Acute Care Nurse Practitioner Preceptor Manual

Transcription

1 Visin Innvatin and excellence in nursing educatin t prmte a healthy sciety. Missin The missin f the Schl f Nursing is t prepare students frm diverse ppulatins t prvide prfessinal nursing acrss the cntinuum f health. Faculty in the Schl f Nursing prmte innvatin and excellence in nursing educatin thrugh practice, schlarship, teaching and service at bth the baccalaureate and graduate level. Cre Values Excellence, Prfessinalism, Student-centered, Innvatin, Respect. COLLEGE OF HEALTH PROFESSIONS SCHOOL OF NURSING Graduate Prgrams Acute Care Nurse Practitiner Preceptr Manual Innvatin and Excellence in Nursing Educatin Philsphy The Graduate Prgram prepares students fr advanced practice rles in nursing and t be accuntable fr clinical and rganizatinal decisin making based n schlarly evidence, principles f ethics, relevant theries and health care plicy. Upn cmpletin f the Graduate Prgram, the advanced practice nurse is prepared t prvide leadership in the analysis f factrs influencing health and the subsequent implementatin and evaluatin f strategies fr imprving health in a multidisciplinary, glbally aware, culturally sensitive manner. (Revisin 02/05/09)

2 The Master f Science in Nursing and the Dctr f Nursing Practice degrees prepare students fr advanced clinical practice as an Acute Care Nurse Practitiner. Acute Care Nurse Practitiner Scpe f Practice Care f Adults acrss the Acute Care Cntinuum, including thse with acute and cmplex illnesses Histries & Physicals Medical and Nursing Therapeutics Health Screening & Maintenance Diagnsing & Managing unstable and cmplex health care prblems Teaching & Cunseling Cllabrating with Physicians and ther Health Care Prfessinals The Acute Care Nurse Practitiner (ACNP) is a RN prepared at the Master's r Dctral level as a nurse practitiner whse fcus is the care f acutely and critically ill adult patients. The ACNP is educated t prvide cntinual and cmprehensive care, in a variety f settings, t adults wh are chrnically, acutely r critically ill. Acute Care Nurse Practitiners seek t imprve patient care and help return the patients t an ptimal state f wellness by: 1) perfrming histry and physicals; 2) determining differential diagnses; 3) wrking cllabratively with physicians t develp a therapeutic plan f care; 4) case managing patients with a fcus n cst-effective utcmes. The ACNP has skills that can assist the patient with chrnic, acute and critical cnditins t ptimize healthier utcmes in utpatient and inpatient settings by prviding patient teaching, early detectin and treatment f exacerbatins and in cllabratin with physicians prvide treatment when intensive care is warranted. Practice patterns fr the ACNP have included a Nursing Based Mdel where the ACNP is placed in a unit r service based prgram f care, r a Jint Prfessinal Practice Mdel in cllabrative practice with a physician practice r grup and fr reimbursement. The graduates f the ACNP specializatin is eligible t take the Acute Care Nurse Practitiner exam administered by the American Nurses Credentialing Center and the certificatin exam fr Acute Care Nurse Practitiners administered by the American Assciatin f Critical Care Nurses. In sme states, certificatin is required fr licensure as a nurse practitiner. ACNP graduates are eligible t apply fr recgnitin as an Advanced Registered Nurse Practitiner (ARNP) as a nurse practitiner thrugh the Kansas State Bard f Nursing.

3 Fr the nurse practitiner student, there is a strng emphasis n clinical practice and skill develpment, including advanced health assessment, management f patients, technlgies, and supervised clinical experiences. Cre curses required fr all master's students are: evidence based practice, theretical fundatins, advanced nursing practice rles, healthcare plicy systems and plitics, advanced pathphysilgy, advanced pharmaclgy, and management f clinical data and utcmes. The verall benefits f the nurse practitiner track are: cmprehensive cst-effective care prvided t patients and families; cntinuity f patient care; and the develpment f cllegial relatinships with physicians and ther health care prfessinals. The faculty f WSU's Schl f Nursing supprts bth the Clinical Nurse Specialist (CNS) and the Nurse Practitiner (NP) rles t meet the needs f patient care delivery and the health care team. Therefre, the curriculum reflects bth the ACNP and CNS specialties, and sme didactic cursewrk is shared, while ther curses are specifically designed fr the nurse practitiner student. Faculty Elaine Steinke, RN, PhD, ARNP, CNS, Prfessr (316) Elaine.Steinke@wichita.edu Karen Hayes, RN, PhD, ARNP, ACNP, CNS, Assistant Prfessr (316) kshayes@cx.net Terri Cre, MSN, ARNP, ACNP, Instructr (316) Terri.Cre@wichita.edu Jennifer Rdgers, RN, MSN, ARNP, ACNP, Lecturer (316) jen@jenniferrdgers.net

4 ACNP Curriculum Prerequisites fr the prgram are statistics and an undergraduate nursing research curse apprved by the Schl f Nursing. The ACNP track is 49 credit hurs. Cre Curses Cre Curse Credit Hurs 24 N 701 Advanced Health Assessment 2 N 702 Advanced Health Assessment Lab 1 N 703 Theretical Fundatins f Advanced Nursing Practice 3 N 715 Advanced Nursing Practice Rles 1 HS 711 Pharmaclgical Management f Acute/Chrnic Diseases 3 N 793 Advanced Pathphysilgy I 4 N 801 Health Care Systems: Plicy and Plitics 3 N 806 Evidence Based Nursing Practice/Outcmes f Care 3 N 826 Evidence Based Nursing Prject I 2 N 828 Evidence Based Nursing Prject II 2 Specializatin Curses Specializatin Credit Hurs 25 N 728 Advanced Practice Technlgy and Skills 3 N 874 ACNP Practicum I 4 N 840 Pathphysilgy & Management f Acute Care Prblems I 3 N 842 Transitin t ACNP Advanced Practice Rle I 1 N 909 Pathphysilgy & Management f Acute Care Prblems II 3 N 910 ACNP Practicum II 4 N 911 Transitin t ACNP Advanced Practice Rle II 1 N 912 Management f the Acutely & Critically III Adult 3 N 952 Advanced Nursing Practice Preceptrship 3 Cmprehensive Examinatin 0 Curse Descriptins: The fllwing didactic cursewrk builds n cre nursing curses and prvide the knwledge base fr applicatin in clinical settings: Health Sciences 711 Pharmaclgic Management f Acute & Chrnic Diseases This curse includes discussin f the clinical applicatin f specific categries f drugs used in the treatment f cmmn acute and chrnic diseases. It presents pharmackinetics, mechanisms f actin, dsages, side effects, and mnitring parameters fr medicatins as they are used in these diseases and in varius patient ppulatins. The curse facilitates clinical applicatin f this knwledge thrugh case studies, class discussins, and reviews f latest medical literature. (Cntinued n the next page)

5 Nursing 840 Pathphysilgy and Management f Acute Care Prblems I This is the first f tw curses that examines pathphysilgy and management f acute, multisystem health prblems in the adult. Emphasis is placed n the scientific underpinnings fr clinical decisin-making and practice issues. The majr themes address nrmal physilgy, pathphysilgy, assessment, diagnsis, and management f acute, critical, and exacerbatin f chrnic disease states. Health prmtin and disease preventin are emphasized. Nursing 909 Pathphysilgy and Management f Acute Care Prblems II This is the secnd f tw curses that examines pathphysilgy and management f acute, multisystem health prblems in the adult. Emphasis is placed n the scientific underpinnings fr clinical decisin-making and practice issues. The majr themes address nrmal physilgy, pathphysilgy, assessment, diagnsis, and management f acute, critical, and exacerbatin f chrnic disease states. Health prmtin and disease preventin are emphasized. Nursing 912 Management f the Acutely and Critically Ill Adult This curse will examine advanced nursing interventins fcused n client stabilizatin and management f cmplicatins in the acutely and critically ill adult. Emphasis is placed n diagnstic reasning and the management f the adult with cmplex health prblems. Interventins fcus n applicatin f advanced practice nursing care t the restratin f health and well being. Clinical/Lab curses: Nursing 728 Advance Practice Technlgy and Skills Fcuses n applicatin f clinical skills, advanced health assessment, and interpretatin f technlgies used in a variety f clinical settings. Students practice these skills in labratry and clinical settings. Students practice histry-taking and physical examinatin, with emphasis n differentiatin, interpretatin and dcumentatin f nrmal and abnrmal findings. A 40-hur precepted experience is included. The ACNP develps beginning skills in skills such as X-ray interpretatin, 12 Lead EKG interpretatins, pacemaker management, ventilatin management, hemdynamic mnitring, arterial bld gas analysis, and suturing. Additinal skills may be required depending n practice area, and students practice these skills in labratry and/r clinical settings. Nursing 842 Transitin t the ACNP Advanced Practice Rle I This curse fcuses n the applicatin f theretical mdels f practice, ACNP rle, evidencebased nursing practice, utcmes f care, and practice issues. Case discussins emphasize the applicatin f physilgic principles and clinical management f acute, critical, and exacerbatin f chrnic health prblems. (Cntinued n the next page)

6 Nursing 874 Acute Care Nurse Practitiner Practicum I A clinical experience that builds n pathphysilgy and clinical management cursewrk, emphasizing evidence-based practice. Students participate in a medical rtatin that is supervised by an ACNP r physician preceptr in the acute care setting. Emphasis is placed n physical assessment, interpretatin f data, differential diagnsis, develpment and implementatin f management plans, and perfrming relevant prcedures. Patient and family educatin, health prmtin, and preventin are emphasized. Clinical experiences are scheduled during the last 8 weeks f the semester (240 hrs.). Nursing 910 ACNP Practicum II Advanced clinical experiences that is a cntinuatin f NURS 874. Students participate in surgical and/r emergency department rtatins supervised by and ACNP r physician preceptr in the acute care setting. Emphasis is placed n physical assessment, interpretatin f data, differential diagnsis, develpment and implementatin f management plans, and perfrming relevant prcedures. Patient and family educatin, health prmtin, and preventin are emphasized. Clinical experiences are scheduled during the last 8 weeks f the semester (240 hrs.). Nursing 911 Transitin t the ACNP Advanced Practice Rll II This curse fcuses n cllabrative practice, utcmes f care, practice issues, and case discussin. Emphasis is placed n develping cllabrative relatinships with ther health prfessinals. Case discussins emphasize the applicatin f physilgic principles and clinical management f acute health prblems. Nursing 952 Advanced Nursing Practice Preceptrship A cncentrated clinical practicum in the student s specializatin health care setting that emphasizes the management f care fr individuals. Students synthesize cncepts and principles frm previus classes and clinical experiences, applying theretical and research cntent t acute, chrnic, urgent and/r cmmn health prblems. Preceptrship is in a clinical agency apprpriate t the student s clinical interests. Students select an area f clinical practice in which t further clinical skills and rle develpment in this 180 hur practicum.

7 Evaluatin f Student Learning by Preceptrs PRECEPTOR STATEMENT Preceptrs assist curse respnsible faculty and are practitiners wh prvide direct teaching t students apprpriate t the curse and prgram bjectives. Preceptrs fr clinical specializatins may include bth advanced practice nurses (ARNPs) and nn-nurse practitiners (usually physicians). Each preceptr must be credentialed and state licensed t practice in his/her specializatin. Natinal certificatin is highly encuraged althugh nt required in Kansas fr ARNP status. Preceptrs must have educatinal preparatin and/r extensive practice experience apprpriate t his/her supervisry respnsibility. Newly prepared preceptrs must have at least ne year f practice experience in the specializatin. Orientatin t the preceptr rle, including prgram requirements, expectatins fr versight and evaluatin f students, are prvided fr each specializatin. Student evaluatin is the respnsibility f the faculty with input frm the preceptr. Experiences with preceptrs are evaluated by students and faculty t enhance prgram develpment and student learning activities. Dcumentatin f preceptr qualificatin is maintained in the Schl f Nursing. Alicia Huckstadt, 4/09 SON Graduate Cuncil apprval 5/1/09 Evaluatin f student perfrmance by the preceptr prvides valuable input t bth the student and the faculty member. In additin t the general guidelines presented earlier, please cnsider these areas in yur evaluatin f the student: Reliability Infrmatin gathering ability Physical examinatin techniques Prblem-slving Clinical judgment Patient rapprt and educatin Prfessinal relatinships Knwledge base Recgnitin f limitatins Additinal resurces fr evaluating students can be fund in the links sectin fr preceptrs n this website. These can be helpful if yu have additinal questins r encunter difficulties during the rtatin. Please prvide yur evaluatin f the student n the frm prvided n the fllwing page and return it t the faculty member prmptly upn cmpletin f the student's clinical rtatin. The additin f written cmments is particularly useful fr the student and the faculty member. Thank yu fr supprting ACNP educatin at WSU! Ttal Practicum Hurs: 700.

8 WICHITA STATE UNIVERSITY-SCHOOL OF NURSING Preceptr Evaluatin f Acute Care Nurse Practitiner Student Semester Student: Preceptr Signature: Date: Key: NA = Nt applicable r nt bserved 2 = Omits task/prcedure, minimal cmpetence even with assistance 4 = Belw average skills, needs a lt f direct supervisin 6 = Perfrms with average skills, needs sme direct supervisin 8 = Perfrms with abve average skills, needs minimal direct supervisin 10= Skills are well develped, wrks independently mst f the time Ttal Pints Pssible = 100 Directins: Place a X in the bx t indicate yur rating f the student fr each item Rating Prcedure/Task NA Is skillful in btaining histries and perfrming physical examinatins in patients as apprpriate fr the setting. Selects and perfrms apprpriate physical exam techniques; recgnizes abnrmal findings. Demnstrates ability t recrd data in cncise, accurate, and timely manner using SOAP r agency frmat. Articulates patient prblems and physical findings, verbally and in writing, using accurate and apprpriate terminlgy. Succinctly articulates the apprpriate plan f care; uses clinical data and relevant literature t supprt the plan f care. Selects and recmmends apprpriate diagnstic tests with attentin t safety, cst, acceptability, and efficacy. Selects and recmmends apprpriate pharmaclgic preparatins with attentin t safety, cst acceptability, and efficacy. Demnstrates an awareness f ethical and legal implicatins f care prvided t patients and families. Implements apprpriate patient teaching, cunseling, and health prmtin strategies. Cperates and cllabrates with members f the health care team. Demnstrates prfessinal behavir. Cmments: (Yur cmments are particularly valued, s please add a few f yur cmments here)