MICHIGAN STATE UNIVERSITY COLLEGE OF NURSING

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1 MICHIGAN STATE UNIVERSITY COLLEGE OF NURSING NURSING 410 Practicum in Community Health Nursing COURSE SYLLABUS Spring, 2004 Course Chairperson: Grace J. Kreulen, RN, PhD NUR410 syllabus, page 1

2 MICHIGAN STATE UNIVERSITY COLLEGE OF NURSING Course Number: NUR 410 Course Tiles: PRACTICUM IN COMMUNITY HEALTH NURSING Course Placement: Level III Credit Hours: 3 (0-9) Course Description: Clinical experience in community health nursing focusing on the application of public health and nursing principles in the care of individuals/families and populations in a variety of community-based settings. Course Objectives: 1. Apply strategies for assessment, planning, intervention and evaluation that are appropriate to individual/family and population clients in community settings. 2. Provide comprehensive assessment data to support community health nursing diagnoses, including epidemiological, family, and community data. 3. Apply established research findings as a basis for making judgments in community health nursing practice. 4. Describe major legal, social, cultural, political and economic issues relevant to the delivery of community-based nursing care. 5. Coordinate appropriate community resources in the care of the individual/family or population client. 6. Accept individual responsibility and accountability in community health nursing practice. 7. Demonstrate the professional role characterized by critical thinking, self-directed learning, and effective communication and leadership skills. 8. Demonstrate an understanding of the uniqueness of self and client in community health nursing practice. Required Texts: Stanhope, M. and Lancaster, J. (2004). Community and Public Health Nursing (6th ed.). St. Louis, MO: Mosby. This is a new edition Chin, J. (Ed., 2000). Control of communicable diseases manual (17 th ed.). Washington, D.C.: The American Public Health Association. Supplementary resources: U.S. Department of Health and Human Services (2000). Healthy People 2010 (2 nd ed.). Washington, DC: U.S. Government Printing Office. Available from Course Chair and at NUR410 syllabus, page 2

3 Web-sites and additional resources will be posted on ANGEL. Course Chairperson: Grace J. Kreulen Assistant Professor Office: A129 Life Sciences, MSU College of Nursing, East Lansing MI Phone: (517) , Fax : gkreulen@msu.edu Office hours: Tuesday 9:30-10:30a and 2:30-4p, or by appointment Course Faculty: Faculty by section and clinical site are: Section 1: Section 2: Section 3: Section 4: Jacqueline Wright, Wednesdays Walnut Street School and 20 th Precinct Community Center, Lansing Georgia Padonu, Mondays Ingham County Health Department, Lansing Elaine McParlane, Wednesdays Barry-Eaton County Health Dept., Charlotte Grace Kreulen, Mondays Gardner Middle School, Lansing Note: Individual faculty will provide students with additional information about office hours and telephone numbers during the first week of the semester. Items for faculty mailboxes are to be dropped off at Student Affairs, 1 st floor Life Sciences. Instructional Model: Students participate in community health nursing clinical experiences and conferences/seminars nine (9) hours per week (126 hours for 14 clinical weeks). Faculty will provide students with information about specific learning opportunities and expectations during the first week of clinical. All students are expected to meet course and College of Nursing clinical expectations outlined below and in the CON Undergraduate Student Handbook. NUR 410 Basic Clinical Expectations: 1. Compliance with immunization, blood borne pathogens, CPR and HIPPA regulations Each student required to print a copy of their Immunization compliance letter and present it to their clinical faculty on the first day at the clinical site. Compliance records and the associated letter (signed by the University Physician) is available at Note: If you have problems accessing your records or have questions about the content of your immunization report please contact Paula Guss (517) guss@msu.edu or Steve Larmore larmores@msu.edu in the University Physicians Office. Any record updates should also be forwarded to Ms. Guss. NUR410 syllabus, page 3

4 2. Clinical preparation and professional behavior. Expectations for student conduct during the semester include: a. Develop active and measurable personal learning objectives for clinical practice based on course objectives/requirements, clinical learning opportunities, and personal interests. b. Structure and direct own learning activities to facilitate maximal attainment of personal and course objectives. c. Apply promptly all feedback (verbal and written) from faculty to future performance. d. Record daily clinical plans and activities by maintaining a clinical activity calendar. e. Document promptly following each client-related encounter for both family and population care delivery. f. Evaluate learning activities and progress in meeting objectives through weekly critical reflections and midterm/endterm evaluations. g. Evaluate course, clinical faculty at the end of the semester using the online SIRS evaluations. h. Initiate collaboration with clinical faculty to facilitate identification and achievement of personal goals and course requirements. Students must carryout each clinical day with responsibility and accountability, as evidenced by: a. Appropriate community health nursing attire & MSU name tag. Community health nursing attire differs from the usual CON Uniform described in the Student Handbook in that it includes 1) non-white business casual slacks/skirt, and 2) non-white leather shoes. Additionally, a suitable business casual shirt may replace the uniform CON polo shirt if approved by faculty. b. Written, evidence-based plans prepared prior to the start of the clinical day for all planned client encounters. c. Efficient management and use of clinical time, including priority setting and planned back-up activities for the inevitable day when anticipated plans collapse. d. Active, meaningful participation in group/team clinical activities. e. Appropriate expression of own thoughts, feelings, needs and concerns. f. Having own vehicle at clinical site. 3. Patient confidentiality, documentation and correspondence. Nursing 410 patient confidentiality guidelines will be described during orientation and must be followed at all times. Each student must sign the NUR 410 Confidentiality Agreement prior to initiating clinical activities. Students must document all community health nursing practice activities appropriately each clinical week, and provide midterm and endterm reports to referring agencies for all family and population clients followed. All written correspondence (including ) with agencies, other health professionals, clients, and others must be reviewed by faculty prior to transmittal. A copy is to be placed in the appropriate documentation folder. 4. Clinical Conferences/ Seminars. Conferences will occur each clinical day for the purpose of enhancing student learning and integrating theoretical concepts with community health practice. Students are expected to share and discuss clinical activities and encounters, bring up issues for group discussion and problem solving, discuss learning needs, and share knowledge/ skills/ feelings relevant to the practice of community health nursing. Each student will facilitate one brief content-specific seminar to his or her clinical NUR410 syllabus, page 4

5 group. 5. Folders. Students are to submit personal folders each week to clinical faculty that include: a) Objectives: List of personal objectives for the semester. b) Clinical calendar: Ongoing NURS 410 Clinical Calendar of planned and actual weekly activities. c) Critical reflections journal: Weekly reflections on experiences that address the following questions: 1) What concepts/theory content and research did I apply this week? 2) What learning questions were raised by this week s experiences. Where will I get the answer these questions? 3) What did I learn this week in relation to course and personal objectives? 4) What thoughts and feelings do I have about this week s experiences? d) Assignments and other material requested by your clinical faculty, including midterm and endterm evaluations. Note: The date/time and method of submission of weekly folders will be arranged with faculty. All folder material must be typed. 6. Nursing research application. Each student is required to prepare a one-page analysis of 2 research articles during the first half of the semester. The articles chosen for analysis must: 1) be directly applicable to the student s clinical practice in 410. One article should inform familyfocused care delivery and one article inform population-focused care delivery. 2) be published in peer-reviewed research journals within the last 5 years. 3) be approved by the clinical faculty. The 1 page, single spaced analysis of each research analysis using the following format is to be turned in by midterm: a) Reference the article and source using APA format b) Describe the community health issue studied and critique the research question, findings and discussion. c) Discuss applicability of the research to nursing care delivered to population/family clients. A copy of the article must be attached to each submitted annotation. 7. Nursing care delivery. Each student is to provide community/public health nursing services to both individual/family and population clients and to actively inform health policy. Students may also participate in public health observational experiences. Levels of nursing care delivery in the course are described below. Levels of nursing care delivery in 410: 1. Family-focused care: Improving the health status of families and individuals in the community. Each student provides family-focused care to a caseload of community-based clients. Caseloads are obtained from community-based primary care providers and from school nurses. Care is usually delivered in home and/or school settings. Care delivered to individuals is provided within the context of their family, and families are NUR410 syllabus, page 5

6 considered within the context of their community. Students are expected to partner with families and empower them with the knowledge and skills necessary to meet their identified health needs. Continuity across the continuum of care is emphasized. 2. Population-focused care: Improving the health status of identified populations. Students work individually or in groups to assess, diagnose, plan and implement specific population-focused health programs that meet identified needs of a defined community group. This experience is designed to provide an opportunity to develop personal knowledge and skill in community assessment and working with populations to improve their health. All population-focused care must address a health need identified by the community and use a collaborative approach to the provision of care. Students are expected to partner with community members and empower them to meet their identified health needs. A population-focused report, following Population-focused Care Report Guidelines, will be presented to all Monday/Wednesday clinical group members in a joint group meeting and submitted to clinical faculty on the final clinical day. Examples include: nutrition education with parents, adolescents and/or school aged children; health teaching to senior citizens; being part of a community group planning a health fair or other community event; participating in a health promotion project such as development of a neighborhood exercise program in a school. 3. System-focused care: Improving the health of populations by impacting political processes. Working individually or in groups, students work to impact the health of the public as a whole through involvement in grass-roots, legislative, and/or health-policy promoting activities. Senior Year Health Policy Focus describes this experience. Activity options will be presented during orientation and throughout the year on ANGEL. Each student is to maintain a policy portfolio throughout their senior the year containing policy learning objectives, activity reflections, and reports. 4. Public health observational experiences are arranged to provide a broader exposure to community/public health. These include a maximum of two ½ to 1-day long participant observational experiences in occupational health, school health, correctional health, public health nursing, communicable disease nursing, immunizations, maternal child health, women s health, homeless health, and environmental health. Sign-up sheets will be available the second clinical week. Preparatory and reflective activities are required for each experience. Attendance Policies: Attendance at all clinical experiences (each clinical day) is required. A student who cannot attend a clinical experience must notify their clinical instructor prior to the start of the clinical day using the defined call-in protocol. Any unexcused absence may be cause for student withdrawal from the course. Absences are excused at the discretion of the clinical instructor. Clinical instructors will provide students with information on the first clinical day regarding how to notify them of an anticipated absence from a clinical experience (call-in protocol). A student who misses a clinical experience may be required to 1) provide appropriate a written excuse from a health NUR410 syllabus, page 6

7 care provider for incidents of illness/injury, and 2) make-up the clinical time. Students with unexcused absences or excessive absences from clinical that are in jeopardy of failing to meet course objectives may be asked to withdraw or receive a 0 in the course. Any student who is not prepared to provide safe nursing care at a given clinical experience for any reason (including previous absence from clinical experiences, insufficient preparation for client encounters, and incomplete documentation of immunization and CPR status) may be sent home from that clinical experience. Bad Weather Procedures: Clinical instructors will provide students with information the first day of clinical regarding procedures for the event of severe inclement weather. Evaluation: Each student will have a formal mid and end semester conference with their clinical faculty. Each student will be expected to submit a completed self-evaluation prior to the mid and end semester conferences. Progress toward goals will be discussed at mid-semester, identifying strengths and weaknesses in performance and an action plan formulated. The final clinical grade will reflect performance over the semester in achieving course objectives. The standard University numerical grading system will be used to assign course grades. A student must obtain a course grade of > 2.0 in order to pass the course. Grades evidencing the level of performance in the course will be submitted once students have: a. Returned their black community nursing bag to the Media Lab b. Completed the online SIRS evaluations of course and clinical faculty. A 0.0 grade will be given for unsafe or dishonest behavior, unexcused absences and failure to meet minimal course expectations. The following scale will be used for grade determination: Percent Grade Point < Student Progress: All students are expected to critically reflect on their learning progress each week and to apply promptly all faculty feedback (verbal and written) to future performance. Students who believe they may be experiencing academic difficulties are urged to promptly obtain faculty guidance in proposed remedial activities. NUR410 syllabus, page 7

8 A student who has a concern related to the course is expected to approach their faculty to discuss the situation. Resolution of a concern on an informal basis between the student and faculty is encouraged. If the concern is not resolved at this level, the student is advised to set up an appointment with the Nursing 410 course chairperson to present the problem and discuss a proposed solution. Alternatively, students can process their concerns through the NUR 409/410/412 student representatives, who may request a meeting with the course chair to present student concerns. If the situation is still not successfully resolved following consultation with the course chairperson, the student should then contact the College of Nursing Student Affairs Office for further guidance. A joint meeting between the student, clinical faculty, course chairperson, and a Student Affairs representative may be required. NUR410 syllabus, page 8

9 Wk # MSUCON NUR 410 Clinical Schedule Spring 2004 Note: Wednesday and Monday dates of a semester week are not usually in the same calendar week. 410 Monday Sec. 01, Wednesday Section 02, 04 1 Jan 14 (All sections together) 2 Jan 26 Jan Activity 8:30a-12:00p NUR 410 Orientation, 219 Clinical Center 12:50p-4:00p Health Dept Orientation ICHD/BEDHD Jan 19 = MLK day, no classes, ICHD and LSD closed 3 Feb 2 Jan 28 4 Feb 9 Feb 4 5 Feb 16 Feb 11 Pres day, ICHD & LSD closed 6 Feb 23 Feb 18 7 March 1* Feb 25 Mid semester 3/3/04, conferences held with clinical faculty 8 March 15 March 3* 9 March 22 March March 29 March April 5 LSD closed March April 12 April 7 LSD closed 13 April 19 April April 26 April 21 Final clinical week 2-4p Semester Wrap-up: Monday/ Wednesday sections meet together in A131 LS to present Population-focused projects and Family-focused care summaries. 15 April 27-May 3 Final conferences held with clinical faculty. May 3-7 ExamWeek May 8, Graduation * Spring Break March 8-12, 2004 NUR410 syllabus, page 9

10 MSUCON 410 Evaluation Guidelines Midterm evaluation process instructions 1. Complete and turn in midterm self-evaluation that includes three documents: a. Community Health Nursing Competency Evaluation Form with completed midterm selfratings. b. Midterm journal entry (1 page) that includes: 1. Evaluation of progress meeting personal objectives. 2. Evaluation of overall performance at mid-semester (strengths and areas to strengthen). 3. Listing of 2-3 ways in which your clinical faculty can facilitate your learning. c. Evidence that assignments are up to date. 2. Schedule and participate in midterm evaluation conference with faculty, which may be held as part of clinical hours. Final evaluation process instructions 1. Complete and turn in final self-evaluation that includes three documents: a. Community Health Nursing Competencies Evaluation Form with completed final selfratings. b. Final journal entry ( 2 pages) that presents: 1. Evidence of accomplishment of personal objectives 2. Evidence of accomplishment of course objectives 3. Listing of 3-5 changes in your perceptions of nursing and health related to this experience 4. Statement of your current definition of community/public health nursing. c. Final Clinical Evaluation Form with completed listing of clinical activities (top section) and summary self-evaluation rating. 2. Schedule/ complete final evaluation conference with clinical faculty after last clinical day, sign completed Final Clinical Evaluation Form during conference. Note: All documentation must be completed and submitted by the final clinical day. 1. All family-focused care documentation organized in family folders. 2. Final reports to referring agencies finalized. 3. Population-focused care reports. 4. Health policy folder completed. NUR410 syllabus, page 10

11 Student Name Semester MSUCON NUR410 Clinical Evaluation Form Course Expectations Possible points Points achieved Evaluation evidence Nursing care delivery: Population-focused care Project title/s: Group report/s complete? yes no Family-focused care # clients followed # visits: home phone school other Documentation complete? yes no System-focused care Health policy focus: Policy folder complete? yes no Competency Evaluation -Project activities/reports -Documentation -Conference sharing -Project presentations 30 -Caregiving activities -Documentation -Conference sharing -Joint visits -Policy folder entries -Policy activities -Conference sharing Public health observational experiences List: Reflective activities complete? Yes No Professionalism Ethical, accountable, responsible, safe Participation in clinical group seminars, groups Weekly folder preparation Nursing research annotations Total Points 2 -Preparation activities -Reflection activities -Conference sharing Competency Evaluation -Professional attitudes and behaviors -Quality/effort in meeting course requirements Summary self-evaluation: The grade that reflects the degree to which the student assesses s/he has met course objectives: Course grade achieved: Faculty comments: Signature, student Signature, faculty date date NUR410 syllabus, page 11

12 Name Semester MSUCON NUR410 Community Health Nursing Competency Evaluation Form Directions: On the following list of community health competencies, circle your level of performance for each competency using the following rating scale. Note: Client refers to family and population-focused group clients. Whenever a 3-4 rating is selected, provide evidence of performance in the space provided. Evaluation Scale 4.0 = Outstanding Demonstrates consistent exceptional performance, goes beyond expected course requirements, consults with appropriate others when need arises, self-directed, role model for others, group leader 3.5 = Above Average Demonstrates very good, appropriate performance, seeks appropriate guidance and incorporates suggestions into practice, self-directed, effective group performance 3.0 = Competent Demonstrates good, appropriate performance with faculty oversight, acceptable group performance 2.0 = Adequate Carries out expected behavior safely with continuous directives from faculty, ineffective group participation 1.0 = Unacceptable Unable to meet the minimal level of performance with guidance. NA=Non-applicable Experiences not conducive to facilitating/demonstrating the competency. Competencies Evaluation Scale A. Assessment, Analysis and Diagnosis 1. Collects comprehensive data in partnership with the client. na Identifies clients at risk for health problems considering the determinants of health behavior, biology, physical/social environments, access to quality health care, political/economic factors na Applies epidemiological principles and scientific knowledge in decision processes. na Analyzes client data in view of the nature of the problem in populations. na Formulates and prioritizes relevant data-based nursing diagnoses that are clientvalidated. na NUR410 syllabus, page 12

13 B. Planning and Implementation 6. Incorporates nursing research findings/scientific knowledge and health promotion/disease prevention guidelines in care planning. na Identifies attainable expected outcomes relevant to the diagnoses. na Promotes client independence, control, and decision-making abilities in implementing interventions to achieve identified outcomes. na Uses effective communication skills with clients and others. na Collaborates with other health/social service professionals and community representatives to improve the health status of clients. na C. Evaluation 11. Evaluates interventions to determine client progress toward outcomes and to improve care processes. na D. Professional Development 12. Adheres to professional ethics and standards of practice, including protecting client privacy and maintaining personal and client safety. na Documents care accurately, appropriately and in a timely manner. na Demonstrates critical thinking and independent judgment in clinical decision making. na Assumes responsibility and accountability for own learning, time management, and active/respectful participation in clinical activities. na NUR410 syllabus, page 13

14 Introduction Population-Focused Care Plan Each project group is to turn in a population focused care report using the following format. Process & report outline Points Guidelines for report Population Assessment: Synthesize relevant data from mult iple sources Data from existing sources including comparative county/state/national data Key informant interview data Direct observation & survey data Scientific knowledge re. focal area Analyze and interpret data, apply literaturebased information/ research to interpretation Identify population assets and health concerns 15 Project title, location, overall goals, team members, and dates listed on first page The assessment process is clearly presented. 1) Data presented using narrative and tables 2) Data interpretation applies scientific knowledge and clearly tells what data means in relation to the focal population 3) Population assets and health concerns listed Population Diagnoses: Diagnosis stated per NUR 409 content: 1. Description of strength/problem 2. Etiologically-related factors 3. Characteristic signs and symptoms 3 Diagnoses flow from assessment data and are relevant to community health nursing Population Intervention: Intervention plan (objectives, methods and content) and expected outcomes Evaluation plan Presentation of intervention Evaluation of Care Delivered: Outcome/impact evaluation Process evaluation of approaches/methods 15 The intervention and evaluation are completely presented. 1) Intervention flows from assessment/ diagnoses and considers desired outcomes 2) All materials used in/ created for intervention included in report 3) Evaluation plan is attainable and relevant 3 Evaluation data and narrative presented Reference list/ clarity/ organization 2 All data sources and references presented in APA format, clear presentation and organization Personal evaluation of the project Degree of learning achieved Level of self/peer participation Faculty direction and support Environmental/setting factors 2 Each group member prepares personal reflection of learning per criteria listed on separate sheet placed at the end of the report (not stapled) or included in personal folder. Evaluation of project presentation Population client intervention Peer presentation (final clinical day) Created best learning environment Gained learner attention Sent clear message Used appropriate format/ strategies Evaluated teaching effectiveness **Guidelines are template for population care delivery--sections may be due at staggered times during project. NUR410 syllabus, page 14

15 MSU College of Nursing, BSN Program Senior Year Health Policy Focus Purpose: To provide over both semesters of the senior year an integrated approach to learning the knowledge and gaining the experience required to develop beginning level skills in informing health policy as a nursing professional. Objectives/Outcomes: By the time of graduation, the student will: 1. Articulate the relevance of the health policy to nursing practice, the profession, and society. 2. Demonstrate knowledge and understanding of legislative and regulatory processes. 3. Explain how to impact legislative and regulatory political processes. 4. Experience health policy promoting activities at local, regional, or state levels by participating in a minimum of two health policy-informing activities per semester, of which at least one occurs at the State Capital. Collaborating courses and policy focal areas: NUR 413: Health policy regulatory issues affecting nursing practice and profession, including the Board of Nursing; bill analysis, professional legislative and policy issues NUR 416/420: System-level change theory, decision-making processes, health policy leadership, magnet hospitals NUR 409/410: Health policy legislative processes, issues that impact the health of families, communities and populations, grassroots advocacy Learning Activities: Objectives 1, 2 and 3 will be addressed by: 1. Health Policy Lectures September 23, 2003, 12:30-3:30p, Rm. 133LS Special Guests: Paul Shaheen, Michigan Council for Maternal and Child Health Januay 27, 2004, 12:50-3:30p, Rm. A219 Clinical Center Special guest: Erik Harris, Michigan Nurses Association, Director Government Affairs 2. Course-specific textbook readings: NUR 413: Cherry, B. & Jacob, S. (2002). Contemporary nursing: Issues, trends & management. St. Louis: Mosby. Chapters 10 & 20. NUR 416: BSN te xt: Huber, D. (2000). Health policy and the nurse. In Leadership and nursing care management (pp ). Philadelphia: W.B. Saunders. NUR 420: Marquis, B.L., & Huston, C.J. (2003). Legal and legislative issues. In Leadership roles and management functions in nursing (4 th ed, pp ) Philadelphia: LippincottWilliams & Wilkins. NUR 409/410: Policy, Politics, and the Law (2004). In Stanhope, M. & Lancaster, J. (eds.), Community and Public Health Nursing (6 th edition). Supplemental reading list will be available during the semester. Objective 4 will be met through participation in health policy activities: 3. Participate in two health policy activities each semester (Fall and Spring). Select health policy informing activities of interest to you, a listing of options is posted on ANGEL. Discuss/coordinate arrangements and level of involvement with nursing course faculty. Provide written/oral feedback on each activity to faculty/students per report format on ANGEL. 4. Keep a health policy portfolio throughout the year that chronicles personal health policy learning objectives, activities, and reports. 5. Evaluate progress toward goals at end of Fall and Spring semester. NUR410 syllabus, page 15

16 Guidelines For Family Client Encounters Guidelines For Safety: In community health nursing, nurses encounter heterogeneous populations in many different community settings. It is essential that the following general principles of safety are followed at all times to minimize risks during the community health nursing clinic al experience. A. Attire. A professional image is one of the best insurance for one's safety in the community. Appropriate, safe dress includes: 1. Comfortable professional clothing following CON dress code for community health nursing. Jeans, visible midriff and thighs are unacceptable. 2. Limited jewelry. Watches, wedding and small engagements rings and costume earrings are acceptable. 3. Tailored shoes. Clogs and sandals are unacceptable. 4. Purses are never be carried. If you have a purse lock it in your car trunk. 5. Name pin for clear identification must be worn during clinical hours. Students not adhering to dress code will not be allowed to participate in clinical until appearing professionally and appropriately dressed. B. Demeanor. A caring yet confident attitude characterizes a professional image: 1. Be prepared. Know where you are going precisely, be sure of your purpose, and confident with your intended activities. 2. Acknowledge neighborhood residents/ individuals that encounter in a relaxed tone of voice and with eye contact. 3. Walk at a steady pace with head up to destination, like you belong where you are. C. Nursing bag. The nursing bag generally symbolizes a helping person. It should be carried on the initial/other home visits as needed, and otherwise be assessable in the car. The student nurse should: 1. Keep in trunk or covered in the car 2. Take the nursing bag into home or leave in the clinical office at the end of day. 3. Let it be known that the nursing bag contains no drugs or needles. D. Home visit preparation and guidelines 1. Identify the most direct and purposeful routes to client homes on a map as plan visit. 2. Home visits are to be made during daylight hours. 3. Home telephone numbers are not to be given to clients. 4. Clients are not to be transported by students in personal cars. 5. Home visits are not to be made on non-clinical days without prior approval of the clinical faculty. 6. Students must inform faculty when leaving the clinical agency, noting destinations and expected time of return. If destinations are altered, expected return times changes, or not returning to agency, students are to notify faculty in the prearranged manner. 7. Client records are not to be taken on home visits but are to remain at the clinical site 8. Faculty are available for telephone consultation and joint home visits during every clinical day. 9. Joint student-faculty home visits are made with each student at least once during the clinical experience. This may be at the request of the student or the faculty. 10. In an emergency, dial 911 first and then contact faculty. E. Strategies for assessing the level of safety in the home environment. Students are not to make a home visit when the client/care giver is not present, if domestic disputes are in progress, and if the student fears for his/her safety. Students should have a clear exit route available at all times. NUR410 syllabus, page 16

17 F. Strategies for assessing the level of safety in the neighborhood. Students should: 1. Drive around the neighborhood to become familiar with the surroundings, taking note of places of social gathering, stores, gas stations, location of public telephones, public buildings and social agencies, vacant buildings and park areas. 2. Note vehicles and persons in the vicinity of your destination. 3. Park as close as possible to the client's residence, but never in a driveway. 4. Lock the car doors when driving around and as you leave your car. G. Required materials: Name pin, stethoscope, nursing bag, city/ county maps. 2. Selection of Family Client Caseloads: Personnel in referring agency have first screened family clients utilized for student experiences. Pertinent information as to reason for referral and client needs is then forwarded to 410 faculty. Faculty review all referrals and discuss with agency before making final assignments. Criteria for selections of caseload include family situations that: enable the student to provide intensive nursing service with the primary emphasis on mental and/or physical health provide the student an opportunity to observe, define and actively participate in the promotion of continuity of care; specifically those families who are recipients of services from varied health and social disciplines. allow the student to make an initial assessment and plan for nursing action. progress can be expected during the semester--these might include families experiencing developmental adjustments, newly diagnosed patients requiring self-management instruction for the patient and family, families needing rehabilitation services. afford the student the opportunity to work with wellness and health promotion. 4. Documentation of Family-Focused Nursing Care: Documentation of care should reflect the recording of the nursing process that was systematically applied during an encounter with a client. All home, population, phone visit attempts and encounters with other agencies on behalf of a client must be recorded. The precise format for documentation may vary depending on the unit of service, referral source and clinical site requirements. Clinical faculty will provide documentation requirements during the second week of the semester, including issues related to confidentiality, charting of home visits, and referral feedback reports. NUR410 syllabus, page 17

18 Midterm report Final report Date MSUCON Community Health Nursing Referral Feedback Report To: From:, MSU Nursing Student Re: Dates of follow-up / / to / / # direct visits made # phone visits Reason for referral: Nursing Diagnoses Assessment Summary: Nursing interventions/ activities: Outcomes evaluation: Recommendations for future follow-up (agency/ future nursing student): Signature NUR410 syllabus, page 18

19 Policy Statement Michigan State University College of Nursing Nursing 410 Practicum in Community Health Nursing Confidentiality Policy and Agreement The MSU College of Nursing 410 Practicum in Community Health Nursing is committed to protection of patient confidentiality in providing health care to clients and communities. All information about clients, whether from verbal, written, and/or electronic sources, will be held in the strictest of confidence. This includes but is not limited to reports, records, and data pertaining to testing, care treatment and reporting. Any information pertaining to the treatment, general health or whereabouts of a client will not be released without the written permission of the client. NUR 410 Procedures To Maintain Patient Confidentiality will be followed at all times as outlined to assure patient privacy. Confidentiality Agreement 1. I accept responsibility for maintaining confidentiality of all personal information entrusted to me. 2. I understand that personal information may not be released to anyone without the written consent or authorization of the individual, unless allowed by law. 3. I accept responsibility for the integrity and accuracy of all information I communicate in verbal, written, and/or electronic forms. 4. I understand that disposal of all written health information shall be by shredding. I have read the above statements and agree to adhere to and maintain confidentiality. Signature Date NUR410 syllabus, page 19

20 Michigan State University College of Nursing Name Page # NURS 410 Clinical Calendar (The calendar provides a mechanism to plan and document your clinical activities each day. Please list the specific time, location and nature of all planned activities. Indicate phone number for all planned visits to homes/ agencies. ) Date/ Time Activities Scheduled/Planned (complete prior to clinical day) Activities Conducted (complete during/after clinical day) Hrs.for Week NUR410 syllabus, page 20

21 Seminar Topics Each student will prepare and facilitate a clinical seminar from the following topics. The following are suggested topics, others may be chosen. 1. Priority setting in community health 2. School nursing 3. Occupational health nursing 4. Correctional health nursing 5. Adult and child immunizations 6. Communicable diseases 7. Cultural competency 8. Women s health 9. Environmental health (specific issue to be identified) 10. An identified population-at-risk (homeless, HIV/AIDS, pregnant adolescents, obese) 11. Quality management / improvement in CHN 12. Bioterrism/ emergency preparedness 13. Health promotion foci: Combating the obesity epidemic through physical activity and nutrition. NUR410 syllabus, page 21