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TALLULAH LPN-RN APPLICATION 2021 (Louisiana Delta Community College)

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Associate of Science in Nursing
APPLICATION FOR
Tallulah
Evening Program
SPRING 2021 LPN to RN
ADMISSION
Application Acceptance Period
August 14
th
TO
September 15
th
, 2020, 2:00 p.m.
INCOMPLETE PACKETS ARE NOT CONSIDERED
Created July 2020
LDCC NURSING
Graduates receiving an Associate of Science in Nursing degree (ASN) from Louisiana Delta Community College
(LDCC) are eligible to apply to the Louisiana State Board of Nursing (LSBN) for initial licensure, which requires
examination by the National Council Licensure Examination for Registered Nurses (NCLEX-RN). After
successfully passing the NCLEX-RN, graduates become Registered Nurses (RNs). The ADRN (Associate Degree
RN) has been educated in the art and science of nursing as a generalist, able to provide safe and quality
healthcare to patients in a variety of settings. LDCC ASN graduates learn to function within the legal scope of
registered nursing practice, and to uphold professional standards of care to patients across the lifespan. The
ASN degree provides the graduate with an educational foundation for articulation into a four-year university
setting to obtain a Bachelor of Science in Nursing (BSN) if desired, which is required to continue to a graduate
degree.
LOUISIANA STATE BOARD OF NURSING (LSBN)
The LSBN requires all applicants to create an Application Portal and complete an authorization for a criminal
background check. Applicants who have been charged with, pled guilty or nolo contendere to, been
convicted of, or committed a criminal offense that involves a crime of violence or distribution of drugs may
be denied the right to practice nursing as a student in Louisiana. LSBN can approve, deny, delay, or otherwise
restrict the enrollment of the student. If approval is not granted by LSBN, the student is not admitted to the
program.
APPLICATION PROCESS
In order to be eligible for admission to the ASN Program, the applicant must first be admitted to LDCC. The
College application is online at http://www.ladelta.edu/Admissions/Apply/apply. The application and all
supporting documents must be received by designated deadlines. Applicants are not considered for the ASN
Program unless all required documents have been received in Enrollment Services, and the applicant’s file
is complete. A copy of the application, and any supporting documents should be retained by the applicant.
All correspondence will be sent to the applicant’s email and/or physical address listed in the application.
FOR CONSIDERATION OF THE LPN to RN APPLICATION, ALL ARE REQUIRED TO:
Submit two copies of official verification from the Louisiana State Board of Practical Nurse Examiners
(LSBPNE) of an unencumbered LA practical nurse license. The LSBPNE web-address for official verification is:
http://www.lsbpne.com/license_verification.phtml.
FOR CONSIDERATION OF THE LPN to RN APPLICATION, THOSE WHO GRADUATED FROM A PN INSTITUTION
OTHER THAN LDCC ARE REQUIRED TO:
Have Practical Nursing School send a hard copy of the official transcript, with the school seal to:
Louisiana Delta Community College
Attn: Scott Cox
132 Old Highway 65 South
Tallulah, LA 71282
Application and admission are competitive, based on a 100 point rubric according to the following:
THE LPN TO RN TRACK –
1) GPA in the required prerequisite courses with 32 credit hours, 2) score on the pre-entrance TEAS test
(highest of possible 3 attempts), EXTRA POINTS FOR: 1) minimum of 12 credit hours, with a grade of "C" or
higher from LDCC, 2) another degree (Associate, Bachelors, Master’s, or Doctorate), with points given for the
highest.
NOTE: Meeting requirements does not guarantee admission.
Created July 2020
STEP 1 LOUISIANA DELTA COMMUNITY COLLEGE (LDCC) ADMISSION REQUIREMENTS:
In order to be considered for admission to the nursing program you must be admitted to LDCC. If not
already a LDCC student; or if were a previous LDCC student, and missed a major semester (Fall or
Spring), meet all LDCC admission requirements. If assistance is needed, contact enrollment services at
318-367-6229. The applicant must, at a minimum, be completing the required prerequisite courses
during the semester of application, achieving a “C” or higher.
STEP 2 LPN to RN TRACK OF ASN PROGRAM APPLICATION REQUIREMENTS
1. The applicant MUST:
a. Meet LDCC admission requirements.
b. Have a cumulative GPA of 2.5 or higher.
c. Have a prerequisite GPA of 2.7 or higher.
d. Take and pass TEAS with minimum requirement.
e. At a minimum, be completing the below courses during the semester of application,
achieving a “C” or higher.
Required Prerequisite Courses:
Course No. Course Title Credit Hours
ENGL 101 Composition I 3
ENGL 102 Composition II 3
MATH 110 College Algebra 3
MATH 210 Introduction to Statistics 3
BIOL 210/211 Microbiology 4 (Lec 3; Lab 1)
BIOL 221/223 Human Anatomy & Physiology I 4 (Lec 3; Lab 1)
BIOL 222/224 Human Anatomy & Physiology II 4 (Lec 3; Lab 1)
HSCI 115 Pharmacology 3
PSYC 201 Introduction to Psychology 3
NURS 100 Introduction to Nursing 2
TOTAL 32
2. Achieve a minimum composite score of 60 on the TEAS pre-entrance exam. There are three (3)
attempts possible. If TEAS is taken at another testing center, an electronic transcript must be sent
directly from ATI to LDCC (mscox@ladelta.edu). The ordering procedure for an ATI transcript is to
visit: www.atitesting.com, Online Store, Discover Transcript, pay the fee of $27.00 (currently). NO
TRANSCRIPTS are accepted directly from applicants.
3. A copy of the official degree certificate (with prior Associate, Bachelors, Master’s, or Doctorate), if
required.
4. A copy of ALL unofficial transcript(s) with all prerequisite courses highlighted.
5. A curriculum plan completely filled with prerequisite course data. The process is: under Semester /
Year, write the semester and year (exp. FA16 for the fall of 2016) that the non-nursing courses were
taken; under Institution (if not Delta) write where the courses were taken, if not at LDCC; under
Transfer/Substitution Course and Approval, write the course number that was approved, and have
the approver sign and date next to the course number; under Grade, write the LAST grade received
in the non-nursing course; under Quality Points, place accordingly from transcript data.
6. Two copies of official verification from the Louisiana State Board of Practical Nurse Examiners
(LSBPNE) of an unencumbered, current, license as a Practical Nurse in Louisiana.
If a PN graduate from an institution other than LDCC, have a hard copy of the official
transcript, with the school seal
sent to: Louisiana Delta Community College, Attn: Scott Cox,
Campus Provost, 132 Old Highway 65 South, Tallulah, LA 71282
7. A letter of recommendation from healthcare place of employment or from instructor.
Created July 2020
8. Submit in person, the complete, signed ASN Program application, and all supporting documents
(complete packet) to the ASN department at the Tallulah campus by the appropriate date and time.
SELECTION AND ADMISSION PROCESSES
STEP 3 SELECTION:
1. The Selection Committee, composed of LDCC faculty and administrators, meet in the latter part
of September, receive numerical data, confirm rubric scores, and discuss statistical findings.
2. The numerical conclusions are accepted or denied based on the top twenty (20) scores, with the
next two (2) scores continuing as alternates and officially voted on by the committee.
STEP 4 ADMISSION:
1. All applicants will be notified of application status by the middle of October.
2. The top twenty (20) scoring applicants will receive a letter, which must be printed, and signed,
indicating either acceptance or denial of candidacy for the LPN to RN track of the nursing
program. The form must be scanned, and returned by the given deadline date to
mscox@ladelta.edu.
3. Upon receipt of acceptance letters, the candidate will receive an email with information
regarding fingerprint cards, the LSBN Fingerprint Authorization form and instructions, to
complete and return to the Tallulah campus ASN department by the next given deadline. All
applicants will create an Application Portal with LSBN, an application will be submitted and fees
will be paid. The following requirements are examples of documents to submit to LSBN, but not
limitations:
a. LSBN Application for Permission to Enroll in Clinical Nursing Courses in Louisiana (Portal)
b. LSBN Application Instructions (Portal)
c. LSBN Fingerprint Authorization form and Instructions (signed & delivered to the Tallulah
campus ASN program)
d. Fingerprint Cards (from local authorities, signed & delivered to the Tallulah campus ASN
program)
e. LSBN Clinical Nursing Student Medical-Mental Condition Diagnostician / Treating
Provider Form, if necessary.
4. Additionally, the following examples will also be sent as requirements, but not limited, which will
be uploaded to the student-paid, account at www.castlebranch.com
:
a. LDCC ASN Program Physical Examination form
b. LDCC ASN Program TB Skin Test form
c. Immunization list (examples: MMR, Tdap, Hep B series, Varicella, Influenza)
d. Front and back copy of signed current American Heart Association Healthcare Provider
BLS/CPR card
e. Front and back of health insurance card
f. LDCC ASN Program OSHA quiz, after watching the accompanying videos
5. Candidates who accept the offer for admission must attend a MANDATORY Pre-Admission
Nursing Orientation Session with the date, time and location to be announced.
6. Candidates become LPN to RN Track ASN Program students when permission to enroll is
received by LSBN. At this time, a Change of Major form is complete on each, sent to the
Registrar’s Office, and registration for classes may begin with the CRNs given.
Created July 2020
CONFIDENTIAL PERSONAL/CONTACT INFORMATION (PRINT LEGIBLY)
Last Name
First Name
LoLa ID
All Other Names Used
Mailing Address
Preferred E-Mail Address
Home and Work Phone Numbers, with area codes
(H
) - - (
W
) - -
Alternate Contact Person Name and Phone Number(s)
) - - (
- -
REQUIRED BY LOUISIANA STATE BOARD OF NURSING & ACCREDITATION COMMISSION FOR EDUCATION IN NURSING
⃝
⃝
⃝
________________
________________
_________________
________________
_____________________________________________
Currently working as an LPN? Working Acute Care?
Yes ⃝ No ⃝
Years of experience?
Wo
rking long-term Care?
Yes
⃝ No
Years of experience?
LPN License Number:
Exp. Date:
Ye
s ⃝
No
Y
ears of experience?
__
Working other setting?
Yes ⃝
_______________
No ⃝
Describe: ___________
____________________
Yea
rs of experience?
_________________
Current Employer Name
____________________
Certification(s) & expiration(s) Address
_________________ ____________________
_________________
Year of PN graduation
____________________
Supervisor
_________________
PN Institution
____________________
Number
___________________
City and State
____________________
Hard Copy of Official PN Transcript, with school seal, if
non-LDCC PN graduate?
Yes ⃝ No
⃝
L
etter of Recommendation from past or current
healthcare employer or instructor?
Yes ⃝ No ⃝
If no, the application packet is incomplete.
Age 17-20 ⃝
Age 21-25
Age 26-30
Age 31-40
Age 41-50
Age 51-60
61 & older
⃝
⃝
⃝
⃝
⃝
⃝
Academic Status:
F
ull-time (12 hrs)
Yes ⃝ No
Part-time (<12 hrs)
Yes ⃝ No ⃝
Special Populations
o Disability
Freshman ⃝
⃝
⃝
⃝
<_30 hours
Sophomore at least 30 hours
Junior at least 60 hours
Senior at least 90 hours
Gender & Ethnicity:
⃝
⃝
⃝
⃝
⃝
⃝
⃝
⃝
Female
Male
Hispanic
Asian
Black/African American
White/Caucasian
Am. Indian or Alaskan Native
Nativ
e Haw. or Other Pacific Islander
By completing this application packet, and signing this form, I am making known my desire to apply for candidacy to the LPN t
If admitted to the
program, I will also be
taking non-nursing
courses at the same
time.
Yes ⃝ No ⃝
o RN Track of
the ASN Program. I understand that any attempt on my part to falsify or exclude information is cause for disqualification of my application
and/or dismissal from the Associate of Science in Nursing Program. I hereby certify that all information presented is true to the best of my
knowledge.
Student Signature: ________________________________________________ Date:_________________
Received by: _____________________________________________________ Date/Time:______________
o
o
o
o
o
o
Economically Disadvantaged
Single Parent
Displaced Homemaker
Limited English
Migrant Status
Nontraditional (Male)
Created July 2020
LOUISIANA DELTA COMMUNITY COLLEGE
Associate of Science in Nursing
LPN TO RN PROGRAM OPTION – RN AUDIT (CURRICULUM PLAN)
Name:
LDCC ID:
Email:
Phone No:
*Students who place in any 095 developmental course OR two or more developmental courses are required to take FRST 100 (1 credit hour)
Developmental Course(s) if necessary
Semester & Year
Institution (If not Delta)
Transfer/Substitution Course and Approval
Hours
Grade
Dev Ed Course:
Dev Ed Course:
FRST 100
*
Required for application to the ASN Program.
**
Sciences (BIOL 210, 211, 221, 222, 223, 224) must have been taken within the last five years. If sciences are greater than five years, one may apply
for a waiver through the ASN Program Director.
No more than three (3) attempts of science course(s), within three (3) years, from any institution are allowed. However, with provision of
documentation for extenuating circumstances, the applicant may apply for a waiver through the ASN Program Director.
Examples of documented extenuating circumstances are:
-
Personal serious illness requiring hospitalization.
-
The student’s child with serious illness requiring hospitalization.
-
Death of an immediate family member.
-
Military deployment.
The applicant must, at a minimum, be completing the required non
-nursing, prerequisite courses during the semester of application, achieving a “C” or higher.
A score of 60 must be obtained on TEAS (Test of Essential Academic Skills). The highest TEAS score is used in the admission r
ubric. Scores are good for 3 years. There may be 3 attempts. After 3
attempts, the applicant is eligible to retake TEAS after a period of 3 years from the last attempt.
Pre-Nursing Semester (AGS with Heath Science
Concentration)
Semester & Year
Institution (If not Delta)
Transfer/Substitution Course and Approval
Hours
Grade
Quality Points
ENGL 101-Composition I * 3
ENGL 102-Composition II* 3
MATH 110-College Algebra *
3
MATH 210-Intro to Statistics*
3
PSYC 201-Intro * 3
BIOL 221-Anat & Phys I Lecture*/**
3
BIOL 223-Anat & Phys I Lab */**
1
BIOL 210-Microbiology Lecture**
3
BIOL 211-Microbiology Lab **
1
BIOL 222-Anat & Phys II Lecture **
3
BIOL 224-Anat & Phys II Lab **
1
HSCI 115-Pharmacology*
3
NURS 100-Intro to Nursing*
2
32
Subtotal Hours: 32
LPN-RN Program Option students must complete NURS
132. When 132 is successfully completed, articulation
Semester & Year
Institution (If not Delta)
Transfer/Substitution Course and Approval
Hours
Grade
Quality Points
credit is given for NURS 112 & 122.
NURS 132-LPN to RN Transition 14
14
Subtotal Hours: 44
NURS 132 is a total of 6 credits; however, with successful completion of 132, 14 credits will appear on the student’s transcript — 6 credits for NURS 112 and 8 credits for NURS 122.
Nursing Level III
Semester & Year
Institution (If not Delta)
Transfer/Substitution Course and Approval
Hours
Grade
Quality Points
Humanities Requirement
3
NURS 219-Parent/Child Nursing
6
NURS 221-Mental Health Nursing 3
12
Subtotal Hours: 56
Nursing Level IV
Semester & Year
Institution (If not Delta)
Transfer/Substitution Course and Approval
Hours
Grade
Quality Points
Fine Arts Requirement
3
NURS 232-Nursing of the Adult II
8
NURS 233-Trends, Issues, & Management
1
Total credits for Associate of Science in Nursing (ASN) degree: 70 Hours
12
Total Hours: 70
Signature of Advisor or Program Director: Date:
Comments:
Created July 2020
STEP 5 Recheck the list to assure ALL documents are submitted
1. Keep a copy of everything!
2. INCOMPLETE OR LATE APPLICATIONS WILL NOT BE ACCEPTED.
a. IF APPLICATION FOUND INCOMPLETE AFTER SUBMITTING, IT WILL BE DISQUALIFIED IN
THE SELECTION PROCESS.
3. ANY FALSE OR EXCLUDED INFORMATION IS CAUSE FOR DISQUALIFICATION IN THE SELECTION
PROCESS.
Best Regards,
LDCC Tallulah ASN Program
Created July 2020
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Completed 16 September 2020

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