including Hepatitis B, MMR, and Varicella.

Proof of PPD testing or a negative chest X-ray
HIPPA Training/Certification/Liability Insurance
Criminal Background Checks/Drug Screens

Clinical Contracts
Individual contracts are in effect with each affiliate clinical agency and these contracts differ in requirements made of students. The general stipulations are as follows:
1. Clinical agencies reserve the right to dismiss a student from their agency at any time with any due cause. This will be done with advance notice except in an emergency.
2. Proper uniform must be worn including identification badges provided by the college.
3. Published policies of hospital must be adhered to.
4. Immunizations must be current and include Hepatitis B, MMR and Varicella.

5. Proof of Tuberculin skin test (PPD) or a negative chest X-ray must be shown on admission to the program and before beginning the second year. 6. Current CPR certification.

6. Student releases hospital, its agents and employees from any liability or death to himself or damage to his property arising out of agreement of use of hospital’s facilities. Contracts for each agency are available in the nursing office at VHCC and may be reviewed by students upon request.
7. Certain clinical facilities require a criminal history record check as a condition for placement. All nursing students will be required to provide proof of the background checks. Associated costs for these checks are the responsibility of the student.

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Criminal Background Checks/Drug Screen
Background checks for criminal history and sex offender crimes against minors are required for entrance into some clinical agencies. Students with convictions may be prohibited from clinical practice and therefore, may not be able to complete the program requirements. Clinical agencies may require drug testing prior to placement of students for clinical rotations. Cost for criminal background checks and drug testing will be the responsibility of the student.

HIPPA Training
All students will be required to completed a HIPPA Training program before beginning the clinical portion of the program. Documentation of the completed training should be maintained in the student’s portfolio through the duration of the program.

Clinical Dress Code
The uniform for students will consist of:
1. Female: White dress or pant suit, non-see through. No lace, ruffles, eyelet; please leave tags on uniforms until after faculty approval. Each uniform must be approved by faculty. Please leave tags on uniforms until after faculty approval.
Male: White uniform shirt and pants. Each uniform must be approved by faculty. Please leave tags on uniforms until after faculty approval.
2. White, knee length lab coat. Please leave tag on until after faculty approval.
3. White hose and/or white socks and white leather shoes that can be cleaned and/or polished as needed.
4. White undergarments.
5. A program patch must be sewn on the left shoulder 1-1/2” below the shoulder seam, in the center of the left sleeve of the dress and pant suit top and on the left shoulder of the lab coat. These patches will be purchased in the bookstore.
7. Accessories: college name badge, bandage scissors, watch with second hand, black pen and red pen, stethoscope (optional – not required), safety goggles (optional – not required), calculator (optional – not required), PDAs (optional – not required)

Grooming Guidelines While in Uniform
1. All uniforms and lab coats should be clean and wrinkle free.
2. The dress hemline should be to the middle of the knee or below.
3. Hose/socks shoestrings should be kept clean and neat.
4. Shoes should be kept clean and white.
5. Hair should be kept under control (clean and neat)
6. Excessive jewelry should be avoided – Medic Alert jewelry will be allowed. One pair of post type earrings will be allowed. Body jewelry or tattoos must be covered.
7. Cologne/aftershave should not be worn while in uniform.
8. Excessive makeup should be avoided
9. Natural, colorless or pale pink fingernail polish may be worn; chipping of polish should be avoided.
10. Fingernails should be reasonable length and clean. Artificial nails are not allowed in the clinical area.
12. Gum chewing will be permitted only in non-client areas.

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Illegal Substance Policy

Students or employees of a Virginia community college shall not possess, sell, use, manufacture, give away or otherwise distribute illegal substances including drugs or, where prohibited, alcohol while on campus, attending a college sponsored off-campus event, or while serving as a representative of the college at off-campus meetings. Students or employees who violate this policy shall have college charges processed against them in the normal manner of due process provided by college rules. Further, students or employees who violate this policy shall have committed a criminal offense, and the college shall notify the appropriate agency of the Commonwealth of Virginia, county or city government for investigation and, if warranted, prosecution.

Clinical Evaluation
Student performance in the clinical area will be formally evaluated at least twice each semester by the clinical instructor. These evaluations are done at midterm and at the end of the semester. A minimum of 80% of the clinical objective rating items must be rated as satisfactory by the end of the semester experience. The starred items are critical behaviors. One hundred percent of the starred items must be satisfactory to pass the course. See the attendance policies affecting the clinical grade on page 31.
The rating "Needs Improvement" will be allowed at midterm, but a student must have a satisfactory rating on all starred items, and on 80% of the total clinical items to pass clinically at the end of the semester.
A student may be denied continued enrollment in a clinical nursing course if, after reasonable accommodation, the clinical faculty concludes he/she is unable to perform safe clinical practice. A final grade of "satisfactory" in the clinical area is required to pass the nursing course. Evaluation of a student’s clinical performance is the responsibility of and determined by

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Liability Insurance
Each student must have professional liability insurance while enrolled in the nursing program. An individual policy may be purchased through the nursing program. An enrollment form will be provided for the student at the beginning of NUR 111. The student must complete the form and submit it as instructed with a check or money order. If a student has a policy that provides coverage as a nursing student, he/she must notify the nursing program at the time of registration each fall. The student must provide a copy of the policy for the program files. The student must provide proof of renewal of the policy at the beginning of the second year.

SMOKING POLICY
There is to be no smoking during any nursing classes.
Smoking at clinical agencies will be permitted only as outlined by the policies of the clinical agencies.

ADVANCED PLACEMENT
The Virginia Appalachian Tricollege Nursing Program’s advance placement or “LPN to RN Bridge Program,” is designed to grant advanced placement to LPNs who have been admitted to the VATNP Associate Degree program and meet pre-requisite requirements.
If there is sufficient enrollment in the VATNP, students who meet the eligibility requirements for the advanced placement may be invited to take “Bridge Courses” in the summer term and then be eligible to take the sophomore level courses and graduate within one (1) academic year with an A.A.S. Degree in Nursing.
This program is designed to recognize the common abilities of nurses and to bridge the difference between LPN and RN knowledge base and to allow these students to finish the A.A.S. program within a two and one-half semester period.

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GRADING

General Grading
The grading scale for the Virginia Appalachian Tricollege Nursing Program is as follows:
A = 100 – 92%
B = 91 – 85%
C = 84 – 80%
D = 75 – 79%
F = 74% and below
U = Unsatisfactory
S = Satisfactory

A point system equivalent to the above percentage score and letter grade is used in all nursing courses. Please see the course outline for the point spread sheet for that course.

(1). A grade of C is required for passing in all nursing and required general education courses. Students may not enroll in the next nursing course until they have successfully passed the previous course.
(2). A clinical rating of "satisfactory" is required for passing and will result in a final grade that corresponds to the theory average.
(3). A clinical rating of "unsatisfactory" with a theory average of 80 or above will result in a final grade of "F".
(4) A student must earn a grade of “C” or better in each nursing course and in all required general education courses.
(5). A clinical rating of "unsatisfactory" with a theory average below 80 will result in a final grade of "F".

Test Grades
The results will be given to students by course faculty and/or course coordinators and or posted on Blackboard. Prior to the return of test grades to students, the course faculty and review all scores for accuracy and make necessary revisions. Once a student receives a test grade, the student has two calendar weeks (10 class days) to request that the faculty review the test items or scoring for accuracy. After two weeks, the test grade is final. Additionally, faculty will not be able to review tests and exams with individual students after two weeks from notification of the test (or course) grade. No test scores or grades will be given over the telephone or email.

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TEST TAKING

Students, who miss an exam due to emergencies, must contact the faculty member either by voice mail or email. Failure to notify the faculty will result in a grade of zero for the test. (Mitigating circumstances preventing notification will be handled on an individual basis.) If a student arrives late for a test or quiz, the time remaining will be used to complete the assignment. No additional time will be granted. If a make-up test is necessary, the make-up test may consist of multiple choice, short answer or essay questions. Tests must be made up within five class days of returning to school. All testing situations will be timed. Students will be given one minute per test item to determine the appropriate answer.

Computer Test Taking Policy

(1). Preparation: Students are expected to be familiar with Blackboard testing. If time is needed for practice, this must be arranged with the instructor prior to testing.

(2). Time Limit: All tests in the nursing program are timed at one minute per question. If a student goes over the time limit on a test, one point per minute will be deducted from the test grade. If the student is more than 15 minutes overtime, the test grade will be zero, without opportunity for make-up.

(3). Honesty: Sharing of test content outside the test site and the printing of any test material constitutes a violation of the honor code and will result in disciplinary action. This can result in expulsion from the nursing program.

(4). Accessing Tests:

(a). On-site testing - The student should notify the instructor if they are unable to access the test. The instructor will “clear the attempt” to allow entry.

(b). Off-site testing - If a test is unable to be accessed, the student should notify the instructor during office hours by voice mail or by e-mail with the understanding that there will be a delay in response time. The instructor will re-start the test once. If this is not sufficient, the instructor may require the student to take the test on campus.

(5). Test Availability: Tests will be available only during the scheduled time or designated time only, and students must complete the test within this time frame. Failure to do so will result in a zero for the test. In the event of major extenuating circumstances, the instructor will arrange alternative testing. Be aware that failure of your personal computer is not considered mitigating circumstances so be sure to have back-up available or arrange for on-campus computer time.

(6). Test Submission: If there is difficulty in submitting the test, students should notify the instructor immediately before exiting the program. The student should be keeping a list of the answers for submission. However, unless there is a problem with submission of the test, only the answers in the computer will be considered for grading. For off-site testing, the policy for re-starting the test will be followed.

(7). Test Review – Electronic feedback will be available after the test. The test will then be closed with further review available in the presence of the instructor. Group reviews maybe available in some courses.

ACHIEVEMENT TESTS
External standardized achievement tests are administered throughout the nursing program at appropriate times and are required to be taken by all students. These tests assist you in determining areas of individual strengths and weaknesses. The cost of the tests will vary.

WRITTEN ASSIGNMENTS

Written assignments are due to the instructor at the beginning of the class period on the due date or at another time specified by the instructor. If the student anticipates that a written assignment will be late, the student must discuss this with the instructor prior to the due date. With a valid reason and at the discretion of the instructor, a late date may be agreed upon.

All written assignments must be prepared according to the following criteria, unless otherwise specified by the instructor.

a. All written assignments should be on regulation size (8 1/2 x 11 inches) white paper, either lined or unlined. Paper torn out of spiral notebooks is unacceptable.

b. Papers must be computer generated using 12 point font. In some courses, paperwork may be handwritten in ink or typewritten providing the method of choice is legible, neat, and free of errors.

c. The writing or typing shall be double-spaced and on only one side of paper.

d. The pages should be numbered consecutively.

e. Attachments of the pages should be by paper clips, staples, or placed in a folder. Folding down a corner or tearing the sheets is not acceptable.

f. The source of paraphrased statements and direct quotations must cited in the text using APA format. The use of another person's words or ideas without acknowledging the source is plagiarism. Follow the footnote and bibliography forms given in an acceptable manual for writing. Written assignments are to be the student's original work, and should be done independently, without collaboration, unless otherwise instructed by the faculty.

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PORTFOLIO REQUIREMENT

The portfolio is a collection of papers demonstrating the student’s best ideas, work and accomplishments while in the VATNP. The portfolio will contain samples of ideas and work from the beginning to the completion of the education program and will therefore reflect progress through the program and the student’s readiness for progression to the next course or to graduation. Additionally, the portfolio contents will be helpful in reflecting the student’s best work during an employment interview.

General Portfolio Directions

The portfolio is divided into sections according to the outline provided below, “Student Portfolio”. At the end of the program, the portfolio will be revised according to the outline for “Graduate Portfolio” and submitted for a grade in NUR 254. All papers and documentation are to be typed on unlined paper, using APA format. The papers/documentation should be kept together in the appropriate section of the portfolio book. It is also recommended that the student maintain a second photocopied portfolio, in the event the original is lost. It is the student’s responsibility to maintain the portfolio and to present it to the nursing faculty at required time.

NURSING COURSE	STUDENT PORTFOLIO	GRADUATE PORTFOLIO
Miscellaneous Ongoing, NUR 111- NUR 212	1. Professional Licensure documentation 2. Immunization Record 3. CPR Certification (ACLS if applicable) 4. Student malpractice insurance 5. Professional organization memberships 6. Continuing Ed. Certificates 7. Community organizations or associations 8. Community Service Activities 9. HIPPA Training Certification	1. Professional Licensure 2. CPR or ACLS Certification 3. Professional organization memberships 4. Continuing Education Certificates 5. Community organizations/associations 6. Community Service Activities 7. HIPPA Training Certification
NUR 111	1. NPP 2. Learning Styles Inventory 3. Clinical Skills Checklist 4. Cultural Diversity Project #1	1. Clinical Skills Checklist
NUR 112	1. Well Elder Assessment 2. Clinical Skills Checklist 3. OB or Med/Surg NPP 4. Cultural Diversity Project #2	1. Well Elder Assessment 2. Clinical Skills Checklist 3. OB or Med/Surg NPP
NUR 115	1. Cultural Diversity Projects #1 and #2 2. OB or Med/Surg NPP 3. Learning Styles Inventory 4. Clinical Skills Checklist	1. Community Windshield Survey 2. Well Elder Assessment 3. Clinical Skills Checklist 4. OB or Med/Surg NPP
NUR 226	1. Complete History & Physical Write-up	1. Complete H & P Write-up
NUR 211	1. Community Assessment & Teaching Project 2. Psych NPP 3. Clinical Skills Checklist	1. Community Assessment & Teaching Project 2. Psych NPP #2 3. Clinical Skills Checklist
NUR 212	1. Discharge Planning Project: Geriatric Patient or Community Home Visitation Project 2. Med-Surg NPP 3. Individual Learning Day Paper 4. Clinical Skills Checklist	1. Discharge Planning Project: Geriatric Patient or Community Home Visitation Project 2. Med-Surg NPP 3. Clinical Skills Checklist
NUR 254	1. Resume and Cover Letter 2. E-mail with attachment	1. Resume & cover letter

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READMISSION POLICY/PROCEDURE
Any student who earns a final grade lower than “C” in any nursing course or BIO 141 or BIO 142, must repeat the course and a final grade of “C” or higher before progressing to the next nursing course or graduating from the nursing program (courses can only be taken twice-once as a first time and once as a repeat) . Occasionally, a student will leave the program for personal reasons ( health, finances, etc.) and wish to return at a later date.
Readmission to the program is NOT guaranteed and must follow these procedures: 1) The student must indicate in writing to the Program Dean their desire to be readmitted. This letter should be submitted during the last half of the semester before the requested readmission semester;
2) State in the letter what steps have been taken to correct the problem which caused withdrawal from the program.
The student will be notified by a letter of the decision concerning the request. If a student is unsuccessful in NUR 111, then the student must re-apply to the program. Readmission is on a space available basis and may be on any of the three campuses.

LICENSURE REQUIRMENTS— COMMONWEALTH OF VIRGINIA
1. High School diploma or GED.
2. Diploma or degree from an accredited professional nursing education program.
3. Passed an examination as required by the State Board of Nursing.
4. Have committed no acts which are grounds for disciplinary action set forth in the Code of Virginia. These include, but are not limited to:
a. fraud or deceit in procuring or attempting to procure license
b. unprofessional conduct
c. commission of any felony or any misdemeanor which involves moral turpitude
d. practicing nursing so as to endanger the health and welfare of patients or the public
e. excessive use of alcohol, drugs, chemicals or any material which impedes the safe practice of nursing
f. any physical or mental condition which impedes the safe practice of nursing
g. denial, revocation, suspension or any restriction of licensure to practice nursing in any other state, the District of Columbia, United States possession or territory
5. Excerpt- Code of Virginia:
Section 32.1-126.01. Employment for compensation of persons convicted of certain offenses prohibited; criminal records check required; suspension or revocation of license-
A licensed facility shall not hire for compensated employment persons who have been convicted of murder, abduction for immoral purposes, sexual assault, pandering, crimes against nature involving children, taking indecent liberties with children, abuse and neglect of children (including failure to secure medical attention for an injured child) or obscenity offenses; or persons who have been convicted of crimes against the person, against the property, involving fraud, involving moral and decency or abuse or neglect of any incapacitated adult.

(The above statement are set out and referred to in the following sections of the Code of Virginia:18.2-48; Article 7 of 18.2-61 et seq. of Chapter 4 of Title 18.2; 18.2-355; 18.2-361; 18.2-370.1; 18.2-371.1; 18.2-374.1; 18.2-379; Chapter 4 of 18.2-30 et seq. of Title 18.2; Chapter 7 of 18.2-247 et seq. of title 18.2; Chapter 8 f 18.2-325 et seq. of Title 18.2 and 18.2-369).

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MISCELLANEOUS

Estimated Program Costs
Books (The majority of textbooks are required for the first semester) $1,200.00
Lab Supplies $200.00
Course Fees (Includes standardized testing and review programs) $300.00
Physical/Hepatitis B & other immunizations/PPD/Dental Examination $250.00
Student Liability Insurance $40.00
Liability Insurance for LPN Students $104.00
HIPPA Training $15.00
CPR Training $75.00
Uniforms/Lab Coats/Shoes/Watch/ VATNP Patches $250.00
VATNP Pin $50.00
NCLEX Fees $350.00
Estimated In-State Tuition $72.74 per credit hour
Transportation to and from classes and clinicals Variable
Completion of Nursing Program and RN Licensure PRICELESS!

Financial Aid
Please see the Financial Aid Officer for financial assistance and scholarships.

Graduation
An application for graduation should be filed with Admissions during the semester prior to graduation. It is the student’s responsibility to file the application before the deadline date and to make sure that all current program requirements are met.
Requests for a transcript to be sent to the Virginias State Board of Nursing should be made at the time of application for the NCLEX examination and licensure. This is the student’s responsibility and must be initiated by the student.
The nursing faculty believes that college graduation ceremonies mark the recognition of the achievement of an academic success. All nursing graduates are encouraged to participate in the commencement exercises to signify an accomplishment of a goal and the beginning of a promising career.

VATNP Pinning Ceremony
Each VATNP graduating class is honored with a special pinning ceremony. The ceremony is a joint celebration and takes place after final nursing exams. Each student is pinned with the Virginia Appalachian Tricollege Nursing Program, symbolizing their new role as a VATNP Alumni. The location for the ceremony rotates among the three colleges. Family and friends are encouraged to attend. Light refreshments will be served.

History of the VATNP Pin
The pin received upon graduation was designed by a committee of nursing students enrolled through the three colleges which jointly support the program. The pin is a gold, Maltese cross with an inner circle of blue exhibiting the name of the nursing program. In the center is a triad circle of blue and gold which symbolizes the cooperation of the three colleges in the operation of the nursing program and the joining together as one in thought, purpose, and practice in nursing. In the center of the triad circle is a small, gold replica of the Florence Nightingale lamp which has become symbolic of nursing throughout the world.

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Florence Nightingale Pledge

In full knowledge of the obligations I am undertaking, I promise to care for the sick with all the skill and understanding I possess, without regard to race, creed, color, politics, or social status, sparing no effort to conserve life, to alleviate suffering and to promote health.

I will respect at all times the dignity and religious beliefs of the patients under my care, holding in confidence all personal information entrusted to me and refraining from any action which might endanger life or health.

I will endeavor to keep my professional knowledge and skill at the highest level and to give loyal support and cooperation to all members of the health team.

I will do my utmost to honor the international code of ethics applied to nursing and to uphold the integrity of the nurse.

GRIEVANCE PROCEDURE
This grievance procedure is intended to provide a fair process for resolving concerns or complaints which are unique to the Virginia Appalachian Tricollege Nursing Program. All other grievances should be handled in accordance with the grievance policy as set forth in the individual college student handbook.
This grievance procedure is to be used for grievances in nursing classes only.
This procedure shall include, but not necessarily limited to, concerns and disputes involving:
1. Application of a policy or procedure of the program
2. Grades/academic record
3. Discrimination on the basis of race, sex, handicap, etc./ sexual harassment
4. Sexual harassment
Recognizing that grievances should be raised and settled promptly, a grievance shall be raised within twenty (20) calendar days following the event giving rise to the grievance; or within twenty (20) calendar days of the time the student reasonably should have gained knowledge of its occurrence.
Procedure
1. Informal meeting-
When a concern or complaint arises, the student must discuss his/her concern with the person allegedly causing the grievance. If the grievance cannot be resolved, the student will meet with the Dean of the VATNP. If the VATNP Dean determines the necessity, the student will then be asked to meet with the teaching team. An attempt will be made to resolve the conflict informally by mutual consent.
2. Written appeal-
If the complaint cannot be resolved informally, the student may file a formal written grievance with the VATNP Dean within (10) calendar days following the informal meeting. The Dean will schedule a date for a meeting between the parties involved. The meeting shall take place within ten (10) calendar days after the receipt of the written appeal. Again, an attempt will be made to resolve the complaint by mutual consent.
3. If the grievance cannot be resolved informally, the VATNP Dean will render a
written decision within five (5) calendar days of the meeting between parties
involved.
4. If the decision of the VATNP Dean is still not satisfactory, either party may file a
written appeal within ten (10) calendar days after the receipt of the Dean’s
decision, with the appropriate Vice President of the college where the student is registered. The Vice President shall conduct an investigation and
render a written decision, within ten (10) calendar days after the receipt of the
written appeal.
5. If the decision of the Vice President is not satisfactory, either party may file a written appeal to the Coordinating Council of the Virginia Appalachian Tricollege
Nursing Program within ten (10) calendar days of the Vice President’s decision.
6. The Coordinating Council will review the case and make the final decision,
generally within thirty (30) days.

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Virginia Appalachian Tricollege Nursing Program

Frequently Asked Questions

When should I apply?

The application process must be completed by Spring Semester by the date listed in the college catalog.

What do I need to do to apply?

• In order to apply, the student must have met all prerequisite requirements which include a High School Diploma or GED and High School or equivalent courses in Biology, Chemistry or Algebra. If these courses have not been completed, they may be taken at the community college.
• Apply to the community college by completing the application forms provided by the Admissions Office or on line.
• Have all official sealed transcripts (high school and college) and GED scores submitted to the community college. Transcripts must be submitted from ALL colleges attended/attending. GED holders must also submit official high school transcripts if completed at least through the 9 th grade. It is the applicant’s responsibility to request their transcripts and pay any required fees.
• Apply to the nursing program by completing the application form provided by the Admissions Office.
• If the application process is completed by the required deadline, the applicant will be required to take a nursing entrance exam. The qualified applicant will be sent a letter with instructions regarding the nursing entrance test.

What are the minimum high school prerequisites for admission to the program?

• Evidence of a high school diploma or GED with a grade point average of 2.0 or higher. High school graduate and GED holders who earned less than a 2.0 GPA during high school will be considered for acceptance to the program if they have generated a college GPA of 2.0 or above based on at least 12 semester credit hours.
• The following courses with a grade of “C” or higher: Biology, Chemistry, and Algebra. Appropriate developmental or college courses can be substituted for high school deficiencies.

Is admission to the program very competitive?

In 2005 approximately 60% of all applicants are accepted to the nursing program each year. At least one hundred fifty students will be accepted in the three college program in 2006 plus additional students for the part time evening/weekend program..

How are admission decisions made?

Admission decisions are based on a formula that includes GPA, number of curriculum required general education credits completed and nursing entrance test results.

Does it help to take the general education courses before starting the program?

The nursing program is an educationally challenging program. Most students find it helpful to spread out their workload by completing the general education courses such as student development, English, psychology, anatomy and physiology, math and basic computer skills. Applicants are encouraged to take the general education courses before starting the program; however, the general education courses are not required for admission to the program.

Is there a waiting list?

There is no waiting list for the program. If you are not accepted and wish to be considered the next year, you must reapply to the program.

Can the program be taken on a part-time basis?

A part time program curriculum schedule is available that provides class offering on evening and weekend scheduling. This program is encouraged for students who must work while participating in the program.

How long does it take to complete the part time evening/weekend program?

A student interested in the part time evening/weekend program must complete the required general education courses before applying for the program. These courses include English, psychology, anatomy and physiology and other course listed in the college catalog. After completing the general education courses, the part time evening/weekend program may be completed in 3 years (2 years for the LPN to RN evening/weekend program

Is there an option for an LPN who wants to challenge the first year of the nursing program?

The VATNP offers an LPN to RN program for LPNs who are currently licensed in the state of Virginia and practicing as LPNs. This program allows the student to enter the nursing courses at second year level. The LPN who participates in this program will take an LPN to RN bridge course (NUR 115) which will substitute for the two major nursing courses (NUR 111 & NUR 112) taught in the first year nursing classes.

Can I get financial assistance to attend the nursing program?

The majority of students in community colleges receive significant financial aid. Contact the Admissions Office for details and instructions related to financial aid.

Can I be a Registered Nurse if I am a convicted felon?

According to the State of Virginia, if some has been convicted of a felony or a misdemeanor they may not be allowed to take the RN licensing exam. The question of eligibility to take the RN licensing exam will be determined when the application for licensure is received by the State Board of Nursing. If you wish to discuss this issue, please call the dean of the nursing program.

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VIRGINIA APPALACHIAN TRICOLLEGE NURSING PROGRAM

I have received a copy of the Virginia Appalachian Tricollege Nursing Program Student Handbook for 2005 – 2006. I have read and agree to abide by the rules and regulations set forth in this Handbook.

________________________________________
Printed Name

________________________________________
Signature

________________________________________
Date

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