Technical Standards
The mission of the University
of Kentucky College of Nursing, as it relates to education, is
to prepare students for the professional practice of nursing
through programs of undergraduate and graduate education.
Graduates of the College must demonstrate competencies in
intellectual,
social, and physical tasks that together represent the
fundamentals of nursing.
Applicants and students are
judged not only on their previous scholastic abilities and
achievements, but also on their intellectual, emotional, and
physical capacities to fulfill the requirements of a program of
study.
Standards of admission are
established by the faculty. Faculty groups recommend admission
of applicants based on information contained in the application,
and where applicable, letters of
recommendation and personal interviews.
Nationally recognized
organizations that accredit the programs of the College require
a broad development of knowledge, specialized skills, and
behaviors that prepare students to deliver
general or advanced nursing care. This enables students to
become self-directed learners, pursue further education, and
deliver competent nursing care. Courses in nursing and the basic
sciences provide a core of knowledge necessary for clinical
practice. Clinical courses include diverse
experiences in both inpatient and outpatient settings. Together
these lead to a level of competence expected for practice.
The following technical
standards explain attributes necessary to complete the
educational
programs in nursing. These standards describe the essential
functions students must demonstrate and are requirements for
entrance, continuation, and graduation.
The College will consider any
applicant who demonstrates the ability to perform, or to learn
to perform, the skills listed here. An applicant is not required
to disclose the nature of any disability, but an applicant with
concerns about these technical requirements is strongly
encouraged to
discuss the issue with the director for the particular program.
If appropriate, and upon
request from the applicant, reasonable accommodations for a
disability will be provided.
Certain chronic or recurrent
illnesses and problems that could interfere with patient care or
safety may be incompatible with nursing education or practice.
Some illnesses may lead to a higher
likelihood of student absences and should be carefully
considered. Deficiencies in knowledge,
judgment, integrity, or professional attitude may jeopardize
patient care, and as a result become grounds for course failure
and possible dismissal from a nursing program.
Students must possess aptitude
and abilities in five areas: observation; communication; sensory
and motor coordination and function; conceptualization,
integration, and quantification; and
behavioral and social skills, abilities, and aptitude.
Observation
Students must be able to
observe a patient accurately, at a distance and close-up, noting
nonverbal as well as verbal signals. Specific visual tasks
include, but are not limited to: observing skin,
anatomic structures and body movements; reading and
understanding written and illustrated
material; seeing class and clinical demonstrations; and
discriminating numbers and patterns
associated with patient care instruments and tests, such as
sphygmomanometers, electrocardiograms, and urine output.
Communication
Students must be able to
communicate quickly and effectively in oral and written English.
They must be able to relate well to patients and their families,
conveying compassion and empathy. They must be able to elicit
information from patients; accurately describe changes in mood,
activity, and posture; and perceive verbal and nonverbal cues.
Students must learn to recognize and appropriately respond to
emotions such as sadness, worry, fear, and anger in patients.
Specific requirements include,
but are not limited to, the following: eliciting pain levels
from patients, providing patient teaching, and reporting changes
in patient states to other members of the health care team.
Students must be able to read and record observations and plans
legibly, efficiently, and accurately in documents such as the
patient record. They must be able to prepare and convey concise,
yet complete, summaries of encounters with patients. Students
must be able to complete forms according to directions in a
timely fashion.
Sensory and motor coordination and function
Students must have sufficient
sensory and motor function to perform a physical examination
using palpation, auscultation, percussion, and other diagnostic
maneuvers. In general, this requires sufficient exteroceptive
sense (touch, pain, temperature), proprioceptive sense
(position, pressure, movement, stereognosis, vibration),
physical strength, and motor function. Students should be able
to execute sufficient motor skills to provide general care and
to competently use patient care
equipment, such as intravenous monitors, sterile equipment,
catheters, etc.
They must respond promptly to
emergencies and must not hinder the ability of coworkers to
provide prompt treatment and care. Examples of emergency
treatment reasonably required of nursing students include
responding quickly when called, initiating appropriate
therapeutic procedures, administering intravenous medication,
applying pressure to stop bleeding, and performing
cardiopulmonary resuscitation.
Students must learn to perform
basic laboratory tests, diagnostic and therapeutic procedures,
and patient care procedures such as a finger stick, dressing
change, and starting an intravenous line.
Conceptualization, integration, and
quantification
These abilities include
measuring, calculating, reasoning, analyzing, judging,
recognizing
numbers, and synthesizing. Problem solving – a critical skill
demanded of nurses – requires these intellectual abilities and
must be performed quickly, especially in emergency situations.
Students must learn to
identify significant findings from patient history, physical
exam, and
laboratory data, and retain and recall information. They must be
able to arrive at a nursing diagnosis, and plan and evaluate
outcomes of care. Students must be able to provide reasoned
explanations for their diagnoses, learn to prescribe therapies,
which may include medications, and become skilled in managing
time, people, and resources, according to their level of
educational preparation.
The ability to collaborate
with other health care professionals is essential, as is making
use of new information from patients, families, peers,
teachings, and literature. Discriminating judgments in patient
assessment, care planning, and evaluating are mandatory.
Students must be able to identify and communicate limits of
their knowledge to others, when appropriate. Students must be
able to interpret graphs describing relationships and to use
other modes of data presentation.
Behavioral and social skills,
abilities, and aptitude
Empathy, integrity,
interpersonal skills, interest, and motivation are personal
qualities required of all nurses. They must possess the
emotional health required for full use of their intellectual
abilities, the exercise of good judgment, the prompt completion
of responsibilities related to patient care, and the development
of mature, culturally sensitive, and effective relationships
with patients.
These attributes require the
ability to be aware of, and appropriately react to, one’s own
immediate emotional responses and biases. Students must be able
to develop professional relationships with patients, providing
comfort and reassurance, while protecting patient
confidentiality. Students must have the endurance and strength
to function effectively under stress and for extended periods.
Students must adapt to changing environments, display
flexibility, and learn to function under conditions of
uncertainty inherent in the clinical problems of many patients.
Students are expected to accept appropriate
suggestions and criticisms, and respond by modifying behavior
when necessary.

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