Introduction to Chabot Services Equity Statement The Chabot
Introduction to Chabot Services • Equity Statement • The Chabot College nursing program acknowledges the structural and systemic racism embedded in our society, education, and healthcare. In response, we firmly commit to exposing and eradicating racism by reasserting diversity, equity, and inclusion as one of our nursing program’s core values. We are committed to fostering a climate that is inclusive and welcoming of all students and faculty.
Why Chabot? • Faculty with 20+ years of experience • Modern facilities and simulation labs preparing students with real life scenarios • Dedicated counselor for the nursing program • We work with diverse populations and communities in the clinical settings • 50 -75% of graduates transfer to a BSN program or the CSUEB bridge program • Test-taking preparation seminars • Affordable • Ranked #1 Program in California 2020 from for the 4 th Annual Nursing School Program rankings by Registered. Nursing. org. Chabot has also been in 2 nd/3 rd place for the last few years.
castlebranch. com/CJ 59 How do I place my order? Once you click Place Order from the home page or go to the Package Selection page, you will be prompted to enter your personal identifying information Where can I view my Order Confirmation? A copy of your Order Confirmation was sent to the email address you provided when you placed your order. When should I expect my Background Check results to be complete? Results are normally returned within 3 - 5 business days. Castlebranch
castlebranch. com/contact -us/ Castle Branch why castlebranch CB Compliance Tracker
Health. Stream Online Clinical Orientation Program • Required Health. Stream modules: You will be required to take each of the following three modules annually. • Allow approximately four hours to complete all the required modules. • • Rapid Regulatory Compliance: Clinical I: Compliance; Ethics; Sexual Harassment; Patient Rights; Informed Consent; Advanced Directives; Emergency Medical Treatment and Labor Act (EMTALA); Grievances; Developmental Appropriate Care; Cultural Competence; Restraint/Seclusion; Patient Abuse/Assault/Neglect
Health Stream Modules • Nursing Program office will create your account. • You will be notified via email when to enter Health. Stream and complete the modules. Do NOT create your own account. • Health. Stream’s online programs are designed to educate healthcare professionals and health occupations students. • You will need to complete four Health. Stream modules* on or before July 30, 2021. • Modules are $3. 50 each, you will use a debit/credit card payment for each module separately on Health. Stream’s secure website.
Healthstream (cont) • • Rapid Regulatory Compliance: Clinical II: General/Fire/Electric/Back/Radiation/MRI Safety; Ergonomics; Lift/Transport; Slips/Trips/Falls; Latex Allergy; Hazardous Communication; Workplace Violence; Emergency Prep; Infection Control; Hospital Acquired Infections; Hand Hygiene; Bloodborne; Standard Precautions; Airborne/Contact/Droplet Precautions, Personal Protective Equipment • • Hazard Communication • • HIPAA AFTER July 1, 2021
• CDC immunizations Centers for disease Control (CDC) for Healthcare Providers • What’s a VIS? • A VIS or Vaccine Information Statement is a document, produced by CDC, that informs vaccine recipients – about the benefits and risks of a vaccine they are receiving. • In addition to distributing VISs, as described above, providers are required to record specific information in the patient’s medical record (which can include an electronic medical record), or in a permanent office log: • The edition date of the VIS (found on the back at the right bottom corner). • The date the VIS is provided (i. e. , the date of the visit when the vaccine is administered). • The office address and name and title of the person who administers the vaccine. • The date the vaccine is administered. • The vaccine manufacturer and lot number.
• A total of 1. 4 million people died from TB in 2019. Vaccine Requirements: Tuberculosis (TB) • Worldwide, TB is one of the top 10 causes of death and the leading cause from a single infectious agent (above HIV/AIDS). • Multidrug-resistant TB (MDR-TB) remains a public health crisis and a health security threat. A global total of 206 030 people with multidrug- or rifampicin-resistant TB (MDR/RR -TB) were detected and notified in 2019, a 10% increase from 186 883 in 2018. • TB is a treatable and curable disease. • Active, drug-susceptible TB disease is treated with a standard 6 -month course of 4 antimicrobial drugs. • Hospitals still get patients with TB
Clearance for tuberculosis, please follow the dates below exactly. Do NOT complete this testing in May: Required TB Quanti. FERON Gold Blood test in AFTER June 1 and before July 27 th or SPOT TB test (T-spot) TB If your TB Quanti. FERON is positive you must submit the following Positive TB test report 2021 chest x-ray with written lab results is required and Symptom review as noted on the physical examination
Blood Titer • Working in healthcare/hospital • Hospitals are full of infectious diseases • Blood titer checks is your antibody levels are adequate • If titer is positive you are considered immune • If equivocal you need another dose • How long for results: 4 business days • Can be reported as qualitative: immune or notimmune • or quantitative results: gives a numerical value and reference range
• Rubella Sample lab report titer • • EIA value is 3. 41 <0. 91 negative 0. 91 -1. 09 equivocal > or = 1. 10 positive rubella IGG antibody detected
//www. cdc. gov/vaccines/ed/youcalltheshots. html Measles • Because of the greater opportunity for exposure, HCP are at higher risk than the general population for becoming infected with measles. • High costs also are involved in evaluating and containing exposures and outbreaks in health-care facilities, as well as a substantial disruption of regular hospital routines when control measures are instituted • MMR vaccine is highly effective in preventing measles with a 1 dose vaccine effectiveness of 95% when administered on or after age 12 months and a 2 -dose vaccine effectiveness of 99% • Measles vaccine is administered in combination with the mumps and rubella components as the MMR vaccine in the United States.
MMR • Written documentation of titer lab results for MMR, Varicella, Hepatitis B, and documentation of recent TDAP. • Negative or Borderline Titer reports on MMR, or Varicella, require two (2) boosters of the vaccine 30 days apart. • Negative or Borderline Titer report on Hepatitis B requires two (2) boosters of the vaccine 30 days apart and a final (1) booster six months from 2 nd booster. First two boosters only must be complete by July 27, 2021.
Mumps is an acute viral infection characterized by fever and inflammation of the salivary glands (usually parotitis Mumps antibody levels wane over time following the first or second dose of vaccination Mumps/Measles (Rubella) If mumps exposures occur in a health-care facility, all contacts should be evaluated for evidence of mumps immunity Rubella (German measles) is a viral disease characterized by rash, low-grade fever, lymph Of primary concern are the effects that rubella can have when a pregnant woman becomes infected, stillbirths, therapeutic abortions, and congenital rubella Two studies have demonstrated that vaccine-induced rubella antibodies might wane after 12 --15 years
Boosters • • • If non-immune to Measles mumps or rubella get a MMR dose Varicella get a booster: 2 shots 4 -6 weeks apart Wait 6 weeks after dose to get a titer What if I am still non-immune after boosters • OK you may not convert • This may happen with hepatis B vaccine • Fill out the Hep B non-responder form
Varicella is a highly infectious disease caused by primary infection with varicellazoster virus (VZV). VZV is transmitted from person to person by direct contact, inhalation of aerosols from vesicular fluid of skin lesions of varicella or herpes zoster In addition to hospital settings, nosocomial VZV transmission has been reported in long-term--care facilities and a hospitalassociated residential facility
Varicella • Varicella Vaccination Information for Healthcare Professionals • CDC recommends 2 doses of varicella (chickenpox) vaccine for children, adolescents, and adults to protect against varicella. Children are routinely recommended to receive the first dose at age 12 through 15 months and the second dose at age 4 through 6 years old.
• Pertussis is a highly contagious bacterial infection. Transmission occurs by direct contact with respiratory secretions. Pertussis • Infants too young to be vaccinated are at greatest risk for severe pertussis, including hospitalization and death. The disease can be transmitted from adults to close contacts, especially unvaccinated children. • In hospital settings, transmission of pertussis has occurred from hospital visitors to patients, from HCP to patients, and from patients to HCP documented outbreaks were costly and disruptive. In each outbreak, HCP were evaluated for cough illness and required diagnostic testing, prophylactic antibiotics, and exclusion from work.
Pertussis cont Vaccinating HCP with Tdap will protect them against pertussis and is expected to reduce transmission to patients, other HCP, household members, and persons in the community. Tdap is not licensed for multiple administrations; therefore, after receipt of Tdap, HCP should receive Td for future booster vaccination against tetanus and diphtheria. Hospitals and ambulatory-care facilities should provide Tdap for HCP and use approaches that maximize vaccination rates
TDAP • Tetanus, diphtheria, and pertussis (Tdap) vaccination (Routine vaccination • Adolescents age 11– 12 years: 1 dose Tdap • Pregnancy: 1 dose Tdap during each pregnancy, preferably during the early part of gestational weeks 27– 36 • Tdap may be administered regardless of the interval since the last tetanus- and diphtheria -toxoid-containing vaccine. • Catch-up vaccination • Td is tetanus/diphtheria given every 10 years not the same as Tdap • Do not get if life-threatening allergic reaction
Covid-19 Vaccination vaccine Facts COVID-19 vaccination decreases mortality rates to practically nothing but you can still contract the disease in its less severe form. All COVID-19 vaccines currently available in the United States have been shown to be safe and effective at preventing COVID 19. All COVID-19 vaccines that are in development are being carefully evaluated in clinical trials and will be authorized or approved only if they make it substantially less likely you will get COVID-19. Based on what we know about vaccines for other diseases and early data from clinical trials, experts believe that getting a COVID-19 vaccine also helps keep you from getting seriously ill even if you do get COVID-19. Getting vaccinated yourself may also protect people around you, particularly people at increased risk for severe illness from COVID-19. Experts continue to conduct studies to learn more about how COVID-19 vaccination may reduce spread of the virus that causes COVID-19.
Covid-19 Vaccination • COVID-19 can have serious, life-threatening complications, and there is no way to know how COVID 19 will affect you. If you get sick, you could spread the disease to friends, family, and others around you. • Getting COVID-19 may offer some protection, known as natural immunity. Current evidence suggests that reinfection with the virus that causes COVID-19 is uncommon in the months after initial infection, but may increase with time. Some people who have had covid have antibodies for just a short time after recovering. Because of the unknown length of time of antibodies in the body, vaccination is recommended anyways. • The risk of severe illness and death from COVID-19 far outweighs any benefits of natural immunity. COVID-19 vaccination will help protect you by creating an antibody (immune system) response without having to experience sickness.
• Vaccines will work with your immune system so it will be ready to fight the virus if you are exposed. • A growing body of evidence suggests that fully vaccinated people are less likely to be infected without showing symptoms (called an asymptomatic infection) and potentially less likely to spread the virus that causes COVID-19 to others. • Stopping a pandemic requires using all the tools we have available. As experts learn more about how COVID-19 vaccination may help reduce spread of the virus that causes COVID-19.
Ig. G vs Ig. M get Ig. G not Ig. M Hepatitis titers Hbs AB Ig. G vs Hbs AG Ig. G get the AB which is antibody not AG which is antigen Takes 6 -8 weeks to work
• Hepatitis B vaccination (minimum age: birth) • 3 -dose series at 0, 1– 2, 6 months • Administration of 4 doses is permitted when a combination vaccine containing Hep. B is used after the birth dose. Hepatitis B • Minimum intervals: dose 1 to dose 2: 4 weeks / dose 2 to dose 3: 8 weeks • the combined Hep. A and Hep. B vaccine, Twinrix, as a 3 -dose series (0, 1, and 6 months) or 4 -dose series (3 doses at 0, 7, and 21– 30 days, followed by a booster dose at 12 months). • For other catch-up guidance, see Table 2.
Flu • WAIT! Flu Vaccination will not be completed until the new 2021 flu season vaccine is available in Sept/October 2021.
Medical Exam Standard Physical by Health Care Provider (HCP) Medications Limitations
Background Check • Social security Number Trace • Combined OIG/GSA Excluded Parties/Debarment Search • Felony/Misdemeanor Criminal Conviction Record Search o Infractions, Misdemeanor or Felonies convictions: • It is required to meet with the program director if you have any convictions for infractions, misdemeanors or felonies which may impact your ability to obtain a registered nurse license or work in our clinical site.
10 Panel Drug Screening 10 Panel Drug Screen Drug testing will be performed using a 10 panel, urine-based test performed at SAMHSA certified laboratories. An adulteration test will be performed as well. All drug tests will be sent to a medical review officer (MRO). Every individual that has a non-negative laboratory result will have an opportunity to speak with an MRO before a report is made to the Chabot Nursing Program.
N 95 Mask Fit Test N 95 Mask Fit test at CCCMA Occupational Health Clinic (St. Rose Hospital) in Hayward or Well for Work Occupational Health Clinic (Washington Hospital) in Fremont. Cost is $35. Please call for an appointment. We do not accept any other N 95 fit test.
First Day of School • August 18 Wednesday • September 14 th or 21 st, First day in the hospital (Clinical): • All students must be prepared for the first day of clinical: • white uniform top, uniform patch, black uniform pants, • official program name tag, lab coat (short coat to waist; not to knees), • stethoscope, and required white shoes
Class Schedule MONDAY TUESDAY See syllabus for course for first week schedule N 55 in Black WEDNESDAY THURSDAY FRIDAY 08: 00 – 12: 00 Skills lab open Clinical experience (hospitals) Out-patient clinic assignments hours may vary from hospital times reports due to changes from Hospital Schedules 8: 30 – 10: 20 N 55 Lecture Rm 3116 10: 30 – 12: 40 N 55 Lecture Rm 3115 2 -3: 30 Pathophysiology 7: 00 – 12: 30 N 55 10: 30 – 12: 40 N 55 Lecture Rm 3115 2 -3: 30 Pathophysiology
Name Tags • Name Tags must be worn at orientation and the first three weeks in class. • A paper name tag/badge will be provided at orientation. • Your hospital name tag will be ordered through the second year nursing students on August 4 th during the Meet and Greet Orientation. • Please have check or cashier’s check available $10 per tag. • Payment is required when ordered.
Resources on Campus • • DSPS Library Health Center Counseling STEM center Cafeteria Food Bank Scholarships
CPR AMERICAN HEART ASSOCIATION, Two (2) year Basic Life Support (BLS) for a Health Provider Certification must be good through end of each semester. If your card expires in (Fall) Sept/Oct/Nov or (Spring) Feb/Mar/April it must be renewed prior to the beginning of the semester. A course that you can sign up for will be available at Chabot during June/July for $85. Exact date TBA. A copy of the E-card online certification of course completion must be submitted. If you are already certified it must be current through December 31 st, 2021 for fall or May 31 st, 2022 for spring.
Online Format Lecture content and skill presentation may be delivered in an online format whenever possible, or may be “face to face. ” Faculty will present “live” lectures via Zoom, as well as post prerecorded lecture material via Canvas. Skill presentations will be delivered by video or “face to face”. Students may be required to upload documents, videos, and other graded assignments to Canvas. Exams will be given via a computer using electronic proctoring software—either on campus or remotely. Simulated clinical experiences will be offered through virtual case scenarios and in person.
Everything you need to help you succeed: Integrated Testing with Remediation Secure end of course test, standard or customized Exit tests that predict NCLEX-RN Success Kaplan Focused Review practice tests Robust remediation resources $ Kaplan Basic e. Book Online case studies Clinical Skills Modules NCLEX-RN Review Course
600. 00 paid beginning of each semester while in the program. Fee Schedule Aug 2021 Kaplan Testing Jan 2022 Aug 2022 Jan 2023 $150. 00 Your zone email address will be provided to Kaplan by the nursing program office. You will receive an email
Simulation • A simulation day(s) are assigned during your clinical rotations. This is a clinical day, active participation is required. • Preparation for each simulation day is also required all work completed by self. • You will be evaluated on your performance. Program accreditation requires a specific number of clinical work hours. • Simulation is part of the required clinical hours. The scenario(s) will be posted to the course on Canvas. • You will be discussing the scenarios during debriefing, but we believe that “All that takes place in the simulation environment – stays in the simulation environment!”
Math 2. Percentages: Calculate the following: 40% of 180 = _______ 25% of 260 = ______ What percent of 27 is 9? _____ 40 is what percent of 160? _______ 3. Calculate the following: 5 ÷ 1. 25 = ____ b. 5 ÷ 0. 25 = _____ c. 200, 000 ÷ 150 = _____ d. 75 ÷ 60 = _____ e. 1. 25 ÷ 0. 5 = _____ f. 25, 000 ÷ 50 = _____ g. 625 ÷ 2. 5 = _____ h. 95. 25 ÷ 2. 75 = _____ i. 2. 5 ÷ 2 = ____
Math resources • Referral: If you have had difficulty calculating the above problems, you must remediate these basic math skills prior to entering the program. • Suggestions for this remediation include: • 1. Enroll in a basic math course at a community college or on line. • 2. Purchase a Mathematics for Medications book and use it throughout the program. • 3. Contact the Math Tutoring Center on campus for additional assistance. • 4. Kaplan Basic Math module is available with your account. • 5. https: //www. khanacademy. org/
• Mon: 9 -1300 (lab) • Tue: 9 -1500 **skills lab/lecture room • Wed: 9 -1500 **skills lab/lecture room What is the week like? • Thurs. : 9 -12 lecture • First 5 weeks on campus then go to clinical and time for Tues/Wed will change • Fri: skills lab practice/study • Sat: study • Sun: study • 2 hours of study for every 1 unit. • 11 units = 22 study hours
Bookstore • Chabot Bookstore: • Textbooks (NURS 55 and NURS 88) can be purchased at the bookstore (or online through the publishers or Amazon). • *Nursing Skills Lab Kit* (approximately $175. 00). • *Nursing Program patches* are required for your white uniform top/jacket • *You must show the Nursing Program Acceptance letter to the Chabot bookstore cashier in order to purchase the supply kit or patches.
How can my family help • Babysit • Pay for a hotel room to get away and study • Cook meals/clean hours • Offer monetary support • Do not pressure student to attend family gatherings • Nursing school is more than a full time job • Stress will happen
CSUEB roadmap • Bachelor in Science in Nursing (BSN) at Cal State East Bay • Summer: NCLEX RN • If you have a Bachelor’s degree you may not have to complete upper GE Requirements. • Semester 1 (Fall) CSUEB • NURS 316 Pathophysiology (Accept Chabot N 88) 0 Units • NURS 360 Transition to Prof Nurse 4 Units NURS 422 Evidence Based Practice/Research 2 Units • NURS 363 Health Assessment RNs 1 Unit NURS 450 Comm Hlth Theory (or next fall) 2 Units • NURS 415 Transitions of Care 1 Unit NURS 451 Comm Hlth Practice (or next fall) 2 Units • NURS Elective (see catalog for list) 2 Units • Add 1 from the list below: • �HIST 477 (C 4) • �HDEV 380 (D 4) • �Upper Division Science (B 6) 3 Units • �HIST 477 (C 4) • �HDEV 380 (D 4) • �Upper Division Science (B 6) Semester 2 (Spring) CSUEB NURS 361 Health Diverse Populations Add 1 from the list below: 3 Units
Actions for Success • Attend all classes and arrive early • Read before class • Get to know your instructors • Ask questions • Exchange phone numbers with classmates • Use positive self talk • Sit in front of the class
Questions • ? ? ? • Email • Open door
- Slides: 48