LARAMIE COUNTY COMMUNITY COLLEGE
NURSING PROGRAM
ADVANCED PLACEMENT
for LPNs or those who have had 2 consecutive semesters of nursing school.
Due between September 1 and September 15, 2018.
LCCC does not discriminate on the basis of race, color,
national origin, sex, age, religion, political affiliation,
or disability in admission or access to, or treatment or
employment in, its educational programs or activities.
However, applicants must be able to meet the essential
functions of a nurse. The nursing program has been
developed in accordance with criteria established by the
Accreditation Commission for Education in Nursing,
Inc. (ACEN) with assistance from the Wyoming State
Board of Nursing (WSBN). The program has received
approval as a nursing education program by the WSBN,
130 Hobbs Avenue, Suite B, Cheyenne, WY 82002;
Telephone: 307.777.7601 and is accredited by the
ACEN, 3343 Peachtree Road NE, Suite 850, Atlanta,
Georgia 30326; Telephone: 404.975.5000.
Completed applications must be submitted between
September 1-15 for the August 2018 semester. You will
be notified by the first week of November.
Note: Students who have failed more than one nursing
course with a “C-,” “D,” “F,”or “U” are ineligible
to apply.
1. Submit a college admission application to LCCC
if you have not taken courses here before or a
readmission application if you have not taken courses
in the past year. It is the student’s responsibility to
request official high school and all college transcripts
to be sent to the admissions office. NOTE: Unofficial
transcripts (student copies of all institutions
attended (including LCCC), must be attached and
submitted with the Nursing Application.
2. Achieve an acceptable score on the Advanced
Placement Test. Contact the LCCC testing center for
details and scheduling at 307.778.1105 or
dmccoy@lccc.wy.edu. The test may be taken twice
a year. There is a three-week waiting period between
tests. The results are valid for one year.
3. You must have completed the following courses with a
“C” or higher:
a. COLS 1000 – Introduction to College Success for
3 credit hours
b. Freshman English Composition I for 3 credit
hours.
c. College Algebra or higher for 3 credit hours.
Statistics, Theory of Mathematics, or Clinical
Calculations will not fulfill this requirement. ACT
scores will not satisfy the math requirement.
A college math course must be satisfactorily
completed.
d. Human Anatomy or A&P I for 4 credit hours –
If you take Human Anatomy, you must complete
the sequence with Human Physiology. If you take
A&P I, you must complete the sequence with
A&P II. Taking one course from each sequence
will not fulfill the requirement.
e. Human Physiology or A&P II for 4 credit hours
f. General Psychology for 3 credit hours
g. Medical Microbiology for 4 credit hours
h. Verify the completion of two semesters of nursing
school or the equivalent.
i. Applicant must be able to perform the Essential
Functions of a Nurse. See the attached list of
physical expectations.
Students admitted or readmitted to the nursing
program will comply with current college catalog,
current nursing program student handbook, and current
curriculum requirements.
A student will be readmitted to the program only once.
After acceptance to the nursing program, proof of the
following additional requirements must be submitted
to the Nursing Program as stipulated in the acceptance
letter:
1. A current Record of Physical Examination including
verification of current vaccinations and titers.
2. A copy of a current certification in BLS for health care
providers from the American Heart Association valid
for the entire year you will be in the program.
3. A verification form related to personal health
insurance, since all students admitted to the nursing
program are expected to carry personal health
insurance.
NOTE: Applicants who have been convicted of a
felony, treated for mental illness or substance abuse
should refer to the instructions from the Wyoming
State Board of Nursing on our website at lccc.
wy.edu/programs/nursing, select “LPN to RN,”
Apply to the Program” and Background check
information (pdf). Our college will provide education
for those who meet our program objectives and
have an acceptable criminal background check, but
the Wyoming State Board of Nursing must protect
the public and can deny licensure regardless of our
program’s or the hospital’s criminal background
check. Any student who cannot pass the
background check will not be eligible to attend
clinical, and therefore, will be dismissed from the
program.
PRS 7101 5/18
Progression
To progress semester to semester in the nursing
program the student must:
1. Maintain a minimum grade of “C” in every required
general education and nursing course for each
semester.
2. Take nursing courses (NURS courses) in sequence.
3. Take general education courses as outlined in the
curriculum, within or prior to the semester they are
printed.
Estimated Expenses
See college catalog for general school expenses.
Additional estimated expenses for the nursing department are:
Physical Exam, Immunizations, Titers ........... (varies with number and types of immunizations necessary)
Background check and drug test ...........................................$ 159
Books ................................................................$ 1,750
Required clinical course fee for the Nursing Program .............................$ 500 per semester
Scissors, watch, stethoscope ..............................................$ 75
Licensure Exam Fees
NCLEX-RN ........................................................$ 200
WSBN Application Fees ..............................................$ 190
Student Services
See college catalog for information.
Student Employment
Due to the demands of the full-time nursing program,
student employment should be approached with caution.
This personal decision should be based on individual
performance in the classroom, clinical areas, and
personal health. It is the desire of the nursing faculty
that students be successful in this program and that
essential learning not be compromised. Students will
not be excused from class or clinical assignments for
personal work schedules or elective classes. Alternative
sources of funding may be found by contacting the
Financial Aid Office at the college (307.778.1215).
Clinical experiences in hospitals, clinics and other
facilities may be scheduled as early as 6 a.m. or as late
as midnight, including weekends. Clinical sites are held
in a variety of communities. The student is required to
participate in the clinical experience as it is scheduled.
Childcare arrangements, work schedules and
transportation are the responsibility of the student.
Classroom attendance is expected and accountability
for knowledge and assignments is the student’s
responsibility.
Skills labs are required to prove competency and
are part of the required clinical experience. Failure to
comply with attendance or assignments could result in
dismissal from the program.
Other Information
LCCC website: lccc.wy.edu
See lccc.wy.edu/programs/nursing for LCCC’s Nursing Program website.
Nursing Program
Laramie County Community College
1400 E. College Drive
Cheyenne, WY 82007
307.778.1267
Laramie County Community College is committed to providing a safe and nondiscriminatory educational and employment environment. The college does not discriminate on the basis of race, color,
national origin, sex, disability, religion, age, veteran status, political afliation, sexual orientation or other status protected by law. Sexual harassment, including sexual violence, is a form of sex
discrimination prohibited by Title IX of the Education Amendments of 1972. The college does not discriminate on the basis of sex in its educational, extracurricular, athletic or other programs or in the
context of employment.
The College has a designated person to monitor compliance and to answer any questions regarding the college’s non-discrimination policies. Please contact: Title IX and ADA Coordinator, Suite 205,
Clay Pathnder Building, 1400 E. College Drive, Cheyenne, WY 82007, 307.778.1217, TitleIX_ADA@lccc.wy.edu.
CURRICULUM PLAN OF THE LCCC NURSING PROGRAM
PREREQUISITES Credit Hours Clock Hours
COLS 1000 Intro to College Success .......................... 3 hrs 45 hrs
ENGL 1010 English I: Composition ........................... 3 hrs 45 hrs
MATH 1400 College Algebra (or higher) ........................ 3 hrs 45 hrs
ZOO 2015 Human Anatomy (or A&P I) ....................... 4 hrs 75 hrs
_______ _______
13 hrs 210 hrs
Passing score for the Kaplan Nurse Entrance Exam
Accumulative GPA of 2.5 for courses taken in the nursing curriculum.
Semester Course Number Title Credit Hours Clock Hours
1st
NURS 1100 Professional Nursing Care in Health Promotion 5 hrs 75 hrs
NURS 1115 Professional Nursing Care in Health Promotion Clinical 5 hrs 225 hrs
ZOO 2025 Human Physiology (or A&P II) 4 hrs 75 hrs
Total Hours 14 hrs 375 hrs
2nd
NURS 1200 Professional Nursing Care of Pt w/Chronic Illness 5 hrs 75 hrs
NURS 1215 Professional Nursing Care of Pt w/Chronic Illness Clinical 5 hrs 225 hrs
PSYC 1000 General Psychology 3 hrs 45 hrs
MICR 2240 Medical Microbiology 4 hrs 75 hrs
Total Hours 17 hrs 420 hrs
The above courses must be successfully completed to progress to the second year.
NRST 1980 PN Exploration 2 hrs 30 hrs
Optional course to become eligible to take NCLEX-PN Exam
Public Speaking must be completed in order to earn the certificate in nursing.
Semester Course Number Title Credit Hours Clock Hours
3rd
NURS 2300 Professional Nursing Care of Pt w/Acute Illness 5 hrs 75 hrs
NURS 2315 Professional Nursing Care of Pt w/Acute Illness Clinical 5 hrs 225 hrs
CO/M 2010 Public Speaking 3 hrs 45 hrs
Total Hours 13 hrs 345 hrs
4th
NURS 2400 Professional Nursing Care of Pt w/Complex Illness 5 hrs 75 hrs
NURS 2415 Professional Nursing Care of Pt w/Complex Illness Clinical 5 hrs 225 hrs
+POLS 1000 American & WY Government OR
+HIST 1211 US History to 1865 OR
+HIST 1221 US History from 1865 OR
+HIST 1251 Wyoming History OR
+ECON 1200 Economics, Law, and Govt 3 hrs 45 hrs
Total Hours 13 hrs 345 hrs
TOTAL CREDITS for ADN Curriculum 70 hrs 1695 hrs
TOTAL CREDITS if Optional PN Exploration course is Completed 72 hrs 1725 hrs
+ If any of these courses have been accepted for transfer at LCCC from an out-of-state institution,
a one-credit hour course of Wyoming Constitution (POLS 1100) is required. Refer to your degree
requirements in the college catalog for more specific guidelines.
The above credit hours use a 50-minute hour. One credit of theory class = 15 clock hours;
one credit of lab = 30 clock hours and one credit of clinical = 45 clock hours.
Note: All courses must be completed prior to or during the semester it is listed. Students may not progress to
the next semester without having satisfactorily completed all courses listed in the current semester.
LARAMIE COUNTY COMMUNITY COLLEGE
NURSING PROGRAM
ADVANCED PLACEMENT APPLICATION
for LPNs or those who have had 2 consecutive semesters of nursing school
Due between September 1 and 15, 2018 for the class beginning January 2019
(Print or Type – All items MUST be completed)
First Name: ___________________________ Middle Initial:______ Last Name: __________________________
Address: ________________________________________________ Primary Phone: ______________________
City, State, ZIP: ___________________________________________ Secondary Phone: ____________________
Last four digits of SS#: ______________ LCCC Student ID #: ________________________________________
Personal Email: _______________________________________________________________________________
Please indicate which option you would like to be considered.
LPN Spin-off Option (for those who have completed two semesters
of a nursing program and want to take the LPN NCLEX Boards).
LPN to RN. (For those who want to complete their RN and take the NCLEX-RN Boards)
Step 1: I submitted an LCCC college admission application (when)___________________________________
and requested official transcripts official transcripts from other schools (if applicable) to be
sent to the Admissions Office.
Unofficial transcripts from ALL institutions (including LCCC) are attached to this application.
Institutions attended: ________________________________________________________________
________________________________________________________________
________________________________________________________________
Step 2: I have taken the Advanced Placement Test and attached the score.
Date test was taken____________ Score_____________
Step 3: Where did you complete 2 semesters of nursing classes?
Institution, City and State_______________________________________________________________
Have you ever been ineligible to continue in a nursing program? Yes No
If yes, where and why___________________________________________________________________
I am currently enrolled in the following courses:
COURSE COURSE NUMBER INSTITUTION
In order to enter into the third semester or PN exploration course of the nursing program, all of the courses
listed in the first table must be completed with a grade of “C” or better.
The courses listed below are all of the general education requirements for the Associate Degree in Nursing (ADN).
If a grade for a course cannot be determined on any transcript, no points will be given and the course will need to be
successfully completed.
Please complete the table below using the following point system. No points are given for COLS 1000.
Grade of: A = 12 points B = 8 points C = 5 points
COURSE COURSE # COURSE NAME INSTITUTION SEMESTER GRADE POINTS
COLS 1000:
Intro to College Success
0
ENGL 1010:
Freshman English Composition I
MATH 1400: College Algebra
ZOO 2015:
Human Anatomy or A&P I
ZOO 2025:
Human Physiology or A&P II
PSYC: 1000: General Psychology
MICR 2240: Medical Microbiology
The following courses can be completed while you are enrolled in the program.
COURSE COURSE # COURSE NAME INSTITUTION SEMESTER GRADE POINTS
CO/M 2010: Public Speaking
US & Wyoming Government or
History Requirements*
*If a history or government class is accepted as a transfer course from an out-of-state institution,
a one-hour course, POLS 1100 – Wyoming Constitution is required.
Passed all general education courses required for the Nursing Program on the rst attempt = 20 pts.
Only one or two failing grades in any general education or nursing course = 10 pts.
More than two failing grades in any general education or nursing course(s) = 0 pts.
(Note: A “C-,” “D,” “F,” or “U” is considered a failing grade.
Any failing grade in a general education course prior to 10 yrs. will be disregarded.)
Wyoming Resident = 4 pts
The following courses are prerequisite courses for the BSN program at UW.
Grade of: A = 12 points B = 8 points C = 5 points
COURSE COURSE # COURSE NAME INSTITUTION SEMESTER GRADE POINTS
BIOL 1010: Biology I
(BSN Requirement)
HOEC 1140: Nutrition
(BSN Requirement)
Human Culture Elective
(BSN Requirement)
CHEM 1000: Introductory
Chemistry (BSN Requirement)
STAT 2050 or 2070: Statistics
(BSN Requirement)
Total Possible Points: 180 Total Applicant Points __________
Detach and submit completed application form, copies of transcripts (including LCCC), exam scores, and
Statement of Understanding Concerning Licensure to:
Nursing Program
Laramie County Community College
1400 E. College Drive
Cheyenne, WY 82007
0
STATEMENT OF UNDERSTANDING CONCERNING LICENSURE
The following questions are asked on the State of Wyoming application for licensure as an LPN/RN;
therefore, it is for your information and written answers are not required.
1. Have you ever been denied a nursing license, permit or permission to take a nursing
examination by any licensing authority?
2. Have you ever had a nursing license or permit encumbered in any way (revoked, suspended,
surrendered, censured, restricted, limited, denied, placed on probation)?
3. Are charges pending against you for professional misconduct, unprofessional conduct or
negligence in any state or country?
4. Have you ever been convicted of, or are charges pending against you, for a crime (felony/
misdemeanor) in any state or in federal court, other than minor traffic violations?
5. Have you ever had a court accept a plea of nolo contender (no contest) to a felony/
misdemeanor, other than minor traffic violations?
6. Do you have any physical impairment or disability that could interfere with your ability to
practice nursing?
7. Are you now or have you in the past five years habitually used or been addicted to alcohol,
narcotics, barbiturates or habit-forming drugs?
8. Have you ever been admitted (voluntarily or otherwise) to any facility for treatment of mental
or emotional illness, drug or alcohol addiction?
If you answer ‘yes’ to any of the above, refer to www.lccc.wy.edu/programs/nursing, select “Apply to the
Program” and Background check information (pdf). LCCC will provide education for those who meet our
program requirements and have an acceptable background check/drug screens, but the Wyoming State
Board of Nursing must protect the public and can deny licensure regardless of our program’s background
check/drug screens.
Clinical agencies may require drug screening, abuse clearances and/or criminal background checks prior
to allowing students into a clinical setting. Students are advised that the inability to gain clinical educational
experiences can result in the inability to meet program objectives and outcomes. The circumstances may
prevent progression through the program and ultimately result in dismissal from the program.
I have read and understand the above statement regarding nursing licensure in Wyoming.
Signature________________________________________________________ Date________________________
PRS 5324 04/11
NURSING ADVANCED PLACEMENT CHECKLIST
Before submitting your application, make sure you have
included the following:
1. Submitted an application to the college and
OFFICIAL Transcripts to the Student Records Office.
2. Submitted the Advanced Placement Nursing
Application to the Nursing Office
3. Attached required test score.
4. Completed prerequisite courses.
5. Attached a copy of all transcripts including LCCC.
6. Signed and included “Statement of Understanding
Concerning Licensure.”
If any of these items are missing, the application will be
considered incomplete and will not be considered for
acceptance.
Essential Functions of a Nurse
Lift 10-25 lbs Frequently
Lift 26-50 lbs Occasionally
Carry 10-25 lbs Occasionally
Push/Pull up to 50 lbs Occasionally
Squat/Kneel Occasionally
Wrist Pronation/Supination Constantly
Wrist Flexion/Extension Constantly
Sit Occasionally
Stand/Walk Constantly
Crawl Infrequently
Back Flexion Constantly
Back Extension Occasionally
Back Rotation Constantly
Neck Flexion Constantly
Neck Extension Occasionally
Neck Rotation Frequently
Reaching Above Shoulder Frequently
Use of Fingers and Hands Constantly
Repeated Bending and Reaching Frequently
Ability for Rapid Mental & Muscular Coordination Simultaneously Constantly
Near Vision Required
Hearing (aid permitted)
LCCC Nursing Program Technical Standards
Please read the following information as you will be required to abide by its content. All nursing students
admitted to Laramie County Community College Nursing Program must be able to meet these standards with
or without accommodation(s).
• Observation/Sensory-motor: Students must be able to observe demonstrations and learn from
experiences in the basic sciences, including but not limited to, anatomy, physiology and microbiology
laboratory situations. Students must be able to observe and learn from experiences in the clinical nursing
laboratory such as the following examples: accurately read gradients/calibrations on a syringe; measure
medications accurately; accurately recognize color changes on chemical reaction strips; assess heart,
breath, abdominal sounds; assess normal and abnormal color changes in the skin; observe pupil changes;
and observe digital or waveform readings.
• Communication: Communications include not only speech but also reading, writing and computer usage,
including handheld digital access. Students must be able to communicate accurately and effectively with
patients, caregivers, physicians, other health professionals, clinical facility staff, faculty and staff, peers, and
the community in general in order to elicit information, describe changes in mood, activity and posture,
and perceive nonverbal communications.
• Psychomotor: Students should have sufficient motor function to elicit information from patients by
palpation, auscultation, percussion, and other diagnostic maneuvers. Students should be physically able to
collect specimens and perform basic tests (such as glucose finger stick, urine dipstick). Students should be
able to execute motor movements reasonably required to provide general care and emergency treatment to
patients. Example of emergency treatment reasonably required of nurses are cardiopulmonary resuscitation
(CPR), administration of intravenous (IV) medication, application of pressure to stop bleeding, and assist in
moving and lifting patients using proper body mechanics. Such actions require coordination of both gross
and fine muscular movements, equilibrium and using tactile and visual senses.
Intellectual-Conceptual, Integrative, and Quantitative: Students must be able to comprehend and
interpret documents written in English. Students should have cognitive abilities including measurements,
calculation, reasoning, analysis, and synthesis. Critical thinking is the ability to synthesize knowledge and
integrate the relevant aspects of a client’s history, physical exam findings and diagnostic studies. Problem
solving, the critical skill demanded of nurses, requires all of these intellectual abilities. In addition, the
student should be able to comprehend three dimensional relationships and to understand the spatial
relationships of structures in order to understand normal and abnormal anatomy and physiology.
Behavioral and Social Attributes: Students must possess the emotional health required to utilize
their intellectual abilities fully, exercise good judgment, complete all responsibilities attendant to the
nursing diagnosis and care of patients promptly, and the development of mature, sensitive and effective
relationships with patients and their families. Students must be able to tolerate physically taxing workloads
and to function effectively under stress. They must be able to adapt to changing environments, to
display flexibility, and to learn to function in the face of uncertainties inherent in the clinical problems of
many patients. Compassion, integrity, concern for others, interpersonal communication skills, interest
and motivation are all personal qualities that should be assessed during the education process. As a
component of nursing education, a student must demonstrate ethical behavior including adherence to the
professional nursing code and the LCCC and LCCC Nursing Program students conduct codes.
These standards were adapted from the University of Kansas School of Nursing Technical Standards for
Admission.
The physical form does not need to be
submitted with the application.
We will request this to be submitted
after acceptance to the nursing program.
Medical Release
Any student undergoing surgery, pregnancy, or an acute or chronic process, or who is on any
medication that could affect clinical performance, must submit a written medical release from a
health care provider to the clinical instructor to be placed in the student le to attend clinical.
LCCC NURSING PROGRAM PHYSICAL FORM
TO BE SUBMITTED AFTER ACCEPTANCE
TO BE COMPLETED BY APPLICANT
Name of Applicant _____________________________________________________________________________
(Print Name)
Date of Birth _____________________________________________
Childhood diseases ____________________________________________________________________________
Hospitalizations (why and when) _________________________________________________________________
_____________________________________________________________________________________________
Have you ever had: Yes No
a) Heart problems ..................................
b) Rheumatic fever ..................................
c) Epilepsy or seizures ...............................
d) Tuberculosis .....................................
e) Hepatitis ........................................
f) Difficult breathing past moderate exertion ..............
g) Asthma .........................................
h) High Blood Pressure ...............................
i) Fainting Spells ...................................
j) Allergy to drugs, foods, etc. .........................
k) Diabetes ........................................
l) Hearing problems .................................
m) Back problems that prevent lifting more than 40 pounds ...
n) Arthritis .........................................
o) Vision problems (Other than corrected by lenses) .........
Do you have any limitations that require accommodations to be successful in the program?
_____________________________________________________________________________________________
_____________________________________________________________________________________________
Are you currently receiving any medical treatment or taking any medications? Yes No
If so, please describe treatment and list medications ________________________________________________
Have you ever been treated for any psychological issues? Yes No If yes, when _______________
_____________________________________________________________________________________________
How would you describe your general state of health? _______________________________________________
I have revealed my medical history truthfully and wholly. I authorize my medical provider to give information to
the LCCC Nursing Department regarding my ability to participate in clinical rotations.
________________________________________________________ ____________________________________
Applicant's Signature Date
Once both pages are completed, please submit this form to: Nursing Program
Laramie County Community College
1400 E. College Drive
Cheyenne, WY 82007
1 of 2
PRINT
HEALTH CARE PROVIDER TO COMPLETE THIS SIDE Student Name____________________________
Please check Yes if the applicant’s past or present medical history indicated any of the below. Explain if “Yes.”
Yes No
Chronic Illness ____________________________________________________________________
Physical disability __________________________________________________________________
Acute Illness ______________________________________________________________________
Recurring Physical or Mental health concerns __________________________________________
Visual Impairment _________________________________________________________________
Hearing Loss _____________________________________________________________________
Neck, Shoulder, Back Problems ______________________________________________________
Significant medical history of applicant ____________________________________________________________
_____________________________________________________________________________________________
REQUIRED IMMUNIZATIONS
1. 2-Step PPD (Mantoux) (within one year) Date_______ Reaction________ Date________ Reaction________
Chest x-ray if PPD is positive: Date___________________ Results ______________________________
2. Diphtheria-Tetanus Toxoid (TdaP) (within 10 years) Date__________________
3. Flu Vaccine (October-March) Date__________________
4. MMR – All students admitted to the nursing program are required to verify two doses of the MMR vaccine
or have a positive titer drawn to show immunity. Having had the disease does not constitute immunity.
Rubella Titre – Date__________________ Immune Yes No
Rubeola Titre – Date__________________ Immune Yes No
Mumps Titre – Date__________________ Immune Yes No
MMR Titre – Date__________________ Immune Yes No
OR 2 doses MMR vaccine – Date__________________ Date__________________
5. Varicella Titre – Date__________________ Immune Yes No
OR 2 doses Varicella vaccine – Date__________________ Date__________________
Note: Having had the disease does not constitute immunity.
6. Hepatitis B: Submit proof from health care provider that student is in the process of receiving vaccine.
Dates: (1)________________ (2)________________ (3)________________ Completed__________________
Hepatitis B Titer – Date_____________ Immune Yes No Date_____________
7. Color Vision: Distinguishes all colors Yes No If not, what colors are involved? _____________
(Color Vision Testing can be done in LCCC’s nursing office.)
8. Applicant can perform essential functions of a nurse. Yes No
RECOMMENDATION: From the preceding exam, do you believe _____________________________________
is capable to undertake all the demands placed on a health care provider?
(Name)
Remarks _____________________________________________________________________________________
_____________________________________________________________________________________________
__________________________________________
Health Care Provider’s Signature
PRINT Health Care Provider’s Name ______________________________________________________________
Address ______________________________________________________________________________________
Phone___________________________________________________ Date________________________________
PRS 5324 11/16