clinical practicum manual - cna dl website...students may also receive a course specific clinical...

Clinical

Practicum Manual

Health Science Programs

September 2019

Table of Contents 1.0 Introduction 1

2.0 Clinical Practicum Process 1 2.1 Accommodation/Transportation 2 3.0 Pre-practicum Requirements 3

3.1 Certificate of Conduct/Vulnerable Sector Check 3 3.2 Pre-Practicum Screening 4 3.2.1 Immunization Record 4 3.2.2 Vaccinations 4 3.3 Public Health Information Act (PHIA) 4 3.4 Privacy/Confidentially Oath 5 3.5 CPR and First Aid 5 3.6 WHMIS Certification 5 3.7 Confirmation of Fit Test 5 3.8 Other Requirements 6 3.9 Emergency Contact Information 6

4.0 Practicum Requirements 7 4.1 Confidentially 7 4.2 Policies and Procedures 7

4.3 Accountability 7 4.4 Scope of Practice 7 4.5 Professional Behavior 8 4.5.1 Telephones and Computers 8 4.5.2 Cellular Communication Device 8 4.5.3 Social Media 8

4.6 Site Orientation 9 4.6.1 Orientation Session 9 4.6.2 Orientation Checklist 9

4.7 Meditech Password Process 10 5.0 Image and Apparel Code 11 5.1 Clothing 11 5.2 Footwear 12 5.3 Uniform Requirements 13 5.3.1 Washing Uniforms 13

5.4 Identification/Name Tag 14 5.5 Personal Grooming 14

5.5.1 Hair 14 5.5.2 Nails 14 5.5.3 Jewelry 14 5.5.4 Tattoos 14 5.5.5 Scents and Perfume 15 5.5.6 Make-up 15

5.6 Clinical Equipment /Student Provided PPE 16 6.0 Attendance 16 6.1 Clinical Practicum Schedule 16 6.2 Punctuality 16 6.3 Reporting of Absenteeism 17 6.4 College Closures 17 6.5 Statutory Holidays 17 6.6 Sick Leave 17 7.0 Health and Safety 18 7.1 Routine Practices/Standard Precautions 18

7.2 Infection Prevention and Control 18 7.2.1 Handwashing 18 7.2.2 Cough Etiquette 19 7.3 Personal Protective Equipment 19 7.3.1 Gloves 19 7.3.2 Gowns 19

Table of Contents (continued) 7.3.3 Masks, Face Shields and Eye Protection 20 7.3.3.1 Mask Fit Testing for N95 Masks 20 7.3.4 Radiation Protection Apparel 20 7.4 Latex Sensitivity 20 7.5 Sharps – Use and Disposal 21 7.6 Radiation Monitoring 21 7.6.1 Students in Medical Radiography 21 7.6.2 Students in Other Programs 21 7.7 Stress and Coping 22 7.8 Health and Pregnancy during Clinical Practicum 22 7.8.1 Students in All Health Science Programs 22

7.8.1.1 Medical Radiography Students 22 7.8.1.2 Respiratory Therapy Students 22 7.8.1.3 Medical Laboratory Students 22

8.0 Accident/Incident Reporting 23 8.1 Accident/Incident without Injury 23 8.2 Accident/Incident with Injury 23 8.3 Accident/Incident Involving Needlestick or Biological Exposure 24 8.4 Workers Compensation for Students during Clinical Practicum 25 8.4.1 Excerpts from Workers Compensation Act 26 8.5 Clinical Incident Compromising Patient/Client Safety 26

9.0 Student/Clinical/College Relationships 27 9.1 Student Responsibilities 27 9.1.1 Code of Conduct 27 9.2 Reporting Process for Student Concerns 27 9.3 Clinical Instructor Role 28 9.4 Professional Practicum Coordinator Role 29 9.5 Preceptor Role 30 9.6 Diagnostic Ultrasonography Liaison Technologist Role 31

10.0 Student Evaluations 32 10.1 Competency 32 10.2 Competency tracking 33 10.2.1 Competency Manuals 33 10.2.2 CompTracker 33 10.3 Examinations 34 10.4 Remedial Activities 34

10.5 Enrichment Activities 35 10.6 Academic Misconduct 35 10.7 Student Support for Learners 35

10.8 Evaluation of Clinical Experience 35 11.0 Professional Association Membership/ Code of Ethics 36 11.1 Diagnostic Ultrasonography 36

11.2 Medical Laboratory Assistant 37 11.3 Medical Laboratory Technologist 37 11.4 Medical Radiography 38 11.5 Primary Care Paramedic 39 11.6 Rehabilitation Assistant (OTA & PTA) 40

11.7 Respiratory Therapy 41 11.8 Practical Nursing 42 Appendix

1. CNA Incident Report Form 45 2. Student Needlestick/ Biological Exposure Incident Report Form 47 3. Clinical Incident Report Form 49 4. Student Contract for Clinical Practicum 51 5. HSPnet Information and Consent Form 53

Revision Record

Version No. Page Section Description of Changes

September 2019

various PCA/HCW changed to PCA

various MSDS/SDS changed to SDS

various Campus Administrator changed to Campus Director/Manager CA changed to CD

1 Clinical Practicum Process Revised to include more information regarding HSPnet, the role of the SDO/HSPnet Clinical Coordinator and the Clinical lead instructor role

11 5.3 Uniform Requirements Personal Care Attendant

Revised to read -PCA badge on left arm (supplied by instructor)

14 5.6 Clinical Equipment/Student provided PPE for PCA

Student Clinical Folder changed to Student Competency Checklist

15 6.1 Clinical Practicum Schedule “Each practicum has a pre-determined number of clinical days” revised to read “Each practicum has a pre-determined number of clinical days/ hours.”

21 7.8.1 Students in all Health Science Programs

Removed “alternate placement”

28 9.4 Professional Practicum Coordinator Role

Added Clinical Lead Instructor in Student Advising section

29 9.5 Preceptor Role Added Clinical Lead Instructor in Student Advising section

34 10.8 Evaluation of Hospital Clinical Experience

Added “Preceptors will also have an opportunity to provide feedback through a college survey. The survey feedback is used to support accreditation, quality and continuous improvement”

35 11.0 Professional Associations/ Code of Conduct Section

Canadian Medical Association changed to Accreditation Canada Statement re RT accreditation added

35 11.1 Diagnostic Ultrasound Links updated

37 11.4 Medical Radiography Links updated

40 11.7 Respiratory Therapy Links updated

51 Student Contract for Clinical Practicum Form

Revised

Appendix 5

HSPnet Information and Consent Form

Added

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1.0 INTRODUCTION The clinical practicum is a vital part of the students’ education. It is designed to provide students with an opportunity to apply theoretical knowledge and skills in a real work environment in order to become clinically competent in their chosen profession. It is, therefore, essential that students prepare for the experience. This booklet is designed for all School of Health Science students and contains practical information about planning and carrying out the clinical phase of training. Students must become familiar with the content and should refer to it frequently at each new stage of the program, in order to realize their responsibility and what they should expect of the college and the affiliated clinical training partners. Students may also receive a course specific Clinical Practicum Competency Manual which will include information such as course outline, competency based objectives, evaluation processes, skills training log sheets and other information relevant to that specific course. Prior to the start of the practicum students will meet/discuss practicum requirements with their instructor(s) and will sign the Student Contract for Clinical Practicum (Appendix 4).

2.0 CLINICAL PRACTICUM PROCESS Students in Health Sciences programs are required to take part in a clinical practicum at various times during their course of study. Depending on the program and the student’s level in the program, this could involve spending one afternoon per week at one of our clinical training partners in the region or the entire semester in clinical training sites at community, private and health care agencies throughout the province/country. The college uses the HSPnet clinical scheduling system to facilitate clinical placements. Students using HSPnet will be required to complete an HSPnet Information and Consent Form. (Appendix 5) as they start the placement process. Each program has an instructor(s) who assumes the responsibility for clinical practicum coordination. The SHS has a Student Development Officer/ HSPnet Coordinator who serves as a liaison between the programs and the clinical sites. The clinical lead will inform the students of the preplacement process as per the information found in this manual, collect the completed HSPnet consent forms (Appendix 5), provide the students with contact information for the SDO/HSPnet Coordinator and meet with the student just prior to the start of the placement to review this manual and complete the Student Contract for Clinical Practicum (Appendix 4). The SDO/HSPnet Coordinator will ensure the required preplacement documentation is submitted and meets the needs of the clinical training partners. Student input is used for site assignments; however, there is no guarantee students will receive their preferred location. Factors such as the number of students in a class and the number of affiliated clinical training sites available for the program may govern where the student is placed. In some program areas a Clinical Application Process will be used. Students may request to complete a clinical training practicum at a site that is not currently offered as an affiliated site. In these cases, the college will make every effort to accommodate the request, but it is important to note that it is not always possible to do so. A site assessment to ensure that the site meets the training requirements and a legal training agreement with the requested institution must first be established. This is a lengthy process and cannot always be accomplished in the requested time frame. The earlier the request is made, the greater the likelihood of success.

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2.1 ACCOMMODATIONS/TRANSPORTATION Students are responsible for finding their own accommodations and transportation to the assigned clinical training site. Assignments will be posted as early as possible to allow students time to make necessary arrangements.

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3.0 PRE-PRACTICUM REQUIREMENTS The College relies on a number of healthcare, community organizations and private agencies as partners in the clinical practicum experience for students. The availability of clinical placements is limited and can change with agency demands. Each clinical training partner will have a number of requirements that must be met before the students are permitted to begin their clinical practicum. The program instructor(s) will provide each student with specific details for their clinical site. The requirements may vary slightly however most will require the following:

Certificate of Conduct/Vulnerable Sector Check

Pre-Placement Screening Validation Form

Certificate verifying Personal Health Information Act (PHIA) on-line training

Privacy/Confidentiality Oath or Affirmation

Mask Fit testing

ELearning modules THE STUDENT IS RESPONSIBLE TO ENSURE THEIR DOCUMENTS ARE CURRENT. Students must be prepared to present the required documents to their instructor and/or the clinical training site prior to starting their practicum and at any time during the practicum. We recommend that students keep the documents together in a folder, along with several photocopies of each. Students should retain the original copies throughout their program of study and submit photocopies only unless otherwise directed. The student is responsible for all associated costs (vaccinations, laboratory testing, physician fees, certificate of conduct fees, etc.) Students who are delayed in presenting the documentation and/or are unable to meet the clinical training partner requirements will not be permitted to continue in the program therefore qualifications for graduation will not be met. Students who use more than one clinical training partner for their practicums must meet the pre-placement requirements for all sites used.

3.1 CERTIFICATE OF CONDUCT/VULNERABLE SECTOR CHECK Each student is required to have a Certificate of Conduct, including a Vulnerable Sector Check. This certificate may be obtained from your local law enforcement agency (i.e. RNC, RCMP). This can take up to 2 weeks to process; however, if your name or date of birth matches a known criminal, the process will be significantly longer. Students may have already submitted a certificate to the college for admission purposes; however, the certificate required for submission to the clinical training partner must be current according to their requirements. Students should check with their Instructor to confirm the specifics for their site. This certificate may be sufficient for any additional practicum at that clinical training partner site during the program of study provided progress in the program is uninterrupted. Failure to provide a clear Certificate of Conduct/ Vulnerable Sector Check may result in delay or cancellation of the clinical practicum, which will impact student progression in their program.

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3.2 PRE-PLACEMENT SCREENING Our clinical training partners require a pre-placement screening, including immunizations and tests that are required prior to commencing the practicum. This is for the student’s protection as well as that of the patients/clients and clinical training partner employees by insuring all immunizations are up to date as per the Canadian Immunization Guidelines. Students should check with their Instructor to confirm the specifics for their site. If a student’s immunization status and pre-placement documentation is not current, the student will not be permitted to start the clinic training until the immunization requirements have been met. Students are responsible to ensure that documentation of all immunizations and blood test results are recorded on the form specific to their clinical training partner. These forms must be signed by the student and a health care provider (physician or registered nurse).

3.2.1 Immunization Record An Immunization Record is a record of all the immunizations you have received during your lifetime. This includes all childhood and school immunizations.

The student may obtain a record from the Public Health Nurse in the area where the vaccinations were given or from their Regional Health Unit: St. John’s: 752-4894; Eastern: 229-1551; Central: 651-6238; Western: 632-2830; Northern: 454-0367; Labrador: 897-2331.

3.2.2 Vaccinations/Screening

Refer to the information package for each clinical training partner for their specific requirements on the following:

MMR (Measles, Mumps, Rubella)

Varicella (Chicken pox)

Tetanus/Diptheria/Pertussis

Tuberculosis (TB) Screening

Hepatitis B Vaccine

3.3 PERSONAL HEALTH INFORMATION ACT (PHIA) The Personal Health Information Act (PHIA) sets rules as to how personal health information in Newfoundland and Labrador is collected, used, disclosed, retained and destroyed. To ensure that our clinical partners are compliant with the PHIA, the student will be required to complete on-line, provincial government PHIA training and provide proof of same. NOTE: For those outside NL the requirements will vary; check with your instructor(s). The training program is available on-line at http://nlchi.skillbuilder.ca/home . Click on the “Sign Up” to register for the training. You will not have a number so click Next to proceed to the setup page. Enroll in the “Direct Contact with Personal Health Information” course. The course should take approximately 45 minutes to complete. Upon successful completion, the student will be given the option of printing a certificate, which must be submitted to the clinical training partner as proof of course completion. The certificate is the only evidence verifying that the student has completed the training. If it is misplaced, the student will have to repeat the course and print another certificate.

http://nlchi.skillbuilder.ca/home

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3.4 PRIVACY/ CONFIDENTIALITY OATH Students will be required to sign a Privacy/Confidentiality Oath or Affirmation (Student) prior to commencement of the clinical practicum. This form lists the students’ responsibilities regarding access to personal health information during the practicum. Students should check with their instructor(s) to confirm the specifics for their site. The student must sign the form to indicate that they understand and will abide by these conditions. The student must also get the form signed by a Commissioner of Oaths, a notary public, or a lawyer. For some students this service may be available on campus. If it is not, the student will need to make arrangements to get the form signed before their practicum begins.

3.5 CPR and FIRST AID Proof of certification in Cardiopulmonary Resuscitation (CPR) and First Aid is required prior to commencement of practicum. Level of training varies by program. Students should check with their Instructor to confirm the specifics for their program. Following initial certification in CPR, students are responsible for maintaining a current certificate through a refresher course which is required every 12 months. Students who do not provide proof of current certification will not be permitted to attend the clinical practicum. NOTE: It is strongly recommended that Rehabilitation Assistant (OTA/PTA) students obtain First Aid and CPR however, it is not mandatory.

3.6 WHMIS Proof of certification in WHMIS is required prior to commencement of practicum. Students should check with their instructor(s) to confirm the specifics for their site. NOTE: It is strongly recommended that Rehabilitation Assistant (OTA/PTA) students obtain WHMIS training; however, it is not a requirement until the final practicum.

3.7 CONFIRMATION OF MASK FIT TESTING All students will require a mask fit test prior to commencing their practicum. Mask fit testing will identify the size and style of N95 mask that will provide protection should it be needed during the clinical placement. Mask fit testing includes an educational session, completion of an N95 Respiratory User Screening Form (and if necessary, a Physicians Referral Form) followed by the actual mask fit testing procedure. Your instructor will inform you of requirements/processes for you as they will vary from campus to campus.

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3.8 OTHER REQUIREMENTS

Meditech- Students in some programs will need to complete a Meditech user application form either prior to the start of the practicum or at the clinical training site following a training session. Students should check with their instructor to confirm the specifics for their site.

eLearning- For some sites students will need to complete eLearning online courses prior to the start of the practicum. The site will provide log on information and once the courses are completed the student would print and provide a copy of the e-learning report. Students should check with their instructor to confirm the specifics for their site.

3.9 EMERGENCY CONTACT INFORMATION Students should ensure the Emergency Contact information on their admissions documents is up to date. Check with Student Services if you need to update.

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4.0 PRACTICUM REQUIREMENTS 4.1 CONFIDENTIALITY Students will have access to confidential and personal information relating to patients/clients. Students must remember that they are required to follow the appropriate institutional guidelines relating to confidentiality at all times. Patient/client information is confidential and must never be discussed with anyone except those authorized to receive such information and those involved in the care of the patient/client. Any verbal, nonverbal, or written information beyond that necessary for professional communication is considered a serious breach of ethical and legal principles. This includes but is not limited to postings on social media, such as Facebook, Twitter, YouTube, Instagram, blogs, Flickr, and Tumbler or any other similar forum. A breach of confidentiality or any breach of patients’/clients’ right to privacy will result in disciplinary action which may or may not include criminal or civil action. Client personal information must not leave the clinical site. Violations of standards related to confidentiality will be considered a serious clinical incident and will be dealt with accordingly.

4.2 POLICIES AND PROCEDURES Students must adhere to all policies and practices of both the College and the clinical training partner while attending the clinical site. Students are responsible for making themselves aware of the policies and procedures that pertain to their role as a student and make appropriate reference to these sources. If doubt exists, students must consult with the clinical instructor/preceptor to ensure correct interpretation of policy and procedures.

4.3 ACCOUNTABILITY During the clinical practicum, the student is to follow the direction of the clinical instructor/preceptor in the respective clinical training site. As the student advances through the course of study, the student will be performing independently within their scope of practice as a contributing member of the healthcare team and reporting to the clinical instructor /preceptor or his/her designates.

Students who use unsafe clinical practice or inappropriate behavior will be removed from the clinical area.

4.4 SCOPE OF PRACTICE Students must practice within the scope of practice for their discipline. Students are not permitted to independently perform skills which have not been signed as competent by the clinical instructor/preceptor. If students are asked by a clinician to do something for which they are untrained, they MUST refuse. Any concerns must be reported to the clinical instructor/preceptor or program instructor(s) Students are not to step outside their scope of practice no matter how forcibly anyone insists (which is unlikely). Students MUST NEVER perform skills for which they have not received training or certification. Students MUST request supervision from the clinical instructor/

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4.4 SCOPE OF PRACTICE (continued) preceptor if they are unsure of competence or if interventions are beyond their scope of practice. Client safety must always be ensured. There may be opportunities for students in some program areas to participate in out-of-hospital patient/clients transports and home visits, however clinical site personnel MUST always be present. Students MUST never accompany a client off-site by themselves.

Students will be removed from the clinical site immediately if they fail to adhere to their scope of practice.

4.5 PROFESSIONAL BEHAVIOUR

During the clinical practicum, students are closely involved with the public as they develop their professional roles. Students should be aware that their behavior must fall within the acceptable standards for the “Professional Code” and/or “Code of Ethics” for their respective discipline. See 11.0 Professional Associations/Code of Ethics. The College Code of Conduct for Students applies to students in both the classroom and the clinical environment.

The clinical setting is very unlike other settings that students have experienced and many of the people that the student will encounter may be going through a stressful life event. The student will be expected to behave in a professional manner at all times and exhibit respect and care for patients/clients, staff, and peers.

A professional image includes the wearing of clothing appropriate to the setting, punctuality, refraining from gum-chewing and avoiding loud or offensive language.

Students will be surrounded by new and sometimes unpredictable activities and situations. On occasion, the students in some program areas may be required to enter crime scenes, secure facilities (i.e. federal airports), etc. In such cases, students are to follow practices as directed by their clinical instructor/preceptors and the authority in charge. Professional behavior must be maintained at all times.

Professionalism is a competency required by all programs and failure to demonstrate professionalism may result in dismissal from the program.

4.5.1 Telephones and Computers When answering the telephone in the clinical training site, the student should identify themselves and the department; be pleasant and courteous.

Use of hospital telephones and computers for personal reasons is not permitted. Web surfing or social online type activities are not permitted while in the clinical site unless expressly approved by the clinical instructor/ preceptor.

4.5.2 Cellular Communication Device Many health care agencies do not permit the use of cellular communication devices on their premises, or in the ambulance. If they are permitted at the clinical training site they should be on silent mode. The use of cellular communication devices while in patient/client care areas is STRICTLY PROHIBITTED.

4.5.3 Social Media Social media is defined as any electronic or other communication channel or mechanism, which connects one or more individuals or groups to share information, ideas, messages and other content. These channels include but are not limited to Twitter, Facebook, YouTube, Instagram, Pinterest, blogs, Spotify, Flickr, and

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4.5.3 Social Media (continued) Tumbler. Within a social media context, it is not considered to be appropriate professional conduct to post any information about a client/institution, colleagues or other students. Furthermore, students are not to become ‘friends’ with their patients/clients. Commenting on or discussing clinical encounters online may constitute a privacy breach.

4.6 SITE ORIENTATION

Each clinical training site will be different. A student’s clinical experience may bring them to all or any parts of the training site and off site depending on the program of study.

4.6.1 Orientation Session Most clinical training sites will have an orientation session which is mandatory. Portions of the orientation could be online and require prior registration. Your instructor will provide specifics for your program and clinical site.

There may be a general, site orientation and a discipline–specific orientation if the practicum is greater than 4 weeks in duration. If the practicum is less than 4 weeks an abbreviated orientation is provided by the clinical instructor/ preceptor and should cover the applicable topics from the check list in the next section.

4.6.2 Orientation Checklist If there is no formal orientation session the student should use the list below as a guide to identify any relevant items for discussion with their clinical instructor/ preceptor.

Confidentiality

Departmental Policies and Procedures

Positive Patient ID Procedures

Infection Control Including Hand Hygiene

Emergency Code List and responsibility when a code is called

Fire and evacuation plans (evacuation route, sound of the fire alarm, location of the pull stations, etc.)

Tour of site and/or department (as applicable)

WHMIS – location of SDS

Location of Safety equipment (fire extinguishers, emergency wash facilities, spill cleanup kits, etc.) (as applicable)

Location of Personal Protective Equipment (laboratory coats or gowns, gloves, safety goggles or face shields, aprons, etc.) (as applicable)

Location of supplies (linen/ medical supplies etc.) (as applicable)

Location of Emergency Response equipment (crash carts, oxygen etc.) (as applicable)

Explanation of patient/client reporting and department workflow (as applicable)

Orientation to Outpatient and Patient Records (as applicable)

Procedure and phone numbers for reporting illness and tardiness

Security of personal belongings/locker assignment (as applicable)

Parking Permits

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4.7 MEDITECH PASSWORD

A Meditech password is issued to students by some clinical partners, depending on the clinical training partner and the program of studies. A student must not access the system using another student, staff, or faculty password. Students must keep their password in a safe place (not written on the back of their ID).

A password is issued by the clinical site. For security reasons, the password that students initially receive is likely to be a temporary password and will have to be changed once the student logs on to the system. If students are having difficulty with their passwords or Meditech menu, they should contact the clinical instructor/ preceptor.

Students are reminded to use their passwords and computer access responsibility.

Activity taking place under a username assigned to an individual is the responsibility of that individual.

o Do NOT disclose your password o Do NOT use another users password o Do NOT abuse access (follow policy and procedures of the institute)

LOG OFF when leaving a terminal or computer You are NOT permitted to look up your own personal health information or that of a family member or friend.

Accessing information not directly related to your current duties is a serious breach of privacy and confidentiality and could result in dismissal from your program.

Regular system audits are designed to detect inappropriate use of patient/client and other confidential information.

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5.0 IMAGE AND APPAREL CODE

This section is intended to inform the student what is acceptable to many clinical training partners so their personal decisions related to professional dress and grooming are within these boundaries. During the Clinical Practicum, students are required to ensure that proper dress is maintained in order to promote professionalism, cleanliness, safety and a positive public image. Students will wear clothing and footwear which allows for unrestricted movement and enables the students to assume a ready position to carry out their work. Students who report to the clinical area without proper uniform/safety footwear/protective clothing will not be permitted to commence work. Students violating dress code will be given reasonable warning which, if not heeded, may lead to disciplinary action. All PN students must meet the Centre for Nursing Studies guidelines. Please refer to http://www.cns.nf.ca/programs/practical__nursing/

5.1 CLOTHING Clothing must conform to the policy of the clinical training partner. Clothing must be clean, proper fitting, comfortable and non-restrictive to enable safe movement. The style of dress should be appropriate to the place of work and the environment. Appropriate attire could include, business casual; dress pants, skirt or dress shorts (no more than 2“above the knee), or an approved uniform. Those working in patient areas or lifting/transferring objects should wear pants or knee length clothes and in the case of a two piece uniform, tops should be no longer than the top of the leg. Examples of unacceptable attire would include: casual or recreational clothes including jeans, casual shorts, sleeveless T-shirts, T-shirts with graphic prints, tank-style blouses or dresses, exposed midriff tank tops and sheer clothing. Only those assigned to the Operating Room are permitted to wear Operating Room attire (operating room greens, jackets, cover-ups). Students visiting the hospital to work on assignments during off-duty hours must wear their identification/name tag and clothing appropriate to the area.

5.2 FOOTWEAR Footwear must conform to the footwear policy of the clinical training partner. Shoes must be clean and appropriate to the work area from both a safety and appearance point of view. For most program areas, non-slip soles, low-heel, closed-toe, closed-back shoes, or running shoes with solid uppers are acceptable. For PCP students, black CSA approved, above-ankle steel-toe duty boots are acceptable. Open-toe sandals or shoes, flip flops, clogs, high-heel shoes or mesh/canvas athletic shoes are not acceptable.

http://www.cns.nf.ca/programs/practical__nursing/

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5.3 UNIFORM REQUIREMENTS Uniforms must be clean at all times and if possible students should change into and out of uniforms on arrival/departure from the clinical environment. As this is not always possible uniforms must be covered when traveling to or from clinical sites or leaving the site for meal breaks etc. Appropriate attire for each Program area is listed below:

Program Dress Footwear

Diagnostic Ultrasonography

-Scrubs -Business casual -White, long-sleeve lab coat

Non-slip soles, low-heel, closed-toe, closed-back (running shoes with solid uppers are acceptable)

Medical Laboratory Assistant

-Scrubs -Business casual -White, long-sleeve lab coat (supplied by site)

Non-slip soles, low-heel, closed-toe, closed-back (running shoes with solid uppers are acceptable).

Medical Laboratory Science

-Scrubs -Business casual -White, long-sleeve lab coat (may be supplied at some sites)


Medical Radiography -Scrubs -Business casual -White, long-sleeve lab coat


Personal Care Attendant

-Scrubs (Dark Blue) -PCA badge on left arm (supplied by instructor)


Practical Nursing -Standard Uniform

A white uniform is required. Warm up jackets must be white. Long-sleeved tee-shirts under the uniform are not permitted.

The uniform must accommodate the freedom of body movement needed to perform tasks in a manner that will prevent injury. It should be roomy and loose fitting. It should have pockets large enough to hold items such as a small pad, pen and scissors.

The clinical uniform must be standard uniform apparel and professional in appearance. Tops should extend beyond the top of the leg and provide full coverage during movement

-Lab Coats/Warm-Up Jackets for Clinical Area

Students are required to wear a lab coat or warm-up jacket when in client care areas and not in uniform.

All PN students must meet the Centre for Nursing Studies guidelines. Please refer to http://www.cns.nf.ca/programs/practical__nursing/ Students are also referred to review the CLPNNL’s position statement “Professional Image of the LPN in the Workplace” at www.clpnnl.ca in the Practice and Policy tab.

A standard “duty” shoe or footwear of a sports shoe/sneaker variety is required. Footwear must be primarily white. The shoe must be closed at the toe and heel. Clinical uniform footwear must NOT be worn outside the clinical area.

http://www.cns.nf.ca/programs/practical__nursing/

http://www.clpnnl.ca/

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5.3 UNIFORM REQUIREMENTS (continued)

Program Dress Footwear Primary Care Paramedicine

-Minimum 3 Navy Military full uniform shirt (long or short sleeve) (Embroider left chest “Paramedic Student” in royal blue) with circumferential fluorescent/reflective strip around both arms (below crest) -Minimum 2 Navy EMS Duty pants with circumferential fluorescent yellow strip around lower legs -Navy Uniform sweater (optional) with shoulder epaulettes -3 in 1 Coat that college approves in correspondence with uniform shop. Yellow coat with reflective striping on front and back -Winter or baseball cap black or navy (optional) with wording “Paramedicine student” (approved by clinical coordinator) or college logo. Students are not permitted to wear generic hats. -Paramedicine shoulder crests (1 crest for each shirt and coat---left arm--1 inch from shoulder inseam -Pair of Star of Life shoulder epaulettes placed on uniform duty shirt -Wide Duty Belt -Students must wear their safety vests over their clothing, when appropriate.

CSA approved (green triangle) above the ankle steel toe duty boots (black), steel/composite toe and sole plate

Rehabilitation Assistant

-Business casual or as per clinical site policy Non-slip soles, low-heel, closed-toe, closed-back (running shoes with solid uppers are acceptable)

Respiratory Therapy -Scrubs Non-slip soles, low-heel, closed-toe, closed-back (running shoes with solid uppers are acceptable)

5.3.1 Washing Uniforms Wash uniforms separately from other clothing using laundry detergent except when it has been contaminated with infectious material. In such cases, the uniform should be washed in hot water (160 ºF) with sodium hypochlorite solution (e.g. Javex) according to product concentration for at least 10 minutes.

5.4 IDENTIFICATION/NAME TAG Identification must conform to the policy of the clinical training partner. Students must wear appropriate identification at all times when in the clinical site. Depending on the site, this may be the College photographic ID and/or an ID badge issued by the site. ID badges issued by the site are to be returned to the clinical instructor/preceptor at the end of the practicum. The identification must be worn in a visible place on the upper part of the body. Failure to comply may result in the student being sent home and recorded as absent.

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5.5 PERSONAL GROOMING Students are expected to maintain a clean, neat and tidy appearance, adhering to good hygiene and grooming practices. Personal cleanliness is a necessity at all times, not only to protect the patient/client, but to protect the student/healthcare worker against infection. In keeping with principles of infection control and professional image, the following general guidelines apply to personal grooming:

5.5.1 Hair Hair must be clean and tidy. Shoulder length hair or longer must be pulled back (off face, neck and shoulders); whether short or long, hair should not hang in the face or over the eyes when leaning forward.

Male students with facial hair should keep it neat and short and in compliance to N95 Mask requirements; alternatively, a clean shaven appearance is expected.

5.5.2 Nails Fingernails must be short and neatly groomed.

Students working in direct patient/client care areas or in areas with specific infection control policies must not wear artificial nails. Nail polish may not be accepted at some clinical sites or specific areas within the site.

5.5.3 Jewelry Any jewelry worn in a clinical training site must be selected in keeping with the professional image requirements, the clinical training partner policies and most importantly, the health and safety of the patient/client.

Students working in direct patient/client care areas or in areas with specific infection control policies must keep jewellery to a minimum (wedding band, medical alert bracelet, studs or small loops) with no dangling jewelry. Jewellery is forbidden in designated areas. i.e. Operating Room, MRI etc. All Paramedicine students must also meet the following requirements as per Eastern Health’s Dress Code and Personal Appearance Policy, Ground Ambulance and Medical Communications Centre (MCC) Personnel:

K. One pair of stud style earrings (one ring in each ear) shall be the only permissible

piercing allowed to be worn above the neck while on duty. L For safety reasons other accessories shall be kept to a minimum (i.e. rings, bracelets,

etc.). No hanging jewellery is permitted.

5.5.4 Tattoos Tattoos can be perceived as unprofessional. Use discretion and cover tattoos as much as possible. The college does not disallow tattoos; however, some clinical training partners and employers may have policies with regards to displaying tattoos in the workplace.

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5.5.5 Scents and Perfume In accordance with Scent Free Guidelines, students are not permitted to wear cologne, aftershave, perfume or scented products such as scented lotions, soap, hairspray, deodorants or powder within the clinical training environment.

Students are also asked to avoid the odor of cigarette smoke on clothing.

If students arrive at the clinical area wearing scents, they may be requested to leave.

5.5.6 Make-up Any make up worn in a clinical training site must be in keeping with the professional image requirements. An overall neutral look is expected.

5.6 CLINICAL EQUIPMENT/STUDENT PROVIDED PPE Students must go to the clinical area prepared. This means that they must bring all the necessary supplies required such as note book, pens or any other equipment that is required. Failure to come to the clinical area prepared could result in the student being sent home and recorded as absent. In addition to the items mentioned above each program area has additional requirements.

Program Required equipment

Diagnostic Ultrasonography CompTracker Device (IPad/IPod)

Medical Laboratory Assistant/ Medical Laboratory Science

Safety goggles

Competency Manual

Medical Radiography

OSL personal dosimeter

Anatomical lead marker

CompTracker device (IPad/IPod)

Thyroid shields and gonad shields

Personal Care Attendant Student Competency Checklist

Watch with minute/second hand

Practical Nursing

Pen (blue ink)

Notebook (pocket size)

Stethoscope (optional)

Watch with second hand

Primary Care Paramedicine


Stethoscope

Penlight


Class 2 Level 2 Safety Vest (reflective on front and back)

Safety Helmet meeting NFPA 1971 or 1951 standard (blue)

CSA approved eye protection (safety glasses/goggles), CSA “Z94.3”

Ear protection (ear plugs/muffs)

Hand protection (leather palm gloves), cut/puncture resistant

Appropriate N95 mask (after mask fit test)

Rehabilitation Assistant Student Clinical Binder

As determined by the clinical site

Respiratory Therapy


Stethoscope


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6.0 ATTENDANCE Attendance in the clinical area is compulsory – students must attend all scheduled clinical visits and arrive on time. One hundred percent (100%) attendance is required during the clinical experience. Attendance during a clinical practicum is a measure of professionalism and reflects the respect and consideration the student has for his or her classmates and clinical instructor/ preceptors. Regardless of the evidence provided for clinical absenteeism, the student must meet the requirements as outlined for the practicum. It is the responsibility of the student to meet all clinical objectives/competencies/ provincial curriculum requirements. Absent days must be made up at the discretion and convenience of the clinical training partner in consultation with the program instructor(s). This may occur during weekends, term break or by prolonging the clinical practicum if necessary. Repeated unnecessary absence may result in dismissal from the College. Students are advised to refer to Colleges’ Student Code of Discipline SS202 for specific information on the Attendance Policy.

6.1 CLINICAL PRACTICUM SCHEDULE Students are not permitted to attend a clinical practicum until they have registered for the course(s) and completed all of the pre-practicum requirements. Each practicum has a pre-determined number of clinical days/ hours. Hours of work may be pre-assigned or will be assigned by the clinical instructor/practicum coordinator prior to the commencement of each practicum. Depending on the program of studies, students may be scheduled for 3, 7, 8 and/or 12 hour shifts, which may include statutory holidays, weekend, evening or night shifts. Classroom sessions/in-service/grand rounds are part of the clinical experience and will be scheduled by the clinical instructor/preceptor as relevant to the program of studies. Student requests for changes to assigned rotations must be approved by the program instructor(s) in consultation with the clinical site.

6.2 PUNCTUALITY Students are required to be punctual at all times. Students in some program areas are required to report to work 15 minutes before start of shift and on time to attend shift report. In cases of constant tardiness; where attendance is recorded, the clinical instructor/ preceptor can mark the student as absent. In all program areas, repeated lateness is interpreted as unprofessional and disrespectful and may result in dismissal.

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6.3 REPORTING OF ABSENTEEISM When unable to report for training due to illness or personal circumstances, the student must notify the clinical instructor/preceptor by phone or email before the beginning of the shift. If applicable, the student must also notify the person in charge of the clinical area where they were scheduled to report. Contact information will be provided to students prior to starting the practicum. Absenteeism without proper notification is interpreted as unprofessional and disrespectful and may result in dismissal.

6.4 COLLEGE CLOSURE When the local College of the North Atlantic campus is closed due to adverse weather conditions, students are not expected to attend clinical sessions. If the local campus is closed for other reasons (power outage, no water, etc) students are expected to attend clinical sessions. If there is not a campus in the area, personal discretion must be used in the event of adverse weather conditions, as to the ability to safely travel to the clinical training site. You must notify the clinical instructor/preceptor and clinical site if you cannot report as scheduled. Students are reminded that shifts missed due to adverse weather closure may have to be made up if it is deemed necessary for evaluation purposes.

6.5 STATUTORY HOLIDAYS The College is closed on the following statutory holidays and students are not expected to report to the clinical sites unless directed otherwise. Labour Day Thanksgiving Day Remembrance Day Good Friday Victoria Day Discovery Day Canada Day Orangeman’s Day Local Civic holiday (Regatta Day – St John’s)

6.6 SICK LEAVE Greater than two (2) consecutive sick days in the practicum must be supported by a medical certificate.

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7.0 HEALTH AND SAFETY

Healthcare professionals can find themselves in high-risk situations, which may be physically and emotionally demanding. The student must remain alert to the possibility of personal injury, hazardous situations, potential for exposure to contaminants, infectious diseases and delayed stress reactions. Students are expected to follow all health and safety policies, regulations, and safe work practices of the clinical training partner and the College. Student health and safety will be emphasized during the training program. The information contained in this section is to be used as a reference for the student in the event that he/she may require assistance related to health and safety. More detailed information regarding infection prevention and control, hand hygiene, and radiation monitoring will be available in the operational procedures at each clinical site.

7.1 ROUTINE PRACTICES/STANDARD PRECAUTIONS Routine practices are a set of infection control strategies and standards designed to protect workers from exposure to potential sources of infectious diseases. Routine practices are based on the premise that all blood, body fluids, secretions, excretions, mucous membranes, non-intact skin or soiled items are potentially infectious. These practices, while mainly adopted by healthcare providers, apply to all professions in which workers may become exposed to infectious microorganisms through contact with blood and body fluids. (Source CCOHS) There are 5 major components to routine practices. They are risk assessment, hand hygiene, personal protective equipment, environmental and administrative controls Airborne Precautions, Contact Precautions and Droplet Precautions may be required in addition to routine practices based upon the diagnosis or a specific condition.

7.2 INFECTION PREVENTION AND CONTROL Students will be directed in and must follow infection control precautions as established by the clinical training site. Some sites will require students to complete an infection control orientation program at the start of the clinical practicum. While in the clinical setting, it is important that students use good working practices, maintain appropriate infection control and asepsis principles in order to protect the patient/client, visitors, themselves and other healthcare workers from potential infectious organisms. Students are required to follow all infection control policies when in the clinical area and to wear personal protective equipment (i.e. gowns, gloves, masks, etc.) as required.

7.2.1 Handwashing Proper hand washing is the single most effective way to decrease the spread of disease.

The student/healthcare worker must wash their hands before and after any activity or procedure involving patient/client contact, and whenever entering and leaving a clinical area.

Regular, careful hand washing is vital if you are looking after yourself or somebody else.

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7.2.2 Cough Etiquette When a mask is not available, covering your mouth when sneezing and coughing is recommended. Cover your mouth with a tissue or raise your arm up to your face to cough or sneeze into the crook of your elbow. If using a tissue, dispose of it as soon as possible and wash your hands immediately. Do not sneeze or cough into your hands or into the open environment.

7.3 PERSONAL PROTECTIVE EQUIPMENT In most cases where personal protective clothing is required, either by the nature of the work, by law or for infection control purposes, the clinical site will provide the necessary supplies, (e.g. masks, disposable gloves, etc.). Paramedic students must purchase personal protection equipment for use during extrication or other hazardous scenes. Students are required to wear this protective gear when warranted. Students in MLA and MLT programs must purchase safety goggles for use when handling chemicals. See section 5.6 - Clinical Equipment/Student Provided PPE for program specific details. Refer to the Personal Protective Equipment, Droplet Precautions, Contact Precautions and Airborne Precautions at your clinical training site for additional information.

7.3.1 Gloves Gloves must be worn for contact with blood, body fluids, secretions and excretions, mucous membranes, draining wounds or non-intact skin or when the potential for touching these materials exist. Gloves must be worn when performing diagnostic invasive procedures such as blood gas sampling, phlebotomy or handling bodily fluids.

Each pair of gloves must only be used once. Gloves must be changed between patients/clients and between different activities or procedures for the same patient/client. Gloves must be removed immediately after completion of care or task at point of use and before touching clean surfaces. Hands should be washed immediately after removing gloves.

Refer to the Personal Protective Equipment, Droplet Precautions, Contact Precautions and Airborne Precautions at your clinical training site for additional information.

7.3.2 Gowns For some procedures, the use of gowns may be required if there is a risk of blood, body fluids, secretions, etc. or when contamination of your clothes may occur. Wear a gown appropriate for the activity. Remove soiled gowns as promptly as possible, discard appropriately and wash hands. Refer to the Operational Procedures at the clinical training site for additional information.

Refer to the Personal Protective Equipment, Droplet Precautions, Contact Precautions and Airborne Precautions at your clinical training site for additional information.

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7.3.3 Masks, Face Shields and Eye Protection Some program areas will be required to purchase eye protection and will be expected to wear them when appropriate for patient/client care or chemical handling.

A fluid resistant mask and eye protection or face shield must be worn to protect mucous membranes of the eyes, nose and mouth during procedures if there is a risk of splashes or sprays of blood, bodily fluids, secretions or excretions.

Refer to the Operational Procedures as well as Droplet Precautions and Airborne Precautions at the clinical training site for additional information.

Safety goggles suitable for chemical use, ANSI Z87.1 or CSA Z94.3.1, must be worn if handling hazardous chemicals. Check SDS and the label on the bottle for appropriate PPE. Refer to Operational Procedures and Safety Manual at the clinical training site for additional information.

7.3.3.1 Mask Fit testing for N95 Masks Mask fitting ensures that users are adequately protected from transmissible airborne infections (e.g. tuberculosis). Students in all program areas are required to be Mask Fit Tested for N-95 masks prior to entering the clinical practicum.

The student is required to ensure they comply to fit testing requirements. Students will be provided wallet cards identifying the type of mask they have been fitted to. Students must carry their wallet cards to the clinical site.

Students must be mask fit tested prior to the beginning of the practicum.

7.3.4 Radiation Protection Apparel Radiation protective apparel is provided for the safety of those working in radiography areas and their patients/clients. Lead and lead-equivalency garments, including aprons, gloves, collars, shields and glasses will be available and must be worn by Medical Radiography students as applicable for the procedure being performed and in keeping with the policy and procedure of the clinical site.

7.4 LATEX SENSITIVITY

Latex allergy has increased and occurs with relatively high frequency in certain populations, especially with health care workers, certain patients/clients, and workers who may be required to use latex products in their day to day work environment. Efforts should be taken to minimize latex exposure. Anyone with sensitivity to latex must:

Notify their clinical instructor/ preceptor.

Use only non-latex gloves.

Avoid all latex-containing products.

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7.5 SHARPS - USE AND DISPOSAL

Punctures and cuts are common injuries among health care workers who handle sharp objects such as needles. These sharps related injuries may lead to a serious or even life threatening infection if the object causing the puncture is contaminated with blood, blood products, or other body fluids from patients/clients with bacterial or viral infections. Sharps include anything that might cut, graze or prick the skin such as needles, lancets or any sharp instruments. To reduce risk, use safe work practice including the following:

Handle sharps as little as possible.

Discard sharps immediately after use.

Do not pass sharps from one person to another.

Sharps must be disposed of in approved Sharps Waste container.

Needles must not be recapped or be removed from disposable syringes.

Never force material into the container. When contents reach the fill line, seal the container.

Never retrieve items from nor place your hands in a sharps container. Do not fill beyond mark indicated on label. Filling beyond 2/3 of the container’s capacity increases the risk of injury.

Never attempt to catch falling objects such as knives, scalpels, and scissors.

7.6 RADIATION MONITORING

Radiation doses have a cumulative effect and therefore a dose record is maintained for the radiation worker's lifetime. The National Dosimetry Service monitors radiation dose for those working in environments where ionizing radiation is used for medical purposes through the use of Optically Stimulated Luminescence (OSL) technology badges. OSLs must be worn at all times when working in areas where x-rays are being generated.

7.6.1 Students in Medical Radiography Students must understand the importance of radiation monitoring and comply faithfully by wearing of OSLs, as well as with the timelines and guidelines as described by Health Canada regarding management of the monitoring processes.

Failure to return OSLs on time for analysis may result in the cancelling of the service for individuals. Once suspended, reestablishing the monitoring service may take up to 2 months to process. Students will not be permitted to engage in any observations or participate in procedures where x-rays are being generated without their OSL. Clinical instructors will advise students via College e-mail of the dates when the OSLs must be brought to the college for exchange.

Medical Radiography Students who report to the clinical area without their OSL will not be permitted to commence work.

7.6.2 Students in other Programs Personal radiation monitors are not normally worn by those working outside the areas where x-rays are being generated. If a specific procedure or situation warrants wearing a recording badge, your clinical instructor/preceptor will coordinate with the clinical training site.

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7.7 STRESS AND COPING

Students will be exposed to a variety of clinical training sites where emergencies, complex, and possibly life-threatening illness/accidents occur. Students may witness trauma, invasive procedures, death or dying, or observe unprofessional behavior. The College recognizes the stress that can be present in the clinical environment and encourages students who have concerns, worries, anxiety or depression, about situations that occur in the clinical environment to seek help immediately. The clinical instructors/preceptors and program instructor(s) can refer students to one of the College counselors. Critical Incident Stress Management debriefing may be available at some placement sites.

7.8 HEALTH AND PREGNANCY DURING CLINICAL PRACTICUM

Students must be aware of the potential health risks associated with working in a clinical environment during clinical practicum. The student should seek the advice and guidance of a health practitioner in the event that they have physical conditions, illness or injuries that make them more vulnerable to the routine risks. In some cases, it may be in the students’ best long-term interest to postpone the clinical component of the program.

7.8.1 Students in All Health Science Programs Students who become pregnant, immuno-suppressed or have health conditions that predispose them to risk during their involvement in the clinical practicum are strongly encouraged to notify their program instructor(s) to discuss the program of study and any adjustments that may need to be made. Placement of pregnant students in certain clinical environments (e.g. radiography, emergency departments, etc.) may not be possible and a modification or delay in clinical studies may be required.

7.8.1.1 Medical Radiography Students A Radiography student who becomes pregnant during the program must follow direction as outlined in the Newfoundland and Labrador Radiation Health and Safety Regulations Section 15 (see below) and contact her program instructor(s).

Procedure in case of pregnancy

15 (1) A radiation worker, a medical radiation technologist in training or student who

knows or suspects that she is pregnant shall report those facts or suspicion to her

employer or the person in charge of her training.

(2) When the pregnant person desires to continue in employment or training, the

employer or person in charge of her employment or training may, together with the

pregnant person, reassess and revise as indicated the employment duties or training

activity to ensure the maximum permissible dose for a pregnant person is not exceeded.

7.8.1.2 Respiratory Therapy Students Respiratory Therapy students in their clinical training year should inform their clinical instructor if they are pregnant or suspect they are pregnant and activities such as transporting patients/clients to CT and X-ray should be avoided.

7.8.1.3 Medical Laboratory Students Medical Laboratory Technology and Medical Laboratory Assistant students in their clinical training should inform their program instructor(s) if they are pregnant or suspect they are pregnant and they may be advised not to complete the Histology rotation.

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8.0 ACCIDENT /INCIDENT REPORTING In the event of an accident/incident involving a student during clinical training, the procedures established by the clinical site AND those established by the College campus must be followed. Accident/Incidents are classed as one of the following categories:

Accident/Incident without injury

Accident/Incident with Injury

Accident/Incident Involving Needlestick/Biological Exposure

Clinical Incident Compromising Patient/Client Safety

8.1 ACCIDENT/INCIDENT WITHOUT INJURY

Action to be taken by student Action to be taken by Clinical Instructor/Preceptor

Action to be taken by Program Instructor(s)

1. Report incident to clinical

instructor/preceptor

2. Complete CNA Incident Report (Appendix 1) and clinical training site Accident/Incident Report

3. Submit report to College within 24 hours. Campus fax numbers are listed on the reporting form.

1. Notify program instructor(s)

2. Facilitate submission of reports

to training site and to College. (College report to be submitted within 24 hours).

PPD Programs – Notify Learner Services Campus Nurse and Campus Director Other Campuses- Notify Campus Director/Manager

Action to be taken by Campus Director/Manager

Notify CNA OHS office

8.2 ACCIDENT/INCIDENT WITH INJURY

NOTE: if the incident involved a needlestick or biological exposure refer to section 8.3 Accident/Incident Involving Needlestick/Biological Exposure



1. Seek First Aid and/or medical

assessment as required

2. Report incident to clinical instructor/preceptor immediately.

3. Complete CNA Incident Report (Appendix 1) and clinical training site Accident/Incident Report

4. Submit report to College within 24

hours. Campus fax numbers are listed on the reporting form.

NOTE: refer to section 8.4 Workers Compensation for Students during Clinical Practicum (if applicable)

1. Assist the student by

administering first aid and/or obtaining a medical assessment


3. Facilitate completion of appropriate reports by student.

4. Facilitate submission of reports

to training site and to College. (College report to be submitted within 24 hours).




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8.3 ACCIDENT/INCIDENT INVOLVING NEEDLESTICK/BIOLOGICAL EXPOSURE Despite the best efforts, accidental biological exposures can occur. A percutaneous exposure to body substances, either by a needle stick injury, a laceration, or a splash on mucous membranes or non-intact skin, has the potential to transmit blood borne pathogens to the exposed individual. Any suspected exposure to infectious/communicable diseases must be reported to the clinical instructor/preceptor immediately. Cuts/needlesticks and mucosal splashes involving material contaminated with human blood or body fluids must be seen immediately for a medical assessment regardless of how small the cut or puncture. It is not the role of the student to assess the seriousness of the exposure. Do not wait for an appointment with your family physician.



1. Report incident to clinical instructor/preceptor immediately

2. Seek First Aid immediately (actions listed next page)

3. Seek a medical assessment within 2 hours

If the training site has an OHS Staff Health, contact them. o If the accident occurred during their

working hours, they will assess immediately.

o If the accident occurred outside their working hours, leave a message with your name, site, and what happened; then proceed to the nearest Emergency Department.

If the training site does not have an OHS Staff Health, follow protocol of the site or proceed to the nearest Emergency Department within 2 hours

4. Complete the CNA Incident Report (appendix 1) and the College Needlestick /Biological Exposure Incident Report (Appendix 2) and the applicable clinical training site reports

5. Submit reports to the College within 24 hours. Campus fax numbers are listed on the reporting form.

6. Follow up with clinical site as directed by the OHS Staff Health or the Emergency Department.

7. Follow up with College PPD Campus Students- Follow up with Learner Services Campus Nurse Other campuses –Follow up with Campus Director/Manager

8. Refer to Section 8.4 Workers Compensation for Students during Clinical Practicum (if applicable)

1. Assist the student by

administering first aid immediately (actions listed next page)

2. Assist student to obtain a medical assessment; either from site OHS staff nurse if available or proceed to the nearest Emergency Department within 2 hours of the incident.


4. Facilitate completion of

appropriate reports by student.

5. Facilitate submissions of report to training site and to College. (College report to be submitted within 24 hours.)




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First Aid for Needlestick/Biological Exposure

Type of injury First Aid

Percutaneous– Needle sticks, puncture wounds or lacerations from used needle and sharp instruments.

Allow immediate bleeding of wound, wash injured area well with soap and water and apply antiseptic, if available.

Cutaneous – Any contact with broken skin. Remove contaminated clothing, wash area well with soap and water and apply antiseptic if available, to the open wounds.

Mucosal – Any contact with conjunctiva (eye membrane) or mucous membranes of the nose or mouth.

Splashes of biohazardous materials onto the face or into the eyes must receive prompt and immediate first aid by flushing the affected area with large amounts of water or. Prolonged irrigation is defined as at least 20 minutes.

8.4 WORKERS COMPENSATATION FOR STUDENTS DURING CLINICAL PRACTICUM Students must report Accidents/Incidents with Injury and Accident/ Incident Involving Needlestick/Biological Exposure according to the process as outlined above. If application to Workplace NL (formerly WHSCC) is necessary, follow the process below.

Action to be taken by student Action to be taken by

Program Instructor(s) Action to be taken by

Campus Director/Manager

1. If you require medical aid (doctor,

hospital visit) or lost time from your clinical placement, you must complete a Form 6- Workers Report of Injury.

2. Inform the Doctor you were injured during your clinical work placement and forward a copy of the Doctor’s Report of Injury Form 8/10 to the Campus Director

NOTE: It is the responsibility of the physician treating the student to forward any necessary medical forms (Doctor’s Report of Injury Form 8/10) to the Workplace NL.

1. Ensure appropriate forms are

forwarded accordingly:

PPD Programs – Notify Student Services Campus Nurse and Campus Director

Other Campuses- Notify Campus Director/Manager.

1. Follow up as required with

the student to ensure appropriate forms have been completed.

2. Notify CNA OHS office

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8.4.1 Excerpts from Worker’s Compensation Act

42. (1) Where a student is enrolled in an educational institution and is participating in a work training program he

or she shall, while participating in the work training program, be considered to be a worker employed by the

province.

(2)Where a student is injured while participating in a work training program and is entitled to compensation

the amount payable to him or her shall be based on the current rate paid to a worker engaged in the same or

similar work provided that the maximum amount payable does not exceed that set by this Act.

(3)The age for admission to a work training program shall be 15 years or over but in exceptional

circumstances the commission may, at the request of the Minister of Education, rule a student to be entitled to

the benefits of this section.

From Worker’s Compensation Regulations

16. (1) For the purpose of paragraph 2 (1)(i) of the Act, the following are educational institutions:

Memorial University of Newfoundland

College of the North Atlantic

Centre for Nursing Studies, Health Care Corporation: of St John’s;

Western Regional School of Nursing, Western Health Care Corporation;, and

a school as defined by the Schools Act, 1997.

(2) For the purpose of paragraph 2(y) of the Act, “work training program” means, work

a) of a type, whether or not the Act applies to that work, that is designated by the authorities of an

educational institution as being suitable for student training;

and

b) for which the student is not compensated by the employer.

8.5 CLINICAL INCIDENT COMPROMISING PATIENT/CLIENT SAFETY In the event of a clinical incident such as a treatment error, medication error, error reporting a test result, patient/client fall, etc. where patient/client safety was or could have been compromised the student, in consultation with clinical instructor/preceptor, will complete a School of Health Sciences Clinical Incident Report (Appendix 3). This form will be forwarded to program instructor, Campus Director/Manager and the Dean of Health Sciences. In most clinical training sites, students will also be assisted in completing an incident/occurrence report. The action taken following any such clinical incident compromising patient/client safety will be at the discretion of the College in consultation with the clinical partner and will be in keeping with the seriousness of the incident as well as the circumstances surrounding the situation. In the case of a serious breach of discipline, the clinical site has the right to exclude the student in question from its training facilities. A major focus of the incident review will be assisting the student to meet learning objectives identified as a result of the incident.

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9.0 STUDENT/CLINICAL/COLLEGE RELATIONSHIPS A successful clinical training experience depends upon the generous cooperation and contribution of health care professionals at the clinical training sites. Clearly defined duties and lines of communication between the preceptors, students and program faculty at the College are essential to the process. Some program areas have clinical instructors while others use a designated Professional Practicum Coordinator, Liaison Technologists and/or a number of designated preceptors at the training site. Preceptors are demonstrating a commitment to their profession by mentoring a student. The student should keep this in mind while gaining experience and working alongside the preceptor. During your clinical placement you are part of a team and are expected to demonstrate professionalism in all interactions.

9.1 STUDENT RESPONSIBILITIES 1. Students are required to demonstrate professional, ethical, courteous, respectful conduct at

all times. 2. Students are required to respect privacy and confidentially as per the Personal Health

Information Act (PHIA). 3. Students are required to be proactive learners. 4. Students are required to actively seek opportunities that will enhance learning. 5. Students should prepare themselves by reading appropriate texts, practicing skills and

anticipating practicum learning needs. 6. Students should note as many questions as possible for discussion with their

instructor/preceptor to enhance learning. Students should also be attentive to any new words or terms.

7. Students are encouraged to be as helpful as possible during the clinical practicum.

9.1.1 Code of Conduct The College Code of Conduct for Students applies to students in both the classroom and the clinical environment.

9.2 REPORTING PROCESS FOR CONCERNS Any student or clinical personnel with questions, issues, complaints or concerns should be directed to the program instructor(s) who will work with the individual(s) involved to ensure an equitable resolution. The program instructor(s) must direct any unresolved issues and all incidents related to patient/client or student safety to the Dean of Health Sciences and the appropriate Campus Director/Manager.

If the issue is of a sensitive nature, or if it has not been resolved to the satisfaction of the individual involved, the student or clinical personnel should contact the Dean of Health Sciences directly at 709-758-7624.

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9.3 CLINICAL INSTRUCTOR ROLE Clinical Instructors are College employees or employees of the clinic site who are assigned or assume responsibilities for students during their clinical practicum. Student orientation

1. Distribute departmental policies. 2. Conduct orientation sessions to the department as well as the clinical site with

introductions to technical staff whenever possible. 3. Identify and discuss current departmental procedures. 4. Demonstrate basic operation of routine equipment. 5. Encourage support and acceptance from technical staff for student learning. 6. Assign lockers where indicated.

Instruction/Evaluation: 1. Evaluate the clinical performance of each student. 2. Assign students to areas of activity. 3. Identify strengths and weaknesses through formative evaluations 4. Reinforce routines and policies throughout the rotation. 5. Seek ways to stimulate and motivate the students. 6. Share new procedures and journal articles with the students. 7. Engage students in hands-on clinical experience which ensures experience at the

required level. 8. Perform competency evaluations where indicated.

Monitoring and Record Keeping: 1. Maintain written record of attendance. 2. Record total number of hours logged. 3. Record student room activity and assignments. 4. Maintain record of clinical performance evaluations, if any. 5. Maintain record of exemplary as well as unacceptable behaviors noted as points for

discussion, encouragement and/or remediation as indicated. 6. Maintain accident/incident reports as per College and hospital policy. 7. Clinical sites must return any hard copy student-related paper documents (i.e. progress

reports, competency manual, evaluations, etc.) to College or delete any electronic documents no later than one month after the student completes clinical.

Student advising: 1. Act as a liaison between student and hospital staff where necessary. 2. Maintain good communication with program instructor(s). 3. Consult with program instructor(s)/Campus Director/Campus Manager/Dean of Health

Sciences, as appropriate, regarding disciplinary measures. 4. Assist the student to complete reporting documentation in the case of work-related

accident or injury.

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9.4 PROFESSIONAL PRACTICUM COORDINATOR ROLE The Professional Practicum Coordinator is a designated employee of the clinical training site and is the essential link between the designated preceptors at the clinical site and the College. Pre-practicum preparation

1. Liase with the program instructor(s) prior to the clinical start date to review the competency reporting process.

2. Meet with the designated preceptors to review the competency reporting process and their duties and responsibilities.

Student orientation 1. Meet the students upon their initial arrival at the clinical site. 2. Distribute schedules and/or assign students to areas of activity. 3. Distribute departmental policies. 4. Conduct orientation sessions to the department as well as the clinical site, with

introductions to staff whenever possible. 5. Assign lockers where indicated.

Instruction/Evaluation: 1. Assume responsibility for the confidentiality and invigilation of the clinical exams

challenged at the clinical site. 2. Working with the preceptors, provide ongoing feedback to the College regarding the

clinical experience (ex. surveys, participation on college committees, etc.). Monitoring and Record Keeping:

1. Working with the preceptors, assist and direct students following any accident or incident in following the policy and reporting process for the clinical site and the College.

2. Clinical sites must return any hard copy student-related paper documents (i.e. progress reports, competency manual, evaluations, etc.) to College or delete any electronic documents no later than one month after the student completes clinical.

Student advising: 1. In conjunction with the student, Clinical lead instructor and the preceptor, implement an

Action Plan if a standard is not met. See Course Competency Manual for more information.

2. Consult program instructor(s)/Campus Director/Campus Manager/Dean of Health Sciences, as appropriate, regarding student related issues and disciplinary measures.

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9.5 PRECEPTOR ROLE The preceptors are designated employees of the training site who accept the responsibility for supervising and facilitating the student in the performance of their Competency Based Objectives and for evaluating the outcomes of those objectives. Pre-practicum preparation

1. Preceptors who have not completed the online Preceptor Training course and any program specific preceptor training offered at the college should contact the instructor responsible for clinical coordination of the program for information.

2. Liase with the Professional Practicum Coordinator/Clinical Instructor/program Instructor(s) (as applicable) to review the competency reporting process, duties and responsibilities.

3. Discuss with the Professional Practicum Coordinator/Clinical Instructor/program Instructor(s) (as applicable) the expected goals and outcomes of the hospital clinical experience.

4. Read the Competency Based Objectives (CBOs)/Clinical Evaluation Forms, and clarify any conditions or steps which may be unclear. Clarification may be obtained from the Professional Practicum Coordinator, other experienced preceptors and/or program Instructor(s)

Student orientation 1. Model professional behaviours as expected of the student as outlined in the Code of

Professional Conduct. (e.g. confidentiality, punctuality, teamwork, appearance, etc). 2. Identify and discuss current departmental procedures. 3. Demonstrate basic operation of equipment as applicable.

Instruction/Evaluation: 1. Plan the steps necessary to meet the standard(s) listed in each CBO/Clinical Evaluation

Form. 2. Supervise and engage students in hands-on clinical experience which ensures

experience at the required level and provides the opportunities for the student to successfully complete the CBOs/Clinical Evaluation Forms.

3. Perform competency evaluations where indicated. Evaluate the outcomes of the CBOs/Clinical Evaluation Forms fairly, objectively and consistently.

4. Provide timely and constructive feedback to the student. This may involve praising the work, categorizing the work as satisfactory, or indicating the work is not acceptable. Proposing strategies for improvement may be necessary.

Monitoring and Record Keeping: 1. Complete and sign the CBOs/Clinical Evaluation Forms as required. 2. Provide ongoing feedback regarding the efficacy and currency of the CBOs/Clinical

Evaluation Forms to ensure continuous improvement of the program. 3. Working with Professional Practicum Coordinator (as applicable), assist and direct

students following any accident or incident in following the policy and reporting process for the clinical site and the College.

4. Clinical sites/preceptors, etc. must return any hard copy student-related paper documents (i.e. progress reports, competency manual, evaluations, etc.) to College or delete any electronic documents no later than one month after the student completes clinical.

Student advising: 1. In conjunction with the student, Clinical Lead instructor and Professional Practicum

Coordinator (as applicable), implement an Action Plan if a standard is not met. See Course Competency Manual for more details.

2. Act as liaison between student and hospital staff where necessary.

31

9.6 DIAGNOSTIC ULTRASONOGRAPHY LIAISON TECHNOLOGIST ROLE Clearly defined duties, roles and lines of communication are essential between the Students, Clinical Staff and, Program Faculty. To facilitate this process, the Liaison Technologist at each affiliated hospital is the essential link between the Clinical site and the College. Duties will include the following:

1. The Liaison Technologist will meet with the Program faculty prior to the clinical semester to review the competency manual.

2. The Liaison Technologist will be a conduit for questions from other technologists pertaining to the competency manual.

3. The Liaison Technologist will meet the students upon their arrival at the clinical site and

orient them to the department.

4. The Liaison Technologist (along with other preceptors) will complete student evaluation forms and return them to the instructional coordinator.

5. The Liaison Technologist will report any student injury to Instructor or designate.

6. The Liaison Technologist, with the preceptors, will provide ongoing feedback to the

instructor regarding clinical experience.

7. The Liaison Technologist should help students maintain a positive relationship with fellow technologists and be a role model for the student.

8. Clinical sites/ Liaison Technologist must return any hard copy student-related paper documents (i.e. progress reports, competency manual, evaluations, etc.) to College or delete any electronic documents no later than one month after the student completes clinical.

32

10.0 STUDENT EVALUATION

Successful completion of the clinical practicum will be achieved by the student who:

demonstrate he/she can consistently and appropriately apply skills taught,

practice in a professional manner,

respect and foster patient/client rights, act as a patient/client advocate,

work collaboratively with other healthcare personnel,

comply to the profession’s scope of practice,

respect and adhere to the direction of supervisors, instructors and preceptors,

apply good health care principles to him/her self. Opportunities will be provided for the student to discuss his/her progress with instructor(s)/ preceptors during the clinical practicum. Throughout the training, the student will be expected to demonstrate growth in critical thinking and therapeutic decision making as per their Scope of Practice. As the student proceeds through the course of study, s/he is expected to consistently demonstrate the ability to independently make prudent decisions based on principles of critical thinking.

10.1 COMPETENCY Most Health Science Programs utilize competency based objectives and successful completion of the practicum is based on the student meeting the required competencies.Competence involves the demonstration of skills, knowledge, and abilities in accordance with the following principles:

Consistency – the ability to repeat practice techniques and outcomes

Independence – the ability to practice without assistance from others

Timelines – the ability to practice in a timeframe that enhances patient/client safety

Accuracy - the ability to practice utilizing the correct technique and to achieve the intended outcome

Appropriateness - the ability to practice in accordance with clinical standards and protocol within the practice jurisdiction. - From the Paramedic Association of Canada

In addition to technical skills/ competencies, which will vary from program to program, all students must also demonstrate competency in areas such as:

critical thinking

quality management

communication and interaction

ethics

time management

safety

professionalism

33

10.2 COMPETENCY TRACKING It is the responsibility of the student to ensure that all performance objectives and evaluation documentation are completed, signed, and submitted as required. Relevant documentation will be placed in the student’s file upon completion of each rotation/placement. Depending on the

program of study this may be an electronic (COMPTRACKER©)or paper process (Competency manuals). At the end of the clinical practicum the Clinical Instructors/Clinical Practicum Coordinator/ Preceptors must return all documents related to student evaluation/performance (i.e. attendance, assignments, meeting notes, etc) to the program instructor(s).

10.2.1 Competency Manuals

The student may be provided with one or a series of Clinical Practicum Competency Manuals which will include all of the requirements for the course.

As each competency is achieved, the clinical instructor/preceptor will check the appropriate box as met. The preceptor will sign and date each competency once it is assessed and provide comments as necessary. If a student is unable to demonstrate competence in a specific standard, an Action Plan will be initiated. The Action Plan will state the particular problem with the competency performed and an “action” that must be taken by the student to become competent in the skill(s). The preceptor will sign and date the competency once it is re-assessed and provide comments as necessary.

At the completion of the rotation, the student is responsible to return the Clinical Practicum Competency Manual(s) to the program instructor(s) (dependant on the practicum location and the end date; the manual may need to be returned by mail). Once the review of the manual is completed, the instructor may request a meeting with the student to discuss. NOTE: Rehabilitation Assistant (OTA/PTA) students must retain a copy for their own Student Clinical Binder.

10.2.2 COMPTRACKER© use to Document Competencies For some programs, tracking of skills is done using an electronic device (iPad, iPod etc.) with the COMPTRACKER© application installed. COMPTRACKER© can be downloaded from the APPLE iTunes store for FREE. The application will be used to track the skills/competencies completed in a variety of courses. All skills/competencies performed are captured each day.

Student Directions All students enrolled in the clinical practicum will receive login information from GREAT BIG SOLUTIONS (the owner of COMPTRACKER© software). Once the software has been installed on the device, students will LOGIN as “student” (using their ID and Password assigned). Once LOGGED IN, they can view the competencies required for each course. Attendance will also be tracked using this software. Students will simply note each skill they complete each day, input their attendance, and “submit” them to a clinical instructor, preceptor, etc. Preceptors can be added at anytime.

Students are also encouraged to provide a “Daily Evaluation” on their perception of skills performed. The Daily Evaluation forms are located in the “FORMS” area in COMPTRACKER.

34

10.2.2 COMPTRACKER© use to Document Competencies (continued)

Clinical Instructor/Preceptors Directions Clinical instructor/preceptors will have to “APPROVE” the skills/attendance that each student submitted to them. Preceptors will provide their signatures for each skill submitted. The signatures are captured within a signature box.

Comments regarding student progress can also be made by the clinical instructor/preceptor for each skill and if necessary (Action Plans) can be implemented to help students who experience difficulty with skill/competency performed. The Action Plan will state the particular problem with skill(s) performed and an “action” that must be taken by the student to become competent in the skill(s). The Action Plan form is located in the “FORMS” area in COMPTRACKER. Syncing the Device Very important and should be done by students on a daily basis! Once skills are captured, the device must be SYNCED using a WIFI connection. This ensures that the skills are uploaded to GREAT BIG SOLUTIONS database and permanently stored.

Viewing Progress Students and clinical instructors can also LOG IN on the COMPTRACKER website: www.studentlogbook.com to view student progress and to obtain reports.

Need More Help With Comptracker? Call: 1-866-432-3280. Email - [email protected] Visit the website - www.studentlogbook.com/support

10.3 EXAMINATIONS Examinations and evaluations may be conducted throughout the practicum as indicated on the course outlines. Some program areas will have scheduled exams which are completed at either the college or by logging in from the clinical training site.

10.4 REMEDIAL ACTIVITIES Evaluation is a continuous process and, if required, remedial actions will be determined throughout the practicum. The College makes every effort to assist students who are not meeting the prescribed standard for clinical practicum. An Action Plan may be used to support students through additional clinical training. A meeting between the student, clinical instructor/preceptors and program instructor(s) may be arranged to discuss the student’s learning needs and to develop a plan to meet those needs. When an Action Plan is in place, the clinical instructor/preceptor will consult with and support the student on a daily or weekly basis. This coaching and support is provided to ensure that students are given every opportunity to achieve the required clinical objectives.

10.5 ENRICHMENT ACTIVITIES Enrichment activities are additional activities for students who may be excelling in the course or for students who desire additional activities or challenges. The clinical instructor/preceptor or the student can suggest enrichment activities.

http://www.studentlogbook.com/

mailto:[email protected]

http://www.studentlogbook.com/support

35

10.6 ACADEMIC MISCONDUCT Students are expected to understand and follow the college policy on student conduct. The policies directly related to students’ rights, responsibilities, conduct and discipline are SS 201- Students Code of Conduct Rights & Responsibilities, and SS 202 – Students Code of Discipline. Violators of academic honesty policies are subject to the penalties described in these policies.

10.7 STUDENT SUPPORT FOR LEARNING Students are encouraged to identify and reflect on their individual learning needs which, during the practicum, are supported by:

a) Clinical instructors/preceptors who provide support and direction to students’ work experience.

b) Campus Directors/Managers and Dean of Health Sciences who provide management of the overall program.

c) Clinical staff and other members of the health care team who support learning within their profession.

d) Didactic instructors who provide expertise and support for required academic knowledge, skills and attitudes. Students are encouraged to contact program faculty at any time during the practicum.

e) College Learner Services, which provides a wide array of assistance and support for learning as well as personal issues that may require individual, specialized counseling.

10.8 EVALUATION OF THE HOSPITAL CLINICAL EXPERIENCE Students will have an opportunity to provide feedback on their clinical experience through a college survey. Details will be provided by your program instructor. Preceptors will also have an opportunity to provide feedback through a college survey. The survey feedback is used to support accreditation, quality and continuous improvement.

36

11.0 PROFESSIONAL ASSOCIATIONS/ CODE OF ETHICS

The Diagnostic Ultrasonography, Medical Laboratory Assistant, Medical Laboratory Science, Medical Radiography and Primary Care Paramedicine programs offered at the College of the North Atlantic are accredited by Accreditation Canada. Rehabilitation Assistant (OTA/PTA) Program is accredited by the joint committee of the National Occupational Therapy and Physiotherapy Associations. The Respiratory Therapy is registered with Accreditation Canada and accreditation is pending.

Accrediting bodies and professional organizations set standards and competencies that constitute part of the program course material and prepare the student for national exams and certification. Students should familiarize themselves with the fees and timing of the national exams by checking the website for the respective association. The right to practice is granted only through the appropriate authority of the province in conjunction with national registration/certification bodies not by the college. Depending on the program of study, students are strongly encouraged to become student members of the professional associations during their course of studies. In most cases, registration after graduation is mandatory for employment and/or licensure.

11.1 DIAGNOSTIC ULTRASONOGRAPHY Professional Practice Guidelnes and Member Policies https://sonographycanada.ca/app/uploads/2019/05/PPGuideline-and-Policies-update-2Apr2019-FINAL.pdf Code of Ethics: page 19

Code of Conduct: page 17 National Association: Sonography Canada PO Box 1220 Kemptville, ON K0G 1J0 Tel.: 1-888-273-6746, Email: [email protected]

Website: http://www.sonographycanada.ca Provincial Association: Newfoundland Labrador Society of Diagnostic Medical Sonographers

(NLSDMS) Student Membership: A Student Member shall be a person who is enrolled in a recognized full time training program for Diagnostic Medical Sonography. Student members are not entitled to vote or hold office.

Registration Form: https://sonographycanada.ca/membership/types

Upon successful completion of training, Student Members shall notify the Executive Director of the Society and may at that time apply for Active or Associate Membership.

https://sonographycanada.ca/app/uploads/2019/05/PPGuideline-and-Policies-update-2Apr2019-FINAL.pdf

https://sonographycanada.ca/app/uploads/2019/05/PPGuideline-and-Policies-update-2Apr2019-FINAL.pdf

http://www.sonographycanada.ca/Apps/Pages/code-of-ethics-7

http://www.sonographycanada.ca/Apps/Pages/code-of-conduct-7


http://www.sonographycanada.ca/

https://sonographycanada.ca/membership/types

37

11.2 MEDICAL LABORATORY ASSISTANT Code of Professional Conduct: http://csmls.org/csmls/media/documents/membership/Code-of-Professional-Conduct_Fall-2011_English.pdf National Association:

Canadian Society for Medical Laboratory Sciences (CSMLS) 33 Wellington St. North, Hamilton, ON L8R 1M7 Tel: 800‐263‐8277

www.csmls.org/

Newly certified MLAs will receive membership application from the CSMLS upon successful completion of certification exam.

11.3 MEDICAL LABORATORY SCIENCE Code of Professional Conduct: http://csmls.org/csmls/media/documents/membership/Code-of-Professional-Conduct_Fall-2011_English.pdf National Association:

Canadian Society for Medical Laboratory Sciences (CSMLS) 33 Wellington St. North, Hamilton, ON L8R 1M7 Tel: 800‐263‐8277 www.csmls.org/

Provincial College: Newfoundland and Labrador College of Medical Laboratory Science (NLCMLS) http://www.nlcmls.ca/

Regulatory Body: Newfoundland and Labrador Council of Health Professionals (NLCHP)

http://www.nlchp.ca

Student Membership To be eligible for a Student CMA Accredited Membership, Students must be enrolled as a full-time student in an accredited training program leading to CSMLS certification. Register online or download a Membership Form http://www.csmls.org/Membership/Become-a-Member/MLT-Student-Membership.aspx

Upon successful completion of Medical Laboratory Science training, Student Members shall apply for Active Membership to the professional bodies and to the NLCHP for licensure.

http://csmls.org/csmls/media/documents/membership/Code-of-Professional-Conduct_Fall-2011_English.pdf


http://www.csmls.org/



http://www.csmls.org/

http://www.nlcmls.ca/

http://www.nlchp.ca/

http://www.csmls.org/Membership/Become-a-Member/MLT-Student-Membership.aspx

38

11.4 MEDICAL RADIOGRAPHY Code of Ethics: http://www.camrt.ca/mrt-profession/professional-resources/code-of-ethics/ National Association: Canadian Association of Medical Radiation Technologists (CAMRT)

1000 – 85 Albert Street, Ottawa, Ontario K1P 6A4 Phone:1-800-463-9729 Fax: (613) 234-1097 http://www.camrt.ca/

Provincial Association: Newfoundland & Labrador Association of Medical Radiation

Technologists (NLAMRT) P.O. Box 29141 RPO Torbay Road St. John’s, NL A1A 5B5 https://www.facebook.com/NLAMRT

Student Membership

Student membership is available to individuals enrolled in a Canadian medical radiation technology program accredited by Accreditation Canada . Students are automatically made members of the CAMRT as soon as their student membership is approved by the provincial organization; there is no charge for the CAMRT Student membership.

Membership form: https://www.camrt.ca/membership/membership-categories-dues/

http://www.camrt.ca/mrt-profession/professional-resources/code-of-ethics/

http://www.camrt.ca/

https://www.facebook.com/NLAMRT

https://www.camrt.ca/membership/membership-categories-dues/

39

11.5 PRIMARY CARE PARAMEDIC Code of Values and Ethics: http://westernhealth.nl.ca/uploads/PDFs/Paramedic_Code_of_Values_and_Ethics.pdf National Association: Paramedic Association of Canada

201-4 Florence Street, Ottawa, ON K2P 0W7 Phone: 1(844) 836-6581 Fax: (613) 836-6581 email: [email protected]

Website: http://paramedic.ca/ Regulatory Body: Provincial Medical Oversight Program

Paramedicine and Medical Transport- Eastern Health, St. Clare’s Mercy Hospital Room SM343 154 LeMarchant Rd St. John’s, NL A1C 5B8

Registration Office: Phone: 709-777-5209 Fax: 709-777-5940

Email: [email protected] Website: http://www.easternhealth.ca/Professionals.aspx?d=2&id=955&p=927

It is the responsibility of the PCP graduate to register with the Provincial Medical Oversight Program Paramedicine and Medical Transport- Eastern Health.

All ambulance personnel working in this province must be registered with the Provincial Medical Oversight Program

Applications for provincial registration can be obtained from the website or by calling the Registration Office.

For questions regarding the registration process, contact the Registration Office.

Paramedic Oath

Be it pledged as an Emergency Medical Technician, I will honor the physical and judicial laws of God and

man. I will follow that regimen which, according to my ability and judgment, I consider for the benefit of

patients and abstain from whatever is deleterious and mischievous, nor shall I suggest any such counsel.

Into whatever homes I enter, I will go into them for the benefit of only the sick and injured, never revealing

what I see or hear in the lives of men unless required by law.

I shall also share my medical knowledge with those who may benefit from what I have learned. I will serve

unselfishly and continuously in order to help make a better world for all mankind.

While I continue to keep this oath unviolated, may it be granted to me to enjoy life, and the practice of the

art, respected by all men, in all times. Should I trespass or violate this oath, may the reverse be my lot.

So help me God.

Written by: Charles B. Gillespie, M.D.

Adopted by the National Association of Emergency Medical Technicians, 1978

http://westernhealth.nl.ca/uploads/PDFs/Paramedic_Code_of_Values_and_Ethics.pdf

http://paramedic.ca/


http://www.easternhealth.ca/Professionals.aspx?d=2&id=955&p=927

40

11.6 REHABILITATION ASSISTANT (OTA/PTA) National Associations: Canadian Association of Occupational Therapists (CAOT) Information for Support Personnel (OTA’s): http://www.caot.ca Canadian Physiotherapy Association: https://physiotherapy.ca/ Competency Profile (OTA): http://caot.ca/document/4273/SupportPer_Profile.pdf Competency Profile (PTA): http://npag.ca/PDFs/Joint%20Initiatives/PTA%20profile%202012%20English.pdf Provincial Associations: Newfoundland and Labrador Association for Occupational Therapists: http://www.practicenl.ca/?/occ/default.asp Newfoundland and Labrador College of Physiotherapists: http://www.nlcpt.com/index.php

http://www.caot.ca/

http://www.caot.ca/

https://physiotherapy.ca/

http://caot.ca/document/4273/SupportPer_Profile.pdf

http://npag.ca/PDFs/Joint%20Initiatives/PTA%20profile%202012%20English.pdf

http://www.practicenl.ca/?/occ/default.asp

http://www.nlcpt.com/index.php

41

11.7 RESPIRATORY THERAPY Code of Ethical and Professional Conduct: https://www.csrt.com/rt-profession/ National Association: Canadian Society of Respiratory Therapists

201-2460 Lancaster Rd. Ottawa, ON K1B 4S5 Toll Free: 1-800-267-3422 Phone: (613) 731-3164 Fax: (613) 521-4314 http://www.csrt.com/

Provincial College: Newfoundland & Labrador College of Respiratory Therapists (NLCRT)

Suite # 133 Unit 50 Hamlyn Road Plaza St. John's, NL A1E 5X7 Tel: (709) 777-5707 Fax: (709) 368-8830 e-mail: [email protected] http://www.nlcrt.ca/

Regulatory Body: Newfoundland and Labrador Council of Health Professionals (NLCHP)

http://www.nlchp.ca

Student Membership Student membership is available to an individual who is training in a respiratory therapy program. Application online or download an application form at: https://www.csrt.com/membership/ Upon successful completion of training, Student Members shall apply for Active Membership to the professional bodies and to the NLCHP for licensure.

https://www.csrt.com/rt-profession/

http://www.csrt.com/


http://www.nlcrt.ca/

http://www.nlchp.ca/

https://www.csrt.com/membership/

42

11.8 PRACTICAL NURSING Code of Ethical and Professional Conduct:

Standard of Practice and Code of Ethics Provincial College: College for Licensed Practical Nurses of Newfoundland and Labrador

209 Blackmarsh Road St. John's, NL A1E 1T1 Phone: (709) 579-3843 E-mail: [email protected] www.clpnnl.ca

https://www.clpnnl.ca/sites/default/files/2016-10/StandandsofPracticeandCodeofEthicsforLPNs_0.pdf


https://www.clpnnl.ca/about

43

APPENDIX

1. CNA Incident Report Form 2. Needlestick/Biological Exposure Report Form 3. Clinical Incident Report Form 4. Student Contract for Clinical Practicum

45

Appendix1

NOTE: Copy of this report to be sent to the appropriate campus:

Bay St. George Campus - (709) 643-7827 Carbonear Campus - (709) 596-2688 Clarenville Campus - (709) 466-6930 Corner Brook Campus - (709) 634-2126 Grand Falls Windsor Campus - (709) 489-4180 Happy-Valley Goose Bay Campus - (709) 896-9533 Prince Philip Drive Campus Nurse - (709) 758-7478 St. Anthony Campus – (709) 454-8808

47

Appendix 2

School of Health Sciences Box 1693, St. John’s, NF A1C 5P7

STUDENT NEEDLESTICK/BIOLOGICAL EXPOSURE INCIDENT REPORT FORM

Page 1of 2

Last Name: __________________ First Name: ________________

Date of Birth: ________________ Student #: __________________

Home Address: __________________________________________________________

Home Phone:___________ Cell Number:__________ Program of Study: _______________

Date and Time of Injury/Exposure: ______________________________________________

Reported to Name (Preceptor/Supervisor): _____________ Date and Time: _____________

Reported to Program IC (Name): ______________________ Date and Time: ____________

Name of the Institute where incident occurred:____________________________________

Physical location where incident occurred (Radiology, patient room, ambulance etc): ____________________________________________________________________________ Nature of Accident/ Incident (describe how incident happened) ____________________________________________________________________________________________________________________________________________________________________________________________________________________________________

What (if any) First Aid or treatment was administered? _____________________________

Name of person who gave First Aid: _____________________________________________

Witness Name and Contact Information: _________________________________________

Were you the user of the sharp object? Yes___ No___ Not Applicable___

The sharp item was: Contaminated____ Uncontaminated____ Unknown____

Was the source identifiable? Yes___ No___ Unknown___ Not Applicable___

Was the source’s blood tested for HIV, Hepatitis A and B Titers? Yes___ No___

Was Post Needlestick Assessment Performed by: ______OHS Nurse ______ER Physician

Date and Time of Assessment:__________________________________________________

Did you have blood drawn for HIV, Hepatitis A and B Titers? Yes____ No____

48

STUDENT NEEDLESTICK/ BIOLOGICIAL EXPOSURE INCIDENT REPORT FORM Page 2 of 2

Have you been previously vaccinated against Hepatitis B? Yes___ No____

Is your Anti Hbs Titre Protective? Yes____ No____ Unknown______

What Post Needlestick Counseling information did you receive during or immediately following the assessment? ____________________________________________________________________________________________________________________________________________________________________________________________________________________________________

Further to your immediate Post Needlestick Assessment, were you informed either verbally or in writing the status of the sources blood work? Yes____ No____

From whom did you receive this information? _____________________________________

Is this a Student Accident Citadel Insurance Claim? Yes____ No ____

Are you on a work term or Clinical Practicum? Yes____ No ____

If Yes complete this section

Did you inform the OHS Nurse or the Emergency Room Physician that you are covered by WHSCC while on a work placement? Yes_____ No______

Did you complete a WHSCC Form 6 (Workers Report Form)? Yes___ No___

Was a WHSCC Form 7 (Employers Report of Injury) completed and submitted? Yes__ No__ Was a WHSCC Form 8/10 (Doctor’s Report of Injury) completed and submitted? Yes___ No___

Student Name: _______________________ Signature: ______________ Date: _______

First Aid Attendant: ___________________ Signature: ______________ Date: _______

Reporting person: _____________________ Signature: ______________ Date: _______

NOTE: Copy of this report to be sent to the appropriate campus: Bay St. George Campus - (709) 643-7827 Carbonear Campus - (709) 596-2688 Clarenville Campus - (709) 466-6930 Corner Brook Campus - (709) 634-2126 Grand Falls Windsor Campus - (709) 489-4180 Happy-Valley Goose Bay Campus - (709) 896-9533 Prince Philip Drive Campus Nurse - (709) 758-7478 St. Anthony Campus – (709) 454-8808

Sept 2016

49

Appendix 3

School of Health Sciences Box 1693, St. John’s, NF A1C 5P7

CLINICAL INCIDENT REPORT FORM To be completed by Clinical Instructor/Preceptor and Student for any incidents where patient/client safety was or could have been compromised. Date of Incident: ______________ Time of Incident: __________________________ Area in which the incident occurred: ______________________________ Clinical Training Site: ___________________________________________ Type of Incident: Drug Error ____ Treatment Error ____ Patient/Client Fall ___

Other ____ (please specify)_______________________ Description of the incident (Include description of what happened; patient’s/client’s reaction, if any; person(s) advised of incident; where the incident was reported; patient/client outcome) Summary of Student Interview and Recommendations Made Student Name: _________________________ Signature: _______________ Date:_______

Clinical Instructor/Preceptor: _____________ Signature: _______________ Date:_______

Program Instructor: _____________________ Signature: _______________ Date:_______

Campus Director/Manager:_______________ Signature:________________ Date:_______

Dean of Health Sciences: ________________ Signature:________________ Date:_______

NOTE: Copies of this report to be sent to: Dean of Health Sciences, Campus Director/Manager & Program Instructor

Bay St. George Campus - (709) 643-7827 Carbonear Campus - (709) 596-2688 Clarenville Campus - (709) 466-6930 Corner Brook Campus - (709) 634-2126 Grand Falls Windsor Campus - (709) 489-4180 Happy-Valley Goose Bay Campus - (709) 896-9533 Prince Philip Drive Campus School of Health Sciences - (709) 758-7634

St. Anthony Campus – (709) 454-8808

Sept 2016

51

Appendix 4

STUDENT CONTRACT FOR CLINICAL PRACTICUM

Student Name (Please Print):_________________Program: _________ A program instructor(s) has reviewed the following practicum requirements with me and I understand my responsibility to abide by them, at all times, while in the clinical training site. I understand that failure to abide by the policies and procedures of the College and the Clinical training site may result in disciplinary action. Directions: This form is to be reviewed with the students and signed prior to starting practicum. The instructor(s) will collect and file the completed form.

Item Discussed N/A

Confidentiality

Scope of Practice and Accountability

Professional Behaviour

Clothing/Footwear/Uniform

Personal Grooming

Personal Protective Clothing Including Student Provided PPE

Attendance and Punctuality

Radiation Monitoring

Health and Pregnancy

Accident/Incident Reporting

Competency Tracking

Evaluations

Contact Information for the Clinical Site

HSPnet Information and Consent Form (if not already submitted)

______________________________ ____________________________ Student’s Signature Instructor’s Signature Date____________________ Date____________________

Revised Sept 2019

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Appendix 5

clinical practicum manual - cna dl website...students may also receive a course specific clinical...

Documents