Allied Health/Clinical Accommodations

The issue of academic accommodations and accommodations for students with disabilities in clinical settings is getting a lot of attention.  There are a few resources available to assist colleges in their decision-making and there is an ongoing effort to gather more.

Well-written technical standards, essential components help in advising students with disabilities

If you do not regularly take time to review the technical standards and essential requirements of the programs or courses your students are attempting, you may want to start. That's a way for students to understand what will be required of them up front, and whether they will be able to succeed academically. Unfortunately, sometimes administrators and faculty haven't created written technical standards and essential requirements for the programs and courses they offer. "In the worst cases, skills or standards are present but are written in a way that is clearly discriminatory."  In such cases, it's vital that you reach out to the appropriate administrators or faculty members to talk about what students must be able to accomplish - with or without accommodations. This may involve collaborating to look closely at course syllabi. Finally, encourage administrators across your entire campus to create written documents explaining the requirements of each of their programs and classes, if they have not already done so. Then have those handy when students come in to talk to you about attempting those programs or classes. DCHE Vol. 17 Issue 9

"OCR encourages post-secondary institutions to engage in a conscientious and diligent process with students in determining which academic adjustments are appropriate and do not fundamentally alter course requirements. When a specific adjustment requested by a student cannot be implemented due to the nature of the clinical setting or due to legal regulations applicable to that setting, a college must explore whether there are other effective options for accommodating the student". OCR, 2010.

National Council of State Boards of Nursing;  NCLEX Candidate FAQs How does a candidate with special needs request testing accommodations? A candidate must contact their board of nursing for instructions on how to apply for accommodations and what documentation is required. A candidate may receive testing accommodations if they provide documentation from an appropriate medical professional to support their request. This documentation must include a diagnosis included in the Diagnostic and Statistical Manual of Mental Disorders (DSM). Among the accommodations available are additional testing time, separate room and/or assistive personnel (i.e., reader).

Links

Beyond the Usual Accommodations: Supporting College Students with Disabilities in Clinical Settings

Beyond the Usual Accommodations is the DS provider's go-to guide whenever a student with disabilities wants to enroll in a program with clinical components. From determining a student's admission, to providing accommodations, to applying program standards, you get guidance to make decisions that comply with the law, while offering opportunities to qualified students. Support students effectively by adapting proven strategies to: Collaborate with academic officials to pinpoint programs' essential requirements; Work with site supervisors who are prejudiced against students with disabilities; Balance students' privacy rights with site officials' need for information; Ensure that students aren't a threat to themselves or others in a clinical setting; And, explanations of ADA and Section 504 requirements plus commentary on OCR letters makes it easy to convince campus leaders of your institution's duty to students with disabilities - and head off lawsuits and OCR investigations.  $27.95 plus s/h.

Exceptional Nurse website

ExceptionalNurse.com is a nonprofit 501 (c) 3 resource network committed to inclusion of more people with disabilities in the nursing profession. By sharing information and resources, ExceptionalNurse.com hopes to facilitate inclusion of students with disabilities in nursing education programs and foster resilience and continued practice for nurses who are, or become, disabled. This web site is maintained by Donna Maheady, Ed.D., ARNP, an advocate for nurses and nursing students with disabilities.

Accommodating Nurses with Disabilities

Job Accommodation Network

DO-IT Resources for nursing students with disabilities

DO-IT University of Washington

Hospital May Require Disabled Nurse Satisfy Performance Standards Without Violating ADA

A hospital can require a disabled nurse to satisfy the same high performance standards that apply to nurses generally, the U.S. District Court for the Western District of Michigan held in Harrison v Spectrum Health. While a hospital, like other employers, must provide reasonable accommodations to enable employees with disabilities to perform essential job functions, lowering job standards as an "extraordinary accommodation" is not required by the ADA. Go to link for full text of this case.

Pepnet2 FAQ clinical accommodations

Documents

Accommodating Students with Disabilities in Allied Health

Professional programs with clinical components have some unique attributes as compared to typical academic programs. First, they are technical in nature and may have competencies that dictate performance within a certain timeframe.  Second, they may have off-site training elements and thirdly, faculty may have ideas that could potentially create attitudinal barriers for students that they do not normally instruct in typical classroom settings. Galvin Group (2011)

OCR Letter CA State University Sacramento

OCR Letter to CA State University, Sacramento 09-09-2172.  Academic accommodations in a clinical setting.

OCR Letter Los Medanos

OCR Letter 09-09-2120 Los Medanos College. Academic accommodations; accommodations in a clinical setting; grievance procedures.

OCR Letter Napa Valley College

OCR Letter 09-06-2011 Napa Valley College. Accommodations in a clinical setting; discrimination

OCR Letter College of the Sequoias

OCR letter 09-09-2022 College of the Sequoias. Essential functions in a clinical setting.

School of Nursing Undergraduate Student Handbook

University of Delaware (2011)