University of South Alabama. College of Nursing. Preceptor Information Packet for APRN Students

Transcription

1 University of South Alabama College of Nursing Preceptor Information Packet for APRN Students

2 UNIVERSITY OF SOUTH ALABAMA COLLEGE OF NURSING TELEPHONE: (251) HEALTH SCIENCES BUILDING 5721 N. USA Drive MOBILE, ALABAMA FAX: (251) Fall Semester 2017 Dear Clinical Preceptor: I would like to take this opportunity to welcome you and personally thank you for serving as a preceptor. The faculty of The University of South Alabama College of Nursing understand the time and effort that it takes to precept students. Community partners with the common goal of education are critical to the success of advanced practice nursing. To ensure student success, the following documents are included for you to review: General preceptor guidelines Syllabus for this clinical course Bi-weekly self-evaluation tool that the student completes and the preceptor reviews and signs Preceptor evaluation of the student I encourage you to reach out to me anytime during the semester if you have questions, comments or suggestions. For your convenience, my contact information is included below. Again, thank you for sharing your valuable time and expertise. Sincerely, Enclosures

3 3 General Preceptor Guidelines To meet student learning objectives, The College of Nursing at the University of South Alabama encourages preceptor(s) to: 1. Provide supervision and guidance in the clinical arena 2. Share theoretical and experiential knowledge with the student specific to the specialty patient population 3. Counsel and guide students in identified areas of weakness 4. Facilitate the growth of assessment and decision-making processes from observational to semi-autonomous 5. Facilitate opportunities for the student to observe and actively participate in special procedures 6. Support the student as a professional while functioning in the role of an advanced practice nurse 7. Notify faculty of poor student performance that may interfere with appropriate/safe care of the patient As mentioned previously, the following documents are included in this packet: 1. Practicum Attendance Record: The student will complete the identifying information at the top of the form prior to starting clinical hours with a preceptor and will have one individual Practicum Attendance Record for each preceptor with whom the student works. The student will then log the date and time for each clinical experience (day) with the preceptor and present this running log to the preceptor at the end of each day for the preceptor to verify, sign, and date. The student is responsible for submitting the document to faculty at the conclusion of each clinical rotation. 2. Bi-weekly Self-Evaluation: The student will complete this brief self-evaluation every other week, focusing on his/her strengths and weaknesses and the plan to address weaknesses. The student will provide the document to the preceptor so he/she may review the self-evaluation, include any comments or feedback if necessary, and sign the document physically or digitally. The student is responsible for submitting the document to faculty after it has been reviewed and signed by the preceptor. 3. Preceptor Evaluation of Nurse Practitioner Student: The link to the student evaluation form will be sent directly to the preceptor's .

4 COURSE NUMBER: AHN 549 UNIVERSITY OF SOUTH ALABAMA COLLEGE OF NURSING COURSE TITLE: COURSE CREDIT: PLACEMENT IN CURRICULUM: Advanced Family Primary Care Nursing I Practicum 4 Semester Credits (240 Clinical Hours) Required Course of the Family Practice component of the Dual Role (Family NP/Adult-Gerontological Acute Care NP) FACULTY: Course Faculty: See the Course Announcements for additional faculty information Course Coordinator: Department Chair: OFFICE HOURS: Emily Sawyer, DNP, CRNP, AGACNP-BC, Assistant Professor Course Coordinator College of Nursing University of South Alabama Department of Adult Health Nursing 5721 USA Drive North Mobile, AL (w) (fax) esawyer@health.southalabama.edu Valorie Dearmon RN, DNP NEA-BC Chair and Assistant Professor College of Nursing University of South Alabama Department of Adult Health Nursing 5721 USA Drive North Mobile, AL vdearmon@southalabama.edu By appointment PREREQUISITE OR

5 COREQUISITE: Admission to Dual Role (Family NP/Adult-Geron Acute Care NP), RN licensure in all states of practice, NU 518, AHN 548 COURSE DESCRIPTION: The purpose of this practicum course is to provide opportunities for the Admission to Dual Role (Family NP/Adult-Gerontological Acute Care NP) students to apply concepts from AHN 548 in selected clinical settings. The emphasis is on culturally competent delivery of health care, diagnostic reasoning, and decision making/critical thinking through communication and collaboration. The focus is continued refinement of cognitive and clinical skills needed to provide comprehensive health assessments, diagnoses, and management of selected health care needs of women and childbirth, infants, children, and families in primary health care settings. COURSE FORMAT: Blended-Online and precepted clinical experiences in community OBJECTIVES: Upon completion of this course, the student should be able to: 1. Apply advanced knowledge and theories from nursing and related disciplines as a basis for advanced nursing practice roles with an emphasis on women s health, infants, children, adolescents, adults, and families across the lifespan. 2. Apply relevant knowledge from biological, psychosocial, socio-cultural, and nursing sciences to initiate advanced practice nurse competencies such as performing comprehensive health assessments, ordering and interpreting diagnostic procedures and tests, developing differential diagnoses as a basis for health promotion and disease management, formulating a plan of care, planning appropriate referrals and consultations, and evaluating effectiveness of the plan of care with women s health, infants, children, adolescents, adults, and families. 3. Implement comprehensive, holistic plans of care that address the health promotion and prevention needs of women s health, infants, children, adolescents, adults, and families across the lifespan. 4. Incorporate research related activities to each stage of life into advanced nursing practice. 5. Apply leadership strategies to improve the practice of advanced nursing with women, infants, children, adolescents, adults, and families. 6. Practice the advanced practice roles of teacher, researcher, advocate, clinician, consultant, collaborator, and manager of systems in the primary healthcare setting. 7. Demonstrate accountability of the advanced practice nurse to influence change within the health care delivery system of women s health, infants, children, adolescents, adults, and families and across the lifespan in primary healthcare settings. 8. Propose strategies to positively influence the focus and direction of advanced practice nurse.

6 9. Incorporate implications of culture, ethnicity, risk factors, epidemiology and health policy into the plan of care for women s health, infants, children, adolescents, adults, and families. 10. Demonstrate critical thinking and decision making in performing episodic history and physical examinations, recognizing normal from abnormal findings and differentiating age related changes from normal signs and symptoms of disease processes. 11. Utilize an appropriate format to accurately and systematically document collected data as such data applies to the comprehensive or problem focused history, physical examination, assessment, and diagnosis. 12. Apply appropriate pharmacologic therapies across the lifespan with an emphasis on women s health, infants, children, adolescents, adults, and families. TOPICAL OUTLINE: Clinical experience and documentation of: A. Comprehensive History and Physical Exam 1. Comprehensive Health History 2. Advanced physical assessment of all body systems 3. Family assessment 4. Diagnostic procedures and tests a. Diagnostic reasoning i. Laboratory Tests Ordering and Interpretation of Results ii. Radiographic Tests Ordering and Interpretation of Results 5. Differential Diagnosis 6. Presumptive Diagnosis 7. Plan of Care a. Medications i. Classes ii. Indications iii. Interactions iv. Side Effects b. Treatments c. Appropriate Referrals d. Appropriate Consultations e. Health Maintenance f. Schedule Follow-up Visits B. S.O.A.P. Notes 1. Episodic health history taking (patient presenting with a complaint of illness) 2. Episodic physical assessment 3. Diagnostic procedures and tests a. Diagnostic reasoning i. Laboratory Tests Ordering and Interpretation of Results ii. Radiographic Tests Ordering and Interpretation of Results 4. Differential Diagnosis 5. Presumptive Diagnosis

7 6. Plan of Care a. Medications i. Classes ii. Indications iii. Interactions iv. Side Effects b. Treatments c. Appropriate Referrals d. Appropriate Consultations e. Schedule Follow-up Visits C. Professional and environmental factors that influence primary care 1. ethnicity, culture, gender 2. epidemiology 3. issues, trends and health policy D. Focus on Family Practice and Internal Medicine 1. Wound Management 2. Procedures 3. Laboratory Tests Ordering and Interpretation of Results 4. Radiographic Tests Ordering and Interpretation of Results 5. Chronic Illnesses 6. Episodic Problems 7. Health Maintenance E. Legal and Ethical Considerations With a Focus on identifying and providing direct patient care to individuals with the following: Obstetrics & Gynecology Reproductive Basics Normal Obstetrics Pregnancy at Risk General Gynecology Gynecologic Oncology Reproductive Endocrinology & Infertility Contemporary Issues in Women s Health Pediatrics Growth and Development Immunizations Skin Eyes, Ear, Nose, Oral, and Throat Respiratory Tract and Cardiovascular Emergencies, Poisoning, and Critical Care Gastrointestinal, Liver, and Pancreas Urinary Tract

8 Musculoskeletal, Neurologic, Orthopedics, and Sports Medicine Fluids/Electrolytes, and Labs Endocrine Rheumatic, Hematologic, and Neoplastic Immunodeficiency Infectious Disease and Sexually Transmitted Infections Substance Abuse, Eating/Psychiatric Disorders, Psychosocial Aspects, and Child Abuse/Neglect Inborn Errors of Metabolism, Genetics, and Dysmorphology Allergic Disorders Adult Health Skin Eyes, Ear, Nose, Oral, and Throat Respiratory Tract and Cardiovascular Gastrointestinal, Liver, Biliary Tract, and Pancreas Musculoskeletal and Neurologic Kidney and Urology Poisonings and Physical Agents Hematologic and Lymphatic Diabetes Mellitus and Endocrine Lipid Disorders Infectious Disease Cancer Psychiatric Disorders Clinical Quotas These quotas are the minimum numbers of patients in different age groups each student must see in the clinical environments to successfully complete each clinical course. These numbers reflect the requirements for the entire semester, not per clinical site. Type of Patients: Minimum Number Required: Newborns: 0-3 Months 2 Infants: 4-6 Months Months Years Years Years 8 STD and 8 HIV: Treatment/Screening/Counseling Prenatal: 1st Trimester 5 Prenatal: 2nd Trimester 5 Prenatal: 3rd Trimester 5

9 Postpartum 5 Family Planning/Birth Control 15 Adult Females (Family Practice): Years 40 Adult Males (Family Practice): Years 40 Geriatrics (Family Practice): 65 Years or Older 15 Clinical Encounter procedures, diagnostic tests, and interpretation of results The following lists of tests and procedures are important to the student s development as a provider. While specific quotas for each are not required, every opportunity to practice interpreting these tests and performing these procedures should be taken. Common Procedures: Common Diagnostic Tests with Interpretation: Pelvic Exams Urinalysis Dip and Micro Paps Urine C&S Wet Preps Wet Prep (NS +/or KOH) Testicular Exams Viral Culture (Herpes) Prostate Exams Gonorrhea/Chlamydia Ophthalmoscope: Eye Exams Hemoccult Stool Tests Otoscope: Ear Exams Wound C&S Visual Acuity Tests CBC with Differential Peak Flow Meter Blood Chemistry Nebulizer Treatments TSH Results Interpret Cerumen Removal Rapid Strep: Prepare and Interpret Woods Light Rapid Monospot Prepare and Interpret Pregnancy Test: Urine and Serum Interpret Pap Results Chest X-Ray Skeletal X-Ray Pelvic Ultrasound

10 University of South Alabama College of Nursing Practicum Attendance Record Student: Faculty Facilitator: Preceptor Name: Preceptor Telephone Number(s): Preceptor Address: Course Number: Semester/Year: Specialty: *Student must log at least 30 minutes for meals during clinical shifts longer than 7 hours Date Start Time Meal Time End Time Total Hours Preceptor Signature Date PAGE TOTAL HOURS Page of

11 University of South Alabama College of Nursing Student Bi-weekly Self-Evaluation Student: Faculty Facilitator: Preceptor Name: Specialty: Course Number: Semester/Year: Date of Evaluation: Clinical Strengths Identified: Clinical Weaknesses Identified: Plans to Address Weaknesses: Student signature and date: Preceptor Comments (if applicable): Preceptor signature and date: Faculty Facilitator signature and date: