General Information & Policies

  • Mission and Values
  • Disability Statement
  • Disruptive Conduct and Workplace Violence Prevention
  • Essential Standards for Admission, Progression, and Graduation
  • Inclement Weather
  • Professional Attire
  • Social Media Policy
  • Student Review Policy for Unsafe of Unprofessional Practice
  • Student Safety
  • Travel Regulations

 Program-Specific Handbook Information

 Graduate Programs: Academic Policies

  • Academic Eligibility Regulations
  • Application for Graduation
  • Assistive Devices
  • Degree Time Limits
  • Faculty Responsiveness
  • Grade Appeal
  • Graduate Programs Grading
  • Graduate Independent Study or Doctoral-Level Research Practicum Learning Contract
  • Leave of Absence
  • North Carolina Residency
  • Addressing Course- and Faculty-related Issues
  • Program Evaluation
  • Readmission
  • Research and Teaching Assistant Positions
  • Student Data Storage
  • Student Employment
  • Student Participation in Extra-curricular Professional Meetings
  • Registration and Course Credits
    • Registration
    • Course-load Requirements
    • Inter-institutional Registration
    • Transfer of Course Credit
    • Special Registration Regulations

 Compliance Policies and Clinical Regulations

  • Student Code of Conduct
  • Student Criminal Background Check Policy
  • Infectious/Communicable Disease Policy
  • Health and Safety Compliance Program
    • Overview
    • The Student’s Responsibilities
    • The School of Nursing’s Role
    • Requirements
    • CPR Certification Requirements
    • Compliance Program Requirements by Academic Program

 Research Regulations and Policies

  • Human Subjects Approval
  • Institutional Approval
  • Scientific Integrity

 University Policies

Embrace Our Mission

The School of Nursing is an integral part of the University of North Carolina and endorses its commitment to excellence in scholarship in Teaching, Research and Service.

The mission of the School of Nursing is to:
  • design and implement innovative educational programs for lifelong learning;
  • create, conduct and disseminate cutting-edge research; and
  • use our practice, expertise and service for the betterment of individuals, communities, health care systems, and the profession of nursing.

From our leadership in these areas, we will prepare the next generation of Carolina nurses to assume roles in interprofessional health care and interdisciplinary research environments.

Share Our Values

The School of Nursing has embraced the following Commitment to Community:

INTEGRITY

  • Advancing the collective good of the Carolina Nursing community through honesty, responsibility and transparency
  • Examining issues and concerns from multiple perspectives

RESPECT

  • Treating others with kindness and compassion
  • Being punctual, attentive and constructive during meetings and classes
  • Honoring the roles and responsibilities of others
  • Operating within designated roles and responsibilities

INCLUSIVENESS

  • Honoring the intrinsic value of every member of the Carolina Nursing community
  • Hearing all opinions
  • Involving stakeholders in making critical decisions

COMMUNICATION

  • Listening with the intent to understand
  • Being direct, concise and constructive

DISCRETION

  • Honoring boundaries and trust
  • Promoting positive, effective relationships
  • Advocating for others

Policy Statement on Non-Discrimination

Consistent with its mission and philosophy, and those of The University of North Carolina at Chapel Hill (“UNC-CH”), the School of Nursing at UNC-CH is committed to providing an inclusive and welcoming environment for its prospective and enrolled students, faculty and staff, and to ensuring that educational and employment decisions are based on individuals’ abilities and qualifications.  Consistent with this principle and applicable laws, it is therefore the School of Nursing’s policy not to discriminate in offering access to its educational programs and activities or with respect to employment terms and conditions on the basis of race, color, gender, national origin, age, religion, creed, disability, veteran’s status, sexual orientation, gender identity or gender expression.

Disability Accommodations for Students

The School of Nursing provides reasonable accommodations to otherwise qualified students with disabilities, so long as such disabilities, as determined on a case-by-case basis, do not preclude the student from meeting the qualifications considered essential by the faculty of the School of Nursing for successful completion of the educational objectives of its curriculum. These qualifications are described in the UNC-CH School of Nursing Essential Standards for Admission, Progression and Graduation.

Students who seek disability accommodations should contact the UNC-CH Office of Accessibility Resources and Service at (919) 962-8300. They will determine a student’s eligibility for accommodations and will recommend appropriate resources, accommodations and services.

Approved May 2002, revised August 2011; October 2013

 Definitions

 Reporting Procedure

 Training Program

 Evaluation

The School of Nursing is a community of staff, faculty and students that is committed to a respectful, safe and protected environment, founded in civility and free from violence, in which all can work and learn. Acknowledging that workplace violence falls on a continuum from civility through physical violence, the School of Nursing requires that all members of our community value and respect each other. As a community, the School will make every effort to discourage incivility and protect its individual members from all forms of unacceptable interpersonal aggression including, but not limited to, verbal, written, physical, or any other forms. All members of the School of Nursing will strive to maintain an environment that is free from violence, threats of violence, harassment, intimidation, and other disruptive behavior. Additionally, as part of a larger university campus, the open nature of the building presents many challenges to maintaining a safe environment. Furthermore, the School of Nursing often has faculty, staff, and students who are working and studying beyond the normal operating hours. Members of the School of Nursing community will not tolerate inappropriate interactions from each other or from outside persons. All incidents will be taken seriously and will be dealt with promptly and appropriately. The School of Nursing will provide support and resources to all to ensure that this safe and protected environment happens.

All who participate in or engage with this community will abide by these guiding principles:

    1. We value differences among individuals and, in that spirit, require that all treat each other with respect. Interactions in the School of Nursing are expected to be courteous, respectful, and professional.
    2. Individuals are responsible for their own behavior and will be held accountable for that behavior.
    3. Inappropriate and unacceptable behavior may be a warning sign of impending hostility or violence and will be reported and dealt with in accordance with the policies outlined below.
    4. When inappropriate behavior occurs, members of the School of Nursing community are empowered and expected to deal with the situation according to established guidelines.
    5. Individuals are expected to keep their own personal safety foremost in their plans and actions and to support others in doing the same.
    6. Unacceptable behavior will be dealt with so that the message of zero tolerance is consistent and clear.
    7. The School of Nursing will inform and train all members of the School on the University policy and how to carry out their role in maintaining a safe environment.

When inappropriate behavior occurs, the School of Nursing will:

  • Respond promptly to immediate interpersonal dangers to staff, faculty and students in the school in accordance with established procedures.
  • Facilitate the investigation of threats and other reported incidents, and file necessary reports per University policy with the Employee Services Office of the Human Resources Department.
  • Respond to each report objectively, seriously address any allegations, even those that may appear frivolous, thus taking threats and threatening behavior seriously and ensuring that SON members feel safe in sharing their concerns.
  • Take disciplinary actions under the University’s disciplinary policy when warranted.
  • Support victims and affected workers after an incident.

Definitions

Definitions of key terms used in this policy are as follows:

Inappropriate and prohibited behavior is behavior that can serve as a warning sign of potential hostility or violence. Examples of these kinds of behaviors of interpersonal aggression include but are not limited to:

  1. unwelcome name-calling
  2. rude* or uncivil (e.g, slamming doors in angry response, making disparaging comments about another worker, purposefully blocking someone’s view or path, harshly criticizing a subordinate in public, vulgar or obscene words or actions, either written or verbal, including email, voice messages, and graffiti.
  3. acts of abuse (e.g. verbal statements, including tone of voice, or physical act which may be construed as a derogatory, intimidating, bullying or psychologically or emotionally disturbing (from Canadian teachers assoc)
  4. intimidation through direct or veiled verbal threats
  5. throwing objects regardless of size or type or whether a person is the target of a thrown object
  6. physically touching another employee in an intimidating, malicious or sexually harassing manner
  7. physically intimidating others including such acts as obscene gestures, fist-shaking, or “getting in your face” types of gestures
  8. stalking, either in Carrington Hall or off campus.

Threat: the expression of intent to cause physical or mental harm. A threat is conveyed regardless of whether the individual communicating the threat has the present ability to carry it out and without regard to whether the expression of threat is contingent, conditional, or placed in the future.

Physical attack: unwanted or hostile contact such as hitting, fighting, pushing, shoving, or throwing objects.

Property damage: intentional damage to property owned by the state, employees, students, or visitors.

Each member of the School of Nursing community is responsible for upholding the values and actions embodied in this policy. The School of Nursing Dean’s office is responsible for oversight of these principles and key aspects of the policy.

All School of Nursing students, staff and faculty members are responsible for:

  • Completing required training sessions,

Maintaining basic competency in general knowledge and skills related to workplace safety practices and violence prevention principles and strategies

The experience of interpersonal hostility and violence can be extremely upsetting. Such incidents should not be experienced in isolation. Persons with these experiences are encouraged to seek support from individuals within the School of Nursing such as a direct supervisor or Human Resource Manager, who will provide active listening, advice, coaching as the situation dictates.

Reporting Procedure

Any situation that exemplifies inappropriate and prohibited behavior must be reported on a formal basis by the individual speaking with their direct supervisor or the Assistant Dean of Student Faculty Services and/or the Employee Services Department in the Office of Human Resources (962-1483).

All reports shall be made in good faith, and detail the incident thoroughly and accurately. In turn, the person making the report shall be assured of a confidential process, with information released only on a “need-to-know” basis, and that no act of retaliation or discrimination shall result from reporting an occurrence

The University’s Workplace Violence Reporting Form must be completed and forwarded to appropriate parties as specified. Information related to the investigation and actions taken are promptly forwarded per University policy. All members of the School of Nursing community are expected to report all threatening situations, physical attacks, and property damage to University Police.

The Workplace Violence Prevention Committee chaired by the Director of Administrative Services, or designee will be appointed by the Dean’s Cabinet to review and trend data on workplace concerns reported on a quarterly basis. Each reported allegation shall be thoroughly investigated by the direct supervisor in conjunction with the Assistant Dean, Student and Faculty Services, and involve all appropriate parties in the process. This review includes, but is not be limited to, an evaluation of all aspects of the alleged incident to ascertain how such occurrences may be prevented, how well faculty/staff/students managed the occurrence, effectiveness of the interventions utilized, and whether modifications to the School policy, security system, training program, or intervention plan are warranted.

Training Program

Under the tutelage of the Workplace Violence Prevention Committee (WPVPC), a workplace safety training program specific to the School of Nursing will be developed. This program will be presented by a combination of local law enforcement specialists, WPVPC members, and additional content experts from the local community. The training program will be differentiated into levels and provided at the time of policy implementation, and at least annually thereafter. All current faculty and staff shall complete the basic course, and all those subsequently hired will complete as part of orientation; incoming students shall do so at the time of academic program matriculation. A suggested outline for the training program is presented as an addendum to this document.

A “reference library” of booklets, audio and videotapes, and supportive journal articles will be compiled and placed in key offices throughout the School for access by faculty, staff and students.

Evaluation

Under the auspices of the Office of Student and Faculty Services, the efficacy of the School of Nursing’s Workplace Safety Program will be assessed at the conclusion of each training session and in an ongoing manner throughout the academic year. Periodic assessments will be conducted to ascertain whether the School community considers the SON a safe environment in which to work and learn, which is the ultimate goal of the training program and awareness education.

Introduction

The curricula leading to degrees in Nursing from UNC-Chapel Hill’s School of Nursing require students to engage in diverse and complex experiences directed at the acquisition and practice of essential nursing knowledge, skills, and functions. Combinations of cognitive, affective, psychomotor, physical and social abilities are required to acquire the knowledge and skills needed to perform the varied roles of nurses. In addition to being essential to the successful completion of the requirements of a nursing degree, these skills and functions are necessary to ensure the health and safety of patients, fellow students, faculty and other health care providers.

The following standards comprise the five core professional nursing competencies. In addition to academic qualifications, the School of Nursing considers these personal and professional qualifications essential for entrance to, continuation in and graduation from its nursing degree programs.

Students who seek disability accommodations should contact the University’s Department of Disability Services at (919) 962-8300. The Department of Disability Services will determine a student’s eligibility for accommodations and will recommend appropriate accommodations and services.

Standards

A. Visual, Auditory and Tactile

  • Ability to gather data from written reference materials (including, without limitation, illustrations), oral presentations, demonstrations, observations of a patient and his/her environment and observations of procedures performed by others.
  • Ability to perform health assessments and interventions; observe diagnostic specimens; and obtain information from digital, analog and waveform representations of physiologic phenomena to determine a patient’s condition.
Examples of relevant activities:
  1. Visual acuity – to draw up the correct quantity of medication in a syringe or detect changes in skin color or condition.
  2. Auditory ability – to detect sounds related to bodily functions using a stethoscope or to detect audible alarms generated by mechanical systems used to monitor patient physiological status.
  3. Tactile abilities – to detect unsafe temperature levels in heat-producing devices used in patient care or detect anatomical abnormalities, such as edema or small nodules.

B. Communication

  • Ability to communicate, including ability to ask questions and receive answers, with accuracy, clarity, efficiency and effectiveness with patients, their families and other members of the health care team. This includes: expressive and receptive oral and non-verbal communications, such as interpretation of facial expressions, affect and body language.
  • Communications (expressive and receptive) include: oral, hearing, reading, writing, and computer literacy.
  • Mastery of both written and spoken English, although applications from students with hearing or speech disabilities will be given full consideration. In such cases, use of a trained intermediary or other communication aides may be appropriate if this intermediary functions only as an information conduit and does not serve integrative or interpretive functions.
Examples of relevant activities:
  1. Ability to give verbal directions to or follow verbal directions from other members of the health care team and to participate in health care team discussions of patient care.
  2. Ability to elicit and record information about health history, current health state or responses to treatment from patients or family members.
  3. Ability to convey information to patients and others as necessary to teach, direct and counsel individuals.

C. Motor

  • Motor and psychomotor function to execute movements required to provide general care and treatment to patients in all health care settings.
  • Motor functions include: gross and fine motor skills, physical endurance, strength, stamina and mobility to carry out nursing procedures; perform basic laboratory tests and provide routine and emergency care and treatment to patients.
Examples of relevant activities:
  1. Fine motor skills to obtain assessment information by palpation, auscultation, percussion and other diagnostic maneuvers.
  2. Physical endurance to complete assigned periods of clinical practice.
  3. Mobility sufficient to carry out patient care procedures, such as tracheostomy care or performing emergency airway suctioning.
  4. Strength to carry out patient care procedures, such as assisting in the turning and lifting/transferring of patients.

D. Behavioral, Interpersonal and Emotional

  • Ability to relate to colleagues, staff and patients with honesty, integrity and non-discrimination.
  • Capacity for the development of a mature, compassionate, respectful, sensitive and effective therapeutic relationship with patients and their families, including sufficient emotional and intellectual capacity to exercise good judgment and complete patient care responsibilities promptly and professionally. .
  • Ability to work constructively in stressful and changing environments with the ability to modify behavior in response to constructive criticism and to maintain a high level of functioning in the face of taxing workloads and stressful situations.
  • Ability to participate collaboratively and flexibly as a member of a health care team.
  • Capacity to demonstrate ethical behavior, including adherence to the professional nursing and student honor codes, as well as applicable laws and regulations governing the nursing profession.
  • Openness to examining personal attitudes, perceptions and stereotypes which may negatively affect patient care and professional relationships.
Examples of relevant activities:
  1. Emotional skills to remain calm in an emergency situation.
  2. Interpersonal skills to communicate effectively with patients and families of diverse religious, cultural or social backgrounds.
  3. Behavioral skills to demonstrate the exercise of good judgment and prompt completion of all responsibilities attendant to the diagnosis and care of clients.

E. Cognitive, Conceptual and Quantitative

  • Ability to exhibit behavior and intellectual functioning which does not differ from acceptable professional standards.
  • Ability to read and understand written documents in English and solve problems involving measurement, calculation, reasoning, analysis and synthesis.
  • Ability to gather data, develop a plan of action, establish priorities and monitor treatment plans and modalities.
  • Ability to comprehend three-dimensional and spatial relationships.
  • Ability to learn effectively through a variety of modalities, including, but not limited to, classroom instruction, small group discussion, individual study of materials, preparation and presentation of written and oral reports, and use of computer-based technology.
Examples of relevant activities:
  1. Cognitive skills to calculate appropriate medication dosage given specific patient parameters.
  2. Conceptual ability to analyze and synthesize data and develop an appropriate plan of care.
  3. Quantitative ability to collect data, prioritize needs and anticipate reactions.
  4. Ability to comprehend spatial relationships adequate to properly administer intramuscular injections or assess wounds of varying depths.

See Disability Accommodations for Students section of the UNC SON student handbook.

Created 05/02; revised 08/11

In the event of adverse weather conditions, the policies and procedures of the University are the main guide for the School of Nursing. Unless closed by the Chancellor or his designee, the University is always open. Information about the University’s operating status may be obtained by:

If the University is open, class, lab and clinical schedules will be followed to the extent possible. Individual faculty and students are in the best position to determine whether they can travel safely to campus or a clinical site. Individual judgments about personal circumstances must be made so that no one jeopardizes their safety and health.

If the University is officially open, but a faculty member is not able to travel due to adverse weather and must cancel a scheduled class or clinical, the faculty member should notify the School of Nursing and students. If Sakai is used in the course, and the faculty member has access to Sakai from home, a notice should be placed there as soon as possible. If the faculty member has access to email at home, a notice should be posted to the appropriate student listserv. In addition, the Office of Admissions and Student Services (919 966-4260) and the Office of Academic Affairs (919 966-7511) should be notified of the cancellation. Finally, faculty are encouraged to place a message on their office voice mail about cancellations.

If class or clinical is canceled, essential learning experiences still need to be met. Faculty may do this in a variety of ways such as adding small blocks of time to future classes or developing alternate guided student learning activities. Make-up sessions should not be planned for weekends, holidays or in conflict with other classes and clinical assignments. Students should check course syllabi for any specific requirements related to adverse weather.

If class or clinical is held on an adverse weather day and all students are not able to attend, faculty will provide make-up opportunities for any activities including exams that might jeopardize students’ progression in the course. If assignments are due, extensions will be given until either the University is open or all students are able to make it to campus.

The University of North Carolina at Chapel Hill School of Nursing believes that professionalism begins with appearance and attire. The SON Uniform Policy is formulated to ensure high standards of dress and appearance that represent our university to area hospitals and community settings. The values of asepsis, client safety, and client sensitivity are also incorporated into the policy. Faculty reserve the right to ask a student to leave the clinical area if appearance is not in keeping with the SON Uniform Policy.

UNDERGRADUATE

Uniform

The official uniform for the School of Nursing may be purchased at UNC-Chapel Hill Student Stores:

  • Pewter gray scrub pants
  • Pewter gray scrub top with UNC SON logo*
  • Ceil blue scrub jacket with UNC SON logo*
    • Note: When ordering from UNC-Chapel Hill Student Stores, scrub jackets are not pre-embroidered. Please allow 2-3 weeks for scrub jacket embroidery.
  • A white lab coat should not be purchased as it will be provided to each new student at the annual White Coat Ceremony.
  • White or black leather (or comparable material) professional shoes and white or black socks will be worn with the uniform. No open back/open toe clogs. Shoes should be clean and in good repair.
  • Nametags. All undergraduate students must purchase two (2) nametags (standard size is approximately 1″ x 3″). Nametags should have black lettering on a white background and include the following information:

FIRST NAME LAST NAME
UNDERGRADUATE STUDENT
UNC-CH SCHOOL OF NURSING

Nametags

Students must wear a nametag as identification in clinical/research settings. Nametags may be purchased at most uniform or trophy/plaque stores (e.g., Signs Now/Occasions Engraving at Eastgate Shopping Center in Chapel Hill). Name tags and any agency specific ID badges must be visible at all times

Clinical Settings

The uniform must be worn on days in which you are in the clinical area unless faculty specifies otherwise. The uniform regulations stated above apply to many clinical settings. However, clinical practice dress codes may vary among clinical facilities/sites. Students are expected to adhere to any requirements specific to a particular clinical site. Uniforms are only to be worn in clinical areas, simulation labs or designated community events, such as health fairs.

Professional Attire

For certain clinical areas, or for picking up patient assignment information, attending classes in the clinical setting (e-charting, CPR etc), or attending special sessions such as orientation in preparation for the clinical assignment, students are required to wear business attire.

  • Scrub jacket or lab coat is required.
  • UNC SON nametag is required.
  • Pants or slacks to the ankle/shoe.
  • Dresses and or skirts must be covering the abdomen and to the knee.

The following are not permitted:

  • Jeans
  • Shorts
  • Halters
  • Sleeveless shirts or camisoles worn alone
  • Items with logos other than the UNC SON
  • Flip-flops, slippers or excessively high-heeled shoes
Accessories
  • Jewelry restricted to one wedding ring and no more than one pair of small earrings in the ear lobe. No large or dangling earrings should be worn in the clinical area or lab settings.
  • Necklaces should not be visible.
  • One watch with second hand is required.
  • No other visible body jewelry.
  • No tattoos should be visible.
  • Avoid all heavily scented products, e.g. soaps, perfumes, after shaves, deodorants, hair grooming items, laundry products, etc.
Hair and Nails
  • Hair is to be worn off the face, and should be neat as well as comfortable. If your hair is longer than shoulder length, it should be tied back.
  • Nails should be clean and neatly trimmed. Only clear nail polish is permitted.
  • Artificial nails are not permitted in the clinical setting.
  • Male students should be clean shaven or have neatly trimmed beards or moustache.
Other
  • A white or light blue colored shirt may be worn under the uniform.
  • In addition to the requirements listed above, students must comply with any dress code policies for nurses set by the clinical agency in which students are participating in a clinical experience.
  • Gum chewing is not permitted. It detracts from your professional demeanor.
  • Cleanliness is an essential part of providing professional care to clients. Attention to personal hygiene and a clean, unwrinkled appearance are required. It is the right of patients to be cared for by staff who maintain high standards of personal hygiene and a related right of colleagues to expect a non-offensive and hypo-allergenic work environment. Students should report at the beginning of each clinical shift with, and maintain throughout their shift, clean clothing, being free of body odor or excessive perfume, cologne, after shave, fragrance or tobacco odor, and with a clean face, hands and fingernails. Visible tattoos and body piercings other than earrings are strongly discouraged and may be deemed inappropriate.

Revised-March 2011; Implementation: Spring 2011, revised February 2012

GRADUATE

Uniforms

All graduate students in the clinical arena for the academic purposes of fulfilling clinical precepting assignments or conducting research must be identified as a School of Nursing student by displaying a proper nametag. During these activities, students are considered individual representatives of the School; therefore the students’ dress and behavior should reflect that professional level of responsibility.

The School of Nursing nametag will be attached to the left front (shoulder). The clinical preceptor or policies of the clinical agency in which the academic activity is being conducted shall designate specific attire.

Nametags

Graduate students engaged in clinical practice or research activities must purchase two nametags (standard size is approximately 1″ x 3″). Nametags should have black lettering on a white background and include the following information:

FIRST NAME LAST NAME, CREDENTIALS
GRADUATE STUDENT
UNC-CH SCHOOL OF NURSING

Students must wear a nametag as identification in all clinical/research settings. Nametags may be purchased at most uniform or trophy/plaque stores (e.g., Signs Now/Occasions Engraving at Eastgate Shopping Center in Chapel Hill).

Revised-Sept 2015

Use of Social Media by School of Nursing Students and Employees

While social media allows the University to reach many audiences including faculty, staff and students, use of social media by School of Nursing faculty, staff and students presents special concerns for privacy and confidentiality. The general use of social media by SON faculty, staff and students is not affected by the following policy;1 its use related to confidential information about the School (including the faculty, staff and students), patients or SON-clinical affiliates (agencies with which the SON has entered a contractual relationship to provide clinical experience opportunities for students) is notably restricted.

Social media are defined as, but not limited, to web-based or mobile technologies used for interactive communication. Examples of social media include but are not limited to collaborative projects (e.g., Wikipedia), biogs and microblogs (e.g.,Twitter), content communities (e.g., YouTube), social networking sites (e.g., Facebook), virtual game worlds (e.g., World of Warcraft), and virtual social worlds {e.g., Second Life). Regardless of how these forms of media are used, employees and students are responsible for the content they post or promote. Content contributed on these platforms is immediately searchable and shareable, regardless of whether that is the intention of the contributor. Once posted online, the content leaves the contributing individual’s control forever and may be traced back to the individual in perpetuity.

COMMUNICATION

Official SON electronic communication regarding academic classes or academic schedules will occur through School-sanctioned channels, e.g., UNC­ Chapel Hill email, listservs, Blackboard, Sakai, and UNC-CH websites.  Electronic communications outside these channels are not endorsed for academic courses.

SOCIAL MEDIA

SON students and employees are prohibited from disclosing through social media the following:

  • Protected Health Information, as defined by the Health Insurance Portability and Accountability Act (HIPAA) – For example, individuals may not disclose patient names or otherwise refer to patients in any way that identifies them individually, including by their initials or by their location (e.g.,hospital name or unit).
  • Education Record Information, as defined by the Family Educational Rights and Privacy Act (FERPA) – Employees may not disclose FERPA­ protected information regarding
  • Confidential Personnel Information, as defined by the State Personnel Act – Employees may not disclose confidential personnel information regarding other
  • Confidential, non-public or proprietary information about
    • Families, clinical facility staff or clinical institutions;
    • The School, its employees and students;
  • Copyrighted or intellectual property belonging to the
  • Comments that express or imply sponsorship or endorsement by the School or the University, unless you are officially authorized to act in this capacity for this purpose on behalf of the University or the

Accordingly, the use of social media for clinical discussions that include any identifiable information related to patients or SON-affiliated clinical facilities is prohibited.

If a faculty member or student identifies themselves as such online (e.g.,list affiliation with the School in their Facebook profile), a disclaimer should be added that any opinions or views expressed do not represent the opinions of the School of Nursing or the University of North Carolina at Chapel Hill.

Students in violation of this policy may be considered as having violated the UNC-CH Honor Code. However, like faculty and staff who violate this policy, students may face disciplinary action up to and including termination.

A PDF copy of this policy can be found here.

RELATED REFERENCES

1 Other than any issues related to  HIPAA,  FERPA  and other sensitive  information as noted at http://help.unc.edu/6475, all of which remain prohibited disclosures, even in personal (social media or otherwise) communications.

Approved by SON Faculty: 040912

The School of Nursing has a legal and ethical responsibility to protect members of the public and the health care community from unsafe or unprofessional nursing practices.  All students engaged in the study of nursing who demonstrate practices that endanger the public and/or violate the North Carolina Nurse Practice Act and related Administrative Code Rules or are unable to comply with the School of Nursing’s Essential Standards for Admission, Progression and Graduation will be referred to and reviewed by the Office of the Dean of Students.

This may include, but is not limited to, Emergency Evaluation and Action Committee consideration and/or referral to other entities as deemed necessary by applicable law or policy.  Grounds for this referral include, but are not limited to, students that “(1) present physical or emotional problems which conflict with safety essential to nursing practice and do not respond to treatment or counseling within a timeframe that enables meeting program objectives; (2) demonstrate behavior which conflicts with safety essential to nursing practice” (21 NCAC 36.0320 (d) (1)(2).  Additional information regarding the Emergency Evaluation and Action Committee and its policies and procedures is available online at http://policy.sites.unc.edu/files/2013/04/EEAC.pdf

Approved by the Academic Affairs Council, August 28, 2014

The School of Nursing seeks to provide a safe environment for students whether on the campus, within the school or in assigned clinical practice settings. At the campus level, the Department of Public Safety publishes a variety of campus and community security measures.

Students are encouraged to download the Rave Guardian Safety App to enhance personal safety both on and off campus.

School of Nursing and classroom safety is outlined in Disruptive Conduct and Workplace Violence Prevention and in the document describing SON Emergency procedures.

Agency specific safety guidelines, including parking and safe transit to and from the physical facility or client’s home, are reviewed with students prior to entering the clinical setting for students at all program levels. A required web-based orientation for clinical placement at the undergraduate level outlines safety precautions within any acute care clinical setting in “Student and Faculty Core Orientation.”

Approved by the Academic Affairs Council, September 22, 2014

UNDERGRADUATE

Because of the broad scope of clinical facilities and locations, undergraduate nursing students must have access to a car. For information about the North Carolina requirements for automobile liability insurance, vehicle registration and operators license, write to the North Carolina Department of Motor Vehicles, Raleigh, NC 27602. Students and/or parents are responsible for maintaining appropriate insurance coverage. Some insurance companies may consider such travel as “business driving.”

Expenses for travel are the responsibility of the student.

GRADUATE

Graduate students must have access to a car due to the broad scope of clinical facilities and locations.

Expenses for travel are the responsibility of the student.

Students can anticipate travel up to 1.5 hours one-way to a clinical site placement location. Situations may arise when travel one-way may be up to 2 hours. Students are responsible for their own transportation to clinical sites and should consider this factor when calculating and planning for their education expenses and scheduling demands.

Graduate Students

If, in the judgment of the academic program and the Administrative Board of The Graduate School, a student fails to make satisfactory progress towards the completion of the degree or to demonstrate sufficient promise in the discipline, the student will not be allowed to continue in The Graduate School.

Please see the University Graduate Handbook for specific details.

Post-Master’s Students

A postmaster’s student will be unable to proceed in their program of study if he or she receives a grade of F, or if he or she receives a grade of L in more than 20% of the total credits in the student’s plan of study.

MSN students see Academic Performance and Progressions Policy 

See PhD Handbook for PhD Student Progression and Reinstatement Policies

DNP Students see Academic Performance and Progression Policy

Updated July 2014

Each student applies for a degree for a specific commencement, depending on degree. Students must submit an electronic application for graduation no later than the deadline for the semester in which they expect to graduate (See Registrar’s calendar). The Graduate School will make no exceptions for applications submitted after the deadline. If a student does not graduate in the semester requested, then the student must reapply for graduation in a subsequent semester.

Use of Assistive Devices in Examinations

Assistive devices, such as PDAs, calculators, translators, or other electronic devices, are not allowed into an examination session for use by students unless faculty have approved use of these devices for all students prior to the examination. One exception to this is the use of assistive devices that have been approved by Disability Services. In instances where an assistive device has been approved by Disability Services, the student should inform the course faculty prior to the examination session.

English as a second language is not classified as a disability by the University. Use of translation devices is not permitted in the undergraduate program during course exams or program performance testing. At the graduate level, use of translation devices is the prerogative of the supervising faculty. Permission to use translation devices at the graduate level must be obtained by students in advance of the planned use.

New technologies will need to be monitored and evaluated as they become available. Questions about assistive devices can be directed to course faculty or the appropriate Program Director.

A graduate student working toward a master’s degree has five calendar years from the date of the first registration to complete all requirements for the degree. (See Unversity Graduate Handbook.)

A graduate student working for a doctoral degree has eight calendar years from the date of the first registration to complete all requirements for the degree. (See Unversity Graduate Handbook.)

Extension of the Time Limit

When special circumstances warrant, an extension of time to complete the degree may be granted upon petition by the student to the Dean of the Graduate School. The program director in the School can request on the student’s behalf such an extension upon meeting with the student and advisor. For more information, contact the Office of Academic Affairs.

Responsiveness to SON Students related to written work

Faculty and students need to have a “working timetable” for the return of written work, whether the work is submitted for a regularly scheduled course, independent work of the student, and/or professional dissemination. The expectation is that faculty will return students written work within 10 business days of submission, unless otherwise negotiated or specified. The turnaround time depends, of course, on the volume of work to be reviewed and the nearness of deadlines (e.g., revisions of journal manuscript galleys may require a 24 hour turn-around). Faculty should publish their planned turnaround time in course syllabi and discuss the same with students enrolled in independent studies or research project/thesis/dissertation courses.

Email and voice mail

Despite the instantaneous nature of email and the ability of voice mail messages to be left for faculty almost around the clock, immediate response to such messages is not expected or even feasible. Nonetheless, in most circumstances most email and voice mail messages should be able to be responded to within 2 business days. When additional work is needed to fully respond to an email or voice mail message, a preliminary reply should occur during which it should be noted when a more complete response will occur.

Faculty availability between semesters and non-contract times

The majority of the faculty have contracts that run mid-August to mid-May. Students should not expect that independent work (e.g., any work related to projects, theses, papers, dissertations, comprehensive exams or incomplete course work) will proceed with faculty input during the times that faculty are unpaid, unless otherwise negotiated with the involved faculty. In addition, faculty will generally not be available for the above when academic semesters are not in session.

Approved by the SON faculty at October and November 2009 Faculty Meetings.

Grade Appeals

Course grades of H, P, L, F, and F* are permanent grades. Students have the option of formally appealing a permanent grade. Before filing an appeal for a grade, the student must address her or his concerns to the instructor who assigned the grade.

For an appeal to be considered, the student must follow the process outlined in the Graduate School Handbook.

Please NOTE: Graduate students must submit a written grade appeal and statement to the Program Director  no later than the end of the 3rd week of the next regularly scheduled enrollment period.

Grade Changes

If an arithmetic or clerical error is detected, the instructor shall initiate a change of grade form for approval of the appropriate program director and approval of the Dean of the Graduate School. For more details, please see the Graduate School Handbook.

Faculty members have the responsibility for grading in accordance with UNC-Chapel Hill Graduate grading policy. The method used for determining all course grades will be at the discretion of the individual faculty.

A uniform grading scale is used across the graduate courses in the School of Nursing. If faculty are using a number range to assign course grades, the uniform numerical grading scale may be found below:

H     High Pass              94-100
P     Pass                       80-93
L     Low Pass               70-79
F     Fail                         <70

For a detailed description of graduate grading, see the University Graduate Handbook, Grading.

IN (Incomplete) Grade

Please refer to the Graduate School policy regarding a temporary grade of IN (incomplete).

In order to receive a grade of IN, the student must negotiate a timeline with the course instructor specifying the:

  • Date the remaining coursework will be completed (as in the case of clinical hours), and
  • Method the student will use to complete the course requirements (as in the case of didactic material).

It is the sole responsibility of the student to complete the course and initiate the grade change prior to the one year deadline.

The faculty giving the IN is responsible for notifying the respective program director and the Assistant Dean of Student Affairs.

The instructor may set the period of time for removing the IN or AB grade in a non-prerequisite course for progressing in the clinical management courses; the time of the extension may not exceed one year. If the time allowed is less than one year, this information should be transmitted in writing to the student and copied to the Graduate School (see policy).

In the MSN and DNP programs:

An IN grade in any sequential nursing course in any semester must be removed by the end of the second week of the next semester in order for the student to continue enrollment in the next nursing course in the sequence according to prerequisites as stated in the University Record.

Updated June 2016

Within the five (master’s) – or eight-year (PhD and DNP) limit, a graduate student in good academic standing may request a leave of absence (LOA) from graduate study for a definite, stated period of time (up to one year) during which the student does not plan to make academic progress. To be eligible for a leave of absence, a student must not have received an extension of time limit for the degree, and must not have temporary grades IN or AB on coursework taken.

In advance of the leave period, the graduate student shall complete and submit to the Graduate School a Request for Leave of Absence form. This form requires approval by the advisor and program director. If the Graduate School approves the leave of absence, the time of that leave shall not count against the total time allowed for the degree. The student must formally apply for readmission to the Graduate School after an approved leave of absence. This is generally a formality. Ordinarily, a leave of absence may not be renewed. Required forms may be found at the Graduate School Form Finder Web site.

All students who are classified as out-of-state residents are strongly encouraged to review the Registrar’s Manual on claiming North Carolina Residency.

This information and application forms may be obtained from the Graduate School located in Room 200 Bynum Hall or via the links above. In addition, the Graduate School offers workshops on claiming North Carolina residency.

Students may have concerns during their educational experience about a particular course, clinical experience, and/or faculty teaching style. Any student enrolled in the School of Nursing who believes s/he is facing a situation involving unfair treatment or an injustice of substantial proportions involving a course has a right to address the situation. It is also important to recognize that faculty and administrators have rights in these situations as well. Dealing with issues and concerns is an important part of students’ professional development and will serve students in a variety of ways as they enter their professional career.

Generally there are two types of concerns or issues: those dealing with a specific course and those dealing with a faculty member or administrator in the School of Nursing. It is recognized, however, that in practice these issues can rarely be clearly separated. In general, dealing with the issues at the level closest to the problem is the most effective approach. The primary point of contact for addressing issues related to a course is the faculty member who teaches in the course or who is designated as course coordinator. The primary point of contact for addressing issues related to a faculty member is the faculty member.

On occasion students may enter the system where they are most comfortable. When students seek assistance from someone outside the process as outlined, either administration or faculty, the individual contacted should listen to the student(s) concerns, inform them of the appropriate mechanism for dealing with the concern, and identify with the student the appropriate person(s) to contact and process to follow.

Guiding principles

  • Issues should be addressed and resolved at the lowest level possible.
  • Concerns and issues need to be presented in a constructive manner and with objective data.
  • Faculty have a right to be informed by a student about issues that involve them.
  • Attempts will be made to help the student gain the support needed to handle the situation.
  • Course coordinators will be included in course-related issues.
  • Students may bring a support person with them as they discuss issues although the support person may not participate in the discussions and may not be a legal counsel.
  • While there are multiple potential entry points in the School of Nursing that a student may use to address a situation, the general flow chart which outlines the process for addressing course-related issues will be followed.
  • In situations where the student is unwilling to follow the required process, the faculty or staff member who is initially contacted will work with the student to identify the most appropriate person and level in the process to address the situation.

Process for Resolving Issues

When addressing course or faculty related issues, students should follow the recommended steps as depicted in Figure 1.

  1. Student issues or concerns related to a faculty member should first be discussed directly with the faculty member. If, following the discussion, the problem remains unresolved, the student should bring the issue to the Program Director who will involve the Division Chair or any other relevant parties.
  2. Student issues or concerns related to a course or clinical practice should first be discussed with the course or clinical faculty member. If, following the discussion, the problem remains unresolved, the Program Director and Division Chair should become involved. Preferably this would be accomplished in a meeting that includes the faculty member and other relevant parties.
  3. Unresolved faculty related issues should be directed to the Division Chairs who will contact the Associate Dean for Academic Affairs, the Dean, or other school administrators as deemed appropriate.
  4. Unresolved course related issues should be directed to the Program Director who will contact the Associate Dean for Academic Affairs, the Dean , or other school administrators as deemed appropriate.

Figure 1Process for Students to Address Course-related and Faculty-related Issues

Process for Students to Address Course- and Faculty-related Issues

A scalable PDF version of this diagram is also available.

The School of Nursing values opportunities to compare the quality of our program to others and to receive systematic advice from faculty, students, alumni and other external constituents. While periodic reviews by our professional accrediting agencies and the Graduate School provide particular motivation for evaluation, the School also depends on organized evaluations annually from the:

  • Teacher and Course Evaluation for all teachers and all courses.
  • Occasional surveys or focus groups, such as those conducted jointly by the Graduate Student Action Body, faculty and administration.

All data collected by the School are treated confidentially without identification of individuals. Only group data are reported. If you have suggestions about ways to improve the evaluation process, the master’s and doctoral program directors welcome your comments.

Updated July 2014

Graduate students who have not maintained continuous registration (e.g., authorized or unauthorized leave of absence) during each academic year are considered a withdrawn student; they must re-apply and be readmitted to the University. Applications for readmission are available from the Graduate School and must be completed prior to the term in which the student plans to re-enroll (see University Graduate School Handbook.)

The Graduate School deadlines for applying for readmission are July 1 for fall, Dec. 1 for spring, April 1 for the first summer session and June 1 for the second summer session. The School of Nursing deadlines are one month prior to the above dates to allow time for processing and getting the paperwork to the Graduate School.

Students are encouraged to contact the Office of Academic Affairs for further information regarding the readmissions process, including internal School of Nursing deadlines for submission of applications.

See related handbook material for Master’s Students:
  • Reinstatement Process
  • Formal Leave of Absence (above)
  • Formal Withdrawal Or Medical Leave Of Absence

Research assistants (RA) help professors with various research-related tasks, such as bibliographic investigation, construction of measuring instruments, data collection and processing. Depending on program requirements, teaching assistants (TA) and research assistants (RAs) may combine more than one position but are not allowed to work more than a total of 20 hours a week without special approval of the program director. TAs and RAs are eligible for tuition remission and health insurance. Many RA and TA positions require clinical activities or contact with human subjects. Students in those positions will have to present a North Carolina license to practice nursing, evidence of meeting health and safety requirements and evidence of personal malpractice insurance prior to hiring. RA positions also require meeting human subjects training requirements.

The University of North Carolina is the legal owner of all student and post-doctoral fellow research data obtained to meet degree requirements or as part of a grant to the University. University Policy requires that faculty maintain custodianship of student research data and that students be able to have copies of their data. This allows the University to respond to possible future inquiries from sponsors or other regulatory bodies with regard to the data as the University may have continuing obligations under the terms of a sponsored agreement.

  1. This policy applies to all School of Nursing students and post-doctoral fellows who obtain data through grants to the university or using data from faculty grants. In addition, faculty and students must adhere to data-sharing requirements from the sponsor/funding agency.
  2. Faculty are expected to maintain custodianship of the raw data (e.g., questionnaires, videotape scoring, transcripts of audiotapes, field notes, etc.) and any final analysis runs for the specified retention period identified by the funding agency.  For NIH-funded grants, the retention period is three years from the date the final financial report is submitted.  Files originally in electronic form, such as analysis runs or audiotape transcripts, may be kept in either electronic format or as hard copies. Data originally in hard copies (e.g., questionnaires, field notes) must be maintained in the original hard copy format. If the IRB application states that tape recordings will be erased or destroyed once transcribed/coded, they should not be retained.  Otherwise, they are subject to the same secure protection and retention requirements as are any other research data. Data obtained through funding through sources other than NIH should be retained in accordance with the requirements of the funding agency. Data obtained through non-funded research should be retained for 3 years after the study is closed with the IRB.
  3. Custodianship means the faculty member has possession of the data and can produce it for auditors or others who might have questions about it. Custodianship does not automatically grant publication rights. Publication rights are determined by standard scientific principles. The researcher must recognize that the institution has the right of access to the data collected and generated under sponsored projects.
  4. To guarantee that faculty are given these data, the final copies of dissertations or research projects are not to be signed until the faculty member is in possession of the data.
  5. Students have the right to make copies of these data at their own expense and take these copies with them when they leave the University. They also have the right to access the data at the University. They have the right to publish the data consistent with standard scientific principles and any agreements they made with the faculty or collaborators at the time that the data was collected.
  6. Student data may be stored in locked storage in faculty offices, faculty research rooms, or RSC-approved archives.
  7. Should a researcher leave the institution, the institution and researcher should come to agreement over whether the researcher may take the original data or an identical copy of the data. If the researcher takes the original data, a copy must be left at the institution. In addition, the researcher must agree to retain the original data for the required retention period and to provide access to the original data to the institution as well as other individuals or entities having a legitimate need for access. The latter would primarily be related to lawsuits, intellectual property disputes, and cases of research misconduct in which access to the original data is not just preferred, but required.

Approved by Academic Affairs Council, 9/27/2016; to be reviewed 8/2019.

Introduction and Principles

Many students who are enrolled in the School of Nursing, at both the undergraduate and graduate levels, find that they need to work; however, it is often difficult to accommodate the demands of academic and work schedules concurrently. It also is acknowledged that work in a clinical or educational setting may enhance the student’s academic and professional development. Where possible, it is the intent of both the faculty and the Office of Academic Affairs to encourage students to balance the demands of school and work in a way that promotes optimal learning and healthy lifestyles.

The School has established guidelines for how much and to what degree it employs students within the School of Nursing. To this end, students should not be employed at a level that will compromise their academic progress. While the School of Nursing cannot control how much students work outside of their student role, the faculty do get involved when outside employment interferes with academic responsibilities and performance.

Recommendations on Employment Outside the School of Nursing

Full-time students are encouraged to limit their work activities outside of school as much as possible to insure they can meet their academic responsibilities. In the past, experience has shown that full-time undergraduate students who attempt to work at greater than 30 percent time (15 hours per week) are highly likely to jeopardize academic performance.

The same principles, in general, apply to graduate students. Students are likely to successfully manage 3-4 credits of academic work and full-time employment, but experience has shown that success becomes questionable when the academic workload increases. Full-time graduate students are encouraged to work no more than 50 percent (20 hours per week) while engaged actively in coursework.

All students for whom a reduction in employed hours may create a hardship are encouraged to seek public and private funds to support their educational program. The University’s Office of Scholarship and Student Aid (962-8396) is available to assist with the pursuit of public scholarship funds as well as federal grants and loans. The Office of Student Affairs (1200 Carrington, 966-4260) will assist with identifying potential sources of private funds for which a student may be eligible to apply.

Funding support from the School of Nursing is limited; an annual call for applications is made each spring for fall disbursement. All eligible students receive printed and electronic notification of the process and are encouraged to apply. Funds have been secured from a variety of sources and represent both merit- and need-based opportunities.

Employment Within the School of Nursing as GA, TA, RA or Teaching Fellow

In general, graduate students will not be appointed at greater than 50 percent (20 hours per week) to work as a Graduate Assistant, Teaching Assistant, Teaching Fellow or Research Assistant. Levels greater than 50 percent likely will affect student academic progression. Exceptions to employment at a level greater than 50 percent within the School require the approval of the appropriate Program Director and the Associate Dean for Academic Affairs and are more likely for part-time students.

Related material in UNC Graduate Student Handbook:

The School values and encourages the participation of students in extra-curricular professional activities, believing that this participation can expand the perspective offered by classroom learning, promote leadership and professional development and enhance the visibility of the School. These events may at times, however, conflict with essential course or clinical activities. When these conflicts occur, the student should schedule a meeting with the appropriate course coordinator(s) to discuss possible solutions.

Consideration in the decision-making process should be given to those students with a significant history with the organization and those in leadership roles; an assessment of the relationship of the activity to the student’s career goals and a determination of the degree to which the potential learning at the meeting will enhance the regular curriculum. Consideration must also be given to the current academic and clinical performance of the student making the request and the possible academic or clinical consequences of missing essential experiences.

If class, exams, course presentations or clinical practice is missed, essential learning experiences still need to be met. Faculty may do this in a variety of ways such as developing guided independent student learning activities, scheduling a make-up opportunity, extending clinical time for the remaining clinical days or incorporating learning from the professional activity into course activities through an oral or written report. The final decision regarding participation in these activities resides with the course coordinator.

Update July 2014


Registration and Course Credits

All graduate students must be registered during any semester or summer session in which University resources are being used (e.g., during the semester(s) in which they take their comprehensive examinations and during the semester in which the thesis, project or dissertation is defended to the Graduate School). Students who defend their thesis, project, or dissertation in one semester and plan to submit these documents to the Graduate School in the next semester do not need to register or pay tuition in the submission semester as long as the appropriate documents indicating a successful defense have been submitted to the Graduate School in the semester in which the defense occurred. Registration during either summer session will cover the use of university resources for the entire summer. Students do not need to be registered during the summer months in order to retain their status from one academic year to the next.

Students should register for no more than 16 hours in any semester. A student enrolled in the summer may not register for, and will not receive graduate credit for, more than eight hours a session. Overload requests are considered on an exceptional basis and should be initiated by the student’s academic program and forwarded to The Graduate School for approval. Please see the Graduate School Handbook for further details.

Dissertation, thesis or master’s paper hours must be taken for a minimum of three credits in a semester and are considered a full-time load with or without other courses. Please see the Graduate School Handbook for further details.

Students may take a maximum of two graduate-level courses through inter-institutional registration during a fall or spring term or a maximum of one graduate-level course during a summer term, provided that the student is also registered for the balance of his/her normal load (at least three credit hours) at UNC-Chapel Hill. Students may take these courses at North Carolina State University, the University of North Carolina at Greensboro, the University of North Carolina at Charlotte, North Carolina Central University, or Duke University.

Please see a more detailed description of how to make this request and necessary forms in the Graduate School Handbook’s section on Inter-Institutional Registration.

The University requirements related to transfer of course credit are as follows:

  • All transfer work must have an earned grade of B or better (B- is not equivalent to B).
  • The Graduate School must have an official transcript of the transfer credit showing satisfactory completion of the course.
  • Correspondence or extension courses are not eligible for transfer credit, nor are courses taken on a Pass/Fail or Satisfactory/Unsatisfactory basis.

See the University Graduate Handbook for specific details that govern the transfer process.

See sections below for requirements specific to MSN, DNP, and PhD students.

The over-riding consideration in all decisions about course transfer and exemption is that students are provided with sufficient opportunity to gain the knowledge and skills needed to successfully complete their degree program.

BSN to MSN Students

Upon recommendation of the academic program and approval by The Graduate School:

  • Up to 20 percent of the total hours required for the Master of Science in Nursing may be graduate-level courses transferred from another approved institution or from this institution for courses completed before admission to an academic program in The Graduate School.
  • Credit received for graduate-level courses taken as an undergraduate may be transferred into an academic program with the program’s approval, provided the course did not count toward the requirements of the undergraduate degree.
  • Transferred credits will not be included in the program residency credit calculation
  • Graduate courses in Advanced Pharmacology and Advanced Pathophysiology will not be accepted for transfer credit if the completed course is more than three years old at projected time of enrollment in the first clinical management course.
  • All other coursework approved for transfer or exemption must have been completed within five years of the projected date of matriculation. Courses completed more than five years prior to the student’s entry cannot be transferred or used to demonstrate equivalent knowledge (exemption).
  • Course transfer or exemption will not be granted for advanced health assessment or clinical management courses, including practica.

Process for Requesting Course Transfer or Exemption

MSN students may request course transfer or exemption upon submission of a written request (see Course Transfer/Exemption Form) to the School of Nursing registrar in the Office of Student Affairs. Graduate coursework for which transfer or exemption is requested must have been taken within a 5-year time limit. The registrar will initiate the review process by completing the transfer credit recommendation form and submitting it to the Assistant Dean of the MSN Program.

(Approved MEC, DNP-EC, January 2017)

BSN to DNP Students

Upon recommendation of the academic program and approval by The Graduate School:

  • A doctoral student may transfer into his or her degree program relevant graduate courses from approved institutions or from other graduate programs within this institution.
  • A doctoral student may be examined on all transferred courses at the time of the doctoral oral examination.
  • Transferred credits will not be included in the program residency credit calculation
  • A maximum of 12 credit hours may be transferred in from an accredited graduate program.
    • Completed graduate courses in Advanced Pharmacology and Advanced Pathophysiology will not be accepted for transfer credit if more than three years old at projected time of enrollment in the first clinical management course.
    • All other coursework approved for transfer or exemption must have been completed within five years of the projected date of matriculation. Courses completed more than five years prior to the student’s entry cannot be transferred or used to demonstrate equivalent knowledge (exemption).
    • Course transfer or exemption will not be granted for advanced health assessment or clinical management courses, including practica.
    • All 900-level courses that support the DNP Project (920, 941, 942, 943, 994) must be completed at UNC-CH School of Nursing.

Process for Requesting Course Transfer or Exemption

DNP students may request course transfer or exemption by submitting a written request (see Course Transfer/Exemption Form) with a copy of the course syllabus to the School of Nursing registrar in the Office of Student Affairs. Graduate coursework for which transfer or exemption is requested must have been taken within a 5-year time limit. The registrar will initiate the review process by completing the transfer credit recommendation form and submitting it to the Assistant Dean of the DNP Program.

(Approved MEC, DNP-EC, January 2017)

MSN to DNP Students

Upon recommendation of the academic program and approval by The Graduate School:

  • A doctoral student may transfer into his or her degree program relevant graduate courses from approved institutions or from other graduate programs within this institution.
  • A doctoral student may be examined on all transferred courses at the time of the doctoral oral examination.
  • Transferred credits will not be included in the program residency credit calculation.
  • Coursework approved for transfer or exemption must have been completed within five years of the projected date of matriculation. Courses completed more than five years prior to the student’s entry into the program cannot be transferred or used to demonstrate equivalent knowledge (exemption).
  • Course transfer or exemption will not be granted for clinical management courses or practica.
  • All 900-level courses that support the DNP Project (920, 941, 942, 943, 994) must be taken at UNC-CH School of Nursing.

Process for Requesting Course Transfer or Exemption

DNP students may request course transfer or exemption by submitting a written request (see Course Transfer/Exemption Form) with a copy of the course syllabus to the School of Nursing registrar in the Office of Student Affairs. Graduate coursework for which transfer or exemption is requested must have been taken within a 5-year time limit. The registrar will initiate the review process by completing the transfer credit recommendation form and submitting it to the Assistant Dean of the DNP Program.

(Approved MEC, DNP-EC, January 2017)

PhD Students

PhD students who wish to transfer courses are referred to the Graduate School policy.

PhD: Updated March 2017

Adding Courses

Courses may be added only during the official add period.

Dropping Courses

Forms to drop a course are available in the Office of Admissions and Student Services for use after the telephonic system closes (See the Registrar’s Calendar page for deadlines). Students must maintain at least one course during the fall and spring semesters in order to maintain enrollment.

Registration For Three Hours Of Master’s Paper/Thesis/Dissertation

Students are required (see University Graduate Handbook) to be registered whenever University resources (including faculty time) are being consumed to appropriately reflect work being done. In addition, the following specific registration requirements apply.

Master’s students must be registered for three hours of master’s paper or thesis during the semester that they defend their research activity.  Graduate students may register for three or more credits; however, additional credits will not be added to the minimum needed for graduation beyond the three to six hours (master’s paper, three credits; thesis, three to six credits) appropriate for a MSN student or six hours required for a Ph.D. student.

Teaching and Research Assistant Recipients

Each student holding a service or non-service appointment must be registered to hold that position during the fall and spring semesters.

Withdrawal from the University

(See University Graduate Handbook section on Withdrawal)

Students wishing to withdraw from the University must meet with their advisor and the appropriate program Assistant Dean. Upon notification from the Office of Academic Affairs, the registrar in the Office Student Affairs will give a withdrawal form to the student for processing with appropriate University offices. Questions about the process for changing student status should be directed to the appropriate program Assistant Dean or the School of Nursing Registrar in Carrington Hall, Suite 1200.

We, the students of the School of Nursing at the University of North Carolina, Chapel Hill, believe that professional behavior plays an important role in our ethical development as nurses. We are committed to demonstrating professional behavior in our roles both inside and outside of the School of Nursing. This goal will be supported through adoption of the following ideals:

We are committed to conducting ourselves in a manner that appropriately represents the prestigious institution which we attend. We seek to reflect the utmost respect for ourselves, and our instructors, classmates, mentors, patients, and the wider community. SON students will:

  • Present themselves in a manner that is representative of the School of Nursing dress code.
  • Raise their hands when appropriate during lecture and wait to be called on before speaking.
  • Contribute personal comments and experience only when these pertain to the topic at hand.
  • Refrain from personal conversations and comments during lectures.
  • Avoid using laptops for purposes other than educational or pertaining to class.
  • Silence all phones and electronic devices before lectures begin.
  • Wait until it is declared appropriate by the professor to gather their things for breaks and at the end of class.
  • Avoid leaving the room in the middle of a lecture or exam, and will wait for a break in class.

We assume responsibility for our own actions and are committed to personal growth into a professional role. SON students will:

  • Avoid all acts of discrimination.
  • Seek accuracy in stating facts, practices, conclusions, and laws.
  • Offer only constructive feedback to faculty, staff, and other students.
  • Conduct themselves in a manner that fosters trust among peers, faculty, staff, and the wider community.
  • Utilize appropriate opportunities to enhance faculty and staff understanding of student needs.
  • Examine and discuss questions of interest and freely express opinions without judging others.
  • Maintain acceptable academic performance in each course while having protection through administration against prejudiced academic procedures or evaluations.
  • Document and seek guidance from clinical faculty about incidents in the clinical setting that provide opportunity for further reflection and personal growth.
  • Utilize opportunities to enhance their communication and critical thinking skills.
  • Contribute to the development of the professional nursing curriculum.

We are committed to strictly upholding the UNC Honor Code and recognize its importance to the institution and to our professional growth. Students will:

  • Seek to display the ideals of integrity, honesty, competence, and fairness.
  • Provide assistance and guidance among themselves to uphold the UNC Honor Code.
  • Maintain their own belongings, including their own mailboxes and lockers, without disturbing or offending others.

We are committed to enhancing and preserving the health of the community through education and awareness. Students will:

  • Advocate for the rights of patients while maintaining patient confidentiality.
  • Advocate for the nursing profession in the larger community.
  • Strive to secure and maintain their own personal health.
  • Support access to health resources for each other and for all members of the community.
  • Have the right to belong or decline to be a part of any group or organization.
  • Promote and develop a learning environment that respects human rights, values and choices, including cultural and spiritual beliefs

Written: 2008 Class Board
Adopted: 2008 UG Student Body, spring 2008
Approved: Baccalaureate Executive Committee, April 2008

In order to comply with the “Regulation on Student Applicant Background Checks (#700.5.1[R]) policy adopted by the General Administration of The University of North Carolina as well as clinical agency contractual requirements, the School of Nursing requires all affiliated students1 to undergo a Criminal Background Check (CBC). The CBC shall be performed: 1) at the initiation of this policy, 2) following admission acceptance but prior to program matriculation, 3) upon program re-entry subsequent to a leave of absence, program withdrawal or program separation greater than thirty consecutive days, and 4) when deemed necessary by School administration. All offers of admission to the School of Nursing issued subsequent to August 2007 will stipulate the applicant’s admission as contingent upon the results of the CBC. Any student who fails to comply with this requirement may not enroll in the School of Nursing.
The CBC must be performed, at students’ expense2, by a qualified vendor selected by the University and will meet the following criteria:
  • CBC must be completed prior to program matriculation or as designated above.
    • Exception: checks for students admitted within 72 hours of the first day of class may be “in process” by student’s matriculation date but must be concluded within five business days following the first day of class.
  • CBC will be initiated using student’s full legal name and date of birth as identifiers.
  • CBC must cover the past seven (7) years, or the time period since the student’s 16th birthday, whichever is less.
  • CBC must cover all geographic addresses, both domestically and internationally, associated with the student’s complete residential history, places of employment, and educational institutions the student has attended3, for the last seven (7) years or since turning 16 years of age.
  • CBC must include:
    • A search for felony and misdemeanor charges and convictions (except minor traffic related violations) in all local, state, federal court systems and sexual offender/predator databases associated with reported addresses
    • A review of The UNC Suspension and Expulsion Database, The National Student Clearinghouse and The NC Department of Public Instruction enrollment database (when available),
    • A check against the DHHS Office of the Inspector General’s List of Excluded Individuals/Entities (LEIE) and the General Services Administration’s Excluded Parties List (EPLS), and
    • When available, the UNC Suspension and Expulsion Database, National Student Clearinghouse and NC Department of Public Instruction enrollment database
  • The vendor must provide an electronic copy of the report directly to the School.
Students must sign a “Release to Share Background Information and Agreement to Report Future Felony or Misdemeanor Convictions” form, which allows the School to share information obtained in the CBC with clinical agencies for the purpose of securing a clinical placement as part of the student’s educational experience. Students must agree to report any felony or misdemeanor charges and convictions (excluding minor traffic related violations), which occur during their enrollment in the School of Nursing to the appropriate Program Director. Failure to report and engage in the resolution of current or future felony or misdemeanor charges and/or convictions in a timely (within 10 business days) and complete manner, and failure to provide requisite information pertinent to disposed or pending cases are violations of the University’s Honor Code. Offenses will be reported to the student Judiciary System and may serve as grounds for dismissal from the School of Nursing.
The School agrees to use student information for admission screening and to obtain clinical education placements only. In the event the CBC report is positive revealing a felony or misdemeanor charge and/or conviction, the appropriate Program Director will discuss the issue directly and immediately with the student prior to sharing the information with a clinical agency. Prior to meeting with the Program Director, the student will submit a thorough but succinct statement (~1 page in length) describing the incidents denoted in the CBC report, how each case was resolved and lessons learned from the experience. In the event the student determines the positive CBC report is erroneous in some way, the student may request a repeat check be conducted at student expense using his/her Social Security number as the primary identifier.
The School and University make the final decision as to whether a student with a positive report may proceed to matriculation. The clinical agency makes the final decision about whether a student with a positive report may be placed at that site. The Associate Dean of Academic Affairs will hear student appeals of administrative actions taken as a result of CBC findings.
All student reports conducted prior to the availability of electronic reports will be maintained in paper copy in the School’s permanent file for a period of at least ten years post-graduation. All student reports generated electronically will be maintained in a secure electronic database. With the exception of students in the AHEC RN Refresher Program, students less than 16 years or greater than 65 years of age are exempt from completion of the Criminal History Check in accordance with University policy.
Notes/clarifications:
1Affiliated students include: degree-seeking undergraduate or graduate students, post-doctoral fellows of the Schools’ T-32 NRSA fellowship programs, students admitted via The Office of Part-Time Studies with special permission to enroll in selected nursing courses, and students participating in the AHEC RN-Refresher Program.
2Admitted students who initiate a CBC through the School but subsequently withdraw or defer enrollment, are responsible for the standard processing fee
3Students who resided outside the US due to active military deployment, service in the Peace Corps or employment with the US Foreign Service, may submit one of the following alternative forms of documentation in lieu of securing an international background check:
  • A copy of the Certificate of Release or Discharge from Active Duty Form (Form DD214) detailing an “honorable” discharge status, OR
  • A copy of the final Description of Peace Corps Volunteer Service detailing completion of services assignment in “good standing”, OR
  • A copy of the letter terminating service in “good standing” from the US Foreign Service or affiliated agency.
Draft: 0704; Revised 1104; Revised 0705; Revised 0206; Revised 1007; Revised 1208, Revised 0309; Revised 0409. Revised 0809; Revised 1109; Revision 1011 (Clarifications approved by Office of University Counsel (UNC-Chapel Hill) and Office of General Counsel (The University of North Carolina General Administration); Revised 0212.

Infectious/Communicable Disease Policy Infectious/communicable diseases are common and may be a threat to students and faculty of the School of Nursing. During the performance of clinical practice/research activities, students may have contact with patients/subjects with various infections such as bloodborne transmitted disease (e.g., Hepatitis B [HBV], Hepatitis C [HCV], Human immuno-deficiency virus [HIV; AIDS]), airborne transmitted disease (e.g., tuberculosis[TB], measles, varicella), droplet transmitted disease (e.g., influenza, pertussis, mumps) and contract transmitted disease (e.g., methicillin-resistant Staphylococcus aureus). This contact may expose the student to infectious agents, and may result in the student transmitting an infectious disease to other students, faculty, patients, family members, and subjects. During pregnancy, the fetus may also be at risk depending on the infection (e.g., Varicella).

To help protect the health and safety of its students, as well as that of patients and subjects, the School of Nursing requires:

A. Initial infectious disease screening

B. Pre-exposure prophylactic immunization against specified infectious/communicable diseases

C. Post-exposure prophylactic follow-up/treatment following exposure to specified infectious diseases such as HBV, HIV, and tuberculosis

Clinical Agency Infectious/Communicable Disease Policies/Protocols

Students must comply with the communicable/infectious disease policy and protocols of the agency or facility with which they are assigned for clinical practice or research activity, as well as with the policies of the UNC-Chapel Hill School of Nursing, the University, state and Federal statues, regulations, and the contractual mandates of clinical affiliates.

Enrollment and Health Screening

  1. All students enrolled in the University, are required by North Carolina statute to present to the University on or before the first day of enrollment a certificate of immunization that indicates that the student has received the vaccinations required. Student failure to submit documentation as described shall constitute significant non-compliance. In accordance with University policy, the student shall have 30 calendar days from the first day of classes to obtain the required immunizations. Students who fail to comply with the immunization requirements by the end of the specified 30 calendar days will be administratively withdrawn from the University by the University’s Registrar.
  2. Student failure to submit documentation specific to School of Nursing required immunizations, health data and safety elements prior matriculation in the School of Nursing, shall result in the rescission of the student’s offer of admission to the School. Non-compliance that occurs after matriculation shall result in the student being withdrawn from lab/clinical practice/research assignments, loss of privileges in applicable Learning Management Systems, incurring an account hold and may impact enrollment.
  3. Students have the right to petition for an exemption from statutorily required or School required immunizations. Appeals must be based on a student’s health condition, medical disorder or religious beliefs. Documentation supporting the exemption should be submitted to OASS and include: (1) a written justification from the student’s personal medical provider explaining why the vaccination is contraindicated; OR (2) a notarized copy of the “Request for Exemption from Immunization Requirements: Religious Reasons” form.

Health Costs and Coverage

Students may become ill, injured or exposed to infectious/communicable diseases while engaging in clinical practice/research activities. Illness, injury, or exposure to disease may require, but may not be limited to, counseling, prophylactic intervention, diagnostic procedures and/or follow-up treatment.

  1. The School of Nursing is not liable for health care costs associated with a student’s illness or injury resulting from clinical practice/research activities.
  2. For any student who experiences a blood or body fluid exposure incident, the School of Nursing is responsible for medical costs incurred for counseling and both initial and serial diagnostic testing. The student is responsible for all follow-up care and treatment and/or any diagnostic tests/procedures conducted subsequent to the evaluation phase. Should such post-exposure testing become necessary, all results will be held in the strictest confidence by CHS. Designated CHS staff will document exposures they manage in charts maintained only for such exposures and available only for review by CHS designees and, when necessary, the legal counsel for the University. All specimens will be sent to the Roche Biomed Reference Laboratory using a code. For each “exposure” the following will be documented: the route(s) of exposure, the circumstances, and the name of the source and HIV and Hepatitis B status of the source.
  3. Any student who exposes another to his/her blood/body fluids and/or an infectious disease during clinical practice/research activities may be responsible for all costs incurred as a result of that exposure.

All School of Nursing students (undergraduate, graduate, and post-graduate) who engage in clinical practice/research activities are also required to submit documentation to OASS of current enrollment in a health insurance plan. Students may carry any health and accident insurance plan that provides coverage for blood/body fluid exposure. Students without current health insurance coverage are strongly encouraged to enroll in the UNC System-wide Student Health Plan. Enrollment in this Plan provides coverage for blood/body fluid exposures as well as other health related problems. For information related to specific coverage and coverage costs of the Plan, students are to contact:

Pearce & Pearce, Inc.

P.O. Box 2270, Florence, S.C. 29503

Phone: 888-722-1668

E-mail: unc-ch@studentinsurance.com

Web: https://www.pearceandpearce.com/PearceSite/Schools/NC/UNC/

Students who fail to provide documentation of health insurance prior to the first day of enrollment in the School of Nursing will not be permitted to matriculate. Students failing to maintain on-going coverage while enrolled in the School, may not engage in any course related activities, and may be dis-enrolled until coverage has been re-established.

Safety Education and Training

As required by the Occupational Health and Safety Administration (OSHA) students must undergo annual training in the use of universal precautions and transmission-based precautions applicable to individuals with infectious communicable diseases, including HBV, HCV, HIV and tuberculosis. Safety training will be undertaken utilizing the University’s training modules or those required by the UNC Health Care System. The specific communicable disease policies of the agency to which a student is assigned for clinical experience will be reviewed by faculty and students prior to conducting clinical practice/research activities in that facility. Evidence of certification is required by the School upon initial matriculation and annually thereafter, and for each clinical agency assigned. A copy of the certifying document must be maintained in the student’s permanent file in OASS.

Student Refusal to Care for Patients with HBV, HCV, HIV, and Tuberculosis

Refusal to provide care to persons with HBV, HCV, HIV, Tuberculosis, and/or other infectious diseases is inconsistent with performance expectations for students at the School of Nursing and is antithetical with the ethics of the nursing profession. It is expected that students will provide care to persons with HBV, HCV, HIV, and Tuberculosis. In cases when continuing clinical practice/research activities present more than a minimal risk, such as when a student is immunosuppressed, the student may be temporarily reassigned.

Nursing’s mandate to provide care is exquisitely expressed in an ANA publication:

“Nursing is a caring profession, oriented toward patient advocacy. Because of nursing’s long history of standing ready to assist the ill and vulnerable in society, society has come to rely on nursing and to expect that it will rise to the health demands of virtually any occasion. In a sense, this reciprocity is crucial to the profession. All must know that care will be given when needed and that it will not be arbitrarily, prejudicially or capriciously denied.” (American Nurses Association Position Statement on Risk Versus Responsibility in Providing Nursing Care, December 8, 1994.)

Required Immunizations for Students

  1. Diphtheria, Tetanus, Pertussis (childhood DTP) or Tetanus-Diphtheria (Adult TD) – 3 dose series.
  2. Tetanus-Diphtheria (Td) Booster – every 10 years, or if no Td Booster obtained in this time period, a Tetanua-Diptheria-acellular Pertusis (TDaP) vaccination is required
  3. Polio – 3 doses only if under 18 years of age.
  4. Mumps – (1) documented administration of two doses of live mumps virus vaccine, or (2) laboratory evidence of immunity
  5. Measles (Rubeola) – (1) documented administration of 2 doses of live measles virus vaccine, or (2) laboratory evidence of immunity
  6. Rubella (German measles) – (1) documented administration of two doses of live rubella virus vaccine, or (2) laboratory evidence of immunity.
  7. TDaP – documented administration of one dose of Tetanua-Diptheria-acellular Pertusis since 2005
  8. Varicella (Chicken Pox) – (1) Documentation of completed two-dose series vaccination, or (2) Laboratory evidence of a positive serologic titer
  9. Hepatitis B Virus (HBV) Vaccination
    1. Documented administration of three dose vaccination series, completed no later than 6 months from program matriculation for all students engaged in clinical practice/research activities
    2. Effective May 2001, laboratory evidence of immunity in the form of a post-vaccination serum antibody titer obtained 4-6 weeks following completion of the vaccination series. The titer many be obtained from CHS or primary care provider of choice.
  10. Seasonal influenza: documentary evidence of seasonal influenza vaccine submitted prior to admission and annually.
  11. Tuberculosis Screening
    1. Tuberculosis Skin Test ( TST: purified protein derivative of Mycobacterium tuberculosis) and results within the past 12 months , unless the test is contraindicated upon a health care provider’s written advice. Written verification of the test results and/or contraindication must be submitted to OASS and CHS. Effective May 2001, the University’s Campus Health Services is requiring a two-step initial TST. All matriculating students shall undergo the primary test as described above, then within no less than 7 days and no more than 12 weeks report to CHS or preferred primary provider for a second test. This approach establishes a baseline test reaction in each student. Annual testing is required thereafter.
    2. A student with a positive TST shall:
      1. If reaction is >5mm induration, adhere to the follow-up/therapeutic regimen of CHS or his/her health care provider
      2. If reaction is >10 mm induration, present documentation of: TST results, follow-up therapeutic regimen, treatment received (if any), and chest film results (if any). If treatment is initiated, a negative chest x-ray must be submitted one year post-diagnosis. An Annual TB Symptoms Questionnaire completed by CHS or the student’s health care provider is required annually thereafter
      3. A student who has diagnosed pulmonary symptoms suggestive of TB shall refrain from contact with patients/subjects until his/her health care provider submits written documentation that the health of patients/subjects is no longer jeopardized. Neither faculty, staff nor students of the School of Nursing may “read” a student’s TST.
      4. Persons allergic to the preservative in the TST, have been vaccinated with BCG or prefer an alternative to the TST, may instead undergo QuantiFERON-TB Gold testing initially and on an annual basis to diagnose current and latent cases of TB.
      5. All students traveling outside the US must obtain a TST 6-8 weeks subsequent to their return to the US L. Other vaccinations: Students participating in international travel which is funded by the University or for which course credit is awarded must adhere to the University’s policies related to international travel, including adherence to all health and security requirements established by the Centers for Disease Control and Prevention and/or the US Department of State.

NOTE: Immunizations A through F are stipulations of the North Carolina immunization statutes and upheld by the University of North Carolina at Chapel Hill: http://www.immunize.nc.gov/schools/ncruleslaws.htm

Immunization and Infectious Disease Record

An immunization record shall be established and maintained in OASS and in CHS.

  1. OASS shall maintain records of the following:
    1. TST results and associated documents, if any
    2. Documentary evidence of immunizations (DPT, TDaP, MMR, Varicella, Influenza, HBV and seasonal influenza)
    3. Signed vaccination contraindication and religious exemption forms
    4. Documentation of vaccinations required for international travel
    5. OSHA training and test results
    6. Anecdotal documentation of exposure incidents involving students
    7. ocumentation of physician’s recommendation of return to clinical setting following exposure or positive test results.
  2. Campus Health Services maintains official records of 1-4 above, plus:
    1. Polio vaccination
    2. Official records of exposure incidents involving students

School of Nursing Responsibilities and Resources

Infectious Disease Coordinator

A faculty member designated by the Dean serves as the Infectious Disease Coordinator to facilitate communication and dissemination of information about infectious disease control. The Coordinator apprises academic administrators and faculty of CDC recommendations, University, School, and/or agency requirements and other applicable information. The Infectious Disease Coordinator may serve as a resource to students who are exposed to an infectious disease. The University’s CHS will maintain official records of students’ exposure incidents that may occur during clinical practice/research activities. CHS will serve as an available consultant for local providers when a needlestick exposure occurs off-site. In the consultant capacity, CHS will provide local providers with a student’s health record information and information related to the CHS blood and body fluid exposure protocol. CHS will not serve as infectious disease consultants in the case of off-site exposures, however, they will manage care of the student upon the student’s return to the UNC-Chapel Hill campus. It is the responsibility of the clinical faculty to notify the Infectious Disease Coordinator or designee when exposure incidents occur. Anecdotal records of exposure incidents will be submitted to OASS to be filed with the student’s record. The following documents addressing University policy and North Carolina law are available for students’ review/copy in the Office of the Infectious Disease Coordinator, Dr. Margaret Miller, Assistant Dean, Suite 1400, Carrington Hall:

  1. North Carolina Immunization Law General Statutes of North Carolina
  2. General Statutes of North Carolina
    1. Control Measures for Communicable Diseases
    2. Control Measures – HIV
    3. Control Measures – Hepatitis B
    4. Control Measures – Tuberculosis
  3. OSHA Occupational Safety and Health Standards, Bloodborne Pathogens
  4. Exposure Protocol for Students at UNC-Chapel Hill
  5. CDC Infection Prevention Guideline for Outpatient Settings
Exposure Incidents

An “exposure incident” refers to a specific eye, mouth, other mucous membrane, non-intact skin, or parenteral contact with blood or other potentially infectious materials that results from the performance of an employee’s duties [a student’s clinical practice/research activities] (OSHA). Students who follow the recommendations developed by the Centers for Disease Control (CDC Universal Blood and Body Fluid Precautions) have minimal danger of contracting any infection in the course of their clinical practice/research activities. When an incident occurs, students must follow the Exposure Protocol for Students at UNC-Chapel Hill as established by CHS.

Follow-Up to Exposure to Blood/Body Fluids

Initial and subsequent care and follow-up activities including recommendations related to counseling, prophylactic/treatment regimens, and continued or restricted practice activities following a student’s exposure incident will be determined by the student’s health care provider (in collaboration with the student) and other appropriate health care professionals. In the absence of a primary health care provider, the student should utilize CHS for health care.

All determinations regarding source of exposure including contact with source, notification of the source’s health care provider, testing of the source, and applicable laws/regulations regarding confidentiality will be made by the student’s health care provider.

1. In the case where source and student testing has been performed and evaluated, CHS will provide the student with information regarding the health care professional’s opinion.

2. “Exposure” incidents are reported to the appropriate sources by CHS. Documentation maintained by the School of Nursing is strictly anecdotal.

Student As Source of Blood or Body Fluid to Another Individual

The following steps are recommended when a student has exposed another individual (to his/her own blood/body fluids during practice, research or other care activities:

1. The exposed individual should immediately call the Campus Health Services Needlestick Hotline, 919-966-6573 during week-day hours (8am – 5pm). After hours call919-966-6573 and have the Health Link nurse page the on-call CHS physician. Students on-site should report to CHS immediately after the call. Off-site students should report to CHS immediately upon return to the UNC-Chapel Hill campus. Health care providers at CHS determine any needed follow-up for the exposed individual in accordance with their Bloodborne Pathogen Exposure Protocol.

2. In any instance where students practicing at UNC Hospitals are the source of a blood or body fluid occupational exposure to a patient, that exposure must be reported to Hospital Epidemiology (919) 966-1638. The information must also be reported to the appropriate unit of the non-UNC Hospitals agency(ies) to which the student is assigned.

References

American Nurses Association (1992). American Nurses Association position statement on HIV infection and nursing students. In: Compendium of American Nurses Association position statements. Washington, DC.

American Nurses Association (1996). American Nurses Association position statement on risk versus responsibility in providing nursing care. In: Compendium of American Nurses Association position statements. Washington, DC.

Campus Health Services, University of North Carolina at Chapel Hill (2010). Information about tuberculosis (TB) screening tests, Retrieved from http://campushealth.unc.edu/index.php?option=com_content&task=view&id=787&Itemid=65

Campus Health Services, University of North Carolina at Chapel Hill (2011). Bloodborne pathogen exposures – students (policy number: INF-N-03).

Campus Health Services, University of North Carolina at Chapel Hill (2011). Protocol for students of UNC-Chapel Hill, Retrieved from http://campushealth.unc.edu/index.php?option=com_content&task=view&id=121&Itemid=84

Centers for Disease Control and Prevention (1997). Immunization of health-care workers: Recommendations of the Advisory Committee on Immunization Practices (ACIP) and the Hospital Infection Control Practices Advisory Committee (HICPAC), Morbidity and Mortality Weekly Report, 46(RR-18)

Centers for Disease Control and Prevention (1998). Measles, mumps, and rubella – Vaccine use and strategies for elimination of measles, rubella, and congenital rubella syndrome and control of mumps: Recommendations of the Advisory Committee on Immunization Practices (ACIP), Morbidity and Mortality Weekly Report, 47(RR-8)

Centers for Disease Control and Prevention (2000). Poliomyelitis prevention in the United States: Updated recommendations of the Advisory Committee on Immunization Practices (ACIP). Morbidity and Mortality Weekly Report, 49(RR-5).

Centers for Disease Control and Prevention (2006). A comprehensive immunization strategy to eliminate transmission of hepatitis B virus infection in the United States: Recommendations of the Advisory Committee on Immunization Practices (ACIP) and the Hospital Infection Control Practices Advisory Committee (HICPAC) Part п: Immunization on Adults, Morbidity and Mortality Weekly Report, 55(RR-16)

Centers for Disease Control and Prevention (2007). Prevention of varicella: Recommendations of the Advisory Committee on Immunization Practices (ACIP). Morbidity and Mortality Weekly Report, 56(RR-4).

Centers for Disease Control and Prevention (2011). Guide to infection prevention for outpatient settings: Minimum expectations for safe care. Retrieved from http://www.cdc.gov/HAI/settings/outpatient/outpatient-care-guidelines.html

General Assembly of North Carolina (2010). North Carolina Immunization Law General Statutes of North Carolina. Chapter 130A, Article 6, Part 2 Immunization. Retrieved from: http://www.immunizenc.com/NCRulesandLaws.htm

Jagger, J. De Carli, G., Perry, J. L., Puro, V., & Ippolito, G. (2003). Occupational exposure to blood-borne pathogens: Epidemiology and prevention. In R. P. Wenzel (Ed.), Prevention and control of nosocomial infections (4th ed, pp. 430-466). Philadelphia, PA: Lippincott Williams & Wilkins

North Carolina Office of Administrative Hearings (2003). Control measures for Hepatitis B (10A NCAC 41A .0203). Retrieved from http://ncrules.state.nc.us/ncac/title%2010a%20-%20health%20and%20human%20services/chapter%2041%20-%20epidemiology%20health/subchapter%20a/10a%20ncac%2041a%20.0203.html

North Carolina Office of Administrative Hearings (2005). Control measures- General(10A NCAC 41A .0201). Retrieved from http://ncrules.state.nc.us/ncac/title%2010a%20-%20health%20and%20human%20services/chapter%2041%20-%20epidemiology%20health/subchapter%20a/10a%20ncac%2041a%20.0201.html

North Carolina Office of Administrative Hearings (2007). Control measures – HIV (10A NCAC 41A .0202). Retrieved from http://ncrules.state.nc.us/ncac/title%2010a%20-%20health%20and%20human%20services/chapter%2041%20-%20epidemiology%20health/subchapter%20a/10a%20ncac%2041a%20.0202.html

North Carolina Office of Administrative Hearings (2011). Control measures – Tuberculosis (10A NCAC 41A .0203). Retrieved from http://ncrules.state.nc.us/ncac/title%2010a%20-%20health%20and%20human%20services/chapter%2041%20-%20epidemiology%20health/subchapter%20a/10a%20ncac%2041a%20.0203.html

Occupational Safety and Health Administration (2011). Occupational safety and health standards: Bloodborne pathogens (1910.1030). Retrieved from http://www.osha.gov/pls/oshaweb/owadisp.show_document?p_table=standards&p_id=10051

Weber, D. J., Rutala, W. A., & Schaffner, W. (2010). Lessons learned: Protection of healthcare workers from infectious disease risks. Crit Care Med, 38(S8), S306-S314. doi:10.1097/CCM.Ob013e3181e69ebd.


Health and Safety Compliance Program

Infectious/communicable diseases are common and may be a threat to students and faculty of the School of Nursing. During the performance of clinical practice/research activities, students may interact with clients/research participants with tuberculosis (TB), hepatitis B (HBV), HIV/AIDS, and other infections. This contact may expose the student to infectious agents, and may result in the student transmitting an infectious disease to other students, faculty, clients, family members, and research participants. During pregnancy, the fetus may also be at risk. Conversely, the student’s health status may adversely impact the students’ abilities to interact with clients/research participants. Should an exposure or a high-risk situation occur, clinical or research experiences may require alteration to provide optimal student learning and to ensure the well being of both client and student.

Additionally, state and federal statutory regulations, University policy and accreditation standards for affiliated clinical agencies require that nursing students demonstrate particular cognitive and clinical competencies consistent with their minimum practice standards. As such, the School is contractually mandated to ensure all students attain and maintain full compliance with each required competency detailed in this policy.

All students are responsible for maintaining their own health, protecting themselves and the clients/research participants with whom they interact from communicable/infectious disease, and attaining and maintaining competency with identified practice standards.

Students admitted to the School must achieve compliance with all health, safety and legal requirements applicable to the program to which they have been admitted prior to the first day of classes. Continuing students must maintain full compliance with all renewable requirements throughout their tenure with the School. Student compliance is required of all enrolled students. This includes those enrolled in clinical and non-clinical courses. Students should retain all original documentation pertinent to each requirement in a personal file and provide a legible quality copy of each document to the Office of Admissions and Student Services (OASS) for entry into the student database and placement in the student’s compliance program file. Documents may be submitted in person, via US mail, via fax or as a PDF via email.

Further, supplementary requirements may be contractually mandated by any clinical agency to which students may be assigned. These additional elements are required, non-negotiable and deemed as critically important as School/University requirements. Students are informed of their clinical assignment through student registration or communication with the Clinical Site or Advanced Practice Area Coordinators. Students are then responsible for meeting all applicable elements described in the Health and Safety Database (HSR; described elsewhere in this document). Students must check their status in the HSR as often as necessary to ensure all submission deadlines are met and no item expires, as there is no grace period. It is the sole responsibility of each student to maintain a current knowledge of his/her compliance standing.

Consequences of Non-Compliance:

Upon program entry, any student who fails to attain compliance by the first day of class, will not be permitted to matriculate. (Exception: students admitted less than two weeks prior to the first day of class must meet compliance by end of the first week of class).

Continuing students deemed non-compliant by the first day of class in any term, may be withdrawn from the affected clinical course(s), and, following advisement by the appropriate Program Director, will establish an alternate study plan and re-enroll in needed clinical courses in a later semester.

Students who attain compliance initially but fail to properly maintain compliance with School, University or agency-specific requirements will jeopardize their access to course information via Sakai, incur an academic hold on their University account, and have their clinical privileges revoked. If a student is deemed non-compliant for more than five business days, the student will be reported to the appropriate Program Director and Academic Standards Committee for formal review and action. Note: Students are accountable for all course content, assignments or tests missed during the period their Blackboard access privileges are withdrawn. Faculty are not responsible for disseminating missed content, or providing alternative assignments or testing opportunities.

Failure to attain or maintain compliance with the School’s health, safety and legal requirements may result in student disenrollment. Note: no grace period exists following the confirmed expiration date or posted submission deadlines.

Exceptions:

BLS-CPR certification for newly admitted pre-licensure undergraduate students may be obtained via classes offered by the School twice each year, however, all must meet this requirement by the last date on which the School-based CPR course is taught.

Due to the limited clinical engagement of students in the RN-BSN option, compliance with all requirements is not necessary until six weeks prior to the first day of class for NURS 494. At all other times, RN-BSN students must comply with HIPAA training/testing and the Universal Confidentiality Statement requirements only. A statement attesting to the student’s understanding of this compliance procedure is signed during orientation.

Master’s and Post-Master’s students may request exemption from professional liability insurance coverage for any semester in which they are not registered for a clinical course. The request shall be made to the Asst. Director for Student Compliance and, if approved, shall NOT extend to any other requirement.

Master’s students registered for N992 or N993 only and NOT engaged in data collection involving human subjects may request waiver of renewable compliance requirements (annual TB testing, OSHA, CPR renewal and professional liability insurance coverage). The waiver must be signed by the student and his/her thesis/project advisor, and submitted to OASS promptly for approval.

Doctoral students must meet compliance requirements commensurate with the intensity of client/human subject contact they experience through research or employment activities. These students submit a waiver, signed by both the student and his/her faculty advisor, at the start of each semester denoting the extent of contact the student expects to have in academic activities. If the student’s situation changes, as it may with employment as a Teaching or Research Assistant, or in the course of dissertation work, the student must submit a revised waiver, and simultaneously attain full compliance with all applicable requirements prior to engaging in an elevated level of client contact.

Requirements by level of client/subject contact:

No contact or indirect contact: demonstrated MMR, DPT, and TDaP immunity; annual HIPAA training/testing; confidentiality statement, and health insurance;

Non-invasive direct contact: As above plus two-step TB screening; demonstrated Varicella immunity; and OSHA training/testing;

Invasive direct contact: As above plus demonstrated Hepatitis B immunity. If serving as supervising Clinical Faculty/Teaching Fellow, must additionally evidence BSL certification and an unrestricted NC RN license. If conducting data collection for the dissertation, professional liability insurance is required.

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It is the responsibility of the School to maintain an accurate record of all student documentation related to the Compliance Program. Data are maintained electronically as well as in hard copy form in the student’ compliance file. The hard-copy file is returned to the student at the completion of his/her academic program.

It is further the responsibility of the School, as delegated to OASS, to notify students of upcoming requirement expirations. This is accomplished via use of a secure, PID-authenticated database that is web-accessible. The Health and Safety Requirements Database (HSR) is designed to enable students to easily identify the site-specific compliance requirements for the School of Nursing as well as all clinical agencies who mandate the completion of additional elements. Additionally the HSR makes available any agency specific forms, documents, tutorials, etc necessary for fulfilling compliance requirements for a given agency. Finally and most importantly, the HSR contains all student specific data enabling students to check their compliance status for all required elements relative to the School’s requirements or those of an assigned clinical agency. In totality, this system replaces reminder memos and any need for the School to notify students of impending deadlines, expirations, etc.

Lastly, the School of Nursing is responsible for ensuring that all documentation of student data related to School or University requirements are on file with Campus Health Services.

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University

All on-campus students must comply with the University’s Health Requirements prior to matriculation and continuously while enrolled in the School of Nursing.

For Matriculation into the School of Nursing

ALL Students:

  • Information Security Policy review and signed Universal Confidentiality Statement
  • Measles, Mumps, Rubeola, Rubella, & Tetanus (TDap): Students (regardless of date of birth) must submit vaccination evidence of:
    • 3 DTP (Diphtheria, Tetanus, Pertussis) doses, with at least one Td booster within the past 10 years.
    • TDaP vaccination is required for all cases in which the most recent Td booster is greater than two years old.
    • 2 MMR (Measles [Rubeola], Mumps, Rubella) doses

Serologic titers confirming immunity for any of these diseases may be submitted in lieu of the vaccination series for that disease

  • Annual seasonal Influenza vaccination
  • Health Insurance coverage to include coverage of accidents and blood-/air-borne diseases in the event of exposure during a student’s clinical/research experience; insurance coverage must be validated annually.
    • Note: students may select the insurance carrier of their choice. Those without insurance coverage are encouraged to consider the UNC-Chapel Hill Student Medical Insurance Plan [http://www.hillchesson.com/unc.html]
    • Information Security Policy review and submission of signed Universal Confidentiality Statement
  • HIPPA training and post-testing
    • Note: only UNC Healthcare training and post-testing are accepted; this includes training/testing sponsored by UNC Hospitals, UNC School of Medicine or Rex Healthcare. Students employed by these institutions may submit a copy of their annual HIPAA training/testing completion certificate. All other students must complete the six self-study tutorials available at http://hipaatrain.med.unc.edu. Please follow directions for Group #1 and Group #2. Complete modules 1 thru 6 and notify OASS upon completion.

Additional Requirements

Additionally, BSN, MSN, PMSN, non-waived RN-BSN, and specific PhD Students (see page 2) are required to provide the following documentation:

  • Varicella Immunity as validated by either receipt of the two-dose series vaccination, or positive serologic Varicella titer
  • Hepatitis B Virus immunity as validated by positive serologic HBV titer OR receipt of three-dose series vaccination followed by positive serologic HBV Surface Antibody Titer
    • Note: titer must be reported in numerical value; immunity equates to a positive value of >10.9 mIu/mL
  • Tuberculosis Screening validated by initial two-step TB screening (Mantoux test) and annual one-step screening thereafter (if TB skin test positive, submission of Annual Tuberculosis Screening Questionnaire (completed by health care provider) and results of a chest x-ray within the past five years
    • Note 1: a Two-Step Screening means one must submit documentation of the results of two TB tests conducted within 12 months preceding matriculation date. Tests can be conducted no sooner than seven days apart. The purpose of the two-step test is to reduce the likelihood that a booster reaction is later interpreted as a new infection.
    • Note 2: The School of Nursing prohibits students from interpreting their own TB test results or from asking School faculty to make this determination. Only the test source may interpret the results and issue a final reading determination.
  • Current CPR Certification (only Basic Life Support course certified by the American Heart Association is accepted)
    • Note: PALS may be substituted for students in the pediatric NP specialty; students in the Adult NP or Women’s Health specialties may substitute ACLS for this requirement.
    • Courses are available through most hospitals, AHECs, and local American Heart Association affiliates. Local vendors providing individual instruction for certification and re-certification offer a flexible option; one such instructor is: Carolina CPR Associates, LLC: Glenda George, Instructor. Contact information: 919-544-5027 or Glenda-george@nc.rr.com. Visit their website at http://www.carolinacprassociates.com.The School of Nursing offers AHA BLS certification courses during the spring and summer terms. More information is available following new cohort matriculation.
  • OSHA training and post-testing (to include blood- and air-borne pathogens, universal precautions, and applicable safety content specific to clinical agencies.)
    • Note: Only UNC Healthcare or UNC-Chapel Hill training/testing is accepted. Students employed by either of these institutions may submit training/testing verification from their supervisor or testing service. All other students must complete the self-study tutorials and post-tests for Bloodborne Pathogens, Tuberculosis and Infection Control, and Healthcare Worker/JCAHO Safety Information at the following URL: http://ehs.unc.edu/training/self.shtml. Students are responsible for submitting documentation verifying completion of the online tests.

Pre-licensure (BSN & ABSN Options) Students are required to provide the following additional documentation:

  • Assessment of Current Health Status (original form MUST be submitted). A repeat assessment is required for any student taking a Leave of Absence greater than one term or who has experienced a significant health event during a term (eg. short or long term hospitalization, surgical intervention, communicable disease treatment, diagnosis of a chronic health condition).

MSN, Post-MSN and specific PhD Students (see page 2are required to provide the following additional documentation:

  • Copy of current unencumbered/unrestricted North Carolina Registered Nurse License
    • Note: Students assigned to clinical sites in states other than NC shall provide a copy of an unencumbered RN license to practice in the applicable state.
  • Copy of cover page of Professional Liability (Malpractice) Insurance policy (coverage limits: $1 million per event/$3 million aggregate)
    • Note: Effective March 1, 2006, all nurse practitioner students MUST carry “NP-Student Liability Insurance”.

Renewable Requirements

Annually
  • Tuberculosis Screening validated by annual TB screening (Mantoux test) or, if TB skin test positive, submission of Annual Tuberculosis Screening Questionnaire (completed by primary provider) and results of a chest x-ray within the past five years
  • Annual seasonal Influenza vaccination
  • Annual OSHA training/post-testing (to include blood- and air-borne pathogens, universal precautions, and applicable safety content specific to clinical agencies.)
  • Annual HIPPA training and post-testing
    • Note: Only UNC Healthcare or UNC-Chapel Hill training/testing is accepted. Students employed by either of these institutions may submit training/testing verification from their supervisor or testing service. All other students must complete the self-study tutorials and post-tests for Bloodborne Pathogens, Tuberculosis and Infection Control, and Healthcare Worker/JCAHO Safety Information at the following URL: http://ehs.unc.edu/training/self.shtml. Students are responsible for submitting documentation verifying completion of the online tests.
Variable timeframe
  • Current CPR Certification (only Basic Life Support course certified by the American Heart Association is accepted)
  • Licensure renewal: licensed students must maintain a current unrestricted license to practice as a Registered Nurse throughout their program of study.
  • Copy of cover page of Professional Liability (Malpractice) Insurance policy (coverage limits: $1 million per event/$3 million aggregate)

Note: All requirement specific forms may be obtained from, and all documentation supporting student compliance with School of Nursing requirements must be submitted to, the Office of Admissions and Student Services – Suite 1200 New Addition- Carrington Hall; (919) 966-4260; fax: (919) 966-3540. Contact the Health and Safety Compliance Coordinator or Director with questions.

Download complete policy

All students are required to present proof of CPR certification. Evidence of certification in the form of a copy of the American Heart Association certification card is required:

  • Minimum certification requirement: AHA Basic Life Support (BLS) or Healthcare Provider level with minimally a 2-year certification term.
    • BLS-Instructor, ACLS, ACLS-Instructor, PALS, and PALS-Instructor certifications are acceptable alternatives
  • Effective October 2014, certification based on the 2015 AHA BLS guidelines is required (updated courses began ~April 2011)
  • Note: Neither American Red Cross CPR Certification nor “Chain of Survival” courses are acceptable

Students must maintain current CPR certification throughout enrollment in the School in Nursing. An expired CPR certification will result in immediate restriction from the clinical setting thus jeopardize student standing in the program.

Courses are available through most hospitals, AHECs, and local American Heart Association affiliates. Local vendors providing individual instruction for certification and re-certification offer a flexible option; one such instructor is:

Note: The School of Nursing offers AHA BLS certification courses during the spring and summer terms. More information is available following new cohort matriculation.

Revised: 0305, 02/06, 10/06, 04/09; 0211;0316

Download complete policy 

Compliance Program Requirements by Academic Program

UPON MATRICULATIONPre-Licensure BSNMSN/PMSN/DNPPhD*
Assessment of Current Health Statusxx*
Varicella Vaccination Series or Titerxx*
TB Test Results (Two-Step)xxx
Hepatitis B Vaccination Series & Serologic Titerxx*
Measles/Mumps/Rubellaxxx
Diptheria/Pertusis/Tetanusxxx
TDap (if Tetanus > 2 years old)xxx
Seasonal Influenza vaccinationxxx
CPR Certificationxx*
Confidentiality Statementxxx
OSHA**xx*
HIPAA**xxx
Health and Accident Insurancexxx
RN License N/Ax*
Professional Liability Insurance SON policyx*
Student Waiver MSN/PMSN/DNP N/Ax***
Student Waiver PhD N/A N/Ax
RENEWABLEPre-Licensure BSNMSN/PMSN/DNPPhD*
TB Test - Annuallyxxx
Seasonal Influenza Vaccinationxxx
Health Insurance - Annually or at expirationxxx
OSHA – Annually**xx*
HIPAA – Annually**xxx
CPR Certification – Upon expirationxx*
RN License – Upon expirationN/Ax*
Professional Liability Insurance – Upon expirationN/Ax*
Student Waiver MSN/PMSN/DNP – Required EACH semester as applicableN/AxN/A
Student Waiver PhD – Required EACH semester N/A N/Ax

*Additional requirements for PhD students engaged in clinical practice or research activities involving human subjects are determined by the algorithm on page 2. Download complete policy

** Instructions for OSHA and HIPAA training and testing are detailed in the policy narrative. Download complete policy

***Required EACH semester if not enrolled in clinical course(s)

Note: All requirement-specific forms may be obtained from the HSR. All documentation supporting student compliance with SON requirements must be submitted to: Office of Student Affairs, Suite 1200 New Addition-Carrington Hall; (919) 966-4260; fax: (919) 966-3540. Contact the Assistant Director for Student Compliance or Assistant Dean, Student Affairs with questions.

Written/Approved: 5/02; Revised 02/03; Revised 04/03; Revised 06/03; Revised 02/04; Revised 04/04; Revised 08/04; Revised 0705; Revised 0206; Revised 10.06; Revised 0307; Revised 06/07; Revised 04/08; Revised 11/08; Revised 12/08; Revised 3/09; Revised 4/09; Revised 08/09; Revised 10/09; Revised 08/10; Revised 03/11; Draft rev 05/11; Revised 0212; Revised 05/13; Revised 03/16

All projects, master’s theses and doctoral dissertations research involving human subjects must be reviewed and approved by a UNC Chapel Hill Institutional Review Board (IRB, also called Human Subjects Committee) or by an IRB with which the UNC-Chapel Hill IRB can negotiate an IRB Authorization Agreement. The UNC-Chapel Hill IRB has negotiated these agreements with many institutions including Duke University, Bowman Gray School of Medicine and Wake Medical Center. Research involving human subjects and submitted for external or internal funding, including NRSAs and minority supplements, also typically needs IRB approval, although whether that approval must be received before submission or after funding varies among funding agencies. Research is generally considered to involve human subjects if the investigator has direct or indirect contact with individuals or identifiable data or pathological specimens about living persons. Research using only data from publicly available and deidentified databases or from published sources may not be considered human subjects research if no one on the study team has a way to link to the identity of the original subjects; this determination is best made by the IRB. It is important to note that databases without name or social security number are not necessarily deidentified, as there are many other demographics considered as “identifiers.” Determination of whether or not data is sufficiently deidentified is best made by the IRB.

A number of studies submitted to the UNC-Chapel Hill IRB are deemed “not human subjects” research which means, once reviewed and so designated, no further involvement with the IRB is needed unless a change in the study might alter that decision. This designation can be given to studies that involve human beings but are not considered to be research in the federal regulations (e.g., not systematic, as in single subject case studies and/or are not designed to contribute to generalizeable knowledge, as in program evaluation or quality improvement projects) or when information is collected from humans but is not about them (e.g, a survey of public health department directors about the content of programs offered).  When a student has a study that might qualify for a “not human subjects research” designation from the IRB, the online IRB application will be shortened considerably.  Once submitted, the IRB will review the application and let the student know if it agrees with the “not human subjects research” determination. If it does not agree, then a longer IRB application will be necessary.

IRB applications are submitted online and students can be “PI” (Principal Investigator) for the IRB submission. However, the faculty member guiding the research, typically the research advisory committee chair, must be listed as the faculty advisor on the IRB submission. While the student is responsible for the conduct of the research, including adhering to laws, regulations and University policies pertaining to human subjects research, the faculty advisor has the ultimate responsibility for ensuring the student’s compliance.

The IRB application is a “smart application” in that it builds the latter parts of the application based on answers to earlier questions. Two students submitting IRB applications may answer quite different questions, depending on the nature of their respective proposed studies; the greater the complexity of the study or the potential for risks to subjects, the longer the application will be. However, most student research does not trigger an extensive number of questions, so that application is straight forward.

Rarely does an application get approved when initially submitted, although it does happen. Feedback from the IRB can be expected within a week for most studies. If you pay close attention to the issues raised by the IRB, a resubmission should be approved within a few days after being returned to the IRB. While applications can be submitted at any time, studies that require review by the entire IRB committee (referred to as a “full board review”) must be submitted at least 10 business days prior to a scheduled meeting. Meeting dates for the Non-Biomedical IRB, the Committee most commonly involved in reviewing applications from the School of Nursing, can be found on the IRB website. Rarely do School of Nursing faculty- or student-led studies necessitate full committee review, so these deadlines should not be a concern for most students.

It is School of Nursing policy that thesis, research project or dissertation studies may not be submitted to an IRB until the research advisory committee has approved the proposal for the study. In rare instances (for example, studies that require pilot work prior to the final development of the proposal), exceptions may be made to this policy with the consent of the committee chair.  However, exceptions will not be made purely to decrease the time spent in the research process.

Graduate students who are working on their dissertation, research project or thesis with a faculty member’s data from a study with current IRB approval may not need to have their own IRB approval if the proposed study is wholly subsumed under the existing IRB approval. Guidance for this can be found on the IRB Website in the FAQ section (download the document under the FAQ question “What about student research or other class projects?”).  If the student’s intended research activity is not addressed in the faculty member’s current IRB approval, there are two options — either the student will need to submit an independent IRB application for their research activity or the faculty advisor can submit an addendum to their original IRB protocol including the student’s research activities.

Secondary analysis of completely deidentified data is often not considered to be human subjects research. One exception to this, as noted earlier, is when someone on the research advisory committee has access to the “link” between the subject codes and the identity of the subject. In these cases the IRB cannot determine the research to be “not human subjects research.” As noted earlier this is best decided by the IRB after submitting an IRB application.

After passing the thesis, research project or dissertation proposal defense, the student submits the Research Proposal IRB Tracking Form to the Office of Academic Affairs. On this form, the student and committee chair indicate which IRB the study will be submitted to and the approximate date of this submission. The Office of Academic Affairs (OAA) Secretary will stamp and copy the IRB tracking form and return the stamped form to the student. OAA will retain a copy of the form. Note that a copy of the project, thesis or dissertation proposal is to be submitted along with the IRB application. As noted earlier, the IRB used must be a UNC-Chapel Hill IRB or an IRB with which the UNC-Chapel Hill is willing to enter into an IRB Authorization Agreement.

Students who intend to include patients (or their families) or nurses at University of North Carolina Hospitals in their research activities must have their studies reviewed by the Nursing Research Council (NRC) at UNCH. It is important to check with that committee chair to determine if that review occurs before, after or simultaneously with the IRB submission. Once a study is approved by the NRC and the IRB, additional permission may be needed for access to the patients and nurses. Check with the direct administrator (such as nurse manager on a clinical unit) to obtain more details on how to proceed with research. Similar permission is generally needed at other institutions, although there may or may be a review committee.  Remember: IRB approval does not guarantee access to potential subjects

All SON students and faculty conducting or participating in research must have recent education specific to human subjects in research. Before any IRB application is approved, the student and faculty advisor must have completed this education and be included in the UNC-Chapel Hill Ethics Training database. This database typically is updated two or three times a week. Additionally, anyone on the study tram or advisory committee with access to identifiable data is also required to complete the same human subjects ethics education. Completion of the required education is automatically checked when the IRB application is received. Also, students working on faculty research involving human subjects, whether as an RA, volunteer or as part of a course assignment, are required to complete human subjects education training. Doctoral students are informed about the need for human subjects ethics training during orientation and Master’s students should hear about it during their research course. To check whether the education has been completed and recorded, go to the OHRE website.

The Health Insurance and Portability and Accountability Act (HIPAA) may be an issue for studies involving Protected Health Information (PHI). HIPAA reviews are conducted along with the IRB protocol review if the study has HIPAA implications. For more information about HIPAA, see the University’s HIPAA website. Because a study involves what HIPAA defines as PHI does not necessarily mean that there must be specific review for HIPAA when the IRB application is reviewed; PHI is only PHI if a health care provider, plan or clearinghouse is involved.

Submission of IRB applications

IRB applications are submitted online.  Once the application is complete and the “submit” button selected, the student and faculty advisor must certify the application in an electronic routing process. The faculty advisors division chair will also have to certify it before it actually reaches the IRB. Until these and any additional certifications occur, the application will not be released to the IRB for review.  When incomplete or incorrectly developed applications are submitted to the IRB, the time needed for approval lengthens since no review will occur if the application is missing essential components.

All of the IRBs noted earlier have the same three levels of review: exempt, expedited and full board. The exact type of review that a study requires can be determined by referring to the OHRE website and consultation with the research advisory committee, an IRB Coordinator or an IRB committee chair. All studies involving human subjects must be reviewed by an IRB even if they are thought to be exempt. Exempt status is a determination made by the IRB after it has been initially reviewed to assure the level of risk is no more than minimal and other criteria are met. Expedited and full board review studies are monitored by the IRB, and renewals must be filed at least annually. The actual renewal date will be established by the IRB at the time of approval/subsequent renewals. Studies that have expedited or full board approvals must be closed when the study is completed and before the student graduates. Closing an IRB approved study involves completing the closure component of the online application.

UNC-Chapel Hill requires that any signed consent forms and a copy of the original data (paper-based or digital) must be retained for at least three years after the end of the project. It is often best to entrust these to the faculty advisor as they need to be retained on campus.

All research in which data are to be collected through the cooperation of a hospital or other institution/agency must have the approval of that institution. IRB approval does not connote institutional access. The policies and procedures of any research performance site should be discussed with the advisory committee chair prior to approaching anyone at the institution. Many institutions have their own human subjects committees that must approve the study before institutional approval for access to subjects is granted. These committees cannot be utilized in place of a UNC-Chapel Hill IRB, but as noted in the previous section, the UNC-Chapel Hill IRB may facilitate an agreement with other IRBs so only an approval from one of the IRBs is needed. At times an external IRB will not be willing to review a study until it has approval from a UNC-Chapel Hill IRB.

It is the responsibility of faculty and students to utilize the same high ethical standards when conducting research as during their professional practice. Deliberate falsification of data, plagiarism or misinterpretation of findings are violations of the University’s Honor Code as well as violations of the rights of human subjects who took part in the study believing that it would contribute to scientific knowledge.

Many of the standard procedures associated with research, including management of data, protection of confidentiality and collaboration policies, differ from those of clinical practice. For example, it is recognized that raw data and all analyses are retained for a minimum of five years after publication and theses and dissertations are published by the University. Therefore, students should expect to receive instruction about these standards during research classes and informal discussions with the advisory committee chair. Also, research dilemmas, such as a conflict between the clinical needs of a research subject and the role of the researcher or a disagreement about the relative contributions of two students to a research project, may occur during the conduct of the study. A major role of the committee chair is to help students work through these dilemmas. If at any time students find that the committee chair is unable to help, they should feel free to discuss the problem with other members of the Research Advisory Committee, the Public Health/Nursing IRB chair, the coordinator of the student’s advanced practice area or the Program Director.