Clinical Guidelines

The clinical experience is very important to your progression in the program. It provides an opportunity to apply theory to clinical experience. Patient safety is always paramount, so all care is based on the Basic Standards for Safe Nursing Practice. These are guidelines that must be followed at all times while providing patient care. Your clinical experience is also guided by your course objectives—theoretical and clinical—of the current course and any courses you have already completed. The following guidelines will help provide the information needed to be successful in clinical.

The ADN Program and nursing students are legally bound by the contract the program has with each healthcare facility. It is important to remember that we are guests at each facility. Students have responsibilities outlined in the contract which include:

  • Abiding by policies, procedures and regulations of the facility; including education and badge requirements. All required immunizations must be complete, current, and uploaded to vaccination management system before first clinical day. Note: students may be required to show proof of negative COVID before patient care. 
  • Working with staff to provide safe and competent nursing care.
  • Adhering to HIPAA regulations and guidelines.
  • Abiding by policies, procedures and regulations of the FCC Nursing Department

Preparing to become a Registered Nurse requires critical thinking and personal accountability. It involves applying knowledge and performing skills in a consistently safe, competent, efficient, and professional manner. It also involves a gradual transition from close instructor observation to a more independent/collaborative level of practice. To assist students in determining when to give patient care without direct instructor observation and when to call the instructor, the following guidelines have been developed.

Contact Your Clinical Faculty When …

  • Assigned a patient that is family or a personal acquaintance.
  • Anything unsafe happens to your patient (e.g., a fall, medication error).
  • You injure yourself in any way (e.g., needle puncture, back strain).
  • Personal issue that would conflict with attending clinical or completing clinical assignment.

Clinical Absence Policy

In the event of a student absence from the clinical area, the student must contact the clinical faculty not less than 60 minutes prior to the start of the shift. The student must contact (email/text or as directed) the course faculty. Please specify the date of your absence and the clinical rotation you missed. If a student is absent from a clinical rotation where an instructor is not present, they must also notify the unit where assigned not less than 60 minutes prior to the start of the shift. (See attendance policy.)

If injury occurs while in clinical, immediately contact clinical faculty. The student will be required to complete documentation required by the college and/or facility.

Guidelines for Professional Appearance

Students are to be in uniform whenever providing patient care. It is important to remember that personal appearance and behavior reflect on the Fresno City College Nursing Program, the profession of nursing, and on the student personally. Dress and behave professionally.

To ensure that all students present a professional image to hospital staff, patients and the public, it is important that students follow the Fresno City College Nursing Program Dress Code. Students must also comply with the dress code policy of the clinical facilities.

All incoming students are required to purchase the approved clinical uniform:

  • Red scrub top with embroidered FCC nursing emblem and matching red cargo scrub pants from Landau (available through the FCC Bookstore).
  • Shoes worn in clinical areas must be completely white, clean, in good repair, and enclosed -- NO OPEN areas on shoes (for example, no clogs or shoes with heel straps)-- and plain white socks.
  • All undergarments must not be visible through or under the material of the uniform.

All students are required to have, as part of their uniform,

  • a stethoscope,
  • watch with a seconds counter,
  • black sharpie,
  • FCC identification badge (The student must be in the approved red clinical uniform in the FCC nursing student badge picture).
  • Personal cellular phones and hand-held electronic devices are not to be used in patient care areas. Student must follow agency policies.
  • All uniforms should be freshly laundered, ironed, and in good repair.
  • Pants must not drag on the floor and be properly hemmed.

Optional: All students may wear:

  • the approved black long-sleeved undershirt with from Landau, under red scrub top.
  • the approved black warm-up jacket with the embroidered FCC nursing emblem over the required uniform.

"Belly bags", “belt bags”, and "fanny packs", are not permitted as part of the uniform.

The clinical uniform should not be worn outside the clinical setting (including the skills lab), i.e., the community (grocery store, restaurants, shopping, personal errands, etc.).

All incoming students are required to purchase the approved skills lab uniform:

Students are required to wear the approved uniform for skills lab courses: The FCC Nursing crewneck t-shirt, black scrub pants from Landau- available only through the FCC Bookstore. Shoes must be completely white, clean, in good repair and enclosed - NO OPEN areas on shoes (for example, no clogs or shoes with heel straps). All undergarments must not be visible through or under the material of the uniform. All students are required to bring a watch with a second’s counter, black sharpie, and FCC identification badge to skills lab.

  • All uniforms should be freshly laundered, ironed, and in good repair.
  • Pants must not drag on the floor and be properly hemmed.

Optional: All students may wear the approved black long-sleeved undershirt from Landau, under the red crewneck t-shirt. Students may wear the approved black warm-up jacket with the embroidered FCC nursing emblem over the required skills lab uniform.

Pins or any other paraphernalia indicating that the student is a RN must not be worn at any time until passing the NCLEX-RN examination, and the license to practice as an RN is awarded.

"Belly bags", “belt bags”, and "fanny packs", are not permitted as part of the uniform.

Professional looking street clothes are to be worn in the Mental Health units according to the guidelines in the RN-66 Nursing Care of the Client with Behavioral and Emotional Disorders Clinical syllabus, and includes:

  • Dress: Professional slacks, blouse/shirt with sleeves, and low-heeled closed shoes are required.
  • No open toe or open heel shoes, no ties, no jeans, no spaghetti straps.
  • No tight or low-cut shirts/blouses or pants/trousers, no Capri or ¾ length pants - all pants must cover ankles.
  • Dresses and skirts must be modest, long and loose enough to allow for unhindered movement and without exposure of body parts.
  • No long or exotic hairstyles, heavy make-up or scents, jewelry should be minimal to none.
  • No visible body piercing or tattoos. No obvious polish or artificial nails are allowed. Hair should be tied back and away from face.

  • When worn, must be black with both skills and clinical uniforms.

  • Clean and off the collar at all times.
  • Long hair must be worn up in a bun and/or hair must be contained and kept in a manner that it does not fall forward in skills and clinical settings.
  • Bangs must be kept out of the eyes.
  • No flowers or large hair adornments.
  • Facial hair closely trimmed and neat in appearance, as long as it allows proper fit of face masks.
  • Synthetic hair, including extensions, may not be allowed in clinical settings.
  • The hair color must be considered a natural occurring hair color.

  • Clean and short—to tips of fingers.
  • No artificial nails or nail polish/gels/acrylics/stickers allowed.

  • Conservative—no artificial eyelashes (including magnetic) or excessive make-up, if unsure of this definition please consult your faculty. Must comply with agency policies.

  • Rings—engagement and/or wedding rings only. No stones, simple band only.
  • One pair of earrings—small, stud-type (no larger than 1/4"), no hoops or dangling earrings. (Piercings on the upper pinna and tragus are not allowed).
  • No bracelets or necklaces (religious requirements must have supporting letter from religious leader).

Visible body piercings are not allowed in the clinical/skills setting:

  • Eyebrow, nose, tongue, lip, or any others.

  • Visible tattoos must be covered with make-up, Band-Aids or clothing.

  • Good oral care is essential. Avoid strong odors (for example, garlic, tobacco). No gum chewing in clinical or skills.
  • Students must be personally clean and well groomed. The habit of a daily bath or shower plus the use of a deodorant is essential in a setting where close contact occurs.
  • No aromatics/particulates of any kind are allowed, to include but not limited to perfume, after shave, scented deodorant, hair spray, essential oils, vape/smoke residues and body washes, as these are triggers for asthmatic patients.