Pediatric Nurse Practitioner (PNP) Preceptor Manual

Transcription

1 Pediatric Nurse Practitiner (PNP) Preceptr Manual Academic Year

2 Table f Cntents Intrductin... 3 Welcme t Precepting!... 3 Benefits f Precepting Students ( What s in it fr me? )... 4 Key Resurces... 4 Imprtant Phne Numbers... 5 Emergency Cntact... 5 PNP Prgram... 6 Prgram Descriptin... 6 Prgram f Study... 7 PNP Student Cmpetencies/Related Student Learning Outcmes... 9 Preceptr Eligibility ( Am I Preceptr Material?) Rle Expectatins fr Preceptr, Curse Faculty, and Student Preceptr Rle Curse Faculty Rle Student Rle APPENDIX A: Orientatin Checklist (Sample)... Errr! Bkmark nt defined. APPENDIX B: Student Incidents during Clinical/Practicum Experiences

3 Intrductin Welcme t Precepting! Thank yu fr agreeing t precept a graduate student frm ur Pediatric Nurse Practitiner (PNP) prgram in the Schl f Nursing at Oregn Health & Science University (OHSU). This manual will prvide infrmatin and guidance fr yu as well as cntact infrmatin fr members f the PNP prgram. Yur participatin as a preceptr is nt nly essential t the clinical educatin f PNP students - prviding them with the pprtunity t translate classrm learning int clinical practice skills and knwledge - critical, but als greatly appreciated. In fact, students ften say it is their experience at the pint f care that is the highlight f their advanced practice educatin! The preceptr rle is generally that f a clinical teacher and mentr, serving as a valued and experienced resurce, and prviding a safe and supprtive envirnment in which the student can grw and develp as a clinician. The faculty rle includes clinical placement and versight, serving as a direct cntact fr yu, and as a supplement teacher, mst typically accmplished thrugh fcused integratin f thery curses utside f clinical. The student rle is t cme prepared, be pen t cntinued learning and cnstructive feedback, and wrk with yu in a prfessinal manner. THANK YOU fr partnering with us t educate the next generatin f PNPs! 3

4 Benefits f Precepting Students ( What s in it fr me? ) We knw that having a student takes extra time and increases yur wn respnsibilities within yur practice. Hwever, we als hpe yu will discver that there are als many benefits t wrking with students, bth prfessinally and persnally. Preceptrs have fund that wrking with students prvides them with the pprtunity t: Give back (r pay frward) the teaching yu received Feel re-energized by mentring, learning new infrmatin frm students, and clarifying yur wn thinking as yu explain clinical reasning Discver yur teaching and mentring styles Build a strnger future fr nurse practitiners Gain adjunct faculty member status at an academic institutin Access library resurces r cntinuing educatin fferings Fulfill re-certificatin r re-licensure requirements Build yur Curriculum Vitae r resume Enhance yur practice and prfessinal grwth Watch students grw and develp as clinicians NOTE: As a preceptr, yu will receive a certificate at the end f each term that reflects yur preceptr hurs spent with students. In additin, OHSU ffers access t the OHSU library resurces t Affiliate Faculty. Please cntact ur Prgram Administrative Staff, Michelle Cruz at cruzmi@hsu.edu if yu are interested in affiliate status r library access. Find frm at this link. Key Resurces The Natinal Organizatin f Nurse Practitiner Faculties (NONPF) is a wnderful resurce fr all nurse practitiner faculty that is directly accessible at In particular, they have created a Preceptr Prtal available t all preceptrs actively engaged in the clinical educatin f nurse practitiner students. Tw f the best resurces available thrugh the NONPF Preceptr Prtal page include: 1) FAQs fr Preceptr Orientatin, and 2) Preceptr Vignettes. The One-Minute Preceptr: 5 Micrskills fr Clinical Teaching is ne f the best quick references fr preceptrs, prviding practical skills with immediate applicability. Mastering the Preceptr Rle: Challenges f Clinical Teaching is still ne f the best verview f the preceptr rle, challenges, and resurces. Plus, it was written by Cathie Burns and clleagues, knwn t mst PNPs because f her Pediatric Primary Care textbk! 4

5 Imprtant Phne Numbers Faculty: Martha Driessnack PhD, PPCNP-BC Office: Assciate Prfessr Cell: Directr PNP Prgram, Interim SN 221 Jennifer Bevacqua RN, MS, CPNP-AC/PC Office: Assistant Prfessr Cell: SN 621 Prgram Administrative Staff: Michelle Cruz Graduate Prgram Assciate SN 559 Emergency Cntact Please cntact the Prgram Directr, Martha Driessnack, in the case f an emergency. If yu are unable t reach the faculty, cntact ur Prgram Administrative Staff, Michelle Cruz. 5

6 PNP Prgram Prgram Descriptin The Pediatric Nurse Practitiner (PNP) Prgram is designed t prepare advanced practice registered nurses t deliver primary and/r acute care t children (birth - 21 years f age) acrss practice settings and institutinal bundaries. The verall bjective f the PNP Prgram is t prvide the fundatin and scafflding fr students t becme cmpetent and caring pediatric nurse practitiners, schlars, and leaders. The prgram includes bth didactic and clinical curses, beginning with fundatinal cursewrk and advancing t specialized clinical applicatins. In additin t prviding direct care t children, graduates are prepared as lifelng learners, leaders, and advcates fr children and their families. A PNP may be certified in primary care (PC), acute care (AC), r bth (PC-AC). The scpe f practice fr the PNP-PC- r PNP-AC is nt setting specific, but instead is based n the child s health-related needs: Primary Care (PC) Track The PNP-PC practices wherever pediatric patients are in need f primary care. The fcus fr the PNP-PC is an nging relatinship with the child and family in the delivery f cmprehensive health care and crdinatin f health services. Accrdingly, curse wrk cncentrates n fundatinal knwledge f child grwth and develpment, health prmtin and disease preventin behavirs and interventins, and cmmn acute/chrnic illnesses and/r cnditins. Acute Care (AC) Track The PNP-AC des nt practice nly in what is traditinally cnsidered t be acute care gegraphic settings, such as an intensive care unit (ICU) r an acute care in-patient unit r hspital, but may practice wherever pediatric patients are acutely ill, physilgically unstable, technlgically dependent, and/r vulnerable t cmplicatins. The fcus fr the PNP-AC is the delivery f restrative care, characterized by rapidly changing clinical cnditins. The PNP prgram is Prtland-based, using bth hybrid curse delivery and an executive mdel fr class times and pediatric clinical practicums t allw wrking and/r distance students t participate. There are masters, pst-master s certificate, and DNP ptins. 6

7 Prgram f Study Students begin with fundatinal cursewrk in advanced pathphysilgy, advanced pharmaclgy, and advanced health assessment. The curriculum builds n this fundatin adding advanced didactic pediatric cursewrk and expsing students t varied clinical rtatins thrugh pediatric primary, acute, specialty, and chrnic care cntent and clinical sites. While students will chse a track (e.g. PC, AC), the entire first layer f curriculum is identical fr everyne. As each student prgresses, clinical immersin in track-specific experiences are individually mapped t ensure students graduate, nt nly with a brad expsure t the rle, but als sme deep learning pprtunities. Ask the student t shw yu where they are in their prgram f study. This will prvide yu with insight int the develpmental level f student. 7

8 APN Cre PNP Cre PNP Specialty Cre NURS 568D: Ped. Primary Care Clinical Immersin II (120 hurs) NURS 570D: Ped Acute/Chrnic Care Clinical Immersin II (120 hurs) NURS 790 DNP Practicum NURS 524: Evaluating Evidence NURS 568C: Ped. Primary Care Clinical Immersin I (180 hurs) NURS 568B: Pediatric Primary Care Practicum II (120 hurs) NURS 518: Reprductive Management Primary Care NURS 574B: Psychpharmaclgy Child/Adlescent NURS 570C: Ped Acute/Cmplex Care Clinical Immersin (180 hurs) NURS 570B: Ped Acute/Cmplex Care Practicum II (120 hurs) NURS 570A: Ped Acute/Cmplex Care Practicum I (80 hurs) NURS 569: APN- Acute/Cmplex Care Acute Care NURS 565B: Pediatric Assessment & Diag. II NURS 703 DNP Prject NURS 702 Cncepts fr Dctral Prac. NURS 715 Methds f Clinical Inquiry CPH 637 Princ. Of health behavir Interprfessinal Elective (1-3 credits) NURS 513: Knwledge and Leadership NURS 568A: Pediatric Primary Care Practicum I (80 hrs) NURS 582: Management f Newbrn NURS 567A ANP Primary Care I (well child) NURS 558: Pediatric Chrnic/Specialty Care Practicum (80 hurs) NURS 567B ANP Primary Care II (Acute-minr) NURS 557 ANP Chrnic/Specialty Care NURS 714 Practice Evaluatin CPH 622 Cm./infrmatics NURS 735 Principles f Healthcare Ecn NURS 733 Health Systems Org. NURS 508: Rles and Ethics NURS 555: The Science f Child Dev. NURS 565A: Pediatric Assessment and Diagnstics I NURS 566: Pediatric Pharmaclgy NURS 701 Plicy and ppulatin MN Prfessinal Cre NURS 515A/B: Advanced Path NURS 517: Advanced Health Assessment PNP Curses NURS 519 Advanced Pharmaclgy NURS 713 Evaluating Evidence NURS 700 Cncepts fr ANP DNP Prf. Cre

9 PNP Student Cmpetencies/Related Student Learning Outcmes Upn graduatin, it is expected that PNP graduates will: 1. PROFESSIONAL KNOWLEDGE AND SKILLS FOR INDEPENDENT PRACTICE Demnstrate cmpetency in the cre knwledge, skills, and practices needed t prvide primary and/r acute care t children (birth 21 years), including independent management f: a. well-child care and cmmn pediatric acute/chrnic illnesses/cnditins, and/r b. cmplex acute, critical, and chrnic illnesses/cnditins, characterized as physilgically unstable, technlgically dependent, and/r highly vulnerable t cmplicatins. 2. REASONING AND JUDGMENT Demnstrate the ability t identify health-related prblems, critically cmpare ptins, make timely decisins r recmmendatins, identify uncertainties, and use findings t imprve child health utcmes in light f evlving science. 3. EVIDENCE-BASED PRACTICE AND RESEARCH Demnstrate the ability t access, evaluate, and apply knwledge t supprt evidencebased care, prmtin, and discvery. 4. LIFELONG LEARNING Demnstrate the ability t recgnize limitatins in persnal knwledge and experience thrugh self-mnitring and reflective practices. 5. COMMUNICATION Demnstrate active listening and cmmunicatin skills t ensure effective, culturally apprpriate exchange f health-related infrmatin with/n behalf f children. 6. PROFESSIONALISM AND ETHICS Demnstrate integrity, hnesty, and respect, knwledge f ethical principles and the standards f prfessinal cnduct, and the ability t apply ethical principles in clinical care, research, educatin, r cmmunity service. 7. INTERPROFESSIONAL TEAMWORK Demnstrate knwledge f individual and team-based skills, rles, and respnsibilities in rder t ensure a safe, efficient, effective, and equitable care, research, and learning envirnment. 8. SAFETY AND QUALITY IMPROVEMENT Demnstrate the ability t identify child-related health situatins that cmprmise safety, and participate in risk reductin and cntinuus quality imprvement. 9. PATIENT/CLIENT-CENTERED CARE Demnstrate the ability t cllabrate with individuals, including children and their families, t prvide quality care that is respectful f and respnsive t different preferences, needs, attitudes, beliefs, and values. 10. HEALTH SYSTEMS Demnstrate an understanding f evlving health care systems, health plicy, delivery mdels, and resurce allcatin in rder t ptimize quality and access t health care fr children and families. 9

10 Preceptr Eligibility ( Am I Preceptr Material?) The specific requirements t precept include: Educatin fr advanced prfessinal practice, fr example: PNP r FNP CNS in Pediatrics MD Pediatrics r Family Medicine Interprfessinal specialist (e.g. Audilgy, Dental, Nutritin, etc.) Engaged in clinical/specialty practice that primarily serves pediatric patients/families. One year experience in pediatric-related practice Minimum f 6 mnths experience at current site. Hld current unencumbered license/certificatin. Nt a current wrk supervisr (if student is placed in place f emplyment). Mre glbally, the characteristics f expert clinical teachers typically include: Enjyment f teaching and patient/family care Accessibility and supprtiveness Ability t give clear directin A willingness t share knwledge Flexibility 10

11 Rle Expectatins fr Preceptr, Curse Faculty, and Student Preceptr Rle First, the tw mst imprtant things yu need t be aware f knw as a preceptr are: 1. Preceptrs, r an equally qualified designee, must be physically present at the clinical site when the student is there. 2. Preceptrs, r equally qualified designee, must sign all student ntes/entries int the patient health recrd AND must sign all prescriptins, as the students are nt yet licensed in advanced clinical practice and d nt have prescriptive authrity. In general, the preceptr rle is generally that f a clinical teacher and mentr, serving as a valued and experienced resurce, and prviding a safe and supprtive envirnment in which the student can grw and develp as a clinician. Sme say, yur jb is t develp students nt nly t be detectives, but als be reflective and effective in their assessment, management, and fllw-up f patients/families. Each preceptr is asked t take a mment at the beginning f the clinical rtatin t tuch base with the student t assess: What are the student s learning gals fr this experience? Hw much experience des the student already have in this clinical area? What skills has the student had experience with? What are the student s (and yur) expectatins? Mre specifically, the preceptr is expected t: Orient the student t the site, plicies, and prcedures * Create a cllabrative, respectful learning envirnment Prvide direct supervisin during clinical experiences Identify learning experiences with apprpriate patients/families Prvide nging feedback t students Be a psitive and effective rle mdel Ntify curse faculty f cncerns abut student s behavir, wrk, and/r prgressin Cmplete a clinical evaluatin f the student *SEE Appendix A fr Sample Orientatin Checklist 11

12 Curse Faculty Rle The faculty rle includes clinical placement and versight, serving as a direct cntact fr yu, and as a supplement teacher, mst typically accmplished thrugh fcused integratin f thery curses utside f clinical. Mre specifically, the curse faculty is expected t: Meet with preceptr (nsite, via telephne and/r ) prir t clinical experience t prvide: Preceptr infrmatin frm Preceptr Handbk Curse descriptin/bjectives Clinical evaluatin tl Have nging cntact with preceptr and student thrughut clinical experience t ensure the maintenance f a learning envirnment cnducive t attainment f the clinical curse bjectives Mnitr student clinical lgs Prvide evaluative feedback t the student. Assumes respnsibility fr student s final grade. Prvide preceptr with dcumentatin f number f hurs s/he serves as preceptr. Student Rle The student rle is t cme prepared, be pen t cntinued learning and cnstructive feedback, and wrk with yu in a prfessinal manner. Mre specifically, the student is expected t: Establish dates/hurs fr clinical that crrespnd t the preceptr s availability and clinical site schedule Ntify preceptr and faculty in a timely fashin f all changes t the agreed upn schedule Participate in rientatin specific t each clinical site as required Observe plicies and prcedures f clinical site Reprt t the clinical site n time and in apprpriate attire Wear student ID name badge Fllw OHSU/Schl f Nursing persnal appearance guidelines Cme prepared! Demnstrate prfessinal behavir and cnduct with preceptr, patients/families, and ther team/staff in the clinical setting Develp persnal learning bjectives cnsistent with curse bjectives Be self-mtivated in furthering wn learning Participate in cntinuus self-evaluatin f persnal and curse bjectives Discuss prgress with preceptr Maintain a lg f patient/family cntacts and experiences using typhn, the schl s clinical lg and case encunter sftware 12

13 APPENDIX A: Orientatin Checklist (Sample) NOTE: Any required hspital rientatin/checklist items are t be cmpleted by the student prir t start f rtatin (e.g. electrnic health/medical recrd training). Please cmmunicate any prerequisite required items t Curse Faculty in a timely fashin t allw time fr student scheduling. General Orientatin Intrductin t practice agency Student wrkspace(s), reference materials Additinal dress cde infrmatin, nt cnveyed prir t clinical. Building access, parking Phne system, cmputers, printers Staff intrductins/rles Other nsite prviders/rles Hw t cntact preceptr Agency ppulatin served, cmmunity issues Overview f Rtatin Dates f rtatin Clarifying curse faculty rle/site visits Intrductin t student Past experience/student prfile Prgress within the PNP prgram, including curses t date Skills mastered Skills t wrk n Clarifying Expectatins Schl f Nursing Curse Faculty are expected t: Specific curse descriptin/bjectives Preceptr student evaluatin frms Cnfirm need fr preceptr presence n site, c-signature & prescribing regulatins. NOTE: Students are required t have preceptr apprval fr any mdificatins t the care plan. Additinally, all rders and ntes must be c-signed by preceptr. Students are expected t: Share specific knwledge and skills t wrk n, set/cmmunicate gals fr clinical rtatin. Identify/cmmunicate areas f weakness, needing an additinal level f supervisin. Preceptrs are expected t: Cnfirm hurs & days fr student rtatin Identify days f preceptr absences and plan alternative days/experiences Cmmunicate site-specific values and expected behavirs Review any issues that may be related t agency and/r ppulatins served Share site-specific dcumentatin and frms. Set expectatins fr student respnsibilities. fr example ral presentatin skills/prcess. Establish prcess fr feedback, expectatins fr student self-reflectin Review any site-specific emergency prcedures/safety plicy. NOTE: Any student incident must als be reprted t Curse Faculty at sn as pssible. 13

14 APPENDIX B: Student Incidents during Clinical/Practicum Experiences As a preceptr fr the PNP prgram, it is nt yur respnsibility t cmplete the OHSU reprting prcedures required if a student r patient is injured r if there is a bld brne pathgen expsure. It is the respnsibility f the Curse Faculty and we have internal prcedures fr that. In the event that such an incident ccurs: 1. Fllw the emergency prcedures fr yur wn agency r institutin 2. Ntify the Curse Faculty immediately (r as sn as reasnably pssible) 3. Dcument the incident in writing 4. Let us knw if there is anything we can d t assist at yur end r urs. 14