AAS NURSING PROGRAM
ADMISSION INFORMATION
2
Admission Information Packet
Table of Contents
PAGE
Admission Information
3
Prerequisites
4
Admission Procedure
(with deadline dates)4
After Admission to the Program
5
Financial Assistance
5
Clinical Experience
5
LPN Curriculum
6
ADN Curriculum
7
Course Descriptions
8 - 9
Estimated Student Costs
10
Student Application Form
11 - 12
Test of Essential Academic Skills (TEAS) Information
13 - 14
Professional Reference Forms
15 - 17
Request for Transcripts Form
18
Essential Skills & Functional Abilities
19 – 22
3
Associate Degree Nursing Program
Admission Information
Mohave Community College Department of Nursing provides students with the opportunity to acquire the knowledge and skills requisite to the safe, effective practice of nursing. The associate of applied science degree nurse uses the nursing process in supervised settings in assisting the client to optimal wellness, comfort or a peaceful death. The associate of applied science degree nurse fulfills the roles of provider of care, advocate, researcher, counselor, communicator, teacher, manager and member of the profession while exemplifying the qualities which are essential to the development of the nurse. These qualities are incorporated throughout the four core nursing courses and include: caring attitude, clinical competence, and critical thinking skills. The ultimate goal of the Nursing Department is to prepare graduates for safe and effective clinical practice. The mission of the Mohave Community College Nursing Department is to promote excellence in nursing education and practice by fostering communication and collaboration among faculty and students.
This course of study incorporates knowledge and principles from the liberal arts with an emphasis on the sciences in theory and applied skills. Nursing Education at MCC is challenging, rewarding, and prepares graduates to utilize clinical judgment based on critical thinking processes.
The Mohave Community College Nursing Program is accredited by the Accreditation Commission for Education in Nursing (ACEN), 3343 Peachtree Road NE, Suite 850, Atlanta, Georgia 30326, 404.975.5000, Fax: 404.975.5020. This program is also approved by the Arizona State Board of Nursing, 4747 N. 7th Street, Suite 150, Phoenix, Arizona 85014, 602.331.8111.
The nursing program is a countywide program with classes being offered for the southern part of the County in Kingman, Lake Havasu City, and Bullhead City, and for the northern part of the County in Colorado City. Nursing I, the first core nursing course, is taught with a faculty member on site in Bullhead City and Colorado City. The Kingman and Lake Havasu City students have the same benefit of an onsite faculty member, but the lecture portion of the course is in Lake Havasu and the Nursing Skills Laboratory experience is in Kingman. Clinical site travel is required related to the number of facilities and number of students in the class. The remainder of the core nursing courses, Nursing II, III, and IV, also has the benefit of a face to face lecture by faculty member. The students will be required to travel between all three campuses in the southern part of Mohave County in Kingman, Lake Havasu City, and Bullhead City. Nursing II, III, and IV are “team taught” by varying faculty members. In preparation for school and industry-wide practices, and to provide equality of student learning materials, students are also required to be proficient in and use a computer, including the Internet and MCC’s computer-accessible learning management system and application packets. Clinical experience takes place in Mohave County and Nevada health care facilities as well as Utah facilities for students in the northern part of the County. Travel between campuses and to clinical facilities will be required at the student’s expense.
Students interested in becoming nursing assistants do not need to apply for the nursing program, but should register for the Nursing Assistant class (NAP 115). Students interested in becoming practical nurses or registered nurses must apply for admission to the respective nursing program.
The Arizona Nurse Practice Act (July 2010) states “If convicted of one or more felonies, the applicant must have received an absolute discharge from the sentences for all felony convictions five or more years prior to the date of filing an application.”
Therefore, the student should contact the Arizona State Board of Nursing (www.azbn.gov) regarding eligibility to write the
NCLEX for licensure PRIOR to application to the Mohave Community College Nursing Program.
Fingerprinting is a part of the application process to the Arizona State Board of Nursing for nursing assistant, practical nurse, and registered nurses licensure. Department of Public Safety finger printing and Pre-check Background Check are a portion of the application process for admittance to the program.
4
PREREQUISITES
Before a student will be considered eligible to enter the nursing program, certain prerequisites must be met.
All prerequisites must be completed before admission into the nursing program.
1. Graduation from an accredited high school, or GED certificate, or is 18 years of age or older and demonstrates evidence of potential success in the community college, or is a transfer student in good standing from another college or university.
2. Successful completion (with a “C” or better) of Chemistry and a 100 level Biology as prerequisites to the Program. Acceptable college courses are:
BIO 100 Biology Concepts, BIO 181 General Biology, or one semester of Anatomy and Physiology with a lab. Students are given the opportunity, by examination, to demonstrate competency in BIO 100. An
examination will be available by appointment on each campus site. If competency is not demonstrated, the course must be taken.
CHM 130 Fundamental Chemistry or CHM 151 General Chemistry I
Note that BIO 100 level and CHM 130 are prerequisites to the nursing program and are not a part of the AAS nursing degree.
3. Successful completion (with a “C” or better) of the following courses as prerequisites to NUR 121 Nursing I: BIO 201 - Anatomy & Physiology I
BIO 202 - Anatomy & Physiology II BIO 205 - Microbiology
ENG 101 - English Composition I PSY 101 - Intro to Psychology
MAT 121 or higher (with 142 or 151, required starting Fall 2016)
Note that BIO 201, BIO 202, BIO 205, ENG 101, PSY 101 and MAT 121 (MAT 142, 151 are preferred Gen. Ed
classes) are part of the general education requirements for the AAS nursing degree.
4. College courses over ten (10) years old will not be accepted as credit for biology, chemistry, or general education science requirements.
5. GPA of 2.85% or above compiled of all Nursing prerequisites.
6. Acceptable score on the Test of Essential Academic Skills (TEAS) 70% (see enclosed forms.) 7. Copy of Department of Public Safety Fingerprint Clearance Card.
8. Copy of Student PreCheck online Background Check.
9. Extra consideration is given to applicants with additional degree earned, Arizona residency, healthcare experience and positive references.
* TRANSFER STUDENTS MUST complete a minimum of 1/3 of their required program credits at MCC to graduate. This could mean you may have to take some of the required programs courses over to meet the minimum of 1/3 of the required program credits at MCC.
ADMISSION PROCEDURE
Students are admitted to the Nursing program without discrimination regarding age, creed, ethnic origin, marital status, or sex. Application for the program is in addition to the application for general admission to the college and must be completed in the semester before enrollment is planned. Student spaces are limited; therefore, students are encouraged to make early application submissions. Applications
do not guarantee admission to the program. INCOMPLETE applications as of the date of the Admissions Committee meeting will not be considered.
1. A completed application packet with the following items should be received in the nursing office at:
1977 Acoma Blvd. West, Lake Havasu City, AZ 86403, postmarked no later than February 15 for the fall admission and no later
than October 1 for the spring admission.
a. Completed nursing application.
b. Three (3) professional references from persons who have known the applicant in a supervisory or educational setting and who are familiar with applicant’s academic and/or work ethics.
c. Official college transcripts, if any, should be submitted directly to the Nursing Department. d. Student copy of transcripts (other than MCC) should be attached to the application.
e. Test of Essential Academic Skills (TEAS) test results (70% or higher). (Results will be sent directly to the Nursing Department after scoring.)
f. Copy of Department of Public Safety Fingerprint Clearance Card. g. Copy of Student PreCheck Background Check Report.
5
h. Verification of health care experience. i. Verification of residency
2. Applications must be completed and in the nursing office by February 15 for fall admission, and October 1 for spring admission. It
is the student’s responsibility to verify that all documents have been received and their file is complete. Incomplete applications will not be considered.
3. Applicants will be notified of their status in 45 to 60 days after application deadline. 4. Admission to the program will be granted on the basis of:
a. GPA (Minimum of 2.85 overall GPA on prerequisite courses.)
b. Test of Essential Academic Skills (TEAS) scores (form enclosed). The applicant’s adjusted individual total scores on the TEAS must be at or above 70% to be considered for admission. The TEAS can be taken 3 times in an academic year (August to August), and the highest score will be considered. TEAS Exams must be taken one month apart. c. Professional references (3 must be completed).
d. Prerequisite courses are completed.
e. Ability to obtain Department of Public safety Fingerprint Clearance Card. f. Ability to pass the online Student PreCheck.
g. Health Care experience. h. Arizona Residency.
Applicants who are not accepted to the nursing program must notify the nursing office if they wish to be considered for the next admitting semester.
AFTER ADMISSION TO THE PROGRAM
1. Students will be required to have a complete physical examination and must be able to meet the requirements identified on the form as well as the Essential Skills and Functional Abilities of a Nurse (See end of packet). Immunizations and drug testing are also necessary prior to the start of classes.
2. Proof of private health/accident insurance will be required prior to the start of classes.
3. Students must attain CPR certification (American Heart Association-Healthcare Provider) no earlier than July 1 for fall admission
and December 1 for spring admission. This certification must be maintained during the entire program. (Adult, child, or
community CPR is not acceptable.)
4. Students must notify the nursing office of any changes in address, contact information, or plans to attend classes. Failure to do so could hinder your process in the RN Program.
5. Travel between campus sites for lecture and clinical experience is required throughout the Nursing Program for all students in all
semesters.
6. The nursing courses are interrelated and are taken in sequence. A grade of “C” or better in all required courses must be maintained for continuation in the program.
7. After successful completion of the requirements for either the LPN step out certificate or the AAS nursing degree, the student will be eligible to apply to write the licensure examination offered by the National Council Licensure Examination for Registered Nurses (NCLEX-RN) or for LPN (NCLEX-PN). Licensure requirements are the exclusive responsibility of the Arizona State Board of Nursing and students must satisfy those requirements independently of requirements for graduation from the college.
FINANCIAL ASSISTANCE
Financial assistance is available in the form of scholarships, loans, and work-study assistance. The necessary forms can be secured at the Financial Aid Office. Students are encouraged to contact the Financial Aid Director in the year preceding admission to the nursing program.
CLINICAL EXPERIENCE
A majority of MCC nursing students will be required to travel to Las Vegas, Nevada for a portion of their clinical experiences. Usually the students are in Las Vegas for two days and one night per week for approximately four to six weeks. Transportation to and from clinical and all food/meals are the responsibility of the student. The College reserves the rooms, for the group in advance.
6
LPN CURRICULUM
PREREQUISITES: CHM 130 Fundamental Chemistry or BIO 151 General Chemistry I, BIO 100 level Biology, BIO 201
Anatomy & Physiology I, BIO 201 Anatomy & Physiology II, BIO 205 Microbiology, ENG 101
English Composition I, PSY 101 Introduction to Psychology, MAT 121 Math.
COREQUISITES: ENG 102 English Compositions II, PSY 245 Lifespan Development
Prerequisites for LPN Certificate
Semester I NUR 121
Prerequisites for Semester II
BIO 100
(Can Demonstrate Competency; Prerequisite to Program.)4
NUR 121 Nursing I
8
CHM 130
Or---
Prerequisite to Program.CHM 151
4
Total Credits:
8
GPA
2.85%
Semester II NUR 122
Corequisites
TEAS
70%
BIO 201-
General Education Requirement for PN Step-out certificate4
NUR 122 Nursing II
8
BIO 202-
General Education Requirement for PN Step-out Certificate4
NUR 227 - Pharmacology
3
BIO 205-
General Education Requirement for PN Step-out Certificate4
Total Credits:
11
ENG 101-
General Education Requirement for PN Step-out Certificate3
NUR 123 – Transition to PN
Or
NUR 221 – Nursing III is
acceptable
3
8
PSY 101-
General Education Requirement for PNStep-out Certificate
3
TOTAL NURSING CREDITS:22
MAT 121 -
General Education Requirement for PN Step-out Certificate (142 or 151)3-4
Corequisites for LPN Certificate
ENG 102-
General Education Requirement for PN Step-out Certificate3
PSY 245-
General Education Requirement for PNStep-out Certificate
3
TOTAL GENERAL EDUCATION CREDITS:
35 - 36
TOTAL CERTIFICATE CREDITS:
57 - 58
Each core nursing course must be completed and successfully passed before progression into next core nursing
course.
*MAT 142,151 are preferred Gen. Ed math classes and will be required the fall of 2016.
7
AAS NURSING CURRICULUM
PREREQUISITES: CHM 130 Fundamental Chemistry or CHC 151 General Chemistry I, BIO 100 level Biology, BIO 201
Anatomy & Physiology I, BIO 201 Anatomy & Physiology II, BIO 205 Microbiology, ENG 101
English Composition I, PSY 101 Introduction to Psychology, MAT 121 level Math.
COREQUISITES: ENG 102 English Compositions II, PSY 245 Lifespan Development
Prerequisites: Admission AAS Program
Semester I NUR 121
0 – Level Math
(prerequisite for Chemistry)
0
NUR 121 Nursing I
8
CHM 130
-Prerequisite to program; not required for AAS Nursing Degree.4
Total Credits:
8
BIO 100-
Prerequisite to program; not required for AAS Nursing Degree.4
Semester II NUR 122
Corequisites
TEAS
70%
GPA
2.85%
NUR 122 Nursing II
8
NUR 227 Pharmacology
3
Total Credits:
8
Total Credits:
11
Prerequisites: Semester I NUR 121
Semester III NUR 221
Corequisites
BIO 201-
General education requirement for AASNursing Degree.
4
NUR 221 Nursing III
8
BIO 202-
General education requirement for AAS Nursing Degree.4
Nursing 228 - Mental Health, OB,
PEDS Pharmacology
1
BIO 205-
General education requirement for AAS Nursing Degree.4
Total Credits:
9
ENG 101-
General education requirement for AAS Nursing Degree.3
Semester IV NUR 222
Corequisites
MAT 121 -
General education requirement for AASNursing Degree. (142 or 151 required Fall 2016)
3-4
PSY 101-
General education requirement for AASNursing Degree.
3
NUR 222 Nursing IV
8
Nursing 229 – Adv. Pharmacology
1
Total Credits:
21 - 22
Total Credits:
9
Total Nursing Credits:
37
Required: Co-Requisite General Education for
AD Program taken prior to NUR 221
Each core nursing course must be completed and successfully passed before progression into next core nursing course.
ENG 102-
General education requirement for AAS Nursing Degree.3
PSY 245-
General education requirement for AASNursing Degree.
3
Total Program Credits:
72-73
Total Credits:
6
Note: Prerequisite general education courses must be completed prior to acceptance into the nursing program.
All Corequisite general educational core courses must be satisfactorily completed prior to starting NUR 221,
Semester 3 of the Nursing Program. Nursing Corequisites must be taken as stated on page 7.
*MAT 142,151 are preferred Gen. Ed math classes and will be required the fall of 2016.
8
COURSE DESCRIPTIONS
NUR 121 – Nursing I
(8 Credit Hours)
The focus is on fundamental concepts of contemporary professional nursing, student’s development as caring competent nurse within the legal/ethical and scientific frameworks of the profession, critical thinking, and communication skills. Using the transitions “model,” students learn to provide nursing care for individuals undergoing situational transitions in well-defined practice settings. Situational transitions include that of the individual to the nursing student role and the client’s admission to and movement within the healthcare system. Concepts of nutrition, pathophysiology and pharmacology are integrated.
5 lecture; 9 lab
Prerequisites: BIO 201 Anatomy & Physiology I, BIO 202 Anatomy & Physiology II, BIO 205 Microbiology, ENG 101 English Composition I, PSY
101 Introduction to Psychology, MAT 121 or higher level Math (MAT 142, 151 are preferred Gen. Ed classes) , Admission to the AAS Degree Nursing Program.
General Corequisites: ENG 102 English Composition II, PSY 245 Lifespan Development
NUR 122 – Nursing II
(8 Credit Hours)
The focus is on nursing care to promote healthy transitions for individuals and families with chronic health conditions in well-defined practice settings. Emphasis is on basic management concepts and continued development of critical thinking, clinical judgment, and skills. Principles of pharmacology, culture, pathophysiology, and nutrition are integrated throughout the course.
4 lecture; 12 lab
Prerequisites: Successful completion (with a “C” or better) of NUR 121. Corequisite: NUR 227
General Corequisites: ENG 102 English Composition II, PSY 245 Lifespan Development
NUR 227 – Pharmacology
(3 Credit Hours)
The focus is common drug classifications, actions, uses, and side effects of pharmacological agents. Accurate calculation of dosages, administration techniques, legal/safety considerations and nursing implications of common medications will be emphasized. 3 lecture
Prerequisites: Successful completion (with a “C” or better) of NUR 121, current LPN or Paramedic licensure with intention of enrollment in
nursing courses beyond NUR 121 or permission of the instructor.
Corequisites: NUR 122
General Corequisites needed prior to NUR 221: ENG 102 English Composition II, PSY 245 Lifespan Development
NUR 123 – Transition to Practical Nurse
(3 Credit Hours)
The focus on scope of practice issues specific to the practical nurse, including care of individuals and families experiencing developmental and acute health-illness transitions. Concepts of clinical judgment, pathophysiology, pharmacology, and nutrition are integrated. Also, includes practical nurse level concepts of management and supervision.
2 lecture; 3 lab
Prerequisite: Successful completion (with a “C” or better) of NUR 121, NUR 122, NUR 227
NUR 221 – Nursing III
(8 Credit Hours)
The focus on nursing care to promote healthy transitions for individuals and families experiencing developmental milestones. Course includes the transition of birth, childhood, adolescence, and young adulthood, childbearing and middle adulthood. The student’s transition to nurse includes group theory and nursing therapeutics when assisting the client through acute health care issues. Topics of nutrition and pharmacology are integrated. Concepts of critical thinking, organizational skills and psychosocial nursing are included.
4 lecture; 12 lab
Prerequisites: Successful completion (with a “C” or better) of NUR 122, NUR 227 Corequisites: NUR 228
9
NUR 228 – Pharmacology for Nursing Specialties:
Mental Health, Pediatrics, Obstetrical
(1 Credit Hours)
Focus is review of common drug classifications, actions, uses, and side effects of pharmacological agents in the specialties area of Mental Health, Pediatrics, and Obstetric. Accurate calculation of dosages, administration techniques, legal/safety considerations and nursing implications of common medications will be emphasized.1 lecture
Prerequisites: Successful completion (with a “C” or better) of NUR 121, NUR 122, NUR 227, admission to LPN to RN or Paramedic to RN
Tracks.
Corequisites: NUR 221
NUR 222 – Nursing IV
(8 Credit Hours)
Focus is on the impact of acute health/illness transitions on individuals, families, and groups. Emphasis is on synthesis and application of nursing therapeutics in the transition of students to their role in the profession of nursing with an introduction to organizational transitions. Concepts of nutrition, pharmacology, pathophysiology and nursing therapeutics are integrated.
4 lecture; 12 lab
Prerequisites: Successful completion (with a “C” or better) of NUR 221, NUR 228 Corequisites: NUR 229
NUR 229 – Advanced Pharmacology for Nursing
(1 Credit Hours)
Focus is review of common drug classifications, indications, actions, and side effects of pharmacological agents commonly utilized in the acute care setting. Accurate calculation of dosages using three factor dimensional analysis, significant laboratory tests, and monitoring parameters will be emphasized.
1 lecture
Prerequisites: Successful completion (with a “C” or better) of NUR 221, NUR 228 Corequisites: NUR 222
10
ESTIMATED STUDENT COSTS
Prior to admissions and Nursing I, there will be additional Health Requirement costs for Physical, titers, TB test, immunizations,
DPS Card, Background Check, etc.
Allied Health Programs at MCC are exempt from the Western Undergraduate Exchange (WUE) Tuition Rates. Out of state tuition is $283.50 per credit hour. The Nursing Department recognizes that the MCC Governing Board reserves the right to change or withdraw, without notice, curriculum, policies, tuition or any other matters contained in this information packet.
Clinical travel is likely all semesters of the program. Students should plan on an additional $2,000 or more for semesters 3 and 4 to cover car fuel and food expenses.
Registration costs are based on 2015-16 tuition fees plus technology and activity fees as applicable. Book, uniform, watch, shoes and clinical equipment costs are estimates and do not include involved sales tax. Graduation Gala, nursing pins, and testing fees for NCLEX are responsibility of the student.
“You may obtain more information regarding tuition and fees when registered for course.”
1st-Year Student
1st Semester
2nd Semester
Totals
1) Registration Fees:
Registration $ 648.00 $ 891.00 $ 1,539.00 • Technical Fee $ 48.00 $ 66.00 $ 114.00 • Activity Fee $ 8.00 $ 11.00 $ 19.00 Program Fee $ 1,300.00 $ 1,300.00 $ 2,600.00 Gen Ed Corequisites
Tuition and Fee $ 264.00 $ 264.00 $ 528.00
Semester Fee Totals $ 2268.00 $ 2,532.00 $ 4,800.00
2) Miscellaneous:
Books: • Nursing $ 1,250.00 $ 293.00 $ 1,543.00 • Corequisites $ 149.00 $ 119.00 $ 268.00
Uniform, Watch, Shoes $ 475.00 $ 475.00
Miscellaneous Totals $ 1,874.00 $ 412.00 $ 2,286.00
1st Year Totals $ 4142.00 $ 2,944.00 $ 7,086.00
2nd-Year Student
3rd Semester
4th Semester
Totals
1) Registration Fees:
Registration $ 727.00 $ 729.00 $ 1,458.00 • Technical Fee $ 54.00 $ 54.00 $ 108.00 • Activity Fee $ 9.00 $ 9.00 $ 18.00 Program Fee $ 1,300.00 $ 1,300.00 $ 2,600.00 Corequisites Fee
Semester Fee Totals $ 2,092.00 $ 2,092.00 $ 4,184.00
2) Miscellaneous:
Books: • Nursing $ 384.00 $ 247.00 $ 631.00 • Corequisites Miscellaneous Totals $ 384.00 $ 247.00 $ 631.00 2nd Year Totals $ 2,476.00 $ 2,339.00 $ 4,815.00 Revised 5/2015
ASSOCIATE DEGREE NURSING PROGRAM
Student Application Form
All qualified applicants are considered for admission, and students are treated without regard to race, color, religion, sex,
national origin, age, or marital status. Information related to these areas will be used for statistical analysis and not as criteria
for admission to the nursing program. All information will be kept confidential.
AREA OF INTEREST
Please Select from the Following Location(s) you wish to be considered for:
Kingman Campus
Lake Havasu City Campus
Bullhead City Campus
North Mohave Campus
(Only admits in Fall)
Please Specify the Semester and Year You wish to begin:
FALL
(or)
SPRING
APPLICANT INFORMATION
Date:
Social Security #:
/ /
MCC ID#:
Full Name:
Mailing Address:
City: State: Zip:
Home Phone:
( )
Cell Phone: ( )
Email Address:
ACADEMIC HISTORY
List all colleges, universities and institutions attended, including high school.
High School:
Location:
Degree:
Dates:
College:
Location:
Degree:
Dates:
College:
Location:
Degree:
Dates:
Other:
Location:
Degree:
Dates:
Nursing Program PREREQUISITES:
Please state if Completed or In Progress100 level Biology or Biology Competency
Location:
Completed:
In Progress:
Chemistry 130
Location:
Completed:
In Progress:
BIO 201: Anatomy & Physiology I
Location:
Completed:
In Progress:
BIO 202: Anatomy & Physiology II
Location:
Completed:
In Progress:
BIO 205: Microbiology
Location:
Completed:
In Progress:
ENG 101: English Composition I
Location:
Completed:
In Progress:
PSY 101: Introduction to Psychology
Location:
Completed:
In Progress:
MAT 121: Intermediate Algebra
Location:
Completed:
In Progress:
WORK HISTORY
Last (5) years, beginning with most recent:
Occupation/Job Title Employer City/State Start Date End Date
1 2 3 4 5
11
12
Gender, Birth Date, Marital Status, and Ethnicity/Race
Responses to Gender, Birth Date, Marital Status, and Ethnicity/Race are voluntary and will be kept confidential. Failure to
furnish this information will not adversely affect the status of this application; it is for statistical purposes only.
Gender: Male Female
Birth Date:
/
/
Age:
Month Day Year
Marital Status:
Single
Married
Divorced
Widowed
Maiden Name:
Other Name(s) Used:
Number of Children:
Ethnicity/Race
American Indian or Alaskan Native
Asian or Pacific Islander
Hispanic
Black/Non-Hispanic
White/Non-Hispanic
Other/Unknown
Answer the Following Questions
1. Have you ever been addicted to habit-forming Drugs?
YES
NO
If YES, please Explain
2. Do you have any physical or mental limitations?
YES
NO
If YES, please Explain
3. Have you ever been convicted of a felony?
YES
NO
If YES, please Explain
4. Have you ever been dismissed from or failed out of another Allied Health or Nursing
Program?
YES
NO
If YES, please Explain and State which program
Licensure is the sole responsibility of the Arizona State Board of Nursing. If you have been convicted of a felony, contact the Arizona State Board of Nursing to verify eligibility to be licensed prior to submitting this application.
Disclaimer and Signature
I understand that if accepted into the Nursing Program, I will be required to travel for clinical experiences, and that
I will be responsible for my own transportation and meals.
I understand that if accepted, I will be required to meet the health requirements of the Nursing Program.
I hereby certify that the facts set forth in this Student Application are true and complete to the best of my
knowledge. I understand that if accepted into the nursing program, any falsified statements on this application
shall be considered cause for suspension or dismissal.
Signature:
Date:
Mail COMPLETED Application To:
Mohave Community College, Department Of Nursing; 1977 Acoma Blvd. West; Lake Havasu City, AZ 86403
Revised 5/2015TEST OF ESSENTIAL ACADEMIC SKILLS (TEAS)
MOHAVE COMMUNITY COLLEGE
WHAT IS THE TEAS TEST?
The Test of Essential Academic Skills evaluates nursing program applicants in four (4) foundational areas which are essential to your academic success in the Nursing Program. The Nursing Program requires you to take the TEAS Test as an entrance examination. Basically, the test has four parts that ask you to answer multiple-choice questions covering the following:
Reading: paragraph comprehension, passage comprehension, and inferences/conclusions.
(48 items, 58 minutes)
Math: Whole numbers, metric conversion, fractions, decimals, algebraic equations, percentages, and
ratio/proportion. (34 items, 51 minutes)
Science: science reasoning, science knowledge, biology, chemistry, anatomy, physiology, basic physical
principles, and general science. (54 items, 66 minutes)
English and Language Usage: punctuation, grammar, sentence structure, contextual words and spelling.
(34 items, 34 minutes)
Total of 170 multiple choice questions.
WHO ADMINISTERS THE TEAS TEST?
The Testing Centers at Mohave Community College administer the TEAS Test. The test is purchased from the Assessment Technologies Institute (ATI). Your TEAS scores are stored by ATI and are available to you and to your school via the Internet. You can also have TEAS results sent to other nursing schools at minimum cost through ATI.
HOW MUCH DOES THE TEAS TEST COST?
The cost of taking either test is $45.00 for students and $55.00 for non-students.
HOW CAN I BEST PREPARE FOR TAKING THE TEAS TEST?
A review of basic concepts and theories in mathematics, reading, science, English and language usage is
recommended. ATI has two products, the TEAS Study Manual and a TEAS Online Practice Assessment, available to guide your review and provide feedback on your study progress. These products can be purchased online at the ATI website which is www.atitesting.com.
CAN I USE A CALCULATOR ON THE TEAS TEST?
Calculators are NOT allowed during the TEAS TEST.
WHAT DO I BRING TO THE TESTING CENTER?
Photo bearing identification such as a; passport, driver’s license, student identification card.
WHAT CANNOT BE BROUGHT TO THE TESTING CENTER?
Cell phones, textbooks, backpacks, calculators. Scratch paper and pencils will be provided.
14
CAN YOU ACCOMMODATE STUDENTS WITH DISABILITIES?
Students with documented disabilities requiring accommodations should contact the Disability Services Office at the local campus to make arrangements to take their test. Students requiring extra time will not be able to take the computer based test because the program is self-timing and cannot be adjusted. These students will be given a paper and pencil test instead. This test cannot be scored locally, but must be sent back to ATI for scoring, requiring at least a one (1) to two (2) week turnaround. Please take this into consideration when scheduling and allow sufficient time prior to nursing program application due dates.
HOW LONG WILL IT TAKE TO GET MY TEAS TEST SCORES?
If you have taken the computer administered TEAS Test, your scores are available immediately after the examination. If you have taken the pencil/paper version of the test, your examination will be scored within 24 hours of receipt by ATI. Note that the 24-hour window is NOT 24 hours from the time you tested, but within 24 hours of ATI’s receipt of testing materials from Mohave Community College.
HOW DO I KNOW IF I PASSED THE TEAS TEST?
The applicant’s adjusted individual total score must be at or above 70% to be considered for admission.
CAN I RETEST TO GET A HIGHER SCORE?
Tests may be retaken after a minimum of 30 days and up to 3 times a year period.
HOW TO REGISTER YOURSELF AS A TEST CANDIDATE FOR THE TEAS.
If you are not a current user on www.atitesting.com, you need to set up a new account. This will allow you access to the testing and to complete a purchase on ATI’s online store. Please follow the steps below to setup a new account: 1. Go to www.atitesting.com. Just under the Username and Password fill-in boxes, there is a small link that
states, “New to ATI? Create an account.” Click on that link to register yourself with ATI.
2. Next, a web form will appear. Fill in all of the blue fields. Blue fields are required information necessary to create a new account.
3. You will receive an email from ATI confirming your user login and password.
4. You will need to bring your user name and password with you when you go to the testing center to take the TEAS.
TO SCHEDULE THE TEAS TEST, CONTACT THE TESTING COORDINATOR
AT YOUR LOCAL CAMPUS PROVIDED BELOW:
Priscilla Sarabia: psarabia@mohave.edu, Bullhead City Campus, 928-758-3926 Cheri Stromle: cstromle@mohave.edu, Neal Campus Kingman Campus, 928-757-4331 Kevin Smith: ksmith@mohave.edu, Lake Havasu City Campus, 928-302-5321
Kim Naylor: knaylor@mohave.edu , North Mohave Campus, 928-875-9124 MCC Toll Free: 866-664-2832
15
ASSOCIATE DEGREE NURSING PROGRAM
PROFESSIONAL REFERENCE FORM
To Be Completed by Applicant
(please print)
Complete the following section and give this form as soon as possible to someone who has observed you in a professional setting for a reasonable period of time. This should be an employer or community leader for whom you have worked or volunteered, or an instructor who has had the opportunity to view your accomplishments in a classroom setting.
Name:
Date:
Address:
(Street or P.O. Box)
(City) (State) (Zip)
The Family Educational Rights and Privacy Act of 1974 permits a matriculated student to have access to his/her file unless a waiver of that right has been signed. If you wish to waive your right to access your file, sign your name in the space provided. The waiver is NOT required as a condition of admission.
I hereby waive my right of access to this letter of recommendation.
Applicant’s Signature:
Date:
To be Completed by Evaluator
This student is applying for admission to Mohave Community College RN Nursing Program. Evaluations are invaluable to the decision making process. Please include any information that you feel is pertinent, and remember that the sooner you return this form to MCC, the sooner we can give this student our admission decision. Thank you.
Please rate the applicant in each of the following areas: Excellent Good Average Poor Do Not Know Ability to work with others
Conceptual ability Dependability Leadership ability Integrity / Honesty Initiative / Motivation Maturity Empathy / Caring Judgment
Overall Potential for Nursing Program
*Any additional comments you feel might be of value to the Nursing Department, please state them on the back.
Name:
Agency Represented:
Title:
Address:
(Street or P.O. Box)
(City) (State) (Zip)
Signature:
Date:
PLEASE RETURN TO
Department Of Nursing
Mohave Community College
1977 Acoma Blvd. West
Lake Havasu City, AZ 86403
16
ASSOCIATE DEGREE NURSING PROGRAM
PROFESSIONAL REFERENCE FORM
To Be Completed by Applicant
(please print)
Complete the following section and give this form as soon as possible to someone who has observed you in a professional setting for a reasonable period of time. This should be an employer or community leader for whom you have worked or volunteered, or an instructor who has had the opportunity to view your accomplishments in a classroom setting.
Name:
Date:
Address:
(Street or P.O. Box)
(City) (State) (Zip)
The Family Educational Rights and Privacy Act of 1974 permits a matriculated student to have access to his/her file unless a waiver of that right has been signed. If you wish to waive your right to access your file, sign your name in the space provided. The waiver is NOT required as a condition of admission.
I hereby waive my right of access to this letter of recommendation.
Applicant’s Signature:
Date:
To be Completed by Evaluator
This student is applying for admission to Mohave Community College RN Nursing Program. Evaluations are invaluable to the decision making process. Please include any information that you feel is pertinent, and remember that the sooner you return this form to MCC, the sooner we can give this student our admission decision. Thank you.
Please rate the applicant in each of the following areas: Excellent Good Average Poor Do Not Know Ability to work with others
Conceptual ability Dependability Leadership ability Integrity / Honesty Initiative / Motivation Maturity Empathy / Caring Judgment
Overall Potential for Nursing Program
*Any additional comments you feel might be of value to the Nursing Department, please state them on the back.
Name:
Agency Represented:
Title:
Address:
(Street or P.O. Box)
(City) (State) (Zip)
Signature:
Date:
PLEASE RETURN TO
Department Of Nursing
Mohave Community College
1977 Acoma Blvd. West
Lake Havasu City, AZ 86403
17
ASSOCIATE DEGREE NURSING PROGRAM
PROFESSIONAL REFERENCE FORM
To Be Completed by Applicant
(please print)
Complete the following section and give this form as soon as possible to someone who has observed you in a professional setting for a reasonable period of time. This should be an employer or community leader for whom you have worked or volunteered, or an instructor who has had the opportunity to view your accomplishments in a classroom setting.
Name:
Date:
Address:
(Street or P.O. Box)
(City) (State) (Zip)
The Family Educational Rights and Privacy Act of 1974 permits a matriculated student to have access to his/her file unless a waiver of that right has been signed. If you wish to waive your right to access your file, sign your name in the space provided. The waiver is NOT required as a condition of admission.
I hereby waive my right of access to this letter of recommendation.
Applicant’s Signature:
Date:
To be Completed by Evaluator
This student is applying for admission to Mohave Community College RN Nursing Program. Evaluations are invaluable to the decision making process. Please include any information that you feel is pertinent, and remember that the sooner you return this form to MCC, the sooner we can give this student our admission decision. Thank you.
Please rate the applicant in each of the following areas: Excellent Good Average Poor Do Not Know Ability to work with others
Conceptual ability Dependability Leadership ability Integrity / Honesty Initiative / Motivation Maturity Empathy / Caring Judgment
Overall Potential for Nursing Program
*Any additional comments you feel might be of value to the Nursing Department, please state them on the back.
Name:
Agency Represented:
Title:
Address:
(Street or P.O. Box)
(City) (State) (Zip)
Signature:
Date:
PLEASE RETURN TO
Department Of Nursing
Mohave Community College
1977 Acoma Blvd. West
Lake Havasu City, AZ 86403
18
TRANSCRIPT REQUEST
(DO NOT SEND FOR MCC OFFICIAL TRANSCRIPTS)
Institution Name
Mailing Address
City
State
Zip
Please send one (1) OFFICIAL COPY of my transcript to:
Department Of Nursing
Mohave Community College
1977 Acoma Blvd. West
Lake Havasu City, AZ 86403
____I do not know the Transcript fee, please bill me.
____I am enclosing the transcript fee of $_____ for
(number)_____ transcripts.
PLEASE PRINT
Student Name
Social Security Number
Mailing Address
City
State
Zip
Maiden or Previous Name(s)
Address While attending your institution
If there is a charge against my account, I hereby agree to clear all indebtedness before this record will be released.
“STUDENT is responsible for mailing this form”
Student Signature19
Essential Skills & Functional Abilities for Nursing
Mohave Community College
Individuals who apply for admission to the Mohave Community College Nursing Program must be able to perform
essential skills. Any applicant who has met the necessary prerequisites and who can perform the essential
functions will be considered for admission. If a student believes that he or she cannot meet one or more of the
standards without accommodations, the nursing program must determine, on an individual basis, whether a
reasonable accommodation can be made.
Functional Ability
Standard
EXAMPLES of required activities
Motor Abilities Skills
Gross Motor Skills
Physical abilities and mobility sufficient to execute gross motor skills, physical endurance, and strength, to provide patient care.
Mobility sufficient to carry out patient care procedures such as assisting with ambulation of clients, administering CPR, assisting with turning and lifting patients, providing care in confined spaces such as treatment room or operating suite etc.
Manual Dexterity
Fine Motor Skills
Demonstrate fine motor skills sufficient for providing safe nursing care.
Motor skills sufficient to handle small equipment such as insulin syringe and administer medications by all routes, perform tracheotomy suctioning, insert urinary catheter, etc.
Perceptual
Sensory Ability
Visual
Tactile
Smell
Sensory / perceptual / Auditory ability to monitor and assess clients
Normal or corrected visual ability sufficient for accurate observation and performance of nursing care.
Tactile ability sufficient for physical monitoring and assessment of health care needs.
Olfactory ability sufficient to detect significant environmental and client orders.
Sensory abilities sufficient to hear alarms, auscultatory sounds, cries for help, hears normal speaking levels sounds, etc.
Visual acuity to read calibrations on 1cc syringe, assess color, see objects up to 20 ft. away (cyanosis, pallor, etc.)
Tactile ability to feel pulses, temperature, palpate veins, etc.
Olfactory ability to detect smoke or noxious odor, foul smelling drainage, alcohol, etc.
Behavioral
Interpersonal
Emotional
Emotional/Behavioral
Ability to relate to colleagues, staff and patients with honesty, integrity, and nondiscrimination. Capacity for development of mature, sensitive and effective therapeutic relationships.
Establish rapport with clients, instructors and members of health care team.
Work with teams and workgroups.
20
Professional Attitudes
and Interpersonal
Skills
Interpersonal abilities sufficient for interaction with individuals, supervisors, members of health care team, families and groups from various social, emotional, cultural and intellectual backgrounds, achieve a positive and safe work environment. Ability to work constructively in stressful and changing environments with the ability to modify behavior in response to constructive criticism. Follow instructions and safety protocols.
Capacity to demonstrate ethical behavior, including adherence to the professional nursing and student honor codes.
Honesty and integrity beyond reproach.
Establish and maintain therapeutic boundaries. Emotional skills sufficient to
remain calm in an emergency situation and maintain behavioral decorum in stressful situations.
Behavioral skills sufficient to demonstrate the exercise of good judgment and prompt completion of all
responsibilities attendant to the diagnosis and care of clients.
Adapt rapidly to environmental/stress changes and multiple task demands.
Exhibit ethical behaviors and exercise good judgment.
Communication
Ability to communicate in English with accuracy,clarity and efficiency with patients, their families and other members of the healthcare team (including spoken and nonverbal communication, such as interpretation of facial expressions, affect and body language.)
Required communication abilities, including speech, hearing, reading, writing, language skills and computer literacy.
Gives verbal directions to or follows verbal directions from other members of the healthcare team and participates in healthcare team discussions of client care.
Elicits and records information about health history, current health state and responses to treatment from clients or family members.
Conveys information to clients and others as necessary to teach, direct and counsel individuals in an accurate, effective and timely manner.
Establishes and maintain effective working relations with clients and co-workers. Recognizes and reports
critical client information to other caregivers.
Cognitive
Conceptual
Quantitative Abilities
Ability to read and understand written documents in English and solve problems involving
Calculates appropriate medication dosage given specific client parameters.
21
measurement, calculation, reasoning, analysis andsynthesis.
Ability to gather data, to develop a plan of actions, establish priorities and monitor and evaluate treatment plans and modalities.
Ability to comprehend three-dimensional and spatial relationships.
Ability to react effectively in an emergency situation.
Analyzes and synthesize data and development of an appropriate plan of care. Collects data, prioritize needs
and anticipate reactions. Comprehend spatial
relationships adequate to properly administer injections, start intravenous lines or assess wounds of varying depths.
Recognizes an emergency situation and responds effectively to safeguard the client and other caregivers. Transfers knowledge from
one situation to another. Accurately processes
information on electronic medical records (EMR), medication container, physicians’ orders, and monitor equipment calibrations, printed documents, flow sheets, graphic sheets, medication administration records, other medical records and policy and procedure manuals.
Safe environment for
patients, families, and
co-workers
Ability to accurately identify patients. Ability to effectively communicate with other caregivers.
Ability to administer medications safely and accurately.
Ability to operate equipment safely in the clinical area.
Ability to recognize and minimize hazards that could increase healthcare associated infections. Ability to recognize and minimize accident hazards in the clinical setting including hazards that contribute to patient, family, and co-worker falls.
Prioritizes tasks to ensure client safety and standard of care.
Maintains adequate concentration and attention in inpatient care settings. Seeks assistance when
clinical situation requires a higher level or
expertise/experience. Responds to monitor alarms,
emergency signals, call bells from clients, and orders in a rapid and effective manner.
22
Computer and
Internet Use
Ability to use a computer, including common software applications.
Ability to access the community college’s intranet programs.
Ability to access and use the Internet.
Proficient in using word processing software to prepare assignments. Use computer to access
Mohave Community College’s student email system, College Learning Management System (Schoology) and other software programs as assigned by instructor. Use computer to access
websites on the
Internet/World Wide Web to obtain references, take tests, access learning materials and other assigned uses.