Student Policy Edited 10-14-24
Student Policy Edited 10-14-24
INTRODUCTION
(Revised 2024)
1
Lyceum-Northwestern University The Bachelor of Science in Nursing
(BSN) program aims to develop a
VISION 2020: professional nurse who is able to
Internationally recognized private assume entry level positions in health
university as model of excellence in facilities or community stings. The
Region I. professional nurse is capable of
providing safe, humane, quality and
MISSION: holistic care to individuals in varying
Produce qualified competent age, gender and health illness status;
professionals and researchers prepared healthy or at risk families; population
for high personal achievement and groups and community; singly or in
contribution t societal development in collaboration with other health care
Region 1. providers to promote health, prevent
illness, restore health, alleviate
VALUES: suffering and provide end of life care.
Excellence
Professionalism
Integrity B. Specific Roles & Careers for
Creativity Graduates: (Modify based on CMO 15)
The National Nursing Core Competencies
Spirituality
Standards of 2012 includes there (3)
OBJECTIVES: major roles of the professional nurse.
1. EXCELLENCE IN TEACHING As a nurse generalist, they can assume
Undergraduate and graduate education the following roles on:
that meet high academic standards
and enable students to realize their 1. Client Care: Utilize nursing process
full potentials;strong faculty in the care of Mothers, newborns,
leadership in teaching, research and children, adolescents, adults and older
public engagement; quality persons; Family, community, population
innovative education that integrates groups and persons with special needs.
research and public engagement with
teaching. 2. Leadership & Management: Serve as
Managers and Leaders of Nursing service
2. EXCELLENCE IN RESEARCH units and health services and programs
Active research community that
stimulates new ideas and discoveries 3. Research: Engage in nursing and
that lead to innovations and new health related research; Evaluate
technologies and strengthen research studies; apply research
university knowledge, skills and process in improving client care.
expertise.
C. BSN Level Outcomes
3. EXCELLENCE IN PUBLIC ENGAGEMENT These are the outcomes expected to be
Optimized institutional and achieved at the end of the specific
individual contribution of year level. The level outcomes are as
knowledge, skills and expertise follows:
toward contributing to the economic,
social, cultural and environment First Year: At the end of the first
development of communities. year, given simulated situations in
selected settings, the learners
4. EXCELLENCE IN GOVERNANCE AND demonstrate basic nursing skills in
STEWARDSHIP rendering safe and appropriate care
Enhanced systems, structures and utilizing the nursing process.
processes that promote and support
the core mission of the university. Second Year: At the end of the 2nd year,
given a normal and high risk mother &
The BSN Curriculum newborn, child, family, communities and
population groups in any health care
The Bachelor of Science in Nursing setting, the learners demonstrate safe,
(BSN) Curriculum Program of CMO No. 15 appropriate and holistic care utilizing
Series of 2017 is based in accordance the nursing process.
with the provisions of Republic Act
(R.A.) No. 7722 otherwise know n as the Third Year: At the end of the 3rd year,
Higher Education Act of 1994 in given individuals, families, population
pursuance of an outcome-based quality groups and communities with psychologic
assurance system as advocated under CMO and psychosocial health problems and
46 s. 2012 entitled “Policy Standards maladaptive patterns of behavior in
to Enhance Quality Assurance (QA) in varied health care settings, the
Philippine Higher Education Through an learners demonstrate safe, appropriate
Outcomes-Based and Typology-Based QA & and holistic care utilizing the nursing
by virtue of Commission en Banc process
Resolution No. 231-2017 dated March 28,
2017. Fourth Year: At the end of the 4th year,
given groups of clients (individuals,
families, population groups and
communities) with health problems and
special needs, the learners demonstrate
A. Program Goals: safe, appropriate holistic care
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utilizing the nursing process and can a. As a general rule, students are
assume first level entry positions in promoted to the third year of the
any field of nursing. nursing program only after having
taken and passed all the courses
ADMISSION, PROMOTION and RETENTION of lower years.
POLICIES AND STANDARDS b. At the end of first semester and
2nd semester of the fourth year,
comprehensive examinations will
The L-NU adopts an open admission
be given in Competency Appraisal
policy for its enrollment but in order
1 and Competency Appraisal 2
to sustain academic excellence, the
covering all their knowledge and
nursing program implements a selective
skills in nursing subjects.(see
retention policy.
guidelines for CA 1 & CA 2)
These shall be treated as a major
1. Admission to First Year:
examination and student must
Student seeking admission to first year
attain a grade of 75% (equivalent
nursing course must submit the
of 60% from the total raw score)
following requirements.
c. Students may not be allowed to
join the Commencement Exercises
a. For High School Graduates
if graduation requirements are
not met (please see graduation
High School Card (Form 138)
requirements)
Two (2) 2” x 2” pictures d. For transferees, they must have
One (1) long folder at least 1 year or 2 regular
One (1) paper fastener semesters of residency.
Five (5) long ordinary envelopes
Five (5) ordinary stamps Mandatory Enrollment Requirement
One (1) photocopy of NSO birth 1. Physical Examinations and
certificate Vaccinations
One (1) certificate of good moral Students must have a physical
character examination prior to attending their
first clinical course in the sophomore
b. For Transferees: year. This examination must be
performed by a health professional and
Transfer credentials must include documentation of current
Certificate of previous grades or immunizations. Routine laboratory
class cards examination includes:
Two (2) 2” x 2” pictures 1. Urinalysis (U/A)
2. Fecalysis (F/A)
One (1) long folder
3. complete blood count (CBC)
One (1) paper fastener
4. Blood typing
Five (5) long ordinary envelopes
5. fasting blood sugar/random blood
Five (5) ordinary stamps sugar ( FBS/RBS)
One (1) photocopy of NSO birth 6. Pregnancy test
certificate 7. chest x-ray
One (1) certificate of good moral 8. HBs Ag
character
Vaccination includes:
For Foreign Students: 1. Hepatitis B
Pls. consult the office of the Student 2. Flu Vaccine
Affairs/ Foreign Student Unit Office In addition, other immunizations
for the list of requirements or screenings may be added as
required by our affiliating
2. Promotional and admission to the agencies.
Second Year (Level II)
Prior to Manila affiliation,
a. Candidates for promotion or female students are required to
admission to the Second Year of the undergo pregnancy test
Nursing Course (Level II)
Transferees are required to
1). Must obtain a passing grade
submit medical certificate upon
of 75% in all professional and
enrolment. If they are not able
professional related courses regularly
to do so, they will be subjected
scheduled for the first year.
to medical exam in the university
2). Must remain physically and
infirmary
mentally fit. Students are required to
2. Students are supposed to be
undergo a physical examination before
physically and mentally fit to meet the
their exposure in the hospital/
nursing demands requiring stamina,
community. The said physical
resilience and sharp cognitive
examination is to be conducted in the
abilities to handle the demands of
school infirmary.
patient care effectively. Students who
b. Students must pass all the courses
are diagnosed with certain conditions
of the nursing curriculum up to the
that might compromise their ability to
semester immediately preceding the
work physically/mentally affecting
capping ceremony in order to
their tasks that require strength and
participate in such ceremonial activity
endurance and mental fitness that
affects critical thinking, decision
3. Standards for the third and fourth
making and managing high pressure
years (Level III and Level IV)
situations crucial to well-being of
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both patients and co-students/workers,
the college has the prerogative to Students will receive complete
refuse admission or during the course syllabi/course outline for all courses
of the program, recommend leave of on or before the first class session.
absence to address the issues before The syllabi will clearly outline the
returning to the program. This is to expectations of the student.
ensure that students are capable of
providing safe and effective care to
patients upon graduation.
Quizzes/examinations
Computation of Grades (For Professional 1. A student who missed to take the
Courses Only) quiz due to tardiness or unexcused
The BSN curriculum is a outcome-based absence is given an equivalent grade of
and community-oriented curriculum. The 0; (and a grade of 38 is given for
teaching-learning process is composed excused absence PROVIDED a letter of
of the theoretical/didactic and explanation & supporting paper is
experiential/RLE. The Related Learning presented immediately on or before the
Experiences (RLEs) is composed of following class meeting). NO SPECIAL
Clinicals and Skills Laboratory. QUIZ is given to compensate missed
quiz.
A. THEORETICAL COMPONENT 2. Student who fails to take the unit
1. Professional courses test (excused absence) as scheduled,
Class Standing 60% should take the special unit test in
Quizzes 50% the Nursing Office at specified
Unit Test 20% date/time designated by his/her
Requirements 20% instructor .
Attitude 10% 3. On examination day, students should
Periodic Exam 40% report in complete classroom uniform
100% with all of the following:
2. Practicum/Skills Lab. Lyceum-Northwestern University’s
Class Standing 60% ID
Quizzes 30% Enrollment load (prelims only)
Return Demo 50% Examination permit
Recitation 10% 4. All students’ belongings should be
Attitude 10% placed infront of the classroom.
Periodic Exam 40% Pockets should be empty of all contents
100% and should only have the above
mentioned requirements.
Competency Appraisal courses have a 5. Student who fails to take the
separate grading policy. examination as scheduled should take
the special examination, in the Nursing
B. RELATED LEARNING EXPERIENCE office at specified date/time
1. Every after exposure in a clinical designated by the faculty involved but
area/community area the student is he/ she shall forfeit the chance to
given a grade based on the ff. take the remedial examination.
computation: 6. No visitors are allowed to loiter
around the corridor where the
Clinical Experience 50% examination is being conducted.
Attendance 10% 7. No student shall be allowed to take
Requirements 20% the next periodic examination if he
(Drug study, NCP, x 70% failed to take the examination
Journals, Paraphernalias, preceding it.
Case Study, etc.) 8. A student who fails to take 3
Quizzes(pre-post conf) 10% periodic examinations can be considered
Attitude 10% DROPPED.
9.For students who failed during their
Clinical Eval. Exam 100% x 30% periodic exam, the faculty has the
100% option to give remedial examination ,
but not mandatory. Student has the
2. All evaluation examination should be option to take or not the remedial
administered every end of clinical examination. If student opted to take
rotation in the Nursing Department. the remedial, Scores from the remedial
exam will replace the periodic exam
Grading Guidelines score. Highest grade for recording
Specific grading guidelines for each under remedial exam is 75% only.
course will be included in the syllabus 9. On incomplete grades- refer to the
and will be reviewed with students on L-NU Student Handbook.
the first day of class. However, for
all nursing courses, students must Guidelines for Appeal of Grades
attain a grade of 75% or higher In the event that the student has a
cumulatively in order to advance to the concern about any learning activity or
next nursing course. Students MUST PASS grade within any nursing course, the
both RLE and lecture component in order guidelines below must be followed:
to pass the course. Student who failed 1. The student meets with the nursing
in the lecture component but passed the faculty member about whom the student
RLE component or vice versa needs to has a concern within 3-5 days of
repeat the whole course. receiving the grade.
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2. If the concern is not resolved, the appearance, the following guidelines
student meets with the coordinator of have been developed. Students are also
the particular nursing course within 3- required to meet the policies and
5 days of meeting with his/her procedures of the clinical sites and
instructor. adhere to whatever code is stricter. It
3. If the concern is not resolved, the is critical that the program groom
student meets with a board composed of students as total professionals in
at least 3 members which includes the order to achieve future success.
Dean and coordinators. The faculty Uniforms must be of washable,
about whom the complaint is lodged is permanent-press fabric and always clean
excluded from this meeting. This and in good repair. They may be
meeting should occur within 21 days of purchased at the University’s
the grade posting. The student will bookstore.
come prepared to discuss the relevant
concern and present appropriate Prescribed Uniform
documentation. The board may question 1. Classroom Uniform
the student to clarify any point during Male
and/or after the presentation. The a. White polo official with L-NU logo
student will not be present when a b. black, tailored-cut pants
consensus is reached regarding the c. black socks black leather shoes;
final recommendation, but will be rubber shoes and slippers are not
informed of the decision as soon as the allowed.
meeting ended. Female
a. White dress, LNU cut with L-NU logo
Graduation Requirements b. black closed shoes (sandals, step-
The following requirements must be met in, sling back, slippers, flipflops are
in order to graduate from the Nursing not allowed)
Program:
1. Completion of all course 2. Duty Uniform
requirements. Nursing courses as well 2.1 Hospital
as all General Education Courses must a. Ward
be completed with a grade of 75% or Male
better; white polo and pants(official
LNU-CON cut and logo/ patch)
2. Completion of all cases and clinical white socks and clean white duty
rotation plan required by the program. shoes
This includes the following: white sando and white
A. At least five (5) actual and five underwear(no colored T-shirt
(5) assisted normal deliveries allowed)
properly supervised in any of pin to be placed on the left side
these settings: of the collar
Lying-in/ Birthing Center nameplate and ID
Hospitals (any category) Female
B. At least five (5) newborns given prescribed white dress
immediate care in settings where
white apron over the white dress
actual deliveries are performed (must be an inch longer than the
C. At least five (5) varied, major inner dress)
surgical cases in hospital
setting only as a scrub nurse clean white duty shoes, white
stockings
D. At least five (5) varied, major
surgical cases in hospital white sando or chemise, white
setting only as a circulating underwear
nurse use of clean, starched, wrinkle
E. At least five (5) varied, minor free official LNU-CN cap
surgical cases nameplate and ID
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2.2 Community Health Nursing (CHN) Short (nails should not be
uniform visible when looking at palm of
Male hand), clean, well-rounded. No
gray polo(official LNU-CON cut nail polish or artificial nails
and logo/ patch) are allowed.
gray, tailored cut pants
black shoes Academic Advising and Counseling
Nameplate/ID
Each class has an assigned faculty
Female advisor for every semester. Students
gray, (official LNU-CON cut and for each class will work with your
logo/ patch) advisor to plan your course of study
and seek their help with any academic
black closed shoes
questions or problems. Advisors assist
Nameplate/ID
in planning schedules that students
select at registration. They have
C. Required Paraphernalias (modify)
information about schedules, electives,
a. Hospital
and course requirements.
1. BP Apparatus
2. Digital Thermometer
Faculty advisors are prepared to inform
3. Pulse Oximeter
students about extracurricular
4. Stethoscope
activities available at the College of
5. Bandage scissor
Nursing and the university. They also
6. Tape measure
can provide support and guidance
7. Tricolor Pen
throughout the college years and
8. Small notebook
beyond.
9. Hand sanitizer
The staff in the Office of the Dean of
10. Micropore Tape
Students also is available to offer
11. Tourniquet
help with personal, academic, or other
12. Sanitary items (gauze, mask,
problems. You are encouraged to seek
gloves, cotton balls)
help as soon as you recognize the need.
13. Watch with second hand
14. Ruler
Attendance
15. Tongue depressor
16. Calculator
1. Students are expected to be present
17. Drug handbook
for every class in which they are
18. Pen light
enrolled. All matters relative to
attendance, including the make-up of
b. Community
missed work, are to be arranged by the
Aside from the hospital
student after consulting with the
paraphernalia, each student must
instructor.
bring a CHN bag with the complete
2. Only the instructor can excuse a
contents and umbrella.
student from classes or course
responsibilities.
D. Jewelry/Adornments
3. In the event of an illness,
Wristwatch with second hand accident, or emergency, the student
or digital watch marking should make direct contact with the
seconds is required. instructor before a class or
Earrings are not allowed examination takes place.
No other jewelry may be worn. 4. If the instructor cannot be reached
No other piercing may be worn in person or by telephone, the student
(e.g. no nose, tongue, or should leave a message through the
eyebrow rings). appropriate coordinator.
Tattoos must be covered and
not visible through clothing. At the beginning of the semester the
E. Hair instructor will indicate the policy for
Female handling class absences and the effect
Hair should not touch the collar. of absences on course grades. In the
Bangs should not be lower than case of the need for an extended
the eyebrow. Long hair should be absence, the student should also
braided and/or secured neatly contact the Office of the Dean.
into a bun Specific policy for attendance include:
Use of hair ribbons or colored
clips/pin other than black is not Absences classified as excused are as
allowed follows:
No hair dyes Due to illness (It must be
Male supported with a medical
short hair, either high-cut, semi certificate duly signed by the
high-cut, flat top and semi low- attending physician, preferably
cut; not touching the collar with dry seal)
Beard/moustache is not allowed Due to death of an immediate
No hair dyes member of the family (It must be
F. Cosmetics supported by death certificate).
Natural-looking, no strong Immediate member of the family
fragrances (lotions, colognes, includes:
perfumes, etc.) mother/father
G. Nails:
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brother/sister b. Wearing of unprescribed pair of
daughter/son shoes, stockings/socks
husband/wife 1st offense – demerit of 3 points from
Due to force majeure the attitude rating, offender shall be
a. natural calamity(flood, fire, sent home and 1 day make-up duty
earthquake, others) Succeeding offenses – demerit of 4
The student must submit any of points from attitude rating, offender
the ff: shall be sent home & 3 days make-up
-letter from the parent duty
-certification from the
Barangay Captain of c. Wearing of jewelry, make-up for
their locality males
-proof of residency Demerit of 3 points from attitude
b. accident rating & 1 day make-up duty
The student must submit a
police report regarding d. No ID, nameplate, cap.
name/date/time/place of Demerit of 3 points from attitude
accident rating for every offense and 1 day mak-
c. child birth – up duty
The student must pass a
Medical Certificate duly e. Going to the hospital and/or going
signed by the attending home with apron
physician (Expected Date Demerit of 3 points from attitude
of Delivery (EDD) & Age of rating and 1 day make-up duty
Gestation (AOG) should
also be stated) f. Reporting for duty with unpressed
uniform
Any reason for absences not Demerit of 3 points from attitude
stated above is considered as rating & offender shall be sent home
unexcused and make-up duty for the missed duty
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1. A student is required to report to 7. Student who incurs 3 UNEXCUSED
his classroom on or before his/her ABSENCES whether consecutive or
scheduled class. not in the clinical area, are
2. A student is expected to attend already considered DROPPED & must
every class. If a student needs to miss repeat the whole month exposure
a class, it is his/ her responsibility in the clinical area where they
to notify his/ her instructor prior to were dropped.
the start of the class by leaving a 8. A student who incurs an
phone message on the instructor’s cell incomplete grade in RLE is
phone or officephone. considered incomplete in that
3. You are expected to stay for the particular professional subject
duration of the class out of respect and will be given 3 months to
for your peers and your instructors. complete; failure to do so, means
However, if circumstances arise that he has to re-enroll the said
require you to leave, you should be professional subject.
courteous and inform the instructor of
your intent to leave early. PROCEDURE ON SECURING A RE-ADMISSION
4. Excessive absenteeism or multiple SLIP:
incidents of leaving class early may
necessitate disciplinary measures or 1. Make a letter of explanation
per policy, maybe dropped from the (L.E.) addressed to the Dean
roll. 2. Attach supporting papers e.g.
medical certificate ,death
B. Attendance in the Clinical Area certificate. The L.E. must first
be noted by the clinical
1. A student who fails to report instructor to check the accuracy.
without a valid reason as stated 3. The Clinical instructor must put
above for duty during the his/her remarks on the letter of
orientation day or the first day explanation, confirming date(s)
of duty is considered DROPPED for of absence(s); and stating
the whole month in the clinical time(s) and length of tardiness.
duty. 4. The Dean then evaluates the
2. Tardiness is treated as follows: nature of the absence (excused or
15 minutes late (3x) consecutive unexcused) and gives the
or non-consecutive is equivalent corresponding number of make-up
to 1 unexcused absence duty days.
16-30 minutes late (once) = 1 day 5. After accomplishing the re-
make-up duty admission form, the student
31-60 minutes late (once) = 2 proceeds to the Accounting Office
days make-up duty to pay the make-up duty fee
More than 1 hr. considered an (which is computed by the hour).
unexcused absence 6. Schedule for make-up duty must
3. Make-up duty should be done in not be in conflict with the
the area where absence is student’s other classroom or
incurred. clinical activities.
4. Absences incurred are subjected 7. The student should, as much as
to make-up duty such as: possible, have his/her make-up
unexcused – 1 absence : 6 duty under the same C.I. where
make-up duty days he/she incurred the absence(s).
excused – 1 absence : 3 8. Completion of grades in the
make-up duty days clinical area should be
5. A student who absents facilitated by the Clinical
himself/herself must present a Coordinator
letter of explanation together
with the supporting paper (if POLICY ON PREGNANT STUDENTS:
any), to his/her clinical Those whose E.D.C.(expected date
instructor on the NEXT DAY or of confinement) fall within the
before he/she is allowed to semester are not allowed to
resume his/her duty. enroll.
The Instructor makes Those whose E.D.C. fall outside
notation on the letter the semester, should submit
after which should be waiver indicating that the
submitted to the Dean’s instructor, Dean of the College
office by the student of Nursing, the Administration,
subject to evaluation by will not be responsible for any
the Dean for any possible untoward incidences that may
make-up duty. happen to them.
Letter of explanation
submitted after a week ERRORS AND UNTOWARD INCIDENCES IN THE
from the date of absence CLASSROOM AND CLINICAL AREA
even with supporting Students are required to make
papers is considered incident reports noted by the
unexcused. respective Clinical Instructor to
6. A student must present the Re- be submitted to the Dean for
admission slip together with the proper evaluation if such
make-up duty receipt of payment incidences occur.
when reporting for make-up duty. Corrective measures/penalty will
8
Be implemented according to 11. Forgery (CI’s signature, Dean’s
offenses made. signature, patient’s signature etc.)
while on duty or off duty
Conduct and Proper Decorum Demerit 20 points from overall grade
The following offenses in relation to 12. Using social media to post events
behavioral conduct shall be subjected of duty, to cyberbully fellow students,
to Corrective/Disciplinary Measures: superiors and the institution.
Demerit 20 points from overall grade
1. Leaving area of assignment without and to be reported to the Office of
prior notice or endorsement Student Affairs for disciplinary
a. Leaving a non-critical, ambulatory action.
patient
Demerit of 5 points from the rotation
grade, submission of incident report & Moral Conduct
1 day make-up duty The following offenses in relation to
b. Leaving a critical patient moral conduct shall be subjected to
Demerit of 10 points from the rotation Corrective/Disciplinary Measures:
grade, incident report & 3 days make-up
duty 1. Embracing, kissing or holding hands
c. Leaving hospital premise while on and the like with the opposite/same sex
duty/out of post while in uniform
Demerit of 15 points from the rotation Demerit of 5 points from attitude
grade and incident report & 2 days rating and 1 day Make-up duty for every
make-up duty offense
d. Abandonment of the patient, leaving 2. Entertaining a boyfriend/girlfriend
the clinical area and failure to return &/or visitor during duty hours whether
Demerit of 15 points from rotation in the hospital or community; allowing
grade , incident report and to bring a boyfriend/girlfriend/visitor to stay
parents to school around the clinical area or community
e. Absconded patient Demerit 5 points from attitude rating
Demerit of 10 points from the rotation and 4 hours make-up duty for every
grade, incident report & make-up duty offense
of 3 days
2. Insubordination Drug Administration
Demerit 10 points from the attitude The following offenses in relation to
rating grade, Make-up duty of 3 days drug administration require submission
and referral to Student Affairs Office of incident report & shall be subjected
for every offense to Corrective/Disciplinary Measures:
3. Refusal to accept patient or ward
assignment without sufficient reason A.
Demerit of 10 points from the attitude 1. Violation of one of the R’s of drug
rating & 2 days make-up duty for every administration:
offense a. Non-lethal drug given with CI or
4. Sleeping while on duty staff nurse having checked medication &
Demerit of 10 points from attitude precautionary measures done
rating and 1 day make-up for every Demerit 5 points from rotation grade
offense and 1 day make-up duty for Level 3
5. Making unnecessary noise while on students
duty, during nurse’s round & Demerit 5 points from the rotation
endorsements grade & 2 days make-up duty FOR Level 4
Demerit of 5 points from attitude students
rating for every offense b. Non-lethal drug given without
6. Using indecent language to having a CI or staff nurse checked
communicate with superiors, fellow medication & without exercising
students & patients precautionary measures
Demerit of 5 points from attitude Demerit of 10 points from rotation
rating & 1 day make-up duty for every grade & 2 days make-up duty for Level 3
offense Students
7. Showing acts of disrespect towards Demerit of 10 points from rotation
superior, fellow students, patients and grade & 4 days make-up duty for Level 4
the institution Students
Demerit of 5 points from attitude c. Lethal drug given with CI or staff
rating & 1 day make-up duty for every nurse having checked medication &
offense precautionary measures
8. Smoking while on duty or while in Demerit 5 points from the rotation
uniform grade & 3 days make-up duty for Level 3
Demerit of 5 points from attitude students
rating for every offense Demerit 5 points from the rotation
9. Positive alcohol breath (to be grade & 4 days make-up duty for Level 4
confirmed by CI) students
Demerit of 10 points from attitude d. Lethal drug given without having a
rating; offender shall be sent home; CI or staff nurse checked medication &
considered unexcused absence without exercising precautionary
10. Invasion of privacy measures
Demerit of 5 points from attitude Demerit of 25% from rotation grade & 4
rating & a personal apology for every days make-up duty for Level 3 Students
offense
9
Demerit of 25% from rotation grade & 6 Demerit of 5 points from the
days make-up duty for Level 4 Students performance grade & 4 days make-up duty
2. Violation of 2 or more of the R’s of (plus replacement of IV set if it needs
drug administration: reinsertion)
a. Non-lethal drug given with CI or 4. Hooking wrong IVF/BT
staff nurse having checked medication & a. Wrong BT
precautionary measures done Demerit of 50% from rotation grade & 6
Demerit 5 points from rotation grade days make-up duty
and 2 days make-up duty for Level 3 b. Wrong IVF
students Demerit of 10 points from nursing
Demerit 5 points from the rotation process & 4 days make-up duty
grade & 4 days make-up duty c. Over or under infusion of 100 cc or
b. Non-lethal drug given without more in a shift
having a CI or staff nurse checked Demerit of 5 points from nursing
medication & without exercising process and 2 days make-up duty
precautionary measures d. Failure to monitor patients response
Demerit of 10 points from rotation to BT for the first 15-30 minutes,
grade & 4 days make-up duty for Level 3 failure to practice special precautions
Students before, during and/or after BT
Demerit of 10 points from rotation Demerit of 10 points from nursing
grade & 5 days make-up duty for Level 4 process and 2 days make-up duty
Students 5. Performing procedures without the
c. Lethal drug given with CI or staff CI’s surpervision
nurse having checked medication & a. Invasive
precautionary measures Demerit of 10 points from nursing
Demerit 5 points from the rotation process and 4 days make-up duty
grade & 6 days make-up duty for Level 3 b. Non-invasive
students Demerit of 5 points from nursing
Demerit 5 points from the rotation process and 2 days make-up duty
grade & 8 days make-up duty for Level 4 6. Performing non-nursing procedures:
students a. Invasive (IV insertion/ push/
d. Lethal drug given without having a flushing)
CI or staff nurse checked medication & Demerit of 20 points from nursing
without exercising precautionary process and 6 days make-up duty
measures b. Suturing
Demerit of 50% from rotation grade & 8 Demerit of 20 points from nursing
days make-up duty for Level 3 Students process and 6 days make-up duty
Demerit of 50% from rotation grade & 10 7. Erasing & inserting in patient’s
days make-up duty for Level 4 Students charts, wrong entry, wrong plotting,
3. Giving drugs which are not ordered: wrong ink, superimposition
a. Lethal drug Demerit of 2 points from nursing
10 days make-up duty and rotation grade process and 1 day make-up duty
of 50 for each offense 8. Failure to carry out physician’s
b. Non-lethal drug order completely/promptly (Head
8 days make-up duty and demerit of 20% Nursing)
from the rotation grade Demerit of 5 points from the
4. Wrong preparation of drugs performance grade and 1 day make-up
1st offense: demerit of 2 points from duty
the performance grade plus 1 day make- 9. Incomplete preparation of patient
up duty scheduled for surgery with regard to
2nd offense: demerit of 3 points from jewelry, dentures, nail polish,
the performance grade plus 2 days make- consent, underwear, etc.
up Demerit of 5 points from nursing
duty process and 2 days make-up duty
3rd offense: demerit of 10 points from 10. Doing dependent nursing measures
the performance grade plus 4 days make- without order from or consultation with
up duty the physician
Succeeding offenses: demerit of 50% Rotation grade of 50 & 4 days make-up
from rotational grade & 8 hours make-up duty
duty 11. Charting on the wrong patients’
chart
B. Others Demerit of 2 points from nursing
1. Giving food or medication to NPO process and 1 day make-up duty
patients: 12. Failure to report significant
a. With procedure deferred findings
Demerit of 5 points from the Demerit of 5 points from nursing
performance grade & 1 day make-up duty process and 2 days make-up duty
b. With untoward effects & procedure 13. Failure to do independent nursing
deferred interventions
Demerit of 10 points from the Demerit of 5 points from nursing
performance grade & 2 days make-up duty process and 2 days make-up duty
2. Failure to submit collected specimen 14. Incomplete entries in the chart
to the laboratory at designated time after the shift
Demerit 2 points from the performance Demerit of 5 points from nursing
grade & 1 day make-up duty process and 1 day make-up duty
3. IVF/BT of patient running dry 15. Failure to monitor I and O
quantitatively:
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a. Routine I & O affiliating agencies to be able
Demerit of 5 points from nursing to render health services
process and 1 day make-up duty effectively and efficiently:
b. Presence of critical need to monitor
I & O a. Monthly schedule of duty
Demerit of 5 points from nursing is sent to affiliating
process and 2 days make-up duty agencies.
16. Performing functions with
potentially hazardous effects on b. Submission of schedule of
patient affiliation duty is at least
Demerit of 5 points from nursing given one week ahead of the
process and 2 days make-up duty scheduled date, thus any
17. Failure to submit IR/LE within 24 revisions on the schedule should
hours after any incident requiring such be made on the first day to
Demerit of 3 points from the attitude avoid possible delays especially
rating for every day of delay in signing the student cases.
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Student Copy
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This form is part of the student
registration process at LNU-College of Parent/Guardian Signature
Nursing.
_______________________________________
Date
Parent/Guardian Signature
Student Signature
Date
_______________________________________
Date
Student Signature
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LYCEUM-NORTHWESTERN UNIVERSITY
C O L L E G E O F N U R S I N G
Semester, SY 20 -20
Student’s Signature
LYCEUM-NORTHWESTERN UNIVERSITY
C O L L E G E O F N U R S I N G
Signature
_____
Remarks of the Guidance Committee:
Signature ______
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Signature of Chairman Secretary: _________________________
LYCEUM-NORTHWESTERN UNIVERSITY
C O L L E G E O F N U R S I N G
WAIVER
Date
CONFORME:
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LYCEUM-NORTHWESTERN UNIVERSITY
C O L L E G E O F N U R S I N G
EXCUSE SLIP
Date
Name: Course/Year:
I am sorry for having been
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( ) Excused Excused Absences
( ) Unexcused Unexcused Absences
( ) Others Tardiness
Dean
(Please return slip to the Adviser after Instructor’s signature is obtained.)
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